Yaya Sau da yawa Ana Nodules Aka Nemi A Cikakken CT Cantsrous?
Yayin da aka gano cutar kanjamau ya nuna nodule, menene chances shi ne ciwon daji?
Zuwan kwayar cutar kanjamau yana da damar yin adadi da yawa. Amma kamar yadda yake da gwaje-gwajen da yawa, akwai "abubuwan da ba daidai ba" wani abu mai damuwa an gano cewa baya daga baya ya zama kome ba. Mene ne damar da aka samu a kan nunawa shine ciwon daji ( m ) da kuma sau nawa ne nodules a maimakon suyi (wadanda ba su da kariya?)
Na farko, yana da mahimmanci a yi magana game da ma'anar ciwon daji na huhu da mahimmanci.
Lung Cancer Screening da Statistics
Na dogon lokaci, muna fatan samun gwajin gwaji don ciwon daji. Bayan haka, muna da mammogram don nema ciwon nono, pap yayi kama da ciwon sankarar mahaifa, da kuma mallaka na cigaba don neman ciwon daji. Dalilin yana da sauki. Sau da yawa (amma ba koyaushe) cututtuka sun fi dacewa a farkon farkon cutar.
Wannan gaskiya ne ga ciwon daji. Rayuwar rayuwa ga mutanen da ke fama da cutar ciwon huhu 1 shine kusan 60 zuwa 80 bisa dari. Wannan ya sauke zuwa kashi 10 cikin 100 ga wadanda aka gano tare da mataki na 4 na cutar. Abin takaicin shine, kashi 40 cikin dari na mutanen da ke da ciwon gwiwar ciwon huhu na farko (4) (gishiri) a lokacin ganewar asali. Sashe na 4 yana nufin cewa ciwon daji ya yada zuwa yankuna masu nisa ko kuma sauran ƙwayar cuta, kuma saboda haka, ba zai iya yiwuwa ba . Tunanin cewa cutar kutsa cutar huhu ce babbar hanyar mutuwa ga maza da mata a Amurka wanda babban matsala ne.
Ta Yaya CT Zai Yi Mahimmanci?
Amma ga wasu mutane, yanzu muna gwajin gwaji. Cibiyar Harkokin Kasuwanci ta Amurka ta gano cewa nunawa CT scans (ƙananan kashi CT) ya saukar da mutuwar cutar daga ciwon huhu na huhu da kashi 20 cikin dari idan wasu mutane ke yin nazarin CT kullun a shekara . Wannan ya hada da mutanen da suka:
- Shin tsakanin shekarun 55 zuwa 74
- Yi akalla tarihin shekaru 30 na shan taba, kuma
- Ci gaba da shan taba, ko ka bar cikin shekaru 15 da suka gabata.
Lokacin kirga lambobi, kawai kimanin kashi 6 cikin dari na mutane sun haɗu da jagororin nunawa, amma wannan ne farkon. Kuma tare da wannan farkon ya zo 'yan matsaloli. Lokacin da aka gano wani abu a kan nunawa - kuma wannan bai dace ba - menene damar cewa yana da ciwon daji?
Na farko, yana taimakawa wajen fahimtar yadda ake amfani da shi don gano nodules akan gwajin CT. Gano mawuyacin abu akan x-ray ko CT na kirji baya nufin ciwon daji. A gaskiya ma, yana iya zama wani abu dabam - wani abu da ba za ka taba sani ba kuma ba zai damu ba idan ba ka da kyan gani ba.
Yaya Kwayar Kwayoyin Nodules Ta Yaya Kullum Suke Cikin Mutanen da Aka Tsabtace Cutar Cancer?
Tun lokacin da aka duba CT ba sabon abu bane, ba mu san yadda kododin nodules suke ba. An kiyasta cewa akalla kashi 20 cikin dari na mutane (mutanen da aka kware bisa ga sharuɗɗan da ke sama) suna da akalla guda ɗaya wanda ya buƙaci ƙarin gwaji. A nan yana da mahimmanci don nuna bambanci tsakanin abin da mai jarida zai iya kira taro da abin da ta ke magana a matsayin nodule. Wani taro yana nufin wani mummunan abu mafi girma fiye da 3 cm (kimanin 1 1/2 inci) a diamita.
Kalmar nodule an yi amfani dashi don bayyana abubuwan da ba su da nakasassu marasa kasa da 3 cm a girman.
Yaya Sau da yawa ne Nodules na Tashin Luman Da Aka Samu a Gidan Cutar?
To, idan kun sami wannan mummunar kira, wanda likitanku ya ce " mun sami wani ƙaura a kan CT na nunawa ," yaya damuwa ya kamata ka zama?
A cikin jarrabawar Kwalejin Ciwon Kankara na kasa, tsakanin kashi 1 zuwa 4 cikin dari na mutanen da ake buƙatar gwaje-gwaje masu haɗari don biyan su CT. Daga cikin waɗanda aka yi tiyata, kashi 25 cikin 100 na nodules sun kasance sun zama marasa lafiya.
Dubi wannan hanya dabam, A cikin masu bincike masu bincike kimanin da yawa sun dubi mutane a cikin binciken guda biyu.
A daya daga cikin wadannan (binciken farko na Panamericam na Ciwon Kankara ta Kanjamau (PanCan,) an gano 7008 nodules a cikin mutane 1871. Daga cikin wadannan 102 sun kasance masu cin hanci. A wani (binciken binciken British Columbia Cancer (BCCA), 5001 nodules an samu a cikin mutane 1090, tare da 42 mai m.
Crunching lambobi, wannan ya zo kashi 5.5 bisa dari na mutane a cikin binciken daya kuma kashi 3.7 a cikin wani wanda ke da nodules wanda ya juya ya zama mummunan.
A wannan lokaci, yana da mahimmanci a lura cewa waɗannan lambobin - yiwuwar cewa wani ƙwayar jikin mutum ne mai ciwo - yana da lafiya ga marasa lafiya ba tare da bayyanar cututtuka da aka kayyade ba. Zai yiwu maƙila mai laushi na iya zama daban-daban ga waɗanda ke da alamun bayyanar cututtuka. Yana iya zama daban-daban ga waɗanda suke da ƙwayar magunguna a kan nunawa amma ba su cika ka'idodin da aka ambata a sama ba.
Yaushe ne Mafi Nodule Mafi Yaya Zama Ciwon Kankara?
Ganin nazarin karatu a yau, fasalin nodules da aka samo a kan CT na nunawa zai iya kasancewa mai tsanani idan:
- Sun kasance a gefen hagu ko dama na sama, kuma ba zai iya zama m ba idan sun kasance a hagu ko hagu ƙananan lobes, ko kuma a tsakiyar hagu na lobe.
- Akwai bayani game da nodule (ma'anar cewa a maimakon wurin mahaukaci yana zagaye, ya yi kama da yankunan da ke cike da kututture,) ko kuma idan iyakoki ba su da kidayar ko kuma ba su da alaƙa.
- Idan sun kasance mafi girma.
- Idan sun faru a cikin tsofaffi fiye da matasa.
- Idan mutum yana da tarihi na tarihin cutar kanjamau.
- Idan sun faru a cikin mata sau da yawa fiye da maza.
- Tare da girman girman nodule.
- A cikin mutane da tarihin emphysema.
- A cikin mutane da ƙananan nodules.
Bugu da kari:
- Sashe na musamman nodules sun kasance mafi kuskure fiye da nodules.
- Nodules masu wuya sun kasance mafi kuskure fiye da nau'in nodules ko nodules marasa ƙarfi tare da siffar "gilashin ƙasa".
Menene Yakina Idan Ba Cutar Cutar ba?
Akwai dalilai masu yawa na nodules daga cututtuka zuwa tarin fuka , zuwa nodules da ke hade da cutar arthritis, da sauransu. Labarin da ke gaba ya tattauna abubuwa da dama da ke da alamun da ke cikin nodules .
Daidaita Hadarin
Kwayar cutar kwakwalwa na mahaifa yana samuwa ga likitoci (da jama'a) don kimanta yiwuwar da wani samfurin da aka samo a kan nuna CT yana da kyau. Wannan ƙaddarccen ƙirar lissafin Nodule ya samo asali ne bisa ga bincike kimiyya, amma ana gargadi mutane cewa ba maye gurbin shawarar likita ko magani ba. Mutanen da aka ba da izinin karantawa suna jaddada muhimmancin mahimmanci: Ba dukkanin nodules wadanda ke da haɗari mai tsanani shine ciwon daji, kuma ba dukkanin nodules wadanda suke da mummunar haɗari ba.
A ina kake je daga nan?
Idan likitanka ya tabbatar cewa kana da nodule ko nodules, akwai hanyoyi da dama da ta iya bada shawara. Wadannan zasu dogara ne akan abubuwa da yawa ciki har da abubuwan da ke tattare da cutar don ciwon huhu, bayyanar nodule, wuri na nodule, da kuma zaɓi na kanka. Wasu zaɓuɓɓuka sun haɗa da:
- A PET Scan
- A Bronchoscopy
- Ganin jira
- A biopsy (Akwai hanyoyi da dama da za a iya yin halitta a jikin jikin mutum dangane da inda yake.)
Sources:
Croswell, J. et al. Ƙarin Tambaya na Tambayoyi na Gaskiya-Gaskiya a cikin Kwayar Wutar Cutar Cutar Kuturwa: A Gwajiyar Random. Annals na Internal Medicine . 2010. 152 (8): 505-12.
Gould, M. et al. Bincike na Mutum tare da Nodules Pulmonary: Yaushe ne Ciwon Cutar Kwayar Wuta? Sanin asali da Gudanar da Ciwon Cutar Tsutsa, 3rd ed: Cibiyar Kwalejin Kwalejin Kwayoyin Yammacin Amirka Mahimman Bayanan Nazarin Harkokin Kasuwanci. Chest . 143 (5 Gida): e93S-120S.
Grannis, F. Ƙarfafa ƙwarewar cutar a cikin Ciwon Cutar Cancer. Littafin Labaran Harkokin Kiwon Lafiya . 2013 Aug 26. (Epub gaba da bugu).
Greenberg, A. et al. CT Scan Screening for Ciwon Cutar Kwayar cuta: Dalili na Dama don Nodules da Malignancy a cikin Babban Haɗin Kasuwanci Urban. PLoS Daya . 2012. 7 (7): e39403.
Lederlin, M. et al. Tsarin Gudanarwa na Nodule Pulmonary a shekarar 2013. Harsarki da Harkokin Cutar . 2013 Sep 11. (Epub gaba da bugu).
Naidich, D. et al. Shawarwari don Gudanar da Nodules na Rashin Gyara na Rashin Gano da aka gano a CT: Bayanin daga Fleisher Society. Radiology . 2013. 266 (1): 304-17.
McWilliams, A. et al. Sanarwar ciwon daji a Nodules na yau da kullum da aka gano ta hanyar dubawa. Jaridar New England Journal of Medicine . 2013. 369: 910-191.
Kungiyar Gudanar da Ciwon Toshin Gwiwar Kwayoyin Ciwon Kwayoyin Tsarin Kasa na kasa Rage Madawwamin Ciwon Cutar Kwayar Wutar Lafiya tare da Shirye-shiryen Tomography da aka ƙayyade. Jaridar New England Journal of Medicine . 2011. 365: 395-409
Wahidi, M. et al. Shaida don Kula da marasa lafiya tare da Nodules mai gina jiki: A lokacin da yake da ciwo ?: Bayanin Harkokin Kasuwanci na ACCP na tushen ACCP (edition na biyu). Chest . 2007. 132 (3 Gida): 94S-107S.