Metastases kabuhlungu emgogodleni: izimpawu. Metastases kabuhlungu emgogodleni: ukubonakaliswa

Umdlavuza - isifo akunakugwenywa. Ngaphezu kwalokho, kubalulekile nje basabela nesenzakalo okuba nomdlavuza ngokuphawulekayo, kodwa ukukwenza ngokushesha ngangokunokwenzeka. Kubalulekile futhi ukwazi lokho ngokuvamile izici ezithile kuphela zomdlavuza zenzeka emuva, okubangela izimpawu lubonakale. Metastases kabuhlungu emgogodleni, ngaleyo ndlela, libanakekele ekhethekile.

Ukuphuthuma inkinga

Ukubukeka metastases emhlane kungenzeka kubangelwa kumiswa izimila abulalayo webele futhi wendlala yabesilisa, adrenal, izinso kanye nakwezinye izindawo. Eqinisweni, kule ndawo yomgogodla singenzeka kunoma yiluphi uhlobo lomdlavuza.

Ngezinye izikhathi kuvamile kungenzeka ngisho eminyakeni embalwa ngemva kokuphela ukwelashwa. Kwezinye izimo, lezi zimpawu - metastases kabuhlungu emgogodleni - kungakwenza ngokwayo azizwa kanjani ngemva kweminyaka engamashumi amabili ukuphila okunempilo. Ngezikhathi ezinjalo, ukuba isimila Ukuphinda kufanele aphathwe njengento ebaluleke kakhulu, kungenjalo kungenzeka yi udabuka kakhulu.

Njengoba yokuthi, kulokho emgogodleni manifest zomdlavuza yesibili, ikakhulukazi incike indawo yesimila eyinhloko. Ngokwesibonelo, Ukudlulela kuya wesibeletho emgogodleni izimpawu ubonise ingemuva lymphosarcoma noma Sarcoma nasopharynx. Kubalulekile ukwazi ukuthi izimpawu yesibili kungenzeka buya lwa ngaphambi main focus. Ngenxa yalokhu, kwezinye izimo, uphethwe kokuqala akulungile, kodwa iqiniso lokuthi isiguli asitholayo ukuxilongwa omuhle kakade.

Kungani lokhu kwakwenzeka

Ngokuvamile, zonke izimila kwatholakala ukuthi nginesifo 13% are neoplasms metastatic elise umsele umgogodla. Ngaphezu kwalokho, lezi izimila kungenziwa akhiwe ngaphakathi emgogodleni, nangale. Endabeni bawubheke, indawo kungenzeka ngaphansi Mater laseDura, futhi phezu kwalo.

Ngokuvamile, kuba umonakalo yesibili isikhala epidural kuholela umdlavuza iziguli umgogodla nentambo kokucindezelwa. Le nqubo kungenxa ekwandeni isimila paravertebral ngokusebenzisa foramen intervertebral.

Lapho inkinga ezifana metastases kabuhlungu emgogodleni, izimpawu kungaba ngokunembile ukuxilonga umthelela isimila e-90% amacala. Faka amangqamuzana omdlavuza kule ndawo zomzimba ngegazi, futhi kwezinye izimo, uhlelo lymph kanye lymph uqobo.

imphawu letibalulekile

Kungakhathaliseki ukuthi hlobo luni Ukugula kwenzeka ngaso sonke isikhathi has izimpawu zikhona. Metastases kabuhlungu emgogodleni Kuthiwa umzimba eba umdlavuza. Ngesikhathi esifanayo kukhona eziningi izici uwahlukanise esivela nezinye izifo abasafufusa emuva:

- ukuthuthukiswa mhlawumbe okusheshayo a ukukhubazeka ngokugcwele noma kancane;

- ubuhlungu kuzibonakalisa ngokushesha, futhi emizweni ezifanayo yomgogodla ethintekile empeleni musa ukushintsha ngisho nangemva isicelo umuthi wezinhlungu;

- lapho kushintshwa isikhundla umzimba kakhulu kwandisa degree of ubuhlungu, okuholela komkhawulo wawubona ukuhamba;

- kanye nabanye izimpawu zesifo ngokushesha izimpawu ezinjalo zezinzwa nokulahlekelwa ukuzwa, ukuba ndikindiki futhi ukuluma.

Kuyaqondakala ukuthi lolu shintsho isimo lesiguli ingaphinda ephelezelwa ziwohloke abalulekile impilo uwonke. Ngenxa yalokho, isiguli ngokushesha kwesisindo, ukulala kahle futhi nenhliziyo emnyama. Konke lokhu kukhomba metastases kabuhlungu emgogodleni. Izimpawu lolu hlobo kunzima ukuziba, kodwa kwesinye isikhathi abantu ngisho isimo esibi kuseduze ukususwa Ukuvakashela udokotela. Ukwenza lokhu akudingekile ngoba ukuxilongwa ngesikhathi esifanele kanye nokwelashwa kwe-abafanelekayo kakhulu ezithinta isilinganiso sobude bokuphila kwabantu kuwumdlavuza.

Yini engase sezulu

Ekuqaleni kumele uqonde yokuthi ukuthuthukiswa ngokushesha izimpawu ezihambisana ne inchubekelembili okusheshayo metastases. Primary isimila kumiswa tikhule kancane kakhulu (ngonyaka noma ngisho nangaphezulu), kodwa isimo yesibili akuhambisani okuphambene.

Kungenxa yalesi sizathu, lapho kokutshelwa ngokukhubazeka kwengane liqoshwe njengombhali metastases kabuhlungu emgogodleni, onalesi sifo ngokuvamile okungekuhle. Nokho, ixhomeke nesigaba lesi sifo. Kule ndaba, luthela ngokuphinda umqondo wokuthi ngokushesha uzobe iyibhulogi inkinga njengoba umdlavuza yesibili, lo amathuba ngoba lokhu kwakuyoba nomphumela omuhle kangcono.

Futhi, indima ebalulekile eyadlalwa Eqinisweni, lapho eqondiswa metastases kabuhlungu emgogodleni. Izimpawu kanye izimpawu ezibonisa secondary nezemfundo isimila ngaphambilini isuswe, zidinga ukwelashwa okukhethekile.

emitholampilo isithombe

futhi izimpawu ingase yehluke kuye ngesistimu ubukhulu kanye nenani izinto. Metastases kabuhlungu emgogodleni bayakwazi ukuba libe nethonya ezahlukene isimo isiguli, ukuthuthukisa ezingxenyeni ezithile yomgogodla. Lokhu akusona isimanga, ngoba vertebra ngamunye eduze ngokushesha we Umthambo kanye izimpande ezinzwa ehlangene izitho ezihlukahlukene nezitho zomzimba.

Lapho kukhona metastases kabuhlungu emgogodleni wesibeletho, izimpawu ziyancipha kuya ubuhlungu uma uzama ujikise ikhanda lakho noma emaceleni ke. Futhi, ngenxa yokuthi kukhona kokucindezelwa ka umfula vertebral, iziguli eziningi ziqale baphathwa ikhanda nesiyezi ngezikhathi ezithile.

metastases ngandlela-thile ehlukile manifest kabuhlungu emgogodleni lumbar. Izimpawu kanye izinguquko kusimo zidinga uphethwe professional, ngoba zifana kakhulu izinkinga ezihambisana ezihlukahlukene isifo sezinso.

Ngezinye izikhathi metastases letinjalo ukungezwani eqinile static, okungaholela ukwa ka vertebral kokucindezelwa uhlobo, kakhulu watsheka indlela omi ngayo. Kodwa akugcini lapho, lezi waphuka ngezinye izikhathi imbangela ukulimala emgogodleni, okuyinto eyenzeka ngenxa ukukhubazeka esinqunyiwe noma ephelele nasemilenzeni aphansi.

Lapho kutholakala ukuthi uphethwe yini metastases kabuhlungu emgogodleni thoracic, izimpawu ngokuvamile athathe isimo kabi noma ubuhlungu endaweni ephakathi izindwani ehlombe. Kuwufanele ukwazi, nokuthi lolu hlobo okubonakalisa isimila iba abalulekile kamuva kunabanye, ngenxa izici yokwakheka kule ndawo.

iziyaluyalu radicular

Kulokhu kusho nesenzakalo okuthiwa ubuhlungu radicular. Bangase babonakale kabuhlungu emgogodleni wesibeletho, futhi ngezinye izikhathi ukwenza ngokwazo eyaziwa nge sciatica. Konke kuncike ncamashi lapho lesion. Kwezinye izimo, ubunjalo kungenzeka zoster ubuhlungu.

ukungezwani Lomuhle izimpawu kungabuye waphawula ubuhlungu palpation izinqubo spinous. Ngokuvamile, izimpawu ezinjalo zihambisana kumiswa esishintshashintshayo yozwela ongaphakeme kanye eliphezulu radicular hlobo. Sikhuluma ukunqotshwa yomgogodla thoracic futhi wesibeletho. Futhi, zikhona ezinye izimpawu kungenzeka - metastases kabuhlungu emgogodleni ngezinye izikhathi kuholela yokucindezela Achilles kanye edolweni ikhaliphe.

Kwesinye ubuhlungu amuke ngokuphelele isikhashana, kodwa ezimweni eziningi akusho alulame futhi ukubhujiswa okuphelele kwalelizwe ekuqaleni abathintekayo emsipheni impande. Ngemva kwalokho, lapho isimila sandile kwamanye izinzwa, ubuhlungu iyaqala.

Mielitichesky syndrome

isimo esinjalo kuwumphumela kokucindezelwa we umgogodla intambo lwesimila. Ezimweni ezinjalo ngokuvamile zenzeka umdlavuza wendlala yabesilisa, umdlavuza egilo engeziwe, nge ukunqotshwa umdlavuza ka wamaphaphu webele umdlavuza.

Kokucindezela yalolu hlobo kungenziwa sivaliwe noma iyiphi ingxenye yomgogodla, kodwa iningi umthelela emgogodleni kwenzeka esifundeni thoracic. Ngokuvamile degree of ingcindezi kuyanda liyakhula ngokushesha, kodwa ushintsho kungenzeka kancane isimo lesiguli.

Uma lokhu ubuhlungu ububonisa kuneNingizimu ezinye izimpawu uqobo. Metastases kabuhlungu emgogodleni kungaholela ukuthuthukiswa ukukhubazeka flaccid ibangwa ukulahlekelwa ephelele nozwela uhlobo umqhubi. Kodwa lokhu kwenzeka kuphela uma i-nokukhama okungazelelwe.

Ubuhlungu kakhulu esifanayo ehunyushelwe futhi wazizwa endaweni ye lesion isimila sokukhubazeka komgogodla.

Polinevropatichesky syndrome

Ukuze uthole syndrome enjalo ebonakala ukuthuthukiswa paresthesias, ukujuluka ngokweqile zezinyawo nezandla, kanye okusithiyayo concomitant ka siwasebenzise ne-Achilles, bamane bacabange ukuphendula kanye nokungondleki. Ngaphezu kwalokho, kungenzeka ukuthi siyixazulule ukuzwela esincishisiwe uhlobo Stocking futhi amagilavu ezandleni nasezinyaweni.

Ngo 4% of amacala umgogodla isimila izilonda okwamanje ukunikeza ukwazi metastases intramedullary ku emgogodleni.

Kuyinto kuwufanele azi mayelana iqiniso lokuthi ukusazi ngokunembile isifo esikuphethe kakhulu lufakwa in iziguli ubuhlungu ehunyushelwe noma radicular, kanye ekunwetshweni emgogodleni okuqhubekayo paresis zamazwe amabili.

Metastases kabuhlungu emgogodleni: izimpawu ngaphambi kokufa

Embusweni lomdlavuza ukunganakwa kuholela ukuphazamiseka izinqubo umzimba, futhi wonke umzimba. izimpawu zendawo nazo kakhulu ngcono.

Lokhu kusho ukuthi lapho kubhujiswa yomgogodla emkhakheni isimila ukuchayeka esefike ezingeni esibucayi. Futhi, kukhona ukuhlanza ezinzima nesicanucanu, ukuphathwa ikhanda, igazi.

Ngu befa izimpawu zihlanganisa izinguquko isigqi zokuphefumula:-ke iyashesha, it acishe sithule. Ezimweni ezimbi kakhulu kukhona ukwehla noma ukwenyuka kwezinga lokushisa kahle ngezansi izindinganiso ezamukelekayo. I symptomatology yalolu hlobo zihlanganisa ukungabi nandaba, ukunganakwa futhi ukungasathandi kukho konke okwenzekayo.

Futhi kukhona indoda egama ukufa iseduze, okumenza edla, ephuza kancane kakhulu. Konke lokhu kuhambisana ukukhathala ngokweqile futhi ukozela. Kukhona ngisho ngamaphupho nje la.

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Umdlavuza - isifo kabani umphumela ixhomeke uphethwe ngesikhathi esifanele. Ngakho-ke, uma uke ubabone izimpawu efana metastases kabuhlungu emgogodleni, kufanele usheshe uye esibhedlela. Uma izinsolo ayaqinisekiswa, belashwe odokotela kungaba ngokuphawulekayo isikhathi ekuphileni isiguli.