Metastasis ndiyo inofanirwa kushandiswa kwemasero emasero ayo anopinda nepamuviri wemuviri womunhu kubva panzvimbo yekutanga yechirwere. Metastases iyo inopararira kuburikidza nemidziyo ye lymphatic yemuviri inonzi lymphatic. Kufamba nemidziyo ye lymphogenous, metastases inowanzochengetwa mumakirini emakirini.
Metastases mumakirini emakumbo emutsipa uye muviri wose unogona kuumbwa mumatanho ekupedzisira emukenza, zvinonyanya kuomesa mamiriro emurwere, uye mumatanho ekutanga. Kazhinji kazhinji nzira yemaitiro yakawanda inoparadzira zvirwere zvinouraya epithelial (semuenzaniso melanoma ).
Nei mitastasita ichipararira?
Lymph nodes dzinonzi nhengo dzomukati dzenhengo ye lymphatic system, iyo inobatanidza yemwoyo yemagetsi yevanhu nemamwe mavara. Basa rerymphatic system nderokuchengetedza metabolism, pamwe nekuchenesa kana kuchenesa mishonga uye masero emuviri womunhu.
Lymph nodes inowanikwa mumapoka mumuviri wemunhu uye inzvimbo yekugadzira lymphocyte - masero ehutachiona, ayo anoparadza masero ekunze anokanganisa anopinda mumuviri. Kubviswa kwechirwere pamwe chete nemasitosita munzvimbo dzomumakumbo dzenharaunda dzinowanzoita kuti kuguma kwekupararira kwemarara masero. Uye nemishonga yakasarudzwa yakarurama inotungamirira kuchirapa chakakwana chechirwere.
Pane zvikonzero zvinoita kuti kupararira kwemasimasi:
- age (mukuru munhu wacho, zvinowanzoita metastasis);
- zvirwere zvinoshamwaridzana ( zvirwere zvisingaperi zvinokonesa mabasa ekuchengetedza emuviri uye zvinokurudzira kuitika kwemasimasi);
- ukuru uye nzvimbo yekutarisa kwemasero masero (yakawanda tumarara, zvichida kuonekwa kwemasimasi);
- ronda rekukura (kukura muhupamhi hworusvingo rwemuviri kune ngozi uye rinowanzokonzera mastastiko kufananidza nemakumbo anowedzera mu lumen yechiri).
Zviratidzo zvemasastases mu lymph nodes
Zviratidzo zvemasastase mumakondomu, supraclavicular, axillary uye inguinal lymph nodes nde:
- kuwedzera mune lymph nodes kusvika kukura kunoonekwa panguva yekuongorora kwekunze;
- kusuruvara kwe lymph nodes nekuwedzera kukura;
- kurasikirwa kwekurema, pasina kudya;
- kuramba kuneta, kuneta;
- anemia;
- kukwirira kwepamusoro, kazhinji ARI;
- neurosis;
- kuwedzera kwechiropa.
Kazhinji, metastases inokonzera mishonga inowanikwa kare kupfuura tumarara yekutanga. Kazhinji zvinowanzoitika kune varume vane makore anoda kusvika makumi mashanu.
Kuongororwa kwe-lymphogenous metastases
Chiratidzo chimwechete uye lymph nodes yakakurumbira yakareba hazvikwanisi kunyatsoongorora. Izvi zvinonyanya kuitika pamasitasti akavanzika, somuenzaniso, mumakirini emakumbo emudumbu, kana retroperitoneal lymph nodes. Murairo wegoridhe wevose oncologist ndeyekudzivirirwa kwakakwana kwemapoka ose emakirinikodhi mukuvapo kwechirwere chikuru. Nokuda kweizvi, kuongororwa kwemazuva ano kwakadai seTCT, PET, MRI, ultrasound inoshandiswa.
Nzira dzekurapa kwemasimasi mu lymph nodes
Kurapa kwemasitasisiti mumakirini emakumbo kunowanzowedzera. Zvakakosha kubvisa mastasita makuru pamwe nemarikisi nesikati panguva yekubvisa tumarara kana kuti zvakasiyana. Nzira yehushonga inoshandiswa zvakare inoshandiswawo, nekubatsira kwaKyberKnife, iyo inobvumira tumarara munzvimbo dzakaoma-kusvika-kusvika nekunyatsoshamisa kunoshamisa kunze kwekusagadzikana kwezvinoitika kwezvinhu zvakapoteredza.
Nezvipembenene zvakasiyana-siyana, zvine madiki mashoma emastastine nemamota, uyewo mumashure endopera mushure mekubviswa kwechirwere chinosuruvarisa, remishonga inonzi radiation uye chemotherapy inorayirwa. Kubatanidzwa kwemishonga yese yekurapa kunoenderana nehuwandu humwe humwe uye hunosimbiswa nachiremba ari oga kune mumwe murwere.