Halbowlaha sambabka keligiis ah

Nodul sambabada keli ah waa meel wareegsan ama oval ah (lesion) oo ku jirta sambabka oo lagu arko raajo xabadka ama CT scan.

In kabadan kalabar dhamaan qanjira sambabka kelida waa noncancerous (benign). Qanjirrada 'Benign' waxay leeyihiin sababo badan, oo ay ku jiraan nabarro iyo infekshanno hore.

Cudurka 'granulomas' ee faafa (oo ay sameysmaan unugyo falcelin u ah infakshan hore) ayaa sababa inta badan dhaawacyada aan fiicnayn. Infekshannada caamka ah ee badanaa keena granulomas ama nabarrada kale ee bogsaday waxaa ka mid ah:

• Qaaxada (TB) ama soo-gaadhista tiibayda
• Fungus, sida aspergillosis, coccidioidomycosis, cryptococcosis, ama histoplasmosis

Kansarka sambabaha aasaasiga ahi waa sababta ugu badan ee keenta qanjirrada sambabada (malignant). Kani waa kansarka ka bilaabma sambabka.

Noodle sambabka keligiis ah marar dhif ah ayaa sababa astaamo.

Noodle sambabka keligiis ah ayaa badanaa laga helaa raajada xabadka ama baaritaanka CT-ga. Imtixaanadan sawir qaadista ah waxaa badanaa loo sameeyaa astaamo ama sababo kale.

Bixiyaha xanaanada caafimaadkaaga waa inuu go aansadaa in qanjirada sanbabadaada ay u badan tahay inay fiicantahay ama walaac leedahay. Noodle badan ayaa u muuqda mid aan fiicnayn haddii:

• Noodle waa yar yahay, wuxuu leeyahay xuduud siman, wuxuuna leeyahay muuqaal adag oo xitaa muuqaal raajo ama CT scan.
• Waad yartahay oo sigaar ha cabin.

Bixiyahaagu wuxuu markaa dooran karaa inuu kormeero noodle waqti kadib adoo ku celcelinaya raajooyin taxane ah ama baaritaano CT ah.

• Ku soo celi raajada feedhaha ama baaritaanka CT-ga waa habka ugu caamsan ee lagula socdo qanjiraha. Mararka qaarkood, baaritaanka sambabka PET ayaa la samayn karaa.
• Haddii raajooyinka soo noqnoqda ay muujiyaan in cabbirka qanjidhku aanu is-beddelin muddo 2 sano ah, waxay u badan tahay inuu yahay mid aan fiicnayn oo biopsy loo baahnayn.

Bixiyahaagu wuxuu dooran karaa inuu biopsy ka sameeyo qanjiraha si uu meesha uga saaro kansarka haddii:

• Waxaad tahay qof sigaar caba.
• Waxaad leedahay astaamo kale oo kansarka sanbabada ah.
• Noodle-ku wuu weynaaday ama wuu is beddelay markii loo barbar dhigo sawirradii hore.

Cad ka-qaadista cirbadda sanbabada waxaa lagu samayn karaa iyadoo irbad si toos ah looga saaro darbiga laabtaada, ama inta lagu jiro howlaha loo yaqaan 'bronchoscopy' ama 'mediastinoscopy'.

Tijaabooyin looga saarayo qaaxada iyo infekshannada kale ayaa sidoo kale la sameyn karaa.

Weydii daryeel bixiyahaaga halista ka-qaadista ka-qaadista cad ka-qaadista jirka iyo ka-hortagga cabbirka qanjiraha oo leh raajada caadiga ah ama baaritaannada CT. Daaweyntu waxay ku salaysnaan kartaa natiijooyinka ka soo baxa cad ka-qaadista ama baaritaannada kale.

Aragtida sida caadiga ah way wanaagsan tahay haddii buudku qanacsan yahay. Haddii qanjiraha uusan ka weyneyn muddo 2-sano ah, badanaa wax intaa ka badan uma baahna in la sameeyo.

Kansarka sambabka - nodule keligiis ah; Granuloma faafa - qanjirada sambabada; SPN

• Adenocarcinoma - raajo xabadka
• Neefta Sambabka - aragtida hore raajada xabadka
• Nugul sambabada, kali - CT scan
• Nidaamka neefsashada

Bueno J, Landeras L, Chung JH. Tilmaamaha Bulshada Fleischner ee la cusbooneysiiyay ee maaraynta qanjira sambabada dhacdooyinka: su'aalaha guud iyo xaaladaha adag. Raajo shucaac ah. 2018; 38 (5): 1337-1350. PMID: 30207935 www.ncbi.nlm.nih.gov/pubmed/30207935.

Gotway MB, Panse PM, Gruden JF, Elicker BM. Raajada shucaaca 'Thoracic radiology': sawir qaadista cudurka aan faafin. Gudaha: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray iyo Nadel Buugga Buugga Caafimaadka Neefsashada. 6aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 18.

Reed JC. Halbowlaha sambabka keligiis ah. Gudaha: Reed JC, ed. Radiology Laabta: Qaababka iyo Ciladaha Kaladuwan ee Kaladuwan. 7aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 20.