Paraneoplastic Syndromes ho Batho ba Nang le Kankere ea Boloetse
Paraneoplastic syndrome ke letšoao la matšoao a hlahang ka lebaka la hlahala e teng 'meleng, empa e seng ea bobeli ho kankere ka boeona. Matšoao a 'mele a hlaha ka lebaka la ho itšireletsa mafung ka' mele, kapa lintho tse ngotsoeng ke lisele tse nang le lisele.
Paraneoplastic Syndrome ka Kankere ea Lung
Li-syndromes tsa paraneoplastic li etsahala ho pota karolo ea 10 lekholong ea batho ba nang le kankere ea matšoafo.
Li ka kenyeletsa hoo e ka bang tsamaiso leha e le efe ea 'mele (e tšohloang ka holimo ka tlaase) mme ke matšoao a sa tloaelehang a amanang le kankere ea matšoafo. Matšoao a tsoang ho tsena syndromes e ka 'na ea e-ba matšoao a pele a kankere ea matšoafo, e hlahang hantle pele matšoao a kankere ka boeona.
Mefuta e Tloaelehileng
Ho na le matšoao a mangata a lefu lena a bonngoeng ka kankere ea matšoafo, empa tse peli tse tloaelehileng li kenyelletsa:
- Hypercalcemia le squamous cell carcinoma ea matšoafo
- Syndrome of Inappropriate ADH (SIADH) e thibelang kankere e nyenyane ea kankere ea kankere
Hypercalcemia e le Symptom Paraneoplastic
Hypercalcemia e le lefu la paraneoplastic le hlaha hangata le squamous cell carcinoma ea matšoafo , mofuta oa kankere e seng e nyenyane ea kankere ea matšoafo. Hypercalcemia e bua ka karolo e phahameng ea khalsiamo mali. Hypercalcemia e na le kankere ea matšoafo e ka bakoa ke ho kopana ha kankere e thibelang hormone e tsejoang e le protheine ea hormone ea parathyroid, hammoho le calcium e lokolloa ke ho senyeha ha lesapo ka lebaka la kankere e teng ka lesapo .
Matšoao a ka akarelletsa ho nyoroa, ho fokola ha mesifa, ho lahleheloa ke takatso ea lijo, pherekano, bohloko ba mpeng le ho tepella maikutlong. Tsela e molemo ka ho fetisisa ea ho phekola lefu la hypercalcemia ke ka ho phekola kankere ka boeona, empa ho etsa bonnete ba hore batho ba fumana metsi a lekaneng ke ba bohlokoa ka bobeli bakeng sa matšoao, le hobane hangata lefu lena le baka tšenyo e khōlō ea liphio.
Syndrome of Inappropriate ADH Secretion (SIADH)
SIADH e atisa ho ba le kankere e senyenyane ea kankere ea sapole , 'me e tšoaroa ka tekanyo e tlase ea sodium maling (hyponatremia.) Matšoao a ka kenyelletsa hlooho ea hlooho, bofokoli ba mesifa, ho lahleheloa ke mohopolo, le mokhathala, empa haeba ho etsahala ka potlako kapa ho matla haholo e ka baka ho tsieleha le ho lahleheloa ke kelello. Tsela e molemo ka ho fetisisa ea ho phekola SIADH ke ho phekola kankere, 'me phuputso e' ngoe e fumane hore ho phekola kankere e senyenyane ea kankere ea kankere le chemotherapy ho ka fokotsa matšoao a etsang karolo ea 80 lekholong ea batho. Litlhare tse khethehileng bakeng sa hyponatremia (sodium e tlaase) ka lebaka la SIADH e ka kenyelletsa ho thibela metsi ho noa kapa ho sebelisa lisebelisuoa tse ling kapa meriana.
Tse ling tsa Paraneoplastic Syndromes le Cancer ea Lung
Li-syndromes tsa Paraneoplastic li ka ama karolo leha e le efe ea 'mele' me tsa baka matšoao a mangata a sa tšoaneng. Tse ling tsa syndromes tse tloaelehileng li akarelletsa boko, tsamaiso ea endocrine, letlalo, liphio, mahlo, masapo le lisele tsa mali. Kaha matšoao ana a ka 'na a hlaha pele kankere ea matšoafo e fumanoa, e ka ba e ferekanyang haholo kaha lingaka li batla lisosa. Mehlala e seng mekae ea li-syndromes tse ka 'nang tsa etsahala ka kankere ea matšoafo li kenyeletsa:
- Cushing's syndrome - Ntho e phahameng ea cortisol maling e ka baka ho ruruha, khatello ea mali e phahameng, ponahalo ea "khoeli", le ho otlolla matšoao (joaloka basali ba ka 'na ba hatela pele nakong ea bokhachane).
- Acromegaly - Ka lefu lena, kankere ea matšoafo e ka 'na ea etsa homone e kang kholo ea hormone, e leng ho batho ba baholo e ka lebisang ho hola ha matsoho le maoto.
- Polymyositis / dermatomyositis - Ho ruruha ha letlalo le lisele tse bonolo ho ka etsahala, haholo-holo ka kankere ea squamous cell lung.
- Li-syndromes tsa neurological - Ho na le li-syndromes tse ngata tsa methapo ea pelo e ka emelang li-syndromes tsa paraneoplastic le kankere ea matšoafo, ka mohlala o le mong e le cerebellar ataxia - ho ruruha ha boko bo bakoang ke ho haelloa kapa ho sebelisana.
- Paraneolplastic glomerulopathy ke lefu la liphio le ka 'nang la e-ba teng le kankere ea matšoafo e le paraneoplastic syndrome.
Litlhare
Li-syndromes tsa Paraneoplastic li fapana haholo matšoao a tsona, 'me ho ka' na ha e-ba le lisosa tse 'maloa tsa e' ngoe ea li-syndromes tse khethehileng, kahoo phekolo e tla ba e mong ka mong. Ka kakaretso, phekolo e ntle ka ho fetisisa bakeng sa tsena tsohle - haholo-holo kaha lintho tse bakang matšoao ana hangata li hlahisoa ke lisele tsa kankere kapa ka 'mele ha li sebetsana le lisele tsa kankere - e tšoara kankere e ka sehloohong. Ka lehlohonolo, mekhoa ea phekolo ea kankere ea matšoafo - esita le kankere ea matšoafo e tsoetseng pele - e ntlafalitsoe lilemong tse seng kae tse fetileng, 'me nts'etsopele e ntse e etsoa esita le ha ho le boima haholo ho phekola kankere e kang squamous cell carcinoma ea matšoafo le kankere e nyenyane ea masapo a sele.
> Mehloli:
> Pelosof, L, le D. Gerber. Paraneoplastic syndromes: mokhoa oa ho hlahloba le ho phekoloa. Mayo Clinic Proceedings . 2010. 85 (9): 838-54.
> Kanaji, N., Watanabe, N., Kita, N. le al Paraneoplastic syndromes tse amanang le kankere ea matšoafo. World Journal of Clinical Oncology . 2014. 5 (3): 197-223.