Chigawo chakumidzi cha chingwe chamtundu wa mankhwala chimatchedwa nthawi yapadera - mediastinum. Lili ndi mapapo, ma bronchi ndi ma lymph nodes, omwe, monga ziwalo zina zilizonse, amapezeka ndi matenda a chilengedwe. Mmodzi mwa iwo ndi mliri wa m'mimba, womwe umakhudza maselo am'mimba ndipo amadziwika ndi kukula kwakukulu kwa kukula kwake.
Zimayambitsa matenda opatsirana pogonana
Zinthu zomwe zimathandiza kuti matendawa apite patsogolo:
- carcinoma ndi metastases;
- lymphoma;
- kansa ya m'mapapo ya bronchogenic;
- ziphuphu zoopsa za ziwalo za m'mimba, ziwalo zam'mimba, chithokomiro, impso, phula.
Matenda a m'magulu a m'mimba ndi mizu ya mapapo amachititsa kuti:
- chifuwa chachikulu;
- sarcoidosis .
Monga momwe ziwonetsedwera ndi ziwerengero za zamankhwala, vuto lalikulu kwambiri la matenda ndi khansara yamapapo ya m'mapapo (80% ya milandu).
Zizindikiro za matenda a mitsempha ya mitsempha yam'mimba ya mediastinum
Zina mwaziwonetsero zachipatala ndizowawa, zomwe zimakhala pakati pa chifuwa, kuthirira pamapewa, pakhosi, m'deralo pakati pa scapulae.
Ngati metastases ikumera msana, pamakhala kusokonezeka kwa ntchito ya msana ndi kusokonezeka.
Zizindikiro zina:
- kutentha kwa thupi;
- cyanosis wa nkhope;
- chifuwa, kupuma pang'ono ;
- ululu waukulu pamutu;
- mtima wamphwando wosayenerera ndi zotsutsana;
- kuwonjezereka kwa mpweya woipa;
- kupweteka;
- thukuta;
- kufooka ndi kutopa.
Kuchiza kwa matenda opatsirana pogonana
Mafotokozedwe a ma lymph node ndi kukula kwa kukula kwake, monga momwe tawonetsera kale, amadza chifukwa cha zifukwa zosiyanasiyana, choncho, chithandizocho chiyenera kusankhidwa malingana ndi chidziwitso.
Chifukwa cha matenda osagwirizana ndi matenda a tizilombo toyambitsa matenda, antiparasitic, antitifungal kapena anti-
Ngati chifukwa cha lymphadenopathy ndi zotupa zowopsya, mankhwala amafunika - chemotherapy, radiation, glucocorticosteroid mankhwala, mankhwala osamalidwa bwino. Ngati opaleshoni yokhala ndi chotupa ndi metastases n'zotheka, kuthandizira opaleshoni kumalimbikitsidwa.