Qhov Tseem Ceeb - Mob ntsws cancer vs. Tuberculosis
Mob ntsws cancer yog mob qog noj ntshav ntawm lub ntsws uas muaj peev xwm metastasize mus rau lwm yam kabmob ntawm lub cev. Tuberculosis yog ib hom kab mob sib kis uas tshwm sim los ntawm Mycobacterium tuberculosis. Ob qho xwm txheej cuam tshuam rau lub ntsws, tab sis lawv muaj cov kab mob sib txawv. Qhov sib txawv tseem ceeb ntawm lub ntsws cancer thiab tuberculosis yog tias mob ntsws cancer yog qhov mob ntawm lub ntsws, tab sis tuberculosis yog kab mob ntev. Los ntawm tsab xov xwm no cia peb qhia qhov txawv ntawm qhov nthuav dav.
Mob ntsws Cancer yog dab tsi?
Mob ntsws cancer yog qhov txawv txav thiab tswj tsis tau kev loj hlob ntawm lub ntsws. Kev haus luam yeeb yog qhov muaj feem pheej hmoo thib ib rau mob qog noj ntshav. Cov hom mob ntsws cancer feem ntau yog cov qog nqaij hlav hauv lub ntsws me me thiab cov qog nqaij hlav tsis me hauv lub ntsws (squamous cell lung cancer, adenocarcinoma, Broncho alveolar carcinoma, and large cell carcinoma). Mob ntsws cancer tuaj yeem kis tau hauv zos thiab metastasize mus rau cov ntaub so ntswg. Nws kuj ua rau paraneoplastic syndromes ntau npaum li neurological thiab endocrine tshwm sim. Mob ntsws cancer xav tau kev ntsuam xyuas kom zoo nrog kev kuaj mob biopsy thiab kuaj mob histological. CT scanning yog siv los ntsuas qhov kis ntawm cov qog (staging). Cov qog nqaij hlav qog nqaij hlav me me yog kho nrog tshuaj kho mob. Hauv daim ntawv cog lus, cov qog nqaij hlav tsis me me tuaj yeem kho nrog kev phais ua ke nrog kev kho mob. Kev kho mob hluav taws xob tuaj yeem siv tau hauv ob hom mob qog noj ntshav. Kev mob ntsws cancer siab heev tsis kho tau nrog kev kho mob.
Tuberculosis yog dab tsi?
Tuberculosis yog ib yam kab mob kis tau los ntawm Mycobacterium hom. Nws feem ntau cuam tshuam rau lub ntsws tab sis tuaj yeem cuam tshuam rau lwm yam kabmob ntawm lub cev. Tus kab mob TB kis tau los ntawm kev ua pa tawm ntawm tus neeg mob. Cov yam tseem ceeb tshaj plaws yog kev tiv thaiv kab mob thiab kev tsis huv thiab kev ua neej nyob. TB bacilli tuaj yeem sib ntxiv hauv cov ntaub so ntswg tiv thaiv lub cev tiv thaiv kab mob xws li macrophages. Nws ua rau granuloma tsim uas yog tus cwj pwm los ntawm caseation necrosis. Tom qab ntawd nws tuaj yeem ua rau cavitation hauv lub ntsws. Lwm yam tshaj li cavitation, TB tuaj yeem ua rau bronchopneumonia, pleural effusions, empyema, bronchiectasis, thiab ntsws fibrosis ua rau ua pa tsis ua haujlwm. Cov neeg mob yuav hnoos ntev (ntau tshaj peb lub lis piam), hnoos qeev, hemoptysis, thiab lwm yam ua pa tshwm sim. Cov tsos mob tsis tshwj xeeb xws li yav tsaus ntuj pyrexia (ua npaws), hmo ntuj tawm hws, tsis qab los noj mov, thiab poob phaus kuj tshwm sim nrog tus mob no.
TB yog kuaj pom los ntawm cov kua qaub-ceev stain (AFB), kab lis kev cai, thiab polymerase saw tshuaj tiv thaiv (PCR), thiab lwm yam. Adenosine deaminase assay, gamma interferon assay, Mantoux test, thiab imaging yog lwm yam kev txhawb nqa kev tshawb nrhiav hauv kev kuaj mob.. Cov tshuaj tiv thaiv tuberculous yog muaj thiab cov tshuaj siv feem ntau yog isoniazid, rifampicin, ethambutol, thiab pyrazinamide. Muaj lwm yam tshuaj tua kab mob los kho cov kab mob TB uas tiv taus. Cov tshuaj tiv thaiv BCG tau muab rau cov menyuam mos yug tshiab los tiv thaiv kev kis mob hnyav thiab kis kab mob.
Qhov txawv ntawm Lung Cancer thiab Tuberculosis yog dab tsi?
Definition:
mob ntsws cancer yog ib qho txawv txav thiab tsis tswj tau ntawm lub ntsws loj hlob.
Tuberculosis yog ib yam kab mob kis tau los ntawm Mycobacterium hom.
Pathology:
Mob ntsws cancer yog qhov mob ntawm lub ntsws.
TB yog tus kab mob ntev.
Kev sib txuas lus:
mob ntsws cancer tsis kis ntawm ib tug mus rau lwm tus.
TB tuaj yeem kis tau los ntawm ib tus neeg mus rau lwm tus los ntawm cov kua ua pa.
Risk Factors:
Kev haus luam yeeb, asbestos, thiab caws pliav ntawm lub ntsws yog qee yam ua rau mob qog noj ntshav.
Kev tiv thaiv kab mob, kev noj zaub mov tsis zoo, kev nyob tsis zoo yog qee qhov tseem ceeb ntawm kev pheej hmoo rau tus kab mob TB.
Diagnosis:
mob ntsws cancer yog kuaj los ntawm biopsy thiab histology.
TB kuaj pom los ntawm hnoos qeev AFB, kab lis kev cai, thiab PCR.
Kev kho mob:
mob ntsws cancer yog kho nrog tshuaj kho mob, xov tooj cua, thiab phais. Txawm li cas los xij, feem ntau nws tsis kho.
TB tau kho nrog kev kho mob ntev ntev, thiab nws kho tau nrog kev ua raws cai.
