{"id":3552,"date":"2020-06-14T15:59:50","date_gmt":"2020-06-14T15:59:50","guid":{"rendered":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/?page_id=3552"},"modified":"2023-08-16T11:49:45","modified_gmt":"2023-08-16T11:49:45","slug":"mesothelioma-2","status":"publish","type":"page","link":"https:\/\/glutenfreepleasure.com\/__proxy_domain\/www.icts.com.sg\/ms\/mesothelioma\/","title":{"rendered":"Mesothelioma"},"content":{"rendered":"\n

RINGKASAN<\/strong><\/h2>\n\n\n\n

APA ITU MESOTHELIOMA?<\/strong><\/h3>\n\n\n\n

Malignant Pleural Mesothelioma (MPM) adalah bentuk kanker langka yang terjadi baik di lapisan tipis jaringan yang melapisi rongga dada dan menutupi paru-paru atau di peritoneum yang merupakan lapisan tipis jaringan yang melapisi perut dan menutupi organ dalam .<\/p>\n\n\n\n

Mesothelioma adalah bentuk kanker yang langka dan terjadi karena paparan serat asbes yang terjadi selama fase perkembangan di setiap negara. Di Singapura, keterpaparan memuncak antara tahun 1960-1990 dan di negara ASEAN lain keterpaparan masih berlanjut karena negara-negara tersebut tumbuh pada tingkat yang berbeda.<\/p>\n\n\n\n

Asbes masih banyak ditemukan pada struktur beberapa bangunan tua. Jika struktur ini tidak stabil dan terganggu, serat yang merusak ini dapat terlepas ke udara. Penting juga untuk dicatat bahwa asbes masih digunakan sebagai bagian pembuatan bantalan rem, bahan atap, ubin vinil, dan beberapa pipa semen. Asbes juga dapat ditemukan pada formasi batuan tertentu yang dapat terlepas selama penambangan.<\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

PENYEBAB MESOTHELIOMA<\/h3>\n\n\n\n

Biasanya disebabkan oleh menghirup serat asbes dan dapat terjadi sebagai bagian dari pekerjaan\u00a0seseorang\u00a0seperti pembuatan kapal, cat semprot, pipa ledeng dan industri otomotif. Ada 2 jenis serat, serat biru [serat amfibolik] adalah yang paling banyak menyebabkan kerusakan karena dapat masuk ke dalam jaringan. Mesothelioma dapat berkembang antara 10-80 tahun setelah terpapar.<\/p>\n\n\n\n

APA GEJALA MESOTHELIOMA?<\/h3>\n\n\n\n

Sayangnya, gejala mesothelioma jarang muncul di tahap awal. Sebagian besar pasien akan mengalami ini pada tahap akhir kanker. Gejalanya meliputi:<\/p>\n\n\n\n

    \n
  • Sesak napas yang disebabkan karena penumpukan cairan di paru-paru (efusi pleura)<\/li>\n\n\n\n
  • Nyeri dada yang tumpul atau nyeri di bawah tulang rusuk<\/li>\n\n\n\n
  • Nyeri atau bengkak di perut (perut)<\/li>\n\n\n\n
  • Benjolan di perut<\/li>\n\n\n\n
  • Penurunan berat badan tanpa alasan yang diketahui<\/li>\n<\/ul>\n\n\n\n

    INVESTIGASI<\/h2>\n\n\n\n
    \n
    Pemeriksaan Fisik dan Riwayat Kesehatan<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Akan ada pemeriksaan\u00a0umum kesehatan \u00a0pasien untuk mencari tanda-tanda penyakit, seperti benjolan atau gejala tidak biasa lainnya. Dokter akan mengajukan pertanyaan tentang kebiasaan kesehatan, paparan asbes, penyakit masa lalu, riwayat pekerjaan, dan perawatan.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Pemindaian CT<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Memeriksa pertumbuhan abnormal atau penebalan jaringan di dalam rongga dada dan bukti efusi.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Pemindaian PET<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Memeriksa sejauh mana penyakit telah menyebar dan untuk bukti metastasis (di mana sel kanker menyebar ke bagian lain dari tubuh).<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Biopsi<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Pengambilan jaringan sampel dari lapisan dada atau perut untuk uji klinis di bawah mikroskop. Dokter akan mencari aktivitas sel yang tidak normal. Biopsi dapat dilakukan dengan menggunakan jarum tipis atau dengan membuat sayatan kecil untuk mengeluarkan jaringan yang dibutuhkan. Kadang-kadang, dokter memerlukan biopsi bedah berbantuan video<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Bronkoskopi<\/span><\/i><\/i><\/span><\/span><\/div>
    \n
    \n
    \n

    Bronkoskop adalah alat seperti selang\u00a0dengan lampu dan lensa untuk melihat struktur di dalam saluran udara. Ini juga digunakan untuk mendapatkan sampel dari paru-paru.<\/p>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/div><\/div>\n\n\n\n

    Sitologi<\/span><\/i><\/i><\/span><\/span><\/div>
    \n
    \n
    \n

    Cairan efusi pleural\u00a0dikumpulkan dari rongga dada dan divisualisasikan di bawah mikroskop untuk mencari sel kanker.<\/p>\n<\/div><\/div>\n<\/div><\/div><\/section>\n<\/div><\/div><\/div>\n<\/div><\/section>\n\n\n\n

    PERAWATAN<\/h2>\n\n\n\n

    Perawatan mesothelioma membutuhkan pendekatan multi-disiplin dari tim dokter yang berpengalaman. Biasanya kombinasi dari Pembedahan, kemoterapi dan radiasi yang memberikan hasil terbaik.<\/p>\n\n\n\n

    \n
    Thoracentesis<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Ini melibatkan pengangkatan pleura yang melapisi paru-paru dan dinding dada ditambah dengan pengangkatan dan rekonstruksi diafragma dan terkadang perikardium [jaringan penutup jantung]. Jika dinding dada terlibat, sebagian dapat dibuang\u00a0dan direkonstruksi.
    \u00a0
    Dokter bedah Anda akan dapat menunjukkan\u00a0bagaimana pembedahan ini dilakukan\u00a0dengan bantuan diagram skematik dan video.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Kemoterapi<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Ini biasanya merupakan pengobatan gabungan dari obat oral dan injeksi yang diberikan selama beberapa\u00a0minggu atau bulan. Ini adalah obat yang sangat kuat yang digunakan untuk membunuh sel kanker dan dapat digunakan sebelum operasi untuk mengecilkan kanker atau pasca operasi jika dokter mencurigai adanya sisa sel kanker.\u00a0<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n\n\n\n

    Radioterapi<\/span><\/i><\/i><\/span><\/span><\/div>
    \n

    Bentuk perawatan ini melibatkan penggunaan sinar-X dan proton untuk menghasilkan pancaran energi yang kuat yang akan diarahkan secara tepat ke lokasi sel kanker untuk membunuhnya. Ini biasanya diberikan pasca operasi ke daerah di mana mungkin ada kebutuhan untuk membunuh sel kanker yang mungkin tertinggal atau untuk mencegah kambuhnya kanker tersebut.<\/p><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"

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