Musi waOctober 2, 1996, Lance Armstrong akaonekwa ane kenza. Zvose zviri nhoroondo. Akarapwa uye akadzokera kumakwikwi epamusoro ebhasikoro, achikunda Tour of France nhoroondo 7 dzinotevera. Nyaya yake yakava kukurudzirwa kwevanhu vazhinji vakatarisana nekenza. Mucheka wechizha wakave wakafanana netariro. Achitevera kubvuma kwake, angangodaro akawa kubva munyasha kuenda kune mazinga akasiyana, asi anoenderera kuva chimiro chetariro kune vazhinji vane kenza.
Ngatitaurire nezvekenza yeLance Armstrong, asi taurai kuti sei zvaakaona zvinogona kusiyana nemumwe munhu, kunyange mumwe munhu ane rudzi rumwechete uye rwechirwere chekenza panguva imwechete yechirwere.
Lance Armstrong uye Testicular Cancer
Lance Armstrong aiva nekenza kenza . Kenza yechipupuriro haisi chirwere chimwe chete. Inoputsika mukati maviri makuru makuru, seminoma uye nonseminoma. Seminoma inowanzowanikwa kune varume pakati pemakore makumi matatu nemakumi mashanu nemashanu uye zvakare yakaputsika pasi kusvika maviri subtypes. Nonseminomas inowanzoonekwa pakati pevarume pakati pezera remakore ekuyaruka nemakore makumi mana (40). Izvo zvakare zvakaputsika muchina subtypes, embryonal carcinoma, yolk sac carcinoma, choriocarcinoma, uye teratoma. Lance Armstrong akanga ane embryonal carcinoma. Izvi zvakakosha kucherechedza kuti mhando dzakasiyana dzekenza yemukenza dzinoita uye dzinopindura kurapwa zvakasiyana.
Embryonal carcinoma inobva kumasero ekutanga ayo masero emabryonal akawanikwa anowanikwa.
Nayo pachayo, inongororwa chete 2 muzana yekenza yepereticular. Zvisinei, inowanikwa kusvika kune 85 kubva muzana ye nonseminoma yakavhenganiswa-yega testicular kancer.
Nhanho
Cancer marudzi anowedzera kuenzaniswa nesero. Chirwere chepachivande chakaparadzaniswa kusvika mumatanho matatu: I, II uye III. Nhanho yechitatu ndiyo yakanyanyisa uye inoreva kuti kenza yakapararira kupfuura boka re lymph nodes munzvimbo inonzi retroperitoneum.
Achitaura kuti kenza yake yakanga yapararira muuropi yake, Lance akangoerekana aine kamufambi yakanyanya kupfuura yepachipiri III chepenicular testicular, iyo yakagadzirirwa semutambo IIIc.
Iyi iyi imwe pfungwa inokosha pakutaura nezvekenza. Kazhinji yenguva apo kenza inopararira ( metastasizes ) haisisiri kurapwa. Izvi ndezvechokwadi kune kanhavha dzakawanda dzakadai semukenza wemapapu, kenza yemazamu, uye mishonga yakasimba yakawanda. Chimwe chezvisizvo ndeyekenza yemukenza, umo mushonga unogona kuitika kunyange nechirwere chetachiona.
His Treatment
Chikamu chekutanga chekurapwa kwaLance Armstrong, iyo ndiyo nzira yakakwana yevanhu vakawanda vane kenza yepamusoro, yaiva kubviswa kwekenza canceris mukuvhiyiwa inozivikanwa seyordicalic .
Izvi zvakazotevera chemotherapy, iyo inoda kurapa chero masero emukenza akafamba kupfuura ma testes. Mumusangano weArmsstrong, sezvo kenza yake yakanga yaenda kuuropi, inofungidzirwa kuti masero emukenza angangodaro akaenda kune dzimwe nzvimbo pamwe chete asi akasava muduku kuti aonekwe. Akagamuchira zvikamu makumi mana. Kutanga kwekutanga kwakange kune bleomycin, etoposide, uye cisplatin. Maitiro anotevera akashandiswa vinblastine, etoposide, ifosfamide, uye cisplatin. Izvi zvakaitwa kuitira kuti usapfuurire kushandisa ropaomycin, iyo inobatanidza nehupukisi chezvinopisa, kunyanya chirwere chinonzi pulmonary fibrosis .
Izvi zvinosanganisira kukanganisa mumapapu zvinogona kugadzirisa simba rekufema uye zvinopedzisa basa rekipiki chero ripi zvaro rebhasikoro, sezvo mapapu avo anofanira kunge ari mumamiriro ezvinhu akakwirira okukwikwidzana pamatunhu akakwirira.
Mukuwedzera pakuvhiya, kubvisa testis kanonzi kansa, uye kurapwa nekemotherapy, Lance akavhiyiwa neuropi kubvisa zvipembenene zviviri zvekenza. Kurapa vasina kuroorwa (kana kuti vashomanana) metastases yeuropi iri kuve yakajairika, kunyange nemakumbo ematenda akadai sepapu kana kenza yemazamu isingarapiki. Kubviswa kwe "oligometastases" (kungoita mashoma) kunogona kuwedzera kuponeswa kwevamwe kanzira, kunyange kana chirwere chisingaiti.
Kuti Akaponeswa sei
Nzira dzakawanda dzakasimba dzechirwere chekenza dzomukati dzinenge dzisingagoni kurapwa kana dzichipararira (inoshandiswa patsva) kubva panzvimbo yavo yepamusoro. Nenzira yeLance, uye chero ani zvake akawana kenza kanomwe, testicular kenza ndeimwe yemaperembudzi yakasimba kwazvo ekurwisa tumor kunyange kana yakapararira zvakanaka kupfuura nzvimbo yayo yepakutanga. Izvi zvinokonzerwa nekuti kazhinji kenza kanonzi testicular inonyanya kukanganisa chemotherapy, asi mamwe mhando dzekenza dzinowanzobatanidzwa nemapoka ekenza anenge asingagamuchiri chemotherapy nenzira dzakasiyana-siyana.
Izvi zvinoreva here kuti mushonga weLance Armstrong wakapiwa? Kwete, yakanga isiri. Apo nonseminoma inosanganisira nzvimbo dzakasiyana nedzimwe nhengo dzemakirini kana mapapu, inorondedzerwa sehurombo husina hutano uye ine makore mashanu ekupona zvishoma pasi pe50 muzana.
Kanana Wake Ingadai Yakadzoka Here?
Zakawanda zvekudzoka kwechirwere cheNonseminoma testicular chinoitika mukati memakore maviri ekutanga. Recurrences kupfuura mamwe makore mashanu haisi nyore. Ive yava nemakore anopfuura makumi maviri kubva kuLance ichionekwa uye uye chiitiko ichi kunonoka kunenge kusinganzwisisiki. Izvozvo zvakati, kunyange zvazvo zvingave zvisingawanzoitiki nekenza yepamusoro, pane dzimwe nguva apo zvirwere zvinodzokorora zvakare makumi emakumi emakore mushure mokunge chironda chepakutanga chakarapwa.
Zvakakoshawo kuziva kuti ani zvake ane chirwere chekenza iri pangozi yakakura yekuvandudza kese mutsva wekenza yepenticular mune imwe yero testis. Nengozi yehupenyu yekuva nekenza yepamusoro inenge 0,4 kubva muzana, asi ngozi yeupenyu yekugadzira kenza yechipiri yepamusoro mune zvinyorwa zvinosara ndeye 2 muzana.
Pakupedzisira, chemotherapy inogona kukonzera kukura kwekenza yepamusoro mumugwagwa. Iyi mishonga inoshanda neDNA inokanganisa mumasero emukenza, asi inogonawo kukanganisa DNA mumasero akare, kutanga kushandiswa kwemasero aya kuchinjwa kuva kenza masero. Izvi ndezvechokwadi kune vanhu vakave nekemotherapy kune chero mhando ipi neipi yekenza, kunyange zvisinganzwisisiki.
Kanzira Yese uye Munhu Wose Akasiyana
Vanhu vazhinji vanozviwana zvichifadza kudzidza zvakawanda nezvekenza inozivikanwa yakakurumbira, kunyanya kana iri kenza ivo vari kutarisana navo. Asi zvakakosha kuratidza kuti munhu wese uye kenza yese yakasiyana.
Hapana kanzura mbiri dzinoita nenzira imwechete kana kupindura kune zvimwe zvakarapa. Kanzira mbiri dzinogona kuonekwa zvakafanana pasi pemakroscope asi inogona kunge yakasiyana kwazvo pamakemikariki. Kana iwe waizotora vanhu mazana 200 vane chirwere chimwechete chekenza chephenekisi panguva imwechete yechirwere, iwe unenge une 200 makondohwe akasiyana. Kuwedzera kwatinodzidza nezvekenza, patinenge tichinyanya kudzidza pamusoro pekusiyana uku, izvo zvakakonzera kumunda wose wekusarudzwa kwekenza yakarurama.
Mukuwedzera kune kusiyana kwemuviri, hapana vanhu vaviri vakafanana, uye munhu wese anopindura nenzira yakasiyana nekurapa. Lance Armstrong's testicular cancer yaive nemakore mashanu ekupukunyuka kweanopfuura makumi mashanu kubva muzana, asi hazvirevi kuti ane hutano kana huri nani pane munhu angagumburwa nechirwere. Mumwe munhu ane utano hwakanaka angaita zvisina kunaka, asi mumwe munhu anoita zvishomanana kuzvitarisira pachake angaita zvakanaka. Zvinowanzova zvakaoma kuziva kuti munhu achaita zvakanaka sei, uye zvakakosha kuchengetedza izvi mupfungwa pakutaura kune vadikanwa vedu nekenza. Haisi mhosva yemunhu kana ivo vachiva nekenza, uye haisi mhosva yavo kana vasingapinduri zvakanaka kurapwa. Migumisiro inowanzova nezvakawanda zvekuita nehuwandu hwemasero ehutu hwechiremera kupfuura munhu ane chiremera ichocho.
Pasi Pasi paLance Armstrong's Testicular Cancer
Lance Armstrong, kunyange zvazvo ainge awira kubva munyasha, anomira sekurudziro kune ani zvake akawanikwa ane kenza. Akapona mucheche wake wekenza uye akashatirwa zvakanyanya, uye haana kungopona chete asi akaenderera mberi nebhasikisi mukurumbira. Kenza yechipupuriro yakasiyana chaizvo pakati pekenza yakasimba, sezvo inogona kupora kunyange mushure mokunge yaita mitezo. Icho chiremera, zvisinei, icho chinowanzorova varume mumakore avo akakwirira, uye inogona kuparadza nenzira iyi. Tinokwanisa kupa chikwereti kuna Armstrong kuburikidza nekusimudzira kuziva kuti kenza inogona kuponeswa uye kuti inogona kuva noupenyu shure kwekenza kuvanhu vazhinji.
> Sources:
> Hill, Christine M. Lance Armstrong: Bhasikoro, Kupona, Inspiring Hope . Enslow Publishers, 2008
> National Cancer Institute. Testicular Cancer Treatment (PDQ) -Health Professional Version. Updated 01/30/18. https://www.cancer.gov/types/testicular/hp/testicular-treatment-pdq