Mukomana muduku wemukenza wemapapu unobata makero anenge makumi mapfumbamwe emakirini emapapu, asi isiri duku rekenza yemapapu emakanzura mazere makumi masere ezana emakirini emapapu.
Kusiyana nemusana wemukenza wemakamu emapapu, izvo zvakakamurwa kuva zvikamu zvina, kamudiki kemukiramu yemapapu akaparadzaniswa muzvikamu zviviri chete; nzvimbo isina kukwana uye nzvimbo yakazara. Vanenge makumi matatu kusvika ku40 kubva muzana yevanhu vane kenza yemukiramu yemapapu vanoonekwa kare kare - apo mamota avo achiri kutaridzirwa zvishoma, asi makumi matanhatu kusvika ku70 kubva muzana yevanhu chirwere ichi chave chafambira mberi kusvika pane imwe nzvimbo .
Mukomana muduku wemukenza wemapapu unowedzera kuva nehasha, uchikura nokukurumidza nekupararira nokukurumidza, asi kazhinji unopindura zvakanaka chemotherapy uye remishonga inonzi radiation kwenguva.
Tsanangudzo
Simba risina kamudiki kenza yemapapu emapapu rinosanganisira kenza iyo iripo mumapapu rimwe chete uye inogona kupararira kune lymph nodes iri pedyo kana mhuka pakati pemapapu asi haina kupararira ( mastasized ) kune dzimwe nzvimbo dzomuviri.
Mukomana muduku wemukenza wemapapu unoparadzaniswa kuita zvikamu zviviri nehuwandu hwemagetsi hunoitwa nemayeroti oncologists. Nekuraira uku, "chikwata chisinganyanyi " chinoreva matumire akakomberedzwa mukati memharaunda inononoka. " Chikamu chakawedzerwa " kenza yemukomana wemapapu kadiki, zvakasiyana, inoreva maronda akawandisa kana kuti akapararira kuti ave akazara mukati memhepo inononoka. Apo kenza kaduku kemapapu yemapapu yakapararira kune nzvimbo dziri kure dzomuviri (chirwere chemasastatic) inogara ichifungidzirwa kuti yakakura.
Chiremba wako anogonawo kutsanangura kenza yako maererano neTMM staging . Kushandisa iyi, T inomirira ukuru hwechirwere, N inomirira kuvapo kwekenza mune lymph nodes, uye M inoshandiswa kurondedzera mastasis kure. Nechikamu chisinganyanyi mutsara wekenza yemapapu, chirwere chinogona kuva chemazana akasiyana (T) uye inogona kana kuti isingave ine lymph nodes inobatanidzwa (N) asi ichagara iri M0 (M inoteverwa ne zero), zvinoreva kuti tumarara kwete kupararira kune imwe mapapu kana kure kunzvimbo dzomuviri.
Zviratidzo
Kusiyana nekenza, yakadai sepapu adenocarcinoma, iyo inowanzoitika munzvimbo dziri kunze dzemapapu, kenza kaduku kemapapu yemapapu inowanzoitika kune imwe nzvimbo, pedyo nemhepo huru. Nokuda kwechikonzero ichi, zviratidzo zvepakutanga zvinowanzobatanidza izvo zvine chokuita nechirwere chiripo munzira huru ( bronchus ), yakadai sekukanganiswa, kukonzera ropa, nekudzokorora zvikamu zvepineumonia nekuda kwekuvharwa kwemafunguro emhepo.
Zviratidzo zvemukana wemukenza wemapapu zvishoma zvinogona kusanganisira:
- Kurwisana nekukanganiswa - Chirwere chisingaperi chisingawanzo chiratidzo chekutanga chekenza kemukamu kadiki.
- Kushungurudza ropa (hemoptysis) - Kuchingura ropa chiratidzo chekutanga chekutanga chekenza yemukomana wemapapu. Kunyange huwandu hweropa hunova nehanya, uye kukwezva zvakanyanya kupfuura teaspoon kana maviri yeropa kunoonekwa sechirwere chekukurumidzira.
- Kukurira muchiso nemutsipa
- Kupfupika kwemhepo
- Wheezing
- Zvirwere zvepineumonia kana kuti bronchitis (nemhaka yekuvharwa kwemhepo nechomuviri)
- Hoarseness
Paraneoplastic zviratidzo - Mukana muduku wemukenza wemapapu unogona kukonzera zviratidzo zvakasiyana-siyana zvakakonzerwa neparaneoplastic syndromes , izvo zviratidzo zvinokonzerwa nehomoni yakachengetwa nechirwere kana kuti nemuviri wezvirwere mumuviri kune chiremera pachako. Zvimwe zvezvi zvinosanganisira:
- Utachiona husina simba mumakumbo epamusoro, maonero anochinja, uye kuoma kukumedza (Lambert-Eaton myasthenic syndrome)
- Kushaya simba, kuneta, uye yakadzika pasi sodium muropa (syndrome isina kukodzera antidiuretic hormone secretion, SIADH)
- Kurasikirwa kwekubatana uye kuoma kutaura (paraneoplastic cerebellar degeneration)
- Chikoro - Kuora kweminwe umo kuguma kweminwe kunotora kuonekwa kwepasipuni yakadzika-pasi.
Zviratidzo zveMastastasis - Chikwereti chemukati wemapapu emapapu chinotsanangurwa sekenza isina kupararira kune nzvimbo dziri kure dzomuviri. Mukomana muduku wemukenza wemapapu, zvisinei, unotanga kupararira kare, kunyanya kuuropi, uye nekwakakura kwekenza kenza yemapapu emapapu zviratidzo zvekutanga zvekenza zvingave izvo zvine chokuita nehutachiona hwemagetsi , sekushaya simba kune rumwe rutivi rwemuviri, zvinoonekwa kuchinja, kutaura, kana kugumburwa.
Kurapa
Kurapa kwekenza yemapapu kunosanganisira maitiro ekurapa mahara akadai sokuvhiya uye kupiswa kwemazuva uye chirwere, uye zvirongwa zvemuitiro zvakadai sekemotherapy. Mishonga yemakiriniki inotarisawo pane zvinogona kuitwa zvechirongwa chekurapa uye immunotherapy kwekenza kaduku kemapapu emakamu.
Chemotherapy uye therapy inonzi radiation - Vanhu vazhinji vanopindura zvakanaka nekubatanidza chemotherapy uye remishonga inonzi radiation ; ane kenza yemukati kadiki, izvi zvinogona kupa mikana yekurapa.
Kuvhiya - Kazhinji kurapwa kunowanikwa kenza yemukomana kadiki (inowanzoonekwa isingabviri ) asi inowanzotaridzirwa kana bundu iri riripo mumapapu rimwechete uye lymph node dziri pedyo. Adjuvant chemotherapy (chemotherapy pashure pokuvhiyiwa) inowanzokurudzirwa kana chirwere ichi chichiitwa nekenza yemukomana kadiki.
Prophylactic cranial irradiation - Kana vanhu vakapindura zvakanaka kurapwa, prophylactic cranial irradiation (PCI) - kudzivirira maharavirai kuropi - yakakurudzirwa kuderedza dambudziko kuti chero kenza yemasera akapararira kuuropi, asi haaoneki pane zvidzidzo zvehudhiology, zvichakura uye zvinokonzera zviratidzo.
Mishonga yemakiriniki - Clinical trials iri kuenderera kune zvikamu zviviri zvechirwere chemukati memapapu emapapu, kuongororwa mushonga mutsva uye kusanganiswa kwehutano kwekenza iyi ine utsinye. National Cancer Institute inokurudzira kuti chero munhu ane kenza yemukiramu yemapapu ave nekutora chikamu muchipatara chekuedzwa.
Prognosis
Kuponeswa kwemitero yekenza yemukirini yemapapu yakagadziriswa kubva pakuwedzera kwemaawa ekurapa nekushandiswa kwePCI, asi vachiri pasi. Kupona mazinga emukenza mutsva memapapu zvakasiyana kwazvo maererano nesiteji. Pari zvino, makore mashanu ekupukunyuka kwechitsauko 1 mudiki wekenza yemapapu emapapu inenge 31 muzana, uye 19 muzana yegadziriro 2. Ndiwo chete 10 muzana yevanhu vasina zvirwere zvishoma zvishoma havarati uchapupu hwekenza makore 2 mushure mekunge vaongororwa. Sezvo kenza kaduku kemapapu yemapapu inokura nokukurumidza, uye tauya kure nemamwe makondombera anokurumidza kukura akadai seyukemia, anotarisirwa kuti mishonga yakanaka inowanikwa munguva yemberi.
Ndingaitei Kuti Ndibatsire Ini?
Zvidzidzo zvinoratidza kuti kudzidza zvese zvaunogona nezvekenza yemapapu yako kunogona kuvandudza kurapa kwako. Bvunza mibvunzo. Tsvaga nezvemakiriniki maedzo angave akakodzera iwe. Funga kubatana neboka rekutsigira . Kumbira uye rega vadiwa venyu vabatsire mukufamba kwenyu nekenza.
Zvakakosha kuva mupepeti wako kana une kenza yemapapu. Mushure memazana emakore ekuchinja kwakanyanya mukurapwa kwemukenza wemapapu, zvikurukuru kenza yemukomana wemapapu, kufambira mberi kuri kuitwa.
> Sources:
> America Cancer Society. Chirwere Chirwere (Small Cell. Updated 05/16/16.
> American Society of Clinical Oncology. Cancer.Net Chirwere Chirwere - Small Cell: Treatment Options. 10/2016.
National Cancer Institute. Muchechi Muduku Kurapa Kanzira (PDQ) - Health Professional Version. Updated 11/09/17.