Kana iwe wakanzwa kuti kenza yako kana yeaidiwa "isingatauriki" zvinorevei? Ndezvipi zvikonzero nei chirwere, kunyanya chiduku, chisingazogoni kuitika? Kuvhiyiwa kunogona here kunogoneka mushure mokunge kana kenza pakutanga isingadzoki? Izvozvo zvinokonzerwa nekenza sei?
Tsanangudzo
Kenza isingatsvaki inotsanangurwa seye isingagoni kubviswa zvachose kuburikidza nekuvhiyiwa.
Sezvo chirwere ichi kazhinji chinopa mukana wakanakisisa wekuporesa nemakumbo akaoma, izvi zvinogona kuvhiringidza mashoko kuti anzwe.
Asi nekuda kwekuti tumarara haigoni kushandiswa hazvirevi kuti hazvina kunaka. Zvakakosha kuziva kuti nekufambira mberi kwekutsvaga kenza, kwete dzose mishonga dzisingaregiki dzicharamba dzisingagoni kusingagumi nokusingaperi. Izvi zvinokurukurwa mune zvimwe zvakadzika pasi apa.
Zvikonzero Zvokutadza Zvingave Zvisingagoneki
Chirwere chinogona kunge chisingaverengeki nokuda kwezvikonzero zvakawanda. Zvimwe zvezvi zvinosanganisira:
- Kukura kwechirwere: Chirwere chinogona kunge chakakura kwazvo kuti chisabvise zvakachengeteka, kana chinogona kubvisa kubvisa chikamu chakawanda chechidimbu chekuvhiya kuti chioneke.
- Nzvimbo yechipfuva: Chirwere chinogona kupindirana nemidziyo yeropa uye zvimwe zvivako zvakakosha pamuviri zvichiita kubviswa kwakachengeteka zvisingaitiki.
- Kupararira kwechirwere kune nzvimbo dziri kure (metastases): Sezvo kenza yemasastatic (kamuti kane kanzera) yakapararira kune zvikamu zvinopfuura kwechirwere, kubviswa kwemarara kunenge kusingagoni kudzora kese yekenza. Kuvhiya uye remishonga inonzi radiation inonzi inorapwa, inobata chete nzvimbo ine tumarara uye zvishoma zviduku zvakapoteredza. Kusiyana neizvi, chemotherapy, hormonal therapies, chinangwa cherapi, uye immunotherapy zvirongwa zve-systemic-dzinobata masero emukenza anenge aripo mumuviri (kunze kwekuti mamwe makemikrasi uye mamwe mishonga haakurumidzi kupfuura kuburikidza neropa reuropi rinopedza kurapa yeuropi metastases zvakaoma.)
- Mamwe mararamiro anokwanisa kukonzera njodzi yekuvhiyiwa: Sezvakaita chirwere chepfungwa, chirwere chemapapu, kana chirwere cheshuga chakashata chinogona kukonzera njodzi yekuvhiyiwa kumazinga asingagamuchirwi.
Kurapa
Zvakakosha kuchengeta mupfungwa kuti nekuda kwekuti chirwere chisingaverengeki hazvirevi kuti hachina kugadzikana. Kurapa kwakarongeka-kurapwa kunobata muviri wose kwete panzvimbo yekenza-kunogona kuwedzera hupenyu nekuvandudza zviratidzo zvevanhu vakawanda vanorwara nekenza.
Apo isu tinowanzobatana nekuvhiyiwa nekwanisi ye "kurapa" kenza , dzimwe dzezvitsva zvinorapwa zvinogona kupa mukana wekugara kwenguva refu. Mienzaniso yeiyi nekenza yemapapu inosanganisira teknolojia yezvemagetsi matsva, immunotherapy mishonga , uye zvirongwa zvinotarisirwa nechisarudzo chekushandura kune imwe nzira inorapwa kana chiremera chinoramba chisingaiti. Zvechokwadi, kuponesa kwemazhinji emakirini akapfuura ari kuwedzera nekuda kweizvi.
Kusiyanisa kuRule
Kunyange zvazvo yaifungidzirwa pane imwe nguva iyo isingareviki yaireva kuti haigoni kusakanganisika, pfungwa iyi iri kuchinja. Kuongororwa kwemabhuku kusvika zvino kunoratidza mienzaniso yakawanda yezviremara zvakasimba zvakadai sekusava duku kenza yemapapu emapapu, kenza yekodhesi nechiropa chemasastases, kenza yemukaka, exocrine pancreatic kansa, yakamhanya melanoma, uye nezvimwe, mune utsinye hutsinye nechemotherapy uye dzimwe nguva therapy (inonzi neoadjuvant therapy kana kuderedzwa) yakaderedza uwandu hwechirwere kusvika pakatarisana nekuvhiyiwa; matumbo akanga asingatendeki pakutanga akatanga kugadziriswa.
Izwi reOligometastases
Imwe pfungwa itsva uye inozorodza mune yaimbova kenza isingafungidziki ndeye pfungwa ye oligometastase. Izwi rokuti oligo rinoreva zvishomanana, uye zvinotsanangurwa neiyi chirwere chakasimba chine imwe chete kana nzvimbo shomanana iyo yave yakagadziriswa.
Nenzira yemukati mastraseti kana shanho 4 kenza inganzi haigoni kushandiswa; kuvhiyiwa kwaisazokwanisa kurapa matumbo ose. Pfungwa iyi ndeyekuti kuvhiyiwa kwaizova kusanzwisisika kusina kunetseka uye njodzi kana zvisingagoni kuita kuti musiyano uite. (Cherechedza, kune zvimwe zvisiri izvo kune mutemo uyu, somuenzaniso mukenza yevana mahara (chirwere chinonzi cytoreduction) kana " kuvhiyiwa " zvinogona kufungidzirwa kuti zviwedzere hupenyu.)
Muenzaniso wekurapa uchishandisa nzira iyi ingadai ichirapa izvo zvaimbove zvichionekwa sezviri kusingagoni kushanda duku-kemukirini yemapapu emapapu mune murwere ane kenza yemapapu pamwe chete kana imwe kana mashomanana emagetsi emakumbo.
Ikozvino kwave kune vanhu vakave vachivhiyiwa kwemukati wavo wekenza yemapapu uye kubvisa imwe kana humwe hutachiona hunokonzera hutano hwakakwanisa kurarama kwenguva refu.
Pasi Pasi
Kana iwe wakanzwa kuti tsvina yako isinganzwisisiki iwe unenge uchinzwa uora mwoyo, asi ramba uchifunga mupfungwa dzako kuti kanzira dzisingatauriki dzinogona kurapwa. Kunyange zvazvo isingawanzogadziriswa (pamwe nezvimwe zvisingaiti), kurapwa kwakadai sedhemotherapy, zvinotarisirwa kurapwa, hormonal therapy, uye immunotherapy zvinowanzowedzera hupenyu, kuderedza zviratidzo, uye kune vamwe vanhu, zvakaguma nekudzora kwenguva yakareba zvirwere zvavo (zvinonzi iyo inogara yakagadziriswa ne oncologists.)
Kuonekwa kuti une kenza isingaitiki hakurevi nguva dzose kuti kenza haigoni kushandiswa. Mimwe mishonga inopindura kune zvirwere zvakadai sechemotherapy uye rayation therapy uye inoderedzwa muhukuru kuitira kuti chirwere chinogona kuitika.
Uyewo Anozivikanwa Se: haikwanisi
Mienzaniso: Pamusana pokugara kwechirwere chaJohn - kuva pedyo nemwoyo wake - chiremba akamuudza kuti chirwere chake chakanga chisiri chechokwadi, uye kubatanidza chemotherapy uye kubuda kwezuva kwaizova nzira yakanakisisa yekenza yake.
> Sources:
> Fabre, E. et al. Kuchinja kwekurovedza chemotherapy kwekasiri-duku kemukirini yemapapu emapapu mumakore makumi matatu apfuura: Kuongorora kwekuvhiya. Chirwere Chirwere . 2015. 6 (6): 731-40.
> Imai, K. et al. Nomogram nokuda kwekufanotaura kwekutsoropodza kune varwere vane chekusava nechokwadi chekusakanganiswa kwekuropa chiropa metastases. British Journal of Surgery . 2016 Jan 18. (Epub mberi kwekudhinda).
> Kato, A. et al. Kuderedza Chimotherapy Pakutanga Kusingareviki Munharaunda Yakapfuura Biliary Tract Cancer Mishonga Inobatwa neGemcitabine Plus Cisplatin Kurapa Kurapa Inoteverwa neRdical Surgery. Annals of Oncology Surgery . 2015. Suppl 3: 1093-9.
> Nitsche, U. et al. Kugadziriswa Pashure Pekutanga-FOLFIRINOX Pakutanga Isingarengeki Munharaunda Yakakurumbira Pancreatic Cancer: Chiitiko Chimwe-Chiitiko. Annals of Oncology Surgery . 2015. Suppl 3: 1212-20.
> Yang, C. et al. Migumisiro Yenguva Yakareba yeLobectomy yeChina Isina-Small Lung Cancer Mushure mekujekesa Radiation Treatment. Annals of Thoracic Surgery . 2015. 99 (6): 1914-20.