Iwe ungangodaro wakanzwa chiremba wako achitaura nezvekufananidzira kwekenza yako (kana zvimwe zvehutano). Ndeipi tsanangudzo yekutsvaga, uye chii chaunoda kuziva pamusoro pekufungidzira kuita zvisarudzo zvakanakisisa zvehutano hwako? Ngatitaurirei nezvekutsvaira kwakagadziriswa, uye kukanganisa kwenhamba dzinoshandiswa, kunyanya munguva ino apo marapirwo ari kuvandudzwa.
Zviratidzo: Tsanangudzo
Zviratidzo ndezvokufanotaura kana kuongororwa kwemukana wekudzoka kana kupona kubva pane chirwere. Vakawanda vanachiremba vanopa maitiro anotsanangura maererano nenhamba dzekuti chirwere chinoshanda sei pane zvidzidzo pamusoro pevanhu vakawanda. Zvinorevei izvi ndezvokuti kunyanya kwako hakusi chinhu chakanyorwa mumatombo. Iko kuongororwa kana kufungidzira pamusoro pekuita kwaunoita, asi kazhinji, vamwe vanhu vanoita zviri nani zvikuru uye vamwe vanhu vachaita zvakanyanya kudarika izvo "zviyero." Kune vanhu vashomanana vano "muganhu" kana paine hutano hwavo.
Kuita zvirwere nekenza kunogona kuvimba nezvinhu zvakasiyana-siyana, zvakadai sendima yezvirwere painoongororwa, chirwere uye subtype yekenza, iyo molecular profile ye tumarara, uye kunyange hutano.
Prognosis Is Statistic
Nyaya yakawanda yaunofanirwa kuinzwa uye kuverenga pamusoro pehuwandu hwehutano hwako hunoenderana nehuwandu hwekuongorora hunotarisa kune vamwe vanhu. Zvakakosha kucherechedza kuti nhamba idzi dziri nhamba chete, uye usatarisa pane zvakasiyana-siyana.
Nhamba dzakawanda dzakawanda dzinodaro zvakare. Semuenzaniso, nhamba dzinotarisa makore mashanu ekupona kwechirwere chinogona kuva nemakore akawanda-uye kubva panguva yavakaparidzirwa, mushonga mutsva uye huri nani ungave wakawanikwa. Kanzira yemaperembudzi muenzaniso umo "chirevo" chechirwere chingave chisina kunyatsojeka.
Mazhinji ematarenda atinoshandisa ayo anotaura pamusoro pokupona ane makore akawanda. Asi, mamwe mishonga mitsva yakagamuchirwa kuitira kurapwa kwemukenza wemapapu mumakore mashanu akapfuura kupfuura mumakore makumi mana apfuura.
Zvirwere zvinoparadzaniswa kune umwe neumwe ane kenza
Chero imwe kenza imwe yakasiyana. Kana pane vanhu mazana 200 vane chirwere chechikamu chechipiri chemapapu chemapapu 2A musati madiki mune imwe imba, pane 200 kanzura inopesana mumapurogiramu e molecule nezvimwe zvakasiyana-siyana. Pamusoro peizvi, munhu wose ane kusiyana kwakakosha kunobata zvirwere, zvakadai sezera, hutano huzhinji, huripo huripo hwehutano hwehutano, uye kukwanisa kushivirira kurapwa. Tarisa zvimwe zvezvinhu zvakawanda zvingakanganisa kuponeswa kwevanhu vane kenza yemapapu .
Mitemo Inoshandiswa Kurondedzera Kufungidzira NeKenza
Kune mazwi akawanda ayo chiremba wako angashandisa mukutaura nezvekutaura kwako. Zvimwe zvei izvi zvinowanzoshandiswa kune vamwe zvichienderana nekurarama kunotarisirwa nekenza. Mamwe mazwi anoshandiswa kakawanda sezvikamu zvekurapa kwechiremba. Mamwe emashoko aya anosanganisira:
Kupona kwehutano: Kuparara kwehuwandu ndeye "nguva yakareba iyo munhu anotarisirwa kupona mutsara, uye inowanzopiwa maererano nenguva, sekuti," makore mashanu ekupona. "
Chirwere chemaMedhia: Kuwedzera kwepakati pepakati nhamba inotsanangura nguva inotevera iyo hafu yevanhu vane rumwe rudzi uye chirwere chekenza vari vapenyu, uye 50 muzana vakafa. Nezviremara zvinotyisa, zvakadai semukenza wemapapu, kufungidzira kunowanzotsanangurwa nenzira iyi.
Kubudirira-kusina-kusununguka: Kuenderera mberi kusina-kusununguka kana PFS inowanzoshandiswa kurondedzera mhinduro kumushonga wekenza, uye inoreva kuwandisa kwemazuva apo kenza haina kukura, kana kuramba yakasimba. Nezvokurapa zvinodzora kenza, panzvimbo yekurapa chirwere, kupfuurira-kusununguka kusununguka kunogona kuva chiyero chekuona kuti inguva yakareba sei kurapwa kunogona kushanda (musati kenza isati yava kusagadzikana pakurapa).
PFS inowanzoshandiswa pakutsanangura zvinorapwa sezvinodiwa kurapwa kwekenza.
Kurarama-kusina kusununguka kwezvirwere : Kurarama-kusina kusununguka kwezvirwere kunoreva urefu hwenguva iyo mumwe munhu akasara asina kenza inoonekwa.
Kuparara kwepasi rose: Kuparara kwepasi rose kunoreva kuenzana kwenguva refu mumwe munhu anorarama mushure mekunge aongororwa nekenza vasati vafa kubva pane chero chikonzero chinosanganisira kenza.
Kuvandudza Matanho Ako
Kunze kwezviremba chiremba wako anokurudzira, kune zvimwe zvinhu zvaunogona kuita iwe pachako kuti uvandudze hutano hwako . Ramba uchifunga kuti vamwe vanhu vanogona kukundwa nechirwere pasinei nekuedza kwose kurwisana nayo, nepo vamwe vanoita zvakanaka pasina pasina kuedza. Izvozvo zvakati, kune zvimwe zvinhu izvo vanhu vanogona kuita kuti vawedzere maitiro avo. Kuwana rubatsiro kubva kune shamwari kana mumunharaunda wekenza kana kupindira mune zvekurovedza muviri nguva dzose zvakawanikwa zvichivandudza kupona kune vamwe vanhu vane mamwe maitiro ekenza.
Shoko rekuchenjerera
Zvakakosha zvakare kuratidza kuti chirevo chinorevei. Sezvo iri nhamba iyo inofungidzira kuti mumwe munhu achaita sei zvichienderana nemugumisiro wehupenyu hweboka revanhu. Sezvatinoziva kuti munhu wese haasi akaenzana nekukwirira uye kuyerwa, tinoziva kuti dzimwe nguva dzimwe nguva dzinotaura zvishoma nezvomumwe munhu. Asi nemukenza, pane zvimwe zvakasiyana-siyana zvinowanikwa pane izvo zvinogadzirisa urefu. Ichowo chiverengero chinobva pane zvakaitika kare. Nhamba dzinogona kukuudza kuti "munhu wepakati" munhu akaita sei nekenza yakafanana neyako (asi echokwadi mumasikirwo akasiyana) panguva apo mishonga inogona kunge yakasiyana pane iyo nhasi.
Kana iwe wakamboonekwa une kenza, mushure mekunge uchinzwisisa kukwana kwekufungidzira kufungidzira, pane imwe danho iyo vamwe vanhu vakawana vachibatsira. Edza kufungidzira zvinyorwa mupfungwa dzako. Somuenzaniso, panzvimbo yekufunga kuti 40 muzana yevanhu havangararami kwemakore mashanu vachinyanya kurwara, vanoziva kuti 60 muzana yevanhu vanogara. Uye ramba uchifunga kuti nhamba-iyo nhamba dzatinoshandisa kuenzanisa kufungidzira-dzichatarisa zvakasiyana nemakore mashanu kubva ikozvino kupfuura zvavari kuita nhasi.
Uyewo Anozivikanwa Se: kuponeswa kwero
Mienzaniso: Jill akapiwa chirevo chakanaka chekudzikinura kubva mumukenza wake wepapupa sezvo yakawanikwa pamatambo akadaro.
> Sources:
> American Society of Clinical Oncology. Cancer.net. Kunzwisisa Maverengero Anoshandiswa Kutungamira Maitiro uye Kuongorora Kurapa. Yashandurwa 03/16. http://www.cancer.net/navigating-cancer-care/cancer-basics/understanding-statistics-used-guide-prognosis-and-evaluate-treatment
> National Cancer Institute. Kunzwisisa Kenza Kurapa. Updated 11/24/14. https://www.cancer.gov/about-cancer/diagnosis-staging/prognosis