Mubvunzo wakawanda watinowanzobvunzwa kana mumwe munhu akaonekwa kuti ane chirongwa chechipiri chechirwere chemapapu chemapapu kwete chediki, "Ndeipi chikwata chechipiri chemapapu emapapu emararamiro emararamiro?" Izvi hazvisi zvisingatarisirwi, zvichienderana nehuwandu hwehupenyu hwepabonde hwemapapu. Usati wapindura mubvunzo uyu, zvakadaro, zvakakosha kutaura zvishoma pamusoro pokuti mhinduro yacho-mhinduro yekuverenga-yakabva sei.
Uyewo, iva nechokwadi chekuverenga kusvika pasi pechinyorwa ichi. Kuparara kwekenza yemaronda kunovandudza.
Zvimwe Zvinokanganisa Nhanho 2 Chirwere cheLung Cancer Prognosis
Nhanho 2 yemukenza yemapapu upenyu hunotarisirwa hunogona kusiyana zvikuru pakati pevanhu vakasiyana. Nhamba dzinotitaurira nezve "chiyero" vanhu, asi hapana munhu akaenzana. Zvimwe zvezvinhu izvi zvinosanganisira:
- Mhando yako yemukenza yemapapu uye nzvimbo - Chikamu chechipiri chepamu memapapiro chinokonzera mhando dzakawanda dzekenza dzemapapu uye dzinosanganisira kanzira dziduku asi dzakapararira kune lymph node dziri pedyo , kana kuti dzakakura asi dzisina kupararira kune chero nhengo dzemaitiro emakirini.
- Nguva yako - Vaduku vanowanzogara kwenguva yakareba kupfuura vanhu vakwegura vane kenza yemapapu.
- Kuita zvepabonde - Tarisiro yeupenyu hwevakadzi vane kenza yemapapu yakakwirira pane imwe nhanho yemukenza wemapapu.
- Utano hwako huripo panguva yekuongororwa - Kuva noutano hwakakwana panguva yekufungidzirwa kunobatanidza nekugara kwenguva refu, uye hukuru hukuru hwokurapa kurapwa kunogona kuwedzera kupona.
- Maitiro aunoita pakurapwa - Maitiro emakiratiro akaita sekuvhiyiwa , chemotherapy , mazano ekurapa , uye kurapa kwemazuva anosiyana pakati pevanhu vakasiyana uye zvinogona kuderedza kukwanisa kwako kubvumira kurapwa.
- Dzimwe hutano mamiriro ezvinhu iwe unogona kuva nawo - Utano hwakadai sa emphysema kana chirwere chemwoyo chinogona kuderedza danho 2 yemukenza wemapapu emapapu.
- Matambudziko emukenza wemapapu - Zvinetso zvakadai sekuvhara ropa zvinogona kuderedza kupona .
- Kusvuta - Kuenderera mberi kuputa mushure mekuonekwa kwechikwata chechirwere chemapapu chichiita sechichiri kupona. Tinozeza kuunza kusvuta sezvo chinangwa chedu ndechokubvisa nyika yekushorwa kwekenza yemapapu (uye nokuti pane zvakajeka kuti hazvirevi kune vanhu vanoputa vanoonekwa kuti vane chirwere) asi kana iwe utsi, zvakakosha kusiya. Tarisa izvi gumi zvinokonzera kusvuta fodya mushure mekunyatsorwara kwekenza .
Chikamu 2 Chirwere Chepachiviri Chirwere Chekuverenga uye Caveat
Kuwanda kwehupenyu hwehupenyu, iyo ndiyo yevamwe vanhu vanotarisirwa kuva vapenyu makore mashanu mushure mekutsvaga kweroti 2 kanzera yemapapu inenge makumi matatu kubva muzana. Kune vanhu vane zviremara zvakakura zvisati zvapararira kune chero mhando dzemaitiro, kuponeswa kwaro kungave kwakanyanya.
Isu tinogovana nhamba yehupenyu hwemapapu emapapu nokuti vazhinji vanobvunza mubvunzo uyu, asi pane zvinhu zvakawanda zvaunoda kuchengeta mupfungwa. Nhamba idzi nhamba dzinotorwa nekutarisa kumashure nenguva kuti vaone kuti vanhu vakaita sei nerudzi rwekenza. Mune mamwe mazwi, ivo vanowanzova nemakore akawanda. Tichifunga kuti mushonga mutsva wakagadzirwa kubvira apo nhamba idzi dzakanga dzakanyorwa, mararamiro ehupenyu haatiudze chimwe chinhu nezvekuti munhu achaita sei kupa mishonga itsva yatinayo.
Kuti kusimbise kukosha kweizvi, funga kuti kune dzimwe mishonga mitsva yakagamuchirwa kuitira kurapwa kwemukenza wemapapu mukati megore ra2011 ne2015 kupfuura yakabvumidzwa mumakore makumi mana asati apera 2015.
Mukuwedzera kune mishonga iyi mitsva, pane zvimwe zvirwere zvakawanda zviri kuongororwa mumakiriniki ekuedzwa , uye izvi zviyero zvekuchipatara zviri kupa vamwe vanhu mukana wekuramba uri mupenyu kuti vangadai vasina kumbova nemakore kana maviri apfuura apfuura. Tinonzwa kazhinji kubva kuvanhu avo, kuburikidza nekuita muboka remapoka emapapu emapapu uye mharaunda uye kuva vatsigiri vavo pachavo mune zvekuchengetedza kenza, vakawana kuongororwa kwekliniki iyo kunyange vanhu vomunharaunda yavo vanga vasati vachiziva.
Mushure mezvose, ndeupi anokurudzirwa kutsvakurudza chirwere chavo kunze kweumwe munhu anorarama naro zuva nezuva?
Kuparara Kwemararamiro eKenza Kuvandudza
Zvakakosha kucherechedza kuti kupona kwekenza yemapapu, mushure mokunge zvishoma kuchinja mumakore mazhinji, zviri kuwedzera. Hasi chete kurapwa kuri kuvandudza.
Kana wakamboonekwa kuti une kenza yemapapu, iva nechokwadi chokuti unotaura nachiremba wako pamusoro pekunyora kwema molecular (genetic testing) yemarara yako . Targeted therapies kuvanhu vane EGFR mutations , ROS1 rearrangements , uye rearrangements dze ALK dziri kuchinja chiso chekenza yemapapu. Immunotherapy iri kuitawo musiyano nemishonga miviri mitsva yakagamuchirwa muna 2015, kunyange kune vanhu vane kenza yakakura. Iva wako mupepeti. Dzidza nezvehosha yako. Iva chikamu chemutanho wekenza yemapapu paIndaneti. Uyezve, tarisa mazano aya ekuvandudza mararamiro emukenza emapapu ayo chiremba wako asingatauri.
Sources:
American Cancer Society. Cancer Chokwadi uye Zvikamu 2014 . Atlanta: American Cancer Society; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
American Cancer Society. Chirwere Chechirwere (Chero Isina-Small Cell. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates.
National Cancer Institute. Non-Small Cell Lung Cancer Treatment (PDQ) - Health Professional Version. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all
Parsons, A. et al. Kufurirwa kwekusvuta Kuchema Mushure mekuongororwa kwepakutanga-Stage Lung Cancer pamusoro pezvirwere: Ongororo yakarongeka yeCherechedzo yeChechi yekuongorora Meta-Analysis. British Medical Journal BMJ2010; 340: b5569. Yakabudiswa paIndaneti 21 January 2010.
Wisnivesky, J. et al. Zviratidzo zveStage II Isina-Small Cell Chirwere Chinokonzera Maererano neKubata uye Nodal Mamiriro paKutsvaga. Lung Cancer . 2005. 49 (2): 181-186.