NED vs Cure uye Kukunda
Iwe unogona kunge wakanzwa mumwe munhu achitaura kuti ari NED, kana chiremba wako angadaro akashandisa izwi iri kurondedzera kenza yako. Zvinorevei kana "pasina uchapupu hwehosha" nekenza yako? Izwi iri rinowanzoshandiswa rinhi? Uye inofananidzwa sei nemamwe mashoko akadai sokuregererwa uye kupindura kwakakwana?
Hapana Uchapupu Hwezvirwere (NED): Tsanangudzo
Hapana uchapupu hwehutachiwana (NED) izwi rinoshandiswa apo miongorudzo uye maedzo hazvigoni kuwana kenza mumunhu anenge aporerwa nekenza.
NED inotsanangura imwe nguva munguva-yauri nhasi-isina zviratidzo kana zviratidzo zvekenza kana humwe uchapupu hwekenza pamifananidzo yekufungidzira iripo panguva ino. NED inogona kuva yenguva pfupi, kana inogona kuva yakasimba.
Apo paaitaura nezvekenza yemazamu , izwi iri hapana uchapupu hwechirwere (NED) hazvirevi kuti chirwere chacho chakanga charapa, sezvo kudzoka hakukwanisi kubudiswa zvachose. Kuenzaniswa seNED zvinoreva kuti hakuna humwe hupi hwehupano huripo hunogona kuonekwa nekuongororwa kwakafanana neropa rekumarara, CT, MRI, bone kana PET kuongorora.
NED Inoreva Kuti Wakaporeswa Here?
Vanachiremba havawanzoshandisi izwi rokuti "kurapa" pavanenge vachitaura pamusoro pemakumbo akaoma-kunyange kana pane 99 muzana yehuwandu hwekuti kenza haizombofi yakadzoka. Hazvibviri kuziva kana kune "micrometastases" iri mumuviri wako-ndiko kuti, metastases izvo zviduku zvikuru kuti zvisaonekwe pane zvidzidzo zvekufungidzira.
Tinoziva zvishoma nezvekuti kanama yepamu inopararira sei , asi hatizivi kuti nei mamwe kanzira inodzoka (dzokare) makore, kana makumi emakore gare gare.
Iko kune mafungiro anotsanangura masero mashoma kana masero emakumbo ane simba rokuvanza nekudzivisa kurapwa, asi isu tisati tisina chokwadi zvachose. Kusvikira panguva iyoyo zvingangove kuti shoko rokuti "kurapa" richagara rakachengeterwa chete zviduku kudarika "pre" kanzira kana zvimwe zvirwere zvekenza zvine chokuita neropa.
Mamwe Magwaro Anoreva NED uye Zvimwe
Iwe wakambove wakanzwa mazwi akasiyana-siyana anotaura nezvekufambira mberi kwekenza.
Mamwe emashoko aya anoreva zvakawanda zvakafanana asi anowanzoshandiswa kune imwe kenza kana imwe. Mitemo inofanana neNED inosanganisira:
- Complete remission
- Complete answer
Kana kenza inodzoka shure kwekuregererwa kwakakwana (NED) inenge ichinzi kudzokorora kana kudzokorora.
Kutsungirira
Mumwe munhu asina kurarama nekenza angave asinganzwisisi kuti nei paizova nemusoro unoti "kurarama neNED." Haufaniri kufara zvachose here?
Asi kuva NED kunogona kuva nzvimbo inotyisa. Paunenge uchishanda, iwe unowanzoonekwa nachiremba wako kazhinji, uye mhuri neshamwari dziri pedyo. Icho chinogona kunge chisinganzwisisiki, asi vanhu vazhinji vanonzwa vachinetseka pavanosvika padanho rino. Zvinogona kuita sevanhu vose vamunoziva vari kudzokera kuhupenyu hwavo vasati vawana kenza yenyu asi iwe.
Pamusoro pezvo, vazhinji vevanhu vachiri kurwisana nemimwe migumisiro kubva kumishonga inotora kusvika kuNED. Zviratidzo zvakadai sechirwere chinotyisa chinopera simba , kurwadziwa, kupisa kunopisa , uye zvinowedzera nguva refu kudarika chiitiko chekupedzisira chemo kana mashizha.
Ipapo kunouya kutya. Kutya kukonzerwa nekenza ndekwechokwadi uye hazvina basa kana iwe wakanga wava nekenza yemukati mutsva kana kuti wakakonzera kenza. Upenyu hwakasiyana kupfuura musati wave nemukenza. Chii chaimbova nyoro nyoro, iwe zvino unotya chirwere chekenza chinowedzera muuropi yako.
Chimwe chakanga chichikanganiswa mumutsipa wako kubva pamakemikari emwaka, iwe zvino unotya chirwere chinodzokera mumapapu ako. Kutya kudzokorora kwakasikwa. Taura nachiremba wako pamusoro pekutya uku, uye tarisa mazano aya pamusoro pekutarisana nekutya kudzokorora .
Kubva kune imwe nzvimbo, pane zvimwezve zvingangodaro iwe unogona kutarisana nazvo paunosvika kuNED. Vakawanda vedu tinobatanidzwa mumapoka ekutsigirwa kwemunharaunda kana kune vamwe nevamwe vanotarisana nekenza yemazamu. Vanhu vazhinji vanoshamiswa mushure mekugezwa mumidhani yepini kuti vaone kuti kufa kwehutano kubva kune kenza yemazamu zvechokwadi hakuchina kuchinja zvakanyanya. Zvechokwadi, kusarudzwa kwekutanga kwechirwere chechirwere kuri kuderedza ngozi yekudzokorora, asi kudzokorora kunoramba kuchiitika.
Apo kurega kwakadzokorora kunopera (metastatic kana gango 4 kanama yepabonde) hapasisiri zvakare kuvepo kwekurapa. Izvi zvinorevei kuti kana iwe uine vanhu vari mubatsigiro rako boka rinotarisana nekenza yemasitemasi yemasasa, iwe ucharasikirwa neshamwari. Izwi rinoponeswa mhosva rakagadziriswa kurondedzera izvi dzimwe nguva mhosva yemwoyo inokonzera iyo inotinetsa patinopona, asi shamwari dzedu nevanodikanwa havaiti.
Chiedza chitsva chakakonzerwa neNED uye Breast Cancer Recurrence
Nekukurudzirwa kwemishonga mutsva kune vamwe vanhu vane mazamu ekutanga-gore muna 2017 kunouya kunzwisisa kunonzwisisika kwekuti masero emukenza emucheche angavanza sei uye ozotanga kukura zvakare makore mazhinji gare gare. Kune vakadzi vane chirwere chekutanga chinonzi postmenopausal estrogen receptor-positive, ma-bisphosphonate mishonga Zometa (zoledronic acid) ikozvino inokurudzirwa sechirongwa chechirjuvant. Iyi mishonga iyo yakashandiswa kweasteoporosis uye bone metastases inoratidzika inokanganisa microenvironment mu bone. Iyo microenvironment ndiyo inoratidzika yezvipembenene zvakapoteredza kenza. Sezvo zvakadaro zvinogona kuderedza dambudziko remasitasase emapfupa anowanzovapo pakutanga.
Izvozvi zvitsva zvakaita kuti vatsvakurudzi vabvunze kana matavi echepere emuchembere (kana ari NED) akarembera mumusepa. Apo microenvironment inoshanduka, pane chimwe chikonzero, masero aya anotanga kukura. Sezvo makumi mapfumbamwe kubva muzana ekufa kwekenza yemazamu akabatana nemasitosita, kutsvakurudza mune izvi nenzira inokosha zvakakosha.
Zvitsva Zvitsva
Isu tiri pakupedzisira kutarisa "kuponesa zvido," asi isu hatisipo zvakare. Dzimwe kenza nzvimbo "dzinokurasa" neurongwa hwokupona, kana kupa "chirwere chekugadzirisa kenza" zvirongwa. Asi kazhinji inonzwa se "kufara-iwe wakararama-uve noupenyu hwakanaka!"
Kana iwe uri NED nekenza yemazamu, chengeta zviratidzo uye udzidze zvakawanda nezvekudzoka kwekenza yemvere . Iwe unogona kushamisika kuti nei usina kurongwa kuti uongorore zviitiko zvekufungidzira (zvakadai sePET scans) sezvo vanhu vane dzimwe kenza. Chikonzero chacho ndechokuti kunyange zvazvo izvi zvikwanganiso zvingaratidza kudzokorora zvishomanana kupfuura zvingave zvichiitika zvichibva pane zviratidzo chete, hapana humwe uchapupu hwokuti kupona kuri nani kuburikidza nekuona zviratidzo zvekudzoka zvisati zvaitika zviratidzo zviripo.
Iva nehupenyu hwakanaka. Kune humwe humwe uchapupu hwokuti kudya kudya kwakanaka uye kushandisa nguva dzose kunogona kuderedza ngozi yekudzokorora. Wana zvakakwana kurara, uye kana iwe uchitambura nehope dzekutambudzika, taura nechiremba wako. Zvidzidzo zvinoratidza kuti kenza yemazamu ingangodaro inogona kudzokera kune vakadzi vanotambura nehope . Uye uwane nzira dzekudzikisa kushungurudzika. Kufanana nekushaya hope, zvidzidzo zvinotitaurira kuti kushushikana kunogona kuita basa kune vamwe vanhu vanobva kuNED kuti vadzoke zvakare. Funga nezvekudhinda. Uye, pamashoko akanaka, funga pamusoro pezvose zvawawana mune zvakaitika kwauri. Isu tiri kudzidza kuti kuwedzera kudzvinyirira, kuburikidza nekenza kunogona kutungamirira pakukura kwekuwedzera. Mune mamwe mazwi, kenza zvechokwadi inogona kuchinja vanhu kuti vave nani!
> Sources:
> Memorial Sloan Kettering Cancer Center. Chii chinonzi "Mushonga?" Https://www.mskcc.org/pediatrics/cancer-care/types/neuroblastoma/what-cure