Mahara uye maitiro ekurapa kwekenza kurapwa
Kana iwe wakabatwa nekenza iwe unenge uchinzwa usingotyi chete asi uchinetseka. Kune marudzi akawanda akasiyana-siyana ekurapa kwekenza, uye vazhinji vavo vane mazita anonzwika semutauro wokumwe. Zvinobatsira kutanga nekungoputsa zvirongwa izvi kusvika mumarudzi maviri: nzvimbo uye systemic.
Local vs. Systemic Treatments
Zvose zvinorapwa zvekenza zvinogona kunge zvakaputsika mukati memaitiro maviri.
Kune mamwe kanzira, imwe yei inogona kushandiswa, uye kune vamwe, zvose zviri zviviri zvichadiwa.
Local Treatments: Mishonga yemunharaunda ndeye iyo yakagadzirirwa kubvisa kenza yemukomana kwavakatanga. Muenzaniso unenge uri kuita lumpectomusi kubvisa bundu muzamu. Kuvhiya inorapwa. Zvinobatsira kubvisa kenza yepamusoro, uye zvichida lymph nodes, asi haikwanisi kushandira kenza yakapararira kuchiropa kana kune imwe nzvimbo. Radiation therapy inoratidzirawo maitiro ekurapa kwaunogara.
Zvirwere Zvirongwa: Zvirongwa zvinorongwa zvinogadzirirwa kurapa masero emukenza pose pavanenge vari mumuviri. Somuenzaniso, kana chero kenza yemukomana yemazamu inobva kune kenza yakataurwa pamusoro apa yaifamba kune imwe nzvimbo yemuviri, chirongwa chemaitiro chinenge chichidikanwa kusvika kune masero. Kurapa kwakarongeka kunogonawo kutora kenza mumunharaunda mune dzimwe nguva, kunyange kuvhiyiwa ndiyo nzira yakanakisisa yokubvisa chirwere chinoshanda kanowanzoitika.
Mhando dzehutachiona hunosanganisira:
- Chemotherapy
- Targeted therapies
- Immunotherapy
Nekenza ine zvishoma uye haina kupararira (zvimwe nenzira dzinogona kuonekwa pamafungiro, kana kupararira zvisingakwanisi kuonekwa) mazano emunharaunda angave akakwana kuti abvise kenza. Kana kenza yakapararira kunze kwekutanga kwayo nzvimbo, kana kana pane imwe nguva inogona kupararira, zvirongwa zvehutachiona zvichadikanwa kuve nechokwadi kuti yese masero emukenza-kunyange masero emukenza-akadzingwa-abviswa.
Kutaura Nezvokurapa Kwako Zvokudya
Pakutanga uchitaridzirwa nekenza , inowanzowanzogadzirwa nevecologist yezvechiremba uyo achashanda pamwe nevamwe vanachiremba muboka rako rekuchengetedza kenza, uye sarudza marapirwo auchave nawo. Iko kune mashomanana anokosha ekutaurira pakarepo.
Imwe ndiyo mishonga iyo iri kuchinja. Varwere uye vanachiremba iye zvino vanoshanda pamwe chete mukugadzira chirongwa chekurapa chinonyanya kukodzera rudzi rwako rwekenza, hukuru uye kuti rwakapararira zvakadini, nezvimwe zvinhu zvakakosha zvakadai sezera rako uye hutano huzhinji. Kune kanzira dzakawanda, pane zvakasiyana-siyana zvakasiyana siyana zvekurapa, uye kusarudza izvi zvinowanzoenderana nezvamunoda uye mimwe migumisiro yakaipa yaunoda uye / kana kukwanisa kubvumira
Kutora nguva yekuwana pfungwa yechipiri kunogona kubatsira zvikuru, uye vazhinji ve oncologist havangotarisiri chete asi vanotarisira kuti varwere vachawana imwe pfungwa . Kunyange kana mafungiro akafanana nemafungiro ako okutanga, izvi zvinogona kukupa zvakanyanya kugutsikana pasi pemutsara wawasarudza nzira yakarurama. Vanhu vazhinji vanofunga nezvekutora pfungwa dzakawanda pane imwe yenyika huru yeCancer Institute-mahara emagariro echepenza. Nzvimbo dzakadai sezvizhinji zvinowanzova nechiremba chiremba kana oncologist anonyanya kugadzirisa chirwere chako chekenza.
Zvidzidzo zvinotiudza kuti kutora nguva yekudzidza pamusoro pekuongorora kwako kunokosha kwete mukufunga chete mukutonga asi pakuti zvinogona kugadzirisa mhinduro. Tarisa mazano aya ekuti ungawana sei ruzivo rwakanaka rwekenza paIndaneti .
Nzira dzekurapa kweKenza
Kuti unzwisise kuti nzira dzakasiyana dzekurapa kenza zvinoshanda sei, vamwe vanhu vanoona zvichibatsira kunzwisisa kuti kanzera masero akasiyana sei nemaasero akare , sezvo kurapwa kazhinji kunowanzo "tarisa" mamwe emakakatanwa iwayo. Tichatanga nemishonga yemunharaunda uye tinokurukura maitiro ekurapa.
Kuvhiya seShoko
Kuvhiya kunogona kushandiswa kudzivirira, kubata, danho (tsanangura kuti yakanyanya kufanirwa sei nekenza), uye kuongorora kenza.
Mukusangana nekenza kurapwa, chirwere chinowanzoitwa kubvisa matumire kana zvimwe zvakawanda zvechirwere chekenza sezvinobvira.
Kuvhiya "kurapa" kurapa kwekenza yakawanda, kunyanya iyo inobatwa kare nokuti inowanzova nzira yakanakisisa yekurapa chirwere. Vamwe vanhu vanozviona zvichivhiringidza kuti kuvhiyiwa hakugone kuitwa pamakumbo makuru kwazvo. Kana chirwere chakapararira, chemotherapy uye mamwe maitiro ehutachiona kazhinji ndiyo nzira dzakanakisisa dzekutora kubvisa kenza masero iyo chirwere hachikwanise kusvika.
Dzimwe nguva kuvhiyiwa kunosanganiswa nemakemikrasi kana remishonga inonzi radiation. Izvi zvinowanzoitwa mune imwe yenzira mbiri:
- Neoadjuvant chemotherapy inoreva chemotherapy inopiwa vasati vambovhiyiwa kuedza uye kuderedza ukuru hwechirwere uye kuita chirwere nyore.
- Adjuvant chemotherapy inowanzoitwa mushure mekuvhiyiwa, uye inzira yekurasira masero emukenza angangopararira kunze kwenzvimbo yekuvhiyiwa, asi haigoni kuonekwa pane zvidzidzo zvekufungidzira zvatinazvo.
Kune dzimwe nzira dzinoverengeka umo chirwere chinosanganiswa nemamwe mishonga, asi chiremba wako anotaura pamusoro peizvi achitaura nezvekenza yako chaiye.
Radiation Therapy
Radiation therapy sezvakataurwa pamusoro apa inorapwawo. Inoshanda kubvisa kenza masero mumunda apo inotungamirirwa. Kurapa kweradiation kunoshandisa mamwe marudzi ezvokudzivirira kuputika kwemakumbo kana kubvisa masero ekenza, nekukuvadza DNA yekenza yesero saka haigone kuwedzera. Makero emukenza anonyanya kunetseka nemirairo. Nharaunda dzakapoteredza masero dzinogona kukuvara zvakare, asi kazhinji dzinogadziriswa nemigumisiro yehutachiona kupfuura iyo masero ekenza.
Mishonga inogona kupiwa nenzira dzinoverengeka, asi inogona kuputsika kusvika mumirairo yekunze, iyo inotungamirira mazai kusvika kumarara kubva kunze kwemuviri, kana kuti miviri yakabuda mukati kana kuti brachytherapy, umo mbeu inogadziriswa inoshandiswa mumuviri.
Kufambira mberi kwakakosha kwakaitwa mukurapa kwemazuva kuitira kuti masero ane utano arege kukuvadzwa zvakanyanya sekupfuura. Nzira itsva dziri kutsvaga nzira dzekutungamirira huwandu hwemazuva ano kusvika kumarara kuitira kuti kurapwa kunogona kuitwa munguva shoma.
Sezvakaita chemotherapy, miviri inogona kupiwa yoga, kana kubatanidzwa nekuvhiyiwa kana chemotherapy. Kune mamwe kanzira, maitiro emishonga matsva angashandiswa panzvimbo pokuvhiyiwa, kunyanya kune avo vanovhiyiwa vanogona kuva nengozi. Mishonga inogonawo kushandiswa sechirwere chinopisa, kureva, kurapa kuderedza zviratidzo zvekenza, asi pasina chinangwa chokurapa kenza.
Chemotherapy
Chemotherapy inorudzi rwekenza mishonga inoshandisa zvinodhaka kuti iparadze masero ekenza. Kusiyana nekuvhiyiwa, chemotherapy inobata muviri wose , kwete chikamu chimwe chete. Inoshanda nekutsvaga masero ekuwedzera. Zvinosuruvarisa, mamwe mhando yemasero mumitumbi yedu inowedzerawo pamatunhu akakwirira, kufanana nemvere dzemawere masero, masero mumatongo edu, uye masero anotenderera mimba dzedu. Ichi ndicho chikonzero chemo inogona kukonzera migumisiro yechirwere sekusuruvara kwemvere uye kushungurudzwa mudumbu.
Chemotherapy inowanzopiwa nepiritsi kana intravenously (IV) asi inogona kupiwa mune dzimwe nzira. Rudzi rumwe rwemakemikrasi rinogona kushandiswa, asi kukanganiswa kwemakemikrasi kunowanzotarisirwa . Izvi zvinosanganisira kushandiswa kwezvinopfuura imwechete chemotherapy mishonga yakagadzirirwa kupindira nekuparadzaniswa kwemasero panzvimbo dzakasiyana-siyana mumhepo.
Zvinofadza kuti migumisiro yechemotherapy yakadai seyeusea inonyanya kurapa kupfuura yekare, uye vanhu vakawanda vane zvinyanyo zvishoma uye kusuruvara.
Targeted Therapies
Targeted therapies ndiyo izwi rinoshandiswa pamishonga inotarisa zvinoreva maitiro ekenza. Mumakore gumi apfuura, tadzidza kuti kenza yese yakasiyana, uye ine maitiro akasiyana-siyana. Nokutsvaga zvimwe zvezvinoshandiswa mumashonga anoshandiswa zvinovabvumira kuti vabudirire, kurapwa uku kunowanzokwanisa kurapa kenza pasina mimwe migumisiro yakadai semakemikirini. Zvimwe zvezvinhu izvi zvinotungamirirwa nemishonga yekurapa zvinoshanda kudzivirira zviratidzo zvinokonzera kuti tumarara iwedzere, asi vamwe vanoshanda nokuchera ropa rinopa chiremera, zvichiita kuti igofa nenzara kufa. Iyi nzvimbo yemishonga iri kufambira mberi zuva rega rega, nemishonga yakawanda mitsva ichangobvumidzwa, uye kunyanya kuongororwa mumakiriniki ekuedzwa.
Kuti aone kuti ndiani angapindura zvakanakisisa kune mishonga iyi, oncologist kazhinji inoshandisa magene (kufungidzira kwemasero) pane chiremera chave chichigadzirwa.
Immunotherapy
Immunotherapy iyi inofadza mutsva wekenza-imwe yaungangonzwa pamusoro penguva ichangopfuura munhau. Kune nzira dzakasiyana-siyana dzemishonga iyi, asi vazhinji vavo vanoshanda zvakajeka kuburikidza nekuchengetedza masimba edu ega kuitira kuti miviri yedu inogona kurwisa kenza. Iyi mishonga haishande kune munhu wese, asi kana ichiita iyo inogona kuguma nekugadzirisa kwenguva refu kwekenza kune vamwe vanhu, kunyange yepamusoro yekenza.
Clinical Trials
Maererano neNational Cancer Institute, vanhu vane chirwere chekenza vanofanira kufunga nezvekusarudzwa kwekliniki. Zvinosuruvarisa, manyepo pamusoro pekuedza kwechipatara anowanzovhundutsa vanhu, uye zvinofungidzirwa kuti nhamba shomanana yevanhu vanofanirwa kuedza miedzo iyi ikozvino inobatanidzwa. Zvinogona kubatsira kubvuma kuti mishonga yose uye nzira yatinofanira nayo nayo zvino kurwara nekenza yakambodzidza muchechi yekutongwa. Tora nguva kuti udzidze nezvechinangwa chekuongororwa kwechiremba uye kuti vangangokubatsira sei kupa rubatsiro pakurapa mishonga yepamapfupa asi zvinogona kupa sarudzo yakakwirira kwauri.
Alternative Treatments
Zvakakosha kuva wakangwarira pakunzwa nezve "zviratidzo zvinoshamisa" paInternet. Zvinosuruvarisa, ani zvake anogona kubudisa chero paIndaneti. Izvozvo zvakati, apo dzimwe nzira dzokugadzirisa dzakasiyana-siyana dzinoshandiswa nenzira inobatanidza-pamwe nemigadziro inowanzotaurwa-inogona kubatsira vanhu kukunda zviratidzo zvekenza nyore nyore. Tora nguva kuti udzidze nezvemamwe ekubatanidza kwekenza mishonga yakadai sekufungisisa, kuisa muviri, kuvhara muviri, nezvimwewo.
Kusarudza Kurapwa
Usati wagara pasi nachiremba wako, chengeta mibvunzo iyi kubvunza chiremba wako nezvekenza yako uye wedzera pfungwa dzako. Kazhinji kazhinji kenza haifaniri kutarisirwa pakarepo, uye iwe uchava nenguva yekufungisisa zvaunogona kuita uye kuwana wechipiri (kana wechitatu kana wechina) maonero. Hatigone kufungidzira zvakajeka kuti zvakakosha sei kudzidza kuti iwe uve mutevedzeri wako segwere rekenza.
Chinonyanya kukosha, tarisira kune tariro. Kufambira mberi kuri kuitwa pamwe chete nematambudziko akawanda ekurapa kenza. Kana iri mudiwa wako uyo akaonekwa, pano pane dzimwe pfungwa dzokuti ungatsigira sei munhu waunoda nekenza .
Kunobva:
National Cancer Institute. Cancer Treatments. Updated 04/29/15.