Asati apindura mubvunzo uyu "chii chinonzi chirevo chemukenza wepamapukamumu wepamapu?" Zvakakosha kutaura pamusoro pekuti nhamba dzinotsanangura chimiro chekupona chinorevei chaizvo. Chokutanga pane zvose, munhu wese akasiyana. Nhamba dzinotitaurira kuti chii chinonzi "chiyero" kana kuti kupona, asi havatitauri chinhu pamusoro pevanhu chaivo. Zvinhu zvakawanda zvinogona kukanganisa kufungidzirwa kwekenza yemukenza yemapapu.
Izvo zvinobatsirawo kuchengeta mupfungwa kuti nhamba dzinochengetwa pamashoko ane makore akawanda. Sezvo mushonga mutsva unowanikwa, nhamba idzi dzingasave dzichinyatsoratidza zvaunofunga nhasi. Semuenzaniso, makore mashanu ekupona kwemukenza wemapapu akataurwa muna 2017 anobva kune avo vakaonekwa muna 2012 uye mberi. Panguva imwecheteyo, pakanga pane dzimwe mishonga mitsva yakagamuchirwa kuitira kurapwa kwemukenza wemapapu pakati pe2011 ne2016, kupfuura makore makumi mana asati apera 2011. Zvinorevei izvi ndezvokuti ikozvino kurarama kwehuwandu hwehupenyu hunokundikana kutarisa kuti mumwe munhu zvinotarisirwa kuita kune chero ipi zvayo mishonga iyi itsva.
Pane tariro yakawanda kune avo vanoonekwa nekenza yemapapu nhasi, asi zvinosuruvarisa kuti nhamba dzamuchaverenga haingabatsiri pakunzwisisa tariro iyi.
Zvimwe Zvinogona Kuita Sero Rakaderera Kurapa Kenza Kurapa
Zvimwe zvezvinhu zvinogona kukanganisa kutarisira kweupenyu ne squamous cell carcinoma zvinosanganisira:
- Chikamu chekenza yako - Kutanga-shato squamous cell carcinoma (somuenzaniso, danho rekutanga kana chikamu chechipiri ) rine tsananguro iri nani kupfuura gare gare yechirwere chekenza (sechikamu chechitatu kana chikamu chechina ). Asi, ramba uchiyeuka kuti mazhinji emishonga mutsva yemukenza inokurukurwa pamusoro apa ndeye avo vakagadzirira mapepa emapapu emapapu.
- Zera rako - Vakuru vechidiki vane mutsa wemapapu vanowanzogara kwenguva yakareba kupfuura vanhu vakwegura vane kenza yemapapu. Kunyange zvazvo zvichienzaniswa, vanhu vakwegura havaiti pamwe nevaduku vane chirwere ichi, inhema yokuti kenza yemapapu haigone kurapwa kune vakwegura vakuru. Ichokwadi, zvidzidzo zvakawana kuti vanhu vakuru vakwegura nemukenza wemapapu vanowanzoregerera mishonga imwechete inorayirwa kune vaduku vane chirwere.
- Kuita zvepabonde - Tarisiro yehupenyu yevakadzi vane kenza yemapapu yakakwirira pane imwe nhanho yechirwere ichi.
- 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 akadai sekuvhiya , chemotherapy , mazano ekurapa , immunotherapy , uye remishonga inonzi radiation inosiyana pakati pevanhu vakasiyana uye inogona kuderedza kukwanisa kwako kubvumira kurapwa.
- Mamwe mararamiro aungave nawo - Zvimwe zvirwere zvehutano, zvakadai se emphysema kana chirwere chemwoyo zvinogona kuderedza chirwere chepenza yemapapu emapapu. Aya mamwe mamiriro ezvinhu anogonawo kupindira mune zvimwe zvingaita kurapwa kwemukenza wemapapu. Semuenzaniso, avo vane COPD yakaoma vangasazokwanisa kutsungirira kurasikirwa nemapapu avo kubva mukuvhiya kwekenza yemapapu.
- Matambudziko emukenza wemapapu - Zvinetso zvemukenza wemapapu zvakadai semagazi eropa uye zvinokuvadza, zvinogona kuderedza chirwere chemapapu emapapu mumoyo. Zvinoshamisa kuti zvimwe zvezvinetso izvi, zvakadai sekuora mwoyo , zvinoporesa zvikuru, uye kuti zvivandudze tarisiro yehupenyu, zvakakosha kutarisa kwete chete mukurapa kenza yemapapu asi chirwere chinowanzoitika pamwe chete nekenza yemapapu.
- Iva netsika yekutsigira - Studies inotiudza kuti avo vane simba rekusimbisa hutano hwevanhu vanowanzova nemigumisiro iri nani kune avo vasingaiti. Nokuda kwechikonzero ichi, kutarisa mumapoka ekutsigira mutanho wemapapu uye mapato anobatsira angakanganisa maitiro ako. Asi, zvibatsiro zvevagari vemunharaunda idzi zvinogona kupfuura kudyirwa chete. Ikozvino kune vanhu vakawanda vakadzidza nezvemishonga matsva uye kuongororwa kwemakiriniki asipo kwete kubva kumusha wavo oncologist, asi kubva pakudzidza pamusoro pezvirapa izvi sechikamu chemusangano wekenza wemagetsi.
- Kuva iwe Murevereri wako - Tiri kudzidza kuti kuva mutungamiri wako mukutarisa kwekenza yako hakungogadziri kuwedzera hutano hwehupenyu asi hunoita mutsauko mune zvabudawo.
Statistics
Mukuwedzera kwekusiyana pakati pevanhu vakasiyana-siyana, kushandiswa kunogona kuchinja nenguva iyo nzira dzokurapa dziri nani dzinogona kuwanika sezvakataurwa kare, uye mishonga iyi iri nani inokurumidza kuwanika.
Squamous cell carcinoma inogona kupararira kune dzimwe nhengo dzakasiyana-siyana semapfupa, adrenal glands, chiropa, tumukaka kaduku, kana uropi, uye chirevo chekukura kwechirwere ichi chemapapu hachina kunaka. Izvo zvakati, kune vasara venguva refu vanosara kunyange nhanho 4 kanonzi squamous cell lung cancer, uye zvirwere zvitsva, zvakadai sekurapa mishonga yemishonga uye immunotherapy, dziri kutanga kubvumira kuti vamwe vanhu vararame nekenza yemapapu sehosha isingaperi.
Mazhinji ehuwandu hunoonekwa anotarisa marudzi ose evanhu vasati vashoma kanzera yemapapu emapapu vakaungana pamwechete. Pakati peizvi, kufungidzira kwe squamous cell carcinoma kune zvishoma kudarika iyo kune adenocarcinoma asi kune tariro kune yepamusoro pekenza huru yemukenza yemapapu .
Ivhareji yemakore mashanu ekupukunyuka kwemitero yevasina-duku duku yemukenza yemapapu ndeyokuti:
- Nhanho 1 - 49 muzana yechitambo 1A ne45 muzana yechitambo 1B
- Chikamu chechipiri - 30 muzana yegadziriro 2A ne30 muzana yechikwata 2B
- Nhanho 3 - 14 muzana yepamuti 3A ne5 muzana yechitambo 3B
- Nhanho 4 (Metastatic) - inenge 1 peresenti, kunyange zvazvo zvidzidzo zvinoratidza kuti ichi chiri kuwedzera
Maererano nechetatu, vamwe vevarwere vane mastrase yemaseramende esingave mastamous vanogona kuporeswa. Muzhinji, kenza yemastamous squamous yecinous is not curable but it is inoporesa .
Chemotherapy, somuenzaniso, inogona kuvandudza kupona uye inobatsira nezviratidzo zvekenza yemapapu. Mishonga inoverengeka iri kunyanya kuongororwa mumakiriniki ekuedza , uye kupa tariro yokuti squamous cell carcinoma yemapapu anofungidzira ichavandudza mune ramangwana. I National Cancer Institute inokurudzira kuti munhu wose ane kenza yemapapu anofanirwa kufunga nezvekugona kwekuongororwa kwechiremba. Zvinofadza, masangano emakenza emapapu akawanda akashanda pamwe chete kuti ape kenza yemakirini yemapapu emhosva yekuenzanirana inobatanidza kushanda kuti ani naani ane kenza yemapapu akagamuchirwa kushandisa.
Kufungidzira Zvako Zvokuratidza
Kana uchitarisa pamusoro pekufungidzira zvakakosha kuziva kuti dzose squamous cell lung mapukamusi haana kufanana. Zvechokwadi, dai paiva nevanhu 300 vane squamous cell lung carcinoma muimba, vaizove nemahara mazana matatu evanhu vane kenza. Kenza yako inogona kuva nemakemikari maitiro anowedzera kana kuderedza kufungidzira kwako kuti oncologist yako inokurukura newe. Mukuwedzera, kutsvakurudza kuri kutsvaga dzimwe nzira dzekufungidzira kufungidzira kweumwe munhu squamous cell carcinoma zvichienderana nekuwana kwakadai sekupararira kwemasero emumakumbo anowanikwa pane chidimbu chemvura uye nezvimwe.
Kana iwe uchangobva kuongororwa, unogona kunge unotya, uye uchinge uchinetseka. Takadzidza kuti unozvidzidzisa nezvekenza yako, uye kuzvikurudzira sechikamu cheboka rako rehutano, rinogona kuita basa guru muhupenyu hwako.
Chengetedza ruzivo urwu pamusana wemukenza wemapapu wepamapu, kusanganisira mamwe emishonga matsva ari kushandiswa.
Dzimwe nguva zvakaoma kuziva kwatinofanira kutanga. Dzidza nezvematanho ekutanga kutora kana iwe uongororwa nemukenza wemapapu- mitezo inogona kukubatsira simba rako parwendo.
Mukuwedzera, tarisa mazano aya pane izvo vanhu vanogona kuzviita ivo pachavo nekuvandudza kuponeswa kwekenza yemapapu .
Sources
American Cancer Society. Cancer Chokwadi uye Zvikamu 2016 .
Luo, X., Zang, X., Yang, L. et al. Comprehensive Computational Pathological Image Analysis Inofanotaura Kutapukisa Kwemaronda. Nyaya yeTraracic Oncology . 2016 Nov 4.
Qi, Y., uye W. Wang. Chirongwa cheKliniki Zvinoreva Kuparadzira Tumor Maselo muScamous Cell Kurapa Mushonga WeKenza. Cancer Biomarkers . 2016 Dec 2.