Zvirwere Pashure peLung Cancer Yakapararira
Pamwe mubvunzo unowanzobvunzwa ndewekuti: "Chii chinonzi chirwere chemakenza emapapu emapapu?" Kwete zvisingatarisirwi, kubvira 40 muzana yevanhu vakatofambira mberi kusvika panhete yechina panguva yavanoongororwa. Usati wapindura mubvunzo uyu, zvakadaro, zvakakosha kutaura zvishoma pamusoro pokuti mhinduro yacho-mhinduro yekuverenga-yakabva sei.
Zvimwe Zvinoshandiswa Zvinoita Kuti Muchengetedze Muchirwere Chetachiona
Nhanho 4 yemukenza yemapapu upenyu hwekutarisira hunogona kusiyana zvikuru pakati pevanhu vakasiyana.
Zvimwe zvezvinhu izvi zvinosanganisira:
- Mhando yako yemukenza yemapapu uye nzvimbo - Chirwere chepakati chemapapu 4 chinokonzera mhando dzakawanda dzemukenza wemapapu uye dzinosanganisira zvirwere zvakapararira kune imwe nzvimbo iri kure kana iyo yakapararira zvakanyanya. Kuponeswa kunogona kukanganiswa nehutachiona hunhu hwechirwere , nekenza ine "zvinotarisa kuchinja," seAlk-positive mapapu emapapu , ROS1 mutations , uye kuchinja kwe EGFR , zvichiita kuti vatarise kune zvitsva zvinorapwa zvekenza yemapapu .
- Nguva yako - Vaduku vanowanzogara kwenguva yakareba kupfuura vanhu vakwegura vane kenza yemapapu. ( Kanza yemakumbo muvanhu vakuru vechidiki yakasiyana nenzira dzakawanda.)
- Kuita zvepabonde - Tarisiro yeupenyu kumukadzi ane 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 emakiratiki akaita sechemotherapy , chirwere, chinangwa cherapa , immunotherapy, uye remishonga inonzi radiation inosiyana pakati pevanhu vakasiyana uye inogona kuderedza kukwanisa kwako kubvumira kurapwa.
- Mamwe mararamiro aunogona kuva nawo - Utano hwakadai saiye emphysema hunogona kuderedza danho 4 yemukenza wemapapu emapapu.
- Matambudziko emukenza wemapapu - Zvinetso zvakadai sekuvhara ropa zvinogona kuderedza danho remukenza wemapapu emapapu emararamiro.
- Kwakave nemukenza wemapapu wako wakapararira - Kanonda yemapapu inogona kupararira kusvika munharaunda ipi zvayo yemuviri, asi inowanzopararira kuuropi, mapfupa, chiropa, uye adrenal glands. Sezvakataurwa pasi apa, apo mashoma emakenza emapapu emapapu emastrosese kana chiropa chemasastases aripo, kurapwa nechinangwa chekugara kwenguva refu dzimwe nguva kunogoneka.
Statistics
Mukuwedzera kune kusiyana pakati pevanhu vakasiyana, zvinokosha kuchengeta mupfungwa kuti nhamba dzinowanzochengetwa nevanhu vanobata makore mashomanana kumashure. Semuenzaniso, nhamba dzechangobva kuitika dzatinazvo nemukenza wemapapu kubva muna 2015 dzinobva kune vanhu vakaonekwa nekenza yemapapu pakati pe2007 ne2011. Kubva panguva iyoyo, mushonga mutsva wakagamuchirwa kune vanhu vane kenza yemapapu yakapfuura, uye zvimwe zvirwere zviri kuidzidzwa mumakiriniki miedzo.
Izvozvo zvakati, chirwere chemukati 4 chisingaiti chekenza yemuviri wemapapu emapapu (nguva iyo 50 muzana yevarwere vari vapenyu uye 50 muzana vapfuura) inenge mwedzi mitanhatu chete. Iyo makore mashanu ekupona-yekuti, chikamu chevanhu vanotarisirwa kuva vapenyu makore mashanu mushure mekuongororwa kwemukati wekenza yemapapu emakumbo-zvinosuruvarisa chete 4 muzana.
Kunyange zvazvo nhamba idzi dzichikwira pasi, pane vanhu vazhinji vanogara kwenguva refu vapenyu vechirwere chepamupa 4 yemapapu. Pakazosvika 2016 HOPE Summit muWashington, DC (boka rinoshamisa remapurisa emapapu emapapu kuti ani naani anogona kuva chikamu che), mapikicha akasimbisa kwete boka revanhu vanopfuura 300 vanopinda pamukenza wemapapu vari kukura nekenza yemapapu, asi nhamba yepamusoro boka revanhu vakapukunyuka chirwere chechina chirwere chemakore anenge gumi. Yeuka: Iwe hausi nhamba. Pane tariro, uye haisi tariro yechema.
Kugadzirisa Kenza Yakapararira Yakapararira (Chikamu 4)
Chinhu chimwe chekupedzisira chakakosha zvikuru kuchengeta mupfungwa.
Kunyange zvazvo chikwata chemukenza wemapapu 4 isingawanzopora, inorapwa. Izvi zvinogona kunge zvisingagadziri kupfuurira kupona asi kubatsira nezviratidzo zvekenza yemapapu zvakare.
Kune vamwe vanhu, kugamuchirwa kweviri remunotherapi mishonga muna 2015 (nemimwe mishonga iri muchikwata ichi kuongororwa mumakiriniki ekuedza) inoratidza kuti kune vamwe vanhu, kwenguva refu kutonga kwechirwere chevamwe vanhu vane kenza yemapapu yakakura inogona kuitika. Kune vanhu vane mamiriro ekuchinja, kuchinja kune mishonga yakangotanga kushandiswa apo mishonga inopesana inoratidza kuti kune vamwe vanhu, kenza yemapapu yakakura inogona kurapwa sechirwere chisingagumi, sechirwere cheshuga munguva yemberi.
Imwe nguva ichangobva kupera yemukenza wemapapu yakapararira ndiyo kurapa kwe "oligometastases." Apo imwe-kana mashomanana-masastase aripo, somuenzaniso, muuropi kana chiropa, maitiro akadai sa stereotactic body radiotherapy (SBRT ) inogona kushandiswa kupedza zvirwere izvi. Iyi nzira yakatoguma nekupona kwenguva refu kwevamwe vanhu vane hutano hwemagetsi kubva mumukenza wemapapu .
Chii Chaungaita Kuvandudza Kupona Kwako?
Mushure memazana emakore ekufambira mberi mune mukurapa kwemukenza wemapapu, zvigadziro zvekurapa uye kugadzirwa kwekenza yemapapu emapapu zvakanyanya kuwedzera. Izvi zvinorevei kuti zvakaoma kune ani zvake-kunyange an oncologist anonyanya kurwara nekenza-kuziva zvose zvitsva mberi uye kuongororwa kwechipatara kunoitwa pasi rose.
Zvidzidzo zvinoratidza kuti vanhu vanodzidza zvakawanda nezvekenza yavo uye vanova vatsigiri vavo mukuchengetwa kwekenza yavo vanogona kuva nemigumisiro yakanaka. Nzira yakanakisisa yekuti usangogamuchira rubatsiro asi kuti uzive nezvekufambira mberi kwezvinoitwa mukurapa ndechokubatanidzwa mumapoka ekutsigira kenza yemapapu kana munharaunda yekutsigira . Ita hasagag yemapoka aya ndewe #LCSM, iyo inomirira kenza yemapapu evhidhiyo. Mukuwedzera, masangano akawanda emakenza emapapu akabatana pamwechete kuti ape chirwere chepiriniki chisina kubhadhara basa kune avo vanorarama nemukenza wemapapu.
Tora nguva kuti uongorore mazano aya paunozvitsigira sechirwere chekenza kana uri kurarama nemukenza wemapapu pachako kana kuti unotarisana nekenza yemapapu pamwe chete nemunoda.
> Sources:
> America Cancer Society. Cancer Chokwadi uye Zvikamu 2015. Atlanta: American Cancer Society; 2015. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2015/cancer-facts-and-figures- 2015.pdf .
> America Cancer Society. Chirwere Chechirwere (Chero Isina-Small Cell. https://www.cancer.org/cancer/non-small-cell-lung-cancer/detection-diagnosis-staging/survival-rates.html.
> National Cancer Institute. Non-Small Cell Lung Cancer (PDQ). Nhanho IV Hasi-Small Cell Kurapa Kanza. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.