Zviratidzo, Kuongororwa, Kurapa, uye Kurapa
Mushonga weMetastatic kumapapu zvinoreva kuti kenza inobva kune imwe nzvimbo yomuviri yakapararira kumapapu.
Imwe izwi remukati wemaspita kumapapu ndiyo kenza yechipiri mumapapu, sezvo kenza huru ndiyo nzvimbo mumuviri umo kenza yakatanga kana yakatanga.
Somuenzaniso, kana kenza yemazamu inopararira kumapapu, inenge ichinzi kansa yepafu ne metastasis kumapapu, kana kenza yemazamu nemapasitasi emapapu.
Haingatauri chirwere chemapapu nokuti kana iwe waizotarisa tumarara yemasita pasi pasi pe microscope, unozoona kuti iine mazamu echepabonde, kwete mawere emapapu emukenza.
Sezvakakosha kunze, kana uri kutsvaga ruzivo rwekenza iyo inotanga mumapapu uye inopararira kune dzimwe nzvimbo dzomuviri, tarisa maitiro (shato 4) kenza yemapapu .
Kubatana kweMatastatic Cancer kumapopu
Iwe unogona kushamisika kuziva kuti mapapiro emapapu ari akajairika, anowanikwa mu30 kusvika ku55 muzana yepamusoro yekenza. Kunyange zvazvo anenge chero kenza chero ipi zvayo inogona kupararira kumapapu, vamwe vanowanzoita kupfuura vamwe kuti vadaro. Nezvo, mhando dzakajairika dzekenza dzinopinda mumapapu dzinosanganisira:
- Chirwere chechirwere
- Kenza yemazamu:
- Kanononi yeColon
- Chirwere chepyiyo
- Melanoma
- Ovarian cancer
- Kenza yepancreatic
- Chirwere cheprostate
- Rectal kansa
- Kansa yemudumbu
- Chirwere chetachiona
- Uterine kenza
Dzimwe nguva, vanachiremba havagoni kuziva kuti nzvimbo yekutanga yekenza chii.
Muchiitiko ichi, vanotaura nezvekenza sekenza isingazivikanwi inotangira nemastasisis kumapapu.
Inogona Kupararira Sei?
Kunyange zvazvo masero matsva anogona kufungidzirwa se "anononoka," sezvo ane mazamu emukoko anoaisa pamwe pamwe panzvimbo, kenza dzemasero dzakasiyana . Hazviiti kuti izvi zvibatanidzwe, zvichivabvumira kusununguka uye kufamba sezvavanoda.
Paunofamba, kenza dzemawere dzinogona kupfuurira zvakananga kumapapu, akadai sekenza inotanga mumusvingo kana pachifuva. Asi vazhinji vanorwara nemasero vanofamba nenzira isina kururama, kuburikidza nenzira nhatu dzinogona kuitika :
- Bloodstream (inonzi kuparadzirwa kwehematogenous): Masero eKenza anogona "kuvhiringidza" mumidziyo midzi yeropa pedyo nemamota uye zvino inotorwa kumapapu kuburikidza nemapiritsi emapurmonary.
- Lymphatics: Tumoromeri masero anogona kuvhara mumidziyo miduku ye lymphatic uye kufamba nemakirini emakirini (kusanganisira lymph nodes).
- Kupisa kupararira uye kupararira kwemhepo kunopararira: Purefu inoreva kumhemberero dzakapoteredza mapapu. Iko rudzi rwekupararira runowanzosvika kumakumbo emapapu uye hazviwanzoitiki.
Zviratidzo zveLung Metastases
Mastastasia ine mwero kazhinji haigoni kuita zviratidzo. Apo iyi ndiyo mamiriro acho ezvinhu, metastases inogona kuwanika pamusana pekuongorora kwehutachiona, kufanana neT CT scan, yakaitwa kutarisa kuvapo kwekupararira kwekenza.
Kana zviratidzo zviripo, dzinowanzofanana nezviratidzo zvekenza yemapapu yekutanga , se:
- Chirwere chinopfuurira
- Kushungurudza ropa (inonzi hemoptysis) kana chirwere chinopa ropa
- Pain mubhokisi, pfudzi , uye kumashure
- Kupfupika kwemhepo
- A low blood oxygen level (inonzi hypoxemia)
- A pleural effusion
Sezvo kenza yemasitasita inoreva kuti kenza yepamusoro yakapararira kuburikidza nemuviri, zviratidzo zvakawanda zvakadai sekuneta, kusina kutsanangurwa kurasikirwa , uye kuderera kwechido kunowanzoonekwawo.
Kuongororwa kweMapu Metastases
Kana chiremba wako achifungidzira kuti une mastasisita emapapu, pane mimwe miedzo yaanofunga. Izvi zvinosanganisira:
- Chifuti x-ray (chifu x-ray inogona kusanganisa mashoma)
- CT scan of the chest
- PET scan
- Mhembwe yenyuchi (zvichida nenyuchi biopsy kana kuti mapapu akazarurwa)
- Kuongororwa kweshoko rinonzwisa mvura kana kuderera kwechisimba kuripo
- Bronchoscopy
Migumisiro yezviongorori zvekufungidzira zvinogona kupa uchapupu hunokwana hwemasimisita, kunyange zvazvo bhiopsy inogona kudiwa kuti ivimbise kuongororwa.
Kuchengetedzwa kweMungungasi Yemapu
Kurapa kwekenza metastatic kumapapu kunowanzogadziriswa nekenza yekutanga, kana yakabva kenza.
Izvi zvinogona kusanganisira hormonal therapy, inorapwa nezvirwere, chemotherapy, immunotherapy, kana kusanganiswa kwezvirwere.
Chemotherapy inowanzotorwa kurapa, uye inowanzopiwa sartiative therapy , iyo ndiyo inopiwa kupa nguva refu kupona uye kuderedza zviratidzo. Chirwere chinonzi palliative hachina kuitirwa kurapa kenza. Kunyange zvakadaro, muzviitiko zvisingawanzoitiki, kufanana nehutano hwekenza yemaspita kumapapu, chemotherapy inogona kunge ichirapa.
Dzimwe nguva, kurapwa kwemapapu emapapu (inonzi metastasectomy) inofungidzirwa. Kuti izvi zvibudirire, chiremba wako achada kuve nechokwadi chokuti chirwere chako chikuru chakasunungurwa zvachose, uye kuti yese metastases inogona kuve yakagadzirwa zvepamusoro (chirwere chinowanikwa). Kana izvi zvikaitika, metastasectomy inogona kuvandudza kupona kwako.
Kunze kwekuvhiyiwa, stereotactic body radiotherapy (SBRT) , iyo inonziwo "cyberknife," dzimwe nguva inoshandiswa kurapa mastasine kumapapu kubva kune kenza mune dzimwe nhengo.
Zvirwere zveMungastases
Zvinosuruvarisa, kenza yakapararira kumapapu (inonzi chirwere chekenza kane) haigoni kurapwa. Izvozvo zvakati, inowanzorapwa zvikuru, uye chiremba wako anotaura newe nezvemishonga inogona kukura hupenyu hwako, pamwe nekukupa unhu hwakanakisisa hwehupenyu hunogoneka.
Kuponeswa kwevanhu, kunotsanangurwa sehuwandu hwevanhu vanorarama makore mashanu kana kupfuura mushure mekunge kenza yavo inoratidzwa, inowanzosiyana-siyana zvichienderana nechokutanga chesaiti. Semuenzaniso, kupona kunonyanya kukwirira kwemakumbo akaita seniki yechipupuriro yakapararira kumapapu (73 muzana yemakore mashanu ehupenyu hwehupenyu) uye yakaderera kune zviremara zvakadai semaranoma zvakapararira kumapapu (15 kusvika ku20 kubva kumakore mashanu ekupona kwemazinga).
Izvo zvakatarisa apa ndezvokuti zvinogona kunge zvinoreva kuti chirwere chekenza nemapasimasi emapapu zvichavandudzika munguva yemberi iri pedyo. Sekare imwe shanho 4 kanzira dzakaita zvinorapwa, zvakadai se immunotherapy , munzira dzisina kunzwika makore mashoma apfuura.
Shoko Rinobva
Muchidimbu, mapapu emapapu kana kenza yemasitadhi kumapapu inowanikwa apo kenza inotangira kune imwe nzvimbo yemuviri, yakadai sezamu kana chidimbu, inopararira kumapapu. Vanhu vazhinji vane mapapu emapapu havana zviratidzo, asi vanogona kuora chifuva, kurwadziwa kwepfupa, kana hemoptysis.
Pakupedzisira, mamapasita emapapu anowanzobatwa sechikamu cherapa remishonga yekenza yepamusoro, uye apo zvirwere zvemasastasi hazviwanzopora (pane zvisiri izvo zvisiri izvo), kurapa kunogona kuwedzera hupenyu nekuvandudza hupenyu hwehupenyu kuburikidza nekudzivirira zviratidzo.
> Sources:
> America Cancer Society. (2016). Testicular Cancer Survival Rates.
> Bartlett EK et al. Kuwedzera kwemasastasectomy kumarudzi ose ekenza mumakore gumi adarika. Cancer . 2015 Mar 1; 121 (5): 747-57.
> Miller, K., Siegel, R., Lin, C. et al. Cancer Treatment uye Survivorship Statistics, 2016. CA: A Cancer Journal for Clinicians . 2016. 66 (4): 271-289.
> National Cancer Institute. (2017). Metastatic Cancer.
> Wang, H., Zhang, C., Zhang, J. et al. Kuongororwa kwezvirwere zveMetastasis yakasiyana-siyana muvarwere vane Breast Cancer Subtypes dzakasiyana: A SEER Based Based Study. Oncotarget . 2017. 8 (16): 26368-26379.