Zviratidzo, Zvirwere, uye Kurapa Kwemagetsi Makumbo Makumbo
Girafu cell carcinoma yemapapu inenge yomuviri wekenza wemapapu isiri duku . Izvozvo-zvishoma zviduku zvekenza mapapu zvinokonzera 80 muzana yemakenza emapapu emapapu, uye kune aya, zvinenge 10 muzana ndiyo huru cell carcinoma yemapapu.
Overview
Makore echitokisi carcinomas anonziwo mazamu makuru emukenza emapapu. Izvo zvinonzi mazita ekuonekwa kwemasero akareba kumativi ose paanoongororwa pasi pe microscope, kunyange zvazvo zvipuka ivo pachavo zvinowanzove zvakakura kana zvichitsvaga.
Makore echitema carcinomas anowanzoitika munzvimbo dzekunze dzemapapu, uye anowanzokura nokukurumidza uye anopararira nokukurumidza kupfuura mamwe maitiro evanhu vasati vashoma kanzera yemapapu emapapu.
Zviratidzo
Nemhaka yokuti huru cell carcinomas inowanzotanga kune dzimwe nzvimbo dzekunze dzemapapu, zviratidzo zvinozivikanwa zvekenza yemapapu, zvakadai sokukanganiswa kusingaperi uye kukanya ropa , zvingave zvisingawanzozivikanwi kusvikira mushure mechirwere. Kutanga kwemasero makuru echitokisi zvingakanganwa zvinogona kusanganisira kuneta, kufema kufema , kufema mukati mako, fudzi , kana chifuva. Vanhu vazhinji vanocherechedza kuti zviratidzo izvi zvekutanga zvinyengeri uye zvisinganzwisisiki, somuenzaniso, vanotenda kuti zviratidzo zvavo zvekufema kwepfupi nekukwira makwidza zvakabatana nekuwana mapaundi mashomanana kana kuva makore mashomanana, pane kuva chiratidzo chekenza yemapapu.
Sezvo hurukuro yecencenomas inowanzowanikwa munzvimbo dzekunze dzemapapu, dzinogona kuita kuti mvura yakasvibirira inokura munzvimbo iyo iri pakati pemishutu inotambanudza mapapu (mhere-mhere yakaoma) uye inopinda murusvingo rwechifuva.
Izvi zvinogona kukonzera marwadzo mubhokisi rako kana rutivi runotambudza nekufema kwakadzika.
Makuru echitema carcinomas anogonawo kubudisa hormone-sezvinhu zvinokonzera zviratidzo zvinonzi paraneoplastic syndrome . Muvanhu, zvinhu izvi zvinogona kukonzera kukura kwezvipfuva, chimwe chinhu chinonzi gynecomastia.
Kuziva
Girafu cell carcinoma yemapapu inowanzotanga kufungidzirwa kana kusakanganiswa kunoonekwa mu-X-ray.
Kuwedzera kumwe kuongorora kunogona kusanganisira:
- Chest CT scan
- Bronchoscopy
- PET Scan - muedzo wakagadzirirwa kutarisa zvirwere zvinokura
Zvichienderana nemigumisiro, chiremba wako anowanzoda kuwana shanduko yezvisikwa kuti ave nechokwadi chekuongorora uye acharaira zvimwe zviedzo kuti uone kana kana kenza yako yakapararira. Chirwere chepapu chekuona chirwere chemapapu chinogona kuitwa mune imwe nzira dzakasiyana-siyana kubva pane yakanaka inosungirirwa nenyuchi, kusvika kune endobronchial ultrasound inotungamirirwa nehupikisi panguva yebronchoscopy, kusvika pamapapu akazaruka.
Nhanho
Girafu cell carcinoma rakaputsika muzvikamu zvina :
- Nhanho 1 - Mucheche unowanikwa mukati memapapu uye hauna kupararira kune chero yeropa nhengo .
- Chikamu chechipiri - Mucheche wakapararira kune lymph nodes kana kubatanidzwa kwemapapu, kana mune imwe nzvimbo ye-bronchus .
- Nhanho 3 - Kanzera yakapararira kune zvisikwa pedyo nemapapu.
- Nhanho 4 - Kanzera yakapararira (mastasized) kune imwe chikamu chemuviri.
Zvinokonzera
Makore echitema carcinomas emapapu anonyanyobatanidzwa nekusvuta kupfuura mamwe maitiro evanhu vasati vaduku masero emukenza mapapu, asi zvimwe zvinokonzera zvinogona kubatsirawo zvakadai sezvikonzero zvinokonzera mamiriro ezvinhu , kusvuta , kushandiswa kwemabasa , uye genetics .
Mishonga
Zvichienderana nechetatu, kurapa kukuru kwema cell carcinomas emapapu kunogona kusanganisira kuvhiyiwa, chemotherapy, remishonga inonzi radiation, kana kusanganiswa kweizvi.
Matambudziko akawanda emakiriniki ari kuenderera mberi achitsvaga nzira itsva dzekurapa mutsa wemapapu, uye kubatsira kubvuma kuti zvipi zvinorapwa zvinoshanda.
Apo huru cell carcinomas inobatwa mumavambo ekutanga , kuvhiyiwa kunogona kupa mukana wekurapa.
Chemotherapy inogona kushandiswa yoga, pamwe chete nemishonga inonzi radiation, kana kuti kuvhiyiwa kunotevera chepenza yemapapu. Mienzaniso yemishonga yemakemikrasi inoshandiswa nekuru cell carcinomas inosanganisira Altima (pemetrexed) uye Platinol (cisplatin).
Targeted Therapies
Targeted therapies mishonga yakagadzirirwa kurwisa chirwere zvakananga. Nemhaka yokuti inoshanda nekutsvaga mapuroteni pamasero emasero , kana masero ezvakange aka "shandwa" nechirwere mukuedza kwawo kukura, vanogona kunge vane zvishoma zvinokonzera kudarika chidimbu chemakemikari.
Mienzaniso yemishonga inotarisirwa ingashandiswa inosanganisira Tarceva (erlotinib) uye Iressa (gefitinib).
Kurapa kwechirwere kunogona kushandiswa kurapa mutsa wemapapu kana kuronga zviratidzo zvine chokuita nokupararira kwekenza .
Immunotherapy iyi inonakidza munda wemapapu emapapu emapapu akave nekuguma nekugadzirisa kwenguva refu kwechirwere chevamwe vanhu.
Prognosis
Makore mashanu ekupona kwemuti wemapapu emapapu zvinosuruvarisa chete ne18 muzana. Kune avo vanoongororwa muzvikamu zvekutanga zvechirwere ichi, kufungidzira kuri nani zvikuru. Imwe yakasiyana-siyana yeganda cell carcinoma, huru cell neuroendocrine carcinoma, ine chirevo chakashata pane chikuru che cell carcinoma.
Kutsungirira
Kuongororwa kwemukenza wemapapu kunotyisa uye iwe unganzwa uri woga. Bvumira vadiwa venyu kukutsigira. Vanhu vazhinji havana ruzivo rwekuita kune mumwe munhu anoonekwa ane kenza. Kuita kuti vanhu vazive zvinhu zvavanokwanisa kuita kuti vabatsire kunogona kuderedza kushungurudzika kwavo, uyewo kuzadzisa chido chenyu chekusigirwa kwenguva yakawanda panguva ino.
Bvunza mibvunzo . Dzidza zvakawanda sezvaunogona. Funga kubatana neboka rekusimbisa mutano wemapapu kana kuburikidza nekenza yako yekenza kana paIndaneti. Uye iva nechokwadi kune iwe pachako. Hazvina mhosva kuti vamwe vakawana sei kana kukurudzira, iwe chete unoziva zvakakunakira iwe.
> Sources:
> National Cancer Institute. Non-Small Cell Lung Cancer Treatment (PDQ). https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq
> Sheth, S. Parizvino uye Inobatsira Kurapa Kwevarwere Vachiri Kuwedzera Vasina Muchechi Chirwere Chirwere. American Journal of Health-System Pharmacy . 2010. 67 (1 Kubatsira 1): S9-14.