Mazano Okuvandudza Kuparara Kwemaronda

by Lynne Eldridge, MD; Yakadzokororwa na Grant Hughes, MD

Nzira Yokuvandudza Nayo Kupona Kwako Kubva muLung Cancer

Ko kana tikakuudza kuti pane zvinhu zvaunogona kuita kuti uwedzere mikana yekurarama nekenza yemapapu - uye zvinhu izvozvo hazvisanganisi kuvhiyiwa, chemotherapy kana remishonga inonzi radiation? Ichokwadi ndechokuti pane zvinhu zvaunogona kuita kuti ubatsire kuvandudza matambudziko ako.Things izvo zvisikwa uye zvisingavi zveutano, zvakadai semararamiro ehupenyu uye kutsigirwa kwevanhu.

Mumhepo imwe chete sezvatinotaura kuti hatidi kuti chero munhu aone kuti havaiti zvakakwana. Isu tose tinoziva nezvevanhu vakaita zvose zvakanaka uye vakagadzira kenza uye yakafambira mberi zvakadaro. Icho chokwadi chinoramba chiripo kuti kuponeswa kwekenza yemukenza yemapapu hakusi izvo zvatinoda. Asi kunyange kana mazano aya asingavandudzi kuponesa kwako pachako, angavandudza hupenyu hwehupenyu huri kurarama nhasi.

1 -

Tsvaga rubatsiro

Kutsigirwa kwakanaka kwevanhu kunogona kuwedzera kupona. JGI / Jamie Grill / Blend Images / Getty Images

Kunzwa uri wega wega hakunzwi zvakanaka, asi kuva nechirongwa chakasimba chinogona kuwedzera kupona nekenza yemapapu . Kwete zvidzidzo zvose zvakaratidza izvi. Imwe yongororo yapfuura yakawana kuti varwere vari kuitirwa chirwere chekenza yemapapu havana kuonekwa kunge vari nani kana kuti vakaipa kana vaine rubatsiro rwakanaka rwemagariro evanhu.

Asi kubvunzurudzwa kwezvimwe zvidzidzo zvinoratidza zvimwe. Chimwe chidzidzo chikuru (icho chakatarisa pamigumisiro yezvidzidzo zvinenge 150) yakatarisa kuitika kwehukama hwehukama pamusoro pehutano nekufa kubva pane zvakasiyana-siyana zvehutano. Zvakaonekwa kuti vanhu vane hukama hwakasimba hwehukama vaiva ne50 muzana vakawedzera mikana yekupona. Kutarisa kenza chete, imwe dzidzo (iyo yakanyora zvidzidzo zvinenge makumi mapfumbamwe) yakawana kuti maitiro akareba ekusimbiswa kwevanhu munzanga akabatanidzwa ne 25 muzana yepamusoro pengozi yekufa.

Kuva nerutsigiro rwekutengesa roga kunogona kubatsira, asi tinodawo kubvunza nekugamuchira. Mushure mokunge ndaonekwa kuti ndine kenza, imwe yezvakanakisisa mazano mazano andakagamuchira ndeyekudzidza kugamuchira. Kwete nokuti ndaida rubatsiro, asi nokuti icho chaicho chipo chatinogona kupa vamwe. Sezvo shamwari imwe yandiudza, "Nzira yakanakisisa yekuratidza kuonga chipo ndeyokugamuchira zvakakwana." Vanhu vanoda kubatsira. Zvakakosha kuchengeta mupfungwa kuti mumwe shamwari kana mudiwa haagoni kuita zvose. Kanzira inogona kutora musha. Vamwe vanhu vanonakidzwa kuteerera. Vamwe vanonakidzwa nokuchenesa. Asi vamwe vanonakidzwa nokupa vakomana.

2 -

Ziva Zviratidzo zvekuora mwoyo

istockphoto.com

Dzidzo dzakaratidza kuti kushushikana kwepfungwa, kwakadai sekuenderera mberi nekuora mwoyo uye kushungurudzika, kunofanirwa kuponesa vanhu vane kenza - uye kubatana uku kunonyanya kusimba pakati pevanhu vanogara nekenza yemapapu.

Muvanhu vaiva nemukenza wemapapu yakakurumbira, avo vakanga vaora mwoyo panguva yekutanga kwemakemikrasiro avo vakararama chete hafu yakareba sevaya vasina kuora mwoyo. Mune imwe kudzidza kupona kwema median (kureva, nguva yakatevera iyo 50 kubva muzana yevanhu vachiri kurarama uye 50 muzana vakafa), yakave ina nguva shomanana kune vanhu vakanga vakaora mwoyo.

Ngozi yekuzviuraya inowanikwawo kaviri kana kupfuura gumi pakati pevanhu vane kenza kupfuura vanhu vakawanda. Ngozi inonyanya kukosha kune varume uye mumwedzi yekutanga mushure mekuongororwa kwekenza.

Zvakakosha kusiyanisa pakati pekuora mwoyo mukati mekugadzirwa kwekenza uye kushungurudzika kwakasarudzika. Kazhinji munhu wose anonzwa kushungurudzika uye kushungurudzika sezvavanotarisana nekuongororwa kwekenza, asi kuchipatara kuora mwoyo hakusi kudarika. Zvinogona kubatsira kuti uzive nezviratidzo zvekuora mwoyo, uye kutaura nachiremba wako kana iwe unonzwa uora mwoyo.

Zvimwe Pamusoro peLung Cancer uye Kuora Mwoyo

3 -

Kumbira Kutarisira Kwakawanda Kubatsira

National Cancer Institute, Rhoda Baer (mufananidzo)

Ndine chokwadi kuti vamwe venyu vakati "huh?" apo iwe uchiverenga musoro wepamusoro pamusoro. Icho hachisi kufanana nechipatara here? Sei uri kutaura nezvazvo mune imwe nyaya pamusoro penzira dzekuvandudza kupona kwemapapu emapapu?

Izwi rokuti palliative kuchengetedza rinonyanya kusanzwisiswa. Iyo nzira inoedza kuvandudza hupenyu hwehupenyu kune vanhu vane chirwere chakakomba chekurapa, kuburikidza nekutaurirana mupfungwa, mumuviri pamwe chete nezvido zvemweya nezvinetso. Munguva yehutano hwekuchengetedza kwehutano, vanhu vazhinji vanosangana neboka rinosanganisira chiremba, mukoti, uye mushandi wehupfumi, kuti atarise zvakakwana zvinonetsa zvaunogona kuva nazvo munguva yekenza yekenza.

Chirongwa che2010 chakaratidza kuti vanhu vane kenza yemapapu yakakurumbira avo vaine mazano ekuchengetedza kwepamusoro mushure mekutsvaga kwavo kupona kwakapona pamusana pemwedzi 2½ yakareba kudarika avo vasina kumbobvunzurudza.

Mimwe mishonga yekenza ikozvino inowanzopa hutano hwekuchengetedza hutano nguva pfupi mushure mekuongororwa kwekenza. Kana usina kupiwa sarudzo iyi, zvingave zvakakosha kubvunza yako oncologist zvinowanikwa pane imwe nzvimbo yekenza

4 -

Kurudzira Upenyu Hwenyu Hwenyama

istockphoto.com

Kunyange zvazvo basa rezvechiremba rave rakanonoka kusanganisira kunamata mune zvirongwa zvekurapa kenza, hupenyu hunoshingaira hwemweya hunogona kuita basa muhupenyu hwekenza yemapapu.

Kutanga, zvakakosha kufananidzira kunamata. ICancer Cancer Institute inotsanangura unhu hwekunamata semunhu mumwechete pamusoro pechinangwa cheupenyu. Kune vamwe vanhu, izvi zvinogona kutora maitiro echitendero chakarongeka. Kune vamwe, inogona kuenzanisirwa nekufungisisa, yoga kana kukurukura nemasikirwo.

Zvidzidzo zvishoma zvishomanana pamusoro pevanhu vane kenza yemapapu emuGumbo IV vakawana kuti vanhu vane hupenyu hwakasimba hwemweya havana kungova nemhinduro yakanaka kune chemotherapy asi vakapona kwenguva yakareba.

Izvo zvakati, ndinoziva nezvevanhu vazhinji vane hupenyu hwemweya hunoita zvakashata vakarasikirwa nehondo yavo nemukenza wemapapu. Asi kunyange kana hupenyu hunoshingaira hwemweya husinganatsiri kupona, zvimwe zvidzidzo zvakaona kuti humwe humwe humwe hutano hwakajeka hunobatsira mukurwisana nekenza uye hutano hwehupenyu huri kurarama nekenza.

5 -

Tora Kupera Mhirizhonga

istockphoto.com

Vanhu vazhinji vane mutapenza wemapapu vanozivikanwa nekunyadzisa kwechirwere. Ndeipi imwe yemashoko ekutanga anotaurwa nevanhu? "Wakasvuta kwenguva yakareba sei?" Mashoko asina kujeka anogona kunetsa kana iwe uri kuedza kurarama nematambudziko ekurapa. Asi kunze kweizvozvo, kuora mwoyo kwemukenza wemapapu kwakanyatsochengetedza vamwe vanhu kuti vasawana rubatsiro rwavanoda uye vanofanirwa. Zvidzidzo zvakaratidzawo kuti vanachiremba, pane dzimwe nguva, havanyanyi kurwisa mukurapa varwere vemapapu emapapu pane varwere vane mamwe maitiro ekenza.

Iva nechokwadi chekuverenga chikamu chiri munyaya ino pamusoro pekuve iwe mumutevereri (pasi).

6 -

Iva Nzwisiso Yeropa Zvivharo uye Kudzivirira Kwavo

Callista Images / Getty Images

Ropa rakadzika, iro rinozivikanwa sepakadzika remhepo, rinowanikwa muna 3 kusvika ku15 muzana yevanhu vane kenza yemapapu. Ropa rinowanzoita mumakumbo kana pamapfudzi uye rinogona kuisa upenyu pangozi kana ikasimuka uye ichienda kumapapu. Mune rumwe ruzivo, paiva ne70 muzana yakawedzerwa njodzi yekufa kune vanhu vane kenza yemapapu avo vakaona ropa.

7 -

Idya Zvokudya Zvakanaka

National Cancer Institute, asingazivi mifananidzo

Tinoziva kuti kudya kudya kwakanaka kunogona kutiita kuti tinzwe zviri nani, asi zvinogonawo kuderedza mikana yekenza inoramba ichidzoka. Sangano reAmerican Institute for Cancer Research (AICR) rakauya nekudya mazano kune vanhu vane tariro yekudzivirira kenza pakutanga. Nokuda kwevanorwara nekenza, vanokurudzira kutevera mazano aya kuedza kudzivirira kudzokorora.

Tarisa chinyorwa chiri pasi apa kuti udzidze nezvezvidzidzo zvakatarisa kuitika kwekudya pamukenza wemapapu.

Chirwere Chinokonzera Kurwisa Zvokudya

8 -

Wana Kushanda Kakawanda

National Cancer Institute, Bill Branson (mufananidzo)

Basa rekuita basa rakaratidzwa kuti riite basa mukudzivirirwa kwekenza yemapapu, asi zvishoma zvishoma kana zvichigona kugadzirisa kupona kune vanhu vagara vachirarama nechirwere ichi.

Kune avo vanogona kubvumira kurovedza muviri, zvinogona kuderedza mukana wekufa kwenguva isati yasvika uye kuderedzawo njodzi yekufa nekuda kwemamwe zvirwere zvine chokuita nezera. Kuponesa kunze, zvidzidzo zvinoratidza kuti kurovedza muviri kunovandudza hupenyu hwevanhu vanorarama nemukenza wemapapu. Parizvino, hatizivi rudzi rwekuita muviri kana kuti nguva yakashandiswa pairi inobatsira zvikuru. Bvunza wako oncologist zvaanokurudzira.

9 -

Rega Kusvuta

istockphoto.com, LuisPortugal

Ndakasarudza kubatanidza kusvuta pedyo nezasi kwezvenhoroondo iyi nokuti handifaniri kuwedzera kumusana wekenza yemapapu. Asi kuramba uchisvuta mushure mekunge kuongororwa kwemukenza wemapapu kunogona kureva kupona kwepasi.

Munguva yakapfuura, zvidzidzo zvakaratidza kuti vanhu vanorega kusvuta mushure mekuongororwa kwekenza yemapapu vanoita zviri nani nekuvhiya uye vanopindura zviri nani kumapiritsi emishonga. Kune vanhu vane kenza yemapapu yekutanga-mapoka, kuongorora kwakapfuura kwakaratidza kunyanya kunoshamisa kwekurega. Muvanhu vane maperembudzi emakamu emapapu asati ari madzimai uye musinganzwisisiki mukana wekenza yemapapu emapapu , kurarama kwemakore mashanu kudarika kaviri kune avo vakakwanisa kukanda tsika iyo mushure mekunge vaona.

Kana uri kutambura kuregera, tarisa kurega kusvuta bhokisi rebhokisi rekushandisa pasi apa sekutanga.

Top 10 Zvikonzero Zvokurega Kusvuta neKenza

10 -

Iva Mumiririri Wako

istockphoto.com

Hatina zvikwani zvakajeka zvinotitaurira kuti kuva mutongi wedu pachake anomutsa kupona. Asi tinoziva kuti kuwana zvakanakisisa kutaridzika kunogona kukosha.

Kutsvaga oncologist uye hurongwa hwehupatara unonzwa wakasununguka nekutanga. Kubvunza mibvunzo nekuita tsvakurudzo yako (uye kuva nevanoda vabatsire kana zvichidiwa) inogona kubatsira nezviya zvisarudzo. Semuenzaniso, mamwe maongororo anoratidza kuti kupona kubva mukuvhiya kwemapapu emapapu kwakakwirira kune zvipatara zvinowedzera kuvhiya. Iro sarudzo yekutsvaga miedzo yekliniki inogona kuva yakakosha kwauri. Pasinei nokuti ICancer Cancer Institute inokurudzira kutarisa mumakiriniki emakirini kana uine Stage III kana kenza yemapapu emuGumbo IV, vashoma vanoita kanzera yemapapu vanoita saizvozvo.

Pakupedzisira, ziva zviratidzo zvemapapu emapapu zvinokurumidza . Kunyange zvazvo pane zvikonzero zvakawanda vanhu vanogona kutsvaga zviratidzo zvisingagoni kudzora sechiremba, zvinoshungurudza kana mumwe munhu asingazviiti nekuda kwechimwe chinhu chingave chichigadziriswa nechinguva chekukurumidzira kushanyira uye kuchipatara.

Tarisa zvinyorwa zviri pasi apa pamusoro pekuve iwe mumutevedzeri wako:

11 -

References

_{American Institute for Cancer Research.} _{Mirayiridzo yeAICR yevanoponeswa nekenza.} _{Yakasvika 02/15/16.} _{http://preventcancer.aicr.org/site/PageServer?pagename=patients_survivors_guidelines}

_{Anguiano, L. et al.} _{Chidzidzo Chekuzviuraya muChancer Varwere.} _{Cancer Nursing .} _{2011 Sep 23. (Epub mberi kwekudhinda)}

_{Arrieta, O. et al.} _{Association of Depression and Concern on Quality of Life, Treatment Adherence, and Prognosis in Patients With Advanced Non-Small Cell Lung Cancer.} _{Annals of Oncology Surgery .} _{2012 Dec 22. (Epub mberi kwekudhinda).}

_{Chen, M. et al.} _{Zviratidzo zvinoshungurudza panguva yekutanga chemotherapy inofanotaura kufema kwevatachiona vane musero wekenza yemapapu usina kufanira.} _{Kuchengetedza Kuchengetedza muCancer .} _{2011. 19 (11): 1705-11.}

_{Giannousi, Z. et al.} _{Chirwere chemuviri, chikamu chakaoma kupindura uye kuora mwoyo mumarwadzo emumapapu emapapu: kuwirirana uye kushamwaridzana kwesangano.} _{Kuchengetedza Kuchengetedza muCancer .} _{2011 Oct 1. (Epub mberi kwekudhinda).}

_{Hamer, M. et al.} _{Psychological affliction and death mortality.} _{Nhoroondo yePsychosomatic Research .} _{2009. 66 (3): 255-8.}

_{Holt-Lunstad, J. et al.} _{Ukama hwemagariro evanhu nehutano hwekufa: meta-analytic review.} _{PLoS Medicine .} _{2010. 7 (7): e1000316.}

_{Jones, L. Chiitiko chemuviri uye kupararira kwekenza yemapapu.} _{Zvakaitika Pakupedzisira muKenza Research .} _{2011. 186: 255-74.}

_{Levi, D. et al.} _{Kusarudza kuitika uye kufungidzira kwepfungwa yakadzika yevavhesi muvarwere vane kenza isiri duku yemapapu emapapu.} _{Nyaya yeCliniki Oncology .} _{2006. 24 (18S): 7159.}

_{Lissoni, P. et al.} _{Nzira yekunamata mune kurapwa kwekenza: ukama pakati pekutenda chikamu uye kugadzirisa chemotherapy mune zvakakosha kwete chechidiki chekenza maperembudzi varwere.} _{MuVivo .} _{2008. 22 (5): 577-81.}

_{Lissoni, P. et al.} _{Kubudirira kwekenza chemotherapy kune chokuita nekuenderana kwekodisol rhythm, chimiro chekuzvidzivirira pamuviri uye psychospiritual mumuitiro wemasiteri kwete chediki masero emukenza wemapapu.} _{MuVivo .} _{2008. 22 (2): 257-62.}

_{LeConte NK, Else-Quest NM, Eickhoff J, Hyde J, Shiller JH.} _{Kuongororwa kwemhosva uye kunyadziswa nevarwere vasina kamudiki-kamera yemapapu yemapapu inofananidzwa nevarwere vane mazamu nekenza yeprotate.} _{Clinical Lung Cancer .} _{2008. 9 (3): 171-8.}

_{Parsons, A. et al.} _{Kufurirwa kwekusvuta kupera mushure mekuongororwa kwekenza yemapapu emapapanga pekutanga kwepabonde: kurongeka kuongororwa kweongororo yekucherechedza nemeta-analysis.} _{British Medical Journal .} _{2010. 340: b5569.}

_{Pinquart, M. naP. Duberstein.} _{Kushamwaridzana kwemasangano ehupenyu nehutano hwekenza: meta-analysis.} _{Mazano Anotsoropodza muOnology / Hematology .} _{2010. 75 (2): 122-37.}

_{Pinquart, M. naP. Duberstein.} _{Kuora mwoyo uye kufa kwekenza: meta-analysis.} _{Psychological Medicine .} _{2010. 40 (11): 1797-810.}

_{Pirl, W. et al.} _{Kushungurudzika mushure mekuongororwa kwekwenyuka isiri duku duku yemukenza yemapapu uye kupona: chidzidzo chekufambisa.} _{Psychosomatics .} _{2008. 49 (3): 218-24.}

_{Saito-Nakaya, K. et al.} _{Mamiriro emhuri, rubatsiro rwemagariro evanhu uye kupona mushure mekugadzirisa kushandiswa kwekenza mutsva kwete-duku-mumuviri wemapapu.} _{Cancer Science .} _{2006. 97 (3): 206-13.}

_{Tagalakis, V. High risk of deep vein thrombosis muvarwere vane kenza isati iri duku yemukenza yemapapu: kuongororwa kweboka rema 493 varwere.} _{Nyaya yeTraracic Oncology .} _{2007. 8: 729-34.}

_{Temel, J. et al.} _{Kutanga kutarisa kwepamusoro kune varwere vane metastatic kwete-duku-sekamera yemapapu emapapu.} _{The New England Journal of Medicine .} _{2010. 363 (8): 733-42.}

_{Wassenarr TR, Eickhoff JC, Jarzemsky DR, Smith SS, Larson ML, Shiller JH.} _{Kusiyanisa muzvinyorwa zvekuchengetedza vanachiremba 'kuswedera kune vasiri vashoma vemukenza yemapapu emapapu vanofananidzwa nekenza yepamu.} _{Nyaya yeTraracic Oncology .} _{2007. 2 (8): 722-8.}

Related Content

Fresh articles

Intresting articles