Ndezvipi Zvaunogona Kuita Kuvhiya Kwemapupa?
Chiremba wako akakuudza kuti ufunge nezvemhando dzekuvhiyiwa kwekenza yemapapu dziripo here? Kana mutanho wemapapu unobatwa nguva pfupi, kuvhiyiwa, kana pasina chemotherapy uye miviri , inogona kupa mukana wekurapa. Kuvhiya kunofungidzirwa zvikuru pamusana wekenza kaduku kemukenza yemapapu , nekuvhiyiwa kwekenza yemukirini yemapapu kanowanzochengeterwa kenza yakakura zvikuru. Mhando ipi yekuvhiya kwemapapu emapapu chiremba anokurudzira ichabva pa:
- Nzvimbo yemarara yako.
- Ukuru hwemuviri wako.
- Zvichida kana kwete maronda ako akapararira kumatumbu ari pedyo.
- Mamiriro ako ehutano hwehutano.
- Mipapu yako inoshanda sei zvisati zvaitika kuvhiyiwa.
Mhando dzeLung Cancer Surgery
Mhando dzekuvhiya kwekenza yemapapu dzakanyorwa pasi apa. Mumamiriro ezvinhu apo lobe kana chikamu chelobe chinofanira kubviswa pane zvimwe zvingasarudzwa maererano nenzira iyo chirwere ichi chichaitwa kusanganisira:
- Kugadziriswa - Mu thoracotomy, kusanganisa kukuru kunoitwa pasi kuburikidza nematumbu kuti uwane rusununguko rwekenza. Uyu ndiwo maitiro ehutano hwekuvhiyiwa akaitwa kune mazhinji kanzira.
- Vhidhiyo-inobatsira chirwere chetroracoscopic - Muchirongwa cheVATS, zviduku zvisinganzwisisi zvinowanikwa mubhokisi uye kupindira kumapapu kunoitwa kuburikidza nekushandiswa kwekhamera uye zvishandiso zvakasununguka pasina kuvhura chifuyo sezvinonzi thoracotomy.
Wedge Resection (Segmental Resection)
A wedge resection inobvisa chikamu chemapapu ako chinosanganisira tumarara, uye mamwe mavara akakomberedza.
Izvo zvinowanzoitwa apo bundu rinobatwa kare kare, kana kuti kuvhiyiwa kunowedzera kunopesana nekupema kwako. Mukana wekuti kenza yako ichadzoka mushure mekunge rudzi urwu rwekuvhiya rwakawedzerwa kupfuura rumwe rutivi rwekuvhiya. Dzidza zvakawanda nezve wedge resection chirwere chemapapu emapapu .
Lobectomy
A lobectomy ndiko kubviswa kwerebe yemapapu. Mapapu akanaka ane 3 lobes uye mapapu ari kuruboshwe ane 2 lobes. A "bi-lobectomy" inoreva kubviswa kwe 2 lobes. Iyi ndiyo nzira inoshandiswa pakuvhiya yakaitwa pakurapa mupenza wemapapu. Dzidza Zvimwe Nezve Lobectomy
Pneumonectomy
Pneumonectomy inosanganisira kubviswa kwemapapu ose, uye zvinogona kukonzera kurasikirwa kukuru kwemapapu. Pasinei neizvi, vanhu vakawanda vane mapapu akanaka vasati vavhiyiwa, vanorega kurarama nemapapu zvakanaka kwazvo. Pneumonectomy inofungidzirwa kana chiremara chakakura kwazvo kuti chisabviswa nezvimwe nzira dzinowanikwa, kana kuti chirwere chiri mune imwe nzvimbo yakanyanya mumapapu. Dzidza Zvakawanda Pamusoro Pneumonectomy
Zvimwe Zvimwe Zvingaita Kurapa Kanzera Kuvhiya
Kazhinji kacho, kurapwa kwekenza yemapapu kunopa mukana wakanaka wekuporesa. Asi kune vamwe vanhu vane kenza yemapapu yekutanga iyo isingashandisi, kana kune avo vasingaiti zvakanaka nekuvhiyiwa vanoita kune kune mamwe mamiriro ezvinhu, stereotactic body radiotherapy inogona kushandiswa seimwe nzira yekuvhiya. Stereotactic body radiotherapy (SBRT) inzira yehutachiona iyo mizinga yakakura yemayirasi inoendeswa kunzvimbo duku yezviviri. Mune zvimwe zvidzidzo nemukenza wemapapu ekutanga.
SBRT yakashanda nenzira yakafanana yekuvhiya mukubvisa tumarara.
Lung Transplant
Kushanda kwemapapu asingabatanidzwi kana kushandiswa kamwe chete kunoshandiswa sekuvhiyiwa kwemukenza wemapapu , chikonzero chekuti mishonga yakawanda yemapapu yakapararira mberi kwemapapu panguva yekuongororwa. Izvi zvinogona kuitwa kune vamwe vanhu vakasarudzwa vane rudzi rwemapapu emapapu anozivikanwa sebronchioloalveolar carcinoma (BAC) kana kuti kenza yemapapu kare kare yakabatana nechirwere chemapapu ekuguma.
Sources:
American Cancer Society. Surgery. Detailed Guide: Chirwere Chirwere - Chechidiki-Chema. Updated 07/07/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-treating-surgery