Muchidiki Chinozivikanwa Chokwadi Nekusanzwisisana Pamusoro peLung Cancer

Zvandinoda Munhu Wese Anoziva nezveMukondombera

Inenge nguva dzose patinotaura nezvekenza yemapapu nemunhu watinosangana naye, tinoyeuchidzwa nezvekusanzwisiswa kwevanhu vane chirwere ichi. Semuenzaniso wakakurumidza, tave tichiona kutyisa kwakakwana uye kushamisika apo ini ndichiudza mumwe munhu kuti kenza yemapapu inogona kuitika kune vasiri kusvuta. (Zvechokwadi 20 muzana yemakondomu emapapu mumadzimai anowanikwa muvasina kumboputa .)

Panguva imwecheteyo, tinowanzonzwa kubva kuvanhu vane kenza yemapapu zvokuti havagoni kuonekwa kuti vanowana chero vapi venguva refu vanorwara nechirwere ichi - kana vanopukunyuka zvachose.

Ndezvipi zvimwe zvekusanzwisisana uye zvishoma zvishoma zvinozivikanwa nezvekenza yemapapu zvatinoda kuti munhu wese azive?

1. Kufambira Mberi Kwakaitwa

Kutarisa huwandu hwehupenyu hwevanhu vane kenza yemapapu - mizinga yakazara zvishomanana mumakumi mashoma emakore akapfuura - zvinogona kuonekwa kuti kufambira mberi kwakanyanya kuri kuitwa mukurapa kenza yemapapu. Asi izvi zviri kure nechokwadi. Kutaura zvazviri, zvichienderana nebasa revanhu rejenome uye kunzwisisa kwakanakisisa kwema molecular biology yemamota, ramangwana remukenza wemapapu emapapu, zvichida nokuda kwekenza duku kemukenza yemapapu, inofadza. Isu iye zvino tave nechinangwa chemishonga kune vanhu vane kenza yemapapu emapapu inozivikanwa seEGFR yakanaka, ROS1 positive, uye ALK yakanaka yemukenza yemapapu . Uye nepo iri ruzivo rwese kuti mushonga mutsva unotora nguva yakareba kuti uwedzere, nyaya inotevera kenza yemapapu emuAlk-positive uye crizotinib yekurapa inosimbisa mweya wekutarisira.

Muna 2007 masayendisiti akawana kuti kune vashoma muzana (3-5 kubva muzana) yevanhu vane kenza yemapapu, kuwedzera kwechirwere kunotungamirirwa nekuchinja kunozivikanwa seEEM4-ALK rearrangement. Makore mana chete gare gare , mugore ra2011, chinangwa chezvinodhaka crizotinib chakabvumirwa neDFA mukurapa kwechikamu chemukati wemapapu emapapu.

Muna 2015, zvimwe zvinodhaka zviripo zvino, zvinogamuchirwa kana mumakiriniki, uye kune vanhu vari kushandisa kunyange zvizvarwa zvezvizvarwa zvitatu mune izvi (mushure mekudzivisa kushorwa kune vaviri) vari kukura.

Zvimwe kufambira mberi zviri kuitika pamwe chete. Nzira itsva dzisingasviki inopinza nzira yekuvhiya yemukenza wemapapu iri kuve yakawanda. Radiation therapy iri kuvawo yakanyanya kujeka - kupa hurukuro yepamusoro yehutachiona kusvika mumatomu emucheka panguva yekuvhara mhuka dzakasvibirira kune imwe yakakura kudarika kare.

2. Kune vapenyu venguva refu

Isu tinowanzobvunzwa kana kune vamwe vapenyu venguva refu vanobva pamukenza wemapapu - kunyanya chirwere chemukati wemapapu 4. Mhinduro ndeyekuti hongu. Dai chete taive ne "maitikiti aya" eSydney Trek kuitira kuti vanhu vadzoke shure munguva yekupedzisira yeLUNGevity HOPE Summit muWashington DC muna 2013. Musangano kwete chete mumwe chete wegumi nemapfumbamwe akapona pamuti wekenza yemapapu 4, asi nzvimbo yevamwe vanenge vanopinda mumuviri wemapapu emapapu, vanounza misodzi yomufaro nguva dzose patinoyeuka.

Chiwedzera: Pakazosvika 2014, 2015, uye 2016 HOPE Summits muWashington DC, takasangana nevamwe vakapona kwenguva yakareba vanopedza kenza yemapapu. Hatingagoni kukuudza tariro yatinonzwa sezvatakateerera munhau shure kwehupenyu mushure mehupenyu hwevanhu vari kurarama nekuda kwemishonga yakangobvumidzwa kana mishonga inowanikwa mumakiriniki, avo vane makore matatu apfuura, vangadai vasipo kugovera nyaya yavo .

Sezvimwe zvinyorwa apa, zvakakosha kuti unzwisise kuti zvii zvinoponesa zvinoreva. Kuponeswa kwemazinga inhamba. Vanhu havasi mashamba. Munhu wose ane chirwere chemapapu akasiyana, uye kenza yese yemapapu yakasiyana. Mukuwedzera, zvakakosha kuchengeta mupfungwa kuti nhamba dzatinazvo yemukenza wemapapu dzine makore anoverengeka nemakore panguva iyo dzinoshushwa. Semuenzaniso, kunyanya kudarika dambudziko redu rine kenza yemapapu kubva muna 2009 - mishonga mitsva yemukenza wemapapu yakabvumidzwa kubva panguva iyoyo.

Kana iwe uchida kuwana kana kunzwa nezvevanhu venguva refu vanopukunyuka mukenza yemapapu kune nzvimbo shoma dzamunogona kutanga.

Zvechokwadi, pane yegore reHOPE Summit Summit yatakataurwa pamusoro (izvo zvatisina kutaura pamusoro padzo yaiva mari yekufambisa ndege uye hotele-isina.)

3. Kune Rutsigiro

Kunyangwe zvave zvakasara shure kweiyo yekenza yepazamu, kutsigirwa kwemukenza wemapapu ndiko kuwedzera kukurumidza muUnited States. Munguva yakapfuura yaive yakajairika kune mumwe munhu ane kenza yemapapu kuti asamboonana nomumwe akapona; kuwanika kune vamwe vanhu vane mutsa wemapapu zvino zvinowanika 24/7 kuburikidza neInternet. Mukuwedzera kumapoka ekutsigira munharaunda, mapoka ekutsigira paIndaneti, uye makamuri ekukurukura, masangano akawanda emukenza emapapu anopa humwe-e-umwe masangano anotsigira vanhu vose vane kenza yemapapu nevatarisi vavo. Tarisa ichi chinyorwa chekuwana chirwere chemapapiro emapapu emapapu .

4. Vasinga-Vasvuta Vanopinda Muchirwere Chekudya

Sezvataurwa pamusoro apa, 20 muzana yevakadzi vanova nekenza yemapapu havambofi vanoputa, uye 10-15 kubva muzana yevanhu vose vane cancer yemapapu havambofi vanoputa. Chingaita kuti iwe usakanganise ndezvekuti vazhinji vevanhu vanova nekenza yemapapu nhasi havasi kusvuta, zvichireva kuti havana kumbobvira vatsva, kana kuti vambove vacherera vakasiya kare.

5. Vamwe Vakadzi Vanofa Kubva Pachirwere Chemapfupa Kupfuura Breast Cancer

Kunyangwe tichida kunzwa zvakawanda pamusoro pekenza yepamu muvakadzi pane chirwere chemapapu muvakadzi, kenza yemapapu inouraya vakadzi vakawanda muUnited States gore roga roga kudarika kenza yemazamu . Zvinosuruvarisa, isu patinofunga nezveamai vedu, hanzvadzi dzedu, nevanasikana vedu vane kenza yemazamu, tinokanganwa kuti isu tinowanzorasikirwa naamai vedu nehanzvadzi nevanasikana vekenza yemapapu. Pane imwe chinyorwa, apo patinonzwa nezvemammograms uye basa ravo mukuonekwa kwokutanga kwekenza yepazamu, kushandiswa kweCCT kuongorora (mune vamwe vanhu) kuti kuonekwa kwepakutanga kwekenza yemapapu kwave kunonoka kubvisa.

6. Iwe Haufaniri Kubvuma "Zvitsva"

Takazvinzwa kakawanda ikozvino yava kuda kuva cliche. Mushure mekurapa kwekenza, vakapona vanofanira "kubvuma zvitsva." Asi nei zvakasiyana nekenza? Kana iwe uchiziva mumwe munhu ane chirwere, kana kuti kugadziridzwa kwemabvi panyaya iyi, zvichida wakanzwa kuti kugadziriswa kwaive chikamu chakakosha chekuwana kwavo. Nekenza, zvingaita sekuti pane iwe unoudzwa kuti "iwe une nhanho iwe wakararama" uye wakatumirwa munzira yako. Hatizivi kunyatsoshandiswa kwekugadzirisa zvirwere panguva uye pashure pekurapwa kwekenza yemapapu, asi zvidzidzo zvepakutanga zvinoratidza kuti inovandudza hutano hwehupenyu uye kukwanisa kurovedza muviri uye kubatanidzwa mumabasa ezuva nezuva. Kana kufema kwako kusati kwasvika kune izvo zvawakave nemukenza wepangapapu, bvunza chiremba wako kana kugadziriswa kwemapurmoni kunogona kukubatsira iwe.

7. Zvimwe Zvimwe Zvokurapa Zvingakubatsira Iwe Kubudirira Sezvaunopona

Kanzura nzvimbo dziri kuwedzera kupa "kubatanidza" kurapa kune varwere vavo vane kenza. Kunyange zvazvo kurapwa uku kusati kwagadzirirwa kuponesa, vazhinji vavo vakaratidzirwa mune zvidzidzo zvinovimbika kuti vavandudze hupenyu hwehupenyu uye hupenyu hwevanhu vanorarama nekenza yemapapu. Tarisa mamwe emishonga iyi, pamwe nekutsvakurudza kwezvokurapa kutsigira kushandiswa kwavo kwevanhu vane kenza.

8. Kune Free Stuff yevanhu vane kenza yemukombe

Mugore rose, uye kunyanya October, iwe ungangodaro wakanzwa nezvemaharabvu anowanikwa kune vanorwara nekenza yemazamu. Asi zvinhu zvakasununguka hazvirevi kune vanhu vane kenza yemazamu. Tarisa izvo zviripo zviripo kune avo vane chirwere chepapupa, kubva pane wigs kuti vadzoke zvakare.

9. Kunyange kana Munhu Akasvibiswa, Hapana Munhu Anokodzera Kenza

Kunyangwe kusvuta zviri pachena kuti chinokonzerwa nekenza yemapapu, hapana munhu anofanirwa kuva nekenza yemapapu. Sei zvichiitika kuti kana mumwe munhu aonekwa kuti anowanzoputirwa nevanhu vachibvunza kuti vanosvuta kwenguva yakareba sei? Hatiwanzokumbira vanhu vane kenza yekoloni kwenguva yakareba sei ivo vave vachigara, kana kuti vanobvunza vanhu vane kenza yemazamu kana kwenguva yakareba iyo iyo inomwisa mwana mumwe nomumwe wavo. Hapana munhu akakodzera kuwana kenza, uye munhu wese ane kenza anofanirwa kuda, tsitsi, uye kukodzera kurapwa kweutano.

10. Pane Tariro Yese

Pakupedzisira, uye zvinonyanya kukosha, pane nguva dzose tariro. Kune vamwe vanhu, izvi zvinogona kureva kutora chikamu muchipatara chekuedzwa. Asi kunyange kana ukasarudza kusatevera kurapwa kune nguva dzose tariro-tariro yehupenyu hwakanaka mumazuva ako akasara. Tariro kune avo vari mumhuri yenyu vanozoenderera mberi nenhaka yenyu. Tariro yeramangwana umo kenza yemapapu inodzivirirwa uye inoporesa. Tariro yezvinodikanwa iwe kune rumwe rutivi.

Zvinotevera Zviito:

Kana uri kurarama nemukenza wemapapu, ona kana iwe wakanzwa nezvezvinhu izvi zvinogona kuita kusiyana kwehupenyu hwako uye zvichida kupona:

Kana iwe une mudiwa nemukenza wemapapu hazvisi nguva dzose zvakajeka zvaunofanirwa uye haufaniri kutaura kana zvaunofanirwa kuita kana usingafaniri kuita kuti ubatsire:

Sources:

Cagle, P., uye L. Chirieac. Kufambira mberi pakuchengetedza kenza yemapapu nechinangwa chekurapa. Archives in Pathology uye Lab Medicine . 2012. 136 (5): 504-9.

Nzvimbo dzeDaase Control uye Kudzivirira. Lung Cancer Statistics. Updated 10/23/13. http://www.cdc.gov/cancer/lung/statistics/

Pillai, R., uye S. Ramalingam. Kufambira Mberi Mukutsvaga uye Kurapwa kweMusana-Small Cell Lung Cancer. Molecular Cancer Therapeutics . 2014 Feb 10. (Epub pamberi pekudhinda).