Chii Chinonzi Upenyu Hwakatarisira Kwemadiki Masero Anokonzera Kanzira?
Ndezvipi zvinorarama zvinokonzerwa nekenza yemukomana mutsvuku? Ndezvipi zvinoshandiswa zvinogona kuita mutsauko uye zvinogona kuvandudza kana kuwedzera kukura kwako?
Ndezvipi Zvidiki Masero Anokonzerwa Nekenza Inopera Mikana?
Mubvunzo watinobvunzwa kazhinji kana mumwe munhu aonekwa kuti ane kenza yemukenza yemapapu "ndeipi mikana yemaitiro emuviri wemapapu emapapu?" Izvi hazvisi zvisingatarisirwi, zvichipiwa mukurumbira wemapapu emapapu sekuve nechirwere chisina kunaka kune dzimwe nzira kenza.
Usati wapindura mubvunzo uyu, zvakadaro, zvakakosha kutaura zvishoma pamusoro pokuti mhinduro yacho-mhinduro yekuverenga-yakabva sei.
Zvimwe zvinogadzirisa Kupukunyuka Nediki Muchengetedza Kanzera
Hazvibviri kutaura pamusoro pekufananidzira kwekenza kemukiramu kadiki kemapapu pasati watanga nekutaura pamusoro penzira dzakawanda umo nhamba idzi dzinogona kusiyana kubva kumunhu kusvika kune munhu.
Simba duku remukati wekenza yemapapu rinogona kusiyana zvikuru pakati pevanhu vakasiyana. Zvimwe zvezvinhu izvi zvinosanganisira:
- Nharaunda uye zvinobvira kupararira kwekenza yako: Chirwere chemukati chemapapu chinogona kuve panzvimbo yako kumapapu ( chirwere chisina kuwanda chekenza yemapapu emapapu ) kana kupararira kune zvikamu zvemuviri wako kupfuura mapapu ako ( yakawedzera shato duku yemukenza wemapapu ). Kupararira kuuropi uye nechiropa, zvikurukuru, zvinosanganiswa nekupona kwakashata.
- Zera rako: Vaduku vanowanzogara kwenguva yakareba kupfuura vanhu vakwegura vane kenza yemapapu.
- Kuita zvepabonde: Kurarama kwepamusoro kune vakadzi vane kenza yemapapu pane imwe nhanho yemukenza wemapapu.
- Utano hwako huripo panguva yekuongororwa: Kuva noutano hwakakwana panguva yekuongorora (chimwe chinhu chinozivikanwa sehutano hwehutano ) chinosanganiswa nekupona kwenguva refu uye kukwanisa kukuru kurwisa mishonga inogona kuwedzera kupona.
- Maitiro aunoita pakurapwa: Maitiro ekurapa, zvakadai sechemotherapy uye rayation therapy, inopesana pakati pevanhu vakasiyana, uye inogona kuderedza kukwanisa kwako kubvumira kurapwa.
- Mamwe mararamiro aunogona kuva nawo : Utano hwakadai se emphysema hunogona kuderedza kupukunyuka kwekenza yemapapu emapapu.
- Matambudziko emukenza wemapapu: Zvinetso zvakadai sekuvhara ropa zvinogona kuderedza chirwere chemapapu emapapu.
- Nhamba yeLDH kana ALK: Kuwedzera kwezvinhu zvinonzi lactate dehydrogenase (LDH) kana kuti alkaline phosphatase, kana kuti pasi shoma ye sodium muropa rako, inosanganiswa nekuchengetedzwa kwevarombo.
- Kusvuta : Kuenderera mberi kusvuta mushure mekuonekwa kwekamudiki kenza yemapapu emapapu kunogona kuderedza kupona.
Small Cell Lung Cancer Survival Rates - Zvinyorwa
Kana uchiona nezvehupenyu hwehupenyu, zvakakosha kuramba uchifunga mupfungwa idzi kuti nhamba idzi ndeye "muvhareji: uye dzinogona kusiyana pakati pevanhu, Kwemakore akawanda apfuura, kuwedzera kwehuwandu hunovandudzwa nekushandiswa kweradio therapy uye prophylactic cranial irradiation (PCI) .
Kunyange zvazvo mukenza muduku wekenza yemapapu kazhinji unopindura zvakanaka pakutanga pakurapa, kugara kwenguva refu kunoramba kuri pasi. Kupona mazinga emukenza mutsva memapapu kune kusiyana kwezvikamu zvakasiyana zvechirwere. Iye zvino, makore mashanu ekupona kwechitsauko 1 ndeye 31 muzana, pamusana wechikamu chechipiri, 19 muzana, muchikamu chetatu chiri 8 muzana uye 2 chete muzana yegadziriro yechina chirwere. Kugara kwemuviri kune kurapwa (kureva, nguva iyo hafu yevanhu vachiri kurarama nechirwere uye hafu yakafa) ndeyemwedzi 18 kusvika ku 24 kune vanhu vane danho rakatangira (vashoma) kanzera rekenza yemapapu duku.
Nokuda kwemukati wechirwere chekenza yemapapu chemapapu, kupona kwemazuva masere ndeye mwedzi 6 kusvika kune 12 nekurapa uye kwemwedzi 2 kusvika ku4 pasina mushonga.
Ramba uchiyeuka kuti izvi ndezviverengero, uye usataura chinhu pamusoro pevanhu. Uyewo, yeuka kuti nhamba dzinotsanangurwa nemakore mashomanana. Nenzira iyi, havaratidze zviratidzo zvitsva izvo zvingashandiswa zvino kubata chirwere ichi.
Mukuwedzera kune kuendesa kweTMM, kenza kaduku kemapapu yemapapu inogonawo kugadziriswa kuburikidza nekushandisa hurongwa hwekugadzira hunosimbiswa nemayeroti oncologists. Maererano nemayeroti oncologists, kenza yemukirini yemapapu inotsanangurwa se "nguva shoma" apo bundu racho rakapoteredzwa mukati memharaunda inononoka.
Mukomana muduku wemukenza wemapapu unotsanangurwa se "nzvimbo yakakura" apo bundu racho rakakura kwazvo kana kuti rakapararira kuti rive rakapoteredzwa mune rimwe remhepo inenge isingacharegi. Kana kenza yakapararira kune nzvimbo dziri kure (chirwere chemasastatic) inogara ichionekwa seyakawanda.
Pane chinhu chimwe chekupedzisira chakakosha zvikuru kuchengeta mupfungwa. Kunyange zvazvo mukenza muduku wekenza yemapapu hauwanzopora, unorapwa. Izvi zvinogona kunge zvisingagadziri kupfuurira kupona asi kubatsira nezviratidzo zvekenza yemapapu zvakare. Mishonga inoverengeka ichiri kuongororwa mumakiriniki , nekupa tariro kuti kupukunyuka kwekenza yemapapu emapapu kuchavandudzika munguva yemberi.
Kutsigira uye Kukunda
Kunyange zvazvo zvishomanana zvipatara zvitsva zvakawanikwa mukenza mutsva wesapofu yemapapu pane chesati duku-kenza yemukenza yemapapu, iyo inotanga kuchinja. Mishonga yemakiriniki ari kutarisa mishonga mitsva kubva pane zvakananga kurapwa kuenda kune immunotherapy , uye dzakawanda zvezviongorori izvi zviri kuitika iye zvino. Tora nguva yekudzidza zvakanyanya sezvaunokwanisa pamusoro pehosha yako. Iva iwe mupepeti wako mukutarisira kwako. Isu tiri kudzidza kuti kuva chikamu chinoshingaira cheboka rako rehutano huri kungovandudza mararamiro ehupenyu, asi zvinogona kutorawo basa mukupona. Pakupedzisira, iwe unobatanidzwa munharaunda yemukenza yemapapu. Iko hashtag yekuwana vanhu paIndaneti ndiyo #LCSM. Kupindira nevamwe hakusi kungopa rubatsiro kubva kune avo vari kurarama izvo zvauri, asi zvinogona kukubatsira kudzidza nezvitsva zvitsva zvechirwere.
Pakupedzisira, pfungwa inobatsira vanhu vakawanda kukunda kutsvaga kwakaoma kwekenza yemukenza yemapapu ndiko "kudzokorora" nhamba dziri mupfungwa dzako. Iwe unogona kunzwa nezvekenza ine 5% chete yemakore mashanu ekupona kwehuwandu uye funga izvi zvinoreva kuti zvipingamupinyi zvika 95 muzana zvausingazopona. Vamwe vanhu vane mutsa wemapapu vakatora nzira yakasiyana. Pane iwe unogona kutarisa 5% yevanhu vanopona uye vanoti iwe unoda kuva mumwe wavo. Zvadaro, nokuva mutungamiri wako pachako paunotarisa maitiro (zvakadai semakiriniki maedzo angangodaro) uye tarisa mhando dzakasiyana-siyana (zvakadai sokuti kurega kusvuta kunoratidzika kuunza kuponesa kwevamwe vanhu vane chirwere) uye chengetedza zvaunokwanisa.
Chiso chemupenza wemapapu chiri kuchinja. Mishonga iri kuwedzera, kuva zvose zvinobudirira uye kuva nemigumisiro shoma. Kupona mazinga ari kuwedzera. Kunyange iyo iyo nhamba inosuruvarisa, pane chikonzero chetariro.
> Sources:
> America Cancer Society. Chirwere Chirwere (Small Cell. Yashandurwa 02/22/16. http://www.cancer.org/cancer/lungcancer-smallcell/detailedguide/small-cell-lung-cancer-survival-rates
> Demedts, I. et al. Kuchengetedzwa kwebasa rakawanda-sero duku remapapu carcinoma: chimiro chazvino uye tariro yeramangwana. European Respiratory Journal . 2010. 35 (1): 292-15.
> National Cancer Institute. Muchechi Muduku Kurapa Kanzira (PDQ) - Health Professional Version. Updated 01/20/17. https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq