Tsanangudzo, Zviratidzo, uye Kurapa kweCarcinoma In Situ muMapunganga
Overview
Nharaunda 0 isina kamudiki kenza yemapapu yemapapu , inozivikanwawo secarcinoma in situ , ndiyo nhanho yekutanga iyo kenza yemapapu inowanzoonekwa. Kenza yemaperembudzi haigoni kuwanikwa panguva ino, uye kana iri, inowanzowanikwa zvisinganzwisisiki apo kuedzwa kunoitwa kune chimwe chikonzero. Panofungidzira, kenza yemapapu inofanira kupora zvachose panguva iyi. Izvozvo zvakati, vanhu vazhinji vane chirwere chepamuti chemapapu vane kana kuti vanogadzira kenza yekutanga yechipiri, uye kudzidza nezvekudzivirira kenza chikamu chinokosha chekurapa.
Nharaunda 0 isina kechidiki chekenza yemapapu yemapapu, inotsanangura tumarara inowanikwa mune zvishoma masheji emasero uye haina kukura kunze kwemukati wehomwe yemapapu. Nhanho 0 (carcinoma in situ) inofungidzirwa isiri-inopisa, zvinoreva panguva iyi haisati yasvika kune dzimwe nzvimbo.
Oncologists vanoshandisa TNM system kuti iwedzere kutsanangura zvikamu zvemukenza wemapapu, uye T inomiririra chiremara chekukura, N ichiratidza kuvapo kwemaitiro eine kenza yemukenza, uye M akamira nokuda kwemasastases (kupararira kwemarara kune mamwe mapapu kana kure kure mumuviri.
Maererano neTNM system , Stage 0 yemukenza yemapapu inotsanangurwa se:
- Tis, N0, M0 - Zvinoreva chiremara chiri mu situ (chiripo chete mumasero mawakatanga uye asina kupararira kumatumbu ari pedyo) uye haana kupararira kune chero nhengo dzemuviri dzemuviri kana nzvimbo dziri kure dzomuviri).
Zviratidzo
Chikamu 0 mukenza wemapapu chiduku zvikuru uye inofanira kunge isina zvishoma, kana iripo, zviratidzo.
Sezvo inowanzowanikwa "pangozi," panguva yekuedzwa, chero zviratidzo zvinokonzerwa kuedzwa pakutanga zvinowanzovapo. Izvi zvinogona kusanganisira chifuva chinopfuurira , kufema kufema , kurwadziwa mubhokisi , shure , kana mapepa , kana zviratidzo zvakadai sokuneta.
Kurapa
Mushonga wekusarudza kumutsara wekamuti yemapapu chirwere .
Radiation kana chemotherapy hazviwanzoshandiswa. Mitatu mitatu yekuvhiya inowanzoitwa nemukenza wemapapu, uye, zvichienderana nenzvimbo yechirwere, chimwe chezvinhu zvishoma zvisingasviki zvekuvhiya (somuenzaniso wedge resection ) zvinowanzoitwa. Zvirwere zvemakiriniki zviri kuenderera mberi kutarisa zvirwere zvishoma zvisingasviki pakurapa mukana wekenza yemapapu, yakadai sekurapa kwephotodynamic kana kuti brachytherapy.
Prognosis
Kubva muchero wekenza yemapapu mune tsanangudzo kwete-inopisa, inofanirwa, muchirevo, inoporesa nekuvhiyiwa. Zvinosuruvarisa, vanhu vazhinji vane chirwere chepamuti chemapapu chechipiri vane kechipiri chekenza yepamusoro , uye kufungidzira kunobva pachigarire chekenza yakanyanya kupfuura. Vanhu vane chirwere chepamupa chemapapu 0 vari panjodzi yekuwedzera imwe kenza yemapapu mune ramangwana.
Kutsungirira
Zvidzidzo zvinoratidza kuti kudzidza zvakawanda sezvaunokwanisa pamusoro pekenza yako kunowedzera zvaunoguma. Bvunza mibvunzo. Taura kuna chiremba wako nezvemakiriniki ekuedzwa izvo zvingave zvakakodzera kwauri. Funga kubatana neboka rekutsigira . Kumbira uye kubvumira vadiwa venyu kuti vabatsire. Kuongororwa kwemukenza wemapapu pakutanga kwekutanga kwemukana mukana wakanaka wekuita shanduko dzinogona kukupa ramangwana rakanaka. Tarisa mararamiro ako uye ona kana iwe unogona kuita chero chipi zvacho kuderedza dambudziko rako rekuva nekenza yemapapu zvakare:
- Kana iwe utsi, siya
- Edza imba yako ye radhioni
- Ongorora chero kupi zvayo mamiriro ezvinhu anogona kuwedzera njodzi yako
- Ongorora nzvimbo yako yebasa chero kupi zvako kushanda kwaunofanira kuita
- Sarudza kudya kwakanaka kunogona kukonzera chirwere chemapapu emapapu
- Dzidzira
Kuitevera nekudzivirira
Kana iwe wakaporerwa chirwere chepamupa chepamupa chiremba wako achada kukutevera nguva nenguva kwehupenyu hwako hwose. Panofungidzira, chirwere chemapapu chemapapu 0 chinofanira kurapwa sezvo chisingaiti, asi kungwarira kuchiripo. Zvinonyanya kukosha, kuva nekenza yemapapu pakutanga ndiyo inonyanya kukonzera ngozi yekugadzira kamuviri yechipiri chepamupa yemapapu.
Muchechi wechipiri wepamupamu wemapapu unoreva chirwere chakasiyana chemapapu chisingapindirani nekenza yako yekutanga. Taura nachiremba wako pamusoro penzira yakanakisisa uye nguva yekutevera-kuva nechokwadi chokuti musha mutsva wemapapu wepamusoro uchabatwa nokukurumidza.
> Sources:
> America Joint Committee yeCancer. Lung Cancer Staging. 7th Edition. Yakasvika 09/20/14. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf
> National Cancer Institute. Non-Small Cell Lung Cancer Treatment (PDQ) - Health Professional Version. Updated 05/11/16. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all