Tsanangudzo, Symptoms, Treatment, uye Prognosis yeGumbo IIIA Lung Cancer
Chikamu 3A kenza yemukenza yemapapu isiri duku inofungidzirwa se "kenza yepamunharaunda" inoreva kuti chirwere hachina kupararira kune nzvimbo dziri kure dzomuviri asi yakapararira kune lymph nodes kune rumwe rutivi rwemuviri sechirwere. Vanenge 10 kubva muzana yevanhu vane chirwere chepanepa 3A yemapapu panguva yekuongororwa, pamwe ne60 muzana yevanhu vane zvikamu zvepamusoro zvechirwere.
Overview
Nhanho 3AKenza yemapapu inosanganisira matumbo makuru uye akapararira kune lymph node dziri pedyo, kana zviputi zveupi upi zvahwo hwakapararira kune lymph nodes dziri kure asi asi kune rumwe rutivi rwemuviri sekenza.
Oncologists vanoshandisa TNM system kuti iwedzere kutsanangura matanho emukenza wemapapu. Tsanangudzo yakajeka yeTMM system inosanganisira:
T-Izvozvo zvinoreva chiremera chekukura:
- T1 - Tsvina iri pasi pe3 cm (1 ½ inches) muhukuru.
- T2 -Ichirwere chikuru kune 3 cm asi pasi pemasendimita manomwe muhukuru.
- T3 - Chirwere ichi chikuru kupfuura masendimita manomwe kana kuti chinopinda zvakananga chero chipi zvacho chinotevera: rusvingo rwechifuva, diaphragm, mutsara unoshandura mutsara (phrenic nerve), membrane yakafukidza nzvimbo pakati pemapapu maviri (mediastinal pleura), kana imwe iyo nhengo dzinoputira mwoyo parietal pericardium); kana bundu reron main bronchus rinenge 2 cm pasi pe carina; kana iyo inobatanidzwa nekuwa ( atelectasis ) yemapapu ose kana kuti yakasiyana nedumbu remakumbo (s) mulobe imwechete yemapapu.
- T4 - Kutinhira kwemhando ipi zvayo inosvibisa chero ipi zvayo inotevera: nzvimbo pakati pemapapu ( mediastinum ), mwoyo, midziyo mikuru, trachea, imwe yemapurisa asinganzwisisi tambo (izwi rechiitiko rinowanzoshandiswa), sophagus , vertebral body, kana nzvimbo uko chechechea inoparadzaniswa mu-bronchi mbiri huru (carina); kana kuparadzanisa tumarara yeguruva (s) mune imwe nzvimbo yemapapu lobe kune rumwe rutivi rwechifuva.
N inoreva lymph nodes:
- N0 - Hapana lymph nodes inoshandiswa.
- N1 - Chirwere ichi chakapararira kune node dziri pedyo kune rumwe rutivi rwechifuva.
- N2 - Chirwere ichi chakapararira kune nodes mberi kunze asi kune rumwe rutivi rwebhokisi.
- N3 - Masero eKenza anowanikwa mumakirinikodhi kune rumwe rutivi rwechifuva kubva mumhutu, kana mune nodhi pedyo nekollarbone kana mitsipa yemutsipa.
M inomirira chirwere chemasastatic :
- M0 - Hapana metastases aripo M0 - Tsvina yakapararira (inoderedzwa) kune dzimwe nzvimbo dzomuviri kana mamwe mapapu.
Kushandisa TNM System, Chikamu 3AMukenza wemapapu inotsanangurwa se:
- T1N2M0 - Ichitaura kuti chironda chacho chiri pasi pe3 cm muhukuru uye chakapararira kune lymph nodes zvakare kunze asi kune rumwe rutivi rwemuviri sechirwere.
- T2N2M0 - Chirwere ichi chikuru kune 3 cm asi pasi pe7 cm, uye chakapararira kune lymph nodes mberi kunze asi kune rumwe rutivi rwemuviri.
- T3N1M0 - Dumbu racho rakakura kudarika masendimita manomwe kana kuti rakapararira kune imwe nzvimbo yakafanana nedanda rebhokisi kana diaphragm, uye lymph nodes dziri pedyo dzinosangana. (ona tsanangudzo iri pamusoro apa T3.) Chirwere ichi chikuru kupfuura masendimita manomwe kana kuti chakapararira kune imwe nzvimbo yakafanana nedanda rebhokisi kana diaphragm, uye lymph node dziri kure asi asi kune rumwe rutivi rwemuviri zvinoshandiswa. Dumbu racho chero ripi zvaro asi riri pedyo nemugwagwa kana kuti rakapararira kune imwe nzvimbo yakafanana nedanda rebhokisi kana diaphragm, uye lymph node dziri kure asi asi kune rumwe rutivi rwemuviri zvinokanganiswa (ona pamusoro apa tsanangudzo yeT3.)
- T3N2M0 - Chiremera chiri chero chiyero asi chiri pedyo nemugwagwa kana chakapararira kune imwe nzvimbo kufanana nechidziro chechifuva kana diaphragm, uye lymph node dziri kure asi asi kune rumwe rutivi rwebhokisi zvinoshandiswa.
Zviratidzo
Zviratidzo zvemutiro 3AKenza yemapapu inopesana kubva padanho 3A inosanganisira zvirwere zvakawanda zvekenza. Zviratidzo zvinokonzerwa nekenza mumapapu akadai sokukanganiswa kusingaperi , kufema kufema , uye kudzokorora zvirwere zvakadai sepneumonia kana bronchitis, zvinowanzoitika. Kupararira kunzvimbo dzakadai sedanda rebhokisi uye diaphragm zvinogona kukonzera marwadzo mubhokisi, mbabvu, mapepa, uye kumashure. Mvumo iri pedyo ne-airways inogona kukonzera hemoptysis ( kukwezva ropa ), kuputika , uye kushaya .
Mishonga
Mushonga wechitsauko 3A kenza yemapapu ndiyo inonyanya kukakavara pamakwara ose emukenza emapapu, chikamu nokuti boka iri rakasiyana zvakasiyana. Pamusana pevarombo vashoma vanopona, National Cancer Institute inotaura kuti munhu wose ane chirwere chepanepa 3A kenza yemapapu inofanira kufungidzirwa kuti inobvumirwa kune mishonga yemakiriniki - zvidzidzo zvinongororwa mushonga mutsva kana kusanganiswa kwemishonga yemukenza wemapapu.
Mune zvimwe zviitiko, chirwere chinogona kuitwa kuti chibvise chironda chacho, uye kazhinji chinoteverwa ne adjuvant chemotherapy (chemotherapy mushure mekuvhiyiwa). Preoperative chemotherapy (chemotherapy vasati vavhiyiwa) yakawanikwa kuvandudza kupona mune zvidzidzo zvishomanana. Kushandisa chemotherapy (kushandiswa kusanganiswa kwemishonga yemakemikari) pamwe chete nemishonga inonzi radiation kana mumwe mushonga unowanzoshandiswa kana danho 3A kenza yemapapu inofungidzirwa isingagoneki nokuti inzvimbo yacho, yakareba zvakadini, kana kuti hutano hwako huripo huchaita kuti chirwere chisarudze. Kune avo vasingakwanisi kubvumira kuvhiyiwa kana chemotherapy, therapy inonzi radiation inoramba ichisarudzwa.
Zvakakosha kuti munhu wese ane kemukati kadiki isiri duku yemapapu, kunyanya mapapu adenocarcinoma ane maitiro ekuongorora (molecular profiling) . Kune zviitiko zvakasiyana-siyana "zvinoporesa" zvakadai sekuchinja kweEGFR , ALK rearrangements , uye reRrang1 rearrangements izvo zvakashandura mamwe mapepa emapapu anenge ava kurwara husingaperi.
Immunotherapy iyiwo inofadza kune vamwe vanhu , pamwe nemuiti wekutanga muzvikamu zvakagamuchirwa kuitira kurapwa kwemukenza wemapapu muna 2015, pane zvino mishonga inowanikwa. Kunyange zvazvo kurapwa uku kusingabatsire munhu wose, vamwe vanhu vave vachirarama kwenguva yakareba kurapa kwavo nemishonga iyi. Chirwere Infinzi (durvalumab) chakabvumirwa muna 2018 kunyanya kurapwa kwechikamu chechitatu chekenza yemukenza yemapapu isingagoni kushandiswa. Apo yakashandiswa kutevera chemotherapy uye mahara, yakawanikwa kuvandudza kupfuurira-kusina kusununguka.
Prognosis
Zvose zvinokwana makore mashanu ekupona uye chirwere chechitatu 3A kenza yemapapu ine 14 muzana, asi izvi zvinowanzosiyana zvikuru pakati pekenza dzakasiyana-siyana dzinotsanangurwa sechikamu 3A. Ramba uchifunga kuti nhamba dzinotitaurira kuti vanhu vakaita sei mumakore apfuura, uye kufambira mberi kwakawanda kwakaitika pakurapa kenza yemapapu mumakore mashomanana apfuura. Kune zvakawanda zvakawanda nzvimbo yekutarisira mukurapwa kwemukenza wemapapu kune izvozvo munguva yakapfuura.
- Chii chinonzi Stage 3 Chirwere cheCarcer Life Life Expectancy?
- Muchengetedzo wemarukirwo emararamiro neTsika uye Stage
Support
Zvidzidzo zvinoratidza kuti kudzidza zvese zvaunogona nezvekenza yako kunobatsira nemigumisiro. Pazvikamu zvose zvemukenza wemapapu, danho reAA rinonyanya kushandiswa uye rine nhamba yakawanda yezvigadzirwa zvekurapa. Bvunza mibvunzo. Itai kuti vadiwa venyu uye muvakurudzire kubvunza mibvunzo zvakare. Funga kubatana neboka rekutsigira . Dzidza nezvemakiriniki emakirini angave akafanirwa nemamiriro ako ezvinhu. Kudzidza nezvekenza yako uye kuburikidza nekurapa kunogona kutora nguva yakawanda. Kumbira, uye kubvumira vadiwa vako neshamwari kuti vabatsire uye kukukurudzira parwendo rwako. Tora kanguva kuti uone mazano aya ekuti ungava sei mumutsigiri wako mukuchengetedzwa kwekenza . Uye heino mamwe mazano pamusoro penzira dzekuvandudza kupona kwemarapu emapapu izvo chiremba wako asingatauri.
Apo Mudikanwi Wako Akave Nechirwere Chekenza
Kana iri mudiwa wako uyo akawanikwa ane kenza yemapapu, iwe pamwe wakafanana nekutya, uye kuva mutarisiri wemhuri kune mumwe munhu ane chirwere ichi kunogona kukusiya uchinetseka uye usingabatsiri. Tora kanguva uone chinyorwa chino chinonzi " apo waunoda ane kenza yemapapu " kuti anzwe izvo vanhu vane chirwere chemapapu vaitarisira kuti vadiwa vavo vaizoziva. Heano mamwe mazano pamwe nekutsigira wadikanwa nekenza .
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