Zviratidzo, Kurapa, uye Kurapa
Chikamu chechina chekenza yemapapu yemapapu (mastamende yemapapu emapapu) ndiyo yakanyanya kufambira mberi yemukenza wemapapu . Inenge 40 muzana yevanhu vachangobva kuongororwa nekenza yemapapu vane utachiona hwechina. Iyi nhanho yemukenza wemapapu haiporese, asi inorapwa , uye mishonga yakawanda yemakiriniki iri kuenderera mberi ichicherechedza maitiro matsva ekuvandudza kupona.
Overview
Chigadziko chechina chisingabviri chekenza yemapapu yemapapu chinotsanangura tumarara yemapapu chero upi hupi hwakakura huri kupararira (hutachiona) kune imwe nzvimbo yomuviri, kune imwe lobe yemapapu, kana inosangana nehuipi hunonyadzisa .
Zviratidzo
Izvi zvinogona kusanganisira:
Zviratidzo zvekuvapo kwemuviri mumapapu akadai:
- Kuramba uchikanganiswa
- Kushungurudza ropa (hemoptysis)
- Kupfupika kwemhepo
- Hoarseness
- Pain the chest, back , shoulder or arms
- Zvakaitika zvakare zvikamu zvepneumonia kana bronchitis
- Wheezing
Zviratidzo zvekupararira kwemuviri kune dzimwe nzvimbo dzomuviri , somuenzaniso:
- Pain mushure, mahudyu, kana mbabvu kana bundu racho rapararira kusvika pfupa
- Dambudziko rinomedza nekuda kwechirwere chiri pedo kana kuti kuputira sophagus
- Musoro, maziso anochinja, kushaya simba, kana kugumburwa kana tumarara inopararira kuuropi
- Jaundice (kuchena kweganda) kubva kumarara inopararira kuchiropa
Uye zviratidzo zvine chokuita nekenza yemasitima inowanzo :
Mishonga
Nokuti chikwata chemapapu emapapu 4 chakapararira mberi kwemapapu iyo inofungidzirwa isingagoneki , kureva kuti, kuvhiyiwa hakuzokwanisi kubvisa tsvina yese uye kupa mukana wekurapa.
Asi chirwere chemukati wemapapu 4 chinoporesa. Mune avo vanogona kushivirira chemotherapy, tsika dzechikemikrasi, immunotherapy , uye / kana itsva inorapwa maitiro anogona kukurudzira kupona uye kubatsira nezviratidzo zvekenza yemapapu. Matambudziko akawanda emakiriniki ari kuenderera mberi achitarisa mishonga inorapwa, kusanganiswa kwemakemikrasi uye zvirwere zvinotarisirwa uyewo zvirwere zvemuviri. "
Radiation therapy inogona kukurudzirwa sean palliative therapy - therapy iyo inoitwa kuti ichengetedze zviratidzo asi haigumisi kupora. Izvi zvinogona kubatsira vamwe vanhu kutarisa marwadzo emapfupa (nekuda kwezvipembenene zvinopararira kune pfupa), kubuda kubva kumapapu, matumbo ari kuvhara mafambiro emhepo uye kukonzera kupfupika kwemhepo, kana hutachiona hunokonzera zviratidzo, zvakadai semusoro kana kushaya simba.
Iko zvino inokurudzirwa kuti vose varwere vane mapapu adenocarcinoma uye vamwe vanhu vane squamous cell carcinoma yemapapu vanofanira kunge vane maitiro ekuongorora maitiro (maitiro ekuraira) akaitwa pamarara. Kune rutivi rwevanhu vane EGFR mutations , ALK rearrangements , kana kuti ROS1 rearrangements mishonga inowanikwa iyo inogona kuwedzera kupfuurira-kusina kusununguka.
Immunotherapy imwe imwe mitsva yerutano yemukenza wemapapu, ine mishonga yokutanga mune izvi yakagamuchirwa nemukenza wemapapu muna 2015. Kunyange zvazvo mishonga iyi isingashandi kune munhu wese, vamwe vanhu vane kenza yemapapu yakakurumbira vane nguva yakareba yekudzora chirwere ichi nemishonga iyi.
Zvakakosha kukurukura chero kurapwa kwauri kuongorora nachiremba wako uye vaunoda, saka iwe unogona kunyatsocherechedza njodzi uye zvinobatsira zvekurapa.
Prognosis
Zvose zvinokwana makore mashanu ekupona kwemukati wekenza yemapapu emapapu zvinosuruvarisa chete kusvika 1 muzana. Nenguva yekupona kwemazuva mashoma (nguva iyo 50 muzana yevarwere vari vapenyu uye 50 muzana vakapfuura) inenge mwedzi 8.
Ndingaitei Kuti Ndibatsire Ini?
Zvidzidzo zvinoratidza kuti kudzidza zvaunogona pamusoro pemukenza wako wepapu kunogona kuvandudza hupenyu hwako, uye zvichida kunyange zvakaguma. Bvunza mibvunzo. Dzidza nezvemakiriniki ekuedzwa. Funga kubatana neboka rekutsigira . Vakawanda vedu tinoshushikana kutaura nezvekuguma kwehupenyu , asi kukurukura izvi nachiremba wako nemhuri yako - kunyange kana mose muri tariro yekurapa - inosanganiswa nekunzwa kusurukirwa uye hupenyu huri nani.
Usambofa wakarasikirwa netariro, kunyange iwe wakasarudza kusafambira mberi kurapwa. Tariro yenguva yakanaka nevanodikanwa , nekutonga kwakanaka kwezviratidzo zvako. Tariro yenguva yemberi yeadiwa yako avo vachagara, vachiyeuka iwe mumoyo yavo.
> Sources:
> America Cancer Society. Cancer Chokwadi uye Zvikamu 2014 . Atlanta: American Cancer Society; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
> America Cancer Society. Chirwere Chechirwere (Chero Isina-Small Cell. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates.
> America Joint Committee yeCancer. Lung Cancer Staging. 7th Edition. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf .
> Edge, S. et al (Eds.). AJCC Cancer Staging Manual. 7th Edition. Springer. New York, NY. 2010.
> Faithi, A. uye J. Brahmer. Chemotherapy yeAntiable Stage Ndisina-Small Cell Lung Cancer. Seminari muTraracic and Cardiovascular Surgery . 2008. 20 (3): 210-6.
> National Cancer Institute. Non-Small Cell Lung Cancer (PDQ). Nhanho IV Hasi-Small Cell Kurapa Kanza. https://www.cancer.gov/cancertopics/pdq/treatment/non-small-cell-lung/HealthProfessional/page12.
> National Cancer Institute. Non-Small Cell Lung Cancer Treatment (PDQ) - Health Professional Version. Http://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.