Nhanho I Yakarwara Kanzera: Tsanangudzo, Zvirwere, uye Kurapa
Kana wakamboonekwa kuti une kenza yemapapu emukati, chii chaunoda kuziva? Chii chinogadzirisa kana kenza yemapapu iri danho rekutanga, ndeapi marapirwo aripo, uye chii chinonzi chirevo?
Kuratidzirwa kweGedhi I Kurapa Kansa
Nhanho I yemukenza yemapapu ndiyo yero yekutanga iyo inonyanya kukonzerwa nekenza yepamaperembudzi uye danho rekugara kwenguva refu ndiro refu. Vanenge makumi matatu kubva muzana emazana esiri maduku ekenza mapepa emapapu anowanikwa pavanenge vari pachitsauko I kana II.
(Kune chikwata chekutanga chemapapu emapapu, chikwata chekenza yemapapu 0 kana carcinoma-in-situ, kunyange zvazvo kenza yemapapu isingawanikwi pane imwe nguva yekutanga uye isingasviki.)
Kune miviri miviri mikuru yemukenza yemapapu: isina-kero kaduku uye kenza kadiki yemapapu emapapu. Chero-duku kenza yemukenza yemapapu ndiyo inowanzojairika yemukenza wemapapu, inowanzokura uye inopararira zvishoma nezvishoma pane kenza kaduku kemapapu emumapapu, uye inoumbwa nemhando mitatu yakajairika: squamous cell carcinoma, huru cell carcinoma, uye adenocarcinoma.
Mamwe mhando dzishoma dzisina kufanirwa dzemusana-duku wekenza yemapapu emapapu inonzi pleomorphic, tumorcinoid tumor, salivary gland carcinoma, uye unclassified carcinoma.
Tsanangudzo
Kunzwisisa chikamu chemupenza wemapapu kunokosha zvikuru-zvose pakuona nzira dzakanakisisa dzokurapa, uye kuva neruzivo rwezvinoitika mune remangwana kusvika pakufananidzira. Nhanho I yemukenza yemapapu inowanikwa munzvimbo ino, iyo inoreva kuti haina kupararira kune chero yeropa nhengo kana dzimwe nhengo.
Nhanho I irizve yakaputsika mukati:
- Nhanho IA: Chirwere chacho hachina masendimita matatu (anenge 1 ½ inches)
- Chikamu IB: Chirwere chinopfuura 3 cm uye pasi pemasendimita manomwe
Wako oncologist angarondedzera danga rekenza yako yakabva pane chimwe chinonzi TNM system , apo T inomirira chiremera chemuviri, N inomirira nodes, uye M inomirira metastasis (kupararira kwekenza).
Maererano neTNM system, chirwere chemukenza wemapapu 1 chinogona kurondedzerwa se:
- Nhanho IA (T1N0M0): Zvinoreva chirwere chisina kusvika 3 cm, pasina nodes uye pasina metastasis
- Chikamu IB (T2N0M0): Zvinoreva chiremara chinopfuura 3 cm, asi pasi pemasendimita manomwe, pasina nodes uye pasina metastasis
Zviratidzo
Chikamu I kenza yemapapu inogona kuvapo pasina zviratidzo uye inowanzotorwa zvichiitika apo x-ray yakaitwa kune imwe chikonzero. Dzimwe nguva, chirwere chemukenza wemapapu chinowanikwa apo munhu ari pangozi yemukenza wemapapu anotarisana neC CT kuongorora mutsa wemapapu . Zviratidzo zvinowanzoonekwa panguva iyo zvinogona kusanganisira chifuva chinopfuurira , kufema kufema kana zvikamu zvekare zvepneumonia kana bronchitis. Sezvo kenza isati yapararira, zviratidzo zvakadai sokuneta kukuru, kusazvigadzirira kukura kwekurema , kana kurwadziwa kunowanzosipo.
Mishonga
Kuvhiya ndiko kurapwa kwesarudzo yemutambo wekenza yemapapu. Kune mhando mitatu mikuru yemapapu emapapu emapapu inoberekerwa nemukenza wemapapu, asi dzimwe nguva chirwere hachibvirike nekuda kwenzvimbo yemarara kana kuti hutano hwako hwehutano. Imwe nzira inonzi chirwere chinonzi video-yakabatsirwa chirwere chinonzi thoracoscopic (VATS) hachina kuvhiringidza kupfuura chirwere chepanyama uye zviri nani kubvumira. Hasi mapepa ose emukenza anokwanisa kubviswa nenzira iyi, asi paanogona kuva, kupora kunopfupika.
Hasi vese vanovhiya muchepente wemapapu vanoita nzira iyi. Mukuwedzera, zvakawanikwa kuti vanhu vane chirwere chemapapu emapapu pamakirini emukenza vanoita hurukuro yakawanda yekuvhiya uku kunogona kuva nemigumisiro yakanaka. Kana uri kutarisa chirwere chemapapu emapapu, zvinokosha kuwana mhinduro yechipiri . Vanhu vazhinji vanosarudza kuwana maonero aya pane imwe yenyika huru yeCancer Cancer-mahara emagariro echepenza.
Kune varwere vane chirwere chisina kugadziriswa Ikenza yemapapu, chirwere chemaawa chinosarudzwa chingave dzimwe nguva chinogumisa mushonga. Imwe nzira itsva inonzi stereotactic body radiotherapy (SBRT) inoratidzika yakavimbiswa kune avo vasingakwanisi kuburikidza nekuvhiyiwa nokuda kwekenza yemapapu emapapu chero ipi zvayo.
Proton beam therapy inogonawo kuva yekusarudza kune avo vane kenza yemapapu yekutanga iyo yakaoma kana isingagoni kubvisa kuburikidza nekuvhiyiwa. Nechitsauko IA mapapu emapapu, chemotherapy kana remishonga inonzi radiation haigoni kukurudzirwa. Nechitsauko chemapfupa emumapfupa eAIDS, zvichienderana nezvimwe zvinoshungurudza zvemuviri (zvichienzaniswa nehukuru hunopfuura 4 cm) vamwe vezvecologist vanokurudzira adjuvant chemotherapy-chemotherapy iyo inotanga nguva pfupi mushure mekuvhiyiwa muedza kuuraya chero kese yekenza masara akasara mushure mekuvhiyiwa.
Kudzokorora Mushure Mokunge Ndakatadza Kurapa Kanzera Kuchengetedzwa
Kunyangwe nekuvhiyiwa kunobudirira, chirwere chekutanga chemapapu emapapu chinodzokera kumunharaunda kana kune nzvimbo dziri kure mune chikamu chetatu chevarwere. Kana chirwere chepamupa chemapapu chichidzoka, imwe nzira yekuvhiya inogona kukurudzirwa, kana kuti kuwedzera kurapwa nechemotherapy uye rayation. Mitezo yakawanda yemakiriniki inoenderera mberi kuongororodza zvirongwa zvekurapa mushure mekudzoka kwekenza yemapapu epakutanga.
Mune izvo zvakasvuta munguva yakapfuura, kunewo mukana wekugadzira chirwere chechipiri chepamuviri chakakonzerwa nekusvuta, kana mumapapu kana mune dzimwe nzvimbo dzomuviri. Dzidza zvakawanda pamusoro pemarapirwo emapapu ekudzoka zvakare .
Kupona Nhamba uye Kuparara kweGwara I Kurapa Kanzera
Zvose zvinokwana makore mashanu ekupona kwemukati wekenza yemukenza yemapapu panguva ino ndeye 49 muzana yechitambo IA ne45 muzana yechitambo IB. Zvidzidzo zvenguva pfupi zvakaratidza kupona kwehutano mumatanda makumi mapfumbamwe kubva muzana panguva yechipatera kenza yemapapu inowanikwa neCCT kuongorora, uye tarisiro, nzira dzekuongorora dzinenge dzichigadziriswa munguva pfupi kuti dzivandudze kusangana kwekutanga uye kupona kwese.
Kutsungirira
Zvidzidzo zvinoratidza kuti kudzidza zvakawanda maererano nehosha yako sezvinobvira kunogona kuvandudza zvabuda. Bvunza mibvunzo. Tsvaga rubatsiro rwevanoda uye uvabatanidze pane zvamunosarudza. Tsvaga boka rekutsigira kana sangano rekutsigira. Kana iwe usina boka rinotsigirwa munharaunda yako, kune nzvimbo zhinji dzekusimbisa mutsamba dzinoshanda. Kana iwe uri kutsvaga izvi, hashtag #LCSM inomirira mutapu wemapapu social media uye inogona kukubatsira kuwana vamwe vari kutarisana nemamiriro ezvinhu akafanana. Dzidza nezvemakiriniki ekuedzwa . Asi yeuka kuti zvisarudzo zvaunoita ndezvawe woga, uye avo vari pedyo newe vanoda kukutsigira iwe parwendo rwako.
Kana iwe uchangobva kuongororwa iwe unogona kunzwa uchinetseka. Tora kanguva kutarisa pamusoro pezviito izvi zvokutanga kutora apo iwe uchangobva kuongororwa nemukenza wemapapu.
Sources:
> America Cancer Society. Chirwere Chechirwere (Chero Isina-Small Cell. 02/08/16. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates
> Edge, S. et al (Eds.). AJCC Cancer Staging Manual. 7th Edition. Springer. New York, NY. 2010.
> Pennathur, A. et al. Stereotactic radiosurgery yekurapwa kweroti 1 musana-duku wekenza yemapapu yemapapu mune vanhu vane ngozi yakawanda. Zvinyorwa zveTrracic uye Mwoyo Mushonga . 2009. 137 (3): 597-604.