Nhamba Dukuduku Dzepamusoro Dhaurwa Tsanangudzo, Zvirwere, uye Kurapa
Mukomana muduku wemukenza wemapapu hauna kuwanzana kupfuura chesi-duku duku yemukenza yemapapu, kuverenga kwemapfumbamwe makumi mashanu emakenza emapapu. Inowedzera kuva nehasha, kukura nokukurumidza nekupararira nokukurumidza, asi kazhinji inopindura zvakanaka chemotherapy.
Chirwere chemukati chemapapu chemapapu (kusiyana nekenza isiri duku yemapapu emapapu ), inoparadzaniswa muzvikamu zviviri chete - zvishoma uye zvakanyanyisa. Inenge 60 kusvika ku70 muzana yevanhu vane zvirwere zvakakura panguva yekuongororwa.
Overview
Kuwedzera kwechitsauko chekenza yemapapu memapapu kunotsanangurwa sekenza kaduku kemapapu yemapapu yakapararira ( mastasized ) kune dzimwe nzvimbo dzomuviri sezvakaita imwe lobe yemapapu kana uropi.
Zviratidzo
Zviratidzo zvinogona kusanganisira:
Zviratidzo zvine chokuita nekenza mumapapu:
- Kuramba uchikanganiswa
- Kushungurudza ropa (hemoptysis)
- Kutamba kwechiso nemutsipa
- Kupfupika kwemhepo
- Wheezing
- Zvakaitika zvakare zvikamu zvepneumonia kana bronchitis
- Hoarseness
Zviratidzo zvinokonzerwa neparaneoplastic syndromes , izvo zviratidzo zvinokonzerwa nemahomoni akavanzwa nechirwere kana kuti nemuviri wezvirwere zvemuviri kune chiremera panzvimbo pemarara. Zvimwe zvezvi zvinosanganisira:
- Utachiona husina simba muzvikamu zvepamusoro, maonero anochinja, uye kuoma kukumedza (Lambert-Eaten myasthenic syndrome)
- Kushaya simba, kuneta, uye yakadzika pasi sodium muropa (syndrome isina kukodzera antidiuretic hormone secretion (SIADH))
- Kurasikirwa kwekubatana uye kuoma kutaura (paraneoplastic cerebellar degeneration)
- Kubata (kukomberedza) kweminwe
Zviratidzo zvekupararira kwemuviri kune dzimwe nzvimbo dzomuviri , somuenzaniso:
- Pain mushure, mahudyu, kana mbabvu kana bundu racho rapararira kusvika pfupa
- Dambudziko kukumedza (dysphagia) nekuda kwechirwere chiri pedo kana kuti kuputika
- Musoro, maziso anochinja, kushaya simba, kana kugumburwa kana tumarara inopararira kuuropi
Zviratidzo zvese zvakabatana nemukenza wemasitaita akadai se:
Mishonga
Kurapa kwekuwedzera kwechirwere chirwere chinowanzosanganisira chemotherapy inogadziriswa yoga. Dzimwe nguva magetsi anokwanisa kushandiswa kudzora zviratidzo (palliative therapy) dzine chokuita nekupararira kwekenza, zvakadai sekurwadziwa kwemapfupa, kubuda ropa kubva kumapapu, zviputi zvinodzivisa kufamba kwemhepo uye zvichikonzera kufema kwekupema, kana hutachiona hunokonzera zviratidzo zvikuru, dzakadai semusoro kana utera.
Mishonga yemakiriniki iri kuenderera mberi kune zvikamu zviviri zvekenza yemukomana wemapapu, kuongororwa mushonga mutsva uye kusanganiswa kwemishonga kwekenza iyi ine utsinye.
- Chiremba Cancer Treatment Options
- Chemotherapy
- Radiation Therapy
- Kuvhiya Kwakamboitwa Kune Cell Small Kurapa Kansa Here?
Prognosis
Kuponeswa kwemitambo yekenza yemukirini yemapapu yakagadziriswa kubvira pakuwedzera kwemaawa ekurapa kumushonga uye kushandiswa kwePCI, asi unogara uri pasi. Parizvino, iyo yakazara makore mashanu ekupukunyuka kwechikamu chechitatu kemukirini kadiki yemapapu ine mapfumbamwe, uye chete 2 muzana yechitambo chechina chirwere. Pasina kurapwa, chiyero chekurarama kwehupenyu nehutachiwana hwakareba mwedzi 2 kusvika ku4, uye nekurapwa kwemwedzi 6 kusvika ku12. Sezvo kenza kaduku kemapapu yemapapu iri kukura nekukurumidza, uye tauya rwendo rurefu nemamwe kenza yakakura nokukurumidza seyeukemia, inotarisirwa kuti mishonga yakanaka inowanikwa mune ramangwana.
Kutsungirira
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 tinoshuva kutaura nezvekuguma kwehupenyu, asi kukurukurirana izvi nachiremba wako nemhuri yako - kunyange kana mose muri kutarisira kurapwa - kunosanganiswa 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:
Hann, C. naC. Rudin. Kutungamirirwa kwekenza-duku yemapapu emapapu: kuwedzera kwekuchinja asi tariro yenguva yemberi. Oncology (Williston Park) . 2008. 22 (13): 1486-92.
National Cancer Institute. Small Cell Lung Cancer Treatment (PDQ). 07/07/16. https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq.
Sorenson, M. et al. Kenza-kemukamu yemapapu yemapapu: ESMO Clinical Mazano ekuongorora, kurapwa, nekutevera. Annals of Oncology . 2009. 20 Suppl 4: 71-2.