Tanthauzo, Zizindikiro, ndi Chithandizo cha Carcinoma In Situ ya Makombo
Mwachidule
Gawo 0 Kansera yamapiko yopanda mapapu , yomwe imatchedwanso kuti carcinoma in situ , ndiyo malo oyambirira omwe khansa ya m'mapapo ikhoza kupezeka. Matenda a khansa sapezeka pamtunda uwu, ndipo pamene ulipo, nthawi zambiri amapezeka mwadzidzidzi pamene kuyezetsa kwachitika chifukwa china. Mwachidziwitso, khansara yamapapo iyenera kuchiritsidwa kwathunthu pa siteji iyi. Izi zati, anthu ambiri omwe ali ndi khansara ya mapapo a mapepala amakhala ndi khansa yachiwiri yoyamba , ndipo kuphunzira za kupewa matenda a khansa ndi mbali yofunika kwambiri ya chithandizo.
Gawo 0 Kansani yopanda mapapu ya khungu, imatanthauzira chotupa chomwe chilipo machenga ochepa chabe ndipo sichikulira kupyola m'mapapo. Gawo 0 (carcinoma in situ) limaonedwa kuti silowopsya, kutanthawuza panthawiyi sikuti ikutha kufalikira ku madera ena.
Oncologists amagwiritsa ntchito njira ya TNM kufotokozera magawo a kansa ya m'mapapo, ndi T akuimira kukula kwake kwa chifuwa, N kusonyeza kupezeka kwa maselo a mitsempha omwe ali ndi maselo a khansa, ndipo M akuyimira metastases (kufalikira kwa chotupa kumadera ena ammapu kapena akutali mu thupi.
Malingana ndi dongosolo la TNM , khansa ya m'mapapo 0 yamatenda imatanthauzidwa monga:
- Tis, N0, M0 - Kutanthauza kuti chotupacho chiri mu situ (chili m'maselo omwe amayamba ndipo sichifalikira kumatenda oyandikana nawo) ndipo sichifalikira ku ziwalo zam'mimba kapena m'madera akutali a thupi).
Zizindikiro
Gawo 0 Khansa yamapapo ndi yaying'ono ndipo iyenera kukhala yochepa, ngati ilipo, zizindikiro.
Popeza nthawi zambiri zimapezeka "mwangozi," panthawi ya kuyezetsa, zizindikiro zilizonse zomwe zimayambitsa kuyesedwa poyamba zimakhalapo. Izi zikhoza kuphatikizapo chifuwa chopitirira , mpweya wochepa , kupweteka mu chifuwa , kumbuyo , kapena mapewa , kapena zizindikiro zambiri monga kutopa.
Chithandizo
Chithandizo choyenera pa khansa ya mapapo 0 yamapapo ndi opaleshoni .
Maizoni kapena chemotherapy sagwiritsidwa ntchito. Mitundu itatu ya opaleshoni imachitika kawirikawiri kwa khansara yamapapo, ndipo, malingana ndi malo a chotupacho, imodzi mwa mitundu yochepa yopaleshoni ya opaleshoni (monga mphete resection ) ikhoza kuchitidwa. Zilonda zachipatala zikuyang'anitsitsa njira zochepetsera zochepetsera khansa ya mapapo, monga chithandizo cha photodynamic kapena brachytherapy.
Kuthamangitsani
Popeza khansara yamapapo ya mmimba ndikutanthauzira osati yowopsya, ziyenera kukhala zochiritsidwa ndi opaleshoni. Mwamwayi, anthu ambiri omwe ali ndi kansa ya m'mapapo 0 ya mapapo ali ndi khansa yachiwiri yoyamba , ndipo zizindikiro zimayambira pa siteji ya khansa yapamwamba kwambiri. Anthu omwe ali ndi kansa ya mapapo 0 yamapapo ali pangozi yowonjezera khansa ina yamapapo m'tsogolomu.
Kulimbana
Kafukufuku akusonyeza kuti kuphunzira zambiri momwe mungathere pa khansara yanu kumapangitsa zotsatira zanu. Funsani mafunso. Pitani kwa dokotala wanu za mayesero a zachipatala zomwe zingakhale zoyenera kwa inu. Ganizirani kulowetsa gulu lothandizira . Funsani ndi kulola okondedwa anu kuthandizira. Kuzindikira khansa ya m'mapapo pachiyambi ichi ndi mwayi waukulu kusintha zomwe zingakupangitseni kukhala ndi moyo wabwino m'tsogolo. Yang'anani pa moyo wanu ndipo muwone ngati mungathe kuchita chilichonse chochepetsera chiopsezo chanu chokhala ndi kansa ya m'mapapo kachiwiri:
- Ngati mumasuta, musiye
- Yesani nyumba yanu ya radon
- Ganizirani zowonongeka zomwe zingapangitse chiopsezo chanu
- Onetsetsani malo ogwira ntchito chifukwa cha ntchito iliyonse yomwe muyenera kuigwira
- Sankhani zakudya zabwino zomwe zingachepetse chiopsezo cha khansa yamapapo
- Kuchita masewera olimbitsa thupi
Kutsata ndi Kuteteza
Ngati mwapatsidwa chithandizo cha kansa ya mapapo 0, dokotala wanu akufuna kukutsatirani nthawi zonse kwa moyo wanu wonse. Mwachidziwitso, khansa ya mmapapo 0 imafunika kuchiritsidwa chifukwa siyiwopsya, koma chenjezo liripobe. Chofunika kwambiri, kukhala ndi kansa ya m'mapapo pamalo oyamba ndi chiopsezo chachikulu chokhazikitsa khansara yachiwiri yamapapu yoyamba.
Khansara yachiwiri ya mapapo a m'mapapo imatchula khansa yosiyana ya mapapu yosiyana ndi khansa yanu yoyamba. Lankhulani ndi dokotala wanu za njira yabwino kwambiri ndi nthawi yotsatila kuti muzitsimikizira kuti khansara yatsopano yamapapo idzagwidwa msanga.
> Zotsatira:
> Komiti Yovomerezeka ya ku America ya Khansa. Khansara ya Khansa. Gulu lachisanu ndi chiwiri. Inapezeka pa 09/20/14. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf
> National Cancer Institute. Mankhwala Osakaniza Amtundu Wambiri Wopanda Khansa (PDQ) - Health Professional Version. Kusinthidwa 05/11/16. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all