Zizindikiro, Chithandizo, ndi Mafupa
Khwerero 4 ya khansa ya m'mapapo yopanda khansa (kansa ya m'mapapo ya m'mapapo) ndiyo kansa yapamwamba kwambiri ya khansa ya m'mapapo . Pafupifupi 40 peresenti ya anthu amene atulukira kuti ali ndi khansara yamapapo ali kale ndi matendawa. Gawo ili la kansa ya m'mapapo silimachiritsidwa, koma limachiritsidwa , ndipo mayesero ambiri azachipatala akuyang'anitsitsa mankhwala atsopano kuti apulumuke.
Mwachidule
Khwerero 4 ya selo yopanda khungu yamapapu imapanga chifuwa cha mapapu cha kukula kulikonse komwe kwafalikira (kuchepetsedwa) ku dera lina la thupi, kumalo ena ammapapo, kapena kumaphatikizidwa ndi chiwonongeko chopweteka .
Zizindikiro
Izi ziphatikizapo:
Zizindikiro chifukwa cha kukhala ndi chotupa m'mapapo monga:
- Chifuwa chopitirira
- Kudula magazi (hemoptysis)
- Kupuma pang'ono
- Kusokonezeka
- Ululu pachifuwa, mmbuyo , paphewa kapena mikono
- Magulu obwerezabwereza a chibayo kapena bronchitis
- Kupuma
Zizindikiro chifukwa cha kufalikira kwa zilonda kumadera ena a thupi , mwachitsanzo:
- Ululu kumbuyo, m'chiuno, kapena nthiti ngati chotupa chafalikira ku fupa
- Zovuta kumeza chifukwa cha chotupa chiri pafupi kapena chimafika pachimake
- Mutu, masomphenya amasintha, kufooka, kapena kugunda ngati chotupa chikufalikira ku ubongo
- Jaundice (khungu la chikasu) kuchokera ku zotupa zomwe zafalikira ku chiwindi
Ndipo zizindikiro zokhudzana ndi khansa ya metastatic ambiri :
Kuchiza
Chifukwa khansara ya mapapo 4 ya mapapo yafalikira kupyola m'mapapu imatengedwa kuti siingatheke , ndiko kuti, opaleshoni sangathe kuchotsa chotupa chonse ndikupereka mpata wochiritsidwa.
Koma khansa ya mapapo 4 yamapapo imachiritsidwa. Mwa iwo omwe amatha kulekerera chemotherapy, chikhalidwe cha chemotherapy, immunotherapy , ndi / kapena mankhwala atsopano angapangitse kukhala ndi moyo komanso kuthandizira zizindikiro za khansa ya m'mapapo. Mayesero ambiri azachipatala akuyang'anitsitsa njira zatsopano zochiritsira, kuphatikizapo mankhwala a chemotherapy komanso mankhwala othandizira. "
Mankhwala othandizira ma ARV angalimbikidwe ngati mankhwala othandizira kuti athetse matenda koma samachiritsa. Izi zingakhale zothandiza kuti anthu ena athetse kupweteka kwa mafupa (chifukwa cha ziphuphu zomwe zimafalikira pfupa), kutuluka m'mapapo, matumbo omwe amalepheretsa mpweya ndi kupuma mpweya, kapena masewases a ubongo omwe amachititsa zizindikilo zazikulu, monga mutu kapena kufooka.
Panopa tikulimbikitsidwa kuti odwala onse omwe ali ndi mapapu adenocarcinoma ndi anthu ena omwe ali ndi squamous cell carcinoma m'mapapu ayenera kukhala ndi mayeza a maumuna omwe amachititsa chifuwa chawo. Kwa anthu omwe ali ndi kusintha kwa EGFR , ALK rearrangements , kapena mankhwala a rezrangements a ROS1 alipo omwe angawonjezere kupulumuka kwaufulu.
Immunotherapy ndi mtundu wina watsopano wa chithandizo cha khansa ya m'mapapo, ndi mankhwala oyamba m'gululi omwe avomerezedwa ndi khansa ya m'mapapo mu 2015. Pamene mankhwalawa samagwira ntchito kwa aliyense, anthu ena omwe ali ndi khansa ya m'mapapo yapamwamba akhala akuyang'anira nthawi yayitali matenda ndi mankhwala awa.
Ndikofunika kukambirana chithandizo chilichonse chomwe mukuchiganizira ndi dokotala komanso okondedwa anu, kotero mukhoza kuyang'anitsitsa kuopsa ndi phindu la mankhwala.
Kuthamangitsani
Kafukufuku wa zaka zisanu zapakati pa khansa ya m'mapapo 4 yachisoni ndi zomvetsa chisoni zokha pafupifupi 1 peresenti. Nthawi yopulumuka ya nthawi yapakati (nthawi yomwe odwala 50 aliwonse ali moyo ndipo 50 peresenti yapita) ndi pafupi miyezi 8.
Kodi Ndingatani Kuti Ndidzithandize?
Kafukufuku akusonyeza kuti kuphunzira zomwe mungathe pa khansara yanu yamapapu kungakuthandizeni kukhala ndi moyo wabwino, ndipo mwinamwake ngakhale zotsatira zanu. Funsani mafunso. Phunzirani za mayesero a kliniki. Ganizirani kulowetsa gulu lothandizira . Ambiri aife timakayikira kukambirana za mapeto a moyo , koma kukambirana ndi dokotala ndi banja lanu - ngakhale mutakhala ndi chiyembekezo chochiritsidwa - mumakhala ndi kusungulumwa komanso moyo wabwino.
Musataye chiyembekezo, ngakhale mutasankha kuti musapitirire kuchipatala. Chiyembekezo cha nthawi yabwino ndi okondedwa , ndi kulamulira bwino zizindikiro zanu. Chiyembekezo cha tsogolo la okondedwa anu omwe adzatsalira, ndi kukumbukira inu m'mitima yawo.
> Zotsatira:
> American Cancer Society. Zolemba ndi Kafukufuku wa Khansa 2014 . Atlanta: American Cancer Society; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
> American Cancer Society. Khansa Yam'mimba (Cell Osati Small. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates.
> Komiti Yovomerezeka ya ku America ya Khansa. Khansara ya Khansa. Gulu lachisanu ndi chiwiri. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf .
> Edge, S. ndi al (Eds). Buku la AJCC la Kukhazikitsa Khansa. Gulu lachisanu ndi chiwiri. Springer. New York, NY. 2010.
> Faithi, A. ndi J. Brahmer. Chemotherapy ya Matenda Osaneneka Osagwiritsidwa Ntchito Kwambiri ndi Khansa Yowopsa Kwambiri. Masemina mu Opaleshoni ya Thoracic ndi Mafupa . 2008. 20 (3): 210-6.
> National Cancer Institute. Nkhalango Yopanda Kulimbana ndi Cell (PDQ). Mgwirizano wa Vuto lachinayi lopanda khansa. https://www.cancer.gov/cancertopics/pdq/treatment/non-small-cell-lung/HealthProfessional/page12.
> National Cancer Institute. Mankhwala Osakaniza Aang'ono Opatsirana Khansa (PDQ) - Health Professional Version. Http://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.