Kusiyanasiyana ndi Zothandiza kwa Achinyamata Achikulire Ndi Khansa Yam'mimba
Anthu ambiri amaganiza za khansara yamapapo ngati matenda a anthu achikulire, koma khansara yamapapo imapezeka achinyamata. Anthu amakumbutsidwa izi pamene Dana Reeve , yemwe amadziwika kuti mkazi wa "Superman" ndi wosuta fodya, adamwalira ndi khansa ya m'mapapo ali ndi zaka 44.
Chodetsa nkhaŵa ndikuti khansara yamapapu kwa achinyamata akuoneka kuti ikukula. Kodi khansa ya m'mapapo imakhala yochuluka motani kwa achinyamata, imasiyana bwanji ndi khansara yamapapo kwa anthu achikulire, ndipo ndi zina ziti zomwe zilipo ngati ndinu wopulumuka wa khansa ya m'mapapo?
Kufotokozera Khansa Yam'mimba M'nyamata
Palibe njira iliyonse yodziwira "achinyamata" pankhani ya khansa ya m'mapapo. Kafukufuku ndi nkhani zambiri zimakambirana za khansa ya m'mapapo yomwe ili ndi zaka 40 kapena 45 kapena 50. Anthu ena amatanthauzira "achinyamata" ngati akupezeka ndi khansara yamapapo asanakwanitse zaka 60. Pakalipano, a zaka zapakati pa matendawa ndi 72.
Kodi Khansa Yam'mimba Imakhala Yotani M'nyamata?
Poyamba, khansara ya m'mapapo kwa achinyamata ingawoneke yachilendo. Koma kuganizira kuti khansara yamapapo ndiyo yomwe imayambitsa matenda a khansa pakati pa amuna ndi akazi ku United States, ngakhale peresenti yaing'ono ingathe kumasulira anthu ambiri ndi matendawa. Akuti anthu 222,500 adzapezeka ndi khansa ya m'mapapo mu 2017 ndipo 155,870 adzafa. Mwa anthuwa, 1.2 mpaka 6.2 peresenti ali osakwanitsa zaka 40, ndipo 13.4 peresenti ali osakwana zaka 50. Kuwerengera msanga kumasonyeza kuti pafupifupi 30,000 anthu osapitirira zaka makumi asanu ndi awiri (50,000) omwe ali ndi zaka zoposa 50 adzapezeka ndi khansara yamapapu mu 2017 ndipo oposa 21,000 Achikulire adzafa ndi matendawa.
Poyikira izi, zikuyesa kuti anthu 40,000 adzafa ndi khansa ya m'mawere mu 2017 ndipo pafupifupi 20 peresenti ya akaziwa ali ndi zaka zoposa 54. Kuwerengera kwina kofulumira kumalingalira kuti amayi 8300 osakwana zaka 54 adzafa ndi khansa ya m'mawere. N'kutheka kuti anthu ambiri adzadabwa ndi manambalawa.
Kodi Khansa Yam'mimba M'nyamata Imasiyana Bwanji?
Pakadza kwa anthu omwe ali ndi khansara yamapapo, pali kusiyana kwakukulu kwa mtundu wa khansara, makhalidwe a khansara, ndi zinthu monga maonekedwe a chibadwidwe. Koma mwachiwerengero, pali njira zina zomwe khansa ya m'mapapo mu achinyamata ndi yosiyana kwambiri ndi khansa ya m'mapapo kwa anthu achikulire. Ena mwa awa ndi awa:
- Gawo pa Kuzindikira: Achinyamata amayamba kukhala ndi kansa yapamapu yapamwamba kwambiri panthawi yomwe amadziŵa kusiyana ndi okalamba; odwala ambiri amapezeka kuti ali ndi matenda a stage 4 . Izi zimakhala zomveka m'njira zina. Khansara ya mapulogalamu-makamaka achinyamata, wathanzi, osasuta-si nthawi zambiri pamwamba pazenera za radar, ndipo izi zingachititse kuchedwa kuti azindikire. Anthu omwe ali achichepere kawirikawiri amapezeka kuti ali ndi asthma, bronchitis , kapena ngakhale chifuwa chisanafike. Achinyamata ambiri ali ndi chifuwa chachikulu chomwe sichiwonetsa khansara, ndipo ndibwino kuti aliyense wamsinkhu uliwonse adziwe kuti chifuwa chachikulu chimatha kusokonezeka ndi khansa yamapapo .
- Zosokoneza Zachibadwa: Anthu amene amapezeka ndi khansara yamapapo ali aang'ono amakhala ndi achibale ena omwe akudwala matendawa. N'zosakayikitsa kuti uhule umakhala ndi gawo lalikulu kwambiri mu khansa ya m'mapapo yomwe imakula kwa odwala okalamba kuposa okalamba okalamba, ndipo ochita kafukufuku akuyamba kuzindikira zina mwa majeremusi omwe angapangitse achinyamata kukhala ndi khansa ya m'mapapo.
- Kusuta Fodya: Achinyamata omwe ali ndi khansara yamapapu amakhala osasuta kuposa anthu amene amayamba khansa ya m'mapapo.
- Mtundu wa Khansara Yam'mimba: Kafukufuku wambiri wa khansa ya m'mapapo mwa achinyamata ndi mapapu adenocarcinoma , mtundu wa khansa ya m'mapapo yopanda mapira, yomwe imakhala pafupifupi 80 peresenti ya khansa ya m'mapapo kwa achinyamata. Pakati pa okalamba akulu adenocarcinoma amapezeka ndi pang'ono peresenti ya 50 peresenti ya nthawiyo.
- Mbiri Yachigawo: Achinyamata onse omwe ali ndi khansara yamapapu ayenera kukhala ndi kuyesedwa kwa jini (kufotokozera maselo) . Achinyamata omwe ali ndi khansara yamapapu amakhala ndi kusintha kwa EGFR , kusintha kwa jini kamene kamabereka pambuyo pa kubadwa ndi zizindikiro za mapuloteni omwe amachititsa kuti kukula ndi kufalikira kwa khansa. Kafukufuku wochepa apeza kuti kusintha kumeneku kulipo pakati pa achinyamata 50 peresenti poyerekeza ndi 10 peresenti ya anthu achikulire omwe si Asiya. (Anthu a mafuko a ku Asia ali ndi chiwerengero chachikulu cha kusintha kwa EGFR.) Zosangalatsa kuti ochepa omwe adalandila mankhwala omwe alipo tsopano akuthandizira kusintha kwachisinthiko ichi ndipo angapangitse kupulumuka kwapadera kwa anthu ambiri ndi kusintha kumeneku. Palinso zina kusintha kwa majini omwe amawonekera kukhala ofala kwa achinyamata. Kuphunzira kwa anthu akuluakulu a zaka makumi atatu ndi atatu kapena makumi asanu ndi atatu (30) zocheperapo ndi khansa ya m'mapapo, kumapezeka kuti kusintha kwa EGFR, komanso zina zomwe zimawongolera kusintha kwa majeremusi, zinali zowonjezereka kusiyana ndi okalamba omwe ali ndi matendawa.
- Mlingo Wopulumuka: Zofufuza zimasiyanasiyana, ndipo ena amasonyeza kupulumuka kwabwino komanso ena opulumuka osauka kuposa okalamba. Kawirikawiri, ngakhale kuti atapezeka kuti atapita kale, odwala achinyamata amawoneka bwino kuposa okalamba akafukufuku waposachedwapa.
- Thandizo: Achikulire sali okha, monga aliyense wa msinkhu uliwonse amavutika ndi tsankho la khansa ya m'mapapo . Ngati munthu wamkulu akupezeka ali naye, nena, khansa ya m'magazi kapena khansara ya m'mawere, ganizirani zoyamba zomwe wina angapange. M'malo mwake, tsopano ganizirani mawu oyambirira omwe achinyamata omwe ali ndi kansa ya m'mapapo nthawi zambiri amamva akamakumana ndi anzawo ndi anzawo: "Unasuta utali wotani?" Kapena, "Sindinkadziwa kuti mumasuta!" Sizimangopweteka kwambiri achinyamata omwe angadzimve kuti ali okhaokha ndi matenda awo, koma nthawi zambiri amatsutsidwa chifukwa cha matenda awo ngakhale atasuta. Wopulumuka wa khansa ya m'mapapo ali ndi ubwino wabwino wobwerera pamene adafunsidwa funso ili atakumana ndi wina watsopano. Iye anati, "Ndikayenera kuyamba kusuta mumimba."
Zothandiza kwa Achinyamata Achikulire omwe ali ndi khansa ya m'mimba
Zida zilipo kwa achinyamata omwe ali ndi khansara yamapapo, komanso achinyamata omwe ali ndi khansa iliyonse. Anthu ena omwe ali ndi kansa ya m'mapapo amakonda magulu othandizira am'deralo ndi a pa Intaneti omwe ali ndi anthu okha omwe ali ndi khansa ya m'mapapo. Chifukwa chake chiri chosavuta. Ngati mukulimbana ndi khansa ya m'mapapo ya mapapo 4 ndi ziwerengero zoopsa zokhudzana ndi moyo, zingakhale zovuta kudziwa ndi mayi yemwe ali ndi kansa ya m'mawere oyambirira omwe ali ndi zaka zisanu ndi zinayi zomwe zikupulumuka. kubereka.
Kuphatikiza pa magulu othandizira ndi zipinda zogwiritsa ntchito, anthu ena opulumutsidwa ndi khansa ya m'mapapo atenga nthawi kuti afotokoze za ulendo wawo-ulendo umene ungakuthandizeni kudzimva nokha pamene mukuyamba ulendo wanu. Onani mabungwe awa, ambiri mwa iwo olembedwa ndi achinyamata omwe apulumuka ndi mabanja achichepere.
Maofesi a kansa ya Bonnie J. Addario akufotokoza makamaka kusiyana kwa majekesi a khansa ya m'mapapo kwa achinyamata akuluakulu komanso zosowa zapadera za opulumuka m'mapapo. Ngati muli ndi zaka makumi asanu ndi ziwiri kapena zisanu ndi khansa yamapapo, onetsetsani kuti mukumana ndi Foundation.
Achinyamata ambiri omwe ali ndi khansara yamapapo akhala akukhudzidwa kwambiri ndi zamasewero komanso magulu a khansa ya pa intaneti. Tsiku lina Lachiwiri madzulo pali mauthenga a tweet omwe amaphatikizapo anthu omwe ali ndi khansa ya m'mapapo, oyimira, mamembala, a oncologist, a radiation oncologists, ochita opaleshoni a thoracic, ochita kafukufuku, ndi zina. Iyi ndi mwayi wodabwitsa polankhula ndi akatswiri omwe ali patsogolo pa kufufuza kwa khansa yamapapo. Kuti mupeze ammudzi, gwiritsani ntchito hashtag #LCSM yomwe imayimira khansa ya m'mapapo.
Ndipo kwa achinyamata omwe ali ndi mitundu yonse ya khansa:
- Khansa Yopusa: Voice of Young Adult Cancer ndi malo omwe amapezeka pa intaneti komanso pamtundu wina kuti athandize achinyamata omwe ali ndi khansa. Palinso kawonedwe ka kanema kanseri komanso mwayi wokomana maso ndi maso ndi achinyamata ena omwe ali ndi khansa yochokera kudziko lonse pamsonkhano wapachaka komanso misonkhano yadera.
Thandizo lothandiza achinyamata omwe ali ndi khansa:
- Chikwama cha khansa ya Ulman kwa Achinyamata Achikulire: Bungwe ili, kuphatikizapo njira zina zothandizira, limapereka njira yaulere yodzisankhira yomwe ikuthandizani kuthetsa mavuto ambiri omwe achinyamata omwe ali ndi khansa angakumane nawo, kuthandiza kuti asakhale achichepere khansara yokhayokha. Nkhani zina zingaphatikizepo nkhawa za kubereka, momwe angabwerere kuntchito kapena sukulu pambuyo pa chithandizo, maphunziro a koleji, thandizo lachuma, komanso zaumoyo ndi thanzi.
- CancerCare: CancerCare imapereka chithandizo monga uphungu waulere, magulu othandizira (onse payekha komanso pa intaneti,) thandizo lachuma, ndi maphunziro ophunzirira omwe akupezeka pa foni kapena makompyuta kwa anthu omwe ali ndi khansa komanso mabanja awo.
Mfundo Yofunika Kwambiri pa Khansa Yam'mimba M'nyamata Akuluakulu
Khansara yokhala ndi khansa kwa achinyamata akuluakulu, ndi njira zambiri, matenda osiyanasiyana. Achinyamata nthawi zambiri sakhala akusuta konse, ali ndi vuto lothandizira kusintha kwa thupi, ndipo amapezeka m'zigawo zina za matendawa pambuyo poti sakudziwa bwinobwino.
Kufikira posachedwapa, omwe adakali ndi matendawa adamva kuti ali okhaokha ndipo amathandizidwa mofanana ndi munthu wachikulire yemwe ali ndi matendawa. Mwamwayi, mabungwe monga Bonnie J. Addario Lung Cancer Foundation akuthandizira kuthandizira achinyamata omwe ali ndi matendawa ndi kupeza ndalama zofufuza kuti amvetsetse kusiyana kwakukulu kwa matendawa kwa achinyamata.
> Zotsatira:
> American Cancer Society. Zofunika Zambiri za Khansa ya M'mimba. Kusinthidwa 01/05/17. https://www.cancer.org/cancer/non-small-cell-lung-cancer/about/key-statistics.html
> Hsu, C., Chen, K., Shih, J. et al. Khansara yapamwamba yopanda selo ya m'mapapo kwa odwala omwe ali ndi zaka 45 kapena zapang'ono: zotsatira ndi zizindikiro zowonetsera. BMC Khansa . 2012. 12: 241.
> National Cancer Institute. Kuyang'anitsitsa, Epidemiology ndi Mapulogalamu Otsiriza. SEER Stat Fact Sheets: Khansa yam'mimba ndi Bronchus. http://seer.cancer.gov/statfacts/html/lungb.html
> National Cancer Institute. Kuyang'anitsitsa, Epidemiology ndi Mapulogalamu Otsiriza. SEER Stat Fact Sheets: Khansa ya m'mawere. http://seer.cancer.gov/statfacts/html/breast.html
> Yang, L. et al. Kusiyana kwa mitundu yosiyanasiyana (97906C> A) ya DAB2IP / AIP1 imayambitsidwa ndi chiopsezo chowonjezeka komanso khansa yoyambirira ya mapapo m'magazi achi China. PLoS One . 2011. 6 (10): e26944.
> Zhang, J. et al. Kusanthula kwakukulu kwa odwala khansa ya m'mapapo osapitirira zaka 45 ku Shanghai. Khansa . 2010. 116 (15): 3656-62.