Kodi Moyo Wotheka ku Kansa Kwambiri?
Kodi chiwerengero cha kupulumuka kwa khansa yaing'ono ya m'mapapo ndi chiyani? Kodi ndi mitundu yanji yomwe ingapangitse kusiyana komanso ingayambe kukulirakulira?
Kodi Zing'onozing'ono Zomwe Zimayambitsa Khansa Yopulumuka?
Funso limene timapemphedwa kawirikawiri ngati wina atapezeka kuti ali ndi khansa ya m'mapapo ya m'mapapo ndi khansa yapamtunda yomwe imakhala ndi matenda a khansa ya m'mapapo? Izi sizodabwitsa, chifukwa mbiri ya khansara yamapapu imakhala ndi vuto linalake la matenda a kansa ya m'mapapo. khansa.
Koma musanayankhe funsolo, ndikofunika kuti mufotokoze pang'ono za yankho lake-yankho la chiwerengero-likuchokera.
Mitundu yomwe imakhudza kupulumuka ndi khansa yaing'ono yowopsa
Ndizosatheka kunena za kutsekula kwa khansara yaing'onoting'ono ya mapapu popanda kuyamba poyankhula za njira zambiri zomwe ziwerengerozi zingasinthire munthu ndi munthu.
Kachilombo ka kansa kakang'ono kamapapu kamene kangakhale kosiyana kwambiri pakati pa anthu osiyanasiyana. Zina mwazinthu izi zikuphatikizapo:
- Sewero ndi zotheka kufalikira kwa khansara yanu: Khansara yaing'ono yamapapu ya m'mapapo ikhoza kukhala m'mapapu anu ( gawo lochepa la khansa yamapapu ya m'mapapo ) kapena kufalikira ku zigawo za thupi lanu kupyola mapapu anu ( kansa yaying'ono ya kansa ya m'mapapo ). Kufalikira ku ubongo ndi chiwindi, makamaka, zimagwirizana ndi kupulumuka kosauka.
- Zaka zanu: Achinyamata amakonda kukhala ndi moyo wautali kuposa anthu achikulire omwe ali ndi khansara yamapapo.
- Zogonana Zanu: Kupulumuka kwapadera kwa amayi omwe ali ndi khansa yamapapo pa gawo lililonse la khansa ya m'mapapo.
- Kukhala ndi thanzi labwino pa nthawi ya matenda: Kukhala ndi thanzi labwino pa nthawi ya matenda (chinthu chomwe chimadziwika ngati chikhalidwe cha ntchito ) chimagwirizanitsa ndi kupulumuka kwa nthawi yaitali komanso kuthekera kwakukulu kolimbana ndi mankhwala omwe angapitirize kupulumuka.
- Momwe mumayankhira mankhwala: Zotsatira za mankhwala, monga chemotherapy ndi mankhwala a radiation, amasiyana pakati pa anthu osiyanasiyana, ndipo amalepheretsa kulandira chithandizo.
- Zochitika zina zaumoyo zomwe mungakhale nazo : Matenda monga emphysema angachepetse kansalu kakang'ono ka khansa ya mapapu.
- Zovuta za khansa ya m'mapapo: Zovuta monga matenda a magazi amatha kuchepetsa matenda a khansa ya m'mapapo.
- Mlingo wa LDH kapena ALK: Kuwonjezeka kwa zinthu za lactate dehydrogenase (LDH) kapena alkaline phosphatase, kapena mlingo wochepa wa sodium m'magazi anu, zimagwirizana ndi kupulumuka kosauka.
- Kusuta : Kupitiriza kusuta fodya pambuyo pozindikira kuti khansa yaing'ono ya m'mapapo ya m'mapapo ikhoza kuchepetsa kupulumuka.
Ndalama Zowopsa Kwambiri za Khansa Yopangika Khansa - Chiwerengero
Pamene mukuyang'ana pa chiwerengero cha opulumuka, nkofunika kukumbukira kuti manambalawa ndi "owerengeka: ndipo amatha kusiyana pakati pa anthu, Pazaka zingapo zapitazo, miyoyo ya anthu yakula bwino pogwiritsira ntchito mankhwala a radiation ndi prophylactic iraniation (PCI) .
Ngakhale kuti khansa yaing'ono ya m'mapapo ya m'mapapo nthawi zambiri imayambira kuchipatala, kupulumuka kwa nthawi yaitali kumakhalabe kochepa. Kupulumuka kwa khansa yaing'ono ya m'mapapo ya khansa ndi yosiyana pa magawo osiyanasiyana a matendawa. Pakalipano, zaka zisanu zapakati pa pulogalamu ya 1 ndi 31 peresenti, pa gawo 2, 19 peresenti, pa siteji 3 ndi 8 peresenti ndi 2 peresenti yokha ya matenda a 4. Kupulumuka kwapakatipakati ndi chithandizo (ndikoti, nthawi imene theka la anthu adakali ndi matendawa ndi theka lafa) ndi miyezi 18 mpaka 24 kwa anthu omwe ali ndi kansa ya m'mapapo ya m'mapapo.
Kansera ya m'mapapo ya m'mapapo yambiri, kupulumuka kwapakati pa miyezi 6 mpaka 12 ndi chithandizo ndi miyezi 2 mpaka 4 yokha popanda chithandizo.
Kumbukirani kuti izi ndi ziwerengero, ndipo musanene kanthu za anthu. Ndiponso, kumbukirani kuti ziwerengero ziri mwa kutanthauzira zaka zingapo zakubadwa. Mwanjira iyi, samasonyeza mankhwala atsopano omwe angagwiritsidwe ntchito tsopano pochiza matendawa.
Kuphatikiza pa magulu a TNM, kansara yaing'ono ya m'mapapo ya mitsempha imatha kukhazikitsidwa mwa kugwiritsa ntchito njira yopangira mafilimu opangidwa ndi ma radiation oncologists. Malingana ndi ma radiation oncologists, khansa yaing'ono yamapapu ya m'mapapo imatchedwa "sitepe yochepa" pamene chotupachi chikuphatikizidwa m'munda wolekerera.
Khansara ya m'mapapo ya m'mapapo imatchedwa "siteji yambiri" pamene chotupacho ndi chachikulu kwambiri kapena chikufala kwambiri kuti chikhale mkati mwa munda umodzi wokhazikika. Pamene khansa yafalikira kumalo akutali (matenda a metastatic) nthawi zonse imawonekeratu.
Pali chinthu chimodzi chotsiriza chimene chiri chofunika kwambiri kukumbukira. Ngakhale khansara yaing'ono ya m'mapapo ya m'mapapo siimachira, imachiritsidwa. Mankhwalawa sangangowonjezera moyo koma amathandizanso zizindikiro za khansa ya m'mapapo. Pali mankhwala ambiri omwe akuyang'aniratu m'mayesero a zachipatala , ndipo amapereka chiyembekezo kuti kupulumuka kwa khansa ya m'mapapo ya m'mapapo idzapita patsogolo.
Thandizo ndi Kulimbana
Ngakhale kuti zochepa zatsopano zapezeka ndi khansa ya m'mapapo ya m'mapapo kuposa kansa yaing'ono ya mapapu ya m'mapapo, iyo ikuyamba kusintha. Mavuto a chipatala akuyang'ana njira zatsopano zochiritsira kuchokera kuchipatala kufika ku immunotherapy , ndipo zambiri mwa maphunzirowa zikuchitika panopa. Tengani nthawi yophunzira momwe mungathere pa matenda anu. Khalani wothandizira anu omwe mumasamalidwe anu. Tikuphunzira kuti kukhala gawo lolimbikitsana la gulu lanu la thanzi labwino limangowonjezera khalidwe la moyo, komabe lingakhale ndi gawo mukupulumuka. Pomalizira pake, amayamba kutenga nawo khansa ya m'mapapo. Thehtag ya kupeza anthu pa intaneti ndi #LCSM. Kulowa ndi ena sikungowathandiza okhawo omwe akukhala, koma kungakuthandizeni kuphunzira za mankhwala atsopano a matendawa.
Pomaliza, maganizo omwe athandiza anthu ambiri kuthana ndi zovuta za matenda a kansa ya m'mapapo ya khungu ndi "kusinthira" ziwerengero m'maganizo mwanu. Mutha kumva za khansara yokhala ndi zaka 5 peresenti yokhala ndi moyo wazaka zisanu ndikuganiza kuti izi zikutanthauza kuti 95 peresenti yomwe simudzatha. Anthu ena omwe ali ndi khansara yamapapo atenga njira yosiyana. M'malo mwake mungafune kuyang'ana pa 5 peresenti ya anthu amene apulumuka ndikumanena kuti mukufuna kukhala mmodzi wa iwo. Ndiye, pokhala wothandizira anu omwe mumasamalidwe anu pamene mukuyang'ana zosankha (monga mayesero a zachipatala zomwe zingakhale zoyenera) ndipo yang'anani pazithunzi zomwe zili pamwambapa (monga kusuta fodya kumawonekera kuti kukhale ndi moyo kwa anthu ena omwe ali ndi matenda) ndi kulamulira zomwe mungathe.
Maonekedwe a khansara yamapapo akusintha. Mankhwala akukula, kukhala okhutira komanso ochepa. Kupulumuka mitengo ikukula. Ngakhale omwe manambalawa akukhumudwitsa, pali chifukwa cha chiyembekezo.
> Zotsatira:
> American Cancer Society. Khansa Yam'mimba (Cell Small.) Kugonana kwa Cell Small Lung Cancer Survival Rate by Stage. Kusinthidwa 02/22/16. http://www.cancer.org/cancer/lungcancer-smallcell/detailedguide/small-cell-lung-cancer-survival-rates
> Akudandaula, I. et al. Kuchiza kwa khungu kakang'ono kamene khungu la carcinoma: mawonekedwe amakono ndi tsogolo labwino. European Respiratory Journal . 2010. 35 (1): 292-15.
> National Cancer Institute. Mankhwala Ochepetsa Kachilombo ka Cell Cell (PDQ) - Health Professional Version. Kusinthidwa 01/20/17. https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq