NED vs Chithandizo ndi Kulimbana
Mwinamwake mwamva wina akunena kuti ali NED, kapena dokotala wanu angagwiritse ntchito mawu awa pofotokoza khansara yanu. Kodi zikutanthauzanji ngati palibe "umboni wa matenda" ndi khansara yanu? Kodi mawuwa nthawi zambiri amagwiritsidwa ntchito? Ndipo zikufanizira bwanji ndi mau ena monga kukhululukira ndi kuyankha kwathunthu?
Palibe Umboni Wodwala (NED): Tanthauzo
Palibe umboni wa matenda (NED) ndi mawu omwe amagwiritsidwa ntchito pamene mayesero ndi mayesero sangapeze khansa mwa munthu amene anachiritsidwa ndi khansa.
NED imafotokozera mfundo pa nthawi-komwe muli lero-opanda zizindikiro za khansara kapena umboni uliwonse wa khansara pa njira zojambula zomwe zilipo panthawiyo. NED ikhoza kukhala yaifupi, kapena ikhoza kukhala yosatha.
Poyankhula za khansa ya m'mawere , mawu akuti palibe umboni wa matenda (NED) sichikutanthauza kuti matendawa adachiritsidwa, chifukwa kuti kubwereza sikungathetsedwe. Kutchulidwa ngati NED kumatanthauza kuti palibe umboni wa khansa iliyonse yomwe ingathe kuzindikiridwa ndi maphunziro monga magazi otupa, CT, MRI, fupa kapena PET.
Kodi NED Imatanthauza Kuti Mukuchiritsidwa?
Madokotala samagwiritsa ntchito mawu oti "mankhwala" poyankhula za ziwalo zamphamvu-ngakhale kuti pakhoza kukhala 99 peresenti kuti khansayo sichidzabweranso. Ndizosatheka kudziwa ngati pali "micrometastases" yomwe ilipo mu thupi lanu, ndiko, metastases zomwe ndizochepa kwambiri kuti zisamawonedwe pa maphunziro a kujambula.
Tikudziwa pang'ono za momwe khansa ya m'mawere imafalikira , koma sitikudziwa chifukwa chake ena amachititsa khansa kubwerera (zaka), ngakhale zaka makumi angapo.
Pali ziphunzitso zomwe zimalongosola maselo osalala kapena maselo amkati omwe angathe kubisala ndi kupewa chithandizo, koma panobe sitili otsimikiza kwathunthu. Mpaka apo ndiye kuti mwina mawu oti "machiritso" adzasungidwa kwa ang'onoang'ono kwambiri "khansa" yoyamba kapena khansa zina zokhudzana ndi magazi.
Malamulo Ena Amatanthauza NED ndi Zambiri
Mwinamwake mwamvapo mawu angapo osiyana omwe amalankhula za kukula kwa khansa.
Ena mwa mawu amenewa amatanthauza chinthu chomwecho koma amagwiritsidwa ntchito kwambiri pa khansa imodzi kapena ina. Malingaliro omwe ali ofanana ndi NED ndi awa:
- Chikhululukiro chonse
- Yankho lathunthu
Ngati khansara ikhoza kubwerera kwathunthu (NED) idzatchedwa kubwereza kapena kubwereza.
Kulimbana
Wina yemwe sanakhale ndi khansa sangamvetsetse chifukwa chake padzakhala mutu womwe umati "kulimbana ndi NED." Kodi simukuyenera kudabwa kwambiri?
Komabe kukhala NED kungakhale malo ochititsa mantha. Pamene mukuchiritsidwa, nthawi zambiri mumawoneka ndi dokotala wanu, ndipo abwenzi anu ndi abwenzi ali pafupi. Zingamveke zosangalatsa, koma anthu ambiri amadzimva chisoni kwambiri akafika pamsitepe uwu. Zingawoneke ngati aliyense yemwe mumadziwa kuti akubwerera ku moyo wanu asanakwane khansara yanu koma inu.
Pamwamba pa izo, anthu ambiri akukumanabe ndi zotsatira zina kuchokera kuchipatala chomwe chinatengera kupita ku NED. Zisonyezo monga kutopa kwa khansa yaukali , kupweteka, kutentha kwambiri , ndi zina zambiri kuposa mlingo wotsiriza wa chemo kapena ma radiation.
Ndiye bwerani mantha. Kuopa khansa kubwereza ndizochitikadi ndipo ziribe kanthu ngati muli ndi khansara yam'mbuyo kwambiri kapena khansara yowopsa. Moyo ndi wosiyana kusiyana ndi khansa isanakwane. Nthawi ina tsitsi lopweteka, tsopano mukuopa kuti khansa ikufalikira mu ubongo wanu.
Chomwe chinakhala chokoma mmero mwanu kuchokera ku zowawa za nyengo, tsopano mukuwopa ndi khansara yomwe imabwerera m'mapapu anu. Kuopa kubwereranso kulikonse. Lankhulani ndi dokotala wanu za mantha awa, ndipo onani ndondomeko izi zokhudzana ndi mantha a kubwereza .
Kuchokera kumbali ina, palinso malingaliro ena omwe mwina mukukumana nawo mukafika ku NED. Ambiri aife timakhala nawo m'magulu othandizira am'deralo kapena pa intaneti ndi ena omwe akuyang'anira khansa ya m'mawere. Anthu ambiri amadabwa atasamba ndi ziphuphu za pinki kuti azindikire kuti chiwerengero cha kufa kwa khansa ya m'mawere sichinasinthe kwambiri. Ndithudi, njira zomwe mungasamalire pa matenda oyamba msinkhu akuchepetsa chiopsezo cha kubwereranso, koma kubwerera kumakhalabebe.
Pamene kutalikiranso kwapadera kumachitika (khansa ya m'mawere kapena masewera 4) palibe mankhwala omwe angatheke. Izi zikutanthawuza kuti ngati muli ndi anthu omwe akugwirizanitsa ndi khansa ya m'mawere, mumataya anzanu. Mawu omwe apulumukawo amadziimba mlandu pofotokozera izi nthawi zina kulakwa komwe kumatikhudza tikakhala ndi moyo, koma abwenzi athu ndi okondedwa athu satero.
Kuwala kwatsopano kunayambika pa NED ndi Breast Cancer Recurrence
Ndi malingaliro a mankhwala atsopano kwa anthu ena omwe ali ndi chifuwa choyambirira mu 2017 amamvetsa bwino pang'ono momwe maselo a khansa ya m'mawere angabisire ndiyeno nkuyamba kukula kachiwiri zaka zambiri kenako. Kwa amayi omwe ali ndi khansa ya m'mawere ya postmenopausal yomwe imalandira chithokomiro cha postropephonal, mankhwala a bisphosphonate Zometa (zoledronic acid) tsopano akulimbikitsidwa ngati mankhwala adjuvant. Mankhwalawa omwe agwiritsidwa ntchito kwa osteoporosis ndi mafupa a metastases amawoneka akukhudza microenvironment mu fupa. Microenvironment ndi maonekedwe a minofu yozungulira khansara. Momwemo zingachepetse chiopsezo cha mitsempha ya mafupa yomwe imachitika poyamba.
Zotsatirazi zachititsa akatswiri kukayikira ngati maselo a khansa ya m'mawere (pamene ali ndi NED) amakhala pamtambo. Pamene microenvironment ikasintha, pazifukwa zina, maselowa amayamba kukula. Popeza kuti 90 peresenti ya imfa ya khansa ya m'mawere imakhudzana ndi metastases, kufufuza mu njirayi ndikofunikira kwambiri.
Zotsatira Zotsatira
Tikuyamba kulongosola "zosowa zapulumuka," koma sitili panobe. Malo ena a khansa "amakugwetsani" ndi dongosolo lopulumuka, kapena amapereka mapulogalamu a "kukonzanso khansa". Koma nthawi zambiri zimakhala ngati "kukhala wosangalala-iwe umakhala-kukhala ndi moyo wabwino!"
Ngati muli NED ndi khansa ya m'mawere, yang'anani zizindikiro ndikuphunziranso zambiri zokhudza kubwerera kwa khansa ya m'mawere . Mungadabwe chifukwa chake simukukonzekera zojambula zowonongeka nthawi zonse (monga PET) pamene anthu ali ndi khansa. Chifukwa chake n'chakuti ngakhale kuti ziwonetserozi zingasonyeze kuti zimakhala zochepa kale kusiyana ndi zizindikiro zokhazokha, palibe umboni wosonyeza kuti kupulumuka kuli bwino mwa kuzindikira zizindikiro za kubwereza zisanakhale zizindikiro zilizonse.
Khalani ndi moyo wathanzi. Pali umboni wina wakuti kudya zakudya zabwino komanso kuchita masewera olimbitsa thupi kungachepetse ngozi. Pezani mokwanira, ndipo ngati mukuvutika ndi zovuta, kambiranani ndi dokotala wanu. Kafukufuku amasonyeza kuti khansa ya m'mawere ikhoza kubwereranso kwa amayi omwe akuvutika ndi kusowa tulo . Ndipo fufuzani njira zothetsera nkhawa. Monga kusowa tulo, maphunziro amatiuza kuti nkhawa ingathandize anthu ena kuchoka ku NED kuti abwererenso. Taganizirani zolemba. Ndipo, mwachinsinsi, taganizirani za zonse zomwe mwapeza muzochitika zanu. Tikuphunzira kuti kuwonjezera pa kupsinjika maganizo, kupyolera mu khansa kungayambitse kukula. M'mawu ena, khansara imatha kusintha anthu kukhala abwino!
> Zotsatira:
> Memorial Sloan Kupanga Khansa Yaikulu. Kodi "Chithandizo" ndi chiyani? Https://www.mskcc.org/pediatrics/cancer-care/types/neuroblastoma/what-cure