Dera laling'ono laling'ono laling'ono, Tanthauzo, Matenda, ndi Mafupa
Kansa ya m'mapapo ya m'mapapo ya m'mapapo ndi yochepa kwambiri kuposa khansa yaing'ono yamapapu ya mapapu, yowerengera pafupifupi 15 peresenti ya khansa ya m'mapapo. Zimakhala zovuta kwambiri, zikukula mofulumira komanso kufalikira mofulumira, koma nthawi zambiri zimachita bwino ndi chemotherapy.
Kansana ya m'mapapo ya m'mapapo (mosiyana ndi khansa yaing'ono ya mapapo ya mapapu ), imagawidwa mu magawo awiri okha - ochepa komanso ochepa. Anthu pafupifupi 60 mpaka 70 mwa anthu 100 alionse ali ndi matenda ambiri panthaŵi yomwe amadziŵa.
Mwachidule
Khansara yambiri ya khansa ya m'mapapo ya khansa imatchedwa khansa yaing'ono yamapapu ya m'mapapo yomwe yafalitsidwa (yowonongeka) ku madera ena a thupi monga lobe wina wa m'mapapo kapena ubongo.
Zizindikiro
Zizindikiro zingakhale monga:
Zizindikiro zokhudzana ndi khansa m'mapapo:
- Chifuwa chopitirira
- Kudula magazi (hemoptysis)
- Kutupa kwa nkhope ndi khosi
- Kupuma pang'ono
- Kupuma
- Magulu obwerezabwereza a chibayo kapena bronchitis
- Kusokonezeka
Zizindikiro chifukwa cha syndromes , yomwe ndi zizindikiro zomwe zimayambitsa mahomoni obisika ndi chotupa kapena chitetezo cha thupi kumatenda m'malo mwa chotupacho. Ena mwa awa ndi awa:
- Kufooka kwa minofu kumapazi apamwamba, masomphenya akusinthika, ndi kuvutika kumeza (Lambert-Eaten myasthenic syndrome)
- Kufooka, kutopa, ndi mlingo wochepa wa sodium m'magazi (matenda osayenera a antidiuretic hormone secretion (SIADH))
- Kutaya kugwirizanitsa ndi kuvutika kulankhula (kuperewera kwa cerebellar degeneration)
- Kuphimba (kuzungulira) za zikhomo
Zizindikiro chifukwa cha kufalikira kwa zilonda kumadera ena a thupi , mwachitsanzo:
- Ululu kumbuyo, m'chiuno, kapena nthiti ngati chotupa chafalikira ku fupa
- Kuvuta kuvomereza (dysphagia) chifukwa cha chotupa chiri pafupi kapena chikumenyedwa
- Mutu, masomphenya amasintha, kufooka, kapena kugunda ngati chotupa chikufalikira ku ubongo
Zizindikiro zambiri zokhudzana ndi khansa ya mthupi monga:
Kuchiza
Chithandizo cha matenda akuluakulu omwe amapezeka pamtunduwu chimaphatikizapo mankhwala a chemotherapy omwe amaperekedwa okha. Nthaŵi zina ma radiation angagwiritsidwe ntchito poletsa zizindikiro (matenda opatsirana) okhudzana ndi kufalikira kwa khansa, monga kupweteka kwa mafupa, kutuluka magazi m'mapapo, zotupa zomwe zikulepheretsa mpweya ndi kupuma mpweya, kapena ubongo wa ubongo zomwe zimayambitsa zizindikiro zazikulu, monga mutu kapena kufooka.
Zilonda zamakono zikupitirira pa magawo onse awiri a khansa yaing'ono yamapapu ya m'mapapo, pofufuza njira zatsopano zothandizira ndi khansa yaukali.
- Mankhwala Opatsirana Amayi
- Chemotherapy
- Mankhwala Opanga Mafuta
- Kodi Opaleshoni Siinayambe Yachitidwa ndi Khansa yaing'ono Yopewera?
Kuthamangitsani
Kupulumuka kwa khansa yaing'ono ya m'mapapo ya khansa yakhala yabwino kuyambira pakuwonjezereka kwa mankhwala opatsirana pogwiritsira ntchito mankhwala ndi kugwiritsa ntchito PCI, koma kukhalabe otsika. Pakali pano, kuchuluka kwa zaka zisanu zapakati pa selo ya 3 yaing'ono ya khansa yamapapo ndi 8 peresenti, ndipo ndi 2 peresenti yokha ya matenda a 4. Popanda kuchiza, pafupifupi nthawi yokhala ndi moyo ndi matenda aakulu ndi miyezi 2 mpaka 4, ndipo mankhwala amatha miyezi 6 kapena 12. Popeza khansara yaing'ono ya m'mapapo ya m'mapapo ikukula mofulumira, ndipo takhala tikuyenda kutali ndi khansa yowonjezera mofulumira monga khansa ya m'magazi, tikuyembekeza kuti chithandizo chabwino chidzapezeka m'tsogolomu.
Kulimbana
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 wanu ndi banja lanu - ngakhale mutakhala ndi chiyembekezo chochiritsidwa - mukugwirizana ndi kukhala osungulumwa 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.
- Mmene Mungapezere Gulu Lothandizira Khansa Lungwe
- Malangizo Othandizira Kukhalitsa Khansa ya M'magazi
Zotsatira:
Hann, C. ndi C. Rudin. Kusamalira kansana ya m'mapapo ya m'mapapo: kusintha kwakukulu koma chiyembekezo cha mtsogolo. Oncology (Williston Park) . 2008. 22 (13): 1486-92.
National Cancer Institute. Mankhwala Ochepetsa Kachilombo ka Cell Cell (PDQ). 07/07/16. https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq.
Sorenson, M. et al. Khansara ya m'mapapo ya m'mapapo: ESMO Clinical Malangizo a matenda, matenda, ndi kutsata. Annals of Oncology . 2009. 20 Suppl 4: 71-2.