Kodi Mungatani Kuti Mupange Opaleshoni Yopangira Matenda?
Kodi dokotala wanu wakuuzani kuti muganizire za opaleshoni ya kansa yamapapo yomwe ilipo? Khansara yamapapu ikagwidwa mofulumira, opaleshoni, popanda kapena chemotherapy ndi ma radiation , ikhoza kupereka mpata wothandizira. Opaleshoni imaganiziridwa makamaka kwa khansa yaing'ono ya m'mapapo ya m'mapapo , ndi opaleshoni ya khansa yaing'ono ya mapapu ya m'mapapo nthawi zambiri imasungira khansa yoyambirira. Kodi opaleshoni ya khansa yamapapo yotani yomwe dokotala akukulimbikitsani idzadalira:
- Malo a chotupa chanu.
- Kukula kwa chotupa chanu.
- Kaya matumbo anu afalikira kapena ayi ku matenda oyandikana nawo.
- Mkhalidwe wanu wathanzi.
- Mapapu anu akugwira bwino ntchito musanachite opaleshoni.
Mitundu ya Opaleshoni ya Khansa Yam'mimba
Mitundu ya opaleshoni ya khansa ya m'mapapo ili m'munsimu. Nthawi pamene lobe kapena gawo la lobe lichotsedwe pali zowonjezera zosankha za njira imene opaleshoniyo idzachitikire kuphatikizapo:
- Thoracotomy - Mu thoracotomy, kutengeka kwakukulu kumapangidwa kupyolera mu matenda kuti athe kupeza chithokomiro cha khansa. Iyi ndi njira yachizolowezi ya opaleshoni yoperekedwa kwa khansa zambiri.
- Kuchita opaleshoni yowonongeka mavidiyo - Mu njira ya VATS, zida zazing'ono zimapangidwa m'chifuwa ndi kupeza mapapo kumapangidwa pogwiritsa ntchito kamera ndi zida zapadera popanda kutsegula pachifuwa monga thoracotomy.
Chiyanjano cha Mkwati
Mphepete mwa mphero imachotsa gawo la mapapu anu lomwe limaphatikizapo chotupa, ndi minofu yowzungulira.
Kawirikawiri imachitika pamene chotupa chimagwidwa mofulumira kwambiri, kapena ngati opaleshoni yomwe ili yowonjezereka ingasokoneze kwambiri kupuma kwanu. Mpata kuti khansara yanu idzabwerera pambuyo pa mtundu uwu wa opaleshoniyo ndi yapamwamba kwambiri kusiyana ndi mitundu ina ya opaleshoni. Phunzirani zambiri za wedge resection opaleshoni ya khansa yamapapo .
Lobectomy
A lobectomy ndi kuchotsedwa kwa mapulopa. Mapapu abwino ali ndi malabe 3 ndipo mapapo a kumanzere ali ndi maola awiri. "Bi-lobectomy" amatanthauza kuchotsa ma lobes awiri. Imeneyi ndiyo njira yowalirana yopaleshoni yomwe imachitidwa pochiza khansa yamapapo. Phunzirani zambiri za Lobectomy
Pneumonectomy
Pneumonectomy imaphatikizapo kuchotsedwa kwa mapapo onse, ndipo ikhoza kuchititsa kutaya kwakukulu kwa mapapo. Ngakhale izi, anthu ambiri omwe ali ndi mapapu abwino amatha kugwira ntchito opaleshoni, amalekerera kukhala ndi mapapo. Pneumonectomy imaonedwa ngati chotupa ndi chachikulu kwambiri kuti chisachotsedwe ndi njira zina zomwe zilipo, kapena ngati chotupacho chiri pamalo apakati m'mapapo. Phunzirani Zambiri Pneumonectomy
Njira Zina Zopangira Opaleshoni Yopewera Mimba
Kawirikawiri, opaleshoni ya khansa ya m'mapapo imapereka chithandizo chabwino kwambiri cha mankhwala. Komabe kwa anthu ena omwe ali ndi kansa ya m'mapapo oyambirira yomwe sagwiritsidwa ntchito, kapena kwa iwo omwe sangachite bwino ndi opaleshoni kumachita kukhalapo kwa zizindikiro zina, thupi lokhazikika la radiotherapy lingagwiritsidwe ntchito mosiyana ndi opaleshoni. Thupi la radiotherapy (stereotactic body radiotherapy) (radiotherapy) (radiotherapy) (radiotherapy) (radiotherapy) (radiotherapy) (radiotherapy) (radiotherapy) . M'maphunziro ena ndi khansa yamapapo oyambirira.
SBRT yagwira ntchito mofanana ndi opaleshoni pochotsa zotupa.
Kupalasa Kwambiri
Kugwiritsidwa ntchito kosaphatikizapo m'mapapo kapena kosaphatikizapo kawirikawiri sikugwiritsidwa ntchito ngati opaleshoni ya khansa ya m'mapapo , chifukwa chakuti khansa zambiri za m'mapapo zafalikira kupyola m'mapapu pa nthawi ya matenda. Njirayi ingatheke kwa anthu ena osankhidwa omwe ali ndi kansa ya m'mapapo yotchedwa bronchioloalveolar carcinoma (BAC) kapena khansa ya m'mapapo yoyambirira komanso matenda a mapapo a mapeto.
Zotsatira:
American Cancer Society. Opaleshoni. Tsatanetsatane wa Guide: Khansa Yam'mimba - Cell Osati Small. Kusinthidwa 07/07/16. https://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-treating-surgery