Thandizo la Kusamalira Khansa Yam'mimba

by Lynne Eldridge, MD; Yofotokozedwa ndi Grant Hughes, MD

Kodi Zolinga za Maintenance Therapy for Cancer Lung?

Mwinamwake mwamvapo za anzanu ndi okondedwa omwe akhala akukonza chithandizo cha khansa. Komabe mankhwala opatsirana khansa ya m'mapapo yakhala akuyang'ana pa posachedwapa. Kodi chithandizo cha kusamalidwa chimagwiritsidwa ntchito pa khansa yamapapo ndi chiyani?

Kodi Chithandizo Chokonzekera N'chiyani?

Musanayambe kukambirana za mankhwala omwe amagwiritsidwa ntchito, zimathandiza kufotokozera ndondomeko yothandizira.

Chithandizo chokonzekera ndi mtundu wa mankhwala omwe amagwiritsidwa ntchito ndi khansara yamapapu yapamwamba - makamaka khansara yapamwamba yopanda maselo kuti ayesetse kupulumuka, koma osati "kuchiritsa" khansara. Izi ndi zosiyana ndi mankhwala ena pa magawo oyambirira a kansa ya m'mapapo yomwe ingaperekedwe ndi mankhwala mu malingaliro.

Ikhoza kugwiritsidwanso ntchito nthawi zina kwa anthu omwe ali ndi kansa ya m'mapapo ya m'mapapo (onani m'munsimu.)

Ndondomeko yosavuta ya chithandizo chokonzekera ndi kupitirizabe kuchiza chithokomiro chomwe sichinapite patsogolo poyambitsa chemotherapy - mpaka pali zizindikiro zakuti khansayo yapitirira (poipa). Mwa kuyankhula kwina, ndi chithandizo choperekedwa ndi Cholinga cha kusunga chotupa chomwe sichikulirakulira mwamsanga, osati mankhwala omwe amachitidwa kuti azichepetsanso kapena kuchiza chotupa.

Zolinga za Thandizo la Maintenance

Ndi chithandizo chilichonse cha khansa, mukufunika kuganizira za zolinga za mankhwalawa.

Poganizira izi, n'zosavuta kuyeza kuopsa kwa chithandizo cha mankhwalawa. Zolinga 4 zoyambirira izi ndi:

Kuteteza
Zokonda
Kusamalira matenda
Kulimbana

Thandizo la kusamalira limagwiritsidwa ntchito pokonza matenda. Sizowononga, komabe "zimapanga zambiri" kusiyana ndi kupatsirana mwakachetechete kuti zimapangidwira kuchita zambiri kuposa zisonyezo zokha zokha - cholinga chake ndikulitsa moyo ndi moyo wa moyo panthawi yopulumuka.

Kodi Zimagwiritsidwa Ntchito Liti?

Kufotokozera njira yothandizira kuti khansa ya m'mapapo ipitirire, ndi kugwiritsa ntchito mankhwala pambuyo poti wina wapatsidwa chithandizo cha mankhwala "mankhwala oyamba" a chemotherapy apamwamba (stage IIIA ndi chithunzi cha IV) khansara yamapapo ngati khansara siinapite patsogolo -li mankhwala. Kale m'mbuyomo, anthu sankapitiriridwabe panthawiyi (ndipo m'malo mwake izi zinatsatiridwa ndi nthawi ya " kuyembekezera " - ndiko kuyang'ana zizindikiro ndi maphunziro a radiology kuti aone ngati khansa ikukula) kuthandiza ndi zizindikiro za khansara, ndipo, mwachiyembekezo ndikupangitsa kuti nthawi yamoyo ikhale yopitirira kuposa yomwe inaperekedwa ndi mankhwala oyamba a chemotherapy.

Pali zotsutsana zambiri zokhudzana ndi kugwiritsa ntchito chithandizo chamakono. Mofanana ndi mankhwala aliwonse, zotsatira za mankhwala zimayenera kuyeza phindu lililonse. Ndipo_mu chuma chathu chamakono - mtengo umaganiziranso. Mankhwala opangidwa kuti akhale "okonzanso" angakhale okwera mtengo kwambiri. Kafukufuku wina amasonyeza pang'ono chabe kusintha kwa moyo (nkhani ya masiku mpaka masabata kwambiri), ndipo mabanja nthawi zambiri amasiyidwa ndi kulemera kwabwino kwambiri m'moyo ndi ndalama za mankhwala.

Kodi Amagwiritsa Ntchito Mankhwala Otani?

Pakalipano, pali mankhwala awiri omwe avomerezedwa ndi a FDA kuti asamalire khansa ya m'mapapo.

Mankhwala ena amodzi (ndi mankhwala osakaniza) akuphunziridwa m'mayesero a zachipatala . Mankhwala ovomerezeka ndi awa:

Alimta (pemetrexed) - Mu 2009, a FDA adavomereza kugwiritsa ntchito Alimta pofuna kukonza khansa ya m'mapapo.
Tarceva (erlotinib) - The FDA inavomereza Tarceva kuti igwiritsidwe ntchito monga chithandizo chokonza khansa ya m'mapapo mu 2010.

Ndani Amapindula Kwambiri?

Monga ndi mankhwala ambiri a khansara yamapapo, pali anthu ena omwe amamvera bwino kuposa ena kuchipatala.

Zofufuza ndi Alimta zasonyeza kuti zikuwoneka zogwira mtima kwa anthu omwe ali ndi mapapu adenocarcinoma ndi khansa yaikulu yamapapo ya m'mapapo. Zikuwoneka kuti ndi zothandiza kwambiri kwa anthu omwe ali ndi kusintha kwa EGFR .

Kafukufuku ndi Tarceva amasonyezanso kuti kupulumuka kwapadera kwa anthu omwe ali ndi tizilombo toyambitsa khansa omwe sali khansa ya m'mapapo. Zikuwonekeranso kuti zimapindulitsa anthu omwe ali ndi kusintha kwa EGFR kwambiri kuposa omwe alibe kusintha. Phindu lalikulu kwambiri lopulumuka ndi Tarceva linapezedwa chifukwa chosasuta akazi omwe anali ndi thanzi labwino panthawi ya chithandizo chawo.

Zotsatira Zotsatira ndi Zovuta

Mankhwala Okonza Katundu wa Kansa Kwambiri Yam'mimba

Ngakhale kuti mankhwalawa akugwiritsidwa ntchito makamaka kwa khansa yaing'ono ya m'mapapo ya m'mapapo, mayesero am'chipatala akuposachedwapa amasonyeza kuti pakhoza kukhala ndi gawo mu kansalu kakang'ono ka kansa yamapapu ya m'mapapo pansi pa mzerewu, ndi njira yowonjezera kupulumuka kwabwino kwa anthu omwe akuchitidwa ndi kusamalira sunitinib kuphatikizapo prophylactic cranial kutsekemera.

Thandizo ndi Kulimbana

Zanenedwa kuti chimodzi mwa "zotsatira zoyipa" za chithandizo chokonzekera ndi chakuti anthu sazindikira kuti atha kuchira. Mwa kuyankhula kwina, iwo samawoneka ngati "opulumuka." Zingakuthandizeni kukumbukira kuti mankhwala omwe amachititsa khansa yapachifuwa amaonedwa kuti akukonzekera bwino, ndipo anthu ambiri amene ali ndi kansa ya m'mawere akupitiriza kutenga mankhwala a mahomoni, tamoxifen kapena aromatase inhibitor akamaliza khansa . Zingatithandizenso kutikumbutsa ife tonse za tanthauzo la wopulumuka khansara: Wina ndi wodwala matenda a khansa kuyambira pamene akupezeka ndi matendawa, komanso kwa moyo wawo wonse.

Zikuoneka kuti mankhwala opatsirana khansa ya m'mapapo adzawonjezeka pa chiwerengero cha anthu omwe akugwiritsa ntchito mankhwalawa ndi kufunikira kwake. Lingaliro ndilokuti tikuyamba kudwala khansara ya m'mapapo mochuluka ngati matenda aakulu . Sitingathe kuchiritsa anthu ambiri, koma matendawa amatha kuwongolera kwa nthawi yaitali.

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Kodi Chithandizo Chokonzekera N'chiyani?

Zolinga za Thandizo la Maintenance

Kodi Zimagwiritsidwa Ntchito Liti?

Kodi Amagwiritsa Ntchito Mankhwala Otani?

Ndani Amapindula Kwambiri?

Zotsatira Zotsatira ndi Zovuta

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