Maulendo ndi Zojambula Zotsatira Kachilombo ka Khansa Yam'mimba
Kodi mukufunikira kudziwa chiyani za kutsata pambuyo pa chithandizo cha khansa yamapapo? Ndi kangati mukufunika kuti mukhale ndi maulendo a kuchipatala, ntchito ya magazi, ndi zolemba? Chotsatira chimabwera ndi chiyani?
Kutsata ndi Kupulumuka
Kumvetsetsa kutsatila ndi mbali imodzi chabe ya zomwe zakhala zikupangidwa kuti "kupulumuka." Potsirizira pake akuzindikiranso kuti anthu amasintha chifukwa cha chithandizo cha khansa. Ndipo monga momwe timalimbikitsira kukonzanso ngati munthu ali ndi matenda a stroke kapena bondo m'malo mwake, ndizofunika kwa iwo omwe amatha kuchiza khansa yamapapo kuti amvetsetse njira zotsatirazi mu machiritso.
Ngati mwafika pa sitejiyi paulendo wanu, mwina mukudabwa ndi zina mwakumverera kwanu. Mwinamwake mwadziwonetsera nokha kuti mumakhala wokondwa ndipo mukukondwerera nthawi yomwe mankhwala akutha, ndipo dzifunseni chifukwa chake simukumva choncho. Ndipotu, anthu ambiri omwe akutsatira ndondomekoyi - makamaka kulumphira kwakukulu kudutsa pakamwa kuchokera ku khansa yogwira ntchito kuti azitsatira ndi kupulumuka - amadzimva chisoni kwambiri. Nanga bwanji tsopano?
Kupulumuka Mapulani
Kuwonda pambuyo pa khansara sikukambidwa kawirikawiri mukamachizidwa, kapena ngakhale kumapeto kwa chithandizo. Kusamalira khansa kukusintha ndipo tsopano tikulimbikitsidwa kuti aliyense akhale ndi chipulumutso chotha. Kuzindikira kwa izi kumatha kusintha mosiyana, koma pali zinthu zina pa intaneti ngati simudziwa bwino. Mukuyamba kuti? American Society of Clinical Oncology imapereka dongosolo la chisamaliro cha kusamalira ASCO kuti mungasindikize.
Tidzakhala tikugawana zambiri apa posachedwa.
Kusankhidwa kwa Kliniki Yotsata
Mukamaliza mankhwala mankhwala anu adzalangiza kuti mubwerere nthawi zina. Izi zidzasintha kwambiri malingana ndi mtundu wanu wa khansa ya m'mapapo, komanso momwe mungayankhire ndi zotsatirapo panthawi ya mankhwala. Maumboni otsogolera awa sadzakhala nawo nthawi, komabe ambiri opulumutsidwa ndi khansa adzawonekeranso ndi ovomerezeka, pachaka, kwa moyo wawo wonse.
Cholinga cha maulendowa ndi katatu:
Kuyang'anira zizindikiro za kubwereza - Pafupifupi aliyense yemwe ali ndi khansara yamapapu amakhala ndi chiopsezo kuti matendawa ayambiranso. Dokotala wanu adzakufunsani mafunso (tengani mbiri) yesani kuyeza, ndipo mwinamwake muyese kufufuza kalabu ndi kufufuza zojambula kuti muyang'ane chizindikiro chirichonse cha kubwereza khansa ya m'mapapo.
Kufufuza khansara yachiwiri - Mukakhala ndi khansara yamapapu muli ndi chiopsezo chachikulu chokhazikitsa khansara yachiwiri ya m'mapapo . Kuonjezera apo, mankhwala ena a kansa ya m'mapapo kuphatikizapo chemotherapy ndi mankhwala omwe amachititsa mazira amachititsa kuti pakhale chiopsezo chokhala ndi khansa yachiwiri yosagwirizana monga lymphoma (yotchedwa khansa yachiwiri).
Kuwonekeratu kuti zotsatira zosaleka za khansa - Zotsatira za mankhwala angapitirire nthawi yaitali chithandizo cha khansa chitatha. Kuonjezera apo, zotsatira zina siziyambira mpaka zaka, kapena ngakhale zaka zitatha mankhwala atatha.
Mankhwala Okonzekera
Pakutha mankhwala, anthu ena amapatsidwa mankhwala osamalira. Izi zikhonza kukhala mankhwala kuti musayime khansa ngati muli ndi umboni wa khansa kapena kuchepetsa chiopsezo cha kubwereza. Ndikofunika kutengera izi nthawi zonse komanso nthawi yomweyo.
Zotsatira Zotsatira
Ngati mukumudziwa wina yemwe wathetsa khansa, mumadziwa bwino zotsatila. Izi zimayambitsa nkhaŵa zokwanira kuti zitha kupatsidwa nthawi yawo: zosokoneza .
Kuchuluka kwa zojambulazi kumachepetsedwa ndi nthawi komanso kumasiyana kwa aliyense, ndi zifuwa za CT zimakhala zikuchitika miyezi itatu iliyonse kwa zaka zitatu, ndiye pachaka. Sidziŵika kuti izi zikhoza kuimitsidwa, ngakhale ngati CT scans sizingakwanitse pakapita kanthawi. Mayesero ena monga bronchoscopy, m'mimba ultrasound, ubongo wa CT ndi mafupa angapangidwe nthawi zonse.
Ndikumvetsera, mungamve za kutsutsana kumeneku ndi CT scans. Funso lokhudzana ndi zochitikazi ndilo ngati pali phindu lopulumuka kapena ayi. Kodi kupeza kansara kawirikawiri asanakhalepo ndi chiwonongeko chowopsa kapena kukhala ndi moyo wabwino kwa opulumuka? Ambiri mwa mafunsowa tsopano akukambidwa mu mayesero a zachipatala.
Kukhalabe Wathanzi
Pamene muli pakati pa chithandizo cha khansa, cholinga chachikulu chimapulumuka. Cholinga cha kudya ndiko kupeza zakudya ndi mapuloteni, osadya zakudya zoopsa za antioxidant zomwe zingathe kukhala zovulaza chifukwa zingathe "kuteteza" maselo a kansa.
Mukamaliza kumwa mankhwala ndi nthawi yabwino yothetsera mavutowa. Kudya chakudya chopatsa thanzi n'kofunika, koma kuti musangalale, pali zakudya zina zomwe zingachepetse chiopsezo cha khansara yachiwiri ya mapapo kapena zakudya zomwe zingathandize kuthana ndi khansa yamapapo . Kuchita masewera olimbitsa thupi n'kofunika pochepetsa chiopsezo cha kubwereza, ndipo ngakhale kuti kusowa tulo kungawoneke ngati chinthu chokhumudwitsa, kuthetsa vutoli kungapangitse zotsatira zake.
Kulimbana ndi Zotsatira Zathupi za Khansa
Ngakhale sizinayankhulidwe nthawi zambiri, anthu ambiri amakumana ndi zotsatira za mankhwala a khansa yamapapo . Ndipotu, anthu ambiri amachita. Kafukufuku wina anapeza kuti patatha zaka 10 ataphunzira, anthu 80 mwa anthu 100 alionse omwe ali ndi matenda a khansa adakali ndi vuto la kudwala khansa. Pali zotsatira zochepa za mankhwala omwe amachititsa mankhwala a chemotherapy komanso zotsatira za nthawi yaitali za mankhwalawa . Kuonjezera apo, anthu ambiri amakumana ndi kupweteka pachifuwa pambuyo pa opaleshoni ya khansa yamapapo yomwe imatchedwa matenda a post-thoracotomy. Lankhulani ndi dokotala wanu za zizindikiro zirizonse zomwe mukukumana nazo. Ambiri mwa anthu omwe ali ndi khansa yamapapo ndi awa:
- Ululu (makamaka ululu wa post-thoracotomy)
- Kutopa
- Kupuma pang'ono
- Kukuda
Kukonzekera kwa mankhwala ("mankhwala opatsirana") ndi malo atsopano, koma kafukufuku akusonyeza kuti izi zingathandize anthu kuthana ndi mavuto a nthawi yayitali yokhudzana ndi khansa ya m'mapapo.
Kulimbana ndi Zotsatira Zokhudzana ndi Khansa
Thupi ndi malingaliro zimayendera limodzi, choncho sizodabwitsa kuti anthu ambiri amakumana ndi zipsinjo zokhuza mtima pambuyo pa chithandizo cha khansa. Izi zikhoza kukhala zovuta - monga matenda odwala matenda opatsirana omwe amatha kudwala matenda a khansa - kapena ochepa kwambiri, monga zovuta zowonongeka ndi kuvutika maganizo. Khansara imasintha anthu, ndipo mungaone kuti yankho lanu ku zosiyana ndi zomwe zikanakhalapo kale-khansa. Mwachitsanzo, zapezeka kuti opulumutsidwa ndi khansa amayamba kufotokozera zinthu zina zomwe sizikhala ndi khansa m'moyo wawo ndi kupeŵa - ndikuyembekeza kuti chilichonse chomwe chidzachitike chidzatha basi. Ndizomveka. Pambuyo pa khansa, zinthu zing'onozing'ono zimakhala zochepa, komabe zokhudzana ndi kusintha komwe kumasokoneza kuti mumatha kukhala ndi khansa ndibwino.
Kulimbana ndi zoopsa za khansa sizikutanthauza kuti muyenera kuwona wodwalayo - ngakhale kuti akufufuza ndi odwala khansa ya m'mawere akuganiza kuti izi zingapangitse kukhala ndi moyo kwa nthawi yaitali. Pali njira zambiri zomwe anthu angathe kuthana ndi maganizo a khansa ya m'mapapo. Mungafune kuyanjana ndi gulu lothandizira . Kapena mwinamwake, kuyamba kufalitsa ulendo wanu wa khansa . Anthu ena amapeza kuti maganizo / thupi lachiritsi kwa odwala khansa akhoza kusintha kwambiri m'maganizo komanso kuchiritso pambuyo pa khansa.
Kuyanjana ndi Ena M'madera a Khansa Yam'mimba
Ngakhale mutapeweratu magulu othandizira panthawi yachipatala, makamaka ngati mukufuna kupitiriza ndi moyo wanu, kukhala okhudzidwa mwanjira ina mu kansa yaikulu ya mapapu ndi imodzi mwa zinthu zabwino zomwe mungachite nokha. Izi zingathandize m'njira zambiri:
- Maphunziro - Ngati mwangomaliza kumene kuchiza mwinamwake mukudziwa bwino momwe mankhwala opatsirana khansa ya m'mapapo asinthira - komanso mofulumira kwambiri. Pakati pa 2011 ndi 2015 panali mankhwala ena atsopano omwe amavomereza khansara yamapapo kuposa zaka makumi anai asanakwane chaka cha 2011. Monga momwe tikudziwira tsiku ndi tsiku zokhudzana ndi chithandizo, tikuphunzira zambiri za kubwereza. Kukhala nawo m'magulu a khansa yamapapu kumakupatsani mpata woti mumve za kupita patsogolo - nthawi zina ngakhale musanayambe kumudzi wanu.
- Kuthandizira - Kungokhala ndi mwayi wolankhula ndi ena omwe "akhalapo" ndi wamtengo wapatali.
- Kubwereranso - Mudaphunzira chidziwitso chonse ichi, tsopano mungatani ndi izo? Kupereka kumbuyo sikukutanthauza kuti mumayenera kuthera nthawi yochulukirapo - makamaka, pambuyo pa khansa yamapapo, mwinamwake muli ndi zambiri zomwe mukuzichita mu moyo wanu. Tengani kamphindi kuti muwone zina mwa zosankhazo. Mwina mungakhalepo kuti muyankhule ndi munthu yemwe ali ndi khansa yofanana ya khansa yomwe yapezeka? Palinso mbali yotsalira pa izi. Tikudziwa, mwatsoka, khansara yamapapo nthawi zina imabwerera. Ngati izo zikanati zidzachitike, inu tsopano muli nawo anthu omwe akhala nawo mofanana, pomwepo.
Zotsatira:
American Society of Clinical Oncology. Cancer.Net. Khansa Yam'mimba - Sagulu Lalikulu: Kusamalidwa. 08/2015. http://www.cancer.net/cancer-types/lung-cancer-non-small-cell/follow-care
Fukui, T., Okasaka, T., Kawaguchi, K. et al. Kupulumuka Komwe Mumachita Kuchita Opaleshoni Kulimbana ndi Odwala Omwe Ali ndi Cell Osagwira Nkhuku Kupha Khansa. Annals of Surgery Opera . 2016 Feb 22. (Epub patsogolo pa kusindikiza).
Gourcerol, D., Scherpereel, A., Debeugny, S., Porte, H., Cortot, A., ndi J. Lafitte. Kufunika kwa Kuwonekera Kwambiri Pambuyo pa Opaleshoni kwa Mankhwala Osokoneza Matenda a M'thupi. European Respiratory Journal . 2013. 42 (5): 1357-64.
Lowery, A., Krebs, P., Coups, E. et al. Zotsatira za Chizindikiro Chakumangidwa M'magulu Opanda Opaleshoni Opanda Opaleshoni Opulumuka Kansalu. Thandizo Lothandiza ku Khansa . 2014. 22 (1): 173-80.
Poghosyan, H., Sheldon, L., Leveille, S., ndi M. Cooley. Moyo Wokhudzana ndi Zaumoyo Patatha Chithandizo cha Opaleshoni Odwala Odwala Ali ndi Cell Osagwidwa Ndi Khansa Yoyamba: Kukonzekera Mwadongosolo. Khansa Yam'mimba . 2013. 81 (1): 11-26.
Srikantharajah, D., Ghuman, A., Nagendran, M., ndi M. Maruthappu. Kodi Computed Tomography Akutsatira Odwala Pambuyo pa Lobectomy kwa Kachilombo Kakang'ono Kamene Kameneka Kamene Kamapindula Pamoyo Wopulumuka? . Kugwiritsa Ntchito Opaleshoni Yophatikizapo Opaleshoni Ndiponso Opaleshoni Yophulika . 2012. 15 (5): 893-8.