Chimene Ndikukhumba Aliyense Wodziwa Zokhudza Khansa Yam'mimba
Pafupipafupi nthawi iliyonse yomwe timakambirana za khansa ya m'mapapo ndi munthu amene timakumana naye, timakumbutsidwa za kusamvetsetsana kumene anthu ali nako. Monga chitsanzo chofulumira, nthawi zambiri takhala tikudabwa kwambiri ndikudabwa pamene ndikuwuza wina kuti khansara yamapapu ikhoza kuchitika osasuta. (Ndipotu 20 peresenti ya khansa ya m'mapapo mwa akazi imapezeka mwa osuta fodya.)
Pa nthawi yomweyo, nthawi zambiri timamva kuchokera kwa anthu omwe ali ndi kansa ya m'mapapo kuti sangawone ngati akupeza opulumuka nthawi zonse - kapena opulumuka konse.
Ndi zina ziti za kusamvetsetsana kumeneku ndi zodziwika bwino za khansa ya m'mapapo yomwe timafuna kuti aliyense adziwe?
1. Kupita patsogolo kukupangidwa
Kuwonera chiwerengero cha moyo wa anthu omwe ali ndi khansa ya m'mapapo - miyeso yomwe yayamba pang'ono pokha zaka makumi angapo apitayo - zikhoza kuwoneka kuti kupita patsogolo kwa khansa ya m'mapapo sikunayende bwino. Koma izi zili kutali ndi choonadi. Kwenikweni, chifukwa cha polojekiti yaumunthu yaumunthu komanso kumvetsetsa bwino kwa maselo a maselo a mitsempha, tsogolo la khansa yamapapo ya mapapo, kansana ya m'mapapo yopanda makapu, ndi yosangalatsa. Ife tsopano tawunikira chithandizo kwa anthu omwe ali ndi kansa ya m'mapapo ya m'mapapo yotchedwa EGFR zabwino, ROS1 positive, ndi khansa ya m'mapapo ya ALK yabwino . Ndipo ngakhale zili zodziwika bwino kuti mankhwala atsopano amatenga nthawi yaitali kuti akule, nkhani ya khansa ya m'mapapo ya ALK komanso crizotinib ya mankhwala imalimbikitsa mtima wokhala ndi chiyembekezo.
Mu 2007 asayansi atulukira kuti kwa ochepa peresenti (3-5 peresenti) ya anthu omwe ali ndi khansara yamapapu, kukula kwa chotupacho kumayendetsedwa ndi kusintha komwe kumadziwika kuti rearrangement EML4-ALK. Zaka 4 zokha kenako , mu 2011, mankhwala ozunguza bongo a crizotinib adavomerezedwa ndi FDA kuti athetse khansa ya m'mapapo.
Mu 2015, mankhwala ena amapezeka tsopano, akuvomerezedwa kapena akuyesedwa, ndipo alipo anthu omwe akugwiritsa ntchito mankhwala osokoneza bongo m'zaka zitatu (pambuyo poti akutsutsana ndi awiri) omwe akukulirakulira.
Kupititsa patsogolo kwina kukuchitikanso. Njira zatsopano zowonongeka za khansa ya m'mapapo zimakhala zofala. Mankhwalawa amadziwika bwino kwambiri - kupereka mankhwala apamwamba kwambiri poyerekeza ndi minofu yambiri kuposa kale.
2. Pali opulumuka nthawi yaitali
Nthawi zambiri timapemphedwa ngati pali opulumuka nthawi yayitali kuchokera ku khansa ya m'mapapo - makamaka khansa ya mapapo 4 yamapapo. Yankho ndilo inde. Ngati tikanakhala ndi "zida za Scotty" zomwe zimachokera ku Star Trek kotero kuti anthuwa adzalandire nthawi yowonjezereka ku msonkhano wa LUNGevity HOPE ku Washington DC mu 2013. Msonkhano wosangokhala ndi zaka 13 zokha zomwe zidapulumuka khansa ya m'mapapo 4, koma chipinda chimodzi za opulumuka mazana asanu ndi awiri a khansa yamapapo, zimatibweretsera misonzi ya chisangalalo nthawi zonse tikakumbukira.
Zowonjezereka: Pa zokambirana za 2014, 2015, ndi 2016 ZOPHUNZIRA ku Washington DC, tinakumana ndi opulumuka ambiri a nthawi yaitali a khansa ya m'mapapo. Sitingakuuzeni chiyembekezo chimene tinamva pamene tinamvetsera nkhani yotsatira nkhani ya anthu omwe ali ndi moyo chifukwa cha mankhwala osokoneza bongo kapena mankhwala omwe amapezeka kumene m'mayesero a kachipatala, omwe ngakhale zaka zitatu zapitazi, sakanakhalapo kuti agawane nkhani yawo .
Monga ndemanga ina pano, ndikofunika kumvetsa zomwe ziwerengero zapulumuka zimatanthauza. Kupulumuka mitengo ndi ziwerengero. Anthu si chiwerengero. Aliyense yemwe ali ndi khansa yamapapo ndi yosiyana, ndipo khansara iliyonse yamapapo ndi yosiyana. Kuwonjezera pamenepo, ndizofunika kukumbukira kuti ziwerengero zomwe tili nazo za khansara yamapapo zili ndi zaka zingapo panthawi yomwe zimakhala zolembedwa. Mwachitsanzo, chidziwitso chaposachedwapa cha khansa yamapapo chimachokera mu 2009 - mankhwala atsopano a khansara yamapapo adavomerezedwa kuyambira nthawi imeneyo.
Ngati mukufuna kupeza kapena kumva za opulumuka nthawi yaitali a kansa yamapapo pali malo angapo omwe mungayambe.
Inde, pali Msonkhano wapachaka wa HOPE womwe tamutchula pamwambapa (zomwe sitinanenepo zinali mtengo wa kuyenda kwa ndege ndi hotelo - popanda.)
3. Pali thandizo
Ngakhale kuti zasokonekera kumbuyo kwa khansara ya m'mawere, kuthandizira khansa ya m'mapapo ikupeza mofulumira ku United States. M'mbuyomu zinali zachilendo kuti munthu amene ali ndi khansara yamapapu asakumane ndi wopulumuka wina; Kufikira kwa anthu ena omwe ali ndi khansara yamapapo tsopano akupezeka 24/7 kudzera pa intaneti. Kuwonjezera pa magulu othandizira ammudzi, magulu othandizira pa intaneti, ndi zipinda zogwiritsa ntchito, ma kampeni angapo a khansa yamapapu amapereka chithandizo chothandizira pothandizira anthu onse omwe ali ndi kansa ya m'mapapo ndi osamalira awo. Onani nkhaniyi yokhudzana ndi momwe mungapezere gulu lothandizira khansa yamapapo .
4. Osakhala Osuta Amuna Amatulutsa Khansa Yambiri
Monga taonera kale, amayi 20 pa 100 aliwonse omwe amakhala ndi khansa ya m'mapapo sizimasuta, ndipo 10-15 peresenti ya anthu ambiri omwe ali ndi kansa ya m'mapapo sakhala akusuta. Chimene chikhoza kukudodometseni kwambiri kuti anthu ambiri omwe amayamba khansa yamapapo lero si osuta fodya, kutanthauza kuti mwina samasuta, kapena omwe amasuta fodya omwe adasiya kale.
5. Amayi Ambiri Amamwalira Kuchokera ku Khansa ya M'mimba Kusiyana ndi Khansa ya M'thupi
Ngakhale timakonda kumva zambiri za khansa ya m'mawere mwa amayi kuposa khansa ya m'mapapo mwa amayi, khansara yamapapo imapha amayi ambiri ku United States chaka chilichonse kuposa khansa ya m'mawere . Tsoka ilo, pamene tikuganizira za amayi athu, alongo athu, ndi ana athu aakazi ndi khansara ya m'mawere, timaiwala kuti tikhoza kutaya amayi athu ndi alongo ndi ana athu a khansa ya m'mapapo. Pazinthu zina, pamene tikumva za mammogram ndi udindo wawo pakuzindikira kansalu ya m'mawere, kugwiritsa ntchito kuyesera kwa CT (mwa anthu ena) pofuna kuzindikira koyambirira kwa kansa ya m'mapapo yakhala ikuchedwa kuchoka.
6. Simukufunikira Kulandira "Zatsopano"
Ife tazimva izo kawirikawiri tsopano zakhala pafupifupi cliche. Pambuyo pa chithandizo cha khansa, opulumuka amayenera "kulandira zachilendo." Koma nchifukwa ninji ndi zosiyana ndi khansa? Ngati mukumudziwa wina yemwe wagwidwa ndi sitiroko, kapena kuti bondo m'malo mwake, mwinamwake mwamva kuti kukonzanso ndi gawo lofunika kwambiri la kuchira kwawo. Ndi khansa, zingaoneke kuti mmalo mwake mumauzidwa kuti "muli ndi mwayi wokhala ndi moyo" ndipo mutumiza njira yanu. Sitikudziwa bwino momwe chithandizo chamatenda amathandizira panthawi yamtsogolo komanso pambuyo pa maperembudzi a m'mapapo, koma maphunziro oyambirira amasonyeza kuti zimapangitsa kuti moyo ukhale wabwino komanso kuti athe kuchita nawo ntchito tsiku ndi tsiku. Ngati kupuma kwanu sikukugwirizana ndi zomwe munakumana nazo ndi khansa yapangapangidwe, funsani dokotala ngati kukonzanso mankhwala kumathandiza kungakuthandizeni.
7. Njira Zochiritsira Zina Zingakuthandizeni Kukula Pamene Mukupulumuka
Malo opatsirana khansa akupitiriza kupereka mankhwala "othandizira" kwa odwala awo omwe ali ndi khansa. Ngakhale kuti mankhwalawa sanapangidwe kuti apulumuke, ambiri awonetsedwa m'maphunziro odalirika kuti apititse patsogolo umoyo wa moyo ndi umoyo wa anthu okhala ndi khansa ya m'mapapo. Onani zina mwa mankhwalawa, komanso kafukufuku wamankhwala akuthandizira ntchito yawo kwa anthu omwe ali ndi khansa.
- Kuchulukanso kwa odwala khansa
- Ubwino wa Qigong kwa Anthu Amene Ali ndi Khansa
- Yoga kwa Anthu Amene Ali ndi Khansa
- Mankhwala Opangira Khansa Odwala
- Kusinkhasinkha kwa Anthu omwe ali ndi khansa
- Ubwino Wothandizira Misala a Khansa Odwala
- Mapindu a Music Therapy kwa Anthu omwe ali ndi khansa
8. Pali Free Stuff kwa Anthu Amene Ali Ndi Khansa Yam'mimba
Chaka chonse, makamaka mwezi wa Oktoba, mwinamwake mwamvapo za mafilimu omwe amapezeka kwa odwala khansa ya m'mawere. Koma zinthu zaulere sizingokhala kwa anthu omwe ali ndi khansa ya m'mawere. Onetsetsani zomwe zilipo mfulu kwa anthu omwe ali ndi kansa ya m'mapapo, kuyambira pa wigs mpaka kubwerera.
Ngakhale ngati Wina Wasuta, Palibe Amene Akuyenerera Khansa
Ngakhale kuti kusuta ndikowopsa kwa khansa ya m'mapapo, palibe amene amayenera kukhala ndi khansara yamapapo. Ndichifukwa chiyani pamene munthu atapezeka kuti akuwombera ndi anthu akufunsa kuti akhala akusuta nthawi yaitali bwanji? Sitimapempha anthu omwe ali ndi khansara yam'koloni kwa nthawi yayitali bwanji, kapena anthu omwe akufunsana ndi khansara ya m'mawere ndi nthawi yomwe akuyamwitsa mwana wawo aliyense. Palibe amene amayenera kutenga khansa, ndipo aliyense amene ali ndi khansara ayenera kulandira chikondi, chifundo, ndi chithandizo chamankhwala chabwino kwambiri.
10. Pali chiyembekezo nthawi zonse
Pomalizira, ndipo chofunikira kwambiri, nthawi zonse pali chiyembekezo. Kwa anthu ena, izo zingatanthawuze kutenga nawo mbali mu kuyesedwa kwachipatala. Koma ngakhale mutasankha kuti musapite kuchipatala nthawi zonse muli ndi chiyembekezo - chiyembekezo cha moyo wabwino patsiku lanu lomaliza. Chiyembekezo kwa anthu a m'banja mwanu omwe adzasunga cholowa chanu. Chiyembekezo cha tsogolo lomwe khansara yamapapu imalephera komanso yowonongeka kwambiri. Chiyembekezo cha zomwe zikukuyembekezerani ku mbali inayo.
Zotsatira Zotsatira:
Ngati mukukhala ndi khansara yamapapo, onani ngati mwamva zinthu izi zomwe zingapangitse kusiyana mu umoyo wanu komanso mwinamwake kupulumuka:
Ngati muli ndi wokondedwa ndi khansa ya m'mapapo sizimveka bwino zomwe muyenera kuchita komanso musanene kapena zomwe muyenera kuchita kapena musachite:
- Zinthu Zosafunika Kunena kwa Wina Wodwala Khansa Yam'mimba
- Malangizo Othandizira Wokondedwa ndi Khansa
Zotsatira:
Cagle, P., ndi L. Chirieac. Kupititsa patsogolo pochiza khansa yamapapo ndi mankhwala opatsirana. Archives mu Pathology ndi Lab Medicine . 2012. 136 (5): 504-9.
Maofesi a Kuletsa ndi Kuteteza Matenda. Mawerengedwe a Khansa Yam'mimba. Kusinthidwa 10/23/13. http://www.cdc.gov/cancer/lung/statistics/
Pillai, R., ndi S. Ramalingam. Kupititsa patsogolo pa Kufufuza ndi Kuchiza kwa Khansara Yopanda Kulimbana ndi Cell. Mankhwala a khansa yotchedwa Therapeutics . 2014 Feb 10. (Epub patsogolo pa kusindikiza).