
Kupuma (kupuma pang'ono) ndi khansa ya m'mapapo ndi chizindikiro chovutitsa chomwe chimafuna chithandizo chamankhwala mwamsanga. Bukuli likuwunikira za matenda, njira zamankhwala, komanso chithandizo chothandizira chomwe chikupezeka ku China chothana ndi kupuma movutikira komwe kumakhudzana ndi khansa ya m'mapapo. Tiwona njira zosiyanasiyana, ndikuwunikira kufunikira kochitapo kanthu mwachangu komanso chisamaliro chamunthu payekha.
Kupanda mpweya mu khansa ya m'mapapo kungayambitsidwe ndi zifukwa zingapo, kuphatikizapo kukula kwa chotupa cholepheretsa mpweya, pleural effusions (madzimadzi ozungulira m'mapapo), matenda a m'mapapo, ndi zotsatira za khansa pamtima ndi mapapo. Kuvuta kwa kupuma kumasiyana mosiyanasiyana kutengera gawo la khansa komanso thanzi la munthu.
Kuzindikira kolondola kumayamba ndi mbiri yakale yachipatala, kuyezetsa thupi, ndi kuyezetsa zithunzi monga chifuwa cha X-ray, CT scan, ndi bronchoscopy. Njirazi zimathandiza kudziwa chomwe chimayambitsa kupuma komanso kukula kwa khansa ya m'mapapo.
Kasamalidwe kachipatala amayang'ana kwambiri kuthana ndi zomwe zimayambitsa kupuma. Izi zingaphatikizepo mankhwala monga bronchodilators kuti atsegule mpweya, okodzetsa kuti achepetse kuchulukana kwamadzimadzi, chithandizo cha okosijeni kuti apititse patsogolo milingo ya okosijeni, komanso kasamalidwe ka ululu chifukwa cha kusapeza bwino. Nthawi zina, chithandizo cha radiation chingagwiritsidwe ntchito kuchepetsa zotupa zomwe zimalepheretsa mpweya. Shandong Baofa Cancer Research Institute imapereka njira zotsogola zachipatala zogwirizana ndi zosowa za munthu payekha.
Njira zochepetsera pang'ono, monga thoracentesis (kukhetsa madzi kuchokera ku pleural space) kapena kulowererapo kwa bronchoscopic kuchotsa zotsekeka, kungapereke mpumulo wabwino pakupuma. Njirazi nthawi zambiri zimakhala ndi nthawi yochepa yochira kusiyana ndi maopaleshoni ambiri.
Nthawi zina, opaleshoni ingakhale yofunikira kuchotsa zotupa kapena kuthana ndi zovuta zina zomwe zimayambitsa kupuma. Mtundu wa opaleshoniyo umadalira malo ndi kukula kwa khansayo.
Chisamaliro chothandizira chimakhala ndi gawo lofunikira pakuwongolera kupuma komanso kukonza moyo wabwino. Izi zikuphatikizapo kupuma kwa physiotherapy kuti athandize kupuma bwino, chithandizo chamaganizo kuti athe kuthana ndi nkhawa ndi nkhawa zomwe zimagwirizanitsidwa ndi matendawa, komanso njira zothandizira kupweteka. Chisamaliro cha Palliative chimayang'ana kwambiri pakuchepetsa zizindikiro ndikuwongolera chitonthozo kwa odwala omwe ali ndi khansa yam'mapapo yapamwamba.
Kuyendetsa dongosolo lazaumoyo kungakhale kovuta. Kufunafuna chisamaliro m'malo odziwika bwino ndi akatswiri odziwa za oncologists komanso akatswiri opumira ndikofunikira kuti pakhale zotsatira zabwino. Ukadaulo ndi zothandizira zomwe zikupezeka kuzipatala zotsogola ku China zimatsimikizira kuti odwala amalandira chisamaliro chokwanira, chozikidwa ndi umboni kwa awo China chithandizo cha kupuma movutikira mu khansa ya m'mapapo. Ganizirani zinthu monga mbiri ya chipatalacho, chithandizo chamankhwala chapadera chimene chilipo, ndiponso zimene achipatala akudziwa posankha zochita. Kuti mumve zambiri pazothandizira ndi chithandizo, nthawi zonse zimalimbikitsidwa kuti mulankhule ndi dokotala.
Zizindikiro zoyamba zimatha kukhala zobisika ndipo nthawi zambiri zimatengera matenda ena opuma. Kutsokomola kosalekeza, kutsokomola magazi, kupweteka pachifuwa, kuonda mosadziwika bwino, komanso kutopa ndi zizindikiro zina. Ndikofunikira kukaonana ndi dokotala ngati mukukumana ndi zizindikiro zilizonse.
Masitepe amathandizira kudziwa kukula kwa khansa ndikuwongolera zosankha zamankhwala. Njira ya TNM (Chotupa, Node, Metastasis) imagwiritsidwa ntchito kwambiri, kugawa kukula kwa chotupa, kukhudzidwa kwa ma lymph node, ndi kupezeka kwa metastasis.
| Njira Yochizira | Ubwino | Zomwe Zingatheke |
|---|---|---|
| Chithandizo cha Oxygen | Kuwonjezeka kwa mpweya wabwino, kuchepetsa kupuma | Kuuma pang'ono kwa mphuno, kukwiya kwapakhungu nthawi zina |
| Chithandizo cha radiation | Kuchepa kwa chotupa, kutsegula kwa mpweya | Kutopa, kuyabwa pakhungu, kuwonongeka komwe kungachitike m'mapapo |
| Mankhwala (bronchodilators) | Mpweya womasuka, kupuma kosavuta | Kunjenjemera, kuchuluka kwa mtima (nthawi zina) |
Chodzikanira: Izi ndizomwe zimadziwika bwino ndipo sizipanga upangiri wachipatala. Nthawi zonse funsani ndi dokotala wodziwa bwino zachipatala kuti mudziwe ndi kuchiza matenda aliwonse.
Zochokera: (Lembani magazini ndi mabungwe oyenerera azachipatala pano okhala ndi masanjidwe oyenera a mawu, mwachitsanzo, National Cancer Institute, magazini odalirika azachipatala okhudzana ndi khansa ya m'mapapo ndi chithandizo cha kupuma movutikira. Onetsetsani kuti mukugwiritsa ntchito zolondola komanso zodalirika.)
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