siteji 2b chithandizo cha khansa ya m'mapapo

Gawo 2B Chithandizo cha Khansa Yam'mapapo: Chitsogozo Chokwanira Kumvetsetsa Gawo 2B Khansa Yam'mapapo ndi Machiritso OpezekaBukhuli likupereka chithunzithunzi chonse cha siteji 2b chithandizo cha khansa ya m'mapapo zosankha. Tidzafufuza njira zosiyanasiyana zochizira, kukambirana momwe angagwiritsire ntchito bwino, ndikuwonetsa kufunikira kwa mapulani amunthu payekhapayekha opangidwa mogwirizana ndi oncologist. Kumbukirani, izi ndi zophunzitsa ndipo siziyenera kulowa m'malo mwa upangiri wachipatala. Nthawi zonse funsani ndi wothandizira zaumoyo wanu kuti akupatseni matenda ndi malangizo a chithandizo.

Kumvetsetsa Gawo 2B Khansa Yam'mapapo

Kodi Stage 2B Cancer Cancer ndi chiyani?

Gawo 2B khansa ya m'mapapo zimasonyeza kuti khansa yafalikira kupitirira chotupa chachikulu cha m'mapapo. Mu Gawo 2B, chotupacho ndi chachikulu kuposa kale ndipo chikhoza kufalikira ku ma lymph nodes oyandikana nawo. Kukula kwake komanso kukhudzidwa kwa ma lymph node kumatanthawuza kagawo kakang'ono ka 2B. Masitepe olondola ndi ofunikira kuti mudziwe njira yabwino kwambiri yothandizira. Mayesero osiyanasiyana ozindikira matenda, kuphatikiza ma CT scan, biopsies, ndi bronchoscopy, amagwiritsidwa ntchito kuti akwaniritse zochitika zenizeni.

Zomwe Zimakhudza Zosankha za Chithandizo

Zinthu zingapo zimakhudza kusankha kwa siteji 2b chithandizo cha khansa ya m'mapapo. Izi zikuphatikizapo: Kukula kwa chotupa ndi malo: Kukula ndi malo a chotupa chachikulu zimakhudza kuthekera kwa opaleshoni ndi kukula kwa opaleshoni yofunikira. Kukhudzidwa kwa ma lymph node: Kukhalapo ndi kuchuluka kwa kufalikira kwa ma lymph node oyandikana nawo ndikofunikira pakukonza chithandizo. Thanzi lonse la wodwala: Thanzi la wodwalayo komanso zinthu zomwe zinalipo kale zimakhudza kwambiri kulolerana ndi kuyenerera kwa chithandizo. Mtundu wa khansa ya m'mapapo: Mitundu yosiyanasiyana ya khansa ya m'mapapo (mwachitsanzo, maselo ang'onoang'ono motsutsana ndi maselo omwe si aang'ono) ali ndi njira zosiyana zochiritsira. Kuyesa kwa mamolekyulu kumatha kuzindikira masinthidwe enaake omwe angadziwitse zosankha zamankhwala.

Njira Zochiritsira za Gawo 2B Khansa Yam'mapapo

Opaleshoni

Opaleshoni, yomwe nthawi zambiri imaphatikizapo lobectomy (kuchotsa mapapu) kapena pneumonectomy (kuchotsa mapapu onse), imakhalabe mwala wapangodya wa siteji 2b chithandizo cha khansa ya m'mapapo kwa odwala ambiri. Kukula kwa opaleshoni kumadalira makhalidwe a chotupacho komanso malo ake. Njira zochepa zopangira opaleshoni, monga opaleshoni ya thoracoscopic (VATS) yothandizidwa ndi kanema, nthawi zambiri amakonda kuchepetsa nthawi yochira komanso zovuta. Chisamaliro cha pambuyo pa opaleshoni n'chofunika kuti munthu achire bwino.

Chemotherapy

Chemotherapy, pogwiritsa ntchito mankhwala olowetsa m'mitsempha kuti ayang'ane ma cell a khansa, atha kugwiritsidwa ntchito musanachite opaleshoni (neoadjuvant chemotherapy) kuti muchepetse chotupacho, kuti chikhale chosavuta kuchichotsa. Angagwiritsidwenso ntchito pambuyo pa opaleshoni (adjuvant chemotherapy) kuti achepetse chiopsezo chobwereza. Mitundu yosiyanasiyana ya mankhwala a chemotherapeutic ilipo, ndipo regimen yeniyeni imapangidwira wodwala payekha. Zotsatira zoyipa za chemotherapy ziyenera kukambidwa ndi gulu lazaumoyo.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kupha maselo a khansa. Itha kugwiritsidwa ntchito musanachite opaleshoni, itatha opaleshoni, kapena yokhayokha malinga ndi momwe zinthu zilili. Thandizo la radiation limatha kuperekedwa kunja (kunja kwa beam radiation therapy) kapena mkati (brachytherapy). Zotsatira za chithandizo cha ma radiation zingaphatikizepo kutopa, kuyabwa pakhungu, ndi zina, zonse zomwe ziyenera kuyankhulidwa ndi wothandizira zaumoyo wanu.

Chithandizo Chachindunji

Njira zochiritsira zomwe zimayang'aniridwa zimayang'ana kwambiri kusintha kwa ma genetic mkati mwa maselo a khansa. Mankhwalawa amatha kukhala othandiza kwambiri kwa odwala omwe ali ndi kusintha kwina kwa majini, kusintha zotsatira ndi kuchepetsa zotsatira zake poyerekeza ndi mankhwala achikhalidwe. Kuyeza ma genetic ndikofunikira kwambiri kuti mudziwe zoyenera pamankhwala omwe mukufuna.

Immunotherapy

Immunotherapy imagwiritsa ntchito chitetezo chamthupi kulimbana ndi khansa. Ma immunotherapies ena awonetsa lonjezano pochiza khansa ya m'mapapo, makamaka kwa omwe ali ndi masinthidwe enieni. Mankhwalawa amalimbikitsa chitetezo chamthupi kuukira ndikuwononga maselo a khansa. Mofanana ndi mankhwala ena, kuyang'anitsitsa zotsatira zake ndikofunikira.

Kusankha Njira Yoyenera ya Chithandizo

Mankhwala abwino kwambiri Gawo 2b khansa ya m'mapapo Zimatsimikiziridwa kudzera munjira zosiyanasiyana zophatikiza akatswiri a oncologists, maopaleshoni, ndi akatswiri ena azaumoyo. Dongosolo la chithandizo limapangidwa ndi munthu payekha, poganizira momwe wodwalayo alili, mbiri yachipatala, ndi zomwe amakonda. Kukambirana mwatsatanetsatane za ubwino, zoopsa, ndi zotsatira za njira iliyonse yamankhwala ndizofunikira musanapange chisankho.

Kukhala ndi Khansa Yam'mapapo ya Stage 2B

Kukhala ndi matenda a khansa kungakhale kovuta. Thandizo lamalingaliro ndi malingaliro ndizofunikira pakuyenda ulendowu. Magulu othandizira, uphungu, ndi magulu othandizira mabanja angapereke chithandizo chamtengo wapatali. Ndikofunikira kuti mupitirize kulankhulana momasuka ndi gulu lachipatala ndikupempha thandizo ngati kuli kofunikira.

Zambiri ndi Zothandizira

National Cancer Institute (NCI) ndi American Cancer Society (ACS) imapereka chidziwitso chochulukirapo komanso zothandizira pa khansa ya m'mapapo. NCI ndi Mtengo wa ACS ndi magwero ofunika kwa odwala ndi mabanja awo. Kuti mupeze chisamaliro chaumwini, lingalirani zokafunsira ku malo odziwika bwino a khansa monga Shandong Baofa Cancer Research Institute. Mutha kupeza zambiri ndikukonza zokambirana patsamba lawo: https://www.baofahospital.com/