
Kupeza chipatala choyenera siteji 3 chithandizo cha khansa ya m'mapapo zitha kukhala zolemetsa. Bukhuli limapereka chidziwitso chofunikira kuti chikuthandizeni kuyang'ana zomwe mwasankha ndikusankha mwanzeru. Tiwona njira zothandizira, malingaliro posankha chipatala, ndi zothandizira paulendo wanu wonse.
Gawo lachitatu la khansa ya m'mapapo lagawidwa m'magawo a IIIA ndi IIIB, kutanthauza kukula kwa khansara. Njira zochizira zimasiyanasiyana malinga ndi gawo lenileni komanso thanzi la munthu. Njira zochizira zodziwika bwino zimaphatikizapo opaleshoni, chemotherapy, radiation therapy, chithandizo chomwe mukufuna, komanso immunotherapy. Chisankho chamankhwala chimasankhidwa payekha ndikutsimikiziridwa ndi gulu la akatswiri a oncologists, madokotala ochita opaleshoni, ndi akatswiri ena.
Kusankhira chipatala siteji 3 chithandizo cha khansa ya m'mapapo ndi chisankho chofunika kwambiri. Zinthu zingapo ziyenera kuganiziridwa:
Yang'anani zipatala zokhala ndi kuchuluka kwakukulu kwa Gawo 3 khansa ya m'mapapo milandu ndi akatswiri a oncologists odziwa bwino za thoracic oncology. Zipatala zokhala ndi malo odzipatulira a khansa ya m'mapapo nthawi zambiri zimakhala ndi magulu osiyanasiyana komanso mwayi wopeza njira zamakono zochizira. Fufuzani za kupambana kwa chipatala ndi zotsatira za odwala.
Ganizirani za zipatala zomwe zimapereka njira zamakono zochizira, monga njira zopangira maopaleshoni ochepa, njira zochiritsira zama radiation (monga stereotactic body radiotherapy - SBRT), komanso mwayi wopezeka ndi mayeso azachipatala. Kutenga nawo mbali muzofufuza kungapereke mwayi wopeza chithandizo chamankhwala chomwe sichinapezeke ponseponse.
Malo othandizira amakhudza kwambiri moyo wa wodwala. Unikani ntchito zothandizira odwala m'chipatala, kuphatikizapo uphungu, chithandizo chamankhwala, ndi kupeza magulu othandizira. Yang'anani zipatala zomwe zimayang'ana kwambiri chisamaliro cha odwala.
Ngakhale kuti chisamaliro chili chofunika kwambiri, ganizirani malo a chipatalacho ndi kupezeka kwa inu ndi banja lanu. Zinthu monga kuyandikira kunyumba, mayendedwe, komanso kupezeka kwa malo ogona ziyenera kuganiziridwa.
Chithandizo cha Gawo 3 khansa ya m'mapapo kaŵirikaŵiri amakhala osakaniza mankhwala. Njira yeniyeniyo imagwirizana ndi vuto la munthu:
Opaleshoni ikhoza kukhala njira kwa odwala ena omwe ali ndi Gawo 3 khansa ya m'mapapo, pofuna kuchotsa chotupa cha khansa. Mtundu wa opaleshoniyo umadalira malo ndi kukula kwa chotupacho.
Chemotherapy amagwiritsa ntchito mankhwala kuti aphe maselo a khansa. Amagwiritsidwa ntchito nthawi zambiri asanachite opaleshoni (neoadjuvant chemotherapy) kuti achepetse chotupacho kapena pambuyo pa opaleshoni (adjuvant chemotherapy) kuti achepetse chiopsezo choyambiranso.
Thandizo la radiation limagwiritsa ntchito nthiti zamphamvu kwambiri kulunjika ndikuwononga maselo a khansa. Itha kugwiritsidwa ntchito yokha kapena kuphatikiza ndi mankhwala ena.
Thandizo loyang'aniridwa limagwiritsa ntchito mankhwala omwe amayang'ana kwambiri ma cell a khansa, kuchepetsa kuwonongeka kwa maselo athanzi. Mankhwalawa amagwiritsidwa ntchito limodzi ndi chemotherapy kapena mankhwala ena.
Immunotherapy imathandiza chitetezo cha mthupi kulimbana ndi khansa. Njira yatsopanoyi ikuwonetsa zotsatira zabwino mwa ena Gawo 3 khansa ya m'mapapo milandu.
Yambani kufufuza kwanu pokambirana ndi dokotala wanu wamkulu kapena pulmonologist. Atha kukutumizirani kwa akatswiri a oncologists ndikukuthandizani kuti muyende bwino. Zothandizira pa intaneti, monga tsamba la National Cancer Institute (NCI) (https://www.cancer.gov/), perekani chidziwitso chofunikira pa khansa ya m'mapapo ndi njira zothandizira. Kumbukirani kufufuza mwatsatanetsatane zipatala zomwe zingatheke ndikufunsani mafunso kuti muwonetsetse kuti mwapeza zoyenera pa zosowa zanu.
Kuti mukhale ndi chisamaliro chokwanira, ganizirani mabungwe omwe ali ndi mbiri yabwino mu oncology, monga Shandong Baofa Cancer Research Institute. Amapereka chithandizo chapamwamba komanso malo othandizira odwala omwe akuyenda siteji 3 chithandizo cha khansa ya m'mapapo.
| Njira Yochizira | Ubwino wake | Zoipa |
|---|---|---|
| Opaleshoni | Zotheka kuchiritsa, zimawonjezera kupulumuka | Osayenerera odwala onse, akhoza kukhala ndi zotsatirapo |
| Chemotherapy | Itha kufooketsa zotupa, zitha kugwiritsidwa ntchito limodzi ndi mankhwala ena | Zotsatira zoyipa, sizingakhale zothandiza kwa odwala onse |
| Chithandizo cha radiation | Angathe kulunjika kumadera enieni, ogwiritsidwa ntchito okha kapena ophatikizana ndi mankhwala ena | Zotsatira zoyipa monga kutopa ndi kuyabwa pakhungu |
Chodzikanira: Izi ndizomwe zimadziwika bwino ndipo sizipanga upangiri wachipatala. Nthawi zonse funsani akatswiri azachipatala kuti mudziwe ndi kuchiza matenda aliwonse.
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