siteji 3 chithandizo cha khansa ya m'mapapo

Gawo 3 Chithandizo cha Khansa Yam'mapapo: Chitsogozo Chokwanira Kumvetsetsa ndi Kuyenda Njira Zothandizira Pagawo Lachitatu la Khansa Yam'mapapo Nkhaniyi ikupereka mwachidule siteji 3 chithandizo cha khansa ya m'mapapo zosankha, kufotokoza njira zosiyanasiyana, mphamvu zake, zotsatira zake, ndi kulingalira kwa odwala. Tidzafufuza magawo osiyanasiyana a chithandizo, kuphatikizapo opaleshoni, chemotherapy, chithandizo chamankhwala, chithandizo chamankhwala, ndi immunotherapy, ndikukambirana momwe mankhwalawa amagwiritsidwira ntchito nthawi zambiri. Bukuli likufuna kupatsa mphamvu anthu omwe akukumana ndi matendawa ndi chidziwitso chofunikira kuti apange zisankho zabwino mogwirizana ndi gulu lawo lazaumoyo. Kumbukirani, chidziwitsochi ndi cha maphunziro ndipo sichiyenera kulowa m'malo mwa upangiri wachipatala. Nthawi zonse funsani ndi oncologist wanu kuti mupeze malingaliro anu.

Kumvetsetsa Gawo 3 Khansa Yam'mapapo

Magawo ndi Gulu

Gawo 3 khansa ya m'mapapo ndi gulu lalikulu lomwe lili ndi magawo IIIA ndi IIIB, zomwe zikuwonetsa kukula kwa khansa. Gawo la IIIA limaphatikizapo khansa yomwe yafalikira ku ma lymph nodes pafupi, pamene Gawo IIIB limasonyeza kufalikira kwambiri. Ndondomeko yeniyeni ya chithandizo imadalira kwambiri momwe wodwalayo alili komanso momwe wodwalayo alili. Masitepe olondola ndi ofunikira kuti mudziwe njira yabwino kwambiri yothandizira. Dokotala wanu adzagwiritsa ntchito njira zosiyanasiyana zojambulira, monga CT scans ndi PET scans, pamodzi ndi biopsies, kuti adziwe siteji ndi zizindikiro za khansa yanu. Kuwunika kwatsatanetsatane kumeneku ndikofunikira kwambiri pakukonza bwino kwambiri siteji 3 chithandizo cha khansa ya m'mapapo kuyandikira kwa inu.

Mitundu ya Khansa Yam'mapapo

Khansara ya m'mapapo si matenda amodzi; imaphatikizapo mitundu ingapo, kuphatikizapo khansa ya m'mapapo yopanda maselo (NSCLC) ndi khansa yaing'ono ya m'mapapo (SCLC). Mtundu wa khansa ya m'mapapo umakhudza kwambiri zosankha zachipatala. NSCLC imayambitsa matenda ambiri a khansa ya m'mapapo ndipo nthawi zambiri amayankha mosiyana ndi chithandizo kuposa SCLC. Kudziwa mtundu weniweni wa khansa yanu ya m'mapapo ndikofunikira kuti mudziwe bwino kwambiri siteji 3 chithandizo cha khansa ya m'mapapo dongosolo.

Njira Zochiritsira za Gawo 3 Khansa Yam'mapapo

Opaleshoni

Kuchotsa chotupacho opaleshoni, chomwe mwina chimaphatikizapo mbali ya mapapo kapena ma lymph nodes, kungakhale njira kwa odwala ena Gawo 3 khansa ya m'mapapo, makamaka omwe ali m'magawo oyambirira a Gawo IIIA. Kuthekera kwa opaleshoni kumadalira zinthu zosiyanasiyana, kuphatikizapo malo ndi kukula kwa chotupacho, thanzi lonse la wodwalayo, ndiponso kukula kwa ma lymph node. Dokotala wanu wa opaleshoni adzawunika momwe mungachitire opaleshoni ndikukambirana zoopsa zomwe zingachitike.

Chemotherapy

Chemotherapy, kugwiritsa ntchito mankhwala osokoneza bongo kuwononga maselo a khansa, amagwiritsidwa ntchito pafupipafupi siteji 3 chithandizo cha khansa ya m'mapapo, mwina asanachite opaleshoni (neoadjuvant) kapena pambuyo (adjuvant), kapena ngati chithandizo choyambirira ngati opaleshoni sichingachitike. Pali mitundu yambiri ya mankhwala a chemotherapy, ndipo kusankha kwapadera kudzadalira zinthu monga mtundu wa khansa ya m'mapapo, siteji ya matendawa, ndi thanzi la wodwalayo. Zotsatira zoyipa za chemotherapy zimatha kukhala zazikulu ndipo zimasiyana mosiyanasiyana pakati pa odwala.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kupha maselo a khansa. Itha kugwiritsidwa ntchito yokha kapena kuphatikiza ndi mankhwala ena Gawo 3 khansa ya m'mapapo. Thandizo la radiation lakunja limagwiritsidwa ntchito nthawi zambiri, kuloza mayendedwe a radiation kuchokera kunja kwa thupi kuti awone chotupacho. Nthawi zina, brachytherapy, yomwe imaphatikizapo kuyika kwa radioactive zinthu mwachindunji kapena pafupi ndi chotupacho, ingaganizidwe.

Chithandizo Chachindunji

Njira zochiritsira zomwe zimayang'aniridwa zimayang'ana kwambiri mamolekyulu ena mkati mwa maselo a khansa omwe amalimbikitsa kukula kwawo ndi kupulumuka. Mankhwalawa ndi othandiza makamaka pakusintha kwa majini komwe kumachitika mu khansa ya m'mapapo. Ngati kuyezetsa kwa majini kumawonetsa masinthidwe enieni, machiritso omwe akuwongolera amatha kukhala othandiza kwambiri pochiza Gawo 3 khansa ya m'mapapo.

Immunotherapy

Immunotherapy imagwiritsa ntchito chitetezo cha mthupi kulimbana ndi khansa. Mankhwalawa amatha kukhala othandiza kwambiri, makamaka pamitundu ina ya khansa ya m'mapapo, ndipo nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena. Zotsatira za Immunotherapy zimatha kuchitika koma nthawi zambiri zimatha kutheka.

Kupanga zisankho mwanzeru

Kuyenda siteji 3 chithandizo cha khansa ya m'mapapo kumafuna mgwirizano wamphamvu pakati pa wodwalayo ndi gulu lawo lachipatala. Kulankhulana momasuka ndi oncologist wanu ndikofunikira. Osazengereza kufunsa mafunso ndikufotokozera nkhawa zanu. Kumvetsetsa dongosolo la chithandizo, zotsatira zake, ndi zotsatira za nthawi yayitali ndizofunikira kuti mupange zisankho zomwe zikugwirizana ndi zosowa zanu ndi zomwe mumakonda. The Shandong Baofa Cancer Research Institute amapereka njira zochiritsira zapamwamba komanso malo othandizira odwala omwe akukumana ndi vutoli.

Zotsatira Zamankhwala ndi Kasamalidwe

Chithandizo cha Gawo 3 khansa ya m'mapapo nthawi zambiri zimakhala ndi zotsatira zoyipa. Izi zingaphatikizepo kutopa, nseru, tsitsi, kusintha kwa chilakolako, ndi zina. Kuwongolera zotsatira zoyipazi ndi gawo lofunikira kwambiri pakuchiritsa. Gulu lanu lazaumoyo ligwira ntchito nanu kuti muchepetse zovuta izi ndikuwongolera moyo wanu mukalandira chithandizo. Kulankhulana momasuka ndikofunikira pakuzindikira ndikuthana ndi zovuta zomwe zingachitike mwachangu. Kumbukirani, magulu othandizira ndi zothandizira zilipo kuti zikuthandizeni kuthana ndi zovuta za chithandizo cha khansa.

Prognosis ndi Chiyembekezo cha Nthawi Yaitali

The prognosis kwa Gawo 3 khansa ya m'mapapo zimasiyanasiyana malinga ndi zinthu zosiyanasiyana, kuphatikizapo siteji yeniyeni, mtundu wa khansa ya m'mapapo, thanzi la wodwalayo, ndi momwe akuyankhira chithandizo. Kupita patsogolo kwamankhwala kwasintha kwambiri zotulukapo m'zaka zaposachedwa. Ngakhale malingaliro a munthu aliyense ndi apadera, cholinga chake ndikukulitsa kuchuluka kwa kupulumuka ndi moyo wabwino. Chisamaliro chotsatira nthawi zonse ndi chofunikira pakuwunika ndi kuyang'anira nthawi yayitali.

Zindikirani: Mfundozi ndi zongophunzitsa chabe ndipo sizikupanga uphungu wamankhwala. Nthawi zonse funsani ndi dokotala wodziwa bwino zachipatala kuti mudziwe ndi kuchiza matenda aliwonse.