Chithandizo cha khansa ya m'mapapo yosakhala yaying'ono pafupi ndi ine

Kupeza Ubwino Kuchiza Opanda Maselo Ang'onoang'ono Kuchiza Khansa Yam'mapapo Pafupi ndi Ine

Bukhuli lathunthu limakuthandizani kuyang'ana zovuta zopeza zogwira mtima Chithandizo cha khansa ya m'mapapo yopanda yaying'ono (NSCLC). zosankha pafupi ndi inu. Timasanthula njira zosiyanasiyana zochizira, malingaliro osankha chisamaliro choyenera, ndi zida zothandizira ulendo wanu.

Kumvetsetsa Khansa Yam'mapapo Yosakhala Yaing'ono

Kodi NSCLC ndi chiyani?

Khansara ya m'mapapo yosakhala yaying'ono ndiyo mtundu wofala kwambiri wa khansa ya m'mapapo, yomwe imatenga pafupifupi 80-85% mwa omwe amapezeka ndi khansa ya m'mapapo. Amagawidwa m'magulu angapo, iliyonse ili ndi mawonekedwe apadera omwe amakhudza njira zachipatala. Kuzindikira koyambirira ndikofunikira kuti pakhale zotsatira zabwino. Kumvetsetsa subtype yanu ya NSCLC ndi gawo lofunikira pakuzindikira njira yabwino kwambiri Chithandizo cha khansa ya m'mapapo yosakhala yaying'ono pafupi ndi ine.

Kusanthula ndi Kuzindikira

Magawo olondola - kudziwa kukula kwa khansa - ndikofunikira pokonzekera Chithandizo cha khansa ya m'mapapo yosakhala yaying'ono pafupi ndi ine. Izi zimaphatikizapo kuyezetsa kosiyanasiyana, kuphatikizapo kujambula zithunzi (CT, PET), biopsies, ndi kuyeza magazi. Siteji imatchula njira yoyenera kwambiri yochiritsira. Mwachitsanzo, NSCLC yoyambirira imatha kuchiritsidwa ndi opaleshoni yokha, pomwe magawo apamwamba angafunikire kuphatikiza njira zochiritsira.

Njira Zochiritsira za NSCLC

Opaleshoni

Kuchotsa opareshoni ya chotupa ndi njira yoyamba yothandizira ya NSCLC yoyambirira. Njira yeniyeni imatengera malo ndi kukula kwa chotupacho. Izi zingaphatikizepo lobectomy (kuchotsa nsonga ya m’mapapo), pneumonectomy (kuchotsa mapapu onse), kapena kuchotsa mbali ya mapapo (kuchotsa kachigawo kakang’ono ka mapapo). Pambuyo pa opaleshoni, kukonzanso n'kofunika kwambiri kuti munthu achire.

Chemotherapy

Chemotherapy amagwiritsa ntchito mankhwala kuti aphe maselo a khansa. Nthawi zambiri amagwiritsidwa ntchito asanachite opaleshoni (neoadjuvant) kuti achepetse chotupacho, pambuyo pa opaleshoni (adjuvant) kuti athetse ma cell a khansa otsala, kapena ngati chithandizo choyambirira cha NSCLC yapamwamba. Mankhwala odziwika bwino a chemotherapy a NSCLC amaphatikiza cisplatin, carboplatin, paclitaxel, ndi docetaxel. Zotsatira zake zimasiyanasiyana koma nthawi zambiri zimatha kuyendetsedwa ndi chithandizo chothandizira.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito kuwala kwamphamvu kwambiri kuwononga ndikuwononga maselo a khansa. Itha kugwiritsidwa ntchito yokha, isanachitike kapena itatha opaleshoni, kapena kuphatikiza ndi chemotherapy. Ma radiation akunja amagwiritsidwa ntchito kwambiri, kutulutsa ma radiation kuchokera pamakina kunja kwa thupi. Nthawi zina, brachytherapy (ma radiation amkati) angaganizidwe.

Chithandizo Chachindunji

Mankhwala ochizira omwe amayang'aniridwa amayang'ana kwambiri mamolekyu ena mkati mwa maselo a khansa, kusokoneza kukula kwawo ndi kupulumuka. Mankhwalawa ndi othandiza makamaka kwa odwala a NSCLC omwe ali ndi kusintha kwachibadwa, monga EGFR, ALK, kapena ROS1 masinthidwe. Kuyesedwa pafupipafupi kuti muzindikire masinthidwewa ndikofunikira kuti muwone ngati ali woyenera kulandira chithandizo chomwe mukufuna. Zitsanzo zikuphatikizapo Osimertinib (Tagrisso), Crizotinib (Xalkori), ndi Afatinib (Gilotrif).

Immunotherapy

Immunotherapy imagwiritsa ntchito chitetezo chamthupi kulimbana ndi khansa. Zimagwira ntchito pokulitsa mphamvu ya chitetezo chamthupi kuzindikira ndikuukira maselo a khansa. Mankhwala a Immunotherapy, monga pembrolizumab (Keytruda) ndi nivolumab (Opdivo), amagwira ntchito mwa odwala ena a NSCLC, nthawi zambiri kuphatikiza ndi chemotherapy kapena mankhwala ena. Zotsatira zake zingaphatikizepo kutopa, zotupa pakhungu, ndi zochitika zoyipa zokhudzana ndi chitetezo chamthupi.

Kupeza Chithandizo Choyenera Pafupi Nanu

Kusankha Malo Othandizira Othandizira

Kusankha malo oyenerera a oncology ndikofunikira. Yang'anani malo omwe ali ndi akatswiri odziwa za oncologists, matekinoloje apamwamba, komanso mbiri yabwino yamankhwala a NSCLC. Ganizirani zinthu monga kuyandikira kwanu, mbiri ya malo, ndi kupezeka kwa chithandizo chapadera, kuyesa kwachipatala, ndi chithandizo. Yang'anani ndemanga zapaintaneti ndikupempha malangizo kwa dokotala wanu wamkulu kapena akatswiri azaumoyo odalirika.

Mayesero Achipatala

Kuchita nawo mayeso azachipatala kumapereka mwayi wopeza chithandizo chamakono chomwe sichinapezeke ponseponse. Mayeserowa amapangidwa mosamala kuti ayese machiritso atsopano ndikuwongolera zotsatira za mankhwala. Katswiri wanu wa oncologist atha kukuthandizani kudziwa ngati mayeso azachipatala ali oyenera momwe mulili. Mutha kuyang'ananso nkhokwe zoyeserera zamankhwala monga ClinicalTrials.gov kuti mupeze maphunziro oyenera.

Thandizo ndi Zothandizira

Kufufuza matenda a khansa kungakhale kovuta. Fufuzani chithandizo chamaganizo ndi chothandiza kudzera m'magulu othandizira, mabungwe a khansa (mwachitsanzo, American Lung Association, Lung Cancer Foundation of America), ndi chithandizo cha uphungu. Zothandizirazi zimapereka chidziwitso chofunikira, chitsogozo, ndi chithandizo chamalingaliro kwa odwala ndi mabanja awo.

Chidziwitso Chofunikira

Izi ndizomwe zimadziwika bwino ndipo sizipanga upangiri wamankhwala. Ndikofunikira kukaonana ndi oncologist woyenerera kapena katswiri wazachipatala kuti mudziwe zaumwini, kukonzekera chithandizo, ndi chisamaliro chokhazikika chokhudzana ndi mankhwala osakhala ang'onoang'ono a khansa ya m'mapapo. Zomwe zafotokozedwa pano sizolowa m'malo mwa upangiri wachipatala. Nthawi zonse funsani upangiri wa dokotala wanu kapena wothandizira zaumoyo woyenerera ndi mafunso aliwonse omwe mungakhale nawo okhudzana ndi matenda.

Kuti mumve zambiri kapena mufufuze njira zamankhwala ku bungwe lotsogola lofufuza za khansa, pitani Shandong Baofa Cancer Research Institute.