Chithandizo cha khansa ya m'mapapo ya squamous yopanda cell yaying'ono

Chithandizo cha Khansa Yam'mapapo Yopanda Maselo Osachepera a Squamous

Bukuli likuwunikira njira zosiyanasiyana zothandizira khansa ya m'mapapo ya squamous non-small cell lung cancer (Mtengo wa NSCLC). Tikuyang'ana zakupita patsogolo kwaposachedwa chithandizo, kuphatikizapo opaleshoni, mankhwala amphamvu, mankhwala opatsirana pogwiritsa ntchito ma radiation, chithandizo chamankhwala, ndi immunotherapy, kupereka kumvetsetsa bwino kwa njira iliyonse yogwira ntchito komanso zotsatira zake. Phunzirani za siteji, matenda, ndi kufunikira kwa munthu payekha chithandizo ndondomeko zoyendetsera matenda ovutawa. Timakambirananso njira zothandizira zothandizira kuti moyo ukhale wabwino panthawi komanso pambuyo pake chithandizo.

Kumvetsetsa Khansa ya M'mapapo ya Squamous Non-Small Cell Lung

Kodi Squamous Cell Lung Cancer ndi chiyani?

Squamous cell carcinoma ndi mtundu wa Mtengo wa NSCLC zomwe zimayambira m'mizere yayikulu ya mpweya m'mapapo. Nthawi zambiri zimagwirizanitsidwa ndi mbiri ya kusuta. Kuzindikira msanga ndikofunikira kuti zinthu ziziyenda bwino chithandizo. The chithandizo njira kwambiri payekha ndipo zimadalira siteji ya khansa ndi thanzi lonse la wodwalayo.

Khansa ya M'mapapo ya Squamous Yosakhala Yang'ono Yang'ono

Kuwerengera kumaphatikizapo kudziwa kukula kwa khansara. Izi ndizofunikira pakusankha njira yabwino kwambiri chithandizo za khansa ya m'mapapo yosakhala yaing'ono ya squamous. Masitepe nthawi zambiri amachitika kudzera mu mayeso oyerekeza (CT scans, PET scans), biopsies, ndipo mwina bronchoscopy. Gawo (I-IV) limakhudza chithandizo zisankho, ndipo odwala akulimbikitsidwa kuti akambirane za matenda awo ndi siteji ndi oncologist wawo. Kumvetsetsa gawo lanu kumakupatsani mwayi wokonzekera bwino kwambiri chithandizo njira.

Njira Zochizira Khansa Yam'mapapo Ya Squamous Yosakhala Yang'ono Yang'ono

Opaleshoni

Nthawi zambiri opaleshoni ndiyo yoyamba chithandizo chisankho choyambirira khansa ya m'mapapo yosakhala yaing'ono ya squamous. Malingana ndi malo ndi kukula kwa chotupacho, njira zosiyanasiyana zopangira opaleshoni zingagwiritsidwe ntchito. Izi zingaphatikizepo kuchotsa chotupacho ndi gawo la minyewa yozungulira mapapo (lobectomy kapena wedge resection). Kuthekera kwa opaleshoni kumadalira zinthu zosiyanasiyana monga thanzi la wodwalayo komanso malo ndi kukula kwa chotupacho.

Chemotherapy

Chemotherapy imaphatikizapo kugwiritsa ntchito mankhwala kuti aphe maselo a khansa. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi ena chithandizo njira, monga ma radiation therapy kapena opaleshoni, pamagawo apamwamba kwambiri a khansa ya m'mapapo yosakhala yaing'ono ya squamous. Mankhwala a chemotherapy omwe amagwiritsidwa ntchito kawirikawiri Mtengo wa NSCLC zikuphatikizapo cisplatin, carboplatin, ndi paclitaxel. Zotsatira zake zimasiyanasiyana, ndipo kuyang'anira izi ndi gawo lofunikira kwambiri chithandizo ndondomeko.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kuwononga ndikuwononga maselo a khansa. Itha kugwiritsidwa ntchito musanachite opaleshoni kuti muchepetse zotupa (mankhwala a neoadjuvant), pambuyo pa opareshoni kuti muchotse ma cell a khansa omwe atsala (adjuvant therapy), kapena ngati choyambirira. chithandizo kwa odwala omwe sakuyenera kuchitidwa opaleshoni. Chithandizo cha radiation chingagwiritsidwenso ntchito pochiza matenda omwe amayamba chifukwa cha khansa yapamwamba.

Chithandizo Chachindunji

Thandizo lolunjika limagwiritsa ntchito mankhwala omwe amayang'ana kwambiri ma cell a khansa omwe ali ndi masinthidwe ena amtundu. Njirayi ikhoza kukhala yothandiza kwambiri kwa odwala omwe zotupa zawo zimakhala ndi kusintha kwa majini. Mwachitsanzo, kusintha kwa EGFR mu Mtengo wa NSCLC amatha kuyankha bwino kumankhwala omwe akuwongolera. Kuyeza ma genetic ndikofunikira kuti muwone ngati ali woyenera kulandira mankhwalawa.

Immunotherapy

Immunotherapy imagwiritsa ntchito mphamvu ya chitetezo cha mthupi kulimbana ndi maselo a khansa. Mankhwalawa amagwira ntchito polimbikitsa kapena kulimbikitsa chitetezo chamthupi kuti chiwukire ndikuwononga maselo a khansa. Immunotherapy yasintha kwambiri chithandizo za khansa zambiri, kuphatikizapo mitundu ina ya Mtengo wa NSCLC. Checkpoints inhibitors ndi chitsanzo chachikulu cha mtundu uwu wa chithandizo.

Chithandizo Chothandizira

Kusamalira zotsatira za khansa chithandizo ndi gawo lalikulu la chisamaliro chonse. Chisamaliro chothandizira chimaphatikizapo mautumiki osiyanasiyana, kuphatikizapo kasamalidwe ka ululu, chithandizo cha zakudya, ndi uphungu, kupititsa patsogolo umoyo wa wodwalayo panthawi ndi pambuyo pake. chithandizo. Kukambitsirana ndi oncologist wanu ndi gulu lawo la chisamaliro ndikofunikira kwambiri pakusankha njira yabwino yothandizira.

Mapulani Othandizira Okhazikika

Ndikofunikira kukumbukira izi chithandizo za khansa ya m'mapapo yosakhala yaing'ono ya squamous ndi zamunthu payekha. Njira yabwino kwambiri imadalira zinthu zambiri kuphatikizapo siteji ya khansara, thanzi la wodwalayo, komanso kupezeka kwa masinthidwe amtundu uliwonse. Kukambitsirana kwathunthu ndi oncologist ndikofunikira kuti mupange zofananira chithandizo njira yomwe imakulitsa mphamvu ndikuchepetsa zotsatira zoyipa. Gulu lanu lazaumoyo lidzagwira ntchito nanu kupanga mapulani omwe amakwaniritsa zosowa zanu ndi zolinga zanu.

Kuti mudziwe zambiri kapena kukonza zokambirana, chonde pitani Shandong Baofa Cancer Research Institute. Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani akatswiri azaumoyo pazokhudza thanzi lanu kapena musanapange zisankho zokhudzana ndi thanzi lanu kapena chithandizo.