chithandizo chamankhwala opumira mu khansa ya m'mapapo

Chithandizo cha Kulephera Kupuma mu Khansa Yam'mapapo

Kupuma, kapena kupuma movutikira, ndi chizindikiro chodziwika komanso chovutitsa chomwe anthu ambiri omwe ali ndi khansa ya m'mapapo amakumana nawo. Bukuli likuwunikira zomwe zimayambitsa, kasamalidwe, ndi njira zochiritsira zomwe zilipo chithandizo cha kupuma kwa khansa ya m'mapapo. Kumvetsetsa zomwe zimayambitsa ndizofunikira kwambiri pakuwongolera bwino, ndipo tidzafufuza njira zosiyanasiyana zochepetsera chizindikirochi ndikuwongolera moyo wabwino.

Kumvetsetsa Zomwe Zimayambitsa Kupumira mu Khansa ya M'mapapo

Kukula kwa Chotupa ndi Kupsinjika

Kukula kwa chotupa cha khansa ya m'mapapo kumatha kupindika mwachindunji mpweya, kuletsa kutuluka kwa mpweya ndikupangitsa kupuma. Malo ndi kukula kwa chotupacho zimakhudza kwambiri kuopsa kwa chizindikirochi. Nthawi zina, chotupacho chimathanso kulowa m'malo ozungulira, zomwe zimakulitsa vuto la kupuma.

Pleural Effusions

Khansara ya m'mapapo imatha kuyambitsa kuchulukana kwamadzi mu pleural space (malo apakati pa mapapo ndi khoma la pachifuwa), matenda otchedwa pleural effusion. Kuchulukana kwamadzimadzi kumeneku kumapangitsa kuti mapapu azikakamizika, kuwalepheretsa kukula mokwanira komanso kuchititsa kupuma movutikira. Chithandizo nthawi zambiri chimaphatikizapo kuchotsa madzimadzi kudzera mu njira yotchedwa thoracentesis.

Chibayo ndi Matenda

Anthu omwe ali ndi khansa ya m'mapapo ali pachiwopsezo chotenga chibayo ndi matenda ena opuma. Matendawa amatha kusokoneza kugwira ntchito kwa m'mapapo ndikuwonjezera kulephera kupuma. Kuzindikira ndi kuchiza matendawa mwachangu ndikofunikira pakuwongolera chithandizo cha kupuma kwa khansa ya m'mapapo.

Zinthu Zina Zothandizira

Zinthu zina monga kuchepa kwa magazi m'thupi, nkhawa, ndi zotsatira za chithandizo cha khansa (monga chemotherapy kapena radiotherapy) zingathandizenso kapena kuonjezera kupuma kwa odwala khansa ya m'mapapo. Kuwunika kozama kochitidwa ndi dokotala ndikofunikira kuti azindikire zomwe zimayambitsa.

Njira Zochizira Kupanda Mpweya mu Khansa ya M'mapapo

Mankhwala

Mankhwala angapo angathandize kuchepetsa kupuma. Ma bronchodilators, monga albuterol, amatsitsimutsa mpweya ndikuwongolera mpweya. Opioids, monga morphine, amatha kuchepetsa kupuma pochepetsa nkhawa komanso kupuma pang'ono. Mankhwala ena angagwiritsidwe ntchito kuthana ndi zovuta monga chibayo kapena pleural effusions.

Chithandizo cha Oxygen

Chithandizo chowonjezera cha okosijeni nthawi zambiri chimaperekedwa kuti chiwongolere mpweya m'magazi ndikuchepetsa kupuma. Oxygen imatha kuperekedwa kudzera mu cannulae ya m'mphuno kapena masks amaso. Mlingo wa oxygen supplementation umatsimikiziridwa ndi zosowa za munthu payekha ndikuwunika mosamala.

Chithandizo cha radiation

Ngati chotupa chimayambitsa kuponderezedwa kwa mpweya, chithandizo cha radiation chingagwiritsidwe ntchito kuchepetsa chotupacho ndikuwongolera mpweya wabwino. Njira imeneyi ingathandize kuchepetsa kupuma, koma ubwino wake sungakhale wachangu.

Opaleshoni

Kuchita opaleshoni, monga lobectomy (kuchotsa mapapu) kapena pneumonectomy (kuchotsa mapapu onse), kungaganizidwe muzochitika zosankhidwa kuchotsa chotupa cholepheretsa mpweya ndi kuchepetsa kupuma. Komabe, izi nthawi zambiri zimadalira thanzi la wodwalayo komanso gawo la khansa.

Palliative Care

Chisamaliro cha Palliative chimagwira ntchito yofunika kwambiri pakuwongolera kupuma kwa khansa ya m'mapapo yapamwamba. Imayang'ana kwambiri pakuwongolera moyo mwa kuthana ndi zizindikiro, kupereka chithandizo chamalingaliro, ndikuwonetsetsa chitonthozo. Magulu osamalira odwala amagwira ntchito limodzi ndi akatswiri a oncologists ndi akatswiri ena kuti apange dongosolo la munthu payekhapayekha kuti athe kuthana ndi vuto la kupuma ndi zizindikiro zina moyenera.

Kuwongolera Kupumira M'nyumba

Kuphatikiza pa chithandizo chamankhwala, njira zingapo zingathandize kuthana ndi vuto la kupuma kunyumba:

• Phunzirani njira zopumula monga kuchita masewera olimbitsa thupi mozama komanso kusinkhasinkha.
• Khalani omasuka; pewani kunama mopanda phokoso ngati kumawonjezera kupuma.
• Chitani zinthu zolimbitsa thupi mwaulemu monga momwe mwalekerera.
• Pewani kusuta komanso kukhudzana ndi zinthu zokhumudwitsa.
• Funsani gulu lanu lazaumoyo kuti mupeze upangiri ndi chithandizo chamunthu payekha.

Kupeza Thandizo ndi Zambiri

Kukhala ndi khansa ya m'mapapo komanso kuthana ndi vuto la kupuma kungakhale kovuta. Ndikofunikira kupeza chithandizo kuchokera kwa akatswiri azachipatala ndi magulu othandizira. Mukhoza kulankhulana ndi dokotala wanu kapena katswiri wosamalira odwala kuti akuthandizeni. Mabungwe ambiri amapereka chithandizo ndi zothandizira kwa anthu omwe ali ndi khansa ya m'mapapo. Kuti mumve zambiri pazamankhwala ndi chithandizo cha khansa ya m'mapapo, mungafune kuwona zothandizira zomwe zikupezeka m'mabungwe odziwika bwino monga American Lung Association kapena National Cancer Institute.

Pachisamaliro chapamwamba komanso chokwanira cha khansa, kuphatikiza kuwongolera kupuma movutikira komwe kumakhudzana ndi khansa ya m'mapapo, lingalirani kufunafuna upangiri wa akatswiri pa Shandong Baofa Cancer Research Institute. Amapereka njira zosiyanasiyana zothandizira khansa, pofuna kupereka zotsatira zabwino kwambiri kwa odwala awo. Izi zikuphatikiza gulu lodzipatulira lomwe limayang'ana kwambiri chisamaliro chapalliative ndi kasamalidwe ka zizindikiro.