Ubushinwa kuvura kanseri y'ibihaha adenocarcinoma

Gusobanukirwa no kuyobora uburyo bwo kuvura Ubushinwa Adenocarcinoma Kanseri y'ibihaha

Iki gitabo cyuzuye kirasesengura ibibazo bya Ubushinwa kuvura kanseri y'ibihaha adenocarcinoma, gutanga ubushishozi bwo gusuzuma, uburyo bwo kuvura, hamwe nibikoresho bifasha mubushinwa. Tuzasuzuma uburyo butandukanye bwo kuvura, twerekane imikorere yabyo, ingaruka zishobora kubaho, hamwe nuburyo bukwiye kumwirondoro wabarwayi batandukanye. Gusobanukirwa neza niyi ndwara itoroshye ningirakamaro mu gufata ibyemezo neza no kugera ku musaruro mwiza ushoboka.

Gupima Kanseri y'ibihaha ya Adenocarcinoma mu Bushinwa

Kumenya hakiri kare no kwerekana

Kumenya hakiri kare bitezimbere cyane kumenyekanisha kuri Ubushinwa kuvura kanseri y'ibihaha adenocarcinoma. Kwipimisha buri gihe, cyane cyane kubantu bafite ibyago byinshi (abafite amateka yumuryango wa kanseri yibihaha cyangwa amateka yo kunywa itabi cyane), nibyingenzi. Isuzuma rito ryabazwe rya tomografiya (LDCT) rikoreshwa cyane mugutahura hakiri kare, ritanga sensibilité nyinshi ugereranije nigituza X-imirasire gakondo. Kugera kuri izo porogaramu zo gusuzuma biratandukanye mu Bushinwa, kandi abantu bagomba kugisha inama abashinzwe ubuzima kubijyanye n'ibyifuzo byo gusuzuma.

Uburyo bwo Gusuzuma

Ibisubizo bimaze gukekwa bimaze kumenyekana, birakenewe ko hakorwa iperereza kugira ngo hamenyekane niba hasuzumwe kanseri. Ibi mubisanzwe bikubiyemo uburyo bwa biopsy (bronchoscopy, mediastinoscopy, cyangwa urushinge biopsy) kugirango ubone ingero za tissue zo kwisuzumisha indwara. Isesengura ry’indwara zifasha kumenya ubwoko bwihariye bwa adenocarcinoma, bugira ingaruka ku ngamba zo kuvura. Ubuhanga bwo gufata amashusho nka CT scan, PET scan, na MRI scan nabwo bukoreshwa mugusuzuma urugero rwa kanseri ikwirakwizwa.

Uburyo bwo kuvura Kanseri y'ibihaha ya Adenocarcinoma mu Bushinwa

Kubaga

Kubyiciro byambere Ubushinwa adenocarcinoma kanseri y'ibihaha, kubaga kubaga akenshi nuburyo bwatoranijwe bwo kuvura. Ingano yo kubagwa iterwa n'ahantu hamwe n'ubunini bw'ikibyimba. Tekinike yibasiwe cyane, nka videwo ifashwa na thoracoscopique yo kubaga (VATS), iragenda ikoreshwa cyane, bigatuma ihahamuka rigabanuka ndetse nigihe cyo gukira vuba. Ibishoboka byo kubagwa bigenwa hashingiwe ku bintu byinshi, birimo ubuzima bw’umurwayi muri rusange ndetse n’aho kanseri ikwirakwira.

Chimoterapi

Chimoterapi ikoresha imiti yica kanseri. Bikunze gukoreshwa murwego rwohejuru Ubushinwa adenocarcinoma kanseri y'ibihaha, haba mbere yo kubagwa (neoadjuvant chimiotherapie) kugirango igabanye ikibyimba, nyuma yo kubagwa (chimiotherapie adjuvant) kugirango ikureho kanseri ya kanseri ya microscopique, cyangwa nk'ubuvuzi bw'ibanze mu gihe kubaga atari amahitamo. Uburyo butandukanye bwa chimiotherapie burahari, hamwe nuguhitamo byihariye bitewe nibintu nkubwoko bwa kanseri, icyiciro, nibiranga abarwayi. Ingaruka mbi za chimiotherapie zirashobora gutandukana kuva byoroheje bikabije kandi bigomba kuganirwaho nubuvuzi bwa oncologue.

Ubuvuzi bugamije

Ubuvuzi bugamije gukoresha imiti ihitamo molekile zihariye zigira uruhare mu mikurire ya kanseri no kubaho. Kwipimisha molekuline, nka EGFR, ALK, ROS1, na BRAF kwipimisha mutation, nibyingenzi muguhitamo kwemererwa kuvurwa. Ubu buvuzi bufite akamaro kanini kubarwayi bafite ibibyimba bifite ihindagurika ryimiterere. Uwiteka Shandong Baofa Ikigo Cyubushakashatsi Kanseri itanga ibizamini bya genetike byuzuye kugirango bayobore ibyemezo byo kuvura.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango isenye kanseri. Irashobora gukoreshwa wenyine cyangwa ifatanije nubundi buvuzi. Imiti ivura imirasire yo hanze ni tekinike isanzwe, itanga imirasire ivuye mumashini hanze yumubiri. Mu bihe bimwe na bimwe, hashobora gutekerezwa brachytherapy (gushira amaradiyo akoreshwa mu kibyimba). Ingaruka zo kuvura imishwarara ziterwa na dosiye hamwe n’ubuvuzi kandi biratandukanye mu barwayi.

Immunotherapy

Immunotherapy ikoresha imbaraga z'umubiri zo kurwanya kanseri. Imiti ikingira indwara, nka inhibitor igenzura, ifasha sisitemu yumubiri kumenya no gusenya selile. Ubu buvuzi bwerekanye imbaraga zidasanzwe mu bwoko bumwe na bumwe bwa kanseri y'ibihaha, cyane cyane abafite uburemere bukabije bw'ibibyimba. Nyamara, abarwayi bose ntibitabira ubudahangarwa, kandi ingaruka zigomba gukurikiranwa neza.

Inkunga n'umutungo kubarwayi barwaye Kanseri y'ibihaha mu Bushinwa

Kugenda a Ubushinwa adenocarcinoma kanseri y'ibihaha kwisuzumisha birashobora kugorana. Inkunga ninshi ziraboneka mubushinwa kugirango zifashe abarwayi nimiryango yabo guhangana nibibazo byamarangamutima, umubiri, nibikoresho. Ibikoresho birimo amatsinda atera inkunga, serivisi zubujyanama, nimiryango iharanira abarwayi. Uwiteka Shandong Baofa Ikigo Cyubushakashatsi Kanseri itanga serivisi zifasha abarwayi nimiryango yabo.

Guhitamo Gahunda nziza yo Kuvura

Ibyiza Ubushinwa kuvura kanseri y'ibihaha adenocarcinoma gahunda iratandukanye cyane kandi biterwa nibintu bitandukanye, harimo icyiciro cya kanseri, ibiranga ibibyimba, ubuzima rusange bwumurwayi, hamwe nibyo akunda. Ubufatanye bwa hafi hagati y’umurwayi, umuryango wabo, hamwe n’itsinda ryinshi ry’inzobere mu buvuzi, harimo n’abaganga ba oncologue, abaganga babaga, n’abavuzi ba oncologiste, ni ngombwa mu gushyiraho ingamba zikwiye zo kuvura.

Inshingano: Aya makuru agenewe intego zuburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza abashinzwe ubuzima kugirango bagusuzume kandi bagusabe.