
Kanseri nini y'ibihaha (LCLC) ni ubwoko bukabije bwa kanseri y'ibihaha itari ntoya (NSCLC). Uburyo bwo kuvura buratandukanye kandi biterwa nicyiciro cya kanseri, ubuzima rusange, hamwe nibyo abarwayi bakunda. Uburyo bukunze kuboneka harimo kubaga, kuvura imirasire, chimiotherapie, kuvura intego, hamwe no gukingira indwara. Gukomatanya kuvura akenshi bitanga umusaruro ushimishije.Kumva Kanseri nini y'ibihaha Kanseri y'ibihaha?Kanseri nini y'ibihaha (LCLC) irangwa ningirabuzimafatizo nini, zidasanzwe iyo urebye munsi ya microscope. Ifite hafi 5-10% ya kanseri y'ibihaha yose. Bitewe nuburyo bukaze, gutahura hakiri kare no kuvura ni ngombwa. Nubwoko bwa NSCLC, bivuze ko yitwara ukundi kandi igafatwa muburyo butandukanye na kanseri y'ibihaha ntoya (SCLC) .Ubwoko bwa Kanseri Nini Yibihaha Mugihe mugihe yashyizwe mubice nka LCLC, ubundi buryo bwo kwandika bushobora gukorwa kugirango bayobore neza ingamba zo kuvura. Muri byo harimo: Kanseri nini ya neuroendocrine kanseri (LCNEC): Ubu bwoko bwubwoko busangiye ibiranga byombi kanseri nini y'ibihaha na kanseri y'ibihaha nto. Kanseri ya Basaloid: Ubwoko budasanzwe kandi bukaze. Lymphoepithelioma isa na kanseri: Bikunze kugaragara mubantu bakomoka muri Aziya kandi akenshi bifitanye isano na virusi ya Epstein-Barr. Kuraho kanseri y'utugingo: Kurangwa na selile zifite isura isobanutse cyangwa yubusa munsi ya microscope.Gusuzuma Kanseri Nini Yibihaha Kanseri Gusuzuma kanseri nini y'ibihaha mubisanzwe birimo guhuza ibizamini byerekana amashusho na biopsies. Ibizamini byo Kwerekana: Isanduku ya X-ray: Akenshi ikizamini cya mbere cyerekana amashusho cyakozwe kugirango hamenyekane ibintu bidasanzwe mu bihaha. CT Gusikana (Kubara Tomografiya): Itanga amashusho arambuye yibihaha hamwe nuburyo bukikije, bifasha kumenya ingano n’aho ikibyimba giherereye. PET Scan (Positron Emission Tomography): Kumenya ingirabuzimafatizo zikora, zifasha kumenya ingirangingo za kanseri no kumenya niba kanseri yarakwirakwiriye. MRI (Magnetic Resonance Imaging): Hashobora gukoreshwa mu gusuzuma ikwirakwizwa rya kanseri mu bwonko cyangwa uruti rw'umugongo. Biopsy: Icyitegererezo cya tissue gifatwa kugirango gisuzumwe munsi ya microscope. Uburyo bwa biopsy burimo: Bronchoscopy: Umuyoboro woroshye, woroshye ufite kamera winjizwa mumazuru cyangwa umunwa mubihaha kugirango ubone amashusho no gukusanya ingero. Urushinge rwa Biopsy: Urushinge rwinjizwa mu rukuta rw'igituza kugira ngo rukusanyirize hamwe icyitegererezo cy'ikibyimba. Ibi birashobora kuba CT-iyobowe nibindi bisobanuro. Kubaga Biopsy: Rimwe na rimwe, kubagwa birashobora gukenerwa kugirango ubone icyitegererezo gihagije. Amahitamo manini yo kuvura kanseri y'ibihaha Ibyiza kuvura kanseri y'ibihaha binini biterwa nibintu byinshi, harimo icyiciro cya kanseri, ubuzima bwumurwayi muri rusange, hamwe nibyo bakunda. Amahitamo yo kuvura arashobora gukoreshwa wenyine cyangwa muguhuza. kanseri nini y'ibihaha mugihe ikibyimba giherereye kandi gishobora kuvaho burundu. Amahitamo yo kubaga arimo: Kurwanya Wedge: Gukuraho igice gito, kimeze nk'igiti cy'ibihaha kirimo ikibyimba. Segmentectomy: Gukuraho igice kinini cyibihaha kuruta kwanga. Lobectomy: Gukuraho lobe yose yibihaha. Pneumonectomy: Gukuraho ibihaha byose. Mugenzi wacu, Shandong Baofa Ikigo Cyubushakashatsi Kanseri, kuri baofahospital.com. Irashobora gukoreshwa nkubuvuzi bwibanze kuri kanseri nini y'ibihaha mugihe kubaga atari amahitamo, cyangwa birashobora gukoreshwa nyuma yo kubagwa kugirango bice selile zisigaye. Ubwoko bwo kuvura imirasire harimo: Ubuvuzi bwo hanze bwimirasire (EBRT): Imirasire itangwa mumashini hanze yumubiri. Ubuvuzi bwa stereotactique yumubiri (SBRT): Gutanga urugero rwinshi rwimirasire kumwanya muto, neza neza. Brachytherapy (Imishwarara Yimbere): Imbuto cyangwa insinga za radiyo zishyirwa mubibyimba cyangwa hafi yacyo.ChemotherapyChemotherapy ikoresha imiti yica kanseri. Bikunze gukoreshwa kuri kanseri nini y'ibihaha ibyo byakwirakwiriye hejuru y'ibihaha cyangwa mugihe kubaga bidashoboka. Imiti ya chimiotherapie isanzwe itangwa mu mitsi (binyuze mu mitsi) cyangwa mu kanwa. Intego yo kuvuraImiti igamije kuvura imiti igamije kurwanya molekile zihariye zigira uruhare mu mikurire ya kanseri no kubaho. Iyi miti ikora neza mugihe selile ya kanseri ifite ihindagurika ryimiterere. Intego rusange zirimo: EGFR (Kwakira Epidermal Growth Factor Receptor): Guhinduka muri EGFR bikunze kugaragara mubantu bamwe. ALK (Anaplastique Lymphoma Kinase): ALK inhibitor irashobora kuba nziza cyane kubarwayi bafite ALK-nziza kanseri nini y'ibihaha. ROS1: Inhibitori ya ROS1 ikoreshwa kubibyimba byiza bya ROS1.Gupima iyi ihinduka ni ngombwa kugirango hamenyekane niba ubuvuzi bugamije ari bwo bukwiye kuvura kanseri y'ibihaha binini.ImmunotherapyImmunotherapy ifasha sisitemu yumubiri yumubiri kurwanya kanseri. Iyi miti ikora ihagarika poroteyine zibuza umubiri kwirinda indwara ya kanseri. Imiti ikingira indwara ikoreshwa kenshi murwego rwo hejuru kanseri nini y'ibihaha.Umuvuzi na StageIcyiciro cya kanseri nini y'ibihaha bigira uruhare runini muburyo bwo kuvura. Icyiciro Ubuvuzi busanzwe Bwegera Icyiciro I & II (Icyiciro cya mbere) Kubaga (lobectomy cyangwa wedge resection) bikurikirwa na chimiotherapie nibiba ngombwa. Imiti ivura imirasire irashobora gutekerezwa niba kubaga atari amahitamo. Icyiciro cya III (Ahantu hambere) Guhuza imiti ya chimiotherapie hamwe nubuvuzi bwimirasire. Kubaga birashobora gusuzumwa mugihe cyatoranijwe. Immunotherapy irashobora gukoreshwa nyuma ya chemoradiation. Icyiciro cya IV (Metastatike) Chimiotherapie, kuvura intego (niba ihinduka rikwiye rihari), hamwe na immunotherapie. Imiti ivura imirasire irashobora gukoreshwa mugukuraho ibimenyetso. Ibigeragezo bya Clinical Ibigeragezo byubuvuzi ni ubushakashatsi busuzuma ibishya kuvura kanseri y'ibihaha binini amahitamo. Kugira uruhare mu igeragezwa ry’amavuriro birashobora gutanga uburyo bwo kuvura bigezweho kandi bikagira uruhare mu iterambere mu kuvura kanseri.PrognoseIbimenyesha kanseri nini y'ibihaha biratandukanye bitewe nicyiciro cya kanseri mugupima nubuvuzi bwakiriwe. Kumenya hakiri kare no kuvura bikabije birashobora kunoza ibisubizo. Gahunda isanzwe yo gukurikirana ni ngombwa kugirango ikurikirane ibisubirwamo. Kubana na Kanseri nini y'ibihaha Kanseri kanseri nini y'ibihaha kwisuzumisha birashobora kuba byinshi. Amatsinda atera inkunga, ubujyanama, hamwe nubuzima bwahinduwe (nko kureka itabi no gukomeza indyo yuzuye) birashobora gufasha abarwayi guhangana ningorane zumubiri n amarangamutima byindwara.Inshingano: Aya makuru agenewe ubumenyi rusange nintego zamakuru gusa, kandi ntabwo bigize inama zubuvuzi. Ni ngombwa kugisha inama inzobere mu by'ubuzima zibishoboye kubibazo byose byubuzima cyangwa mbere yo gufata ibyemezo byose bijyanye n'ubuzima bwawe cyangwa kwivuza. Uburyo bwo kuvura bugomba kugenwa ninzobere mu buzima bushingiye ku mpamvu z’abarwayi ku giti cyabo.Reba: Umuryango w'Abanyamerika Kanseri: https://www.cancer.org/ Ikigo cy'igihugu cya kanseri: https://www.cancer.gov/