kuvura kanseri y'ibihaha metastatike

Kuvura kanseri y'ibihaha yibanda ku kwagura ubuzima no kuzamura imibereho iyo kanseri imaze gukwirakwira mu bihaha. Uburyo bwo kuvura buratandukanye bitewe n'ubwoko bwa kanseri, icyiciro, ihinduka, n'ubuzima muri rusange. Uburyo bukunze kuboneka harimo chimiotherapie, kuvura intego, immunotherapy, kuvura imirasire, no kubaga. Aka gatabo karasesengura uburyo burambuye, butanga ubushishozi muburyo bwabo, inyungu, n'ingaruka zishobora guterwa.Kwumva Kanseri y'ibihaha ya Metastatike Kanseri y'ibihaha ya Metastatike ni iki?Kanseri y'ibihaha, izwi kandi nka kanseri yo mu cyiciro cya IV kanseri y'ibihaha, ibaho iyo selile ya kanseri kuva ikibyimba cyambere cyibihaha ikwirakwira mu bice bya kure byumubiri. Imbuga zisanzwe za metastasis zirimo ubwonko, amagufa, umwijima, na glande ya adrenal. Ubwoko bwa Kanseri yibihaha Ubwoko bubiri bwa kanseri y'ibihaha ni: Kanseri y'ibihaha itari ntoya (NSCLC): Ubwoko bukunze kugaragara cyane, harimo adenocarcinoma, kanseri y'udukoko twa kanseri, na kanseri nini. Kanseri y'ibihaha ntoya (SCLC): Ubwoko bwa kanseri y'ibihaha ikura vuba ifitanye isano cyane no kunywa itabi. Gusuzuma no GupimaGusuzuma mubisanzwe bikubiyemo ibizamini byerekana amashusho (CT scan, PET scan, MRI), biopsies, hamwe no gupima molekile. Gutegura bifasha kumenya urugero rwa kanseri no kuyobora ibyemezo byo kuvura.Uburyo bwo kuvura Kanseri y'ibihaha Metastatike Intego ya kuvura kanseri y'ibihaha metastatike ni ukugenzura imikurire ya kanseri, gucunga ibimenyetso, no kuzamura imibereho. Gahunda yo kuvura akenshi iba yihariye hashingiwe kumiterere yihariye yumuntu.ChemotherapyChemotherapie ikoresha imiti yica kanseri ya kanseri mumubiri. Bikunze gukoreshwa nkumurongo wambere wo kuvura kanseri y'ibihaha. Imiti isanzwe ya chimiotherapie irimo: Imiti ishingiye kuri platine (cisplatine, karboplatine) Tagisi (paclitaxel, docetaxel) Pemetrexed GemcitabineChemotherapie irashobora kugira ingaruka mbi nko kugira isesemi, umunaniro, gutakaza umusatsi, hamwe no kongera ibyago byo kwandura. Kwipimisha molekuline ni ngombwa kugirango umenye niba umurwayi yemerewe kuvurwa. Bimwe mubisanzwe hamwe nibiyobyabwenge bihuye harimo: EGFR (Kwakira Epidermal Growth Factor Receptor): Gefitinib, erlotinib, afatinib, osimertinib. Iyi miti ikora cyane cyane kubarwayi ba NSCLC bafite ihinduka rya EGFR. ALK (Anaplastique Lymphoma Kinase): Crizotinib, alectinib, ceritinib, brigatinib, lorlatinib. Ikoreshwa mubarwayi ba NSCLC bafite gahunda ya ALK. BRAF: Dabrafenib, trametinib. Ikoreshwa mu barwayi ba NSCLC bafite ihinduka rya BRAF V600E. ROS1: Crizotinib, entrectinib. Ikoreshwa muri NSCLC abarwayi bafite ROS1. NTRK: Larotrectinib, entrectinib. Ikoreshwa mubarwayi ba NSCLC bafite fusion ya NTRK. MET: Capmatinib, tepotinib. Ikoreshwa mubarwayi ba NSCLC bafite MET exon 14 gusimbuka mutation. RET: Selpercatinib, pralsetinib. Ikoreshwa mu barwayi ba NSCLC bafite RET fusion.Ubuvuzi bugamije akenshi bugira ingaruka nke ugereranije na chimiotherapie, ariko bigira akamaro gusa iyo kanseri ifite intego yihariye.ImmunotherapyImmunotherapy imiti ifasha umubiri wumubiri kumenya no gutera kanseri ya kanseri. Immune igenzura ibuza ni ubwoko busanzwe bwa immunotherapie ikoreshwa muri kuvura kanseri y'ibihaha metastatike. Ingero zirimo: Pembrolizumab (Keytruda) Nivolumab (Opdivo) Atezolizumab (Tecentriq) Durvalumab (Imfinzi) Ipilimumab (Yervoy) Iyi miti ibuza poroteyine zibuza sisitemu y’umubiri kwibasira ingirabuzimafatizo za kanseri, bigatuma sisitemu y’umubiri itera igisubizo gikomeye. Ingaruka mbi zirashobora kuba zirimo umunaniro, guhubuka, impiswi, no gutwika ingingo zitandukanye.Ubuvuzi bwa RadiyoyasiRadiation ivura ikoresha imirasire yingufu nyinshi kugirango yice kanseri. Irashobora gukoreshwa mu kugabanya ibibyimba, kugabanya ububabare, cyangwa kuvura metastase ahantu runaka nk'ubwonko cyangwa amagufwa. Ubwoko bwo kuvura imirasire burimo: Ubuvuzi bwo hanze bwumuriro wumuriro Stereotactique yumubiri wumuriro (SBRT) Stereotactic radiosurgie (SRS) Ingaruka mbi ziterwa n’ahantu hamwe n’imiti y’imishwarara. Kubaga Ubusanzwe ntabwo ari ubuvuzi bwibanze bwo kuvura kanseri y'ibihaha, ariko birashobora gusuzumwa mubihe bimwe na bimwe, nko gukuraho metastasis yonyine cyangwa kugabanya ibimenyetso. Kurugero ,. Shandong Baofa Ikigo Cyubushakashatsi Kanseri rimwe na rimwe ikoresha uburyo bworoshye bwo kubaga kugirango ikemure imbuga zihariye. Ikigeragezo cya Clinical Ibigeragezo byubushakashatsi nubushakashatsi busuzuma uburyo bushya bwo kuvura cyangwa guhuza imiti. Abarwayi hamwe kanseri y'ibihaha Urashobora gutekereza kwitabira ibizamini byubuvuzi kugirango ubone uburyo bwo kuvura bugezweho.Gucunga ibimenyetso ningaruka zo kuruhandeGucunga ibimenyetso ningaruka ni igice cyingenzi cya kuvura kanseri y'ibihaha metastatike. Ibi birashobora kubamo: Gucunga ububabare Inkunga yimirire Gucunga isesemi no kuruka Inkunga yubuhumekeroIbipimo byo Kurokoka no KurokokaIbipimo bya kanseri y'ibihaha biratandukanye bitewe nibintu byinshi, harimo ubwoko bwa kanseri yibihaha, urugero rwakwirakwijwe, ubuzima bwumurwayi muri rusange, hamwe nuburyo bwo kwivuza. Iterambere rya vuba mu buvuzi bugamije no gukingira indwara ryateje imbere ubuzima bw'abarwayi bamwe. Nk’uko Umuryango w'Abanyamerika urwanya kanseri ubivuga, imyaka 5 yo kubaho kuri kanseri y'ibihaha metastatike igera kuri 7% (ku byiciro byose bya kanseri y'ibihaha hamwe, igipimo ni 25%). [1] Ibi birerekana akamaro k'ubushakashatsi burimo gukorwa no guteza imbere uburyo bushya bwo kuvura.Dore hano hagereranijwe uburyo bworoshye bwo kuvura, intego zabo, n'ingaruka zishobora guterwa: Kwivura Intego Zishobora Kuruhande Ingaruka Chimiotherapie Kwica kanseri ya kanseri mumubiri wose Isesemi, umunaniro, guta umusatsi, kwandura Targeted Therapy Guhagarika molekile zihariye zigira uruhare mu mikurire ya kanseri Biterwa nibiyobyabwenge; hashobora kubamo uruhu, impiswi, ibibazo byumwijima Immunotherapy Fasha sisitemu yumubiri kwibasira kanseri ya kanseri Umunaniro, guhubuka, impiswi, gutwika ingingo Imirasire ivura kanseri yica kanseri ahantu runaka Umunaniro, impinduka zuruhu, kwangirika kwingingo hafi yubuvuzi Kubaga Gukuraho metastase cyangwa kugabanya ibimenyetso Ububabare, kwandura, kuva amaraso UmwanzuroKuvura kanseri y'ibihaha ni urwego rugoye kandi ruhinduka. Iterambere mu buvuzi bugamije no gukingira indwara ryateje imbere cyane abarwayi bamwe. Ni ngombwa ko abarwayi bakorana cyane nitsinda ryabo ryita kubuzima kugirango bategure gahunda yihariye yo kuvura ikemura ibyo bakeneye n'intego zabo. Buri gihe ujye ubaza inzobere mu buvuzi zujuje ibyangombwa byo gusuzuma no kuvura indwara iyo ari yo yose. Reba [1] Sosiyete y'Abanyamerika. (n.d.). Igipimo cyo Kurokoka Kanseri y'ibihaha. Yakuwe muri https://www.cancer.org/cancer/lung-cancer/detection-diagnosis-staging/survival-rates.html