kutanywa itabi kuvura kanseri y'ibihaha

Kanseri y'ibihaha ku bantu batigeze banywa itabi igaragaza ibibazo bidasanzwe hamwe n'ubuvuzi. Nubwo kunywa itabi ari ibintu bizwi cyane bishobora guteza ingaruka, igice kinini cyindwara ya kanseri yibihaha kibaho kubantu badafite amateka yo kunywa itabi. Iyi ngingo irasesengura ibintu bitandukanye bya kutanywa itabi kuvura kanseri y'ibihaha, harimo kwisuzumisha, uburyo bwo kuvura, hamwe nubushakashatsi burimo gukorwa.Gusuzuma nubwoko bwa Kanseri yibihaha muri Never SmokaersGusuzuma kanseri yibihaha mubatigeze banywa itabi akenshi itanga ukundi ugereranije nabanywa itabi. Nibyingenzi gusobanukirwa nuburyo bwo gutahura nubwoko bwihariye bwa kanseri yibihaha yiganje muri aba baturage.Ibibazo byambere byo gutahura Kimwe mubibazo bikomeye nukutagira amakenga. Kubera ko kanseri y'ibihaha ikunze kuba ifitanye isano no kunywa itabi, ntishobora gufatwa nkibyoroshye mubatarinywa itabi, bigatuma kwisuzumisha bitinda. Ibimenyetso birashobora kuba bidasobanutse cyangwa biterwa nibindi bihe. Ingamba zo gutahura hakiri kare nko gusuzuma kanseri y'ibihaha ukoresheje scan ya CT nkeya ntabwo isanzwe isabwa kubantu muri rusange batigeze banywa itabi, bikarushaho kugorana kwisuzumisha hakiri kare. Ubwoko bwa Kanseri y'ibihaha ikunze kuboneka mu batigeze banywa itabi Mu gihe abanywa itabi bakunze kwibasirwa na kanseri y'uturemangingo na kanseri ntoya y'ibihaha, ntabwo abanywa itabi bashobora guhura na adenocarcinoma. Adenocarcinoma ikunze kuvuka mu turere two hanze y'ibihaha, bigatuma bishoboka cyane kuvumburwa mbere yuko ikwirakwira. Ubundi, ubwoko budasanzwe burashobora kandi kubaho. Ikigo cyubushakashatsi bwa kanseri ya Shandong Baofa (https://baofahospital.com) yihaye intego yo kurushaho gusobanukirwa nubwoko butandukanye bwa kanseri yibihaha no kunoza uburyo bwo kwisuzumisha. Uburyo bwo kuvura Kanseri y'ibihaha itari itabi Uburyo bwo kuvura kanseri y'ibihaha ku batigeze banywa itabi akenshi usanga bujyanye n'ubwoko bwihariye n'icyiciro cya kanseri, ndetse n'ubuzima rusange bw'umuntu ku giti cye. Tekinike yibasiwe cyane nka chirurgie ya thoracoscopique ifashwa na videwo (VATS) irakoreshwa cyane kugirango igabanye igihe cyo gukira no kunoza ibisubizo. Irashobora gukoreshwa nkubuvuzi bwibanze kubarwayi badakwiriye kubagwa, cyangwa nkumuti wongeyeho nyuma yo kubagwa kugirango ukureho selile zose zisigaye. Ubuhanga nka stereotactique yumubiri wumuriro (SBRT) butanga imirasire yibibyimba cyane mugihe hagabanijwe kwangirika kwinyama zifite ubuzima bwiza.ChemotherapyChemotherapie ikubiyemo gukoresha imiti yica selile kanseri mumubiri. Bikunze gukoreshwa mubyiciro byinshi bya kanseri yibihaha cyangwa hamwe no kubaga cyangwa kuvura imirasire. Uburyo bwa chimiotherapie bwihariye buratandukanye bitewe n'ubwoko bwa kanseri y'ibihaha n'ubuzima bw'umurwayi muri rusange. Benshi ntibigera banywa itabi bafite adenocarcinoma bafite ihinduka ryimiterere, nka EGFR, ALK, ROS1, cyangwa BRAF. Kumenya ihinduka ry’imihindagurikire ituma abaganga bandika imiti igamije kubuza cyane cyane ibikorwa bya poroteyine zahinduwe, bigatuma habaho umusaruro ushimishije.ImmunotherapyImmunotherapy yongerera umubiri umubiri imbaraga zo kurwanya kanseri. Inhibitori ya Checkpoint, nka PD-1 na PD-L1 inhibitor, ni ubwoko bwa immunotherapie bwerekanye amasezerano yo kuvura ubwoko bumwe na bumwe bwa kanseri yibihaha, harimo nibisangwa mubatigeze banywa itabi. Imikorere yubudahangarwa iterwa nibintu bitandukanye, harimo no kuba hari biomarkers yihariye. Akamaro ko kwipimisha genetike muri Kanseri yibihaha itarimo itabiIbizamini bya geneti ni ngombwa mubuyobozi bwa kanseri y'ibihaha itanywa itabi. Kumenya ihinduka ryihariye rya genetike ryemerera abaganga kwihitiramo gahunda yo kuvura no guhitamo uburyo bwiza bwo kuvura cyangwa gukingira indwara.Imihindagurikire y’imiterere y’imiterere y’imiterere y’imiterere y’imiterere y’imiterere rusange ikunze kuboneka muri kanseri y’ibihaha ku batigeze banywa itabi, harimo: EGFR (Epidermal Growth Factor Receptor) ihinduka rya mutalike (Anaplastic Lymphoma Kinase) fusionsROS1 fusion kubuza cyane cyane ibikorwa bya poroteyine zahinduwe, biganisha ku musaruro unoze no kuramba igihe kirekire. Inyungu zo Kuvura Umuntu ku giti cye Ubuvuzi bwihariye bushingiye ku gupima genetike butuma habaho uburyo bunoze kandi bunoze bwo kuvura kanseri. Mu kwibasira moteri yihariye ya kanseri, abaganga barashobora kugabanya ingaruka mbi no kuzamura imibereho rusange yabarwayi. Uwiteka Shandong Baofa Ikigo Cyubushakashatsi Kanseri ashimangira ubuvuzi bwihariye mubuvuzi bwa kanseri. Ibigeragezo bya Clinical hamwe nubushakashatsi bukomeje Ibizamini bya kliniki bigira uruhare runini mugutezimbere ubuvuzi kanseri y'ibihaha itanywa itabi. Ubu bushakashatsi busuzuma imiti mishya, uburyo bwo kuvura, hamwe nubuhanga bwo gusuzuma. Gushaka Ibizamini bya ClinicalAbarwayi bifuza kwitabira ibizamini by’amavuriro barashobora gushakisha ibigeragezo bakoresheje amasoko azwi, nka: Ikigo cy’igihugu gishinzwe kanseri (NCI): https://www.cancer.gov/kuri-canseri/umuti/ubuvuzi-Amavuriro.gov: https://clinicaltrials.gov/Ibice byubushakashatsiIbikorwa byubushakashatsi byibanze byibanze kuri: Gutegura uburyo bushya bwo kuvura bugamije guhindura ihinduka ry’imiterere yihariye Guhindura imikorere ya immunotherapieKumenyekanisha ibimenyetso bishya bya biomarkers kugirango bimenyekane hakiri kare kandi bivurweGusobanukirwa na biologiya idasanzwe ya kanseri yibihaha mubatigeze banywa itabiIbipimo byerekana ibipimo byo kurokoka. kutanywa itabi kuvura kanseri y'ibihaha biratandukana bitewe nicyiciro cya kanseri mugupima, ubwoko bwa kanseri bwihariye, nubuzima rusange bwumuntu. Muri rusange, ntuzigera unywa itabi na kanseri yibihaha usanga bafite prognoza nziza kurusha abanywa itabi, cyane cyane iyo bafite ibibyimba bifite ihindagurika ryimiterere ya genoside.Ibintu bigira ingaruka kuri prognozIbintu bishobora kwanduza indwara zirimo: Icyiciro cya kanseri mugupima Ubwoko bwa kanseri yibihahaIbisubizo byubuzima bwa kanseri hamwe nubuzima Bwuzuye Ubuzima Buzima hamwe nubuzima bwiza * Ikinyamakuru cya Thoracic Oncology * cyasanze ko abantu batigeze banywa itabi bafite adenocarcinoma yateye imbere na EGFR bahinduye ubuzima bwabo hagati y’amezi 38.6 hamwe n’ubuvuzi bugamije, ugereranije n’amezi 26.7 ku banywa itabi bafite ihinduka rimwe bavuwe na chimiotherapie. 1 Kuvura Amatsinda Median Kurokoka Muri rusange (Ukwezi) Ntukigere unywa itabi hamwe na EGFR + Ubuvuzi bwa Adenocarcinoma buhanitse bwo kuvura 38.6 Abanywa itabi hamwe na EGFR + Imiti ya Adenocarcinoma yateye imbere 26.7 Inkomoko: 1. Ikinyamakuru cya Thoracic Oncology, 2020UmwanzuroKuvura kanseri y'ibihaha itanywa itabi ni umurima uhinduka hamwe no kongera amahirwe yo kuvura kugiti cyawe kandi cyiza. Gusobanukirwa ibintu biranga kanseri y'ibihaha ku batigeze banywa itabi, harimo n'ubwoko bwa kanseri ndetse n'imihindagurikire y'irondakoko rusange, ni ngombwa mu guhitamo ibisubizo by’ubuvuzi. Ubushakashatsi bukomeje hamwe n’igeragezwa ry’amavuriro ni ngombwa kugira ngo turusheho guteza imbere ubuvuzi bw’abantu basanze kanseri y'ibihaha batigeze banywa itabi. Gushakisha inama zinzobere mubuvuzi no gushakisha uburyo bwo kuvura buhari nintambwe zingenzi mugucunga iki kibazo.