icyiciro cya 3b kuvura kanseri y'ibihaha

Icyiciro 3B Kuvura Kanseri y'ibihaha: Ubuyobozi BwuzuyeKumva amahitamo yawe icyiciro cya 3b kuvura kanseri y'ibihaha ni ngombwa. Aka gatabo gatanga incamake yubuvuzi buhari, imikorere yabyo, ingaruka zishobora guterwa, hamwe nibitekerezo byo gufata ibyemezo byuzuye. Tuzasesengura uburyo bwo kubaga, chimiotherapie, imiti ivura imirasire, kuvura intego, hamwe na immunotherapie, tugaragaza iterambere rigezweho mu murima.

Gusobanukirwa Icyiciro 3B Kanseri y'ibihaha

Icyiciro cya 3b kanseri y'ibihaha bisobanura ko kanseri yakwirakwiriye mu mitsi yo mu gatuza, ariko ntibirenze. Iki cyiciro cyongeye gushyirwa mubice 3B1 na 3B2, ukurikije urugero rwa lymph node yabigizemo uruhare. Gutegura neza ni ngombwa muguhitamo ingamba zikwiye zo kuvura. Gahunda yihariye yo kuvura izaterwa nibintu bitandukanye birimo ubuzima bwumurwayi muri rusange, ubwoko bwa kanseri yibihaha (selile nto na selile nto), aho ikibyimba giherereye nubunini bwabyo, hamwe nubundi burwayi ubwo aribwo bwose. Kwisuzumisha hakiri kare kandi neza nibyingenzi mugucunga neza icyiciro cya 3b kanseri y'ibihaha. Kugisha inama hamwe naba oncologiste b'inararibonye nibyingenzi mugutwara uru rugendo rugoye.

Amahitamo yo kuvura Icyiciro 3B Kanseri y'ibihaha

Kubaga

Kubaga birashobora kuba amahitamo kubarwayi bamwe na bamwe bafite icyiciro cya 3b kanseri y'ibihaha, cyane cyane abafite uburwayi bwaho kandi ubuzima bwiza muri rusange. Uburyo bwo kubaga bushobora kuba bukubiyemo lobectomie (kuvanaho ibihaha), pneumonectomy (kuvanaho ibihaha byose), cyangwa segmentectomie (kuvanaho igice cy'ibihaha). Icyemezo cyo gukomeza kubaga bizaterwa no gukuraho ibibyimba burundu hamwe ningaruka ziterwa nabyo. Ikigo cy'ubushakashatsi cya Kanseri ya Shandong Baofa (https://www.baofahospital.com/) itanga serivisi zuzuye zo kubaga oncology.

Chimoterapi

Chimiotherapie ikoreshwa kenshi mukuvura icyiciro cya 3b kanseri y'ibihaha, haba mbere yo kubagwa (neoadjuvant chemotherapy) kugabanya ikibyimba cyangwa nyuma yo kubagwa (chimiotherapie adjuvant) kugirango bigabanye ibyago byo kongera kubaho. Imiti ya chimiotherapie ikora yibasira kandi ikica kanseri igabanya vuba. Imiti ikoreshwa cyane ya chimiotherapeutique irimo imiti ishingiye kuri platine (cisplatine, karboplatine) nibindi. Gahunda yihariye izahuza ibyo umurwayi akeneye hamwe nigisubizo cyo kwivuza. Ingaruka mbi za chimiotherapie zirashobora gutandukana, ariko mubisanzwe harimo isesemi, umunaniro, guta umusatsi, no kugabanuka kwingirangingo zamaraso.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yice selile. Irashobora gukoreshwa wenyine cyangwa ifatanije na chimiotherapie. Imiti ivura imirasire irashobora gutangwa hanze (kuvura imishwarara yo hanze) cyangwa imbere (brachytherapy). Ubuvuzi bwa stereotactique yumubiri (SBRT) nuburyo busobanutse neza bwo kuvura imirasire itanga urugero rwinshi rwimishwarara yibibyimba mugihe bigabanya kwangirika kwinyama nzima. Ubu ni uburyo bwiza bwo kuvura abarwayi batoranijwe. Guhitamo imiti ivura imirasire bizaterwa nibintu byinshi nkaho ikibyimba giherereye, ingano, nubuzima rusange bwumurwayi.

Ubuvuzi bugamije

Ubuvuzi bugamije gukoresha imiti yibasira kanseri ya kanseri itangiza ingirabuzimafatizo zisanzwe. Ubu buryo bwo kuvura bugira ingaruka nziza ku bwoko bwa kanseri y'ibihaha ifite ihindagurika ryihariye. Ingero zirimo EGFR inhibitor, ALK inhibitor, na ROS1 inhibitor. Mbere yo kuvurwa, ibizamini bya geneti bikunze gukorwa kugirango hamenyekane niba kanseri y'ibihaha y'umurwayi ifite ihinduka ry’imiterere.

Immunotherapy

Immunotherapy ikoresha umubiri wumubiri urwanya kanseri. Inzitizi za Checkpoint, nka nivolumab na pembrolizumab, zikoreshwa cyane mukuvura icyiciro cya 3b kanseri y'ibihaha. Bakora bahagarika poroteyine zibuza sisitemu yumubiri kwibasira selile. Immunotherapy irashobora rimwe na rimwe kuganisha ku ngaruka zikomeye nkibintu biterwa nubudahangarwa. Gahunda yo kuvura igomba gutegurwa neza kandi igakurikiranwa hafi ninzobere mubuvuzi.

Gufata Ibyemezo Bimenyeshejwe

Guhitamo uburyo bwiza bwo kuvura icyiciro cya 3b kanseri y'ibihaha bisaba gusuzuma witonze ibintu bitandukanye. Ni ngombwa kugirana ibiganiro byeruye kandi byukuri na oncologue wawe kugirango wumve inyungu n'ingaruka za buri buryo bwo kuvura. Ubu buryo bwo gufatanya, bushingiye kumiterere yawe yihariye nibyo ukunda, nibyingenzi kugirango ugere kubisubizo byiza bishoboka. Tekereza gushaka ibitekerezo bya kabiri no kwishora mumatsinda yingoboka kugirango uyobore neza uru rugendo rutoroshye. Guhora ukurikirana gahunda hamwe nubushakashatsi bwerekana amashusho nibyingenzi mugukurikirana ibisubizo byubuvuzi no kumenya ibizagaruka.

Kugereranya Isesengura ryuburyo bwo kuvura

Umuti	Gukora neza	Ingaruka Zuruhande	Birakwiriye
Kubaga	Nibyiza cyane kuburwayi bwaho	Ingaruka zo kubaga, kubabara, igihe cyo gukira	Birakwiye kubarwayi bafite ibibyimba bikora nubuzima bwiza
Chimoterapi	Nibyiza mukugabanya ibibyimba no kwirinda ko byongera	Isesemi, umunaniro, guta umusatsi, kugabanuka kwamaraso	Birakwiriye abarwayi benshi bafite icyiciro cya 3b kanseri y'ibihaha
Ubuvuzi	Nibyiza mukwica selile	Kurakara uruhu, umunaniro, izindi ngaruka ukurikije aho uherereye	Birakwiriye abarwayi benshi, cyane cyane nibibyimba bidashoboka
Ubuvuzi bugamije	Nibyiza cyane kubarwayi bafite ihindagurika ryihariye	Ingaruka zitandukanye bitewe nibiyobyabwenge	Irasaba kwipimisha
Immunotherapy	Bikora neza mubarwayi bamwe	Immune ifitanye isano nibintu bibi	Birashobora gukoreshwa wenyine cyangwa bifatanije nubundi buvuzi

Icyitonderwa: Aya makuru agenewe intego zuburezi gusa kandi ntabwo agizwe ninama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima zujuje ibisabwa kugira ngo zisuzume kandi zivure indwara iyo ari yo yose.