kuvura kanseri y'ibihaha uburyo bwo kuvura intambwe hafi yanjye

Uburyo bwo kuvura kanseri y'ibihaha byiciro: Ubuyobozi Bwuzuye Uburyo bwo kuvura kanseri y'ibihaha buratandukanye cyane bitewe na kanseri. Aka gatabo gatanga incamake yubuvuzi butandukanye buboneka, imikorere yabyo mubyiciro bitandukanye, nibintu ugomba gusuzuma mugihe ufata ibyemezo byo kuvura. Wibuke, aya makuru ni ay'ubumenyi rusange kandi ntagomba gusimbuza inama na oncologue ubishoboye. Buri gihe shakisha inama zubuvuzi zumwuga kubibazo byawe byihariye.

Gusobanukirwa Icyiciro cya Kanseri y'ibihaha

Gutegura kanseri y'ibihaha ni ngombwa mu kumenya inzira nziza ya kuvura kanseri y'ibihaha uburyo bwo kuvura intambwe hafi yanjye. Sisitemu yo kubika ikoresha imibare y'Abaroma (I-IV) kugirango ishyire mu byiciro urugero rwa kanseri, hamwe ninjye wambere na IV nateye imbere cyane. Icyiciro kigenwa binyuze mubizamini bitandukanye birimo amashusho yerekana amashusho (CT, PET), biopsy, hamwe na bronchoscopi. Kumenya icyiciro bifasha itsinda ryanyu ryubuzima gutanga inama nziza kandi nziza yo kuvura.

Icyiciro cya Kanseri y'ibihaha

Icyiciro cya I Kanseri y'ibihaha iherereye, bivuze ko itakwirakwiriye hejuru y'ibihaha. Uburyo bwo kuvura busanzwe burimo kubaga (lobectomy, segmentectomy, wedge resection), akenshi bigakurikirwa no kuvura (chimiotherapie cyangwa imiti ivura imirasire) kugirango ikureho kanseri ya microscopique isigaye.

Icyiciro cya II Kanseri y'ibihaha

Icyiciro cya II cyerekana kanseri yakuze cyangwa ikwirakwira hafi ya lymph node. Ubuvuzi busanzwe burimo kubaga, akenshi buvangwa na chimiotherapie cyangwa imiti ivura imirasire, bitewe nibiranga ikibyimba nubuzima bwumurwayi muri rusange.

Icyiciro cya III Kanseri y'ibihaha

Mu cyiciro cya III, kanseri yakwirakwiriye hafi ya lymph node cyangwa imiterere. Uburyo bwo kuvura buragoye kandi burashobora gushiramo imiti ya chimiotherapie, imiti ivura imirasire (harimo na stereotactique yumubiri wa radiyoyasi - SBRT), hamwe no kubagwa niba kanseri ifatwa nkaho idashoboka nyuma yubuvuzi bwa neoadjuvant (pre-surgery).

Icyiciro cya IV Kanseri y'ibihaha

Icyiciro cya IV, kizwi kandi nka kanseri y'ibihaha metastatike, bisobanura ko kanseri yakwirakwiriye mu bice bya kure by'umubiri. Ubuvuzi bwibanda ku kurwanya indwara no kuzamura imibereho, akenshi hakoreshejwe imiti igamije, immunotherapie, chimiotherapie, hamwe n’ubuvuzi bufasha.

Uburyo bwo kuvura Kanseri y'ibihaha

Uburyo bwinshi bwo kuvura bukoreshwa mukurwanya kanseri yibihaha, bitewe na stade ndetse nuburwayi bwa buri muntu. Muri byo harimo:

Kubaga

Kubaga bigamije gukuraho ikibyimba cya kanseri hamwe na lymph node hafi. Uburyo butandukanye bwo kubaga burahari, uhereye ku buryo bworoshye bwo kwibasira uburyo bwagutse. Ububasha bukwiye bwo kubagwa biterwa nintambwe ya kanseri, ubuzima bwumurwayi, hamwe nubunini bwikibyimba.

Chimoterapi

Chimiotherapie ikoresha imiti yica kanseri mu mubiri. Irashobora gukoreshwa mbere yo kubagwa (neoadjuvant), nyuma yo kubagwa (adjuvant), cyangwa nkubuvuzi bwibanze bwa kanseri yibihaha. Imiti isanzwe ya chimiotherapie irimo cisplatine, karboplatine, na paclitaxel.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yibasire kanseri. Irashobora gukoreshwa wenyine cyangwa ifatanije nubundi buvuzi, nka chimiotherapie cyangwa kubaga. Uburyo butandukanye bwimirasire burahari, harimo kuvura imishwarara yo hanze (EBRT) na brachytherapy.

Ubuvuzi bugamije

Ubuvuzi bugamije gukoresha imiti yibasira kanseri ya kanseri, bikagabanya kwangirika kwingirabuzimafatizo. Iyi miti ikora ibangamira molekile zihariye zigira uruhare mu mikurire ya kanseri no gukwirakwira. Ingero zirimo EGFR inhibitor (gefitinib, erlotinib) na ALK inhibitor (crizotinib, alectinib).

Immunotherapy

Immunotherapy ikoresha imbaraga z'umubiri zo kurwanya kanseri. Ikora mukuzamura ubushobozi bwumubiri bwo kumenya no gusenya selile cyangwa guhagarika ibimenyetso bibuza sisitemu yumubiri kwibasira kanseri. Ingero zirimo inhibitori (pembrolizumab, nivolumab).

Gushakisha Uburyo bwo kuvura Kanseri y'ibihaha Uburyo bwo Kuvura Icyiciro hafi yanjye

Kubona ubuvuzi bukwiye hafi yawe bisaba kubitekerezaho neza. Tangira ubaza umuganga wawe wibanze, ushobora kukwohereza kwa oncologue kabuhariwe na kanseri yibihaha. Urashobora kandi gukoresha ibikoresho kumurongo kugirango ubone oncologiste mukarere kawe. Witondere kugenzura ibyangombwa nuburambe byumuntu wese utanga ubuvuzi mbere yo kubonana na gahunda. Reba ibintu nkibikoresho byibitaro, icyubahiro, nubuhanga bwa oncologue mukuvura ibyiciro bitandukanye bya kanseri yibihaha. Ikigo cyubushakashatsi bwa Kanseri ya Shandong Baofa https://www.baofahospital.com/ itanga kanseri yuzuye yibihaha, ikoresheje ikoranabuhanga rigezweho ninzobere zifite uburambe.

Ibitekerezo by'ingenzi

Wibuke ko imiterere ya buri muntu yihariye. Ibyemezo byo kuvura bigomba gufatwa kubufatanye bwa hafi nitsinda ryanyu ryita kubuzima, urebye ibintu nkicyiciro cya kanseri, ubwoko bwa kanseri yibihaha (kanseri y'ibihaha itari ntoya cyangwa kanseri y'ibihaha ntoya), ubuzima bw'umurwayi muri rusange, hamwe nibyo akunda.

Inshingano

Aya makuru agenewe intego zuburezi gusa kandi ntabwo agizwe ninama zubuvuzi. Ni ngombwa kugisha inama inzobere mu by'ubuzima zujuje ibisabwa kugira ngo zisuzume kandi zivure indwara iyo ari yo yose. Amakuru yatanzwe hano ntabwo asimbuye inama zubuvuzi zumwuga, gusuzuma, cyangwa kwivuza. Buri gihe shakisha inama kwa muganga wawe cyangwa abandi batanga ubuzima babishoboye bafite ibibazo ushobora kuba ufite bijyanye nuburwayi. Ntuzigere wirengagiza inama zubuvuzi zabigize umwuga cyangwa gutinda kubishakisha kubera ikintu wasomye kururu rubuga.