kuvura ibihaha kuvura

Kuvura ibihaha: Ubuyobozi bwuzuye

Iyi ngingo itanga incamake yuzuye ya kuvura ibihaha amahitamo, akubiyemo ibyiciro bitandukanye. Tuzashakisha uburyo butandukanye bwo kuvura, tuganire kubintu bigira ingaruka kumyemezo yo kuvura, kandi dutange ubushishozi mugukemura ibibazo bifitanye isano kuvura ibihaha. Aka gatabo kagamije guha imbaraga abantu nimiryango yabo bafite ubumenyi bwingenzi bwo kuyobora uru rugendo rugoye.

Gusobanukirwa Ibibyimba

Ubwoko bwibibyimba

Ibibyimba by'ibihaha bishyirwa mubice bibiri by'ingenzi: benign (non-kanseri) na malignant (kanseri). Ibibyimba bibi byo mu bihaha byongeye gushyirwa muri kanseri ntoya y'ibihaha (SCLC) na kanseri y'ibihaha itari ntoya (NSCLC). NSCLC ifite umubare munini w'indwara ya kanseri y'ibihaha. Ubwoko bwihariye bwibibyimba byibihaha bigira ingaruka cyane kuri kuvura ibihaha kuvura gahunda.

Guteza Kanseri y'ibihaha

Gutegura ni ngombwa muguhitamo igikwiye kuvura ibihaha kuvura ingamba. Icyiciro kigaragaza urugero rwa kanseri ikwirakwira. Sisitemu yo kubika, nka sisitemu ya TNM, tekereza ubunini bwikibyimba (T), uruhare rwa lymph node (N), na metastasis ya kure (M). Gutegura neza bisaba ibizamini bitandukanye byo kwisuzumisha, harimo amashusho yerekana amashusho (CT, PET), biopsies, hamwe no gupima amaraso.

Amahitamo yo kuvura ibibyimba

Kubaga

Kubaga ikibyimba ni uburyo bwambere bwo kuvura kanseri y'ibihaha hakiri kare. Uburyo bwihariye bwo kubaga buterwa n'ikibyimba giherereye n'ubunini bwacyo. Amahitamo arimo lobectomy (kuvanaho lobe), segmentectomy (kuvanaho igice), no kwanga wedge (kuvanaho agace gato k'ibihaha). Tekinike yibasiye byibuze, nka videwo ifashwa na thoracoscopique yo kubaga (VATS), akenshi bahitamo kugabanya ibitero nigihe cyo gukira.

Chimoterapi

Chimoterapi ikoresha imiti yica kanseri. Bikunze gukoreshwa kuri kanseri yibihaha igezweho, haba wenyine cyangwa ifatanije nubundi buvuzi. Uburyo butandukanye bwa chimiotherapie burahari, kandi guhitamo biterwa nibintu bitandukanye birimo ubwoko nicyiciro cya kanseri, ubuzima bwumurwayi muri rusange, ningaruka zishobora guterwa. Ikigo cy'igihugu cya kanseri itanga ibisobanuro birambuye kuri protocole ya chimiotherapie.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yibasire kandi isenye selile. Irashobora gukoreshwa mbere yo kubagwa (neoadjuvant), nyuma yo kubagwa (adjuvant), cyangwa nkubuvuzi bwibanze bwibibyimba bidashoboka. Ubuvuzi bwo hanze bwimirasire yo hanze nubwoko busanzwe. Ubuvuzi bwa stereotactique yumubiri (SBRT) nuburyo busobanutse bwo kuvura imirasire itanga urugero rwinshi rwimirase mumasomo make.

Ubuvuzi bugamije

Ubuvuzi bugamije gukoresha imiti yibasira kanseri ya kanseri itangiza ingirabuzimafatizo zisanzwe. Ubu buvuzi bufite akamaro kanini kuri NSCLC hamwe na mutation yihariye. Ingero zirimo EGFR inhibitor, ALK inhibitor, na PD-1 / PD-L1 inhibitor. Kwipimisha genetike ni ngombwa kugirango hamenyekane abarwayi bashobora kungukirwa nubu buvuzi bugamije.

Immunotherapy

Immunotherapy ikoresha imbaraga z'umubiri zo kurwanya kanseri. Imiti ikingira indwara, nka inhibitor igenzura, ifasha sisitemu yumubiri kumenya no gusenya selile. Ubu buryo bwerekanye intsinzi ikomeye mu kuvura kanseri y'ibihaha yateye imbere, kandi imikorere yayo ikunze gusuzumwa hifashishijwe biomarkers nka imvugo ya PD-L1.

Guhitamo Gahunda nziza yo Kuvura

Ibyiza kuvura ibihaha kuvura gahunda iratandukanye kandi biterwa nibintu byinshi, harimo ubwoko nicyiciro cyibibyimba byibihaha, ubuzima bwumurwayi muri rusange, nibyifuzo bye. Itsinda ry’ibice byinshi by’inzobere mu buvuzi, harimo n’abaganga ba oncologue, abaganga babaga, radiologue n’abandi bahanga, bazafatanya gutegura gahunda yuzuye yo kuvura ijyanye n’ibyo umuntu akeneye.

Gucunga Ingaruka Zuruhande ninkunga

Kuvura ibibyimba byo mu bihaha Irashobora gutera ingaruka zitandukanye, bitewe nubuvuzi bwihariye bwakoreshejwe. Gukemura izo ngaruka ni ngombwa mu kuzamura imibereho. Amatsinda atera inkunga, serivisi zubujyanama, hamwe nubuvuzi bwa palliative birashobora gufasha cyane abarwayi nimiryango yabo muriki gihe kitoroshye. Uwiteka Ishyirahamwe ry’ibihaha muri Amerika itanga ibikoresho byingirakamaro hamwe nimbuga zifasha abantu barwaye kanseri yibihaha.

Ubushakashatsi no guhanga udushya mu kuvura ibihaha

Ubushakashatsi burimo gukorwa burakomeza gutera imbere kuvura ibihaha kuvura amahitamo, biganisha ku kuzamura umusaruro nubuzima bwiza kubarwayi. Igeragezwa rya Clinical ritanga uburyo bwo kuvura udushya kandi bigira uruhare mugutezimbere imiti mishya kandi inoze. Kubindi bisobanuro bijyanye nigeragezwa ryamavuriro, urashobora kugisha inama abashinzwe ubuzima cyangwa bakifashisha ibikoresho nka Amavuriro.gov.

Kubindi bisobanuro kandi byihariye kuvura ibihaha, tekereza kuvugana na Shandong Baofa Kanseri Yubushakashatsi kuri https://www.baofahospital.com/