kuvura kanseri nshya y'ibihaha

Kuyobora uburyo bushya bwo kuvura kanseri y'ibihaha: Ubuyobozi bwuzuye

Aka gatabo gatanga incamake y'ibigezweho n'ibigaragara kuvura kanseri nshya y'ibihaha amahitamo, yibanda kumajyambere no gutekereza kubarwayi. Turasesengura uburyo butandukanye bwo kuvura, ingaruka zazo, ingaruka zishobora kubaho, nakamaro ka gahunda yo kuvura yihariye. Wige ibijyanye nubushakashatsi buheruka nuburyo bwo gufata ibyemezo byuzuye ubufatanye nitsinda ryubuzima bwawe.

Gusobanukirwa Kanseri y'ibihaha hamwe nuburyo bwayo

Kanseri y'ibihaha ni indwara igoye ifite ubwoko butandukanye, buri kimwe gisaba uburyo bwihariye kuvura kanseri nshya y'ibihaha. Kanseri y'ibihaha ntoya (SCLC) na kanseri y'ibihaha itari ntoya (NSCLC) ni ibyiciro bibiri by'ingenzi, hamwe na NSCLC yongeye kugabanywa mu buryo butandukanye bushingiye ku ihinduka ry'imiterere y'ibinyabuzima n'ibindi biranga. Gusuzuma neza, harimo no kubika, ni ngombwa mu kumenya ingamba nziza zo kuvura.

Gutegura no Gusuzuma

Gutegura bikubiyemo kumenya urugero rwa kanseri ikwirakwira. Ibi bikorwa hifashishijwe ibizamini byerekana amashusho nka CT scan na PET scan, kimwe na biopsies. Kumenya hakiri kare bitezimbere cyane ibyavuye mubuvuzi, bishimangira akamaro ko kwisuzumisha buri gihe, cyane cyane kubantu bafite ibyago byinshi. Igeragezwa rya geneti naryo ni ingenzi mu kumenya ihinduka ryihariye rishobora kuyobora kuvura kanseri nshya y'ibihaha ibyemezo.

Amahitamo yubu yo kuvura kanseri y'ibihaha

Uburyo bwo kuvura kanseri y'ibihaha bwateye imbere cyane mu myaka yashize, butanga uburyo bunini bwo kunoza imikorere no kugabanya ingaruka mbi.

Kubaga

Kubaga nuburyo bwibanze kuri kanseri yibihaha hakiri kare. Tekinike yibasiwe cyane, nka videwo ifashwa na thoracoscopique yo kubaga (VATS), akenshi ikundwa kubibyimba bito, bikavamo inzira zidatera ndetse nigihe cyo gukira vuba. Uburyo bwihariye bwo kubaga biterwa nubunini, aho biherereye, nicyiciro cyikibyimba.

Chimoterapi

Chimoterapi ikoresha imiti yica kanseri. Irakoreshwa cyane hamwe nubundi buvuzi, nko kubaga cyangwa kuvura imirasire. Hariho uburyo butandukanye bwa chimiotherapie burahari, kandi guhitamo biterwa n'ubwoko bwihariye na kanseri y'ibihaha. Ingaruka zisanzwe zirimo umunaniro, isesemi, no guta umusatsi, ariko akenshi birashobora gucungwa.

Ubuvuzi

Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango isenye kanseri. Irashobora gukoreshwa mbere, mugihe, cyangwa nyuma yo kubagwa kugirango igabanye ibibyimba, irinde kanseri kongera kubaho, cyangwa kugabanya ibimenyetso. Ubwoko butandukanye bwo kuvura imirasire burahari, harimo kuvura imishwarara yo hanze hamwe na brachytherapy (imirasire y'imbere). Ubuhanga buhanitse nka stereotactique yumubiri radiotherapi (SBRT) itanga uburyo bwo kwibasira neza ibibyimba, bikagabanya kwangirika kwinyama nzima.

Ubuvuzi bugamije

Ubuvuzi bugamije kwibanda kuri molekile zihariye zigira uruhare mu mikurire ya kanseri. Ubu buvuzi bugenewe abarwayi bafite ihinduka ry’imiterere yihariye, nka EGFR, ALK, na ROS1. Bakunze kugira ingaruka nke ugereranije na chimiotherapie gakondo. Ingero zirimo EGFR tyrosine kinase inhibitor (TKIs) nka Gefitinib na Erlotinib. Ikigo cy'ubushakashatsi cya Kanseri ya Shandong Baofa (https://www.baofahospital.com/) iri ku isonga mu bushakashatsi no gushyira mu bikorwa ibyo byateye imbere kuvura kanseri nshya y'ibihaha buryo.

Immunotherapy

Immunotherapy ikoresha imbaraga z'umubiri zo kurwanya kanseri. Inzitizi za bariyeri, nka Pembrolizumab na Nivolumab, zifunga poroteyine zibuza umubiri kwirinda indwara ya kanseri. Ubu buvuzi bwerekanye intsinzi idasanzwe mu bwoko bumwe na bumwe bwa kanseri y'ibihaha. Ingaruka zirashobora gutandukana, kandi gukurikiranira hafi ni ngombwa.

Guhitamo Gahunda nziza yo Kuvura

Guhitamo icyiza kuvura kanseri nshya y'ibihaha gahunda isaba gutekereza neza kubintu bitandukanye. Ibi bikubiyemo ubwoko bwa kanseri y'ibihaha, ubuzima bw'umurwayi muri rusange, ibyo akunda ku giti cye, ndetse no kubona imiti yihariye. Itsinda ryibice byinshi, harimo naba oncologiste, kubaga, oncologiste yimirasire, nabandi bahanga, bakorana kugirango bategure gahunda yihariye yo kuvura.

Ibigeragezo bya Clinical hamwe nubuvuzi bwihuse

Ubushakashatsi bukomeje guteza imbere gusobanukirwa kanseri y'ibihaha no guteza imbere uburyo bwo kuvura udushya. Kwitabira ibizamini byamavuriro bitanga uburyo bwo kuvura udushya kandi bitanga amakuru yingirakamaro kugirango tunoze uburyo bwo kuvura. Buri gihe ujye uganira ku kwitabira ibizamini by’amavuriro hamwe n’ushinzwe ubuzima.

Inshingano: Aya makuru agamije uburezi gusa kandi ntagomba gufatwa nkinama zubuvuzi. Buri gihe ujye ubaza inzobere mu by'ubuzima kugira ngo zisuzume kandi zivure indwara iyo ari yo yose.