kurapwa kwekenza yemapapu kwakanaka

Yakanakisa Lung Cancer Kurapa Sarudzo: Iyo Yakakwana NhungamiroIri gwara rinopa mucherechedzo wezvazvino kurapwa kwekenza yemapapu kwakanaka zvingasarudzwa, zvinofukidza matanho akasiyana-siyana uye marudzi echirwere. Isu tinoongorora maitiro ekuvhiya, chemotherapy, radiation therapy, yakanangwa kurapa, immunotherapy, uye nerutsigiro rwekuchengetedza, kukubatsira iwe kunzwisisa kuomarara kunowanikwa mukusarudza nzira yekurapa kwayo. Ruzivo rwunounzwa nekuda kwezvinangwa zvekudzidzisa uye harufanirwe kutorwa sezano rekurapa. Gara uchibvunza oncologist yako kuti uwane kurudziro yemunhu.

Kunzwisisa Lung Cancer

Mhando dzeCancer Lung

Kenza yemapapu yakakamurwa kuita mhando mbiri huru: kenza diki yemapapu (SCLC) uye isiri-diki cell cancer yemapapu (NSCLC). NSCLC inoverengera huwandu hukuru hwekuongororwa kenza yemapapu uye zvakare yakakamurwa kuita subtypes, kusanganisira adenocarcinoma, squamous cell carcinoma, uye hombe cell carcinoma. Iyo chaiyo mhando ye kurapwa kwekenza yemapapu kwakanaka zvichaenderana zvakanyanya nerudzi rwesero uye danho rekenza.

Kuongororwa kweCancer Lung

Staging inotaridza kukura kwekupararira kwegomarara. Matanho anotangira paI (localized) kuenda kuIV (metastatic). Danho rakakosha pakusarudza zvakanyanya kufanira kurapwa kwekenza yemapapu kwakanaka plan. Izvi zvinowanzobatanidza bvunzo dzekufungidzira dzakadai seCT scans, PET scans, uye zvingangoita biopsies.

Kurapa Sarudzo dzeGomarara remapapu

Kuvhiya

Kuvhiya kubviswa kwebundu regomarara kazhinji ndiyo sarudzo inosarudzika yekenza yemapapu yekutanga. Pane nzira dzakati wandei, dzakadai selobectomy (kubviswa kwelobe yemapapu), pneumonectomy (kubviswa kwemapapu ese), uye wedge resection (kubviswa kwechikamu chidiki chemapapu). Iyo chaiyo yekuvhiya maitiro inoenderana nehukuru uye nzvimbo yebundu. Minimally invasive techniques sevhidhiyo-inobatsira thoracoscopic kuvhiyiwa (VATS) iri kuwedzera kushandiswa kuderedza kushungurudzika uye nguva yekudzorera.

Chemotherapy

Chemotherapy inoshandisa mishonga kuuraya masero egomarara. Inowanzoshandiswa kuvhiyiwa kusati kwaitwa (neoadjuvant chemotherapy) kuderedza mapundu, mushure mekuvhiyiwa (adjuvant chemotherapy) kubvisa masero ekenza asara, kana sekutanga kurapwa kwegomarara remapapu. Inowanzo shandiswa chemotherapy mishonga inosanganisira cisplatin, carboplatin, paclitaxel, uye docetaxel. Migumisiro inogona kuva yakakosha uye yakasiyana zvichienderana nemishonga chaiyo yemishonga.

Radiation Therapy

Radiation therapy inoshandisa mwaranzi ine simba guru kuparadza maseru egomarara. Inogona kushandiswa yoga kana kusanganiswa nemamwe marapirwo. External beam radiation therapy inoburitsa radiation kubva pamushini uri kunze kwemuviri. Brachytherapy inosanganisira kuisa radioactive zvinhu zvakananga mukati kana pedyo nebundu. Migumisiro inogona kusanganisira kuneta, kushatirwa kweganda, uye kuzvimba kwemapapu.

Targeted Therapy

Targeted therapy inoshandisa mishonga inonangana nekenza maseru, ichideredza kukuvadzwa kwemasero ane hutano. Mishonga iyi inowanzotarisa genetic mutations kana mapuroteni anowanikwa mumasero egomarara. Mienzaniso inosanganisira EGFR tyrosine kinase inhibitors (TKIs) yakafanana negefitinib uye erlotinib, ALK inhibitors se crizotinib, uye ROS1 inhibitors. Kugara uchiyedzwa kune chaiwo genetic mutations inodiwa kuti uone kana murwere ari munhu akakodzera kurapwa kwakanangwa.

Immunotherapy

Immunotherapy inoshandisa immune system yemuviri kurwisa cancer. Inobatsira kukurudzira immune system kuziva uye kurwisa cancer maseru. Checkpoint inhibitors, senge pembrolizumab uye nivolumab, inowanzoshandiswa immunotherapy mishonga. Vanovhara mapuroteni anodzivirira immune system kurwisa cancer maseru.

Kutsigira Kuchengetedza

Kutsigira kwekuchengetedza kunotarisa pakugadzirisa zviratidzo nekuvandudza hupenyu hwemurwere. Inogona kusanganisira kugadzirisa marwadzo, rubatsiro rwekudya, kurapwa kwekufema, uye rubatsiro rwepfungwa. Iyi nzira yekutarisira yakakosha mukati mese maitiro ekurapa.

Kusarudza Chirongwa Chekurapa Chakanakisisa

The kurapwa kwekenza yemapapu kwakanaka hurongwa hwakasiyana-siyana uye hunoenderana nezvinhu zvakati wandei, zvinosanganisira: Rudzi uye danho rekenza yemapapu Hutano hwemurwere hwese uye kusimba Zvaanoda Kuwanikwa kwesarudzo dzekurapaChikwata chemhando dzakasiyana-siyana, kazhinji chinosanganisira oncologists, maoparesheni, radiologists, uye dzimwe nyanzvi, vachashanda pamwe chete kugadzira chirongwa chemunhu chekurapa. Kukurukurirana kwakavhurika neboka rako rehutano kwakakosha kuti uve nechokwadi chekuti unonzwisisa sarudzo dzako uye unogona kuita sarudzo dzine ruzivo.

Kwaunowana Ruzivo Rwakavimbika uye Tsigiro

Kuti uwane rumwe ruzivo uye rutsigiro maererano nekenza yemapapu, unogona kutsvaga zviwanikwa kubva kumasangano ane mukurumbira seAmerican Cancer Society uye National Cancer Institute. American Cancer Society uye National Cancer Institute kupa ruzivo rwakakwana pamusoro pekuongororwa kwegomarara remapapu, kurapwa, uye masevhisi ekutsigira. Funga kutsvaga mapoka erutsigiro kana masevhisi ekuraira nerubatsiro rwepfungwa nerunoshanda panguva ino yakaoma. Nekutarisirwa kwepamusoro kana kwehunyanzvi, unogona zvakare kuda kubvunzana nemasangano anoshanda nekurapa cancer, seShandong Baofa Cancer Research Institute. Iwe unogona kudzidza zvakawanda nekushanyira webhusaiti yavo pa https://www.baofahospital.com/.