
Iri gwara rinopa ruzivo rwakadzama pakutsvaga nekusarudza zvipatara zvinonyanya kurapa neuroendocrine cancer yemapapu (NELC). Isu tinovhara zvakakosha kufunga, nzira dzekurapa, uye zviwanikwa kuti zvikubatsire kufamba nerwendo urwu rwakaoma. Dzidza nezve zvipatara zvinotungamira uye hunyanzvi hwavo mukuongorora nekurapa iyi chaiyo mhando yekenza yemapapu.
Neuroendocrine cancer yemapapu rudzi rusina kujairika rwekenza yemapapu inotangira mumasero emuuropi emuuropi. Masero aya anoburitsa mahomoni uye akasiyana nemasero anokonzera mhando dzekenza yemapapu. NELC inoiswazve muzvikamu akati wandei zvichienderana nerudzi rwesero uye hunhu hwekukura, hunokanganisa nzira dzekurapa. Kukurumidza kuongororwa uye kurapwa kwakakodzera kwakakosha pamhedzisiro inogoneka.
NELC inosanganisa huwandu hwekenza, kusanganisira yakajairika carcinoids (yakaderera-giredhi), atypical carcinoids (yepakati-giredhi), uye hombe cell neuroendocrine carcinomas (yepamusoro-giredhi). Giredhi inokanganisa zvakanyanya nzira yekurapa. Kunzwisisa iyo chaiyo subtype kwakakosha pamunhu kuronga kurapwa.
Kusarudza chipatara che neuroendocrine kenza yemapapu kurapwa zvinoda kunyatsofungwa. Zvinhu zvakakosha zvinosanganisira ruzivo rwechipatara mukurapa NELC, hunyanzvi hweayo oncologists uye zvikwata zvekuvhiya, kuwanikwa kwehunyanzvi hwekuongorora (zvakadai sePET scans uye advanced imaging), uye kuwanikwa kwezvikwata zvevazhinji zvekuchengeta. Kusvika kwechipatara kumba kwako uye network yekutsigira inofanirawo kuverengerwa.
Tarisa zvipatara zvakatsaurirwa thoracic oncology zvirongwa uye yakakwira huwandu hwevarwere veNELC. Tsvakurudza ruzivo rweoncologists, zvinyorwa, uye kutora chikamu muzviedzo zvekiriniki. Kuzvipira kwechipatara kuita tsvakiridzo nekuvandudza zvinhu kunoratidza kuzvipira mukupa marapirwo azvino uno. Tarisa kune zvitupa uye zvitupa zvine chekuita nekuchengetwa kwegomarara.
Zvinoshanda neuroendocrine kenza yemapapu kurapwa kazhinji kunoda nzira yakasiyana-siyana inosanganisira vanachiremba oncologists, kuvhiya oncologists, radiation oncologists, pulmonologists, pathologists, uye vanotsigira rubatsiro nyanzvi. Chikwata chekuchengetedza chakarongeka chinovimbisa kurapwa kwakakwana uye chinogadzirisa zvakasiyana-siyana zvekugara zvakanaka kwemurwere.
Kuvhiya inzira yakajairika yekurapa yemunharaunda NELC. Kukura kwekuvhiyiwa kunoenderana nezvinhu zvakaita senge bundu saizi nenzvimbo. Minimally invasive techniques, yakadai sevhidhiyo-inobatsira thoracoscopic kuvhiyiwa (VATS), inowanzoshandiswa kuderedza kuputika nekuvandudza nguva yekudzorera.
Chemotherapy inogona kushandiswa pamwe nekuvhiyiwa kana semushonga wekutanga weNELC yepamusoro. Iyo chaiyo chemotherapy regimen inoenderana negiredhi rebundu uye hutano hwemurwere hwese. Mishonga inonangwa iri kuwedzerawo kuiswa muzvirongwa zvekurapa.
Radiation therapy, ingave yekunze danda kana brachytherapy, inogona kushandiswa kunanga bundu uye kuderedza saizi yaro. Inogona kushandiswa yoga kana pamwe chete nemamwe marapirwo.
Kurapa kwakanangwa kunoshanda nekunanga chaiwo mamorekuru mukati mekenza maseru. Mishonga yakawanda yakanangwa yakaratidza vimbiso mukurapa NELC, kunyanya idzo dzine genetic mutations. Chiremba wako achasarudza kana iyi nzira yekurapa yakakodzera nyaya yako chaiyo.
Zviwanikwa zvakati wandei zvinogona kubatsira mukuziva zvipatara zvine hunyanzvi mukurapa NELC. Izvi zvinosanganisira madhairekitori ezvipatara zvepamhepo, masangano ehunyanzvi seAmerican Society of Clinical Oncology (ASCO), uye masangano egomarara enyika. Iwe unogona zvakare kutsvaga kurudziro kubva kuna chiremba wako wekutanga kana dzimwe nyanzvi.
Nekutarisirwa kwakakwana uye kurapwa kwe Neuroendocrine Lung Cancer, funga Shandong Baofa Cancer Research Institute. Vanopa nzira dzepamusoro dzekuongorora uye nzira yakasiyana-siyana yekurapa.
Rangarira, ruzivo rwunopihwa pano nderweruzivo rwese uye harufanirwe kutorwa sezano rekurapa. Gara uchibvunza chiremba wako kana nyanzvi yezvehutano inokwanisa kuongororwa uye kuronga kurapwa. Kukurumidza kuonekwa uye kurapwa nokukurumidza kwakakosha kuti zvive nemigumisiro yakanaka neuroendocrine kenza yemapapu.
p>
parutivi>
body>