kurapwa kwete diki kenza yemapapu pedyo neni

Kuwana Zvakarurama Kurapa Kusina Diki Sero Regomarara Kurapa Kenza Pedyo Kwandiri

Iyi dhairekitori yakazara inokubatsira iwe kufamba kuoma kwekutsvaga kunoshanda kurapa kusiri-diki cell lung cancer (NSCLC). sarudzo dziri pedyo newe. Isu tinoongorora nzira dzakasiyana dzekurapa, kufunga kwekusarudza kutarisirwa kwakaringana, uye zviwanikwa zvekubatsira rwendo rwako.

Kunzwisisa Non-Diki Cell Lung Cancer

Chii chinonzi NSCLC?

Isiri-diki kenza yemapapu yemapapu ndiyo yakajairika mhando yekenza yemapapu, inoverengera inosvika 80-85% yekenza yese yemapapu inoongororwa. Yakaiswa muzvikamu zvinoverengeka, imwe neimwe iine hunhu hwakasiyana hunokanganisa nzira dzekurapa. Kuonekwa kwekutanga kwakakosha pakuvandudza mhedzisiro. Kunzwisisa yako chaiyo NSCLC subtype inhanho yakakosha pakuona nzira yakanakisa ye kurapwa kwete diki cell cancer kurapwa pedyo neni.

Staging uye Diagnosis

Kurongeka kwakaringana - kuona kukura kwekupararira kwegomarara - kwakakosha pakuronga kurapwa kwete diki cell cancer kurapwa pedyo neni. Izvi zvinosanganisira kuongororwa kwakasiyana-siyana, kusanganisira imaging scans (CT, PET), biopsies, uye kuongororwa ropa. Danho rinorayira nzira yakakodzera yekurapa. Semuenzaniso, yekutanga-nhanho NSCLC inogona kurapwa nekuvhiyiwa chete, nepo matanho epamberi angangoda musanganiswa wekurapa.

Kurapa Sarudzo dzeNSCLC

Kuvhiya

Kuvhiya kubviswa kwebundu ndiyo yekutanga kurapwa sarudzo yepakutanga-nhanho NSCLC. Maitiro chaiwo anoenderana nenzvimbo yebundu uye saizi. Izvi zvinogona kusanganisira lobectomy (kubviswa kwelobe yemapapu), pneumonectomy (kubviswa kwemapapu ose), kana kuti wedge resection (kubviswa kwechikamu chidiki chemapapu). Mushure mekuvhiyiwa, kudzoreredza kwakakosha pakupora.

Chemotherapy

Chemotherapy inoshandisa mishonga kuuraya masero egomarara. Inowanzo shandiswa kuvhiyiwa kusati kwaitwa (neoadjuvant) kudzikisa bundu, mushure mekuvhiyiwa (adjuvant) kubvisa asara maseru egomarara, kana sekutanga kurapwa kweNSCLC yepamusoro. Yakajairika chemotherapy mishonga yeNSCLC inosanganisira cisplatin, carboplatin, paclitaxel, uye docetaxel. Migumisiro inosiyana-siyana asi inowanzogadziriswa nerutsigiro runotsigira.

Radiation Therapy

Radiation therapy inoshandisa mwaranzi ane simba guru kukuvadza nekuparadza maseru egomarara. Inogona kushandiswa yega, isati yasvika kana mushure mekuvhiyiwa, kana pamwe chete nechemotherapy. External beam radiation ndiyo inonyanya kushandiswa, kuendesa radiation kubva pamushini uri kunze kwemuviri. Mune zvimwe zviitiko, brachytherapy (yemukati mwaranzi) inogona kutariswa.

Targeted Therapy

Targeted therapy mishonga inotarisa pane chaiwo mamorekuru mukati memasero egomarara, ichikanganisa kukura kwavo uye kurarama. Aya marapirwo anonyanya kushanda muNSCLC varwere vane chaiwo genetic mutations, seEGFR, ALK, kana ROS1 mutations. Kugara uchiyedzwa kuona idzi shanduko kwakakosha kuti uone kukodzera kweanonangwa marapirwo. Mienzaniso inosanganisira Osimertinib (Tagrisso), Crizotinib (Xalkori), uye Afatinib (Gilotrif).

Immunotherapy

Immunotherapy inoshandisa immune system yemuviri kurwisa cancer. Inoshanda nekusimudzira kugona kwe immune system kuziva uye kurwisa cancer maseru. Immunotherapy mishonga, yakadai sepembrolizumab (Keytruda) uye nivolumab (Opdivo), inoshanda mune vamwe varwere veNSCLC, kazhinji pamwe chete nechemotherapy kana mamwe marapirwo. Migumisiro inogona kusanganisira kuneta, kuputika kweganda, uye zviitiko zvakashata zvine chokuita nekudzivirira muviri.

Kutsvaga Kurapwa Kwazvo Pedyo Newe

Kusarudza Nzvimbo Yekurapa

Kusarudza nzvimbo yeoncology inokwanisa kwakakosha. Tsvaga nzvimbo dzine ruzivo rweoncologists, matekinoroji epamberi, uye rekodhi yakasimba mukurapwa kweNSCLC. Funga zvinhu zvakaita sekuva pedyo nemba yako, mukurumbira wenzvimbo, uye kuvapo kwemishonga yehunyanzvi, miedzo yekiriniki, nerubatsiro. Tarisa online wongororo uye tsvaga kurudziro kubva kuna chiremba wako wekutanga kana vakavimbika vehutano nyanzvi.

Clinical Miedzo

Kutora chikamu mukuyedza kwekiriniki kunopa mukana wekurapa-kumucheto kurapwa kusati kwave kuwanikwa zvakanyanya. Iyi miedzo yakanyatsogadzirwa kuti iedze marapirwo matsva nekuvandudza mhedzisiro yekurapa. Wako oncologist anogona kukubatsira kuona kana kuyedzwa kwekiriniki kwakakodzera mamiriro ako chaiwo. Iwe unogona zvakare kuongorora dhatabhesi yekiriniki yekuedza senge ClinicalTrials.gov kuti uwane zvidzidzo zvakakodzera.

Kutsigira uye Zviwanikwa

Kuongorora chirwere chegomarara kunogona kuve kwakaoma. Tsvaga rutsigiro rwemanzwiro uye runoshanda kuburikidza nemapoka ekutsigira, masangano egomarara (semuenzaniso, American Lung Association, Lung Cancer Foundation yeAmerica), uye masevhisi ekuraira. Izvi zviwanikwa zvinopa ruzivo rwakakosha, nhungamiro, uye tsigiro yemanzwiro kune varwere nemhuri dzavo.

Chinyorwa Chakakosha

Ruzivo urwu nderweruzivo rwese uye haruunze zano rekurapa. Izvo zvakakosha kubvunza ane hunyanzvi oncologist kana nyanzvi yezvehutano kuti uongororwe nemunhu, kuronga kurapwa, uye kuenderera mberi kwekutarisira kune chekuita ne kurapwa kwekenza yemapapu kusiri diki. Ruzivo rwuri kuratidzwa pano harutsivi zano renyanzvi dzekurapa. Gara uchitsvaga zano rachiremba wako kana mumwe mupi wehutano ane hunyanzvi ane chero mibvunzo yaungave uine maererano nechirwere chekurapa.

Kuti uwane rumwe ruzivo kana kuongorora nzira dzekurapa kune inotungamira cancer research Institute, shanya Shandong Baofa Cancer Research Institute.