kurapwa nhanho 3 isiri diki cell kenza yemapapu kurapwa

Kurapa Sarudzo dzeDanho rechitatu Gomarara reMapapu risiri Diki

Nhanho 3 isiri-diki yekenza yemapapu (NSCLC) inopa matambudziko akasiyana, inoda nzira dzakasiyana-siyana dzekurapa. Gwaro iri rakazara rinoongorora nzira dzakasiyana dzekurapa, kutsanangura kushanda kwadzo, zvinogona kuitika, uye kukodzera zvinoenderana nemurwere wega wega. Kunzwisisa sarudzo idzi kwakakosha pakuita sarudzo dzine ruzivo pamwe chete neoncologist yako.

Kunzwisisa Nhanho 3 NSCLC

Danho rechitatu NSCLC rakakamurwa muNzvimbo IIIA uye IIIB, zvichiratidza kukura kwekupararira kwegomarara. Danho IIIA rinosanganisira gomarara rakapararira kumalymph nodes ari pedyo, nepo Stage IIIB ichibatanidza yakawedzera kupindira lymph node uye/kana kupararira kune zvimiro zviri pedyo. Kunyatsoita nhanho kuburikidza nekufungidzira (CT scans, PET scans) uye biopsies yakakosha pakuona yakanyanya kukodzera. kurapwa nhanho 3 isiri-diki cell kenza yemapapu kurapwa plan.

Kurapa Maitiro eChinhanho chechitatu NSCLC

Kuvhiya

Kuvhiya kunogona kuve sarudzo yekusarudza Stage IIIA varwere vane kushomeka kwenodal kubatanidzwa uye hutano hwakanaka hwese. Izvi zvinogona kusanganisira lobectomy (kubviswa kwelung lobe) kana pneumonectomy (kubviswa kwemapapu ose). Kuvhiya kunowanzo kuteverwa ne adjuvant therapy (chemotherapy kana radiation) kuderedza dambudziko rekudzoka zvakare. Sarudzo yekuenderera mberi nekuvhiyiwa inoenderana nezvinhu zvakati wandei, zvinosanganisira nzvimbo nekukura kwebundu, hutano hwemurwere hwese, uye kuwanda kwekubatanidzwa kwe lymph node. Shandong Baofa Cancer Research Institute inopa hunyanzvi hwekuvhiya hwekenza yemapapu.

Chemotherapy

Chemotherapy, kushandisa mishonga ine simba kuuraya masero egomarara, yakajairika kurapwa nhanho 3 isiri-diki cell kenza yemapapu kurapwa yeDanho IIIA uye IIIB NSCLC. Maregimeni anosiyana zvichienderana nechinhu chimwe chete, uye anogona kusanganisira platinamu-based mishonga (cisplatin kana carboplatin) yakasanganiswa nemamwe maagent akaita sepemetrexed kana docetaxel. Chemotherapy inogona kupihwa isati yavhiyiwa (neoadjuvant) kuderedza bundu, mushure mekuvhiyiwa (adjuvant) kubvisa masero egomarara asara, kana sekutanga kurapwa. Migumisiro inowanzoitika uye inogona kusanganisira kusvotwa, kuneta, uye kurasikirwa kwebvudzi; zvisinei, izvi zvinowanzogadziriswa nerubatsiro runotsigira.

Radiation Therapy

Radiation therapy inoshandisa mwaranzi ine simba guru kuparadza maseru egomarara. Inogona kushandiswa yoga kana pamwe chete nechemotherapy. Radiation therapy inogona kushandiswa isati yavhiyiwa (neoadjuvant) kudzikisa bundu, mushure mekuvhiyiwa (adjuvant) kunanga chero asara maseru egomarara, kana sekutanga kurapwa, kunyanya kune varwere vasiri kuvhiyiwa. Stereotactic body radiation therapy (SBRT) inzira chaiyo yemwaranzi inoendesa yakakwira dosi yemwaranzi kune bundu ichichengetedza tishu dzine hutano dzakatenderedza. Iyo chaiyo mhando uye dosage yeradiation therapy zvinoenderana nemamiriro emunhu.

Targeted Therapy

Targeted therapy inoshandisa mishonga inonyatso kunanga maseru egomarara zvichienderana nekuchinja kwemajini. Kumwe kuchinjwa kwemajini (seEGFR, ALK, ROS1 mutations) kwakajairika muNSCLC uye inogona kufanotaura kupindurwa kune chaiyo yakanangwa marapirwo. Kana shanduko yakadaro ikaonekwa, kurapa kwakanangwa kunogona kunge kuri kwekona ye kurapwa nhanho 3 isiri-diki cell kenza yemapapu kurapwa, zvingangopa migumisiro yakavandudzwa uye migumisiro shoma kana ichienzaniswa neyechinyakare chemotherapy. Wako oncologist achaitisa genetic test kuti uone kana kurapa kwakanangwa kwakakodzera iwe.

Immunotherapy

Immunotherapy inoshandisa simba remuviri wega immune system kurwisa cancer. Immune checkpoint inhibitors, senge nivolumab kana pembrolizumab, inoshandiswa kuvhara mapuroteni anodzivirira immune system kurwisa cancer maseru. Immunotherapy inowanzoshandiswa pamwe chete nekemotherapy uye inogona kuva sarudzo kune varwere vane ruzivo rwemajini kana avo vasina kupindura zvakanaka kune mamwe marapirwo. Migumisiro inogoneka uye inosiyana zvichienderana nemishonga chaiyo.

Kusarudza Chirongwa Chekurapa Kwazvo

The optimal kurapwa nhanho 3 isiri-diki cell kenza yemapapu kurapwa zano rinoenderana nezvakati wandei, kusanganisira nhanho yegomarara, hutano hwemurwere hwese, uye kuvapo kweiyo genetic mutations. Chikwata chakasiyana-siyana chemaoncologists, vanachiremba vanovhiya, uye neradiation therapists vachashanda pamwe chete kugadzira chirongwa chemunhu. Kukurukurirana kwakasununguka nemutarisiri wako wehutano kunokosha kuti unzwisise zvaunogona kuita uye kuita sarudzo dzine ruzivo nezvekuchengetedza kwako.

Mashoko aya ndeezvinangwa zvekudzidzisa chete uye haafanire kutorwa sezano rekurapa. Gara uchitaurirana nemutarisiri wako wehutano kuti uongororwe uye kurapwa kwechero mamiriro ekurapa.

Disclaimer: Ruzivo urwu rwakaitirwa ruzivo rwese uye zvinangwa zveruzivo chete, uye haruunze zano rekurapa. Zvakakosha kubvunzana nenyanzvi yezvehutano ine ruzivo rwezvehutano kana usati waita chero sarudzo dzine chekuita nehutano hwako kana kurapwa. Ruzivo rwuri kupihwa pano harufanirwe kutorwa sechinotsiva zano renyanzvi rekurapa, kuongororwa, kana kurapwa.