Ukwahlukana Nezinsiza Zasebasha Abasha abane-Lung Cancer
Abantu abaningi bacabanga ngomdlavuza wamaphaphu njengesifo kubantu asebekhulile, kodwa umdlavuza wamaphaphu uyenzeka kubantu abasha. Umphakathi wakhunjuzwa ngalokhu lapho uDana Reeve , owaziwa kakhulu ngokuthi umka "Superman" nomuntu ongakaze abheke, wafa ngomdlavuza wamaphaphu eneminyaka engu-44 ubudala.
Ukukhathazeka ukuthi umdlavuza wamaphaphu kubantu abadala abonakala sengathi uyanda. Ijwayelekile kangakanani umdlavuza wamaphaphu kubantu abasha, uhluke kanjani kumdlavuza wamaphaphu kubantu asebekhulile, futhi yiziphi ezinye izinsiza ezitholakalayo uma ungumuntu omncane omdlavuza wamaphaphu?
Ukuchaza I-Cancer Lung Intsha
Ayikho imigomo ecacile echaza "intsha" uma kuziwa emdlalweni wamaphaphu. Ucwaningo oluningi nezinkulumo zikhuluma ngomdlavuza wamaphaphu okwenzeka ngaphansi kweminyaka engama-40 noma 45 noma 50 njengamanje. Abanye abantu bangachaza "abasha" njengoba betholakala benomdlavuza wamaphaphu ngaphambi kokuba baneminyaka engama-60. Okwamanje, isilinganiso seminyaka esitholakalayo siyi-72.
Yeka Indlela Ejwayelekile Ngomdlavuza We-Lung Intsha?
Ekuboneni kuqala, umdlavuza wamaphaphu kubantu abasha ungase ubonakale ungajwayelekile. Kodwa ucabanga ukuthi umdlavuza wamaphaphu uyimbangela ehamba phambili yokufa komdlavuza emadodeni nakwabesifazane e-United States, ngisho nephesenti elincane lingakwazi ukuhumusha kubantu abaningi abanesifo. Kulinganiselwa ukuthi abantu abangu-222 500 bazotholakala benomdlavuza wamaphaphu ngo-2017 kanti abangu-155 870 bazofa. Kulaba bantu, amaphesenti angu-1.2 kuya kwangu-6.2 aneminyaka engaphansi kwengu-40, kanti amaphesenti angu-13.4 angaphansi kweminyaka engama-50. Ukubalwa okusheshayo kwembula ukuthi cishe abantu abangaba ngu-30 000 abangaphansi kweminyaka engu-50 bayotholakala benomdlavuza wamaphaphu ngo-2017 futhi abangaphezu kuka-21,000 Abantu abadala bayobhubha ngesifo.
Ukuze kubonakale lokhu ngokulinganayo, kulinganiselwa ukuthi abantu abangu-40 000 bazofa ngomdlavuza webele ngo-2017 futhi cishe amaphesenti angu-20 alaba besifazane baneminyaka engaphansi kwezingu-54. Okunye ukubalwa okusheshayo kulinganiselwa ukuthi abesifazane abangu-8300 abangaphansi kweminyaka engu-54 bazofa ngomdlavuza webele. Kungenzeka ukuthi abantu abaningi bangamangala ngalezi zinombolo.
I-Cancer yeMangane Yabantu Abasha Ihluke Kanjani?
Uma kuziwa kubantu ngabanye abanomdlavuza wamaphaphu, kunezinhlobo eziningi ezihlukahlukene zohlobo lomdlavuza, izici zomdlavuza, kanye nezici ezinjengezinto ezithathwa njengefa. Kodwa ngezibalo, kunezindlela ezithile umdlavuza wamaphaphu kubantu abasha ohluke kakhulu nomdlavuza wamaphaphu kubantu abadala. Ezinye zazo zihlanganisa:
- Isiteleka Ekuqapheleni: Abantu abasha banomdlavuza wephamphu ophakeme kakhulu ngesikhathi sokuxilongwa kuneziguli ezindala; isibalo esikhulu seziguli ezincane zitholwa ngesifo sesigaba 4 . Lokhu kunengqondo ngezindlela ezithile. Umdlavuza we-Lung-ikakhulukazi emncane, enempilo, engabhemi-akuvamile ukuphakama esikrinini se-radar kadokotela, futhi lokhu kungabangela ukulibaziseka ukuxilongwa. Labo abasha bavame ukutholwa ukuthi bane-asthma, bronchitis , noma ngisho nezifo ngaphambi kokutholakala kwesifo. Intsha eningi iye yaba ne-x-rays esifubeni ehlulekile ukukhombisa umdlavuza, futhi kubalulekile kunoma ubani oneminyaka engakanani ubudala ukuthi i- chest x-rays ingaphuthelwa ukuxilongwa komdlavuza wamaphaphu .
- I-Genetic Predisposition: Abantu abatholakala benomdlavuza wamaphaphu ngesikhathi esencane banamathuba amaningi okuba nabanye amalungu omndeni abaye bahlushwa lesi sifo. Kungenzeka ukuthi i- heredity idlala indima enkulu kunazo zonke emdlashweni wamaphaphu ovela ezigulini ezincane kuneziguli ezindala, kanti abacwaningi baqala ukubona ezinye zezakhi zofuzo ezingase zibekwe abantu abasha ekuthuthukiseni umdlavuza wamaphaphu.
- Isimo sokubhema: Abantu abasha abanomdlavuza wamaphaphu cishe bangasoze baphuze kunabantu abakha umdlavuza wamaphaphu kamuva ekuphileni.
- Uhlobo lwe-Cancer Lung: Uhlobo oluvame kakhulu lomdlavuza wamaphaphu kubantu abasha lungumaphaphu we-lung adenocarcinoma , uhlobo lwe- non-small cell cell lung cancer, okubalwa cishe ngamaphesenti angu-80 wamanqamu amaphaphu kubantu abadala. Phakathi kwabantu abadala abadala i-adenocarcinoma i-lung adenocarcinoma itholakala ingaphansi kwamaphesenti angu-50 yesikhathi.
- Iphrofayli Yesiliva: Bonke abasha abasebasha abanomdlavuza wamaphaphu kufanele babe nokuhlolwa kofuzo (ukuprofethwa kwamangqamuzana) okwenziwe. Abantu abadala abanomdlavuza wamaphaphu banamathuba amaningi okuba nomthelela wokuguqulwa kwe-EGFR , ishintsho esakhiweni esiqala emva kokubeletha kanye namakhodi weprotheyini "eqhuba" ukukhula nokwanda komdlavuza. Ucwaningo oluthile luye lwathola ukuthi lezi zinguquko zikhona ezindaweni ezizungeze amaphesenti angu-50 abantu abadala asebekhulile uma kuqhathaniswa namaphesenti angu-10 abantu abadala abangewona ase-Asia. (Abantu bobuhlanga base-Asia banomthelela omkhulu wezinguquko ze-EGFR.) Siyabonga ukuthi bambalwa ababhekene nemithi yokwelapha manje etholakala ukubhekana nalokhu kuguquka futhi kungabangela ukusinda okuqhubekayo okuqhubekayo kubantu abaningi abaneziguquko. Kukhona nezinye izakhi zofuzo ezibonakala zivame kakhulu kubantu abasha. Ucwaningo luka-2015 lwabantu abadala abaneminyaka engama-30 noma engaphansi komdlavuza wamaphaphu bethola ukuthi ukuguqulwa kwe-EGFR, kanye nezinye izinto eziguquguqukayo eziguqukayo eziphilayo, zazivame kakhulu kunabantu abadala asebekhulile abanesifo.
- Izinga lokusinda : Izifundo ziyahlukahluka, ezinye zibonisa ukusinda okungcono nakwezinye izindleko zokusinda ezihluphekayo kuneziguli ezindala. Ngokuvamile, naphezu kokuthi kutholakala kamuva, iziguli ezincane zibonakala zihamba kangcono kuneziguli ezindala ezifundweni zamuva.
- Ukusekela: Abantu abadala abasha akubona bodwa, njengoba noma ubani oneminyaka yobudala ngokuvamile ehlushwa ukucwasa umdlavuza wamaphaphu . Uma ngabe umuntu omdala osemusha ethola ukuthi unayo, uthi, i-leukemia noma umdlavuza webele, cabanga ngamazwi okuqala umuntu angayenza. Esikhundleni salokho, manje cabanga ngamazwi okuqala abantu abasha abanomdlavuza wamaphaphu ngokuvamile abazwa lapho behlangana nabahlobo nabangane babo: "Uze ude kuze kube nini?" Noma, "Angikazi ukuthi uyibhema!" Akukhona nje lokhu okubuhlungu ngokomzwelo kubantu abasha abangase bazizwe behlukaniswe nokuxilongwa kwabo kuqala, kodwa ngokuvamile "bayecala" ngesifo sabo noma ngabe baphuze noma cha. Umsulwa wesifo somdlavuza omncane wamaphaphu wayesebuya kahle lapho ebuzwa lo mbuzo ngemva kokuhlangana nomuntu omusha. Uthe, "Ngingadingeka ngiqale ukubhema esibelethweni."
Izinsiza zabadala abasebasha abane-Cancer Lung
Izisetshenziswa zitholakalayo kubantu abasha abanomdlavuza wamaphaphu, kanye nabantu abadala abancane abanoma yiluphi uhlobo lomdlavuza. Abanye abantu abanomdlavuza wamaphaphu bakhetha amaqembu okusekela asekhaya nakwi- intanethi afaka kuphela abantu abanomdlavuza wamaphaphu. Isizathu sisobala kalula. Uma ubhekene nesifo somdlavuza wesigaba 4 nesimo sokusinda esesabekayo, kungase kube nzima ukubona ukuthi ngubani owesifazane onomdlavuza webele wesandulela-ngculazi oneminyaka emihlanu engamaphesenti angu-90 okusinda, futhi ubani okhathazeka kakhulu ngokumlondoloza ukuzala.
Ngaphandle kwamaqembu asekela kanye namakamelo okuxoxa, abanye abasinda emdlavuza omusha wamaphaphu bathathe isikhathi sokubloga mayelana nohambo lwabo-uhambo olungakusiza uzizwe ungasodwa uma uqala uhambo lwakho. Hlola lezi blogs, eziningi zazo ezibhaliwe abasinda abasha nemindeni emisha.
Isisekelo somdlavuza womnumzane uBonnie J. Addario sibhekisela ngokucacile kokubili umehluko emaphrofayli amangqamuzana omdlavuza wamaphaphu kubantu abadala abancane kanye nezidingo eziyingqayizivele zamasinde abasinde. Uma uneminyaka engu-50 ubudala noma omncane nomdlavuza wamaphaphu, qiniseka ukuthi uxhumane neSisekelo.
Abantu abaningi abasha abanomdlavuza wamaphaphu baye bahileleka kakhulu emithonjeni yezokuxhumana kanye nomphakathi womdlavuza we-intanethi. Ngolunye usuku ngoLwesibili kusihlwa kukhona ingxoxo ye-tweet ehlanganisa abantu abanomdlavuza wamaphaphu, abagqugquzeli, amalungu omndeni, oncologists, oncologists, ama-radiologists, abahlinzeki be-thoracic, abacwaningi, nokuningi. Leli thuba elimangalisayo lokukhuluma ngokuqondile nabachwepheshe abahamba phambili ekucwaningweni komdlavuza wamaphaphu. Ukuze uthole umphakathi, sebenzisa i-hashtag #LCSM enomdlavuza wezenhlalo yomphakathi.
Futhi kubantu abadala abasezinhlobo zonke zomdlavuza:
- I-Cancer Isisulu: Izwi leKhansela Lomuntu Omncane ngumphakathi ohlangana no-intanethi kanye nomuntu ukuze unike amandla abantu abasha abanomdlavuza. Kukhona futhi umbukiso womsakazo we-Stupid Cancer kanye nethuba lokuhlangana ubuso nobuso nabanye abantu abasha abanomdlavuza wezwe lonke emhlanganweni wesigodi kanye nemihlangano yesifunda.
Ukwesekwa okuwusizo kubantu abasha abanomdlavuza:
- Isikhwama Se-Cancer Yezingane Ezincane: Le nhlangano, ngaphezu kwamanye amafomu okusekela, inikeza uhlelo lokuhamba lokuzikhandla olulodwa mahhala ukuze likusize ukuxazulula izinkinga eziningi iziguli ezincane zomdlavuza ezingabhekana nazo, ukusiza ukuqinisekisa ukuthi akekho umuntu osemusha osemusha ubuso bomdlavuza wedwa. Ezinye izihloko zingabandakanya ukukhathazeka kokuzala, indlela yokubuyela emsebenzini noma esikoleni ngemuva kokwelashwa, izifundo zekolishi, usizo lwezezimali, nokukhathazeka kwezempilo kanye nokuphila.
- I-CancerCare: I-CancerCare inikeza izinsizakalo zokusekela ezifana nokululekwa kwamahhala, amaqembu okusekela (kokubili ngaphakathi komuntu kanye ne-inthanethi,) usizo lwezezimali, nezinkundla zokufundisa ezifinyeleleka kusuka efonini yakho noma kwikhompyutha kubantu abaphila nomdlavuza nemindeni yabo.
Ngezansi Ngomdlavuza We-Lung Ezinganeni Ezincane
Umdlavuza we-Lung kubantu abadala abasha, ngezindlela eziningi, isifo esihlukile. Kungenzeka ukuthi intsha ingakaze ibheke, iguqule izakhi zofuzo, futhi itholakale ngezigaba kamuva zesifo ngemva kokungaqondakali kahle isikhathi esithile.
Kuze kube yamuva nje, labo abancane abancane abanesi sifo bazizwa behlukanisiwe futhi baphathwa ngendlela efanayo nomuntu omdala onesifo eselashwa. Ngokujabulisayo, izinhlangano ezinjengeBonnie J. Addario Lung Cancer Foundation zisiza ekusizeni abantu abasha ngesifo futhi zixhase ucwaningo oluhloswe ekuqondeni kangcono ukuhlukana okuhlukile kwalesi sifo kubantu abadala.
> Imithombo:
> I-American Cancer Society. Izibalo Eziyinhloko Ze-Cancer Lung. Kubuyekezwe 01/05/17. https://www.cancer.org/cancer/non-small-cell-lung-cancer/about/key-statistics.html
> Hsu, C., Chen, K., Shih, J. et al. Umdlavuza wamaphaphu ophuthumayo ongeyena omncane kuziguli ezineminyaka engu-45 noma ngaphezulu: imiphumela kanye nezici zokubikezela. I-BMC Cancer . 2012. 12: 241.
> National Cancer Institute. Ukuqapha, i-Epidemiology kanye ne-Program Results Ekupheleni. I-SEER Stat Facts Amashidi: I-Lung ne-Bronchus Cancer. http://seer.cancer.gov/statfacts/html/lungb.html
> National Cancer Institute. Ukuqapha, i-Epidemiology kanye ne-Program Results Ekupheleni. I-SEER Stat Fact Sheets Amashidi: I-Cancer Breast. http://seer.cancer.gov/statfacts/html/breast.html
> Yang, L. et al. Ukuhluka kofuzo oluvamile (97906C> A) ka-DAB2IP / AIP1 kuhlotshaniswa nenengozi eyandayo nokuqala komdlavuza wamaphaphu kwabesilisa baseShayina. PLoS One . 2011. 6 (10): e26944.
> Zhang, J. et al. Ukuhlaziywa kwemithi yomdlavuza wamaphaphu eminyakeni engaphansi kwengu-45 eShanghai. I-Cancer . 2010. 116 (15): 3656-62.