Insizwa encane yezinsizwa ze-Cell, Treatment and Prognosis
Umdlavuza wamaphaphu omncane awuvamile kakhulu kunomdlavuza ongasona omncane wesifo samaphaphu, okubalwa cishe ngamaphesenti angu-15 wamanqamu wamaphaphu. Kuvame ukuba nobudlova, kukhula ngokushesha futhi kusakaze ngokushesha, kodwa kuvame ukuphendula kahle nge-chemotherapy.
Umdlavuza wamaphaphu omncane (ngokungafani nomdlavuza omncane ongasona omncane wamaphaphu ), uhlukaniswe ngezigaba ezimbili kuphela - okulinganiselwe futhi okubanzi. Amaphesenti angama-60 kuya kwangu-70 abantu anezifo eziningi ngesikhathi sokuxilongwa.
Sibutsetelo
Umdlavuza omncane wamangqamuzana omzimba wamaphaphu uchazwa njengomdlavuza omncane wamangqamuzana wesifo samaphaphu osakazekile ( esetshenziselwa umzimba ) kwezinye izifunda zomzimba njengenye i-lobe yamaphaphu noma ubuchopho.
Izimpawu
Izimpawu zingafaka:
Izimpawu ezihlobene nomdlavuza emaphashini:
- Ukukhwehlela okuqhubekayo
- Ukuhlanza igazi (i-hemoptysis)
- Ukuvuvukala kobuso nentamo
- Ukuphelelwa umoya
- Ukushisa
- Iziqephu eziphindaphindiwe ze-pneumonia noma i-bronchitis
- Ukuthuthumela
Izimpawu ngenxa ye- paraneoplastic syndromes , okungukuthi izimpawu ezibangelwa ama-hormone ezifihliwe yisifo noma isisombululo somzimba womzimba esithombeni kunomzimba ngokwawo. Ezinye zazo zihlanganisa:
- Ubuthakathaka bemisipha emilenzeni engenhla, izinguquko zombono, nobunzima bokugwinya (i-Lambert-Eaten myasthenic syndrome)
- Ubuthakathaka, ukukhathala, nezinga eliphansi le-sodium egazini (i-syndrome ye-antidiuretic hormone secretion (SIADH) engalungile)
- Ukulahlekelwa kokuxhumana nokuhlupheka ukukhuluma (ukuguqulwa kwe-cerebellar ye-paraneoplastic)
- I-Clubbing (ukujikeleza) kweminwe
Izimpawu ngenxa yokusabalalisa isisu kwezinye izifunda zomzimba , isibonelo:
- Ubuhlungu ngemuva, izintambo, noma izimbambo uma isisu sesakaze esitheni
- Kunzima ukugwinya (i-dysphagia) ngenxa yesisu esiseduzane noma esihlasela i-esophagus
- Ukukhanda ikhanda, izinguquko zombono, ubuthakathaka, noma ukugubha uma isisu sisakazeka ebuchosheni
Izimpawu ezijwayelekile ezihlobene nomdlavuza we-metastatic ezifana:
Ukwelapha
Ukwelashwa kwezifo eziningi zesiteji ngokuvamile kuvame ukuhlanganisa i-chemotherapy ephethwe yedwa. Ngezinye izikhathi imishanguzo ingasetshenziselwa ukulawula izimpawu (ukwelashwa okunamandla) okuhlobene nokusabalalisa komdlavuza, njengokuhlungu komzimba, ukuphuma kwamapayipi, izicubu ezivimbela ukuhamba kwemimoya nokudala ukuphefumula, noma imetastases ebuchopho obangela izimpawu ezibalulekile, ezifana ikhanda noma ubuthakathaka.
Ukuhlolwa kwemitholampilo kuqhubekela phambili kuzo zombili izigaba zomdlavuza omncane we-cell lung, ukuhlola izindlela ezintsha zokwelapha nokwelashwa kwalesi sifo esinomdlavuza.
- Izinketho zokwelashwa kwe-Cancer Lung
- I-Chemotherapy
- I-Radiation Therapy
- Ingabe Ukuhlinzwa Kuke Kwenzelwe I-Cell Small Lung Cancer?
Isibikezelo
Izinga lokusinda lomdlavuza omncane wamangqamuzana wamaphaphu liye lathuthuka kusukela ukwengezwa kwe-radiation therapy ukuphathwa kanye nokusetshenziswa kwe-PCI, kodwa uhlale uphansi. Njengamanje, izinga lokusinda iminyaka engu-5 lomdlavuza wesifo samangqamuzana omncane wesiteji ngamaphesenti ayisishiyagalombili, kanti kuphela amaphesenti amabili kuphela wesigaba sesine. Ngaphandle kokwelashwa, isikhathi sokuphila esiphezulu nesifo esikhulu siyizinyanga ezimbili kuya kwezingu-4, futhi ukwelashwa izinyanga ezingu-6 kuya kwezingu-12. Njengoba umdlavuza wamaphaphu omncane ukhula ngokushesha, futhi siye sahamba isikhathi eside namanye ama-cancer akhula ngokushesha njenge-leukemia, kulindeleke ukuthi ukwelashwa okungcono kuzokwenzeka esikhathini esizayo.
Ukubhekana
Ucwaningo lubonisa ukuthi ukufunda lokho ongakwenza mayelana nomdlavuza wakho wamaphaphu kungathuthukisa izinga lakho lokuphila, futhi mhlawumbe ngisho nomphumela wakho. Buza imibuzo. Funda ngezilingo zomtholampilo. Cabanga ngokujoyina iqembu lokusekela. Iningi lethu liyanqikaza ukukhuluma ngezinkinga zokuphela kokuphila, kodwa ukuxoxisana nabo nodokotela wakho nomndeni wakho - ngisho noma nonke nithemba ukuthola ukwelashwa - kuhlotshaniswa nemizwa encane yobuningi kanye nekhwalithi engcono yokuphila . Ungalokothi ulahlekelwe ithemba, noma ngabe ukhethe ukungaqhubeki ukwelashwa okuqhubekayo. Ithemba ngesikhathi sekhwalithi nabathandekayo, ngokulawula kahle izimpawu zakho.
Ithemba ngekusasa labathandekayo bakho abazohlala, benokukhumbula ezinhliziyweni zabo.
Imithombo:
UHann, uC. NoC. Rudin. Ukuphathwa komdlavuza omncane wamangqamuzana wamaphaphu: izinguquko ezengeziwe kodwa ithemba ngekusasa. I-Oncology (i-Williston Park) . 2008. 22 (13): 1486-92.
I-National Cancer Institute. I-Small Cell Lung Cancer Treatment (PDQ). 07/07/16. https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq.
Sorenson, M. et al. Umdlavuza wamaphaphu amancane: Iziphakamiso zezokwelapha ze-ESMO zokuxilongwa, ukwelashwa, nokulandelwa. Amanothi we-Oncology . 2009. 20 Isl. 4: 71-2.