Izimpawu, Ukwelapha, Nokuguqulwa
Isigaba somdlavuza wesine wamangqamuzana omncane ongasona omncane (umdlavuza wamaphaphu omzimba) yisigaba esiphezulu kakhulu somdlavuza wamaphaphu . Abantu abangamaphesenti angaba ngu-40 abasanda kutholakala ukuthi banomdlavuza wamaphaphu sebevele banezigaba ezine zesifo. Lesi sigaba somdlavuza wamaphaphu asiphilwanga, kodwa siyaphathwa , kanti izinkinga eziningi zokwelashwa ziyaqhubeka zibheke izindlela zokwelapha ezintsha ukuze zithuthukise ukusinda.
Sibutsetelo
Umgudu wesine omncane wesifo samangqamuzana wamaphaphu uchaza isifo sephaphu kwanoma yisiphi isayizi esasakazekile (sesinqunyiwe) kwesinye isifunda somzimba, kwenye i-lobe yamaphaphu, noma ihambisane nokukhwabanisa okubi kabi .
Izimpawu
Lokhu kungafaka:
Izimpawu ngenxa yobunzima emaphashini afana nalokhu:
- Ukukhwehlela okuqhubekayo
- Ukuhlanza igazi (i-hemoptysis)
- Ukuphelelwa umoya
- Ukuthuthumela
- Buhlungu esifubeni, emuva , ehlombe noma ezandleni
- Iziqephu eziphindaphindiwe ze-pneumonia noma i-bronchitis
- Ukushisa
Izimpawu ngenxa yokusabalalisa isisu kwezinye izifunda zomzimba , isibonelo:
- Ubuhlungu ngemuva, izintambo, noma izimbambo uma isisu sesakaze esitheni
- Ukubunzima ukugwinya ngenxa yesisu esiseduzane noma ukuhlasela isifo
- Ukukhanda ikhanda, izinguquko zombono, ubuthakathaka, noma ukugubha uma isisu sisakazeka ebuchosheni
- I-jaundice (i-yellowing yesikhumba) kusuka kwesisu esesakaze esibindi
Futhi izimpawu ezihlobene nomdlavuza we-metastatic ngokuvamile :
Ukwelapha
Ngenxa yokuthi isigaba somdlavuza wamaphaphu sesisakazeke ngaphezu kwamapayipi okucatshangwa ukuthi angasebenzi , okungukuthi, ukuhlinzwa ngeke kwenzeke ukususa sonke isisu futhi unikeze ithuba lokuthola ukwelashwa.
Kodwa umdlavuza wesigaba 4 wamaphaphu uphathwa. Kulabo abakwazi ukubekezelela i-chemotherapy, i-chemotherapy yendabuko, i- immunotherapy , kanye / noma izindlela zokwelashwa ezishayo zingase zithuthukise ukusinda futhi zisize nezimpawu zomdlavuza wamaphaphu. Izilingo eziningi zokwelapha ziyaqhubeka zibheke izindlela ezintsha zokwelapha, ukuhlanganiswa kwe-chemotherapy kanye nemithi ehlosiwe kanye ne-immunotherapy. "
Ukwelashwa kwezidakamizwa kungase kunconywe njengendlela yokwelapha elula - yokwelashwa okwenziwe ukulawula izimpawu kodwa engabangela ukwelashwa. Lokhu kungaba usizo kwabanye abantu ukulawula ubuhlungu besifuba (ngenxa yezidumbu ezisakaze emathangeni), ukuphuma kwamaphaphu, izicubu ezivimbela ukuhamba kwemimoya futhi kubangele ukuphefumula, noma izidakamizwa zokuphefumula ezibangela izimpawu ezibalulekile, njengezinsizwa noma ubuthakathaka.
Manje kunconywa ukuthi zonke iziguli ezineziphuthumayo zamaphaphu adenocarcinoma kanye nabanye abantu abane- squamous cell carcinoma yamapayipi kufanele babe nokuhlolwa kofuzo (ukuprofiliswa kwamangqamuzana) okwenziwe ngesisu sabo. Ukuze uthole i-subset yabantu abanokuguqulwa kwe-EGFR , ukulungiswa kabusha kwe-ALK , noma imithi yokulungisa kabusha ye-ROS1 etholakalayo engakwandisa ukusinda okungahambisani nokuqhubeka.
I-Immunotherapy ingenye uhlobo olusha olusanda ukwelashwa lomdlavuza wamaphaphu, kanti imithi yokuqala kulesi sigaba isivunyiwe ngomdlavuza wamaphaphu ngo-2015. Nakuba lezi zidakamizwa zingasebenzi kuwo wonke umuntu, abanye abantu abanomdlavuza wamaphaphu ophakeme baye babhekana nokulawula isikhathi eside sabo izifo nalezi zidakamizwa.
Kubalulekile ukuxoxa nganoma yikuphi ukwelashwa ocabangayo nodokotela wakho nabathandekayo bakho, ngakho ungahlola ngokucophelela izingozi nezinzuzo zokwelashwa.
Isibikezelo
Isilinganiso seminyaka emihlanu yokusinda emdlalweni wesigaba se-4 wesineke siyadabukisa kuphela kumaphesenti angu-1 kuphela. Isikhathi sokusinda esiphakathi (isikhathi esingamaphesenti angu-50 esaphila futhi amaphesenti angu-50 adlulile) cishe izinyanga ezingu-8.
Yini Engingayenza Ukuze Ngizisize?
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 . Abaningi bethu bayanqikaza ukukhuluma ngezinkinga zokuphela kokuphila , kodwa ukuxoxa ngazo nodokotela wakho nomndeni wakho - noma ngabe 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:
> I-American Cancer Society. Amanani nezinombolo ze-Cancer 2014 . I-Atlanta: I-American Cancer Society; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
> I-American Cancer Society. I-Cancer Lung (I-Cell Non-Small.) I-Non-Small Cell Lung Cancer Ukusinda Amanani nge Stage. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-sall-cell-lung-cancer-survival-rates.
> Ikomidi elihlangene laseMelika leCancer. Ukunyatheliswa komdlavuza we-Lung. I-7th Edition. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf .
> Edge, S. et al (Eds.). I-AJCC Incwadi Yokusakaza Ngomdlavuza. I-7th Edition. Springer. ENew York, NY. 2010.
> Faiti, A. noJ Brahmer. I-Chemotherapy ye-Advanced Stage Non-Small Cell Lung Cancer. Ama-Seminar ku-Thoracic ne-Cardiovascular Surgery . 2008. 20 (3): 210-6.
> National Cancer Institute. I-Can-Small Cell Lung Cancer (PDQ). Igciwane lesandulela ngculaza lesisiteji se-Stage IV. https://www.cancer.gov/cancertopics/pdq/treatment/non-sall-cell-lung/HealthProfessional/page12.
> National Cancer Institute. I-Non-Small Cell Lung Cancer Treatment (PDQ) - I-Health Professional Version. Http://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.