I-NED vs Ukwelashwa Nokuphikisana
Kungenzeka ukuthi uzwe othile ekhuluma ukuthi yi-NED, noma udokotela wakho kungenzeka ukuthi wasebenzisa leli gama ukuchaza umdlavuza wakho. Kusho ukuthini uma "kungekho bufakazi besifo" nomdlavuza wakho? Ngabe leli gama lisetshenziswa nini ngokuvamile? Futhi liqhathaniswa kanjani neminye imigomo efana nokuxolelwa nokuphendula okuphelele?
Akukho Ubufakazi Bokugula (NED): Incazelo
Akukho bufakazi besifo (i-NED) yigama elisetshenzisiwe lapho ukuhlolwa nokuhlolwa kungatholi mdlavuza kumuntu oye waphathwa ngomdlavuza.
I-NED ichaza iphuzu ngesikhathi-lapho ukhona namuhla-ungenayo izimpawu noma izimpawu zomdlavuza nanoma yibuphi ubufakazi bomdlavuza ezindleleni ze-imaging ezitholakala ngalesi sikhathi. I-NED ingaba yesikhashana, noma ingaba yunaphakade.
Lapho ekhuluma ngesifo somdlavuza webele , leli gama alikho ubufakazi besifo (i-NED) alisho ukuthi lesi sifo siphelile, ngoba ukuphindaphinda akukwazi ukukhishwa ngokuphelele. Ukufakwa ngokuthi i-NED kusho ukuthi abukho ubufakazi bokuthi kukhona umdlavuza okhona ongasithola ngezifundo ezinjengezimpawu zegazi, CT, MRI, bone noma PET.
Ingabe i-NED isho ukuthi ulaphekile?
Odokotela abavamile ukusebenzisa igama elithi "ukwelashwa" lapho bekhuluma ngezitho eziqinile-ngisho noma kunamaphesenti angama-99 amathuba okuthi umdlavuza awusoze ubuya. Akunakwenzeka ukwazi uma kukhona "i-micrometastases" ekhona emzimbeni wakho-okungukuthi, i-metastases okuyinto encane kakhulu ukuthi ingabonwa kwizifundo ze-imaging.
Siyazi kancane ukuthi umdlavuza webele usakazeka kanjani , kodwa asazi ukuthi kungani ezinye zegciwane libuyela emuva (emuva), ngisho namashumi eminyaka kamuva.
Kukhona imibono echaza amangqamuzana amnyama noma ama-stem cells anekhono lokufihla nokugwema ukwelashwa, kodwa okwamanje asiqiniseki ngokuphelele. Kuze kube yileso sikhathi kungenzeka ukuthi igama elithi "ukwelashwa" lizogcinwa ligcinwe kuphela ngamancane amancane okuthiwa "pre" kancane noma ezinye zezingane ezihlobene negazi ezihlobene negazi.
Eminye Imigomo Eshoyo I-NED neyengeziwe
Mhlawumbe uzwe amagama amaningi ahlukene akhuluma ngokuqhubeka komdlavuza.
Amanye alawa magama asho into efanayo kodwa ajwayele ukusetshenziswa kabanzi ngomdlavuza owodwa noma kwenye. Imigomo efana ne-NED ihlanganisa:
- Ukuqedela okuphelele
- Impendulo ephelele
Uma umdlavuza uphindela emva kokuxoxwa okuphelele (i-NED) uzobizwa ngokuthi ubuyela noma ukuphindaphindiwe.
Ukubhekana
Umuntu ongazange aphile nomdlavuza angeke aqonde ukuthi kungani kuzobe khona isihloko esithi "ukubhekana ne-NED." Akufanele yini ujabule ngokuphelele?
Noma kunjalo i-NED ingaba indawo esabekayo. Ngesikhathi usuzokwelapha, uvame ukubonwa udokotela wakho kaningi, futhi umndeni nabangane baseduze. Kungase kuzwakale ukuhleka okuncane, kepha abantu abaningi bazizwa becindezelekile lapho befinyelela lesi sinyathelo. Kungase kubonakale sengathi wonke umuntu owaziyo ubuyela empilweni yakhe ngaphambi komdlavuza wakho kodwa wena.
Ngaphezulu kwalokhu, iningi labantu lisabhekene neminye imiphumela emibi kusukela kokwelashwa okwathatha ukuze kufike ku-NED. Izimpawu ezinjengaleyo ecindezelayo umdlavuza ukukhathala , ubuhlungu, ukushisa okushisayo , nokunye okuningi okudlula isikhathi sokugcina se-chemo noma imisebe.
Khona-ke beza ukwesaba. Ukwesaba ukuphindaphinda komdlavuza kungokoqobo futhi akukhathaleki uma unomdlavuza wesandulela kakhulu noma umdlavuza ophakeme. Ukuphila kuhlukile kunaphambi komdlavuza. Yikuphi okwakunjalo ikhanda eliphansi, manje wesaba ukuthi umdlavuza uvela ebuchosheni bakho.
Yini eyake ishaywa emqaleni wakho kusukela emzimbeni wonyaka, manje usaba umdlavuza obuyela emaphashini akho. Ukwesaba ukuphindaphinda kuyinto yonke. Khuluma nodokotela wakho ngalokhu kwesaba, futhi hlola lezi zeluleko zokubhekana nokumesaba ukuphindaphindiwe .
Kusuka kwenye i-angle, kukhona namanye imicabango ongase ubhekane nawo uma ufika ku-NED. Abaningi bethu bahileleke emaqenjini asekelayo noma e-inthanethi asekela abanye abanebhekene nomdlavuza webele. Abantu abaningi bayamangala ngemuva kokugezwa ngamabhande ebomvu ukuze baqaphele ukuthi izinga lokufa kusuka emdlalweni webele webele alikashintshi kakhulu lokho. Ngokuqinisekile, ukhetho lwezokwelashwa kwezifo ezisenesikhathi sokuqala linciphisa ingozi yokuphindaphinda, kodwa ukuphindaphinda kuqhubeka.
Uma ukuphindaphinda okude kwenzeka (umdlavuza webele wesimetri noma wesigaba 4) akusekho okwenzekayo ukwelashwa. Lokho kusho ukuthi uma unabantu abeseqembu lakho lokusekela elibhekene nomdlavuza webele we-metastatic, uzolahlekelwa abangane. Ithimba elisinda esecaleni liye lahlelwa ekuchazeni lokhu ngezinye izikhathi inecala lokukhathazeka elithintekayo lapho sisinda, kepha abangane bethu nabathandekayo abakwenzi.
Ukukhanya okusha kukhishwa kwi-NED kanye ne-Breast Cancer Recurrence
Ngezincomo zemithi emisha yabantu abathile abanesifuba esisekuqaleni kuka-2017 kuza ukuqonda okungcono kangcono ukuthi amangqamuzana omdlavuza wesifuba angafihla bese eqala ukukhula futhi eminyakeni eminingi kamuva. Kulabo besifazane abanesifo somdlavuza we-postmenopausal estergen-receptor-positive, ama-bisphosphonate imithi Zometa (zoledronic acid) manje isinconywa njenge-adjuvant therapy. Le mithi eye isetshenziselwa i-osteoporosis ne-bone metastases ibonakala ithinta i-microenvironment ithambo. I-microenvironment yizici zezicubu ezungeze umdlavuza. Ngalokhu kunganciphisa ingozi yamathambo asetsheni okwenzeka kuqala.
Lezi zithole ziye zaholela abacwaningi ukuthi bangazibuza ukuthi amasosha omdlavuza webele webele (uma i-NED) ephuma emangeni. Lapho i-microenvironment ishintsha, ngesizathu esithile, lawa maseli aqala ukukhula. Njengoba amaphesenti angama-90 okufa komdlavuza webele ahlotshaniswa nama-metastase, ukucwaninga kule ndlela kubaluleke kakhulu.
Izinyathelo Ezilandelayo
Ekugcineni siqala ukubhekana nezidingo "zokusinda," kodwa asikho okwamanje. Ezinye izikhungo zomdlavuza "zikukhipha" ngecebo lokusinda, noma zinikeza izinhlelo "zokuvuselela umdlavuza". Kodwa ngokuvamile uzwa sengathi "ujabule-uhlala-ube nokuphila okuhle!"
Uma unesifo somdlavuza webele, hlola izimpawu futhi ufunde kabanzi mayelana nokuphindaphinda umdlavuza webele . Ungase uzibuze ukuthi kungani ungakalungiselelwa ukuhlolwa kwe-imaging evamile (njengokuhlola kwe-PET) njengoba abantu banezinye kansela. Isizathu siwukuthi nakuba lezi zilinganiso zingabonisa ukuphindaphinda kancane kunokuba kwenzeke ngokusekelwe izimpawu zodwa, abukho ubufakazi bokuthi ukusinda kuthuthukiswa ngokuthola izimpawu zokuphindaphinda ngaphambi kokuba kube khona izimpawu.
Jabulela indlela yokuphila enempilo. Kunobunye ubufakazi bokuthi ukudla ukudla okunempilo kanye nokuzivocavoca njalo kunganciphisa ingozi yokuphindaphinda. Thola ukulala ngokwanele, futhi uma ubhekene nobunzima bokulala, khuluma nodokotela wakho. Ucwaningo lubonisa ukuthi umdlavuza webele ungase ube nokuphindaphindiwe kwabesifazane abahlukunyezwa . Futhi thola izindlela zokunciphisa ukucindezeleka. Njengokulala, izifundo zisitshela ukuthi ukucindezeleka kungaba nendima kwabanye abantu abaphuma ku-NED ukuze babuyele. Cabanga ngezindaba. Futhi, ngezwi elihle, cabanga ngakho konke okuzuzile ekuhlangeneni kwakho. Sifunda ukuthi ngaphezu kokucindezeleka, ukuhamba nomdlavuza kungaholela ekukhuleni kwe-posttraumatic. Ngamanye amazwi, umdlavuza ungashintsha abantu ukuthi bangcono!
> Imithombo:
> I-Memorial Sloan Isikhungo Somdlavuza We-Cantering. Kuyini "Ukwelapha?" Https://www.mskcc.org/pediatrics/cancer-care/types/neuroblastoma/what-cure