Isibikezelo Ngemuva Kwengculaza Yama-Lung Has Spread
Mhlawumbe umbuzo ovame kakhulu esiwubuzayo uwukuthi: "Uyini isiteji somdlavuza wokuphila komdlavuza wesine 4?" Akungalindelekile, kusukela Amaphesenti angu-40 abantu asevele aqhubekela phambili esiteji sesine ngesikhathi baxilongwa. Ngaphambi kokuba uphendule lo mbuzo, kubalulekile ukuthi ukhulume kancane ngokuthi impendulo-impendulo yezibalo-itholakala kanjani.
Izinhlobonhlobo Ezithinta Ukusinda Kwengculaza Yomshukela
Isikhathi sokuphila komdlavuza we-Stage 4 wemaphaphu singashintsha kakhulu phakathi kwabantu abahlukene.
Ezinye zalezi zinguquko zihlanganisa:
- Uhlobo lomdlavuza wakho wamaphaphu nendawo - Umgudu wesifo somdlavuza we-Stage 4 uhlanganisa izinhlobo eziningana zomdlavuza wamaphaphu futhi uhlanganisa amagciwane anesifo esisakaze esifundeni esisodwa esikude noma lawo asakaze kabanzi. Ukusinda kungasithinta futhi izici zofuzo zesisu , ezinomdlavuza "onomthelela wokuguqulwa," njengomdlavuza we- ALK-positive , ushintsho lwe-ROS1 , nezinguquko ze-EGFR , okungcono ukuphendula emithonjeni emisha ehloselwe umdlavuza wamaphaphu .
- Abantu bakho - Abantu abancane bavame ukuhlala isikhathi eside kunabantu asebekhulile abanomdlavuza wamaphaphu. ( Umdlavuza wamangqamu kubantu abadala asehlukile ngezindlela eziningi.)
- Ubulili bakho - Ukuphila kwesikhathi sowesifazane onomdlavuza wamaphaphu kuphakeme esigabeni ngasinye somdlavuza wamaphaphu.
- Impilo yakho ejwayelekile ngesikhathi sokuxilongwa - Ukuphila ngokugcwele ngesikhathi sokuxilongwa kuhlotshaniswa nokuphila isikhathi eside, kanye nekhono elikhulu lokulwa nemithi yokwelapha engase isandise ukusinda.
- Indlela osabela ngayo ekwelapheni - Imiphumela emibi yezokwelapha ezifana ne- chemotherapy , ukuhlinzwa, imithi yokwelashwa , i-immunotherapy, kanye nokwelashwa kwe-radiation ihlukahluka kubantu abahlukene futhi inganciphisa ikhono lakho lokubekezelela ukwelashwa.
- Ezinye izimo zempilo ongase ube nazo - Izimo zempilo ezifana ne- emphysema zinganciphisa isigaba se-4 emdlalweni wempilo yomdlavuza wamaphaphu.
- Izinkinga zomdlavuza wamaphaphu - Izinkinga ezinjengezindwangu zegazi zinganciphisa isigaba somdlavuza we-lung emaphashini emaphashini.
- Lapho umdlavuza wakho wamaphaphu usakazeke - Umdlavuza we-Lung ungasakazeka cishe kunoma yisiphi isifunda somzimba, kodwa ngokuvamile uvame ukusabalalisa ebuchosheni, emathanjeni, esibindi nasezigulini eziyingozi. Njengoba kuphawuliwe ngezansi, uma nje embalwa emdlavuza we-lungs ubuchopho be-metastases noma i-metastases yesibindi, khona-ke kungenzeka ukwelashwa nomgomo wokuphila isikhathi eside.
Izibalo
Ngaphandle kokuhluka phakathi kwabantu abahlukene, kubalulekile ukukhumbula ukuthi izibalo zivame ukususelwa kubantu abaphathwa iminyaka embalwa emuva. Isibonelo, izibalo zakamuva kakhulu esinazo zomdlavuza wamaphaphu kusukela ngo-2015 zisekelwe kubantu abathintekayo benomdlavuza wamaphaphu phakathi kuka-2007 no-2011. Kusukela ngaleso sikhathi, ukwelashwa okusha kuye kwavunyelwa abantu abanomdlavuza wamapapu ophakeme, kanti ezinye izifo ziyahlolwa ekuvivinyweni kwemitholampilo.
Lokho kusho ukuthi indawo yokuphila yomdlavuza we-non-encane yesifo somdlavuza we-cell (non-small cell) yempilo yomdlavuza (isikhathi lapho amaphesenti angu-50 aphila khona futhi amaphesenti angu-50 adlulile) kuphela ezinyangeni eziyisishiyagalombili kuphela. Inani leminyaka emihlanu lokusinda-okungukuthi, amaphesenti abantu abalindeleke ukuba baphile eminyakeni emihlanu emva kokuxilongwa kwesigaba 4 somdlavuza wamaphaphu-kuyadabukisa kuphela ngamaphesenti amane kuphela.
Ngenkathi lezi zinombolo zizwakala phansi, kunabantu abaningi abasinde isikhathi eside emdlalweni wesigaba 4 somdlavuza. Ngomhlangano we-HOPE we-2016 eWashington, DC (iqembu elimangalisayo labasindile yomdlavuza wamaphaphu ukuthi noma ubani angaba yingxenye ye), izithombe aziqinisekisi nje kuphela iqembu labantu abangaphezu kuka-300 abasinda emdlavuza wamaphaphu abakhula nomdlavuza wamaphaphu, kodwa inombolo yezinombolo ezimbili iqembu labantu abasinda esigabeni sesine okungenani iminyaka eyishumi. Khumbula: Awunayo izibalo. Kukhona ithemba, futhi akusilo ithemba lamanga.
Ukuphatha I-Cancer Lung Isakazeke (Isigaba 4)
Into yokugcina ibaluleke kakhulu ukugcina engqondweni.
Nakuba isifo somdlavuza we-4 wesigaba samaphaphu ngokuvamile singelapheki, sitholwa. Lezi zokwelapha angeke zithuthukise ukusinda kuphela kodwa zisize nezimpawu zomdlavuza wamaphaphu.
Kwabanye abantu, ukuvunyelwa kwezidakamizwa ezimbili zokuzivikela nge-immunotherapy ngo-2015 (kanye neminye imithi kuleso sigaba ihlolwe ekuhlolweni kwemitholampilo) kusikisela ukuthi kwabanye abantu, ukulawula isikhathi eside kwesifo kwabanye abantu abanomdlavuza wamaphaphu ophakeme kungenzeka. Kubantu abanokuguqulwa okuhlosiwe, ukushintshwa kwezidakamizwa ezisanda kuthuthukiswa uma izicubu ziphikisana kubonisa ukuthi kwabanye abantu, umdlavuza wamapapu ophuthumayo ungaphathwa njengesifo esingapheli, njengesifo sikashukela esikhathini esizayo.
Esinye isandulela samanje somdlavuza wamaphaphu esesakaze ukwelashwa "kwama-oligometastases." Uma kutholakala isisodwa esisodwa-noma se-metastases ezimbalwa, ngokwesibonelo, ebuchosheni noma esibindi, amasu anjenge-radiotherapy yomzimba we-stereotactic (SBRT ) angasetshenziselwa ukuqeda lezi zinqubo zokumisa. Le nqubo iye yabangela ngisho nokuhlala isikhathi eside kwabanye abantu abane- metastases yobuchopho kusuka kumdlavuza wamaphaphu .
Yini Ongayenza Ukuze Uthuthukise Ukusinda Kwakho?
Ngemuva kweminyaka eminingi yentuthuko encane ekwelapheni umdlavuza wamaphaphu, izinketho zokwelapha nokuzenzela ukunakekelwa komdlavuza wamaphaphu ziye zanda ngokuzenzekelayo. Lokho kusho ukuthi kunzima kunoma ubani-ngisho ne-oncologist onguchwepheshe wesifo somdlavuza-ukuqaphela konke kusengaphambili okusha nokuhlolwa komtholampilo kuqhutshwa emhlabeni jikelele.
Ucwaningo lubonisa ukuthi abantu abafunda okuningi ngomdlavuza wabo futhi baba ngummeli wabo ekunakekelweni komdlavuza kungaba nemiphumela engcono. Indlela enhle kakhulu yokungatholi kuphela ukusekelwa kodwa ukuthola ukuthi intuthuko yakamuva yokwelapha ihileleke eqenjini lokusekela umdlavuza wamaphaphu noma umphakathi wokusekela . I-hashtag yalezi zinhlangano i-#LCSM, emele umdlavuza we-lung emphakathini. Ngaphezu kwalokho, izinhlangano eziningana zomdlavuza wamaphaphu zihlangene ndawonye ukuhlinzeka ngemisebenzi yokulinganisa imilingo yamahhala yezokwelapha kulabo abaphila nomdlavuza wamaphaphu.
Thatha isikhashana ukuhlola lawa macebiso ngokuzitshela njengomuthi wesifo somdlavuza ngabe uhlala nomdlavuza wamaphaphu wena noma ubhekene nomdlavuza wamaphaphu kanye nomthandekayo.
> Imithombo:
> I-American Cancer Society. I-Cancer Facts and Figures 2015. Atlanta: American Cancer Society; 2015. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2015/cancer-facts-and-figures- 2015.pdf .
> I-American Cancer Society. I-Cancer Lung (I-Cell Non-Small.) I-Non-Small Cell Lung Cancer Ukusinda Amanani nge Stage. https://www.cancer.org/cancer/non-small-cell-lung-cancer/detection-diagnosis-staging/survival-rates.html.
> National Cancer Institute. I-Can-Small Cell Lung Cancer (PDQ). Igciwane lesandulela ngculaza lesisiteji se-Stage IV. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.