Iyini Ukulindela Ukuphila Kwe-Cancer Lung Cancer Lung?
Ziyini izindleko zokusinda komdlavuza omncane we-cell lung? Yiziphi iziguquko ezingenza umehluko futhi zingathuthukisa noma zibhebhethekise ukubikezela kwakho?
Yiziphi Amancane Amanxeba Okulwa Nesifo Sengculaza?
Umbuzo esibuzwayo uma umuntu ethola ukuthi unomdlavuza wamaphaphu amancane "yiziphi amancane omdlavuza wesifo somdlavuza wamangqamuzana?" Lokhu akulindelekile, ngenxa yokuthi idumela lomdlavuza wamaphaphu njengendlela yokuhlushwa kabi ngokuphathelene nezinye izinhlobo umdlavuza.
Ngaphambi kokuba uphendule lo mbuzo, kubalulekile ukuthi ukhulume kancane ngokuthi impendulo-impendulo yezibalo-itholakala kanjani.
Izinhlobonhlobo ezithinta ukusinda nge-Cancer Small Lung Cancer
Akunakwenzeka ukukhuluma ngokuchazwa komdlavuza omncane we-cell lung ngaphandle kokuqala ngokukhuluma ngezindlela eziningi lezi zinombolo zingase zihluke kumuntu nomuntu.
Ukusinda komdlavuza wamaphaphu amancane kungashiyana kakhulu phakathi kwabantu abahlukene. Ezinye zalezi zinguquko zihlanganisa:
- Ukusabalalisa isifo somdlavuza wakho kanye nokusemthethweni: Umdlavuza omncane wamangqamuzana omzimba ungasendaweni yakho emaphashini ( umkhawulo omncane wesifo somdlavuza wamaphaphu ) noma usakaze ezifundeni zomzimba wakho ngaphesheya kwamapayipi akho (umdlavuza omncane wesifo samaphaphu omncane ). Ukusabalalisa ebuchosheni nasebindi, ikakhulukazi, kuhlotshaniswa nokusinda okuhluphekayo.
- Isikhathi sakho: Abantu abancane bathambekele ekuphileni isikhathi eside kunabantu asebekhulile abanomdlavuza wamaphaphu.
- Ubulili bakho: Izinga lokusinda liphakeme kwabesifazane abanomdlavuza wamaphaphu esigabeni ngasinye somdlavuza wamaphaphu.
- Impilo yakho jikelele ngesikhathi sokuxilongwa: Ukuphila okuphelele ngesikhathi sokuxilongwa (into eyaziwa ngokuthi isimo sokusebenza ) kuhlotshaniswa nokusinda okude futhi ikhono elikhulu lokulwa nezinqubo zokwelashwa ezingase zandise ukusinda.
- Indlela osabela ngayo ekwelapheni: Imiphumela emibi yokwelashwa, njenge- chemotherapy kanye nokwelashwa kwemisebe, ihlukahluka kubantu abahlukene, futhi inganciphisa ikhono lakho lokubekezelela ukwelashwa.
- Ezinye izimo zezempilo ongase ube nazo : Izimo zezempilo ezifana ne-emphysema zinganciphisa ukusinda komdlavuza wesifo samaphaphu amancane.
- Izinkinga zomdlavuza wamaphaphu: Izinkinga ezinjengezindwangu zegazi zinganciphisa umdlavuza wemaphaphu wamaphaphu.
- Izinga le-LDH noma i-ALK: Izinga elikhulayo le-lactate dehydrogenase (LDH) noma i-alkaline phosphatase, noma izinga elincane le-sodium egazini lakho, lihlotshaniswa nokusinda okuhluphekile.
- Ukubhema : Ukubhema okuqhubekayo ngemva kokuxilongwa komdlavuza omncane wamaphaphu cishe kungancipha.
Amanani Okusinda Emdlalweni Wesifo Sengculazi Esincane - Izibalo
Uma kubheka amazinga okusinda, kubalulekile ukukhumbula ukuthi lezi zinombolo "zilinganiselwe: futhi zingahluka phakathi kwabantu ngabanye, Phakathi neminyaka embalwa eyedlule, izinga lokusinda liye lathuthuka ngokusetshenziswa kwe- radiation therapy kanye ne- prophylactic irradiation irradiation (PCI) .
Nakuba umdlavuza wamaphaphu omncane ngokuvamile uphendula kahle ekuqaleni ukwelashwa, ukusinda isikhathi eside kuhlala phansi. Izinga lokusinda lomdlavuza omncane wamangqamuzana wamaphaphu lihlukile ngezigaba ezahlukene zalesi sifo. Njengamanje, izinga lokusinda iminyaka engu-5 lesiteji soku-1 ngamaphesenti angu-31, ngesigaba sesi-2, amaphesenti angu-19, esigabeni sesi-3 ngamaphesenti ayisishiyagalombili namaphesenti amabili kuphela wesigaba sesine. Ukuphila okuphakathi komuntu okwelashwa (okungukuthi, isikhathi lapho isigamu sabantu esaphila khona nesifo nesigamu seshonile) izinyanga ezingu-18 kuya kwezi-24 kubantu abanesifo somdlavuza omncane wamangqamuzana (esilinganiselwe).
Ukuze uthole umdlavuza omncane wesifo samaphaphu omncane, ukusinda okuphakathi kwangezinyanga ezingu-6 kuya kwezingu-12 ngokuphathwa kanye nezinyanga ezimbili kuya kwezingu-4 ngaphandle kokwelashwa.
Khumbula ukuthi lezi zibalo, futhi ungasho lutho ngabantu ngabanye. Futhi, khumbula ukuthi izibalo ziyizincazelo ezineminyaka embalwa ubudala. Ngale ndlela, azibonakali ukwelashwa okusha okungahle kusetshenziswe manje ukuphatha lesi sifo.
Ngaphandle kwesiteji se-TNM, umdlavuza omncane wamangqamuzana wamaphaphu nawo ungahle uhlelwe ngokusebenzisa uhlelo lwesiteji olwenziwe yi-oncologists yemisebe. Ngokusho kwe-radiation oncologists, umdlavuza omncane wamaphaphu wamaphaphu uchazwa ngokuthi "isiteji esinqunyelwe" lapho lesi sifo sitholakala ngaphakathi kwendawo yokubekezela imisebe.
Umdlavuza wamaphaphu omncane uchazwa ngokuthi "isiteji esikhulu" lapho lesi sifo sikhulu kakhulu noma sisakazeka kakhulu ukuba sihlanganiswe emkhakheni owodwa wezintambo ezibekezeleleka. Uma umdlavuza usakazeke kumasayithi akude (isifo se-metastatic) njalo kubhekwa njengenqwaba.
Kukhona into yokugcina ebaluleke kakhulu ukugcina engqondweni. Ngenkathi umdlavuza omncane wesifo samaphaphu uvame ukuphulukiswa, uphathwa. Lezi zokwelapha angeke zithuthukise ukusinda kuphela kodwa zisize nezimpawu zomdlavuza wamaphaphu. Izindlela eziningi zokwelashwa okwamanje zihlolwa ngezilingo zokwelapha , futhi zinikeza ithemba lokuthi ukusinda komdlavuza omncane wamaphaphu kuzokwenza ngcono esikhathini esizayo.
Ukusekela nokuphikisana
Ngisho noma izindlela zokwelashwa ezimbalwa zitholakale emdlavuza omncane wamangqamuzana wamangqamuzana kunomdlavuza ongasona omncane wamaphaphu, oqala ukushintsha. Izivivinyo zemitholampilo zibheke emitholampilo emisha kusukela ezikwelapha ezithintekayo kuya kwi- immunotherapy , futhi eziningana zalezi zifundo ziyaqhubeka. Thatha isikhathi sokufunda okuningi ngangokunokwenzeka ngesifo sakho. Yiba ummeli wakho siqu ekunakekeleni kwakho. Siyafunda ukuthi ukuba yingxenye ekhuthele yethimba lakho lokunakekelwa kwezempilo akugcini nje ngokuthuthukisa ikhwalithi yokuphila, kodwa kungase kudlale indima ekusindeni. Okokugcina, zibandakanya emphakathini womdlavuza wamaphaphu. I-hashtag yokuthola abantu ku-intanethi i-#LCSM. Ukujoyina nabanye akunikezi nje kuphela ukusekela kulabo abahlala kulokho okuyikho, kodwa kungakusiza ufunde ngezindlela ezintsha zokwelashwa kwesifo.
Okokugcina, ukucabanga okuye kwasiza abantu abaningi ukuba babhekane nesimo esiyinselele sokuthola umdlavuza wamaphaphu amancane "ukuguqula" izibalo engqondweni yakho. Ungase uzwe ngomdlavuza onamaphesenti angu-5 kuphela okusinda komnyaka futhi ucabange ukuthi kusho ukuthi amaphesenti angu-95 awusoze usinda. Abanye abantu abanomdlavuza wamaphaphu bathathe indlela ehlukile. Esikhundleni salokho ungase ufune ukubheka amaphesenti angu-5 abantu abaphila futhi athi ungathanda ukuba omunye wabo. Khona-ke, ngokuba ngummeli wakho ekunakekeleni kwakho njengoba ubheka izinketho (njengokuhlolwa okusemtholampilo okungenzeka kufaneleke) futhi ubheke iziguquko ezingenhla (njengokuthi ukuyeka ukubhema kubonakala kukhulisa ukusinda okungenani abanye abantu abane izifo) futhi ulawule okusemandleni akho.
Ubuso bomdlavuza wamaphaphu buyashintsha. Ukwelashwa kuyathuthuka, kokubili kuphumelela futhi kube nemiphumela emibi embalwa. Izinga lokusinda liyathuthuka. Ngisho nalabo izinombolo ezidabukisayo, kunesizathu sethemba.
> Imithombo:
> I-American Cancer Society. I-Cancer Cancer (Cell Cell Small. Kubuyekezwe 02/22/16. http://www.cancer.org/cancer/lungcancer-smallcell/detailedguide/small-cell-lung-cancer-survival-rates
> Demedts, I. et al. Ukwelashwa kwesigaba esincane se-cell lung carcinoma: isimo samanje namathemba esizayo. Journal European Respiratory Journal . 2010. 35 (1): 292-15.
> National Cancer Institute. Ukwelashwa Kwemdlavuza Yamangqamuzana Amancane (PDQ) - I-Health Professional Version. Kubuyekezwe 01/20/17. https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq