Ukuxhamla emva kokuba umdlavuza we-Lung usasazeke
Mhlawumbi umbuzo oqhelekileyo esibuzwayo kukuba: "Yintoni isigaba somdlavuza wemiphunga yomdlavuza?" Akungalindelekanga, kuba Ipesenti ezingama-40 zabantu sele sele ziqhubele phambili ukuya kwisigaba 4 ngelixa zifumaneke. Ngaphambi kokuba uphendule umbuzo, nangona kunjalo kubalulekile ukuthetha encinci malunga nendlela impendulo-impendulo ye-statistical-is derived.
Imirhumo echaphazela ukuPhumela kweCarcer ye-Lung
Isigaba se-4 somdlavuza wemiphunga yemiphunga yomdlavuza sisenokuhluka kakhulu phakathi kwabantu abahlukeneyo.
Ezinye zezi zixhobo ziquka:
- Uhlobo lomdlavuza wakho kunye nendawo - Umhlaza wesifo somhlaza wesigaba se-4 uqukethe iintlobo zemiphunga eminye yemiphunga yemiphunga kunye neengcingo eziye zasasaza kummandla owodwa kuphela okanye ezo zisasazeka ngokubanzi. Ukusinda kungaphinda kuthinteke kwiimpawu zemizimba ye-tumor , ezinomdlavuza "ezinokuguqulwa kweengxaki," ezifana nomhlaza womphunga we-ALK-positive , utshintsho lwe-ROS1 kunye noguquko lwe-EGFR. .
- Abantu bakho abancinci - Abancinci bahlala bephila ixesha elide kunabantu asebekhulile abanomdlavuza wamaphaphu. ( Umhlaza womlenze kubantu abadala abaselula uhlukile ngeendlela ezininzi.)
- Ubulili bakho - Ukulinda ubomi komfazi onomdlavuza wamaphaphu uphakamileyo kwinqanaba ngalinye lomdlavuza wemiphunga.
- Impilo yakho jikelele ngexesha lokuxilongwa - Ukuba uphila impilo yonke ngexesha lokuxilongwa kuhambelana nokulinda ixesha elide lokuphila, kunye nekhono elikhulu lokunyamekela unyango olunokunyusa ukusinda.
- Indlela oyiphendula ngayo kunyango - Imiphumo emibi yonyango ezifana ne- chemotherapy , ukuhlinzwa, iipilisi ezijoliswe kuyo , imithi yokugonywa kwe-immunotherapy kunye neyeza zonyango ziyahlukahluka kubantu abahlukeneyo kwaye kunokunciphisa amandla akho okunyamezela unyango.
- Ezinye izimo zempilo enokuba nazo - Izimo zempilo ezifana ne- emphysema zinganciphisa isigaba se-4 somdlavuza wemiphunga yomdlavuza.
- Iingxaki zomdlavuza wamaphaphu - Iingxaki ezinjengeemigodi zegazi zinganciphisa isigaba se-4 somdlavuza wemiphunga yomdlavuza.
- Xa umhlaza wakho wamaphaphu usasazeke - Umhlaza wesifo somhlaza ungasasazeka phantse nayiphina indawo yomzimba, kodwa ngokuqhelekileyo isasazeka kwingqondo, amathambo, isibindi, kunye neengqungquthela ze-adrenal. Njengoko kuphawuliwe apha ngezantsi, xa kuphela imilenze embalwa yomdlavuza weemiphunga okanye i-metastases yesibindi ikhona, unyango ngenjongo yokuphila ixesha elide ngamanye amaxesha kunokwenzeka.
Izibalo
Ukongeza kwimihluko phakathi kwabantu abahlukeneyo, kubalulekile ukugcina engqondweni ukuba amaninzi amaninzi asekelwe kubantu abaphathwa ngeminyaka embalwa emva. Ngokomzekelo, amanqaku asandul 'ukuba anomdlavuza wamaphaphu ukususela ngo-2015 asekelwe kubantu abafumene umdlavuza wamaphaphu phakathi ko-2007 no-2011. Ukususela kuloo xesha, unyango olutsha luye lwavunywa kubantu abanomdlavuza wampompo ophezulu, kwaye unyango oluninzi luye lwafundwa kwiimvavanyo zeclini.
Oko kwathiwa, isiqendu sesine-4 esincinci somhlaza wesifo somdlavuza (umzuzu apho iipesenti ezingama-50 ezigulane zisaphila kwaye iipesenti ezingama-50 zidlulile) ziphela malunga neenyanga ezisibhozo kuphela. Umlinganiselo weminyaka emihlanu yokusinda-oko kukuthi, ipesenti yabantu abalindelwe ukuba baphile iminyaka emihlanu emva kokuxilongwa kwesigaba somhlaza wesifo somdlavuza-i-4-% kuphela.
Nangona la manani evakalayo aphantsi, kukho abantu abaninzi abasinde kwixesha elide lomdlavuza wamaphaphu. Ingqungquthela ye-HOPE ye-2016 eWashington, DC (iqela elimangalisayo lomdlavuza wamaphaphu ukuba ubani unokuba yingxenye ye), iifoto aziqinisekisi nje kuphela iqela labasindileyo bomdlavuza wamaphaphu abangaphezu kwama-300 abaphumelela ngumhlaza womphunga, kodwa inani leenombolo ezimbini iqela labantu abaye basinda kwisigaba 4 isifo ubuncinane iminyaka eyi-10. Khumbula: Awunayo i-statistic. Kukho ithemba, kwaye ayikho ithemba eliyinyani.
Ukulawula I-Cancer Yengwenya Eye Yaphula (Isigaba 4)
Into yokugqibela ibaluleke kakhulu ukugcina engqondweni.
Nangona isigaba somhlaza wesi-4 somdlavuza asiqhelekanga unyango, uyaphathwa. Ezi zonyango zingenakuphucula kuphela ukusinda kodwa zincede kunye neempawu zomhlaza wemiphunga.
Kwabanye abantu, ukuvunywa kwezidakamizwa ezimbini ze- immunotherapy ngo-2015 (kunye neminye imichiza kuluhlu oluvandlakanywe kwizilingo zekliniki) libonisa ukuba kwabanye abantu, ukulawula ixesha elide lesi sifo kwabanye abantu abanomdlavuza omkhulu wamaphaphu. Kubantu abaneenguquko ezijoliswe kuyo, ukutshintshwa kwezidakamizwa ezisandul 'ukusetyenziswa xa izilonda zixhathisa zibonisa ukuba kwabanye abantu, umhlaza wamaphaphu ophezulu ungaphathwa njengesifo esingapheliyo, njengesifo sikashukela esikhathini esizayo.
Olunye uhambo olusandul 'utsha lomdlavuza wamaphaphu olusasazekayo lonyango lwe "oligometastases." Xa kukho enye-okanye imbalwa-imastastases, ngokomzekelo, kwingqondo okanye isibindi, ubuchule obufana ne-stereotactic body body radiotherapy (SBRT ) ingasetyenziselwa ukuqeda le mastastases. Le ndlela iye yabangela ukuhlala kwithuba elide kwabanye abantu abaneengqondo ezivela kumdlavuza wamaphaphu .
Yintoni Ongayenza Ukuphucula Ukusinda Kwakho?
Emva kweminyaka emininzi inkqubela phambili kunyango lomdlavuza wamaphaphu, ukhetho lokunyanga nokwenza umdlavuza womdlavuza wamaphaphu luye lwavakala kakhulu. Oko kuthetha ntoni ukuba kunzima kunoma ubani-nokuba yi-oncologist ekhethekileyo emdlalweni-ukuba aqaphele yonke inyathelo elitsha kunye novavanyo lwekliniki oluqhutywa kwihlabathi jikelele.
Uphando lubonisa ukuba abantu abafunda okuninzi ngomhlaza wabo kwaye babe ngummeli wabo kwinkathalo yabo yomhlaza kunokuba neziphumo ezingcono. Indlela efanelekileyo yokufumana kuphela inkxaso kodwa ukufumanisa ukuqhubela phambili kwangoko kunyango kukuba ubandakanyeke kwiqela leenkxaso-mhlaza okanye emphakathini wokuxhasa . I-hashtag kula maqela yi-#LCSM, emele umdlavuza woluntu lomdlavuza. Ukongezelela, iindidi zemimandla yomhlaza yemiphunga ziye zahlanganisana kunye nokubonelela ngenkonzo yokulinganisa isilingo samahhala kwalabo abaphila nomhlaza wemiphunga.
Thatha isikhashana ukujonga ezi ngcebiso ngokuzikhuthaza njengomhlaza wesigulane nokuba uhlala nomdlavuza wamaphaphu wena okanye ujongene nomhlaza womphunga kunye nomthandayo.
> Imithombo:
> I-American Cancer Society. I-Facts Facts and Figures 2015. I-Atlanta: I-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 Cancer (I-Cell-Non-Small Small.) I-Cell-Non-Small Small Cell Lung Cancer Survival Rates. https://www.cancer.org/cancer/non-sall-cell-lung-cancer/detection-diagnosis-staging/survival-rates.html.
> INational Cancer Institute. I-Can-Small Cell Lung Cancer (PDQ). Isigaba se-IV esingeyona esincinci yeSifo seLung Cancer. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all.