Yiyiphi Ubomi bokulindeleka kweCancer lung Lung Cancer?
Ziziphi iirhafu zokusinda kumdlavuza omncinci wamangqamuzana? Ziziphi iimpawu ezingenza umehluko kwaye zinokuphucula okanye zibuhlungu ngakumbi ukuxela kwakho?
Ziziphi iindawo ezincinci zokusinda iCatal Lung Cancer?
Umbuzo esibuzwa rhoqo xa umntu efumanisa ukuba unomdlavuza omncinci wamangqamuzana wesifo samangqamuzana "yiyiphi inqanaba elincinci lomdlavuza womhlaza wamaphaphu?" Oku akulindelekanga, ngenxa yokuba igama lomdlavuza wamaphaphu unomdla wokuhlaselwa ngokusondelene nezinye iintlobo nomhlaza.
Ngaphambi kokuba uphendule umbuzo, nangona kunjalo kubalulekile ukuthetha encinci malunga nendlela impendulo-impendulo ye-statistical-is derived.
Iimpawu ezichaphazela ukusinda kunye neCancer Cell Lung Cancer
Akunakwenzeka ukuthetha ngokuchazwa komhlaza wesifo somhlaza wamaphaphu ngaphandle kokuba uqale ngokuthetha ngeendlela ezininzi apho ezo manani zingahluka kumntu kumntu.
Ukuphila komhlaza wamaphaphu omncinci kunokungafani kakuhle phakathi kwabantu abahlukeneyo. Ezinye zezi zixhobo ziquka:
- Isigaba kunye nokusabalala kwintsholongwane yomhlaza wakho: Umhlaza wesifo somhlaza womnxeba ungasetyenziselwa imiphunga yakho ( umlinganiselo omncinci wesifo somhlaza wamaphaphu ) okanye usasazeka kwimimandla yomzimba wakho ngaphaya kwamaphaphu akho ( umgca omncinane umhlaza wesifo somhlaza ). Ukusasaza kwingqondo kunye nesibindi, ngokukodwa, zidibaniswa nokuphila okuhluphekayo.
- Ubudala bakho: Abantu abancinci bavame ukuhlala ixesha elide kunabantu asebekhulile abanomdlavuza wamaphaphu.
- Ubulili bakho: Inani lokusinda liphezulu kubafazi abanomdlavuza wamaphaphu kwinqanaba ngalinye lomdlavuza wamaphaphu.
- Impilo yakho ngokubanzi ngexesha lokuxilongwa: Ukuphila ngokusemgangathweni ngexesha lokuxilongwa (into eyaziwa ngokuba yinkqubo yokusebenza ) inxulumene nokusinda ixesha elide kunye nokukwazi ukunyamezela unyango olunokuthi lwandise ubomi.
- Indlela osabela ngayo kunyango: Imiphumo emibi yonyango, njenge- chemotherapy kunye neyeza zonyango, ziyahluka phakathi kwabantu abahlukeneyo, kwaye unokunciphisa amandla akho okunyamezela unyango.
- Ezinye izimo zempilo onokuba nazo : Izimo zempilo ezifana ne-emphysema zinganciphisa umlwanyana omncinci wesifo somhlaza wamaphaphu.
- Iingxaki zomdlavuza wamaphaphu: Iingxaki ezinjengeengxube zegazi zinganciphisa umdlavuza wemiphunga yemiphunga.
- Umgangatho we-LDH okanye i-ALK: Izinga elongeziweyo lezinto ezinomthamo we-lactate dehydrogenase (LDH) okanye i-alkaline phosphatase, okanye izinga eliphantsi le-sodium egazini lakho, lidibaniswa nokusinda okubi.
- Ukutshaya : Ukuqhuma ukutshaya emva kokuxilongwa komhlaza omncinci wamangqamuzana wamaphaphu kunokwenzeka ukuba kunciphise ubomi.
Iifom zeNtsholongwane zeNtsholongwane yeeNgqungquthela zeNtsholongwane
Xa kubhekiswa kwizinga lokusinda, kubalulekile ukukhumbula ukuba la manani "aphakathi: kwaye ingahluka phakathi kwabantu ngabanye, Kwiminyaka emininzi edlulileyo, izinga lokusinda liye laphucuka kunye nokusetyenziswa kweyeza lokushisa i-radiation kunye neprophylactic irradiation irradiation (PCI) .
Nangona umdlavuza omncinci wamangqamuzana wesifo somdlavuza usoloko uphendula kakuhle ekuqaleni, unyango olude luhlala luphantsi. Izinga lokusinda lomdlavuza omncinci wesifo samangqamu ahlukeneyo kwizigaba ezahlukeneyo zesifo. Okwangoku, izinga lokusinda iminyaka emi-5 kwisigaba soku-1 ngamaphesenti angama-31, kwinqanaba lesi-2, i-19 ekhulwini, kwinqanaba lesi-3 li-8 ekhulwini kunye neepesenti ezi-2 kuphela kwisigaba se-4. Ukusinda kwamanzi ngonyango (oko kukuthi, ixesha apho isiqingatha sabantu basaphila nesi sifo nesiqingatha sele siphelile) ziinyanga ezili-18 ukuya kwezi-24 kubantu abanobuchule bokuqala (umncinci) umhlaza wesifo somhlaza wamangqamuzana.
Kwixesha elibanzi lomhlaza wesifo somhlaza wamaphaphu, ukusinda komlambo kwinyanga ezili-6 ukuya kwezi-12 unyango kunye neenyanga ezi-2 ukuya kwi-4 kuphela ngaphandle kokonyango.
Gcina ukhumbule ukuba ezi zibalo, kwaye ungatsho nto ngabantu. Kwakhona, khumbula ukuba iinani zichaza ngeminyaka embalwa ubudala. Ngale ndlela, ababonisi unyango olutsha olungasetyenziswa ngoku ukuphathwa kwesi sifo.
Ukongeza kwisiteji se-TNM, umdlavuza omncinci wamaseli omnxeba unakho ukusetyenziswa ngokusetyenziswa kwesiteji esisigxina esakhiwe ngama-radiation oncologists. Ngokutsho kwe-radiation oncologists, umdlavuza omncinci wesifo somhlaza uchazwa ngokuthi "isigaba esinqinciweyo" xa i-tumor ijikelezwe kwintsimi ye-radiation.
Umdlavuza omncinci wamaseli omnxeba uchazwa ngokuthi "isigaba esiphezulu" xa isisu sikhulu kakhulu okanye sisasazeka kakhulu ukuba sidibaniswe kwintsimi enye yokunyamezela. Xa umdlavuza usasazeke kwiindawo ezikude (izifo zesifo se-metastatic) ihlala iqwalaselwa ngokubanzi.
Kukho into yokugqibela ebaluleke kakhulu ukugcina engqondweni. Nangona umdlavuza omncinci wamaseli omninzi awuqhelekanga unyango, uyaphathwa. Ezi zonyango zingenakuphucula kuphela ukusinda kodwa zincede kunye neempawu zomhlaza wemiphunga. Uninzi unyango olwenziwa ngoku kuhlolwe kwiimvavanyo zeclini , kwaye lunikezela ithemba lokuba incinci yesifo somhlaza wamaphaphu iya kuphucula kwixesha elizayo.
Inkxaso kunye nokuKhekana
Nangona unyango olutsha lufunyenwe ngumhlaza omncinci wamangqamuzana wesifo somhlaza kunomdlavuza omncinci wamangqamuzana, oqala ukutshintsha. Izilingo zezonyango zijonge unyango olutsha oluvela kwiipilisi ezijoliswe ku- immunotherapy , kwaye ezininzi zezi zifundo ziqhubeka ngoku. Thatha ixesha lokufunda okungangoko unako malunga nesifo sakho. Yiba ngummeli wakho ekunyamekeleni kwakho. Sifunda ukuba inxalenye echaphazelekayo yeqela lakho lononophelo lwempilo lingagcini nje ukuphucula umgangatho wobomi, kodwa inokudlala indima ekusindisweni. Ekugqibeleni, zibandakanya emphakathini womhlaza wamaphaphu. I-hashtag yokufumana abantu kwi-intanethi yi-#LCSM. Ukujoyina nabanye kungabanikeli inkxaso kuphela kwabo bahlalayo, kodwa kunokukunceda ufunde ngezilwanyana ezintsha zonyango.
Ekugqibeleni, ingqondo eye yanceda abantu abaninzi ukuba bajamelane nomngeni obunzima wesifo somhlaza wamangqamuzana wamangqamuzana "ukuguqula" iifomati kwingqondo yakho. Unokuva ngomhlaza ophethe kuphela i-5 pesenti yeminyaka emihlanu yokusinda kwaye ucinga ukuba kukho iipesenti ezingama-95 ongayi kusinda. Abanye abantu abanomdlavuza wamaphaphu baye bathatha indlela eyahlukileyo. Kunoko unokuba ufuna ukukhangela ama-5 eepesenti yabantu abaphila kwaye bathi ufuna ukuba ngumnye wabo. Emva koko, ngokuba ngummeli wakho ekunyamekeleni kwakho njengoko ukhangela iinketho (ezifana nezilingo zamachiza ezinokuthi zifaneleke) kwaye ujonge kwiimpawu ezilapha ngasentla (njengokuba ukuyeka ukutshaya kubonakala kukuphakamisa ukusinda okungenani abanye abantu abanalo izifo) nokulawula oko unokukwazi.
Ubuso bomhlaza wemiphunga buyaguquka. Uphuhliso luya kuphucula, luba luncedo kakhulu kwaye luba nemiphumo embalwa yecala. Amanani okuphucula aphucuka. Nabo abo manani bayabandezeleka, kukho isizathu sokuba nethemba.
> Imithombo:
> I-American Cancer Society. I-Cancer Cancer (I-Cell Small). Ukuhlaziywa 02/22/16. http://www.cancer.org/cancer/lungcancer-smallcell/detailedguide/small-cell-lung-cancer-survival-rates
> Ucela, I. et al. Unyango lwe-intanethi encinane ye-cell lung carcinoma: isimo samanje kunye nethemba elizayo. I-European Respiratory Journal . 2010. 35 (1): 292-15.
> INational Cancer Institute. Ukwelashwa kweNcinci yeCatal Lung Cancer (PDQ) - I-Health Professional Version. Ukuhlaziywa 01/20/17. https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq