Therapy Yothandizirana ndi Khansa Yaing'ono Yam'mapapo Am'magazi: Zomwe Zili, Kuchita Bwino, Kuganizira, ndi Zambiri

Zamkati

• Chidule
• Kuphatikiza chemotherapy
• Chemotherapy kuphatikiza immunotherapy
• Kodi mankhwala othandizira ndi othandiza motani?
• Zotsatira zoyipa za kuphatikiza mankhwala
• Zinthu zofunika kuziganizira
• Tengera kwina

Chidule

Chithandizo cha khansa yaying'ono yamapapo yam'mapapo (SCLC) nthawi zambiri imaphatikizapo kuphatikiza mankhwala. Kungakhale kuphatikiza kwa mankhwala a chemotherapy kapena chemotherapy kuphatikiza ma immunotherapy.

Tiyeni tiwone bwino mankhwala ophatikizika a SCLC yayikulu, momwe imagwirira ntchito, ndi zinthu zofunika kuziganizira musanasankhe mankhwala.

Kuphatikiza chemotherapy

Ngakhale opareshoni ndi cheza pachifuwa zimagwiritsidwa ntchito pang'ono pa SCLC, sizimagwiritsidwa ntchito nthawi zambiri. Njira yoyamba yothandizira SCLC yayikulu ndi kuphatikiza chemotherapy.

Pali zolinga zingapo za chemotherapy. Ikhoza kuchepetsa zotupa, kuchepetsa zizindikilo, komanso kuchepa kwa matenda. Izi ndizofunikira pochiza SCLC chifukwa ndi khansa yomwe ikukula mwachangu. Mankhwala amphamvuwa amatha kuyimitsa ma cell a khansa kukula ndikuberekana.

Mankhwala a chemotherapy samalimbana ndi chotupa kapena gawo lina la thupi. Ndi njira yothandizira. Izi zikutanthauza kuti imafufuza ma cell a khansa kulikonse komwe ali.

Kuphatikiza kwa chemotherapy kungaphatikizepo:

• etoposide kuphatikiza cisplatin
• etoposide kuphatikiza carboplatin
• irinotecan kuphatikiza cisplatin
• irinotecan kuphatikiza carboplatin

Chemotherapy nthawi zambiri imaperekedwa ndi kulowetsedwa panthawi yake. Musanayambe, dokotala wanu adzayesa thanzi lanu lonse kuti atsimikizire kuti mumatha kupirira zotsatira za mankhwala.

Chemotherapy kuphatikiza immunotherapy

Maselo a khansa ndi odzibisa. Amatha kupusitsa chitetezo cha m'thupi mwanu kuti asawaone ngati owopsa.

Immunotherapy, yomwe imadziwikanso kuti biologic therapy, imalimbikitsa chitetezo chamthupi. Zimathandiza kuzindikira ndi kuukira maselo a khansa. Mosiyana ndi chemotherapy, sizimavulaza maselo athanzi.

Mankhwala a immunotherapy atezolizumab (Tecentriq) amatha kuperekedwa limodzi ndi kuphatikiza chemotherapy. Mukangomaliza ndi chemotherapy, mutha kukhalabe pa atezolizumab ngati mankhwala osamalira.

Mankhwala ena omwe angagwiritsidwe ntchito pa SCLC ndi awa:

• ipilimumab (Yervoy)
• nivolumab (Opdivo)
• pembrolizumab (Keytruda)

Immunotherapy nthawi zambiri imaperekedwa ndikulowetsedwa kwa intravenous (IV) pafupipafupi.

Kodi mankhwala othandizira ndi othandiza motani?

Kuphatikiza kwa chemotherapy kwa gawo lalikulu la SCLC kumachepetsa kukula kwa matenda ndikupereka mpumulo ku zizindikilo. Ili ndi mayankho oyambira 60 mpaka 80%. Nthawi zina, yankho limakhala lodabwitsa kwambiri kotero kuti mayeso oyerekeza sangathenso kuzindikira khansa.

Izi nthawi zambiri zimakhala zakanthawi. Gawo lalikulu la SCLC limabweranso nthawi zina, nthawi zina mkati mwa miyezi ingapo. Khansa itatha, khansa imatha kulimbana ndi chemotherapy.

Pachifukwa ichi, adotolo angafune kuti mupitilize ndi immunotherapy mukamaliza chemotherapy. Dokotala wanu angathenso kupereka chithandizo cha radiation ku ubongo. Izi zitha kuthandiza kupewa khansa kufalikira kuubongo wanu.

Kuyesedwa kwachipatala kwa immunotherapy kwa SCLC kwakhala ndi zotsatira zosiyana. Chiyeso china chaposachedwa chidayang'ana atezolizumab ndi chemotherapy yochokera ku platinamu.Poyerekeza ndi chemotherapy yokhayo, panali kusintha kwakukulu pakupulumuka konse komanso kupulumuka kopanda kupita patsogolo.

Immunotherapy yothandizira kuchipatala cha SCLC ikulonjeza koma komabe ndiyatsopano. Mayesero azachipatala omwe amaphunzira za immunotherapy kuphatikiza ma chemotherapy akupitilira.

Ngati khansara silingakhululukidwe kapena ikupitilira kufalikira, mufunika chithandizo china. Zosankha zanu zimatengera komwe zafalikira komanso mankhwala omwe mwayesapo kale.

Zotsatira zoyipa za kuphatikiza mankhwala

Khansa imaphatikizapo kugawa maselo mwachangu. Mankhwala a chemotherapy amalimbana ndi maselo omwe amagawanika mwachangu. Izi zikutanthauza kuti zimakhudzanso maselo athanzi. Izi ndi zomwe zimayambitsa zovuta zambiri zomwe zimakhudzana ndi mankhwalawa.

Zotsatira zoyipa za chemotherapy zimasiyanasiyana kutengera mankhwala, kuchuluka kwa mankhwala, komanso kuti mumalandira kangati. Aliyense amachita mosiyana. Mndandanda wa zovuta zomwe zingachitike ndiwotalika, koma mwina simukumana nazo zonsezi. Zotsatira zoyipa zingaphatikizepo:

• kutopa
• kufooka
• nseru
• kusanza
• kusowa chilakolako
• kutsegula m'mimba
• kutayika tsitsi
• kuonda
• misomali yosweka
• nkhama zotuluka magazi
• chiopsezo chowonjezeka cha matenda

Immunotherapy itha kuyambitsa:

• nseru
• kutopa
• kupweteka pamodzi
• kutsegula m'mimba kapena kudzimbidwa
• zizindikiro ngati chimfine
• kusintha kwa kulemera
• kusowa chilakolako

Zizindikiro za kulowetsedwa kumatha kuyambitsa:

• malungo, kuzizira, kapena kutsuka nkhope
• zidzolo
• khungu loyabwa
• chizungulire
• kupuma
• kuvuta kupuma

Thandizo la radiation lingayambitse:

• kutopa
• kusowa chilakolako
• Kupsa mtima pakhungu kofanana ndi kutentha kwa dzuwa
• kupweteka kwa khungu
• kutayika tsitsi

Zotsatira zoyipa zambiri zitha kuthandizidwa ndi mankhwala ena kapena kusintha kwa moyo. Onetsetsani kuuza gulu lanu lachipatala mukakhala ndi zovuta.

Zinthu zofunika kuziganizira

Musanasankhe chithandizo, dokotala wanu adzawunika thanzi lanu lonse. Nthawi zina, zovuta zoyipa zamankhwala ochiritsira zitha kukhala zovuta kwambiri. Pamodzi, mutha kusankha ngati mungakhale ndi mankhwala ochepetsa chemotherapy, immunotherapy, kapena palliative care nokha. Muthanso kulankhulana ndi adotolo za kulembetsa mayeso azachipatala.

Kusamalira odwala kumadziwikanso kuti chithandizo chothandizira. Sichitha khansa yanu, koma imatha kuthandizira kuthana ndi zizindikiritsozo ndikubwezeretsanso moyo wanu kwa nthawi yayitali. Mutha kulandira chisamaliro chothandizika komanso mankhwala osakanikirana.

Kaya ndi mankhwala asanafike, mkati, kapena pambuyo pake, mudzakhala ndi mafunso komanso nkhawa. Gulu lanu lachipatala lilipo kuti likuthandizeni. Amafuna kuti chithandizo chanu chiziyenda bwino momwe angathere ndipo akhoza kukuthandizani pakafunika kutero. Ngati kuli kofunikira, akhoza kukutumizirani kwa ena omwe atha kukhala othandizira.

Tengera kwina

Njira yoyamba yothandizira SCLC yayikulu ndi njira yothandizirana. Izi zitha kutanthauza kuphatikiza kwa mankhwala a chemo okha kapena limodzi ndi immunotherapy. Koma chithandizocho chiyenera kutsata zosowa zanu.

Kulankhulana momasuka ndi dokotala ndi njira yabwino kwambiri yotsimikizirira kuti muli patsamba limodzi. Pamodzi, mutha kupanga zisankho zomwe zili zabwino kwa inu.