Khansa Yam'mapapo: Mitundu, Mitengo Yopulumuka, ndi Zambiri
Zamkati
- Mitundu ya khansa yamapapu
- Khansa ya m'mapapo yaying'ono (NSCLC)
- Khansa yaying'ono yamapapo yam'mapapo (SCLC)
- Khansa ya m'mapapo ndi jenda
- Khansa ya m'mapapo ndi zaka
- Khansa ya m'mapapo ndi mtundu
- Mitengo yopulumuka
- Khansa ya m'mapapo yaying'ono (NSCLC)
- Khansa yaying'ono yamapapo yam'mapapo (SCLC)
- Chiwonetsero
Chidule
Khansa ya m'mapapo ndi khansa yachiwiri yofala kwambiri pakati pa amuna ndi akazi aku America. Ndichonso chomwe chimayambitsa kufa kwa khansa kwa amuna ndi akazi aku America. Imodzi mwa imfa zinayi zilizonse zokhudzana ndi khansa imachokera ku khansa yamapapo.
Kusuta ndudu ndi komwe kumayambitsa khansa yamapapu. Amuna omwe amasuta amakhala ndi mwayi wopitilira khansa yam'mapapo nthawi 23. Amayi omwe amasuta amakhala pachiwopsezo chotere, nthawi zonse poyerekeza ndi omwe samasuta.
Pafupifupi 14 peresenti ya anthu omwe ali ndi khansa ku United States ali ndi khansa yamapapu. Izi zikufanana ndi 234,030 zatsopano za khansa yamapapo chaka chilichonse.
Mitundu ya khansa yamapapu
Pali mitundu iwiri ikuluikulu ya khansa yamapapo:
Khansa ya m'mapapo yaying'ono (NSCLC)
Uwu ndiye khansa yamapapo yamtundu uliwonse. Pafupifupi 85 peresenti ya anthu omwe amapezeka ndi khansa yamapapo chaka chilichonse ali ndi NSCLC.
Madokotala amagawanitsanso NSCLC m'magawo. Magawo amatanthauza komwe khansayo ili komanso kukula kwake, ndipo zimakhudza momwe khansa yanu imathandizira.
Gawo 1 | Khansa imangopezeka m'mapapu. |
Gawo 2 | Khansa ili m'mapapu ndi ma lymph node oyandikira. |
Gawo 3 | Khansa imapezeka m'mapapu ndi ma lymph node mkati mwa chifuwa. |
Gawo 3A | Khansa imapezeka mu ma lymph node, koma mbali yomweyo ya chifuwa pomwe khansa idayamba kukula. |
Gawo 3B | Khansara yafalikira ku ma lymph node mbali inayo ya chifuwa kapena ma lymph node pamwamba pa kolala. |
Gawo 4 | Khansa yafalikira m'mapapu onse kapena mbali ina ya thupi. |
Khansa yaying'ono yamapapo yam'mapapo (SCLC)
Osazolowereka kuposa NSCLC, SCLC imapezeka kokha mwa 10 mpaka 15 peresenti ya anthu omwe amapezeka ndi khansa yamapapo. Khansa yamapapu yamtunduwu ndiyolusa kuposa NSCLC ndipo imatha kufalikira mwachangu. SCLC imatchedwanso khansa ya oat cell.
Madokotala amapereka magawo ku SCLC pogwiritsa ntchito njira ziwiri zosiyana. Choyamba ndi dongosolo la TNM. TNM imayimira chotupa, ma lymph node, ndi metastasis. Dokotala wanu adzapatsa nambala pagulu lililonse kuti athandizire kudziwa gawo la SCLC yanu.
Khansa yam'mapapo yam'magulu ambiri imagawidwanso pang'ono. Gawo lochepa ndi pomwe khansa imangokhala m'mapapo amodzi ndipo imatha kufalikira ku ma lymph node apafupi. Koma sanapite ku mapapo kapena ziwalo zakutali.
Kukula kwakukulu ndi pomwe khansa imapezeka m'mapapu onse awiri ndipo imatha kupezeka m'ma lymph node mbali zonse za thupi. Itha kufalikira kumadera akutali kuphatikiza mafupa.
Chifukwa dongosolo la khansa ya m'mapapo ndilovuta, muyenera kufunsa dokotala kuti akufotokozereni gawo lanu komanso tanthauzo lake kwa inu. Kuzindikira koyambirira ndiye njira yabwino kwambiri yosinthira malingaliro anu.
Khansa ya m'mapapo ndi jenda
Amuna amapezeka kuti ali ndi khansara yamapapo kuposa akazi, pang'ono pang'ono. Pafupifupi amuna 121,680 amapezeka ku United States chaka chilichonse. Kwa amayi, chiwerengerochi ndi pafupifupi 112,350 pachaka.
Izi zimapangitsa kuti anthu azifa chifukwa cha khansa yamapapu. Pafupifupi anthu 154,050 ku United States adzafa ndi khansa yamapapo chaka chilichonse. Pa chiwerengerocho, amuna ndi akazi 83,550, ndipo 70,500 ndi akazi.
Kuzindikira izi, mwayi woti munthu adzakhale ndi khansa yamapapo m'moyo wake ndi 1 mwa 15. Kwa akazi, mwayi umenewo ndi 1 mwa 17.
Khansa ya m'mapapo ndi zaka
Anthu ambiri amafa ndi khansa yam'mapapo chaka chilichonse kuposa omwe amabwera chifukwa cha khansa ya m'mawere, m'matumbo, ndi khansa ya prostate. Avereji ya zaka zapakati pa matenda a khansa ya m'mapapo ndi 70, ndipo ambiri mwa omwe amapezeka azaka zopitilira 65. Chiwerengero chochepa kwambiri cha matenda am'mapapo am'mapapo amachitika mwa akulu osakwana zaka 45.
Khansa ya m'mapapo ndi mtundu
Amuna akuda ali ndi mwayi wambiri wokhala ndi khansa yamapapo kuposa azungu. Mlingo wodziwika pakati pa akazi akuda ndi pafupifupi 10% kutsika kuposa azungu azungu. Chiwerengero cha amuna omwe amapezeka ndi khansa yam'mapapo akadachulukabe kuposa azimayi akuda ndi azungu omwe amapezeka ndi matendawa.
Mitengo yopulumuka
Khansa yamapapo ndi khansa yoopsa kwambiri. Nthawi zambiri imapha anthu omwe amapezeka kuti ali nayo. Koma izi zikusintha pang'onopang'ono.
Anthu omwe amapezeka kuti ali ndi khansa yam'mapapo yam'mbuyo akupulumuka. Anthu opitilira 430,000 omwe amapezeka ndi khansa yamapapo nthawi ina akadali amoyo lero.
Mtundu uliwonse ndi gawo la khansa yamapapo imakhala ndi moyo wosiyana. Chiwerengero cha kupulumuka ndiyeso la kuchuluka kwa anthu omwe amakhala ndi moyo nthawi ina atapezeka.
Mwachitsanzo, zaka zisanu zapulumuka khansa yam'mapapo imakuwuzani kuti ndi anthu angati omwe akukhala zaka zisanu atapezeka kuti ali ndi khansa yamapapo.
Kumbukirani kuti mitengo ya kupulumuka ndiyowerengera chabe, ndipo thupi la aliyense limayankha ku matendawa ndi mankhwala ake mosiyanasiyana. Ngati mwapezeka kuti muli ndi khansa yamapapo, zinthu zambiri zimakhudza momwe mumaonera, kuphatikiza gawo lanu, dongosolo la chithandizo, komanso thanzi.
Khansa ya m'mapapo yaying'ono (NSCLC)
Kuchuluka kwa zaka zisanu za NSCLC kumasiyana kutengera gawo la matendawa.
Gawo | Zaka zisanu zapulumuka |
1A | 92 peresenti |
1B | 68 peresenti |
2A | 60 peresenti |
2B | 53% |
3A | 36 peresenti |
3B | 26 peresenti |
4, kapena metastatic | 10%, kapena <1% |
* Zonsezi zikugwirizana ndi American Cancer Society
Khansa yaying'ono yamapapo yam'mapapo (SCLC)
Monga NSCLC, kuchuluka kwa zaka zisanu kwa anthu omwe ali ndi SCLC kumasiyana kutengera gawo la SCLC.
Gawo | Chiwerengero cha opulumuka |
1 | 31 peresenti |
2 | 19 peresenti |
3 | 8 peresenti |
4, kapena metastatic | 2 peresenti |
* Zonsezi zikugwirizana ndi American Cancer Society
Chiwonetsero
Mukamaliza mankhwala ndikulengeza kuti mulibe khansa, dokotala wanu angafune kuti muzikayendera pafupipafupi. Izi ndichifukwa choti khansa, ngakhale yomwe idachiritsidwa koyambirira, imatha kubwereranso. Pachifukwachi, mutatha kulandira chithandizo mupitiliza kutsatira oncologist wanu kwa nthawi yoyang'anira.
Nthawi yoyang'anira nthawi zambiri imatha zaka 5 chifukwa chiopsezo chobwereza chimakhala chachikulu pazaka zisanu zoyambirira atalandira chithandizo. Kuopsa kwanu kobwerezabwereza kudzadalira mtundu wa khansa yamapapu yomwe muli nayo komanso momwe mungadziwire.
Mukamaliza mankhwala anu, yembekezerani kukaonana ndi dokotala osachepera miyezi isanu ndi umodzi pazaka ziwiri kapena zitatu zoyambirira. Ngati, pambuyo pa nthawi imeneyo, dokotala wanu sanawone kusintha kulikonse kapena madera omwe akukhudzidwa, angakulimbikitseni kuchezera maulendo anu kamodzi pachaka. Kuopsa kwanu kobwerezabwereza kumachepetsa zomwe mumalandira kuchokera kuchipatala.
Mukamakumananso ndi dokotala, dokotala wanu atha kufunsa mayeso ojambulira kuti aone ngati khansa yabwerera kapena ikukula kumene. Ndikofunika kuti mutsatire oncologist wanu ndikufotokozerani zatsopano nthawi yomweyo.
Ngati muli ndi khansa yamapapo yam'mapapo, dokotala wanu adzakambirana nanu za njira zothetsera matenda anu. Zizindikirozi zitha kuphatikiza:
- ululu
- chifuwa
- kupweteka mutu kapena zizindikiro zina zamitsempha
- zoyipa zamankhwala aliwonse