Zizindikiro Zotupa Khansa Yam'mapapo

Zamkati

• Kodi mayeso a khansa ya m'mapapo ndi chiyani?
• Kodi amagwiritsa ntchito chiyani?
• Chifukwa chiyani ndikufunika mayeso a khansa yam'mapapo?
• Kodi chimachitika ndi chiani poyesa khansa yam'mapapo?
• Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
• Kodi pali zoopsa zilizonse pamayeso?
• Kodi zotsatirazi zikutanthauza chiyani?
• Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a khansa yam'mapapo?
• Zolemba

Kodi mayeso a khansa ya m'mapapo ndi chiyani?

Zizindikiro za chotupa cha khansa ya m'mapapo ndi zinthu zopangidwa ndi zotupa. Maselo abwinobwino amatha kukhala maselo otupa chifukwa cha kusintha kwa majini, kusintha kwa magwiridwe antchito amtundu. Chibadwa ndiye gawo lobadwa kuchokera kwa amayi ndi abambo ako.

Kusintha kwina kwa majini kumatha kutengera kwa makolo anu. Zina zimapezeka pambuyo pake m'moyo chifukwa cha chilengedwe kapena momwe amakhalira. Zosintha zomwe zimayambitsa khansa yamapapo nthawi zambiri zimachitika chifukwa chopeza, zotchedwanso somatic, kusintha. Kusintha kumeneku kumachitika nthawi zambiri, ngakhale sikuti kumayambitsidwa chifukwa cha kusuta fodya. Kusintha kwa majini kumatha kupangitsa kuti chotupa cham'mapapo chifalikire ndikukula kukhala khansa.

Pali mitundu yosiyanasiyana ya kusintha komwe kumayambitsa khansa yamapapo. Kuyesera kwa khansa yam'mapapo kumayang'ana kusintha komwe kungayambitse khansa yanu. Zizindikiro zodziwika bwino za khansa yamapapu zimaphatikizapo kusintha kwa majini otsatirawa:

• EGFR, yomwe imapanga mapuloteni omwe amagawidwa m'magulu
• KRAS, yomwe imathandiza kuchepetsa kukula kwa zotupa
• ALK, yomwe imakhudzidwa ndikukula kwama cell

Sikuti khansa yonse yam'mapapo imayamba chifukwa cha kusintha kwa majini. Koma ngati khansara yanu imayambitsidwa ndi kusintha kwa thupi, mutha kumwa mankhwala omwe apangidwa kuti awononge mtundu wanu wamaselo osinthika a khansa. Izi zimatchedwa chithandizo chamankhwala.

Mayina ena: Khansa ya m'mapapo yolimbana ndi jini

Kodi amagwiritsa ntchito chiyani?

Kuyesedwa kwa zotupa za khansa yamapapo kumakonda kugwiritsidwa ntchito kuti mupeze, ngati kulipo, kusinthika kwa majini komwe kumayambitsa khansa yanu yamapapo. Zizindikiro za khansa yam'mapapo zingayesedwe payekhapayekha kapena kuphatikizidwa pagulu limodzi.

Chifukwa chiyani ndikufunika mayeso a khansa yam'mapapo?

Mungafunike kuyesedwa kwa khansa yam'mapapo ngati mwapezeka kuti muli ndi khansa yamapapo yotchedwa khansa ya m'mapapo yomwe siying'ono. Khansara yamtunduwu imatha kukhala ndi kusintha kwa majini komwe kumayankha mankhwalawa.

Chithandizo chofunidwa nthawi zambiri chimakhala chothandiza kwambiri ndipo chimayambitsa zovuta zochepa kuposa chemotherapy kapena radiation. Koma ndikofunikira kudziwa kusinthika komwe muli nako. Mankhwala othandizira omwe angakhale othandiza kwa munthu yemwe ali ndi mtundu umodzi wamasinthidwe, atha kugwira ntchito kapena atha kukhala owopsa kwa wina yemwe asintha mosiyana kapena sanasinthe.

Kodi chimachitika ndi chiani poyesa khansa yam'mapapo?

Wothandizira zaumoyo ayenera kutenga kachilombo kakang'ono ka chotupacho mu njira yotchedwa biopsy. Itha kukhala imodzi mwamitundu iwiri ya ma biopsies:

• Chida chabwino cha singano, yomwe imagwiritsa ntchito singano yopyapyala kwambiri kuchotsa sampuli yamaselo kapena madzi
• Chigoba chachikulu cha singano, yomwe imagwiritsa ntchito singano yayikulu kuchotsa nyemba

Kukhumba kwabwino kwa singano ndi ma biopsies oyambira singano nthawi zambiri kumaphatikizapo izi:

• Mudzagona mbali yanu kapena kukhala patebulo la mayeso.
• X-ray kapena chida china chojambula chingagwiritsidwe ntchito kupeza tsamba lomwe mukufuna. Khungu lidzalembedwa.
• Wothandizira zaumoyo amatsuka tsambalo ndikulibaya mankhwala oletsa kupweteka kuti musamve kuwawa panthawi yomwe mukuchita.
• Dera likangokhala lofooka, woperekayo amapangira tating'onoting'ono (kudula) ndikuyika singano yolakalaka kapena singano yayikulu m'mapapu. Kenako amachotsa minofu patsamba la biopsy.
• Mutha kumva kupsinjika pang'ono singano ikalowa m'mapapu.
• Anzanu adzagwiritsidwa ntchito patsambalo mpaka magazi atasiya.
• Wothandizira anu adzagwiritsa ntchito bandeji wosabala pamalo osanthula.

Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?

Mungafunike kusala (osadya kapena kumwa) kwa maola angapo musanachitike. Lankhulani ndi wothandizira zaumoyo wanu ngati muli ndi mafunso okonzekera kukayezetsa.

Kodi pali zoopsa zilizonse pamayeso?

Mutha kukhala ndi mikwingwirima kapena kutuluka magazi pamalo omwe mumapezeka biopsy. Muthanso kukhala ndi vuto pang'ono patsambalo kwa tsiku limodzi kapena awiri.

Kodi zotsatirazi zikutanthauza chiyani?

Ngati zotsatira zanu zikuwonetsa kuti muli ndi chimodzi mwazizindikiro za khansa yam'mapapo zomwe zingayankhe bwino kuchipatala, omwe amakupatsani akhoza kukuyambitsani nthawi yomweyo. Ngati zotsatira zanu zikuwonetsa kuti mulibe chimodzi mwazizindikiro za khansa yamapapu, inu ndi omwe mungakupatseni mutha kukambirana njira zina zamankhwala.

Kuyezetsa magazi kumatenga nthawi yayitali kuposa mitundu ina yambiri yamayeso a labu. Simungapeze zotsatira zanu kwa milungu ingapo.

Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.

Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.

Kodi pali china chilichonse chomwe ndikufunika kudziwa pokhudzana ndi mayeso a khansa yam'mapapo?

Ngati muli ndi khansa ya m'mapapo, ndikofunikira kuti muziwona omwe amakuthandizani nthawi zonse mukamalandira chithandizo. Khansa ya m'mapapo imatha kukhala yovuta kuchiza, ngakhale mutalandira mankhwala. Tsekani kuyang'anira ndikuwunika pafupipafupi, ndipo ma x-ray ndi ma scan nthawi ndi nthawi amalimbikitsidwa kwa zaka zisanu zoyambirira mutalandira chithandizo, komanso chaka chilichonse kwa moyo wanu wonse.

Zolemba

1. American Cancer Society [Intaneti]. Atlanta: Bungwe la American Cancer Society Inc .; c2018. Mitundu ya ma biopsies omwe amayang'ana khansa; [yasinthidwa 2015 Jul 30; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.org/treatment/understanding-your-diagnosis/tests/testing-biopsy-and-cytology-specimens-for-cancer/biopsy-types.html
2. American Lung Association [Intaneti]. Chicago: Msonkhano wa American Lung; c2018. Kuyesedwa kwa Khansa ya M'mapapo; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 5]. Ipezeka kuchokera: http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/learn-about-lung-cancer/how-is-lung-cancer-diagnosed/lung -kuyesa-khansa-kuyesa.html
3. Khansa.Net [Intaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005-2018. Chisokonezo; 2018 Jan [wotchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/biopsy
4. Khansa.Net [Intaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005-2018. Kuyesa Kwa Chotupa; 2018 Meyi [wotchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/tumor-marker-tests
5. Khansa.Net [Intaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005-2018. Kumvetsetsa Chithandizo Choyang'aniridwa; 2018 Meyi [wotchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.net/navigating-cancer-care/how-cancer-treated/personalized-and-targeted-therapies/understanding-targeted-therapy
6. Khansa.Net [Intaneti]. Alexandria (VA): American Society of Clinical Oncology; 2005-2018. Zomwe Muyenera Kudziwa Zokhudza Khansa Yam'mapapo; 2018 Jun 14 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.cancer.net/blog/2018-06/what-you-need-now-about-lung-cancer
7. Johns Hopkins Medicine [Intaneti]. Yunivesite ya Johns Hopkins; Johns Hopkins Mankhwala; Laibulale ya Zaumoyo: Lung Biopsy; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.hopkinsmedicine.org/healthlibrary/test_procedures/pulmonary/lung_biopsy_92,P07750
8. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018.ALK mutation (Gene Rearrangement); [yasinthidwa 2017 Dec 4; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/alk-mutation-gene-rearrangement
9. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Kuyesa Kusintha kwa EGFR; [yasinthidwa 2017 Nov 9; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/egfr-mutation-testing
10. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Kuyesa Kwachibadwa Kwa Chithandizo Chakuyambitsa Khansa; [yasinthidwa 2018 Jun 18; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/genetic-tests-targeted-cancer-therapy
11. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. KRAS Kusintha; [yasinthidwa 2017 Nov 5; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/kras-mutation
12. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Khansa Yam'mapapo; [yasinthidwa 2017 Dec 4; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/conditions/lung-cancer
13. Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001–2018. Zolemba Zotupa; [yasinthidwa 2018 Feb 14; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/tumor-markers
14. Chipatala cha Mayo: Mayo Medical Laboratories [Internet]. Mayo Foundation for Medical Education and Research; c1995–2018. Chidziwitso Cha Mayeso: LUNGP: Gulu Loyang'aniridwa ndi Khansa Yam'mapapo, chotupa: Chipatala ndi Chotanthauzira; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.mayomedicallaboratories.com/test-catalog/Clinical+and+Interpretive/65144
15. Merck Manual Consumer Version [Intaneti]. Kenilworth (NJ): Merck & Co. Inc. .; c2018. Khansa Yam'mapapo; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.merckmanuals.com/home/lung-and-airway-disorders/tumors-of-the-lungs/lung-cancer
16. National Cancer Institute [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Buku la NCI lotanthauzira za Khansa: jini; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.cancer.gov/publications/dictionaries/cancer-terms/search?contains=false&q=gene
17. National Cancer Institute [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Chithandizo cha Khansa ya M'mapapo Yaying'ono (PDQ®) -Patient Version; [yasinthidwa 2018 Meyi 2; yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq
18. National Cancer Institute [Intaneti]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Zolemba Zotupa; [adatchula 2018 Jul 13]; [pafupifupi zowonetsera 4]. Ipezeka kuchokera: https://www.cancer.gov/about-cancer/diagnosis-staging/diagnosis/tumor-markers-fact-sheet
19. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. ALK jini; 2018 Jul 10 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/gene/ALK
20. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Mtundu wa EGFR; 2018 Jul 10 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/gene/EGFR
21. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Mtundu wa KRAS; 2018 Jul 10 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/gene/KRAS
22. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Khansa ya m'mapapo; 2018 Jul 10 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/condition/lung-cancer
23. NIH U.S. National Library of Medicine: Genetics Home Reference [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kodi kusintha kwa majini ndi chiyani ndipo kusintha kumachitika motani ?; 2018 Jul 10 [yatchulidwa 2018 Jul 13]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ghr.nlm.nih.gov/primer/mutationsanddisorders/genemutation

Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.