Zomwe Muyenera Kuchita Ngati Chithandizo Chanu Cha HCC Pano Sichikugwira Ntchito

Zamkati

• Chithandizo chamankhwala
• Njira zochiritsira
• Mayeso a mankhwala osokoneza bongo
• Njira zochiritsira komanso zochiritsira

Sikuti aliyense amayankha mankhwala a hepatocellular carcinoma (HCC) chimodzimodzi. Ngati mankhwala anu sakuchita zomwe akuyenera kuchita, mudzafunika kudziwa zomwe zidzachitike.

Pezani zambiri zamankhwala aposachedwa, mayeso azamankhwala, ndi zomwe mungafunse dokotala wanu pano.

Chithandizo chamankhwala

Dokotala wanu adzapanga dongosolo lanu loyambirira la chithandizo kutengera zinthu monga:

• siteji ya khansa ikazindikira
• kaya khansara yakula kukhala mitsempha yamagazi
• msinkhu wanu komanso thanzi lanu lonse
• ngati opaleshoni yotsekemera kapena kuika chiwindi ndi kotheka
• momwe chiwindi chanu chimagwirira ntchito bwino

Kumayambiriro kwa khansa ya chiwindi, opaleshoni kuti muchotse chotupacho komanso gawo laling'ono la chiwindi chanu zitha kukhala zonse zomwe mungafune. Ngati khansara siinasokonezeke, mutha kukhala ndi mwayi wowonjezera chiwindi. Ngati opaleshoni siyosankha, njira zosiyanasiyana zochotsera mavutowo zitha kuwononga zotupa zazing'ono m'chiwindi osazichotsa.

Mwinanso mungafune mankhwala ena opitilira muyeso monga radiation kapena chemotherapy. Zilizonse zomwe mungasankhe pomaliza, gulu lanu lazachipatala lidzawatsata kuti awone momwe akugwirira ntchito. Dokotala wanu akhoza kusintha njira yanu yothandizira ngati pakufunika kutero.

Zotsatirazi ndi zinthu zina zingapo zofunika kuzikumbukira pamene mankhwala sagwira ntchito.

Njira zochiritsira

HCC itha kuchiritsidwa ndi mankhwala omwe amayang'ana kusintha kwamaselo omwe amayambitsa khansa. Kamodzi m'magazi anu, mankhwalawa amatha kufunafuna ma cell a khansa kulikonse mthupi lanu. Ndicho chifukwa chake amatha kugwiritsidwa ntchito ndi khansa yomwe yafalikira kunja kwa chiwindi.

Kwa khansa ya chiwindi, sorafenib (Nexavar) atha kukhala mankhwala oyamba omwe dokotala angayesere. Maselo a khansa amakhala ndi mapuloteni omwe amawalimbikitsa kuti akule, ndipo mankhwalawa amalimbana ndi mapuloteniwo. Zotupa zimafunikanso kupanga mitsempha yatsopano kuti ikule, ndipo sorafenib amalepheretsa izi. Pali zovuta zochepa kuposa momwe mungakhalire ndi chemotherapy. Chifukwa imapezeka pamapiritsi, ndizosavuta kumwa.

Ngati sorafenib sakugwira ntchito, dokotala wanu angakulimbikitseni regorafenib (Stivarga). Zimagwira ntchito mofananamo, koma zimasungidwa kwa iwo omwe adalandira kale ndi sorafenib.

Chithandizo chatsopano chatsopano cha khansa yayikulu ya chiwindi ndi nivolumab (Opdivo), yomwe imaperekedwa ndi jakisoni. Nivolumab anapatsidwa chilolezo chofulumira kwa anthu omwe ali ndi HCC omwe adachitidwa ndi sorafenib. Kafukufuku woyambirira mwa anthu omwe ali ndi khansa yayikulu ya chiwindi amawonetsa zotsatira zolimbikitsa.

Ngati dokotala wakupatsani chithandizo ndi sorafenib, funsani kuti:

• Ndi mayeso ati akutsatila omwe adzagwiritsidwe ntchito kuti mudziwe ngati akugwira ntchito?
• Kodi tidzadziwa liti kuti ndi nthawi yoti tisinthe?

Ngati sorafenib sanagwire ntchito, kapena ngati wasiya kugwira ntchito:

• Kodi gawo lotsatira regorafenib kapena nivolumab?
• Kodi njira yabwinoko ndi iti ndipo chifukwa chiyani?
• Tidziwa bwanji ngati ikugwira ntchito?
• Ngati sichigwira ntchito, ndi masitepe ati otsatirawa?

Mayeso a mankhwala osokoneza bongo

Njira yochokera pakufufuza mpaka kupeza mankhwala omwe amavomerezedwa kuti azitha kulandira chithandizo ndi yayitali. Mayesero azachipatala ndi ena mwa njira zomalizira pochita izi. Mayeserowa amatengera anthu omwe amadzipereka kuchipatala. Kwa inu, zikutanthawuza kufikira njira zamankhwala zatsopano zomwe sizinavomerezedwe kuti zigwiritsidwe ntchito.

Kuyesa kosalekeza kwa chithandizo cha HCC kumaphatikizapo mankhwala osiyanasiyana omwe amagwiritsa ntchito chitetezo chamthupi polimbana ndi khansa. Mankhwalawa amaphatikizapo ma anti-checkpoint inhibitors, ma monoclonal antibodies, ma cell othandizira, komanso njira zochizira za oncolytic.

Kuti mumve zambiri zamayeso azachipatala a khansa ya chiwindi, pitani ku American Cancer Society's Clinical Trial Matching Service kapena Cancer Research Institute's Clinical Trial Finder.

Dokotala wanu akhoza kukuthandizani kukutsogolerani m'njira yoyenera. Nawa mafunso ochepa oti mufunse:

• Kodi ndine woyenera kukayezetsa kuchipatala?
• Kodi cholinga cha mayeserowa ndi chiyani?
• Kodi zakhala zotani ndi mankhwalawa mpaka pano?
• Kodi zichitika bwanji ndipo ndifunsa chiyani?
• Kodi zoopsa zake ndi ziti?

Njira zochiritsira komanso zochiritsira

Pomwe gulu lanu la oncology likuchiza khansa, mutha kupezanso chithandizo chakuwongolera zizindikilo. Chisamaliro chothandizira chimadziwikanso kuti chisamaliro chothandizira.

Akatswiri othandizira anthu odwala matendawa samachiza khansa palokha. Amaphunzitsidwa kuganizira zowawa ndi zizindikilo zina za khansa ndi chithandizo chake. Cholinga chawo ndikukuthandizani kuti mukhale ndi moyo wabwino. Adzayanjana ndi madokotala ena kuti atsimikizire kuti mankhwala anu akugwirira ntchito limodzi komanso kupewa kuyanjana ndi mankhwala osokoneza bongo.

Muthanso kuyang'ana njira zochiritsira zothandizira komanso zowonjezera. Izi zingaphatikizepo kutema mphini, kutikita minofu, ndi njira zopumulira. Onetsetsani kuti mwaonana ndi dokotala kuti mutsimikizire kuti mankhwala atsopano ndi otetezeka kwa inu komanso kuti mukugwiritsa ntchito akatswiri oyenerera.

Musanamwe mankhwala azitsamba kapena azakudya, funsani madokotala ngati angasokoneze mankhwala ena.

Kuchiza khansa ya chiwindi nthawi zambiri kumakhudza gulu lalitali. Madokotala ndi ena othandizira azaumoyo akuyenera kugwira ntchito limodzi kuti apereke chisamaliro chaumwini.