Zomwe Zimatanthauza Pamene Khansa Yaing'ono Yam'mapapo Ndi Yoyenda Kwambiri

Zamkati

• Chidule
• Gawo lalikulu la SCLC
• Chithandizo cha gawo lalikulu la SCLC
• Chemotherapy
• Chitetezo chamatenda
• Mafunde
• Mayesero azachipatala
• Njira zothandizira
• Chiwonetsero cha gawo lalikulu la SCLC
• Kusankha chithandizo
• Kukhala ndi gawo lalikulu la SCLC
• Kusamalira
• Kutenga

Chidule

Khansa zambiri zimakhala ndi magawo anayi, koma khansa yaying'ono yamapapo yam'mapapo (SCLC) imagawika magawo awiri - gawo lochepa komanso gawo lowonjezera.

Kudziwa bwaloli kumakupatsani lingaliro la malingaliro ndi zomwe muyenera kuyembekezera kuchokera kuchipatala. Mukamasankha magawo otsatirawa, siteji siyokhayo kuganizira. Dokotala wanu azigwiritsanso ntchito msinkhu wanu, thanzi lanu lonse, komanso zomwe mumakonda pazokhudza moyo wanu.

Pemphani kuti mudziwe zambiri pazomwe zimatanthauza kukhala ndi gawo lalikulu la SCLC.

Gawo lalikulu la SCLC

Gawo lalikulu la SCLC lafalikira kutali ndi chotupa choyambirira. Dokotala wanu adzazindikira kuti ali ndi khansa yambiri khansa:

• imafalikira m'mapapu amodzi
• yafalikira ku mapapu ena
• walowa m'dera pakati pa mapapo
• yafika ku ma lymph node mbali inayo ya chifuwa
• wafika kumafupa kapena malo akutali monga ubongo, adrenal gland, kapena chiwindi

Chifukwa nthawi zambiri sipakhala zisonyezo zoyambirira, pafupifupi anthu awiri mwa atatu aliwonse omwe ali ndi SCLC ali ndi matenda owopsa panthawi yomwe amapezeka.

SCLC yaposachedwa ndi khansa yomwe yabwerera mankhwala akamalizidwa.

Chithandizo cha gawo lalikulu la SCLC

Chemotherapy

Chifukwa khansara yafalikira, chithandizo chachikulu cha gawo lalikulu la SCLC ndi chemotherapy. Chemotherapy ndi mtundu wa mankhwala amachitidwe. Simalimbana ndi chotupa kapena gawo linalake la thupi. Imafufuza ndikuyambitsa ma cell a khansa ngakhale ali kuti. Imatha kuchepetsa zotupa komanso kuyenda pang'onopang'ono.

Ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri ku SCLC ndi awa:

• carboplatin
• cisplatin
• etoposide
• alireza

Kawirikawiri, mankhwala awiri amagwiritsidwa ntchito limodzi.

Chitetezo chamatenda

Mankhwala a Immunotherapy monga atezolizumab atha kugwiritsidwa ntchito limodzi ndi chemotherapy, ngati mankhwala osamalira, kapena chemotherapy sakuyambiranso.

Mafunde

M'magawo ambiri a SCLC, cheza pachifuwa nthawi zambiri chimangochitika ngati mutayankha chemotherapy.

Thandizo la radiation lingagwiritsidwe ntchito kuwunikira mbali zina za thupi pomwe khansa yafalikira. Izi zitha kuthandiza kuchepetsa zotupa kuti zikwaniritse zizindikilo komanso zomwe zitha kutalikitsa moyo wanu.

Ngakhale khansara isanafalikire ku ubongo wanu, dokotala wanu akhoza kulangiza radiation ku ubongo (prophylactic cranial irradiation). Izi zitha kuteteza kuti khansa isafalikire kumeneko.

Khansa m'mapapu imatha kutulutsa magazi komanso kuvuta kupuma. Izi zikachitika, kugwiritsa ntchito radiation kapena laser laser kungagwiritsidwe ntchito. Cholinga sikuti muchiritse, koma kukonza zizindikiritso zanu komanso moyo wanu wonse.

Mayesero azachipatala

SCLC ndi yovuta kuchiza. Mungafune kuganizira zoyeserera zamankhwala zamankhwala atsopano a chemotherapy, ma immunotherapies, kapena chithandizo china chomwe sichipezeka mwanjira ina. Ngati mukufuna kuphunzira zambiri, dokotala wanu akhoza kupeza mayesero omwe angakhale ofanana nanu.

Njira zothandizira

Kuphatikiza apo, mungafunike chisamaliro chothandizira (palliative) kuthana ndi zizindikilo zina. Mwachitsanzo:

• bronchodilator kuti afutukule njira zopumira m'mapapu anu
• mankhwala a oxygen
• amachepetsa ululu
• corticosteroids
• mankhwala m'mimba

Muthanso kugwira ntchito ndi katswiri wazakudya kuti muthandizidwe ndi zakudya.

Chiwonetsero cha gawo lalikulu la SCLC

Chemotherapy ikhoza kukhala yothandiza pakutha SCLC. Anthu ambiri amapeza mpumulo wazizindikiro.

Ngakhale khansara itachepa mpaka pomwe mayeso oyerekeza sangathenso kuwapeza, dokotala wanu atha kupereka upangiri wothandizira kukonza. Ndi chifukwa chakuti SCLC ndi matenda oopsa omwe nthawi zambiri amabwerera.

Ngakhale kulibe chithandizo cha gawo lalikulu la SCLC, chithandizo chitha kuthandizira kupitilira pang'onopang'ono ndikusintha moyo wanu.

Kusankha chithandizo

Pali mitundu yambiri yamankhwala yothandizidwa ndi SCLC yambiri, komanso zinthu zambiri zofunika kuziganizira. Kuphatikiza pa sitejiyi, dokotala wanu amalangiza chithandizo chotsatira:

• komwe khansara yafalikira (metastasized) ndi ziwalo zomwe zimakhudzidwa
• kuopsa kwa zizindikiro
• zaka zanu
• zokonda zanu

Chemotherapy ndi radiation zimatha kubweretsa zovuta zina, ngakhale mwa anthu athanzi kwambiri. Umoyo wanu wonse uzitsogolera zisankho zokhudzana ndi mankhwala a chemotherapy ndi dosing.

Patulani nthawi yokambirana mozama ndi oncologist wanu. Zitha kuthandizira kuphatikiza abale anu kapena okondedwa ena. Dziwani za mtundu uliwonse wa chithandizo, zomwe muyenera kuyembekezera, komanso zotsatirapo zake.

Funsani za momwe chithandizo chikuyendera komanso momwe zingakhudzire moyo wanu tsiku ndi tsiku. Moyo wanu ndiwofunika. Zomwe mukufuna ndizofunika. Limbikitsani dokotala wanu kuti azilankhula momveka bwino kuti mupange zisankho zabwino.

Ngati chemotherapy kapena mayeso azachipatala sakukuyenererani, mutha kupitilizabe kulandira chithandizo. M'malo moyesera kuchiza khansa kapena kupitilira pang'onopang'ono, chisamaliro chothandizira chimayang'ana pakuwongolera zizindikiritso ndikukhala ndi moyo wabwino kwambiri malinga ndi momwe zingathere.

Kukhala ndi gawo lalikulu la SCLC

Kukhala ndi gawo lalikulu la SCLC kumatha kukhala kovuta. Koma pali njira zothanirana ndi matendawa ndikukhala moyo wanu mokwanira.

Anthu ena zimawawona kukhala zothandiza kuwona wothandizira kuti athetse mavuto awo. Izi zitha kukhalanso zabwino kwa okondedwa omwe akuvutika.

Anthu ambiri amalimbikitsidwa ndi magulu othandizira, kaya ali pa intaneti kapena pamisonkhano. Dokotala wanu akhoza kukutumizirani kumagulu amdera lanu, kapena mutha kupeza zambiri kuchokera kumabungwe awa:

• American Cancer Society
• Msonkhano wa American Lung
• Khansa

Kupeza chithandizo ndikofunikira, koma sizinthu zokhazokha zofunika kuziganizira. Dzichitireni ku zinthu zofunika kwa inu. Mukuyenera ndipo zidzakuthandizani pa moyo wanu.

Kusamalira

Kaya mumasankha chemotherapy kapena ayi, mungafunike chisamaliro chothandizira, chomwe chimadziwikanso kuti chithandizo chothandizira.

Kusamalira mwachangu sikuthandiza khansa yokha koma kumayesetsa kukuthandizani kuti mukhale ndi moyo wabwino kwambiri. Izi zingaphatikizepo kupumula, kuthandizira kupuma, komanso kupumula. Gulu lanu losamalira odwala lingaphatikizepo:

• madokotala
• anamwino
• ogwira nawo ntchito
• othandizira

Ngati ndege zanu zili zoletsedwa, mutha kukhala:

• Thandizo la Photodynamic. Mankhwalawa amagwiritsa ntchito mankhwala otchedwa photosensitizer ndikuwonetsa kuwala pamalengalenga ena. Mudzakhala pansi ngati chida chotchedwa bronchoscope chikadutsa pakhosi panu ndi m'mapapu anu. Njirayi ingathandize kutsegula njira yanu.
• Mankhwala a Laser. Pogwiritsa ntchito laser kumapeto kwa bronchoscope, dokotala amatha kutentha mbali zina za chotupacho. Muyenera kukhala pansi pa anesthesia wamba.
• Kulimba. Dokotala amatha kuyika chubu chotchedwa stent panjira yanu kuti ikuthandizeni kupuma.

Pleural effusion ndi pamene mumakhala ndi madzi ambiri m'mapapu anu. Itha kuchiritsidwa ndi njira yotchedwa thoracentesis. Pochita izi, singano yopanda pake imayikidwa pakati pa nthiti kukhetsa madzi.

Palinso njira zingapo zothandizira kuti madzi asadzamangidwenso:

• Mankhwala pleurodesis. Dokotala amalowetsa chubu loboola kukhoma pachifuwa kuti atulutse madzi. Kenaka mankhwala amapangidwa kuti apange cholumikizira cha m'mapapo ndi khoma lachifuwa kuti zizigwirizana komanso kupewa madzi amtsogolo.
• Opaleshoni ya pleurodesis. Pochita opaleshoni, mankhwala monga chisakanizo cha talc amawombedwa m'deralo mozungulira mapapo. Mankhwalawa amachititsa kuti zilonda zophulika zipangidwe, zomwe zimapangitsa mapapo kumamatira pachifuwa. Izi zimathandiza kutseka malo omwe madzi amatha kusonkhanitsa.
• Catheter. Dokotala amaika catheter pachifuwa ndikusiya kunja kwa thupi. Madzi amatulutsidwa nthawi zonse mu botolo.

Ngati madzi akumangika pamtima panu, njirazi zitha kuthandiza:

• Pericardiocentesis. Wotsogozedwa ndi echocardiogram, dotolo amaika singano pamalo ozungulira mtima kuti athetse madzi.
• Zenera la Pericardial. Pochita izi, dotolo wa opaleshoni amachotsa gawo la chikwamacho mozungulira mtima. Izi zimapangitsa kuti madzi azilowa m'chifuwa kapena m'mimba.

Kwa zotupa zomwe zimatulukira kunja kwa mapapo, mankhwala othandizira ma radiation amatha kuwathandiza kuchepetsa zizolowezi.

Kutenga

Gawo lalikulu la SCLC limatanthauza kuti khansa yanu yafalikira kutali ndi chotupacho. Palibe njira yothetsera khansa yamtunduwu, koma chithandizo chilipo chothandizira kuthana ndi zizindikiritso ndikutalikitsa moyo wanu. Dokotala wanu amalangiza dongosolo lamankhwala kutengera matenda anu komanso thanzi lanu lonse.