Kenza yemapapu - diki sero

Diki kenza yemapapu kenza (SCLC) iri inokurumidza kukura kenza yemapapu. Inopararira nekukurumidza zvakanyanya kupfuura isiri-diki kenza yemapapu kenza.

Kune maviri marudzi eSCLC:

• Diki cell carcinoma (oat kenza kenza)
• Yakabatanidzwa diki cell carcinoma

Mazhinji maSCLC ari e oat cell mhando.

Inenge 15 muzana yematambudziko ekenza yemapapu iSCLC. Kenza diki yemapapu yemapapu inowanzoitika mune varume kupfuura vakadzi.

Anenge zviitiko zvese zveSCLC zvinokonzerwa nekusvuta fodya. SCLC ishoma kwazvo muvanhu vasina kumboputa.

SCLC ndiyo inonyanya kutsamwa kenza yemapapu. Kazhinji inotangira mumachubhu ekufema (bronchi) pakati pechipfuva. Kunyangwe maseru ekenza ari madiki, anokura nekukurumidza uye anogadzira mamota makuru. Aya mamota anowanzo kupararira nekukurumidza (metastasize) kune zvimwe zvikamu zvemuviri, kusanganisira huropi, chiropa, uye pfupa.

Zviratidzo zveSCLC zvinosanganisira:

• Ropa sputum (phlegm)
• Kurwadziwa pachifuva
• Kukosora
• Kupererwa nechido
• Kufema kwekufema
• Kuonda
• Kushungurudza

Zvimwe zviratidzo zvinogona kuitika nechirwere ichi, kunyanya mumatanho ekupedzisira, zvinosanganisira:

• Kumeso kuzvimba
• Kupindwa nechando
• Hoarseness kana kuchinja izwi
• Kumedza kuoma
• Kushaya simba

Anopa hutano anoita bvunzo dzepanyama uye obvunza nezve nhoroondo yako yekurapa. Iwe uchabvunzwa kana uchisvuta, uye kana zvirizvo, zvakadii uye kwenguva yakareba sei.

Kana uchiteerera pachipfuva chako ne stethoscope, mupi anogona kunzwa mvura irikukomberedza mapapu kana nzvimbo dzakapunzikira zvishoma. Chimwe nechimwe chezviwanikwa izvi chinogona kuratidza cancer.

SCLC inowanzopararira kune zvimwe zvikamu zvemuviri wako nenguva painowanikwa.

Miedzo inogona kuitwa inosanganisira:

• Bone scan
• Chest x-ray
• Yakazara kuverenga ropa (CBC)
• CT scan
• Chiropa basa bvunzo
• MRI scan
• Positron emission tomography (PET) scan
• Sputum bvunzo (kutsvaga cancer maseru)
• Thoracentesis (kubviswa kwemvura kubva muchipfuva kukomberedza mapapu)

Muzviitiko zvakawanda, chimedu chetishu chinobviswa kubva mumapapu ako kana dzimwe nzvimbo kuti zviongororwe pasi pe microscope. Izvi zvinonzi biopsy. Kune nzira dzinoverengeka dzekuita biopsy:

• Bronchoscopy inosanganiswa ne biopsy
• CT scan-inotungamirwa tsono biopsy
• Endoscopic esophageal kana bronchial ultrasound ine biopsy
• Mediastinoscopy ine biopsy
• Vhura mapapu biopsy
• Pleural biopsy
• Vhidhiyo-yakabatsirwa thoracoscopy

Kazhinji, kana biopsy inoratidza gomarara, mimwe miedzo yekufungidzira inoitwa kuti uwane danho rekenza. Stage zvinoreva kukura kwaro bundu uye nekupararira kwarakaita. SCLC inorondedzerwa seimwe:

• Zvishoma - Kenza iri chete muchipfuva uye inogona kurapwa ne radiation radiation.
• Yakanyanya - Gomarara rapararira kunze kwenzvimbo iyo inogona kufukidzwa nemwaranzi.

Nekuti SCLC inopararira nekukurumidza mumuviri wese, kurapwa kunosanganisira kenza-kuuraya mishonga (chemotherapy), iyo inowanzo kupihwa kuburikidza netsinga (ne IV).

Kurapa nekemotherapy uye radiation inogona kuitirwa vanhu vane SCLC yakapararira mumuviri wese (kazhinji kacho). Muchiitiko ichi, kurapwa kunongobatsira kubvisa zviratidzo uye kunowedzera hupenyu, asi hakurape chirwere.

Radiation therapy inogona kushandiswa ne chemotherapy kana kuvhiya kusingaiti. Radiation therapy inoshandisa masimba x-ray kana mamwe mafomu e radiation kuuraya cancer maseru.

Radiation inogona kushandiswa ku:

• Rapa kenza, pamwe nekemotherapy, kana kuvhiya kusingaiti.
• Batsira kubvisa zviratidzo zvinokonzerwa nekenza, senge matambudziko ekufema uye kuzvimba.
• Batsira kubvisa marwadzo ekenza kana gomarara rapararira kumapfupa.

Kazhinji, SCLC inogona kunge yatopararira kuuropi. Izvi zvinogona kuitika kunyangwe pasina zviratidzo kana zvimwe zviratidzo zvekenza muuropi. Nekuda kweizvozvo, vamwe vanhu vane kenza diki, kana avo vakave nemhinduro yakanaka munharaunda yavo yekutanga yekemotherapy, vanogona kupihwa radiation radiation kuuropi. Iyi kurapa inoitirwa kudzivirira kupararira kwegomarara kuuropi.

Kuvhiya kunobatsira vanhu vashoma vane SCLC nekuti chirwere ichi chinowanzopararira nenguva yazvinoonekwa. Kuvhiya kunogona kuitwa kana paine bundu rimwe chete risina kupararira. Kana kuvhiya kwaitwa, chemotherapy kana radiation radiation iri kudiwa.

Unogona kudzikisira kushushikana kwehurwere nekujoinha boka rekutsigira gomarara. Kugovana nevamwe vane zvakajairika zviitiko uye matambudziko zvinogona kukubatsira kuti usazonzwa kusurukirwa.

Kunyatsoita kwaunoita kunoenderana nekuti kenza yemapapu yakapararira zvakadii. SCLC inouraya zvikuru. Havasi vanhu vazhinji vane mhando iyi yekenza vachiri vapenyu makore mashanu mushure mekuongororwa.

Kurapa kunogona kazhinji kurebesa hupenyu kwemwedzi mitanhatu kusvika kugumi nemiviri, kunyangwe kana gomarara rapararira.

Muzviitiko zvisingawanzoitika, kana SCLC ikakurumidza kuongororwa, kurapwa kunogona kukonzera kurapwa kwenguva refu.

Fonera mupiki wako kana iwe uine zviratidzo zvegomarara remapapu, kunyanya kana uchisvuta.

Kana iwe uchisvuta, ino ndiyo nguva yekurega. Kana iwe uchinetseka kurega, taura nemupi wako. Kune nzira dzakawanda dzekukubatsira kurega, kubva kumapoka ekutsigira kusvika kumishonga yekunyorera. Edza zvakare kudzivirira utsi hwefodya.

Kana iwe uchisvuta kana waimboputa, taura nemupi wako nezve kuyedzwa kuongororwa nekenza yemapapu. Kuti uongororwe, unofanirwa kuve neCT scan chipfuva.

Kenza - mapapu - diki sero; Diki kenza yemapapu kenza; SCLC

• Chemotherapy - chii chekubvunza chiremba wako
• Chest radiation - kubuda
• Kuvhiyiwa kwemapapu - kubuda
• Radiation Therapy - mibvunzo yekubvunza chiremba wako

• Bronchoscopy
• Mapapu
• Kenza yemapapu - lateral chest x-ray
• Kenza yemapapu - pamberi pebhokisi x-ray
• Adenocarcinoma - chifuva x-ray
• Kenza yebronchial - CT scan
• Kenza yebronchial - chifuva x-ray
• Mapapu ane squamous cell cancer - CT scan
• Kenza yemapapu - chemotherapy kurapwa
• Adenocarcinoma
• Kwete-diki cell carcinoma
• Diki sero carcinoma
• Squamous sero carcinoma
• Chechipiri utsi uye kenza yemapapu
• Kazhinji mapapu uye alveoli
• Kufuridzira system
• Njodzi dzekusvuta
• Bronchoscope

Araujo LH, Nyanga L, Merritt RE, Shilo K, Xu-Welliver M, Carbone DP. Kenza yemapapu: isiri-diki kenza yemapapu kenza uye diki maseru kenza kenza. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 69.

National Cancer Institute webhusaiti. Mudiki maseru emapapu kurapwa kenza (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq. Yakagadziridzwa May 1, 2019. Yakasvika Nyamavhuvhu 5, 2019.

National Yakakwana Cancer Network webhusaiti. NCCN kiriniki yekudzidzira nhungamiro mune oncology: diki kenza yemapapu kenza. Shanduro 2.2020. www.nccn.org/professionals/physician_gls/pdf/sclc.pdf. Yakagadziridzwa Mbudzi 15, 2019. Yakasvika munaNdira 8, 2020.

Silvestri GA, Pastis NJ, Tanner NT, Jett JR. Clinical zvinhu zvekenza yemapapu. Mune: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Murray naNadel Chinyorwa cheKufema Kwemishonga. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.