Musanganiswa Therapy yeYakakura Stage Diki Cell Cell Lung Cancer: Chii Icho, Kubudirira, Kufunga, uye Zvimwe.

Zvemukati

• Mhedziso
• Kusanganiswa chemotherapy
• Chemotherapy pamwe ne immunotherapy
• Inoshanda sei kurapa kwekusanganisa?
• Zvimwe zvinokanganisa zvekusanganisa kurapa
• Zvinhu zvekufunga
• Tora woenda nazvo

Mhedziso

Kurapa kweakakura danho diki kenza yemapapu kenza (SCLC) kazhinji inosanganisira musanganiswa kurapwa. Inogona kunge iri mubatanidzwa wemakemikari ekurapa kana chemotherapy pamwe neyemunotherapy.

Ngatinyatso tarisei musanganiswa kurapa kune yakakura nhanho SCLC, mashandiro ayo, uye zvinhu zvekufunga usati wasarudza kurapwa.

Kusanganiswa chemotherapy

Nepo kuvhiyiwa uye radiation kune chipfuva zvichishandiswa kune yakatarwa nhanho SCLC, ivo havawanzo kushandiswa kune yakakura danho. Mutsara wekutanga kurapwa kweakawanda danho SCLC inosanganisa chemotherapy.

Pane zvinangwa zvinoverengeka zvechemotherapy. Inogona kudzora mamota, kudzikisira zviratidzo, uye kunonoka kukura kwechirwere. Izvi zvakakosha pakurapa SCLC nekuti igomarara rinokurumidza kukura. Iyi mishonga ine simba inogona kumisa maseru ekenza kubva mukukura uye kubereka.

Chemotherapy zvinodhaka hazvi tarise bundu rakasarudzika kana chimwe chikamu chemuviri. Iyo systemic kurapwa. Izvi zvinoreva kuti inotsvaga cancer maseru chero kwaanenge ari.

Kusanganiswa chemotherapy kunogona kusanganisira:

• etoposide pamwe cisplatin
• etoposide pamwe ne carboplatin
• irinotecan pamwe cisplatin
• irinotecan pamwe carboplatin

Chemotherapy inowanzo kupihwa ne infusion pane yakatarwa hurongwa. Usati watanga, chiremba wako anoongorora hutano hwako hwese kuti ave nechokwadi chekuti unokwanisa kumira nemhedzisiro yekurapa.

Chemotherapy pamwe ne immunotherapy

Cancer maseru inyanzvi yekuzvivanza. Vanogona kunyengedza immune system yako kusavaona seane njodzi.

Immunotherapy, inozivikanwawo senge biologic Therapy, inopa kukurudzira immune system. Inobatsira iyo kuziva uye kurwisa cancer maseru. Kusiyana nechemotherapy, haina kukuvadza maseru ane hutano.

Iyo immunotherapy drug atezolizumab (Tecentriq) inogona kupihwa pamwe nekubatana chemotherapy. Kana uchinge wapedza nekemotherapy, unogona kugara paatezolizumab senzira yekurapa.

Mimwe mishonga yemununotherapy inogona kushandiswa kuSCLC ndeiyi:

• ipilimumab (Yervoy)
• nivolumab (Opdivo)
• pembrolizumab (Keytruda)

Immunotherapy inowanzo kupihwa neiyo intravenous (IV) infusion pane yakajairwa nguva.

Inoshanda sei kurapa kwekusanganisa?

Kubatanidza chemotherapy kune yakakura nhanho SCLC inogona kudzora kufambira mberi kwechirwere uye nekupa zororo kubva kuzviratidzo. Iyo ine yekutanga mhinduro chiyero che60 kusvika 80 muzana. Mune zvimwe zviitiko, mhinduro yacho inoshamisa zvekuti kuyedza kwekufungidzira hakugone kuona cancer.

Izvi zvinowanzo kuve zvenguva pfupi, zvakadaro. Yakakura danho SCLC rinowanzo dzokorora, dzimwe nguva mukati memwedzi. Mushure mekudzokazve, kenza inogona kuramba ichipokana nekemotherapy.

Neichi chikonzero, chiremba wako anogona kukurudzira kuenderera ne immunotherapy mushure mekupedza chemotherapy. Chiremba wako anogona zvakare kuratidza kurapwa kwemwaranzi kuuropi. Izvi zvinogona kubatsira kudzivirira kenza kubva pakupararira kuuropi yako.

Clinical miedzo ye immunotherapy yeScLC yakave nemhedzisiro yakavhenganiswa. Imwe yazvino kuyedzwa yakatarisa atezolizumab ine platinum-based chemotherapy.Kana ichienzaniswa nekemotherapy chete, pakanga paine kuvandudzika kukuru muhupenyu hwese uye kufambira mberi-kwemahara kupona.

Immunotherapy yekurapa kwakawanda danho SCLC iri kuvimbisa asi ichiri nyowani. Makiriniki miedzo yekudzidza immunotherapy pamwe nekubatana chemotherapy kuri kuenderera.

Kana gomarara rikasaenda mukuregererwa kana kuramba richipararira, iwe uchazoda kumwe kurapwa. Sarudzo dzako dzinoenderana nekuti yakapararira kupi uye ndeapi marapirwo awakatoyedza.

Zvimwe zvinokanganisa zvekusanganisa kurapa

Gomarara rinosanganisira kupatsanura masero nekukurumidza. Chemotherapy zvinodhaka zvinotarisa masero anopatsanuka nekukurumidza. Izvi zvinoreva kuti zvinokanganisawo mamwe masero ane hutano. Izvi ndizvo zvinokonzeresa yakawanda yemhedzisiro inosangana neiyi kurapwa.

Zvimwe zvinokanganisa chemotherapy zvinosiyana zvichienderana nemimwe mishonga, kuyerwa, uye kuti unowana kangani. Wese munhu anoita zvakasiyana. Rondedzero yemhedzisiro yemhedzisiro mirefu, asi pamwe haungasangana nazvo zvese. Migumisiro inogona kusanganisira:

• kuneta
• kushaya simba
• kusvotwa
• kurutsa
• kurasikirwa nenzara
• manyoka
• kurasikirwa nevhudzi
• kuonda
• zvipikiri zvinopwanyika
• maronda anobuda ropa
• kuwedzera njodzi yehutachiona

Immunotherapy inogona kukonzera:

• kusvotwa
• kuneta
• kurwadza kwemajoini
• manyoka kana kupatira
• furu-kunge zviratidzo
• shanduko mukurema
• kurasikirwa nenzara

Zviratidzo zvekupindirwa kwekukonzera zvinogona kukonzera:

• fivha, kutonhora, kana kumeso kwechiso
• mapundu
• ganda rinonhuwa
• dzungu
• kurira
• kunetseka kufema

Radiation kurapa kunogona kutungamira ku:

• kuneta
• kurasikirwa nenzara
• kutsamwa kweganda kwakafanana nekutsva nezuva
• ganda rekutsamwa
• kurasikirwa nevhudzi

Mazhinji mhedzisiro anokwanisa kutarisirwa pamwe nemamwe marapirwo kana mararamiro maratidziro. Ive neshuwa yekuudza yako yehutano timu kana iwe uine mhedzisiro mhedzisiro.

Zvinhu zvekufunga

Usati wasarudza kurapwa, chiremba wako anoongorora hutano hwako hwese. Mune zvimwe zviitiko, mhedzisiro yemhedzisiro yekurapa inogona kunge yakanyanyisa. Pamwe chete, munogona kusarudza kana muchifanira kuve nemadosi epasi echemotherapy, immunotherapy, kana palliative care moga. Iwe unogona zvakare kutaura nachiremba wako nezve kunyoresa muchipatara kutongwa.

Kuchengetedza kwekuchengetedza kunozivikanwawo sekutarisira kwekutsigira. Izvo hazvizorape kenza yako, asi inogona kubatsira kubata izvo zvega zviratidzo uye kudzorera yako hupenyu hwehupenyu kwenguva yakareba sezvazvinogona. Iwe unogona kugashira palliative cherechedzo pamwe nekubatana kurapa.

Kunyangwe iri pamberi, panguva, kana mushure mekurapwa, unosungirwa kuve nemibvunzo nezvinonetsa. Chikwata chako chezvehutano chiripo kubatsira. Vanoda kuti kurapwa kwako kuenderere zvakanaka sezvinobvira uye vanogona kukweretesa rutsigiro pazvinenge zvichidiwa. Pazvinenge zvichidikanwa, vanogona kukuendesa kune vamwe vanogona kubatsira.

Tora woenda nazvo

Iyo yekutanga-mutsara kurapa kweakakura danho SCLC ndeyekusanganisa kurapa. Izvi zvinogona kureva mubatanidzwa wechemo madhiragi oga kana pamwe pamwe nemununotherapy. Asi kurapwa kunofanirwa kuenderana nezvako chaizvo zvaunoda.

Vhura kutaurirana nachiremba wako ndiyo nzira yakanakisa yekuve nechokwadi chekuti uri papeji imwechete. Pamwe chete, munogona kuita sarudzo dzakakunakirai imi.