Zvekuita Kana Yako Yazvino HCC Kurapa Isisiri Kushanda

Zvemukati

• Kurapa kuongororwa
• Targeted Therapies
• Miedzo yemishonga
• Palliative uye dzimwe nzira dzokurapa

Haasi munhu wese anopindura kurapwa hepatocellular carcinoma (HCC) nenzira imwecheteyo. Kana kurapa kwako kusiri kuita izvo zvinofanirwa kuitwa, iwe uchazoda kuve neruzivo rwekuti chii chichaitika zvinotevera.

Tora ruzivo nezvezvazvino marapirwo, miedzo yemishonga, uye chii chekubvunza chiremba wako pano.

Kurapa kuongororwa

Chiremba wako achagadzira chirongwa chako chekutanga chekurapa zvichibva pazvinhu zvakaita se:

• danho rekenza pakuongororwa
• kuti kenza yakura kuita mitsipa yeropa here kana kuti kwete
• zera rako uye hutano hwakazara
• kana kuvhiya resection kana kuisirwa chiropa kuchikwanisika
• chiropa chako chinoshanda sei

Pakutanga kenza yechiropa, kuvhiyiwa kubvisa bundu uye chikamu chidiki chechiropa chako zvinogona kunge zviri zvese zvaunoda. Kana gomarara risina kukonzeresa, unogona kukodzera kuchinjirwa chiropa. Kana kuvhiya isiri sarudzo, matekiniki akasiyana-siyana ekudzora anogona kuparadza tumamota tudiki muchiropa pasina kubvisa.

Iwe unogona zvakare kuda kumwe kurapa kunoenderera senge radiation kana chemotherapy. Chero chero marapirwo aunosarudza pakupedzisira, boka rako rezvehutano rinotevera kuti uone kuti vari kushanda zvakadii. Chiremba wako anogona kugadzirisa chirongwa chako chekurapa pazvinenge zvichidikanwa.

Izvi zvinotevera zvimwe zvishoma zvezvinhu zvekuchengetedza mupfungwa kana kurapwa kusiri kushanda.

Targeted Therapies

HCC inogona kurapwa nemishonga inotarisa shanduko chaiyo mumasero anokonzera cancer. Kamwe muropa rako, iyi mishonga inogona kutsvaga cancer maseru chero kupi mumuviri wako. Ndicho chikonzero vanogona kushandiswa kenza yakapararira kunze kwechiropa.

Nezve kenza yechiropa, sorafenib (Nexavar) inogona kunge iri yekutanga mushonga uyo chiremba wako anoedza. Cancer maseru ane mapuroteni anovakurudzira kukura, uye uyu mushonga unonanga iwo mapuroteni. Mamota anodawo kuumba matsva eropa kuti akure, uye sorafenib inovhara chiito ichi. Iko kune kazhinji mashoma mashoma mhedzisiro pane iwe aungave uine chemotherapy. Nekuti inowanikwa mupiritsi fomu, zvakare zvakareruka kutora.

Kana sorafenib isiri kushanda, chiremba wako anogona kukurudzira regorafenib (Stivarga). Inoshanda zvakafanana, asi inochengeterwa avo vakatorapwa ne sorafenib.

Chirwere chitsva chakanangwa nekenza yechiropa yakakwira nivolumab (Opdivo), iyo inopihwa jekiseni. Nivolumab yakapihwa mvumo yekukurumidza kune vanhu vane HCC avo vakarapwa ne sorafenib. Zvidzidzo zvekutanga mune vanhu vane gomarara repamusoro rechiropa zvinoratidza mhedzisiro inokurudzira.

Kana chiremba wako akakurudzira kurapwa ne sorafenib, bvunza kuti:

• Ndeipi yekutevera-yekuyedza ichashandiswa kuziva kana iri kushanda?
• Ndepapi patinozoziva zvechokwadi kuti inguva yekuita shanduko?

Kana sorafenib isina kushanda, kana sekumira kushanda:

• Nhanho inotevera regorafenib kana nivolumab?
• Ndeipi iri nani sarudzo kwandiri uye nei?
• Tichaziva sei kana iri kushanda?
• Kana ikasashanda, ndeapi matanho anotevera?

Miedzo yemishonga

Maitiro kubva kutsvagurudzo kusvika pakuwana mushonga unobvumidzwa kurapwa wakareba. Kliniki miedzo iri pakati pematanho ekupedzisira mune iwo maitiro. Iyi miedzo inoenderana nevanhu vanozvipira kurapwa kwekuyedza. Kwako iwe, zvinoreva kuti uwane mishonga mitsva isati yatenderwa kuti ishandiswe zvakanyanya.

Miedzo irikuenderera mberi yekurapwa kweHCC inosanganisira dzakasiyana siyana dzekurapa dzinoshandisa immune system kurwisa gomarara. Iyi mishonga inosanganisira immune checkpoint inhibitors, monoclonal antibodies, inotora sero kurapwa, uye oncolytic hutachiona kurapwa.

Kuti uwane rumwe ruzivo nezve kiriniki miedzo yekenza yechiropa, shanyira American Cancer Society's Clinical Trial Matching Service kana Cancer Research Institute's Clinical Trial Finder.

Chiremba wako anogona kubatsira kukutungamira munzira kwayo. Heano mibvunzo mishoma yekubvunza:

• Ndiri kukodzera kuyedzwa kiriniki?
• Ndeipi chinangwa chekuyedza?
• Chii chave chiri chiitiko nerapi nyowani parizvino?
• Zvichaitwa sei uye chii chicha bvunzwa kwandiri?
• Ndedzipi njodzi dzinogona kuitika?

Palliative uye dzimwe nzira dzokurapa

Ipo yako oncology timu iri kurapa gomarara, iwe unogona zvakare kugamuchira kurapwa kwechiratidzo chiratidzo. Kuchengetedza kwekutsigira kunozivikanwawo sekutarisira kwekurapa.

Nyanzvi dzezvekurapa dzisingarape gomarara pacharo. Ivo vakadzidziswa kutarisa marwadzo uye zvimwe zviratidzo kubva kugomarara nekurapwa kwayo. Chinangwa chavo ndechekuvandudza hupenyu hwako. Ivo vanozobatana nevamwe vako vanachiremba kuti vave nechokwadi chekuti marapirwo ako anoshanda mushe pamwe chete uye kudzivirira kusangana kwakashata kwezvinodhaka.

Iwe unogona zvakare kutarisa mune ekuwedzera uye mamwe marapirwo. Izvi zvinogona kusanganisira kugadzirira, kukwiza muviri, uye maitiro ekuzorora. Ive neshuwa yekutaurirana nachiremba wako kuti uve nechokwadi chekuti marapirwo matsva akachengeteka kwauri uye kuti urikushandisa nyanzvi dzinokwanisa.

Usati watora mishonga yemakwenzi kana yekudya, bvunza vanachiremba kana vachizopindira mimwe mishonga.

Kurapa kenza yechiropa kazhinji kunosanganisira timu yakawedzerwa. Vanachiremba nevamwe vashandi vezvehutano vanofanirwa kushanda pamwechete kuti vape rubatsiro rwemunhu.