Stage 3 Cancer Lung: Kufungidzira, Hupenyu Husingatarisiri, Kurapa, uye Zvimwe

Zvemukati

• Stage 3 zvikamu
• Chikamu 3A kenza yemapapu: Rutivi rumwe rwemuviri
• Chikamu 3B kenza yemapapu: Pararira kune rimwe divi rakatarisana
• Chikamu 3C kenza yemapapu: Pararira mubhokisi
• Chikamu chechitatu chekenza yemapapu zviratidzo
• Stage 3 kurapwa kwemukenza yemapapu
• Chikamu chekenza yemapapu yehupenyu hutarisiro uye mwero wekupona
• Ramba uchifunga
• Mubvunzo:
• A:

Kuongororwa kunowanzoitika padanho rechitatu

Kenza yemapapu ndiyo inonyanya kukonzera kufa kwekenza muUnited States. Zvinotora hupenyu hwakawanda kupfuura zamu, prostate, uye gomarara rekoloni zvakasanganiswa, sekureva kwe.

Mune angangoita vanhu vanoonekwa kuti vane kenza yemapapu, chirwere ichi chasvika kune yepamusoro nyika panguva yekuongororwa. Chete chetatu cheavo vasvika padanho rechitatu.

Sekureva kweAmerican Cancer Society, angangoita makumi masere kusvika makumi masere neshanu muzana emakenza emapapu haana-diki maseru kenza yemapapu (NSCLC). Vanenge gumi kusvika gumi muzana muzana kenza diki yemukenza yemapapu (SCLC). Aya marudzi maviri ekenza yemapapu anorapwa zvakasiyana.

Kunyange huwandu hwekupona hwakasiyana, danho rechitatu gomarara remapapu rinorapika. Zvinhu zvakawanda zvinokanganisa maonero emunhu, kusanganisira danho rekenza, chirongwa chekurapa, uye hutano hwakazara.

Verenga zvakawanda kuti udzidze nezvezviratidzo, kurapwa, uye maonero echikamu chechitatu chisina-diki kenza yemapapu kenza. Iyi ndiyo mhando yakajairika yechirwere.

Stage 3 zvikamu

Kana kenza yemapapu yasvika padanho rechitatu, yakapararira kubva pamapapu kuenda kune mamwe maturu ari pedyo kana ma lymph node ari kure. Chikamu chakapamhama chekenza 3 yemukenza yemapapu yakakamurwa kuita mapoka maviri, nhanho 3A uye nhanho 3B.

Matanho ese ari maviri 3A uye nhanho 3B dzakapatsanurwa kuita zvikamu zvichienderana nehukuru hwebundu, nzvimbo, uye lymph node kubatanidzwa.

Chikamu 3A kenza yemapapu: Rutivi rumwe rwemuviri

Chikamu 3A kenza yemapapu inoonekwa seyakakwira nharaunda. Izvi zvinoreva kuti gomarara rapararira kune ma lymph node kudivi rimwe chete rechipfuva sepamuviri remapapu. Asi haina kuenda kunzvimbo dziri kure mumuviri.

Iyo huru bronchus, yemapapu yakamonerwa, chipfuva chemadziro chemberi, chipfuva madziro, diaphragm, kana membrane yakatenderedza moyo inogona kuve inobatanidzwa. Panogona kunge paine metastasis kumwoyo midziyo yeropa, iyo trachea, iyo yegurokuro, tsinga inotonga iro izwi bhokisi, chipfuva pfupa kana musana, kana iyo carina, inova iyo nzvimbo iyo trachea inobatana nebronchi.

Chikamu 3B kenza yemapapu: Pararira kune rimwe divi rakatarisana

Chikamu che3B kenza yemapapu yakanyanya kumberi. Chirwere chakapararira kuma lymph node pamusoro pekora kana kune node kune rimwe divi repachipfuva kubva panzvimbo yeturu yemapapu.

Chikamu 3C kenza yemapapu: Pararira mubhokisi

Stage 3C kenza yemapapu yakapararira kune ese kana chikamu chechipfuva madziro kana mukati mayo mukati, iyo phrenic nerve, kana membranes yesaga rakakomberedza moyo.

Cancer yasvikawo padanho re3C apo maviri kana anopfuura akapatsanurwa bundu mamota mune rimwe lobe remapapu akapararira kune ma lymph node ari padyo. Muchikamu che3C, kenza yemapapu haina kupararira kunzvimbo dziri kure dzomuviri.

Kunge danho 3A, nhanho 3B uye 3C kenza inogona kunge yakapararira kune zvimwe zvipfuva. Chikamu kana mapapu ese anogona kuputika kana kupunzika.

Chikamu chechitatu chekenza yemapapu zviratidzo

Pakutanga kenza yemapapu inogona kusaburitsa zviratidzo zvinooneka. Panogona kuve nezviratidzo zvinoonekwa, sekukosora kutsva, kusingagumi, kusingagumi, kana shanduko yekukosora kweanoputa (yakadzika, kazhinji, inoburitsa mhuru kana ropa). Zviratidzo izvi zvinogona kuratidza kuti gomarara raenderera mberi kusvika padanho rechitatu.

Zvimwe zviratidzo zvinogona kusanganisira:

• kunetseka kufema, kufurwa nemhepo kana kufema kwekufema
• kurwadziwa mubhokisi
• kurira kurira kana uchifema
• inzwi rinoshanduka (hoarser)
• kusanzwisisika kudonha muhuremu
• kurwadziwa kwepfupa (kungave kuri kumashure uye kunogona kunzwa kunetseka usiku)
• musoro

Stage 3 kurapwa kwemukenza yemapapu

Kurapa kwechikamu chechitatu chegomarara remapapu kunowanzo kutanga nekuvhiya kubvisa zvakanyanya bundu sezvinobvira, kuchiteverwa nekemotherapy uye radiation. Kuvhiya kwega hakuwanzo kuratidzwa padanho 3B.

Chiremba wako anogona kukurudzira radiation kana chemotherapy senzira yekutanga yekurapa kana kuvhiya kusingakwanise kubvisa bundu. Kurapa nemwaranzi uye chemotherapy, kungave panguva imwe chete kana zvichiteerana, kunoenderana neyakagadziriswa nhanho 3B yekupona mitengo ichienzaniswa neye radiation-chete kurapwa, sekureva kwe.

Chikamu chekenza yemapapu yehupenyu hutarisiro uye mwero wekupona

Iyo yemakore mashanu ekupona mwero inoreva chikamu chevanhu vari vapenyu makore mashanu mushure mekunge vatanga kuongororwa. Aya ekurarama mitengo inogona kupatsanurwa nedanho reimwe mhando yekenza panguva yekuongororwa.

Zvinoenderana nedata reAmerican Cancer Society rakatorwa kubva kudhatabhesi revanhu vakawanikwa vaine kenza yemapapu pakati pa1999 na2010, makore mashanu ekupona padanho re3A NSCLC angangoita 36 muzana. Yechikamu che3B kanzira iyo yekupona mwero ndeye 26 muzana. Yechikamu che3C kanzira iyo yekupona mwero ndeye 1 muzana.

Ramba uchifunga

Zvakakosha kuyeuka kuti danho 3 gomarara remapapu rinorapika. Wese munhu akasiyana, uye hapana chaiyo nzira yekufungidzira kuti chero munhu anozopindura sei kurapwa. Zera uye hutano hwakakwana zvinhu zvakakosha mukuti vanhu vanopindura sei kurapwa nekenza yemapapu.

Taura nachiremba wako nezve chero mibvunzo kana zvinonetsa zvaungave nazvo nezve kurapwa. Ivo vanozokubatsira iwe kuongorora sarudzo dziripo zvichibva padanho rako, zviratidzo, uye mamwe mararamire ezvinhu.

Lung cancer kliniki miedzo inogona kupa mukana wekutora chikamu mukuferefeta kwekurapwa kutsva. Iyi mishonga mitsva inogona kusapa mushonga, asi ine mukana wekurerutsa zviratidzo uye kuwedzera hupenyu.

Mubvunzo:

Ndeapi mabhenefiti ekurega kusvuta, kunyangwe mushure mechikamu chechitatu gomarara remapapu kuongororwa?

A:

Maererano nekudzidza muBritish Medical Journal, kurega kusvuta mushure mekuongororwa kwekenza yepakutanga kenza yemapapu inovandudza mhedzisiro. Pane humbowo hunoratidza kuti kuenderera mberi nekuputa kunogona kukanganisa maitiro ekurapa uye kuwedzera mhedzisiro pamwe nekuwedzera mikana yako yekudzoka nekenza kana gomarara repiri. Zvinonyatso kuzivikanwa kuti kuputa fodya kunowedzera kunetseka kwekuvhiya, saka kana kuvhiya kuri chikamu chehurongwa hwako hwekurapa, kusvuta kunogona kukonzera kunonoka kurapa systemic. Chinokosha ndechekuti hazvina kunonoka kurega kusvuta. Zvakanakira kurega kusvuta zviri kukurumidza uye zvakanyanya, kunyangwe kana uchitova nekenza yemapapu. Kana iwe uchida kurega asi urikuzviona zvakaoma, bvunza timu yako yekurapa kuti ikubatsire.