Zvinorevei Kana Kenza Diki Yemapapu Kenza Yakawedzera Chikamu

Zvemukati

• Mhedziso
• Yakakura nhanho SCLC
• Kurapa kwenzvimbo yakakura SCLC
• Chemotherapy
• Immunotherapy
• Radiation
• Kliniki miedzo
• Anotsigira ekurapa
• Outlook yeakakura nhanho SCLC
• Kusarudza kurapwa
• Kurarama neakawanda danho SCLC
• Kuchengetedza
• Kutora

Mhedziso

Makenza mazhinji ane nhanho ina, asi diki kenza yemapapu kenza (SCLC) inowanzo kuve yakakamurwa kuita maviri matanho - mashoma danho uye akawedzera nhanho.

Kuziva danho kunokupa imwe pfungwa nezve yakazara tarisiro uye zvaunotarisira kubva pakurapwa. Pakusarudza pamatanho anotevera, danho harisi iro chete kufunga. Chiremba wako anozokoshesa zera rako, hutano hwakazara, uye zvaunofarira maererano nehupenyu hwako.

Verenga pamusoro kuti udzidze zvakawanda nezve zvazvinoreva kuva neakawanda danho SCLC.

Yakakura nhanho SCLC

Yakakura nhanho SCLC yakapararira kure nebundu rekutanga. Chiremba wako anozoongorora yakakura danho SCLC kana gomarara:

• yakapararira mupapu rimwe chete
• rapararira kune rimwe bapu
• apinda munzvimbo iri pakati pemapapu
• yasvika lymph node kune rumwe rutivi rwechifuva
• yasvika mwongo wemapfupa kana nzvimbo dziri kure senge huropi, adrenal gland, kana chiropa

Nekuti kazhinji kazhinji hapana zviratidzo zvekutanga, vanhu vaviri muvatatu vane SCLC vane yakakura danho chirwere panguva yekuongororwa.

Yazvino SCLC kenza yakadzoka mushure mekurapwa kwapera.

Kurapa kwenzvimbo yakakura SCLC

Chemotherapy

Nekuti kenza yapararira, kurapwa kukuru kweiyo yakazara danho SCLC ikemotherapy. Chemotherapy rudzi rwehurongwa hwehurongwa. Izvo hazvitarise yakatarwa bundu kana nzvimbo yemuviri. Inotsvaga uye kurwisa cancer maseru zvisinei kuti ari kupi. Inogona kudzikira mamota uye inononoka kufambira mberi.

Mimwe yemishonga inowanzo chemo inoshandiswa kuSCLC ndeiyi:

• carboplatin
• cisplatin
• etoposide
• irinotecan

Kazhinji, mishonga miviri inoshandiswa musanganiswa.

Immunotherapy

Immunotherapy zvinodhaka senge atezolizumab inogona kushandiswa mukubatana nekemotherapy, senge yekurapa kurapwa, kana kana chemotherapy isisiri kushanda.

Radiation

Mune yakakura nhanho SCLC, radiation kune chipfuva inowanzoitwa chete kana iwe uine mhinduro yakanaka kune chemotherapy.

Radiation kurapa kunogona kushandiswa kunongedza chaiwo madunhu emuviri uko kenza yapararira. Izvi zvinogona kubatsira kudzikira mamota ekuvandudza zviratidzo uye zvinogona kuwedzera hupenyu hwako.

Kunyangwe kana kenza isina kupararira kuuropi yako, chiremba wako anogona kukurudzira radiation kuuropi (prophylactic cranial irradiation). Izvi zvinogona kudzivirira kuti gomarara risapararire ipapo.

Kenza mumapapu inogona kutungamira mukubuda ropa uye kunetseka kufema. Kana izvozvo zvikaitika, radiation radiation kana laser oparesheni inogona kushandiswa. Chinangwa hachisi chekuchirapa, asi kugadzirisa zviratidzo zvako uye nehupenyu hwese.

Kliniki miedzo

SCLC yakaoma kurapa. Iwe ungangoda kufunga nezvekiriniki miedzo yeatsva chemotherapy vamiririri, maimunotherapies, kana mamwe marapirwo asiri zvimwe zviripo. Kana iwe uchifarira kudzidza zvakawanda, chiremba wako anogona kutsvaga kuti ndeapi miedzo ingave yakanaka mutambo kwauri.

Anotsigira ekurapa

Uye zvakare, iwe ungangoda inotsigira (palliative) kutarisirwa kugadzirisa chaiwo zviratidzo. Semuyenzaniso:

• bronchodilator kuti iwedzere nzira dzekufema dzemapapu ako
• oxygen therapy
• marwadzo anodzora
• corticosteroids
• mishonga yemudumbu

Iwe unogona zvakare kushanda neyechikafu kuti uwane rutsigiro rwehutano.

Outlook yeakakura nhanho SCLC

Chemotherapy inogona kushanda pakudzikira SCLC. Vanhu vazhinji vanozoona kuzorora kwechiratidzo.

Kunyangwe kenza ikadzikira kusvika padanho rekufungidzira bvunzo risingachakwanise kuiwana, chiremba wako angangodaro anoratidza kurapwa kwekuchengetedza. Izvi zvinodaro nekuti SCLC chirwere chine hukasha icho chinenge chinowanzodzoka.

Nepo pasina mushonga weakakura danho SCLC, kurapwa kunogona kubatsira kunonoka kufambira mberi nekuvandudza hupenyu hwako.

Kusarudza kurapwa

Kune akawanda akajairwa marapirwo akawedzera SCLC, uye zvinhu zvakawanda zvekufunga nezvazvo. Pamusoro pechikamu, chiremba wako anokurudzira kurapwa kunoenderana ne:

• uko kenza yapararira (metastasized) uye nhengo dzipi dzinokanganiswa
• kuoma kwezviratidzo
• zera rako
• zvaunofarira iwe pachako

Chemotherapy uye radiation zvinogona kutungamira kune akakosha mhedzisiro, kunyangwe mune vane hutano vanhu. Hutano hwako hwese hunotungamira zvisarudzo nezve chemotherapy zvinodhaka uye dosing.

Sarudza nguva yekuita hurukuro yakadzama neyako oncologist. Zvinogona kubatsira kubatanidza nhengo dzemhuri kana vamwe vadikanwa. Wana zano rakanaka rerudzi rwese rwekurapa, zvaunofanirwa kutarisira zvine musoro kwavari, uye pamwe nemhedzisiro.

Bvunza nezve zvigadzirwa zvekurapa uye kuti zvinokanganisa sei hupenyu hwako zuva nezuva. Hupenyu hwako hunokosha. Zvaunoda iwe zvine basa. Kurudzira chiremba wako kuti ataure zvakajeka kuti iwe ugone kuita sarudzo dzakanaka.

Kana chemotherapy kana kiriniki miedzo isiri yakakodzera iwe, iwe unogona kuramba uchiwana rubatsiro rwekutsigira. Panzvimbo pekuyedza kurapa kenza kana kunonoka kufambira mberi, rubatsiro rwekutsigira rinotarisana nekutarisira zviratidzo uye nekuchengetedza hwakanakisa hupenyu hunogoneka kwenguva yakareba sezvinobvira.

Kurarama neakawanda danho SCLC

Kugara neakawanda danho SCLC kunogona kukurisa. Asi kune nzira dzekutsungirira chirwere uye kurarama hupenyu hwako zvizere.

Vamwe vanhu vanoona zvichibatsira kuona murapi kuti abatsire kugadzirisa manzwiro avo. Izvi zvinogona zvakare kubatsira kune vadikanwa vari kuomerwa.

Vanhu vazhinji vanowana nyaradzo mumapoka ekutsigira, vangave vari pamhepo kana mumisangano yemunhu. Chiremba wako anogona kukuendesa kumapoka ari munharaunda yako, kana iwe unogona kuwana rumwe ruzivo kubva kumasangano aya:

• American Cancer Society
• American Lung Sangano
• CancerCare

Kuwana kurapwa kwakakosha, asi handicho chete chinhu chekufunga nezvacho. Zvibate pachako kune zviitwa zvakakosha kwauri. Iwe unofanirwa nazvo uye zvinobatsira kune yako hupenyu hupenyu.

Kuchengetedza

Kunyangwe kana iwe ukasarudza chemotherapy, iwe ungangoda rubatsiro rwekutsigira, inozivikanwawo sekutarisira kwekurapa.

Kuchengetedza kwekurapa hakurape kenza pachayo asi inovavarira kukubatsira iwe kuchengetedza hwakanakisa hwehupenyu hunogoneka. Izvi zvinogona kusanganisira kuzorora kwekurwadziwa, rubatsiro rwekufema, uye kushushikana kwekushushikana. Boka rako rekuchengetedza rinosanganisira rinogona kusanganisira:

• vanachiremba
• manesi
• vashandi vezvemagariro
• varapi

Kana yako yendege yakarambidzwa, unogona kuva:

• Photodynamic kurapa. Iyi kurapa inoshandisa mushonga unonzi photosensitizer uye kuratidzwa kwechiedza pane mamwe marefu wavelengths. Iwe unozogadzikana sechiridzwa chinonzi bronchoscope ichiendeswa pasi pahuro uye mupapu rako. Maitiro acho anogona kubatsira kuvhura yako yemhepo.
• Laser kurapa. Uchishandisa laser pamagumo e bronchoscope, chiremba anogona kupisa zvikamu zvebundu ipapo. Iwe unozofanirwa kunge uri pasi peanesthesia.
• Wakasimba. Chiremba anogona kuisa chubhu inonzi stent munzira yako yekubatsira kufema.

Pleural effusion ndipo paunenge uine kuwanda kwemvura yakatenderedza mapapu ako. Inogona kurapwa nenzira inonzi thoracentesis. Mune maitiro aya, tsono isina mhino inoiswa munzvimbo iri pakati pembabvu kuti idurure mvura.

Kune zvakare kune akatiwandei maitiro ekuchengetedza iyo fluid kubva kuvaka zvakare:

• Kemikari pleurodesis. Chiremba anoisa chubhu isina chinhu mumadziro echipfuva kuti abudise mvura. Ipapo kemikari inounzwa kuti ikonzere mubato wemapapu uye madziro echipfuva kunamatira pamwe nekudzivirira kuwanda kwemvura.
• Kuvhiya pleurodesis. Munguva yekuvhiyiwa, mushonga wakadai semusanganiswa wetalc unofuridzirwa munzvimbo yakapoterera mapapu. Mushonga unokonzeresa kuita turu tishu, izvo zvinoita kuti mapapu anamatire pachipfuva. Izvi zvinobatsira kuvhara iyo nzvimbo panogona kuunganidzwa mvura.
• Pombi. Chiremba anoisa catheter muchipfuva oisiya kunze kwemuviri. Fluid inogara ichidhonzwa muhombodo.

Kana mvura iri kuvaka pamusoro pemoyo wako, maitiro aya anogona kubatsira:

• Pericardiocentesis. Inotungamirwa neiyo echocardiogram, chiremba anoisa tsono munzvimbo yakatenderedza moyo kuburitsa fluid.
• Pericardial hwindo. Munguva yekuita, chiremba anovhiya anobvisa chikamu chesaga chakakomberedza moyo. Izvi zvinobvumira mvura kubuda mubhokisi kana mudumbu.

Kune mamota anokura kunze kwemapapu, kurapwa nemwaranzi kunogona kubatsira kudzikamisa kudzikamisa zviratidzo.

Kutora

Yakawandisa nhanho SCLC zvinoreva kuti kenza yako yapararira kure nebundu. Iko hakuna kurapa kwerudzi urwu rwegomarara, asi kurapwa kunowanikwa kubatsira kubata zviratidzo uye kuwedzera hupenyu hwako. Chiremba wako achakurudzira chirongwa chekurapa zvichienderana nehutano hwako uye hutano hwakakwana.