Chii Chaunobvunza Chiremba Wako Nezve Kurapa Kwakawedzera Kanzera Kenza

Zvemukati

• Ndedzipi bvunzo dzandinoda?
• Nderupi rudzi rwekurapwa kuchandibatsira?
• Chemotherapy
• Kuvhiya
• Immunotherapy
• Kliniki miedzo
• Ndeipi mhedzisiro mhedzisiro yekurapwa nekenza yedundira?
• Inguva yakareba sei kurapwa kwekenza yedundira kunogara?
• Mishonga yekurapa kenza yedundira inoshanda zvakadii?
• Inishuwarenzi inovhara yakakwenenzverwa kenza yekurapa?
• Kugona kuchinja mararamiro kunondibatsira kubata gomarara repamberi redundira?
• Kutora

Sekureva kweAmerican Cancer Society, inofungidzirwa kuti vanhu zviuru makumi masere nemazana mana muUnited States vanozoonekwa vaine gomarara redundira muna 2020.

Urothelial carcinoma ndiyo yakajairika mhando yekenza yedundira. Kana ichipararira kupfuura bladder, inogona kunzi metastatic urothelial carcinoma (mUC).

Kugamuchira yakakwira dundira gomarara kuongororwa kunogona kunzwa kunetesa. Ramba uchifunga kuti kurapwa kunowanikwa kune yega nhanho yegomarara redundira.

Kurapa sarudzo yekenza yedundira yepamberi inogona kusiyana neiya yekenza yekutanga-kenza.

Rudzi rwemishonga inorayirwa nachiremba wako inozosiyanawo zvichienderana nekenza yakagadziriswa mumuviri. Ndosaka zvakakosha kuti ukurukure zvaunogona kuita nachiremba wako.

Heano mimwe mibvunzo yekubvunza chiremba wako nezvekurapa gomarara repamberi redundira.

Ndedzipi bvunzo dzandinoda?

Kana chiremba wako achitenda kuti gomarara rakasanganisa ma lymph node kana dzimwe nhengo, vangangokurudzira ongororo dzinoverengeka kuti vaone danho rekenza uye vawane painopararira.

Paunotanga kuongororwa, chiremba wako anogona kunge akaita kana kuraira bvunzo, kusanganisira:

• bvunzo yemuviri, kutarisa chero mapundu kana zvimwe zvisina kujairika
• urinalysis sampuli, kutarisa masero ekenza
• cystoscopy, kutarisa mukati meiyo urethra yezvisina kufanira
• bhiopsy, kubvisa chidimbu chemuenzaniso kubva mudundira kunoedza cancer
• intravenous pyelogram, kana mhando yeX-ray kubatsira kuona kuti kenza iri kupi

Kana kenza yemudumbu ikapararira, chiremba wako anogona kuraira mimwe bvunzo, yakadai se:

• imaging scans, kunge CT scan, MRI scan, kana PET scan, kuti uone nzvimbo yekenza maseru
• kuongorora pfupa, kana uine marwadzo akabatana asingatsanangurike, kuti uone kana gomarara rapararira kusvika kumapfupa
• X-ray, kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Nderupi rudzi rwekurapwa kuchandibatsira?

Chiremba wako anokurudzira chirongwa chekurapa zvichibva padanho rekenza. Yepamberi kana metastatic kenza yedundira ine sarudzo shoma dzekurapa pane nhanho dzekutanga dzegomarara redundira. Sarudzo dzako dzinogona kusanganisira:

Chemotherapy

Mutsara wekutanga kurapwa kwekenza yepamusoro chedundira ndiyo chemotherapy drug cisplatin, iyo inogona kubatsira kumisa maseru emukenza kubva mukuberekazve.

Chiremba wako anogona kukurudzira chemotherapy chete kana musanganiswa nekuvhiya kana radiation. Chemotherapy inogona kuuraya mamwe maseru ekenza uye kudzikira mamota, zvichiita kuti zvive nyore kubvisa kenza panguva yekuvhiyiwa.

Kuvhiya

Zvichienderana nekuwanda kwekenza, mushure mekupedza chemotherapy, chiremba wako anogona kukurudzira nzira yekuvhiya inonzi cystectomy kubvisa zvese kana chikamu chedundira.

Mune cystectomy, mushure mekunge dundira rabviswa, chiremba anovhiya achaita imwe nzira inonzi yekuvhiringidza urinary. Vachagadzira dhamu mukati memuviri kutora weti uye vozogadzira chubhu nyowani kuitira kuti weti ibude mumuviri.

Mushure mekuvhiyiwa, chiremba wako anogona kukurudzira mamwe machemotherapy kubvisa chero maseru egomarara asara.

Immunotherapy

Pamwe pamwe nechemotherapy uye kuvhiyiwa, gomarara repamberi redundira rinogona kupindura immunotherapy. Rudzi urwu rwekurapa runoshandisa immune system yako kurwisa gomarara.

Kliniki miedzo

Kubatanidzwa mukutongwa kwekiriniki kunogona kukupa iwe mukana wekuwana mitsva yekurapa kwekuyedza. Nekudaro, zvekuedzwa zvemakiriniki zvinewo njodzi. Kurapa kwekuyedza kunogona kuve nemhedzisiro isingazivikanwe, uye kunogona kusashanda.

Kana iwe uchifarira kudzidza zvakawanda nezvemakiriniki ekuedzwa, bvunza chiremba wako. Ivo vanogona kutaura newe nezve kana iwe ungave uri mukwikwidzi akanaka. Ivo vanogona zvakare kuve neruzivo nezve maitiro ekuwana makiriniki miedzo kune ako mamiriro.

Ndeipi mhedzisiro mhedzisiro yekurapwa nekenza yedundira?

Kurapwa kwegomarara redundiro kune zvakakosha, zvinosanganisira kuwedzera hupenyu nekuvandudza hupenyu hwako.

Nekudaro, kurapwa zvakare kune mhedzisiro. Izvo zvakakosha kuti uzive nezve iyo mhedzisiro uye utaure nachiremba wako nezvenzira dzekuzvigadzirisa.

Chemotherapy haingouraye cancer maseru. Inourayawo masero ane hutano. Nekuda kweizvozvo, zvinowanzoitika mhedzisiro yemakemikari anosanganisira:

• kurasikirwa nevhudzi
• njodzi yakawedzera yehutachiona
• kupererwa neropa
• kusvotwa
• kuvimbiswa
• kuneta

Kuvhiya kunouya nenjodzi, senge hutachiona uye kurasikirwa kweropa.

Immunotherapy inogona kuve nemhando dzakasiyana dzemhedzisiro, zvinoenderana nerudzi rweyunotherapy inoshandiswa. Mhedzisiro inowanzoitika inosanganisira:

• kuzvimba
• kuvava
• mapundu
• kurwadziwa

Vamwe vanhu zvakare vanokudziridza furu-kunge zviratidzo ne immunotherapy.

Inguva yakareba sei kurapwa kwekenza yedundira kunogara?

Kurapa sarudzo yekenza yedundira yepamberi inosiyana kubva pamunhu kuenda kumunhu. Kureba kwekurapa kunoenderana nechero tarisiro yekurapa.

Pakati pese, vanhu vazhinji vane gomarara repamberi redundira vanogamuchira chemotherapy kwemwedzi mitanhatu kusvika gumi nemiviri, zvichienderana nekuti zvinotora nguva yakareba sei kudzikisa maseru ekenza.

Iyo yakareba yenguva yeununotherapy inosiyanawo zvichienderana nedanho rekenza uye nemabatiro anoita muviri wako kurapwa.

Semuenzaniso, unogona kupihwa kurapwa mazuva ese kwemasvondo maviri kana matatu uyezve wozorora nguva usati watangazve kurapwa.

Kurapa kunogona kurebesa hupenyu kune vanhu vanorarama nekenza yemudumbu. Zvisinei, muzviitiko zvakawanda, chirwere chinowanzoenderera mberi.

Chiremba wako anogona kukurudzira kuti iwe urambe uchirapwa kurapwa kuti uvandudze hupenyu hwako.

Sezvo kenza ichienderera mberi, chiremba wako anogona kupa tarisiro yekutarisira. Unogona kuenderera mberi nekurapwa gomarara uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchakafa

Kuchengetedza kwekuchengetedza kunoitirwa kugadzirisa zvinoitika panyama, pamoyo, uye nemagariro zvemamiriro acho.

Inogona kubata chaiwo maratidziro epanyama, senge kusvotwa uye kuneta. Iyo inogona zvakare kubatsira kuvandudza yako yakazara hupenyu hwehupenyu uye kukubatsira iwe kubata kusagadzikana kwakanangana nemamiriro acho.

Mishonga yekurapa kenza yedundira inoshanda zvakadii?

Parizvino hapana mushonga wekenza yemukaka yedundira. Kune kenza yedundira yakapararira kunzvimbo dziri kure dzomuviri, makore mashanu ekupona mwero i5 muzana, maererano neNational Cancer Institute.

Zvinangwa zvekurapa panguva ino zvinowanzo kuve:

• kunonoka kupararira kwegomarara
• shrink saizi yenzvimbo dzakakanganiswa
• wedzera hupenyu hwako kwenguva yakareba sezvazvinogona
• kukuita kuti ugadzikane

Inishuwarenzi inovhara yakakwenenzverwa kenza yekurapa?

Muzhinji, inishuwarenzi yehutano inoronga marapirwo ekenza, asi haangakwanise kubhadhara mutengo wese. Zvirongwa zvakasiyana zvinogona kuvhara zviyero zvakasiyana, uye zvimwe zvingasavhara mamwe marudzi ekurapa, kunyanya ekurapa kwekuyedza.

Semuenzaniso, inishuwarenzi yako yehutano ingangovhara mutengo we:

• chemotherapy
• radiation
• kuvhiya

Iwe unogona kunge uchibvisirwa mari, inova mari yaunobhadhara kunze-kwehomwe yako inishuwarenzi isati yavhara bhiri.

Mamwe mainishuwarenzi haafukidze immunotherapy.

Kuti ugamuchire urwu rudzi rwekurapwa, wako inishuwarenzi mupi angafanirwa kubvumidza iyi kurapa. Taura nekambani yeinishuwarenzi yehutano kuti unzwisise zvirinyore kufukidzwa kwako.

Kana iwe ukatora chikamu mukuedzwa kwekiriniki, yako inishuwarenzi kambani inogona kuvhara zvinhu zvakaita sekujairika kwako kwachiremba.

Muedzo pachawo unowanzo tarisira mutengo wekurapa kwekuyedza, chero kuwedzerwa kwekushanya kwachiremba, kana kuyedzwa kupi kunoda kuitwa sechikamu chekudzidza.

Kugona kuchinja mararamiro kunondibatsira kubata gomarara repamberi redundira?

Pamwe nekutevera chirongwa chekurapa, mamwe mararamire shanduko anogona kuita kuti kurarama nekenza yemudumbu yepamberi kuve nyore zvishoma. Kunyangwe uine mashoma simba uye simba, pane zvimwe zvinhu zvaunogona kuita kuti unzwe zvirinani.

Semuenzaniso, kudya zvine hutano, zvine mwero kudya kunogona kukubatsira iwe kuchengetedza simba rako remuviri uye kusimudzira immune yako.

Ma immune immune akasimba anogona kubatsira muviri wako kurwisa hutachiona, izvo zvinonyanya kukosha paunenge uchirapa.

Vamwe vanhu vanoona zvekuwedzera zvekudya zvichibatsira pavanenge vachirapwa kenza. Ive neshuwa yekutaura nachiremba wako usati watora zvekuwedzera zvekudya.

Kugara uchirovedza muviri kwakakoshawo. Kurovedza muviri kunogona kubatsira:

• kunatsiridza mafungiro ako
• kunatsiridza mhando yekurara kwako
• wedzera simba rako

Kana iwe uchisvuta, uye iwe usati watove, iwe unofanirwa zvakare kurega kuputa. Iwo makemikari anowanikwa mune ese fodya uye fodya yefodya anokwanisa kuunganidzwa mumuguta wako uye zvinokonzeresa kukuvadzwa kwedundira rako.

Kutora

Kuongororwa kwekenza yepamusoro chedundira kunogona kuuya sekuvhunduka.

Zvisinei, kurapwa kunogona kubatsira:

• shrink tumors
• kuwedzera hupenyu hwako
• kunatsiridza hupenyu hwako

Zvakakosha kushanda nachiremba wako uye kurukurai zvaunogona kuita. Ita shuwa kuti iwe unonzwisisa mhedzisiro yemhedzisiro yekurapa kwese, pamwe nezvaunogona kutarisira kumberi, panguva, uye mushure mekurapwa.