Su'aal caadi ah oo inta badan la is waydiiyo marka qof lagu sheego marxalada 2aad ee kansarka sanbabada unugyada yaryar, waa "Maxay tahay marxalada 2aad ee noolaanshaha kansarka sanbabada ?" Tani ma aha mid lama filaan ah, marka la eego heerka guud ee heerka noolaanshaha kansarka sanbabada. Ka hor inta aanad ka jawaabin su'aasha, waa muhiim in laga hadlo wax yar oo ku saabsan sida jawaabta loo helo - jawaabta tirakoobka-ayaa la soo saaray.
Sidoo kale, hubi inaad akhriso qaybta hoose ee qodobkan. Badbaadinta kansarka sanbabadu way soo hagaagaysaa.
Isbedelada Saameynta Saameynta 2aad Cudurka Kansarka Cambaarta
Heerka 2aad ee noolaanshaha kansarka sanbabada waxay ku kala duwanaan kartaa dadka kala duwan. Tirakoobku wuxuu inoo sheegayaa dadka "celcelis" dadka, laakiin qofna waa heer dhexdhexaad ah. Qaar ka mid ah doorsoomayaashan waxaa ka mid ah:
- Noocaada kansarka sanbabada iyo goobtaada - Kansarka qanjidhada marxaladda 2aad waxaa ku jira noocyo badan oo kansarka sanbabada ah waxaana ka mid ah kansarrada yar yar laakiin waxay ku faafaan qanjidhada u dhow , ama ka weyn laakiinse aan ku faafin qanjidhada nukliyeerka.
- Da'daada - Dadka da ' yarta ah waxay u muuqdaan inay ka dheer yihiin dadka waayeelka qaba kansarka sanbabada.
- Jinsigaaga - Mudada noolaanshaha dumarka qaba kansarka sanbabadu waxay ka sarraysaa marxalad kasta ee kansarka sanbabada.
- Caafimaadkaaga Guud ee waqtiga baarista - Guud ahaan caafimaad qabsashada marka la ogaado cudurka ayaa la xiriirta mudada dheer ee noolaanshaha, iyo awoodda weyn ee lagu adkeyn karo daaweynta sii dheereyn karta noolaanshaha.
- Sida aad uga jawaab celiso daaweynta - Dhibaatooyinka daaweynta sida qaliin , kiimiko , daaweyn la beegsado , iyo daaweynta shucaaca waxay ku kala duwan yihiin dadka kala duwan waxaana laga yaabaa inay xaddidaan kartidaada inaad u dulqaadato daaweynta.
- Xaaladaha kale ee caafimaad ee aad qabtid - Xaaladaha caafimaad sida amphysema ama cudurada wadnaha ayaa laga yaabaa inay yareeyaan marxalada 2aad ee noolaanshaha kansarka sanbabada.
- Dhibaatooyinka kansarka sanbabada - Dhibaatooyinka sida xinjirowga dhiigga ayaa yarayn kara noolaanshaha .
- Sigaar-cabid - Sii sigaar cabid ka dib markii lagu ogaanayo marxalada 2aad ee kansarka sanbabada ayaa u muuqda inay sii yaraanayso badbaadada. Waxaan ka walaacsannahay in aan sigaar-cabbidda keeno madaama ujeedkeenu yahay in laga takhaluso dunida oo dhan ee kufsiga kansarka sanbabada (iyo sababtoo ah waxaa jira cadaan badan oo aan ka sii darin sigaarka kuwa sigaarka lagu yaqaan cudurka), laakiin haddii aad sigaarka cabto, waa muhiim inaad iska joojiso. Iska hubi 10-ka sababood ee ah inaad joojisid sigaar cabista ka dib baarista kansarka .
Marxaladda 2aad ee Cudurka Kansarka Cancer Cancer iyo Caveat
Heerka guud ee badbaadada, waa boqolkiiba dadka la filayo in ay noolaadaan 5 sano kadib markii la ogaado heerka 2aad ee kansarka sanbabadu waa qiyaastii boqolkiiba 30. Shakhsiyaadka leh burooyin waaweyn oo aan wali ku faafin qanjidhada nukliyeerka, sicirka badbaadada wuxuu noqon karaa mid aad u sareeya.
Waxaan wadaagnaa tirakoobka ku saabsan kansarka sanbabada sababtoo ah dad badan ayaa su'aalahan weydiinaya, laakiin waxaa jira waxyaabo badan oo aad u baahan tahay inaad maskaxda ku haysid. Tirakoobku waa tirooyin ka soo jeeda marka dib loo fiiriyo si loo arko sida dadku u sameeyeen nooca kansarka qaarkood. Si kale haddii loo dhigo, waxay badanaa dhowr sano jir yihiin. Iyadoo la tixgelinayo in daaweyn cusub la sameeyey tan iyo markii tirooyinkaas la diiwaangeliyey, heerka badbaadada nooma sheegin wax ku saabsan sida qof u sameyn doono daaweynta cusub ee aan hayno.
Si aad u faahfaahiso sida ay muhiim u tahay tan, u fiirso in ay jiraan daaweyn cusub oo loo aqbalo daaweynta kansarka sanbabada muddada u dhexeeya 2011 ilaa 2015 intii la ansixiyey muddada 40 sano ka hor 2015.
Marka laga soo tago daawooyinkan cusub, waxaa jira daawooyin badan oo lagu qiimeeyo tijaabooyinka kiliinikada , tijaabooyinkan caafimaadkana waxay dadka siinayaan fursad ay ku noolaadaan in aysan laheyn hal ama labo sano ka hor. Badanaa waxaan maqalnaa dadka, iyada oo ka qaybqaadata kooxo taageera kansarka sanbabada iyo bulshooyinka iyo in ay u doodaan xannaaneynta kansarkooda, waxay heleen tijaabooyin caafimaad oo ah xitaa xitaa bulshadooda kansarku aysan weli ogayn.
Ka dib oo dhan, yaa ku dhiirigeliya inay baadhitaan ku sameeyaan cudurkooda marka loo eego qof uu la nool yahay maalin kasta iyo maalin kasta?
Badbaadinta Kansarka Sambabka waa Hagaajin
Waxaa muhiim ah in la ogaado in noolaanshaha kansarka sanbabada, ka dib isbeddel yar oo sanado badan ah, uu horumarayo. Ma aha oo kaliya daaweynta soo wanaagsanaaneysa.
Haddii lagugu ogaado kansarka sanbabada, hubi inaad kala hadashid dhakhtarkaaga wixii ku saabsan sheyga molecular (baaritaanka hidda) ee burooyinkaada . Daawooyinka la beegsado ee loogu talagalay dadka qaba EGFR isku dhafka , ROS1 dib-u-habeyn , iyo dib-u-habeyn ALK ayaa isbeddelay wajiga kansarka sanbabada. Immunotherapy ayaa sidoo kale isbeddel ku sameysa laba dawo oo cusub oo la ansixiyey sannadka 2015, xitaa dadka qaba kansarka heerarka sare leh. U noqo u doodahaaga. Wax ka ogow cudurkaaga. Ka noqo qayb ka mid ah bulshada kansarka sanbabada. Sidoo kale, fiiri talooyinkan ku saabsan sii wanaajinta badbaadada kansarka sanbabada ee uusan dhakhtarkaagu sheegin.
Ilaha:
Society Cancer Society. Xaqiiqooyinka Kansarka iyo Sawirrada 2014 . Atlanta: Bulshada Mareykanka ee Kansarka; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
Society Cancer Society. Kansarka Sambabka (Unugyada Hoose-yar). Qiyaasaha Kansarka Cudurka Kansarka Cudurka aan-yareyn ee Qaybaha Heerka. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates.
Machadka Kansarka Qaranka. Daaweynta kaansarka sanbabada aan-yareyn (PDQ) https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all
Parsons, A. et al. Saameynta Saameynta Sigaarka Ka Dib Qalitaanka Early Cancer Cancer on Prognosis: Dib-u-eegis joogto ah ee Daraasadaha Muuqaalka ah Iyadoo Meta-Analysis. Weriyeyaasha Caafimaadka Britishka BMJ2010; 340: b5569. Laga soo daabacay internetka 21 Jannaayo 2010.
Wisnivesky, J. et al. Saadaasha Heerka 2 Kansarka Kansarka Unugyada yar-yar ee Kansarka ah Sida laga soo xigtay Tumor iyo Nodal Status ee Ciladda. Kansarka Sambabka . 2005. 49 (2): 181-186.