Daaweynta iyo Saadaalinta Marka Kansarka Sambabka Soo Baxdo
Waxaa suurtagal ah in wax badan oo ka badan dhul-gariir ka badan maqalka aad qabto kansarka waa in la maqlo in kansarka sanbabada soo noqnoqonayo. Nasiib darro, soo noqoshada kansarka sanbabada - xitaa kuwa buraashu u kala saaraan marxaladda hore - waa mid aad u badan, inkastoo daaweynta hadda la heli karo. Maxaad ubaahan tahay inaad ogaato haddii kansarka sanbabadaadu soo noqdaan?
Guudmarka
Ka hor intaadan ka hadlin dib u soo noqosho, waxay ka caawineysaa in ay cadeyso waxa aan ka hadleyno.
Dib u soo noqoshada kansarka waxaa lagu qeexay inay tahay kansar soo noqda (dib u soo noqoshada) daaweyn ka dib iyo wakhti go'an ( ra'yiga ) oo aan lahayn caddayn kansar. Dhinaca kale, kansarrada la helo saddex bilood gudahood marka baaritaanka asalka ah waxaa badanaa loo tixgeliyaa horumarka kansarka.
Dib u soo noqosho ayaa lagu sifeyn karaa halka uu ku dhaco:
- Degmadu - Tani waa marka kansarku ku soo laabanayo sanbabada, meel u dhow bukaanka asalka ah.
- Gobolka - Marka kansarku dib ugu soo celiyo qanjidhada noodhka ku dhow halka ugu horreeya.
- Cadaadiska - Marka kansarka sanbabadu ku soo noqdaan goobaha sida lafaha, maskaxda, qanjidhada adrenal ama beerka.
Fursada in kansarka sambabku uu ku soo noqdo waxay ku xiran tahay waxyaabo badan, oo ay ku jiraan nooca kansarka sanbabada , marxaladda kansarka sanbabada ee lagu ogaado, iyo daaweynta kansarka asalka ah.
Kansarka sanbabada badankood ee soo noqda waxay sameeyaan shanta sano ee ugu horreeya ka dib marka la ogaado cudurka. Taasi waxay tidhi, khatarta soo noqoshada marnaba uma eka eber.
Hal daraasad oo la socota 5 sano oo ka mida dadka qaba kansarka sanbabada ayaa lagu ogaaday in 87 boqolkiiba ay samaysay shan sano oo kansar la'aan ah.
Sababaha
Daaweynta kansarka sanbabada , sida qalliinka iyo daaweynta shucaaca, ayaa loo tixgeliyaa daaweynaha maxalliga ah - taas oo ah, waxay daaweeyaan kansarka ku jira meel u dhow meesha uu ku jiro burka asalka ah. Mararka qaarkood unugyada asalka ah ee burcadda asalka ah waxay ku faafaan marinada dhiigga ama lymphatic si meelo fog, laakiin unugyada ayaa aad u yar in la ogaado cilmibaarista shucaaca.
Chemotherapy waxaa loogu talagalay in lagu daaweeyo unugyada kansarka ee laga yaabo inay ku faafaan noocan. Nasiib darro, xitaa daaweynta kemotherabi, unugyada ayaa laga yaabaa inay ku noolaadaan waxayna bilaabaan inay koraan taariikh dambe.
Astaamaha
Calaamadaha kansarka sanbabada waxay ku xiran tahay meesha kansarku soo celinayso. Haddii ay tahay soo noqoshada degaanka, ama qanjidhada noodhka ee ku dhow bukaanka asalka ah, calaamadaha waxaa ku jiri kara qufac, qufac dhiig, neefsasho gaaban , xiiq, ama oof-wareen. Tumorska ku dhaca maskaxda ayaa sababi kara dawakhaad, hoos u dhac ama arag labajibaaran, daciifnimo dhinaca dhinac ah ee jidhka, ama luminta isku-duwidda. Kansarka ku dhaca beerka wuxuu keeni karaa xanuunka caloosha, cagaarshowga (maqaarka oo huruud ah), cuncun ama jahwareer. Soo noqoshada lafaha inta badan waxay la yimaadaan xanuun qoto dheer oo ku dhaca laabta, dhabarka, garbaha, ama xagjirnimada. Calaamadaha guud ee sii badan, sida daal iyo miisaanka loola jeedo , waxay sidoo kale muujin karaan soo noqoshada.
Daaweynta
Daaweynta kansarka sanbabada waxay ku xirnaan doontaa goobta uu kansarka dib u soo celiyo. Marka kansarka sambabada dib loo soo celiyo, waxaa jira fursada yar ee burooyinka la daaweeyo. Taasi waxay tidhi, daaweyntu waa la heli karaa oo laga yaabo inay labadaba korodho noolaanshaha iyo kor u qaadaan tayada nolosha. Daaweynta suurtagalka ah waxaa ka mid ah:
Qaliinka - Qaliinka badanaa looma isticmaalo daaweynta kansarka sanbabada, laakiin waxaa laga yaabaa in loo isticmaalo mararka qaarkood si loo daweeyo dib-u-soo-kabashada deegaanka ama in lagu daaweeyo buro gooni u ah maskaxda ama beerka.
Daaweynta Shucaaca - Isticmaalka daaweynta shucaaca ayaa laga yaabaa in la yareeyo haddii daaweynta shucaaca hore la siiyey. Habka fudud ee looga fekerayo tan ayaa ah in ay jirto qiyaasta daaweynta shucaaca ee nolosha oo la gaari karo meel gaar ah. Hase yeeshee, haddii aad horay u lahayd daweynta shucaaca , tani mararka qaarkood waxaa loo isticmaalaa in lagu daaweeyo soo noqoshada adoo isticmaalaya qiyaas yar.
Chemotherapy - Chemotherapy badanaa waa habka daaweynta ee kansarka sanbabada. Taasi waxay sheegtay, daweynta kiimiko ee la doorto badanaa way ka duwan tahay daweynta kiimikada ee markii hore loo isticmaalo daweynta bukaanka. Isbeddellada hidda-goysku waxay inta badan ku dhacaan burooyinka soo noqnoqda, iyaga oo adkaynaya dawooyinka kemotherabi ee hore loo isticmaalay.
Daaweynta Targeted - Daaweynta Targeted waxaa badanaa waxtar u leh dadka qaba kansarka sambabada sare ee leh unugyada EGFR , Kansarka Alk ee sambabada ama ROS1 kansarka sanbabada ee sambabada .
Immunotherapy - Sannadka 2015, 2 dawo oo cusub oo loo yaqaan ' immunotherapy' ayaa loo ansixiyey daaweynta kansarka sanbabada. In kasta oo daawooyinkaas aysan u shaqeynin qof walba, dadka qaarkood daawooyinkaasi waxay keeneen in ay muddo dheer kantaroolaan kansarka sanbabada oo soo noqnoqonaya.
Metastatectomy - Marka yar oo kaliya ee ku faafta cudurka kansarka sanbabada maskaxda ama beerka - waxa loo yaqaan "oligometastases" - meelahaas waxaa laga yaabaa in laga saaro habka loo yaqaan " radiotherapy" ama "SBRT" . Nidaamkani wuxuu ku lug leeyahay isticmaalka qiyaas aad u badan oo ah shucaac ka soo jeeda gobolka yar (oo ah meesha metastasis ay joogaan) waxana ay keentay in muddo dheer koontaroolka kansarka sambabada ee dadka qaarkood.
Dhibaatooyinka Sambabka - Marka kansarka sanbabadu soo noqnoqonayaan, badanaa waxaa lagu qeexay heerka 4aad. Sida laga soo xigtay Machadka Kansarka Qaranka, dadka qaba cudurka qaaxada ee sambabada 4 waa inay tixgeliyaan tijaabooyinka bukaan-socodka daaweynta kansarkooda. Baro waxyaabo dheeraad ah oo ku saabsan tijaabooyinka bukaan socodka , iyo sida loo helo tijaabooyinka bukaan socodka ee kansarka sanbabada.
Saadaasha
Qiyaasta kansarka sanbabada ee soo noqnoqda waxay ku xirnaan doontaa arrimo badan, oo ay ku jiraan goobta dib u soo noqosho, nooca kansarka sanbabada, caafimaadkaaga guud, iyo daaweynta loo doortay daaweynta soo noqoshada. Inkasta oo mararka qaar soo noqnoqonayo hoos u dhigo rajada nolosha ee la filayo kansarka sanbabada, dadka qaar ayaa ku nool nolol wanaagsan tayada sanado badan ka dib soo noqoshada.
La qabsashada
La qabsashada kansarka dib-u-dhaciddu waa mid adag, maaddaama dhammaan dareemada la soo bandhigay asalka dhabta ah ee dib-u-kicinta kansarka. Weydii su'aalo. Kala hadal fursadaha . Isku duwo shabakada taageerada ee dadka aad jeceshahay iyo saaxiibbada.
> Ilo:
> Maeda, R. et al. Natiijada Waqtiga-dheer iyo Dib-u-soocelinta Xanuunka ee Bukaan-jiifka Marxaladda Heerka dhameystiran 1A Cancer Cancer Unug aan-yareyn. Wargeyska Thoracic Oncology . 2010. 5 (8): 1246-50.
> Machadka Kansarka Qaranka. Daaweynta kaansarka sanbabada aan-yareyn (PDQ) https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all