Amahitamo yo kuvura kanseri

Iki gitabo cyuzuye gishakisha iterambere rigezweho muri kuvura kanseri yateye imbere, itanga ubushishozi muburyo butandukanye bwo gutanga ubwatsi, imikorere yabo, hamwe ningaruka zishobora. Twirukanye imiti yombi yashizweho kandi igaragara kugirango igufashe gusobanukirwa amahitamo aboneka kandi tugafata ibyemezo byuzuye mugisha inama kubuvuzi bwawe. Kuyobora ibintu bigoye kuvura kanseri yateye imbere bisaba gusobanukirwa neza indwara hamwe nubuvuzi buboneka. Iyi ngingo igamije gutanga ibisobanuro.

Gusobanukirwa kanseri y'ibihaha

Gutegura no gusuzuma

SHAKA CYANE Kanseri y'ibihaha ni ngombwa mugutegurira inzira nziza yo kuvura. Ibi birimo urukurikirane rwibizamini, harimo ibisigazwa byamashusho (CT, amatungo), biopsies, nibizamini byamaraso. Icyiciro cya kanseri - cyaba cyateye imbere cyangwa met metastatic - ingaruka zikomeye ku guhitamo kuvurwa. Gusobanukirwa umwihariko wo gusuzuma nintambwe yambere yo gutegura gahunda yihariye yo kuvura.

Ubwoko bwa kanseri y'ibihaha

Kanseri y'ibihaha bikubiyemo kanseri ntoya y'ibihaha (SCLC) hamwe na kanseri ntoya idasanzwe y'ibihaha (NSCLC). Indwara ya NSCLC ku manza nyinshi za kanseri y'ibihaha kandi hashyizwe mu byiciro muri subtypes (Adencarcinoma, Karcinoma nini, buri selile nini ya kanseri), buri kimwe gishobora gusubiza mu buryo butandukanye. Uku gutandukanya ni ngombwa mu budozi kwivuza ingamba.

Uburyo bwo kuvura kuri kanseri y'ibihaha byateye imbere

Chimiotherapie

Chimiotherapi ikomeje kuba ibuye rifatirwa kuvura kanseri yateye imbere. Harimo gukoresha ibiyobyabwenge kugirango uce selile za kanseri, akenshi utanga intanga. Ubutegetsi bwinshi bwa chimiotherapy burahari, buriwese ahuza ubwoko bwihariye nicyiciro cya kanseri. Guhitamo Devimen utekereza ibintu nkubuzima rusange bwumurwayi no kuboneka muburyo bwihariye. Mubisanzwe byakoreshejwe abakozi ba chemitherapeutic barimo Cisplatin, Carboplatin, na PAClitaxel. Ingaruka mbi ziratandukanye ariko irashobora gushyiramo isesea, umunaniro, nigihombo cyumusatsi.

IGITABO

Abashushanya imitsi yibanda kuri molekile yihariye itwara kanseri. Izi mvugo zirimo gukora neza cyane mubarwayi muburyo bumwe na bumwe, nka EGFR, ALK, ROS1, cyangwa ihinduka ryinkota. Ingero zirimo egrosine tyfrosine kibitori (tkis) nka gefitinib na erlotinib, na alk abarashi nkuko bahanganye nka cnzitinib. Imyitwarire yibihe byibasiwe biterwa no kuba hari ibimenyetso byihariye bya genetike byamenyekanye binyuze muri biopsy. Shandong Baofa Kanseri Ikigo cyubushakashatsi itanga ibizamini byateye imbere kugirango uyobore ibyemezo byihariye byo kuvura.

Impfuya

Umuvumo wibiryo byumubiri wumubiri wumubiri wo kurwanya kanseri. Ubungabunga ubumuga bubinginga, nka Pembezimab na Nivolumab, guhagarika poroteyine irinda umubiri udakunda guhagarika kanseri. Iyi miti yahinduye i kwivuza ya bamwe Kanseri y'ibihaha, biganisha ku iterambere ryingenzi mu kurokoka kubaho. Nyamara, imyugwa ntabwo ari ingirakamaro mubarwayi bose, kandi ingaruka mbi zishobora kuba zirimo umunaniro hamwe nibintu bibi bikomoka kubunze.

Imivugo

Umuvugizi w'imirasire ukoresha imirasire y'ingufu zo mu rwego rwo kwica kanseri. Irashobora gukoreshwa muguhagarika ibibyimba, kugabanya ibimenyetso, cyangwa kunoza imikorere yubundi buryo. Umuyoboro wa Stereotactic Kuvura imivugo (SBRT) nuburyo busobanutse neza butanga imirasire yo hejuru yimirasire ahantu hato, kugabanya ibyangiritse kugirango bigerweho neza. Imiti yimirasire irashobora gutera ingaruka zikaba no kurakara uruhu numunaniro.

Kubaga

Kubaga birashobora kuba amahitamo kubarwayi bamwe bateye imbere Kanseri y'ibihaha, cyane cyane niba ikibyimba gishimishije (gishobora gukurwaho no kubaga). Uburyo bwo kubaga biterwa n'ahantu n'ubunini bw'ibibyimba n'umurwayi muri rusange. Uburyo budasanzwe bwo kubaga bukunze gushimishwa no kugabanya igihe cyo gukira no kurwara.

Guhitamo gahunda yo kuvura neza

Guhitamo Optimal kuvura kanseri yateye imbere bisaba gutekereza neza kubintu byinshi, harimo icyiciro nubwoko bwa kanseri, ubuzima bwumurwayi muri rusange, hamwe ningaruka zishobora. Itsinda ryinshi ryinzobere mu buvuzi, zirimo ibishushanyo, abaganga, n'abaganga ba ogiteri, bagomba gufatanya kugira ngo bateze imbere gahunda yo kwivuza yihariye ibyo umurwayi akeneye. Gufungura Itumanaho hamwe nitsinda ryubuzima ni ngombwa muri byose kwivuza inzira.

Kwamagana: Aya makuru agenewe intego zuburezi kandi ntigomba gufatwa inama zubuvuzi. Buri gihe ujye ubaza icyaha cyumwuga wujuje ubuziranenge wo gusuzuma no kuvura indwara iyo ari yo yose y'ubuvuzi.

Inkomoko: [Urutonde rwizewe kubibarurishamibare namakuru yavuzwe mu ngingo. Shyiramo imiyoboro ijyanye n'imiryango izwi nk'ikigo cy'igihugu cya kanseri (NCI) cyangwa ishyirahamwe ry'abanyamerika (Ala).]