Kuvura imiti mishya kuri kanseri y'ibihaha 4

Icyiciro cya 4 Ibihaha, bizwi kandi nka kanseri y'ibihaha bya metastatike, bivuze ko kanseri yakwirakwiriye mu tundi turere two mu mubiri. Mugihe usuzumye Stanse 4 Ibihaha birashobora kuba bitoroshye, ni ngombwa kumenya ko gutera imbere mubushakashatsi bwubuvuzi byateje ibintu bitandukanye Kuvura imiti mishya kuri kanseri y'ibihaha 4 Amahitamo ashobora gufasha gucunga indwara, kuzamura imibereho, kandi ushobora kubazwa kubaho. Ibi Kuvura imiti mishya kuri kanseri y'ibihaha 4 Shyiramo imiti igamije, Imbura, Imyumiro, uburyo bwo kuvura imirasire, no kwitabwaho. Ibyiza Kuvura imiti mishya kuri kanseri y'ibihaha 4 Kwegera biterwa n'ubwoko bwihariye bwa kanseri y'ibihaha, ihinduka rya genetike, ubuzima rusange, hamwe no kumenya icyiciro cya 4 Ibihaha byangizaga ko indwara ikwirakwira mu bindi bihato. Imbuga zisanzwe za Metastasisi zirimo ubwonko, amagufwa, umwijima, na glande ya adrenal. Ni ngombwa kumenya neza ubwoko bwa kanseri y'ibihaha (kanseri ntoya y'ibihaha cyangwa kanseri ntoya y'ibihaha) ndetse no mu kanseri y'ikirudoro, nk'uko aya makuru ari ingaruka cyane Kuvura imiti mishya kuri kanseri y'ibihaha 4 Ibyemezo.types yo guhagarika ibihaha kanseri Ubwoko bubiri bwingenzi bwa kanseri y'ibihaha ni: Kanseri idafite kanseri nto (NSCLC): Ubwoko bukunze kugaragara, ibaruramari hafi 80-85% bya kanseri y'ibihaha. Subtypes harimo adencarcinoma, karcinoma yaka, hamwe na karcinoma nini. Kanseri ntoya ya selile (SCLC): Ubwoko bwa kanseri y'ibihaha bikunda gukwirakwira vuba. Bikunze guhuzwa no kunywa itabi .Ibizamini bya genetike Irerekana ihinduka ry'ingirabuzimafatizo za kanseri zishobora kwibasirwa nihariye Kuvura imiti mishya kuri kanseri y'ibihaha 4. Ihinduka risanzwe ririmo EGFR, ALK, ROS1, Craf, na PD-L1. Kumenya ihinduka ryugurura umuryango wubuvuzi bwihariye.Kuvura imiti mishya kuri kanseri y'ibihaha 4 Amahitamo Kuvura imiti mishya kuri kanseri y'ibihaha 4 zirahari kuri stanse 4 yibihaha, akenshi ikoreshwa mu guhuza ibiyobyabwenge byihariye byihariye kanseri ya kanseri hamwe na kanseri ya genetike, kugabanya ibyangiritse kuri selile. Izi mvugo zikunze gutanga umusaruro. Ububiko bwa EGFR: Ikoreshwa kubarwayi ba NSCLC hamwe na EGFR. Ingero zirimo erlotinib, gefitinib, Aftinib, na osimerigib. Osimertib akunze gukoreshwa nkumurongo wambere Kuvura imiti mishya kuri kanseri y'ibihaha 4. ALK Abagizi ba nabi: Ikoreshwa kubarwayi ba NSCLC hamwe na ALK Rearngenoments. Ingero zirimo cizatinib, volestibu, ceritinib, Brigatinib, na lorlatinib. ROS1 Abagizi ba nabi: Ikoreshwa kubarwayi ba NSCLC hamwe na ROS1 itunganya. Ingero zirimo cnzitinib na entretinib. Imbunda ya Braf: Ikoreshwa kubarwayi ba NSCLC hamwe na Braf V600e ihinduka. Ingero zirimo DABRAFENIB na Trametinib (bakunze gukoreshwa mu guhuza) .Nibasiye umuganga wawe kugirango ushakishe ibi Kuvura imiti mishya kuri kanseri y'ibihaha 4 guhuza umwirondoro wawe wihariye. Urashobora kandi kubona amakuru yingirakamaro kubikoresho nka Urubuga rwa kanseri y'Abanyamerika.ImMunotherapimMunotheray ibiyobyabwenge bifasha sisitemu yumubiri wumubiri kumenya no gutera kanseri ya kanseri. Bakora bahagarika poroteyine zibuza sisitemu yubudahangarwa kubatera kanseri. Pd-1 / pd-l1 abarashi: Iyi miti ihagarika inzira ya PD-1 / LD-L1 ifasha kanseri ya kanseri itera umubiri. Ingero zirimo pembrolzimab, NIVOLUMAB, Atezolizumab, na Durvalumab. Pembezimab rimwe na rimwe ikoreshwa nkumurongo wambere Kuvura imiti mishya kuri kanseri y'ibihaha 4 kubarwayi bafite imvugo ndende ya PD-L1. CTLA-4 Abagizi ba nabi: Iyi miti ihagarika poroteyine ya ctla-4, nayo ifasha kugenzura sisitemu. Ipilimumab ni urugero. Impimupfumu yerekanye isezerano rikomeye mugutezimbere ibizavamo abarwayi bamwe bafite kanseri 4 y'ibihaha. Nyamuneka wibuke ko Shandong Banka Institul Institute Institute yiyemeje guteza imbere ubushakashatsi bwa kanseri. Kubiti byakabiti Bikunze gukoreshwa hamwe nibindi Kuvura imiti mishya kuri kanseri y'ibihaha 4. Chimiotherapi ya platinum: Mubisanzwe byakoreshejwe ubutegetsi bwa chimiotherapy harimo cisplatin cyangwa karboplatin hamwe nibindi biyobyabwenge nka pomecitabine, cyangwa tagialeraprapraprapre ya tagisizi. Irashobora gukoreshwa mugupfumu, kugabanya ibimenyetso, no kuzamura imibereho. Kuvura imivugo yo hanze ya BEAm: Shiraho imirasire iva muri mashini hanze yumubiri. Umuyoboro wa Stereotactic Kuvura imivugo (SBRT): Ubwoko busobanutse bwubwiza bwimirasire itanga imirasire hejuru yimirasire ahantu hato.surgessurgey mubisanzwe ntabwo aribyingenzi Kuvura imiti mishya kuri kanseri y'ibihaha 4 Ihitamo, ariko birashobora gutekerezwa mubihe byihariye kugirango ukureho metastasis imwe cyangwa kugabanya ibimenyetso. Kwihangana kubitekerezo byibanda kumafaranga yo gucunga hamwe ningaruka za kanseri kandi Kuvura imiti mishya kuri kanseri y'ibihaha 4. Harimo gucunga ububabare, gushyigikira imirire, hamwe no gushyigikira imitekerereze ya psychologiya.linical Kuvura imiti mishya kuri kanseri y'ibihaha 4. Batanga abarwayi kubona gukata-inkombe zishobora kuboneka ukundi. Tekereza kuganira ku mahitamo yubuvuzi na muganga wawe. Amakuru yerekeye ibigeragezo byubuvuzi arashobora kuboneka kuri Urubuga rwigihugu cya kanseri.Guri Kuvura imiti mishya kuri kanseri y'ibihaha 4. Ibiciro byo kurokoka byateje imbere cyane mumyaka yashize kubera gutera imbere muri Kuvura imiti mishya kuri kanseri y'ibihaha 4. Ni ngombwa kugira ibyifuzo bifatika no kwibanda ku mibereho myiza. Icyiciro cyimyaka 5 yo kubaho (NSCLC) Icyiciro cya 4 hafi 10% * isoko: Sosiyete ya kanseri y'Abanyamerika. Iyi mibare iragereranijwe kandi irashobora gutandukana - imibereho myiza yubuzima hamwe na kanseri 4 yibihaha irashobora kugorana, ariko haribintu byinshi bishobora gukorwa kugirango ubuzima bwiza: Gucunga Ibimenyetso: Korana nitsinda ryubuzima bwo kuyobora ububabare, umunaniro, kubura guhumeka, nibindi bimenyetso. Komeza ubuzima bwiza: Kurya indyo yuzuye, siporo buri gihe, kandi usinzire bihagije. Shakisha inkunga y'amarangamutima: Vugana numuvuzi, umujyanama, cyangwa itsinda ryunganira. Komeza guhuzwa: Fata umwanya hamwe nabakunzi no kwitabira ibikorwa wishimira. Uruhare rwa Shandong Baofa kanseri Institung Aofa Kamena Ikigo cyubushakashatsi Ikigo cyubushakashatsi Igenzura rya Kanseri Imbere Kuvura imiti mishya kuri kanseri y'ibihaha 4. Itsinda ryacu ryabatabilizi b'inararibonye n'abashakashatsi biyemeje gutanga abarwayi bafite ubwitonzi bushoboka. Dutabira cyane ibigeragezo byubuvuzi kandi duharanira gutanga udushya Kuvura imiti mishya kuri kanseri y'ibihaha 4 amahitamo. Gucoma kuri stade 4 Ibihaha bya kanseri y'ibihaha byerekana ibibazo, ariko byinshi Kuvura imiti mishya kuri kanseri y'ibihaha 4 n'ingamba zihari zo gucunga indwara, kuzamura imibereho, kandi ishobora kubaho. Mugukorana neza nitsinda ryanyu ryubuzima, gushakisha Kuvura imiti mishya kuri kanseri y'ibihaha 4 Amahitamo, kandi ushyire imbere ubuzima bwawe muri rusange, urashobora kuyobora uru rugendo ufite imbaraga nyinshi no kwihangana.