Malinga ndi International Agency for Research on Cancer of the World Health Organisation, mu 2020, China idakhala ndi khansa pafupifupi 4.57 miliyoni, ndipo khansa ya m'mapapo inali pafupifupi 820,000.Malinga ndi "Malangizo Owunika Khansa Yam'mapapo" ndi "Malangizo a Khansa Yam'mapapo" ya China National Cancer Center, kuchuluka ndi kufa kwa khansa ya m'mapapo ku China ndi 37% ndi 39.8% ya ziwerengero zapadziko lonse lapansi, motsatana.Ziwerengerozi zimaposa kwambiri kuchuluka kwa anthu aku China, omwe ndi pafupifupi 18% ya anthu padziko lonse lapansi.
Tanthauzo ndiMitundu yaing'onoa Lung Cancer
Tanthauzo:Khansara ya m'mapapo ya bronchogenic, yomwe imadziwika kuti khansa ya m'mapapo, ndiye chotupa choopsa kwambiri chochokera ku trachea, bronchial mucosa, bronchi yaying'ono, kapena tiziwalo ta m'mapapo.
Zotengera histopathological makhalidwe, khansa ya m'mapapo ingagawidwe kukhala khansa ya m'mapapo yosakhala yaying'ono (80% -85%) ndi khansa yaing'ono ya m'mapapo (15% -20%), yomwe ili ndi matenda ambiri.Khansara yosakhala yaying'ono ya m'mapapo imaphatikizapo adenocarcinoma, squamous cell carcinoma, ndi cell carcinoma yayikulu.
Kutengera komwe kudachitika, khansa ya m'mapapo ingathenso kugawidwa ngati khansa yapakati ya m'mapapo ndi khansa ya m'mapapo yotumphukira.
Kuzindikira kwa Pathological kwa Khansa Yam'mapapo
Central Lung Cancer:Amatanthauza khansa ya m'mapapo yochokera ku bronchi pamwamba pa gawo, makamakasquamous cell carcinoma ndi khansa yaing'ono ya m'mapapo. Matenda a pathological amatha kupezeka kudzera mu fiber bronchoscopy.Kupanga opaleshoni ya khansa ya m'mapapo yapakati ndizovuta, ndipo nthawi zambiri kumangokhala kuchotseratu mapapu onse omwe akhudzidwa.Odwala amatha kuvutika kulekerera ndondomekoyi, ndipo chifukwa cha siteji yapamwamba, kuukira kwa m'deralo, metastasis ya mediastinal lymph node, ndi zina, zotsatira za opaleshoni sizingakhale zabwino, ndi chiopsezo chachikulu cha mafupa a metastasis.
Khansa ya Peripheral Lung:Amatanthauza khansa ya m'mapapo yomwe imapezeka pansi pa segmental bronchi,makamaka kuphatikizapo adenocarcinoma. Matenda a pathological amapezeka kawirikawiri kudzera mu percutaneous transthoracic singano biopsy motsogozedwa ndi CT.M'machitidwe azachipatala, khansa ya m'mapapo yotumphukira nthawi zambiri imakhala yopanda zizindikiro koyambirira ndipo nthawi zambiri imapezeka mwangozi pakuwunika thupi.Ngati azindikirika msanga, opaleshoni ndiye njira yoyamba yothandizira, yotsatiridwa ndi adjuvant chemotherapy kapena chithandizo chamankhwala chomwe mukufuna.
Kwa odwala khansa ya m'mapapo omwe sakuyenera kuchitidwa opaleshoni, ali ndi matenda otsimikizika omwe amafunikira chithandizo chotsatira, kapena amafunikira kuwunika pafupipafupi kapena kulandira chithandizo pambuyo pa opaleshoni,Thandizo lokhazikika komanso loyenera ndilofunika kwambiri.Tikufuna kukudziwitsaniDr. An Tongtong, katswiri wodziwika bwino wa khansa ya m'mawere wazaka zopitilira 20 pazachipatala ku dipatimenti ya Thoracic Oncology, chipatala cha khansa ya Beijing University.
Katswiri Wodziwika: Dr. An Tongtong
Dokotala Wamkulu, Dokotala Wamankhwala.Ndili ndi kafukufuku ku MD Anderson Cancer Center ku United States, komanso membala wa komiti ya achinyamata ku Chinese Anti-Cancer Association Lung Cancer Professional Committee.
Madera Akatswiri:Chemotherapy ndi mamolekyulu omwe amayang'aniridwa ndi khansa ya m'mapapo, thymoma, mesothelioma, ndi njira zowunikira komanso zochizira monga bronchoscopy ndi opareshoni ya thoracic yothandizidwa ndi kanema muzamankhwala amkati.
Dr. An achita kafukufuku wozama pa kukhazikika ndi chithandizo chambiri cha khansa ya m'mapapo yapamwamba,makamaka pankhani ya chithandizo chamunthu payekhapayekha cha khansa ya m'mapapo yosakhala yaying'ono.Dr. An ndi wodziwa bwino ndondomeko zaposachedwa zapadziko lonse zowunikira komanso zochizira zotupa zam'mimba.Pokambirana, Dr. An amamvetsetsa bwino mbiri yachipatala ya wodwalayo ndipo amayang'anitsitsa kusintha kwa matendawa pakapita nthawi.Amafunsanso mosamala za njira zam'mbuyomu zowunikira komanso zamankhwala kuti atsimikizire kusintha kwanthawi yake kwa dongosolo lamankhwala lokhazikika la wodwalayo.Kwa odwala omwe angopezeka kumene, malipoti okhudzana ndi mayeso nthawi zambiri amakhala osakwanira.Pambuyo pomvetsetsa bwino mbiri yachipatala, Dr. An adzafotokozera momveka bwino njira ya chithandizo chamankhwala omwe alipo panopa kwa wodwalayo ndi achibale awo.Adzaperekanso chitsogozo pa zimene kuyezetsa kowonjezereka kumafunikira kutsimikizira kuti munthuyo ali ndi matenda, kutsimikizira kuti achibale amvetsetsa bwino lomwe asanalole iwo ndi wodwalayo kutuluka m’chipinda cholankhulirako ali ndi mtendere wamaganizo.
Milandu Yaposachedwa
Bambo Wang, wodwala mapapu adenocarcinoma wazaka 59 yemwe anali ndi metastases yambiri, adapita kuchipatala ku Beijing panthawi ya mliriwu kumapeto kwa 2022. chipatala pambuyo pathological matenda anatsimikizira.Komabe, Bambo Wang anakumana ndi poizoni woopsa wa mankhwala a chemotherapy komanso kusauka kwa thupi chifukwa cha concomitant hypoalbuminemia.
Akuyandikira gawo lake lachiwiri la mankhwala a chemotherapy, banja lake, lokhudzidwa ndi matenda ake, linafunsa za ukadaulo wa Dr.Pambuyo pofufuza mwatsatanetsatane mbiri yachipatala, Dr. An anapereka malangizo a chithandizo.Poganizira za kuchepa kwa albumin kwa Bambo Wang ndi machitidwe a chemotherapy, Dr. An adasintha ndondomeko ya mankhwala a chemotherapy posintha paclitaxel ndi pemetrexed pamene akuphatikiza ma bisphosphonates kuti aletse kuwonongeka kwa mafupa.
Atalandira zotsatira za mayeso a majini, Dr. An anagwirizananso ndi Bambo Wang ndi mankhwala oyenerera, Osimertinib.Patatha miyezi iwiri, paulendo wotsatira, banja la Bambo Wang linanena kuti matenda ake asintha, ali ndi zizindikiro zochepa komanso amatha kuchita zinthu monga kuyenda, kuthirira zomera, ndi kusesa pansi panyumba.Malingana ndi zotsatira za kafukufuku wotsatira, Dr. An adalangiza Bambo Wang kuti apitirize ndondomeko ya chithandizo chamakono ndikuwunika nthawi zonse.
Nthawi yotumiza: Aug-31-2023