Nk’uko ikigo mpuzamahanga gishinzwe ubushakashatsi kuri kanseri y’umuryango w’ubuzima ku isi kibitangaza, mu 2020, Ubushinwa bwarwaye kanseri nshya miliyoni 4.57, kanseri y'ibihaha ikaba igera ku 820.000.Nk’uko ikigo cy’igihugu cy’Ubushinwa gishinzwe kanseri kivuga ngo “Amabwiriza yo gusuzuma kanseri y'ibihaha no gusuzuma no kuvura hakiri kare mu Bushinwa,” umubare w'abahitanwa n'impfu za kanseri y'ibihaha mu Bushinwa bangana na 37% na 39.8% by'imibare ku isi.Iyi mibare irenze kure umubare w'abatuye Ubushinwa, hafi 18% by'abatuye isi.
Ibisobanuro naUbwoko butandukanyeya Kanseri y'ibihaha
Igisobanuro:Kanseri y'ibihaha y'ibanze ya bronchogenic, ikunze kwitwa kanseri y'ibihaha, ni ikibyimba kibanza gikunze kwibasirwa na trachea, mucosa bronchial mucosa, bronchi nto, cyangwa glande mu bihaha.
Ukurikije ibiranga histopathologique, kanseri y'ibihaha irashobora gushyirwa muri kanseri y'ibihaha itari ntoya (80% -85%) na kanseri y'ibihaha ntoya (15% -20%), ifite ububi bukabije.Kanseri y'ibihaha itari ntoya irimo adenocarcinoma, kanseri y'udukoko twa kanseri, na kanseri nini ya selile.
Ukurikije aho byabereye, kanseri y'ibihaha irashobora gushyirwa mu byiciro nka kanseri y'ibihaha yo hagati na kanseri y'ibihaha ya peripheri.
Gusuzuma indwara ya Kanseri y'ibihaha
Kanseri y'ibihaha yo hagati:Yerekeza kuri kanseri y'ibihaha ikomoka kuri bronchi hejuru y'urwego, cyane cyane igizwe nakanseri y'udukoko kanseri na kanseri y'ibihaha nto. Kwipimisha indwara bishobora kuboneka binyuze muri fibre bronchoscopy.Kubaga kanseri y'ibihaha yo hagati biragoye, kandi akenshi bigarukira gusa ku guhaha burundu ibihaha byose byanduye.Abarwayi barashobora kugira ikibazo cyo kwihanganira uburyo, kandi kubera intambwe yateye imbere, gutera kwaho, lymph node metastasis mediastinal, nibindi bintu, ibisubizo byo kubaga ntibishobora kuba byiza, hamwe n’ibyago byinshi byo kwandura amagufwa.
Kanseri y'ibihaha ya Periferiya:Yerekeza kuri kanseri y'ibihaha iboneka munsi ya segmenti bronchi,cyane harimo na adenocarcinoma. Kwipimisha indwara mubisanzwe biboneka binyuze muri percutaneous transthoracic inshinge biopsy iyobowe na CT.Mubikorwa byubuvuzi, kanseri yibihaha ya periferique akenshi iba idafite ibimenyetso mugihe cyambere kandi ikunze kugaragara kubwimpanuka mugihe cyo kwisuzumisha.Niba byamenyekanye hakiri kare, kubagwa nuburyo bwibanze bwo kuvura, hagakurikiraho imiti ya chimiotherapie cyangwa imiti igamije.
Ku barwayi ba kanseri y'ibihaha batemerewe kubagwa, bafite isuzumabumenyi ryemewe risaba kuvurwa nyuma, cyangwa bisaba gukurikiranwa cyangwa kuvurwa buri gihe nyuma yo kubagwa,ubuvuzi busanzwe kandi bukwiye ni ngombwa cyane.Turashaka kubamenyeshaDr. An Tongtong, inzobere izwi cyane muri thoracic oncology ifite uburambe bwimyaka irenga 20 muri onkologiya yubuvuzi mu ishami rya Thoracic Oncology, ibitaro bya kanseri ya kaminuza ya Beijing.
Impuguke izwi: Dr. An Tongtong
Umuganga mukuru, Umuganga wubuvuzi.Hamwe n'uburambe mu bushakashatsi muri Centre ya Kanseri ya MD Anderson muri Amerika, hamwe na komite y'urubyiruko mu ishyirahamwe ry’abashinwa rishinzwe kurwanya kanseri y'ibihaha.
Ibice by'ubuhanga:Chimiotherapie hamwe na molekuline ivura kanseri yibihaha, thymoma, mesothelioma, hamwe nuburyo bwo gusuzuma no kuvura nka bronchoscopi hamwe na videwo ifashwa na thoracic kubaga imbere.
Dr. An yakoze ubushakashatsi bwimbitse ku bijyanye no kuvura no kuvura indwara zitandukanye za kanseri y'ibihaha,cyane murwego rwo kuvura kugiti cya kanseri y'ibihaha itari ntoya.Muganga An azi neza amabwiriza mpuzamahanga yo gusuzuma no kuvura ibibyimba bya thoracic.Mugihe cyo kugisha inama, Dr. An yumva neza amateka yubuvuzi bwumurwayi kandi akurikiranira hafi impinduka zindwara mugihe.Yabajije kandi yitonze ibijyanye na gahunda yo gusuzuma no kuvura mbere kugira ngo harebwe igihe gikwiye gahunda yo kuvura yihariye umurwayi.Ku barwayi baherutse gupimwa, raporo zijyanye n'ibizamini akenshi usanga bituzuye.Nyuma yo gusobanukirwa neza amateka yubuvuzi, Dr. An azasobanurira neza ingamba zo kuvura umurwayi hamwe nimiryango yabo.Azatanga kandi icyerekezo gikenewe ibindi bizamini kugira ngo bifashe kwemeza indwara, kugira ngo abagize umuryango bumve neza mbere yo kubemerera n'umurwayi kuva mu cyumba cy’ubujyanama bafite amahoro yo mu mutima.
Imanza ziherutse
Bwana Wang, umurwayi w’ibihaha adenocarcinoma w'imyaka 59 y'amavuko ufite metastase nyinshi, yagiye kwivuriza i Beijing mu gihe cy'icyorezo mu mpera z'umwaka wa 2022. Kubera icyo gihe, kubera ko ingendo zabujijwe ingendo, byabaye ngombwa ko ahabwa icyiciro cya mbere cya chimiotherapie hafi aho ibitaro nyuma yo gusuzuma indwara ya patologi byemejwe.Icyakora, Bwana Wang yagize ubumara bukomeye bwa chimiotherapie ndetse nubuzima bubi buterwa na hypoalbuminemia.
Ageze mu cyiciro cya kabiri cya chimiotherapie, umuryango we, uhangayikishijwe n’ubuzima bwe, babaza ubumenyi bwa Dr. An, amaherezo babasha kubonana na serivisi ya VIP Outpatient y'ibitaro byacu.Nyuma yo gusuzuma amateka arambuye yubuvuzi, Dr. An yatanze ibyifuzo byo kuvura.Ukurikije alubumu nkeya ya Bwana Wang hamwe na chimiotherapie reaction, Dr. An yahinduye uburyo bwa chimiotherapie asimbuza paclitaxel na pemetrexed mugihe yashizemo bisphosifone kugirango abuze kwangiza amagufwa.
Dr. An amaze kubona ibisubizo by'ibizamini bya geneti, Dr. An yongeye guhuza Bwana Wang n'ubuvuzi bukwiye, Osimertinib.Nyuma y'amezi abiri, mu ruzinduko rwakurikiranye, umuryango wa Bwana Wang wavuze ko ubuzima bwe bumeze neza, kubera ko ibimenyetso byagabanutse ndetse n'ubushobozi bwo kwishora mu bikorwa nko kugenda, kuvomera ibiti, no gukubura hasi mu rugo.Hashingiwe ku byavuye mu kizamini cyakurikiranwe, Dr. An yagiriye inama Bwana Wang gukomeza gahunda yo kuvura iriho no kwisuzumisha buri gihe.
Igihe cyo kohereza: Kanama-31-2023