Ngatidzidzei nezvekuongororwa kwegomarara remapapu!

Wakambozvibvunza here kana tingave nekenza mumiviri yedu tisina zviratidzo? Kutaura zvazviri, kenza yemapapu chirwere chisingaperi. Kazhinji, zvinogona kunonoka kana zviratidzo zvikaonekwa. Asi, musazvidya mwoyo! Pane mhinduro yakanaka kune izvi. Ndiyo kuongororwa kenza yemapapu.

Zvichitaurwa zviri nyore, Kuongororwa kweKenza yeMapapu iCT scan ine dose shoma (LDCT) inoitwa kamwe chete pagore. Inokwanisa kuona kunyange mapundu madiki ari mumapapu ako anogona kuita kenza, kunyangwe achiri madiki. Kuongororwa kweLDCT kunotora mifananidzo yakajeka yemukati memapapu ako. Kuongororwa ibvunzo yenguva dzose kana bvunzo yekufungidzira inoitirwa kuona kana uine chirwere usati wava nezviratidzo.

Ungave uchifunga kuti, "Sei ndichifanira kuongororwa kenza kana ndisina matambudziko?" Asi kenza yemapapu inowanzova nezviratidzo zvishoma pakutanga kwayo, apo inenge iri nyore kurapwa. Kenza yemapapu inowanzoonekwa kana chirwere chacho chakura. Panguva iyoyo, mikana yekupona inenge yakaderera.

Kana uri kusvuta fodya parizvino kana kuti wakarega mukati memakore gumi nemashanu, zvakanaka kutanga kuongororwa kana wava nemakore makumi mashanu. Kunyange zvazvo munhu wese achigona kubatwa nekenza yemapapu, vanosvuta fodya varipo uye vaimbosvuta fodya vari panjodzi huru.

Ndiani anofanira kufunga zvakanyanya nezvekuongororwa kenza yemapapu?

Vanachiremba vanokurudzira kuti uitwe CT scan ine dose shoma gore rega rega kana uchizadzisa zvese zvinotevera:

• Kana une makore ari pakati pe50 ne80.
• Kana uri kusvuta fodya pari zvino, kana kuti pava nemakore anopfuura 15 kubva pawakarega kusvuta.
• Kana uine nhoroondo yekusvuta inosvika makore makumi maviri zvichikwira.

Zvino ungave uchishamisika kuti, "Chii chinonzi `pack-year`?" Zvakanaka, regai nditsanangure zviri nyore. Zvinoverengerwa nekuwedzera huwandu hwemapaketi efodya aunosvuta pazuva (mupaketi mune fodya makumi maviri) nenhamba yemakore awakasvuta. Semuenzaniso, kana wakasvuta pakiti rimwe chete pazuva kwemakore makumi maviri, iyo inhoroondo ye`20-pack year`. Kana, kana wakasvuta mapaketi maviri pazuva kwemakore gumi, iyo inhoroondo ye`20-pack year`. Kana uchinetseka kuverenga izvi chaizvo, usazvidya moyo. Bvunza chiremba wako, anogona kukubatsira.

Mirayiridzo iyi yakagadzirwa neboka renyanzvi dzehutano dzinonzi United States Preventive Services Task Force (USPSTF) . Yakavakirwa paongororo dzechangobva kuitwa dzekuongororwa kwegomarara remapapu.

Kuongororwa kwegomarara remapapu uku kunoshanda sei?

Izvi zviri nyore kwazvo. Kuongororwa kenza yemapapu kunosanganisira kutora mifananidzo yemukati mechipfuva chako. Mifananidzo iyi yoga haigone kukuudza kuti "iyi ikenza." Zvisinei, mifananidzo iyi inogona kuratidza mapundu madiki ('masses'). Zvadaro vanozoongororwa zvakare kuti vaone kana vaine kenza kana kuti kwete.

Unofanira kugadzirira sei bvunzo isati yaitwa?

Kazhinji hapana gadziriro yakakosha inodiwa pakuita izvi (Lung Cancer Screening CT scan). Zvisinei, zvakanaka kubvunza chiremba wako kana aine chero mirairo yakakosha kwauri. Zvakanaka kupfeka mbatya dzisina kusimba uye zvishongo zvishoma. Kana uine chero matambudziko ehutano, kunyanya matambudziko ekufema, taurira vashandi panzvimbo yekuongororwa kana chiremba wako pachine nguva. Vangakwanisa kurongazve rimwe zuva rekuongorora kuti vaone kuti mhinduro dzacho dzakarurama sezvinobvira.

Chii chinoitika panguva yebvunzo?

Hezvino zvinoitika panguva yekuongororwa kwekenza yemapapu:

• Nyanzvi inoita scan ichakukumbira kuti ubvise zvishongo, mawachi, kana zvimwe zvinhu zvesimbi. Unogonawo kukumbirwa kupfeka gown rinotangira muchiuno zvichikwira.
• Uchaitwa kuti urare pamubhedha uchaiswa mu scanner.
• Zvadaro mubhedha unopinda zvishoma nezvishoma mumuchina wekuskena, unoita sechubhu kana donati.
• Sezvo scanner ichitenderera yakakupoteredza, mubhedha unogona kufamba-famba uchidzokera shure uku muchina uchitora mifananidzo.
• Panguva yekuongororwa, nyanzvi yezvemagetsi dzimwe nguva inokuudza kuti ufemere mukati, kana kuti ufemere kunze, wobva wabata mweya wako kwechinguva. Unofanira kuedza kuita zvinhu izvozvo nepaunogona napo.
• Nyanzvi haizove newe muimba yekuskena. Asi, achagara panze otaura newe achishandisa maikorofoni. Saka hapana chekutya.
• Kana chiremba atora mifananidzo yese yaanoda, mubhedha uchabuda mu scanner. Wobva wamuka.

Chii chinoitika mushure mekuyedzwa?

Hapana mirairo yakakosha yaunofanira kutevedzera mushure mekuongororwa uku (LDCT). Unogona kuita mabasa ako ezuva nezuva semazuva ese.

Pane njodzi here nebvunzo iyi?

Ehe, sezvimwe zvinhu zvese, kune dzimwe njodzi diki diki dzinobatanidzwa. Ngationei kuti ndedzipi:

• Zviratidzo zvenhema. Izvi zvinoreva kuti scan inogona kuwana chimwe chinhu mumapapu ako chinoita sekenza, asi haisi kenza chaiyo. Semuenzaniso, mapundu madiki akawanda mumapapu ako (pulmonary nodules) haakuvadzi. Asi kufanira kuita bvunzo dzakawanda, pamwe kuvhiyiwa, usati waziva zvechokwadi kana chimwe chinhu chiri kenza kana kwete, kunogona kukunetsa zvishoma, handiti?
• Zvinogoneka kuti bundu rinowanikwa kuburikidza nekuongororwa harizombokukonzera zviratidzo uye harizombopararire. Asi ringangodaro richiri kuda kurapwa.
• Kuratidzwa nemwaranzi. Huwandu hwemwaranzi hwaunowana kubva kuongororo ye low-dose computed tomography (LDCT) idiki kwazvo. Asi haisi zero. Kuramba uchiratidzwa nemwaranzi kunogona kuwedzera njodzi yako yekenza. Asi zvakakosha kuyeuka kuti mwero wemwaranzi wakapihwa wakaderera zvikuru.

Dzimwe nguva, vanachiremba pavanoongorora kenza yemapapu, vanowana mamwe mamiriro (zviwanikwa zvisingatarisirwi) zvavakanga vasingatarisiri. Semuenzaniso , chirwere chakadai seCOPD (Chronic Obstructive Pulmonary Disease) kana chimwe chinhu chakaita sebundu repazamu. Zvimwe zvezviwanikwa izvi zvinogona kuda kurapwa. Asi hazvisi zvese zvinoda kurapwa. Zvinogonawo kutungamira mukuongororwa kusingakoshi uye kushushikana.

Saka ndezvipi zvakanakira kuita bvunzo iyi?

Kune zvakanakira zvakawanda zvekuongororwa kwegomarara remapapu uchishandisa CT scan ine dose shoma, kana kuti LDCT:

• Vanachiremba vanogona kuona kunyange bundu diki kwazvo neCT scan, zvichienzaniswa neX-ray yenguva dzose yechipfuva. Zvidzidzo zvinoshandisa X-rays yenguva dzose kutsvaga kenza yemapapu zvinoratidza kuti hazvishande zvakanyanya pakuona kenza nekukurumidza kana kuwedzera kupona seLDCT.
• Chiyero chemwaranzi chinoshandiswa mukuongorora kwe computed tomography (LDCT) kwakaderera zvakanyanya pane kuongorora kwe standard computed tomography (CT).

Tingawana sei mhedzisiro yemushumo webvunzo?

Chiremba weX-ray nachiremba wako vachaongorora scan yako vozokupa mushumo une zvabuda. Mushumo wako wekuongororwa kwegomarara remapapu unogona kusanganisira zvinhu zvakaita seizvi:

• Hazvina kunaka. Izvi zvinoreva kuti havana kuona chero chinhu paskeni yako chairatidzika sekunge ingave kenza.
• Hazvina kuipa. Izvi zvinoreva mapundu asingaratidzike sekenza. Izvi zvinoreva kuti hapana chekunetseka nazvo.
• "Zvichida isina njodzi" zvinoreva bundu risingaratidzike serine kenza, asi mifananidzo yekutevera inokurudzirwa kusimbisa.
• Zvinofungirwa. Aya mapundu anoita seanogona kunge aine kenza. Uchafanirwa kutorwa mifananidzo yakawanda uye pamwe kuongororwa ne biopsy.
• Zvinofungirwa zvakanyanya. Aya mapundu anotaridzika sekenza. Zvechokwadi uchafanirwa kutorwa mifananidzo yakawanda uye kuongororwa ne biopsy. Chiremba wako achakutumira kuna chiremba wekenza yemapapu (nyanzvi yekenza).
• ``Zvinokosha kana kuti zvinogona kuva nemusoro``. Chiremba weX-ray anogona kutaura kuti ``zvinokosha`` kana `zvinogona kuva nemusoro`` nezvechimwe chinhu chaanoona chisiri kenza asi chingada kuongororwa kana kuongororwa kwakawedzerwa.
• Hazvina kukwana.Izvi zvinoreva kuti havakwanise kududzira scan yako nemazvo. Izvi zvinogona kunge zvichikonzerwa nekuti une hutachiona hwemapapu, kana kuti vanoda kuhuenzanisa nescan yawakamboona kare. Uchafanirwa kuskena zvakare mumwedzi mishoma kuti uwane chirwere chakarurama.

Zvinotora nguva yakareba sei kuti uwane mhedzisiro?

Nguva inotora kuti uwane mhinduro dzegomarara remapapu inogona kusiyana kubva pamunhu nemunhu. Kana uchida kuteverwa, chiremba wako anowanzo kufonera munguva pfupi. Kana zvisina kudaro, zvinogona kutora chero zuva kusvika mazuva mashoma. Zvakanaka kubvunza chiremba wako kuti ungatarisira riini mhinduro.

Kana mhedzisiro yacho isina kujairika, chii chaunotevera kuita?

Chiremba wako achakurukura newe zvabuda mukuongororwa kwegomarara remapapu. Kana zvichidikanwa, matanho anotevera aunogona kutora anogona kusanganisira:

• Imwe scan (LDCT) mumwedzi mitatu kusvika mitanhatu.
• Kuongorora chirwere cheCT kunoitirwa kuti munhu awane chirwere ichi atevere.
• Kuita PET/CT scan.
• Kusangana nachiremba wegomarara (`oncologist`).
• Ona chiremba wemapapu (kana uine chirwere chekufema chisiri chegomarara) kana mumwe nyanzvi.

Ndinofanira kuona chiremba wangu nguvai?

Kana uchifunga kuti uri panjodzi huru yekubatwa nekenza yemapapu uye ungangokwanisa kuongororwa uku, iva nechokwadi chekutaura nachiremba wako. Kana uine mibvunzo nezve CT scan ine dose shoma kana zvabuda muongororo yako, usazeza kubvunza.

Ndingarega rini kutora bvunzo iyi?

Kana chimwe chezvizvi chichishanda kwauri, unogona kusaita bvunzo dzegore negore dzekenza yemapapu:

• Kana une makore makumi masere nerimwe zvichikwira.
• Kana wave nemakore gumi nemashanu kana kupfuura uchisvuta fodya, mukana wako wekubatwa nekenza yemapapu unoderera nekufamba kwenguva kubva pawakapedzisira kusvuta fodya.
• Kana usingakwanise kuvhiyiwa kenza yemapapu iri padanho rekutanga nekuda kwedambudziko rehutano, kana kana usingade kuita izvozvo.

Zvakakosha here kuongororwa kenza yemapapu?

Ehe, zvechokwadi! Nekuongororwa kenza yemapapu, unogona kuwana mukana mukuru wekuiwana nekukurumidza, panguva iyo inogona kurapwa zvakanyanya. Zvidzidzo zvinoratidza kuti vanhu vanopfuura 50% vanoongororwa gore rega rega (kureva kuti munhu mumwe chete pavanhu vaviri) vanoonekwa kenza yavo yemapapu vachiri padanho rekutanga. Zvisinei, vanhu vanosvika 28% chete vane kenza yemapapu ndivo vanoonekwa vachiri padanho rekutanga.

Izvi zvinoreva kuti unogona kufungidzira mukana wekuponesa hupenyu nekuongorora uku!

Pane here bvunzo dzinogona kuona kenza yemapapu kubva muropa?

Kwete, pari zvino hapana kuongororwa kweropa kunogona kuona kana kuongorora kenza yemapapu.

Chekupedzisira, zvimwe zvinhu zvakakosha zvaunofanira kurangarira

Gomarara remapapu chirwere chakakomba. Zvisinei, kuongororwa kenza yemapapu gore rega rega chishandiso chine simba chekuona nekukurumidza uye nzira dzekurapa dzinoshanda zvakanyanya. Taura nachiremba wako nezvekuti uri panjodzi huru yekubatwa nekenza yemapapu here uye kana uchifanira kuongororwa uku. Izvi zvinogona kukubatsira kuponesa hupenyu hwako.

Yeuka kuti kana uchisvuta, hazvisati zvanyanya kunonoka kurega. Kurega kusvuta ndiyo nzira yakanakisisa yekuderedza njodzi yako yekenza yemapapu. Zvakakosha kuedza kurega kusvuta nekukurumidza paunongoziva nezvebvunzo iyi.

` Kenza yemapapu, kuongororwa kwekenza, CT scan, kusvuta, hutano, kudzivirira, LDCT, kuongororwa, kenza, mapapu