"Kukhala ndi chibwenzi, kukayikira" pali kulumikizana pakati pa kusuta fodya ndi khansa yam'mapapo "kalekale," atero mutu. Dipatimenti ya chemotherapy ya ku Moscow chipatala cha Oncology Chipatala. 62 Daniel Stroyksky. - Kusuta ndi khansa ndi zinthu ziwiri zachipongwe. Zokambirana zimangomalizidwa. Kulankhulana ndi kokoma komanso kolondola kwathunthu.
Monga chotupa cha khansa chimakhala, sichinadziwike konse. Koma zotsimikiziridwa ndendende - momwe munthuyo amasuta komanso motalikirapo, chiopsezo chodwala.
A Daniel Speng khansa yam'mapapo, "akutero a Daniel Strokyky. - Chidwi cha 60-70 cha matendawa chidalandira chifukwa chakuti adasuta. Kuphatikiza apo, kulumikizidwa kwambiri ndi khansa yosuta ya ziwalo ndi khosi - chilankhulo, mucosa pakamwa - ndi khansa ya chikhodzodzo. Zikuwoneka kuti, zimawonekera ndi matalala a mkodzo omwe amagwera m'thupi la munthu akamasuta.
Pali ziwerengero zowoneka kwambiri. Pa nkhondo yachiwiri yapadziko lonse, asirikali achingerezi, anyamata ang'onoang'ono, adapereka fodya - utsi, anyamata. Ndipo mmalo, nkhondo itatha, inunso mudzitengere kunja, iwo amasuta ndi osokoneza bongo. Chifukwa chake: Chiwerengero cha anyamatawa omwe adamwalira kunkhondo, ochepera omwe adamwalira nkhondo yam'mapapo! Asirikali anamwalira chifukwa amaphunzitsidwa fodya. Ndiye chifukwa chake mayiko onse akumadzulo amatsogolera nkhondo yankhanza yolimbana ndi ndudu.
- Ndani amapambana? Ndudu?
- Mayiko akupambana. Woyamba mwa izi anali pachibwenzi ku America. Kumayambiriro kwa 90s, kusuta m'malo osiyanasiyana pagulu kunayamba kuletsa ku California. Ndipo kumayambiriro kwa 2000, panali kuchepa kwa khansa yam'mapapo pafupifupi 10-15%. Kupatula apo, khansa yam'mapapo ndi imodzi mwankhandwe kwambiri! Ngati titenga anthu 100 odwala, 84-85 anthu adamwalira chaka chatha. Imfa ndi yayikulu! Choyipa cha khansa ya pancreactic.
- Sanalandiridwe kapena anthu kutembenukira pambuyo pake?
- Choyamba, chifukwa cha kuti khansa yam'mapapo imayenda mobisa, anthu amayamba mochedwa. Kachiwiri, ndizovuta kwambiri kuthandizidwa. Mwambiri, zotsatira zake ndizonyansa. Ngati wodwalayo adavumbulutsa gawo la 3-4, ndizosatheka kuchira. Ndi 2nd - peresenti ya 35-40, pa 1st - 70-80. Koma kuti mudziwe gawo loyamba la 1 pafupifupi. Kwenikweni, 3-4th ikuwululidwa.
- Nthawi yamasiku ingaponi pakati pa 1th ndi 4th?
- Palibe amene akudziwa.
- bwanji sitingathe kuwazindikira?
- Chifukwa cha izi zifunikira kuti anthu onse apange mawonekedwe, ophatikizidwa tomography. Ndipo ngati asankha kuchita izi, ndiye kuti zaka 10 zoyambirira zikhala zopanda phindu. Koma patatha zaka 5 mpaka 10, chifukwa cha kupezeka kwakukulu kwa gawo limodzi ndi kuthekera koikika ndikuchiritsa anthu awa, ndalama zamankhwala zingakhale zochepa. Sindikulankhula za mtengo wa moyo - ndiye wofunika kwambiri.
"Ndikuwona tsiku lililonse ... zisanachitike ..."
- Ngati timalankhula za khansa yam'mapapo, ndiye kuti iyi si bomba pamphumi. Izi ndizosachedwa pang'ono. Chipolopolo pamphumi pamutu pa 4th Gawo la 4th, pomwe palibe chomwe chingachitike, mwina ngakhale sichingachitike, mwina ngakhale chimangokhalira kugona ndi kumwalira ndi mwezi, ndi ziwiri.
- Ndipo inu mu ofesi yanu mumawona tsiku lililonse ...
- kwathunthu tsiku lililonse. Ziphuphu. M'badwo ndi wosiyana. Kuyambira 25-30 mpaka 70-80. M'badwo wamba wa wodwalayo ndi 50-60, anthu ambiri. Kwenikweni - osuta.
Mu dipatimenti yanga ya chemotherapy ndi gawo lachitatu - 80 limanama. Ndipo apa pali nthawi yayitali ya odwala omwe ali ndi khansa yam'mapapo mu 3-4thyo, ngakhale mankhwala a chertherapy - pafupifupi chaka chimodzi. Popanda kuchiritso - pafupifupi, miyezi 4 ... Panali matenda, munthu amakhala kwa miyezi inayi - ndipo kumwamba.
Chaka chilichonse 60-65 khansa yam'mapapo chikwi. Izi zikutanthauza - kuchokera pa × 51,000 akumwalira ...
- Kodi mumawadziwa odwala anu? ..
- Ambiri amadziwa. Winawake kulibe. Achibale a munthu wina amadziwa, wina sayenera kuyankhula. Wina amafunsa zowonazo.
- Kodi mukudziwa kuti mungalankhule naye?
- Ndiyenera kunena tsiku lililonse komanso nthawi zambiri. Ndi kufotokozera zomwe tichite. Sitilengeza za munthu pamphumi pamphumi: "Ndiwe wodzipha, udzafa." Ndikofunikira kuuza munthu kuti anene chowonadi, koma osamuwopseza nthawi yomweyo. Kulongosola kuti pali mwayi wina kuti ukhale ndi moyo. Ndiye kuti, ngodya ndi mawu ngati "khansa", "metatale", "metatale", "izi ziyenera kupewedwa. Zofananazo kunena mawu ovomerezeka - ndipo motero munthuyo azikonza ndewu, kuti akhale ndi chiyembekezo.
Ndipo pali zochitika ngati odwala kuthokoza, kuphatikizapo mwayi ndi zovuta zimatha kukhala ndi moyo wautali. Tili ndi munthu woseketsa kwathunthu: akhala akukhala ndi gawo la 4 la 4 kwa zaka 5. Kuchokera kuchipatala ku chipatala - koma amakhala ndi moyo. Ndipo imakhala yosangalatsa - pa kanyumba, akukweza adzukulu, samadziona kuti ndi nkhawa. Kusuta. Kodi ichi ndi chozizwitsa? Mwinanso. Koma chifukwa aliyense adagwira - madokotala onse a madokotala onse, ndi amotani.
Wopepuka wathanzi ndi osuta.
"Ndula ziyenera kuletsedwa monga mankhwala!"
- Kodi anthu amazindikira bwanji kuti akudwala?
- Masts amawoneka, kupuma pang'ono, zimakhala zovuta kuyankhula, zimakhala zovuta kuyenda, kungosintha. Anthu amayamba kuchepa thupi, hemochkali akuwonekera. Nthawi zina amaganiza kuti ndi chifuwa chachikulu kapena chibayo. Ikani kuchipatala chanthawi zonse, kutentha kumadzuka. ... Ndipo kenako amapanga tomography - ndipo ikupezeka kuti ali ndi chotupa. Ndipo izi zisanachitike chilichonse. Khansa yam'mapapo nthawi zambiri imavuta kudziwa. Mwachitsanzo, accist, sadzawona chilichonse. Komanso, ma fluolography wamba amasowa kwambiri. Pali mitundu yolemera yokhayo, yokhazikitsidwa ndi khansa. Ngakhale radiyography siziwona chotupa mu bronch, chomwe sichikukuta lumen mu bronchus.
- Kodi ndiyenera kuchita chiyani popewa?
- Chifukwa chopewa - osasuta. Zambiri popewa sizingachitike. 70% ya khansa ya m'mapapo imagwirizanitsidwa ndi kusuta, chifukwa bronzes imakutidwa ndi Epithelium, ndipo munthu amamuzunza ndi kugwedeza fodya. Zikuwoneka kuti pali ma carcinogens omwe adavulaza bronchi, kutupa kwambiri kumachitika, malowa amayamba kusintha maselo a khansa amayamba. Ili ndi zovuta, zodziwika bwino, osati kumapeto kwa njira zomveka masiku ano.
- Odwala anu amaponyedwa kusuta?
- Wina inde, wina ayi. Nthawi zina funsoli ndi lotere: pamene khansa yam'mapapo mu gawo la 3-4, ndikutaya pa mkuyu? Ngati ndi chisangalalo chachikulu ... ndipo ngati mukukhala chilichonse chotsalira ...
Kwa ine, kotero kusuta kuyenera kuletsedwa monga mankhwala osokoneza bongo. Nthawi yomweyo, ndikumvetsetsa kuti chipatso choletsedwa ndi chokoma, koma iyi ndi funso loti:
- Chiwerengero chathu chimadziwitsidwa za cholumikizira cha khansa ndi kusuta?
- Dziko lathu ndi lachilendo kwambiri. Matenda owopsa kwambiri ndi mtima ndi ontology. Onsewa amalumikizidwa ndi kusuta. Ndipo pafupifupi salankhula za iwo. Nkhani zaumoyo zili ndi nkhawa za aku America ndi azungu. Manyuzipepala athu ali ndi nkhawa kuti Schin adati ndi omwe adagula nickel. Akazi aku America amaganiza momwe angagwire khansa ya m'mawere kumayambiriro. Ndipo osachepera 95% ya azimayi akugwa amakhala, ndiye zaka 10. Ndipo m'chaka chathu choyamba, 15% kufa. Komanso, khansa ya m'mawere ndi m'modzi mwa matenda "othokoza" ndipo pali mwayi waukulu wowachiritsidwa. Ndipo palibe amene akudziwa za izi. Akazi amabwera omwe akana ziwalo, ndipo awa ndi mphunzitsi, asayansi! Chifukwa anthu sadziwa chilichonse. Ndipo m'manyuzipepala okhudzana ndi zinthu zofunika kwambiri osalemba ...
- Ntchito yanu imalumikizidwa ndi kupsinjika koteroko ... Kodi mumachita naye bwanji?
- Kupsinjika kwakukulu komwe kumachitika pamene malonda amachedwa ndipo sitingagule mankhwala, zosemphana. Ndipo odwala alibe nkhawa. Timakonda ntchito yathu kwambiri, ndipo zimathandiza kwambiri. Anthu akuchira kenako ana amabala. Ndipo zimabweretsa zabwino kwambiri mukakuthandizani.