Inqanaba le-4

Inqanaba 4 Umhlaza wemiphunga, okwabizwa ngokuba ngumhlaza we-metastatic Wingler, kuthetha ukuba umhlaza uye wasasazeka kwamanye amalungu omzimba. Ngelixa isisifo esinzulu, ukuqhubela phambili kunyango sinika ithemba lokulawula esi sifo kunye nokuphucula umgangatho wobomi. Izinketho zonyango zihlala zibandakanya i-chemotherapy, unyango olujongiweyo, u-Immunotherapy, unyango lwe-radiation, kunye nokukhathalela. Inkqubo ethile ixhomekeke kwimiba eyahlukeneyo, kubandakanya nomhlaza wemiphunga, utshintsho lwawo lwendalo, kunye nempilo yomntu wonke. Ukuqonda ezi zikhetho kunye nokusebenza ngokusondeleyo neqela lezonyango kubalulekile ekwenzeni izigqibo ezinolwazi kunye nokuhamba-hamba nge-4 i-Ingledstage ye-4 i-Inglest I-4 i-Inglest i-4 i-Inglest i-4 i-LIGSTARTE, i-Lings, okanye amadlala amahle. Oku kwasasazeka kwenzeka xa iiseli zomhlaza zihlukane ne-tumoor ephambili kwaye zihamba ngenkqubo yegazi okanye i-lymphatic systems kwezinye iindawo zomzimba. Uhlaza-luhlaza olungenasithuba seselula (i-NSCLC): Olu lolona hlobo luqhelekileyo, i-accounting malunga ne-80-85% yamatyala ohlasele ephumla. I-NSCLCE ye-NSCLC ibandakanya i-Adenocarcinoma, i-squamous carcinoma, kunye ne-carkoma enkulu. Umhlaza omncinci omncinci (i-SCLC): Olu hlobo luyinto encinci kodwa idla ngokukhula kwaye isasazeke ngokukhawuleza kune-NSCLC.DIAGNUGNUGNUMOS YOKUGQIBELA Ibandakanya ukucinga (i-CT Scans, i-biopsies, kunye nezinye iinkqubo. Isitayile simisela ubungakanani bomhlaza osasazeke. Inqanaba 4 lelona nqanaba liphezulu Inqanaba le-4Ngelixa unyango alunakuba nakho Inqanaba le-4, unyango lujolise ekulawuleni umhlaza, lubeke iimpawu zobomi, kunye nokuphucula umgangatho wobomi. Isicwangciso sonyango esithile sixhomekeke kwizinto ezininzi, kubandakanya nomhlaza wemiphunga, utshintsho ovuthayo, apho umhlaza usasazeke khona, kwaye impilo yesigulana iyonke isebenzisa iziyobisi. Ihlala isetyenziswa njengonyango lomgca wokuqala Inqanaba le-4, ngakumbi i-SCLC kunye nezinye iintlobo ze-NSCLC. Ingalawulwa ngokulandelelana (ngokusebenzisa i-vein) okanye ngomlomo (njengeepilisi) iziyobisi ezinobulungisa ekujoliswe kuzo iimolekyuli ezithile (ezinjengeeproteni okanye iiprotein) ezincedayo kwaye zisasazeke. Ezi ntlalo zihlala zisetyenziselwa i-NSCLC ngotshintsho oluthile lwendalo. Iithagethi eziqhelekileyo zibandakanya i-EGR, ALK, ROS1, kunye neBraf. Ukuvavanywa kwezi zinguqu kubalulekile ngaphambi kokuqala unyango.immunopypokimmunonothermmupy kunceda amajoni omzimba alwa nomhlaza. I-Touregition yoKhekelo, enjengePembariyanumab (i-Indilolusa), i-Nivolomab (I-Opzoliz), i-Opbolizmab (i-tetivoq), i-teintvalob (i-Imfinzi), ihlala isetyenziswa ngaphakathi Inqanaba le-4. La machiza athintela iiproteni ezithintela iiseli zokuzikhusela ekuhlaseleni iiseli zomhlaza we-Dlopyradiation isebenzisa i-Pipyrapyraudition yomhlaza. Ingasetyenziselwa ukuncipha amathumba, anciphise iintlungu, okanye athabathe umhlaza osasazeke kwingqondo okanye amathambo. Ingabandakanya ulawulo lweentlungu, inkxaso yesondlo kunye nenkxaso yeemvakalelo. Inkathalo ephangiweyo inokubonelelwa kunye nolunye unyango. Iindlela eziqhelekileyo zibandakanya: I-Adenocarcinoma kunye nokuguqulwa kwe-ingerr: I-EGFR Ithintelo (E.G., OSEITRINBINB, GEFitinib, ERLOTININB) Adenocarcinoma nge-alk Rearrangetion: I-Alk I-Adenocarcinoma ene-ros1 I-Ros1 i-Inhibitors (E.G., i-cantinnin, crizotinib) I-NSCLC enentetho ye-PD-L1: I-Immunotherapy (E.G., Pembrolizumab, i-Detizolimbizob) I-chemotherapy: Ihlala idityaniswe nge-immunotherapy okanye unyango olujolise kwi-4 i-Sclictlesment ye-4 yeSigaba se-4 i-SCLCC ibandakanya i-chemotherapy kwaye, kwezinye iimeko, umongo-hle. I-chemotherapy: Iirejimeni eziqhelekileyo ezisetyenzisiweyo zibandakanya i-cisplatin okanye i-carboplatin idityaniswa ne-etposside. Immunoherapy: I-Phitezzamamab okanye iDurtamami inokutongezwa kwi-chemotherapy. Unyango lwe-radiation: Ingasetyenziselwa ukuphatha amathumba esifubeni okanye kwingqondo.Ning the Poly Uhambo lonyango kunye ne-Shandong Baego yoPhando loPhando kwiZiko loNyango olungenayo Inqanaba le-4 ibalulekile. IZiko loPhando lweShandong Baeo Inika ukhathalelo olubanzi, kubandakanya uxinzelelo oluphakathi, izicwangciso zonyango ezisebenza ngobuntu, kunye neenkonzo zenkxaso. Iqela lethu le-Oncologists, i-Pradiation Theraphists, kunye neengcali zokhathalelo lwenkonzo ezixhasayo zisebenza kunye ukubonelela ngeziphumo ezibalaseleyo. Siyayiqonda imiceli mngeni abaguli kwaye bazibophelele ekuboneleleni ngemfesane kunye novavanyo olululo.clical.clineines. Abaguli Inqanaba le-4 Ingathatha ukuthatha inxaxheba kwiimvavanyo zeklinikhi ukufikelela kulawulo lokucheba. Ugqirha wakho unokukunceda ukuba ubone ukuba uvavanyo lweklinikhi lulungile kuwe.prognosis kunye ne-ovelookhethe prognosis Inqanaba le-4 Ukuhluka ngokuxhomekeke kwizinto ezinje ngohlobo lomhlaza wemiphunga, ubungakanani bokusasazeka, utshintsho oluvuthiweyo, kunye nempilo yesigulana. Ngelixa iNqanaba le-4 LIng lingenakunyangeki izigulana ezininzi, unyango lunokunceda ukulawula esi sifo, ukuphucula ubunye ubomi, kunye nokusinda. Uphando oluqhubekayo lukhokelela kunyango olutsha kunye olusebenzayo ngakumbi. Ukusinda Kumanqanaba omhlaza we-4 le-LIngs (iminyaka emi-5) ye-5 ye-5 ye-NSCLC malunga ne-10% i-SCLC malunga ne-2% ye-2% * IRhafu yokusinda eyahluka ngokwahluka ngokusekwe kwizinto ezininzi.liveres kwi-4 i-Inglerling ye-4 leng kunye Inqanaba le-4 kunokuba ngumceli mngeni, kodwa kubalulekile ukugxila kumgangatho wobomi. Oku kubandakanya ukulawula iimpawu, ukugcina indlela yokuphila esempilweni, kunye nokufuna inkxaso ngokweemvakalelo. Qwalasela le miba: Impawu abaLawula uphawu lwempawu zibaluleke kakhulu ekuphuculeni umgangatho wobomi. Oku kunokubandakanya amayeza eentlungu, iziyobisi ezichasene nezisu, kunye nolunye unyango ukuze zilungiswe iimpawu zokutya kunye nokuziqhelanisa nokuzilolonga (njengoko kunesidima) kunokunceda ukuphucula amanqanaba amandla kunye nentlalontle iphela. Nxibelelana nesifo sokutya esibhalisiweyo okanye ugqirha obhalisiweyo kwizincomo zobuqu.emocial Inkxaso yenkxaso ibalulekile ekujonganeni nemiceli mngeni yomhlaza wemiphunga. Oku kunokubandakanya unyango, amaqela enkxaso, okanye ukunxibelelana nabanye abantu abanomhlaza wemiphunga. Inqanaba le-4 iyaqhubeka. Olu vuselelo lubonelela ngethemba lokwandisa ukusinda kunye nokuphucula umgangatho wobomi kubantu abaphila nesi sifo. Ukusebenza ngokusondeleyo neqela lakho lezonyango kunye nokuhlala unolwazi malunga neendlela zonyango zamva nje zinokukuxhobisa ukwenza izigqibo ezinolwazi malunga nononophelo lwakho.Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye alunangqondo. Soloko udibana nogqirha wakho okanye omnye umboneleli wezempilo ofanelekileyo ngayo nayiphi na imibuzo onokuba unayo malunga nemeko yonyango okanye unyango.