Unyango lomhlaza we-Adenocarcar

I-Adenocarcinoma yeyona ndlela iqhelekileyo yomhlaza wemiphunga. Iindlela zonyango zixhomekeka kwizinto ezahlukeneyo, kubandakanya nenqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinto azithandayo. Esi sikhokelo sinika umbono ocacileyo wezinto ezahlukeneyo Unyango lomhlaza we-Adenocarcar Iinketho ezikhoyo, ezisebenzisa ukuqonda kwimpumelelo yabo kunye neziphumo ebezinokubangela icala elinokubakho.Adenocarcinoma Luhlobo lomhlaza ongenzi omncinci weseli (i-NSCLC) eqala kwi-mucus ivelisa iiseli ze-gland kwimiphunga. Ihlala yenzeka kwimimandla engaphandle yemiphunga. Uxilongo lwangasekuqaleni lubalulekile Unyango lomhlaza we-Adenocarcar. I IZiko loPhando lweShandong Baeo uzibophelele ekuqhubeni ukuqonda kunye nokuphathwa kwesi sifo.risk izinto ze-adenocarcinomawhin utshati yindlela enkulu yomhlaza wemiphunga, Adenocarcinoma idla ngokubonwa kubantu abangatshayiyo kunamanye iintlobo. Ezinye izinto ezinomngcipheko zibandakanya: Ukuvezwa kwegesi yegesi ye-raonstos imbali yosapho ye-Polutiondiagnouagnouglest kwaye isetyenziselwa ukufumanisa ukufumanisa Adenocarcinoma, kubandakanya: Isifuba x-ray: Inika umfanekiso wokuqala wemiphunga. I-CT Scan: Yenza imifanekiso eneenkcukacha zemiphunga kunye nezicubu ezijikelezileyo. Iskena sezilwanyana zasekhaya: Inceda ekuchongeni iindawo zokunyuka kwemetabolic, zibonisa umhlaza onokubakho. I-broncchoscopy: Ivumela oogqirha ukuba babone iindlela zomoya kwaye baqokelele iisampulu zezicubu. I-biopsy: Isampulu ye-tishu ihlolwa phantsi kwe-microscope yokuqinisekisa ukuxilongwa.Ukusebenza nge-AdenocarConament kuyanceda ekumiseleni ubungakanani bomhlaza kunye nesikhokelo Unyango lomhlaza we-Adenocarcar. Inqanaba lisekwe: T (tumar): Ubungakanani kunye nendawo ye-tumoor ephambili. N (node): Nokuba umhlaza uye wasasazeka kwiindawo ezikufutshane ze-lymph. M (i-metastasis): Ingaba umhlaza usasazekile kumalungu akwinqanaba le-0 Unyango lomhlaza we-Adenocarcar Isicwangciso sixhomekeke kwinqanaba, impilo yesigulana iyonke, kunye nezinto azithandayo. Izinketho zonyango eziqhelekileyo zibandakanya: Utyando lujolise ekususeni ithumba elinomhlaza kunye nezicubu ezijikelezileyo. Ukhetho loqhaqho lubandakanya: I-Wedge Rection: Ukususwa kwesiqwengana esincinci, sedge-sedge. Lobectomy: Ukususwa kwe-lobe yonke yemiphunga. I-Pneumonectomy: Ukususwa kwayo yonke imiphunga yonke ikhuthazwa inqanaba lokuqala Unyango lomhlaza we-Adenocarcar Xa i-tumar ifakwe ekhaya kwaye isigulana sisempilweni ngokwaneleyo ukuba siqhubeke nenkqubo. Ingasetyenziswa: Njengonyango oluphambili: Kwizigulana ezingakwaziyo ukwenza utyando. Emva kotyando: Ukubulala nayiphi na iiseli zomhlaza osele. Ukuphelisa iimpawu: Njengentlungu okanye ukuphefumla okufutshane.types zonyango lwe-radiation kubandakanya: I-radiation ye-radiation ye-Biam yangaphandle (i-EBRT): Imitha inikezelwa kumatshini ngaphandle komzimba. I-Sterereotactic yomzimba we-radiation radiation (SBRT): Ihambisa iidosi eziphezulu ze-radiation kwindawo encinci.ChemoPutepyChepyChecoPipy isebenzisa iziyobisi ukuba zibulale iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziswa: Phambi kotyando: Ukuncipha i-tumar (neoadjualjured chemotherapy). Emva kotyando: Ukubulala nayiphi na iiseli zomhlaza oshiyekileyo (i-madratherapy chemotherapy). Njengonyango oluphambili: Kwinqanaba eliphezulu Adenocarcinoma.Common chemotherapy ngamachiza asetyenziselwa ukunyanga Adenocarcinoma Faka i-cisplatin, i-carboplaplatin, i-pemetrexid, kunye ne-Docetaxles.targetar.targetargetsgesgesgesgesgesgesgesgestgesgesgestges ye-UNRAPYTARSETYENZISIWEYO IIMPAWU ZEEMPAHLA (E.G. Ezi ntlalo zihlala zisetyenziselwa Adenocarcinoma Ngotshintsho oluthile lwendalo.Kopremples lweendlela ekujoliswe kuzo zibandakanya: I-EGFR ethinter: I-ERTELOBIBIB, GEFitinib, AfAtinib, Osimerintob (kwi-IGFR yokuhlala iguquko) I-Alk tohitors: ICrizotinib, i-Activenib, iCerritinib, iBrigatinib, i-LORTATINB (yeAlk Rearranges) I-Ros1 infiotors: I-criizotinib, i-togrenib (ye-ros1 reseranges) I-BRAF ethintela: I-Dabrafenib, i-trametinib (yotshintsho lwe-BRAF) Uvavanyo lwemfuzo lubalulekile ekuqinisekiseni ukuba isigulana sifanelekile ukuba sikujoliswe kulo. I IZiko loPhando lweShandong Baeo igxininisa ukubaluleka kwamayeza awodwa Unyango lomhlaza we-Adenocarcar.Immunopypymmunourapy iziyobisi zinceda amajoni omzimba alwa nomhlaza. Basebenza ngokuthintela iiproteni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza ezihlaselayo. I-PD-1 inhibitors: I-Pembromizumab, iNivolomab I-PD-L1 inhibitors: I-Phitzzolimbizob, i-DurvalwaziMMMMMUPIPY ihlala isetyenziselwa inqanaba eliphezulu Adenocarcinoma, ngakumbi xa iiseli zomhlaza zibonisa i-PD-L1 Unyango lomhlaza we-Adenocarcar Izinketho zinokubangela iziphumo ebezingalindelekanga. Iziphumo ezicacileyo zecala zixhomekeke kuhlobo lonyango, idosi, kunye nempendulo yomntu ngamnye. Iziphumo ebezingalindelekanga eziqhelekileyo zibandakanya isicaphucaphu kwaye sihlambe ilahleko yelahleko yeenwele zokutya obenziwe ngamandla ukuze sixoxe ngeziphumo ezinokubakho kunye nokuphuhlisa isicwangciso sokulawula. I IZiko loPhando lweShandong Baena Unyango lujolise ekunciphiseni iziphumo ebezingalindelekanga ngelixa kwandiswa iimvavanyo zokuvavanywa kwemfundo Unyango lomhlaza we-Adenocarcar iindlela zokusondela. Izigulana zinokuthatha inxaxheba ekuthabatheni kulingo lweklinikhi ukufikelela kolawulo olungelulo olungekabikho ngokubanzi. FUNDA OKUNGAKUMBI NGOPHANDO OKANYE UKUSETYENZISWA KWEXESHA LOKUGQIBELA KWI-SHAFONOng BAOOOOOR Institute.I-Prognosis kunye neRundesiative Stricnosis Adenocarcinoma Kuxhomekeka kwizinto ezininzi, kubandakanya inqanaba lomhlaza, impilo yesigulana iyonke, kunye nempendulo kunyango. Ukufunyanwa kwangoko kunye nonyango kunokuphucula kakhulu ukusinda kweRhafu.Oillive ukusinda kwimiphunga yomhlaza wemiphunga, kuthetha ipesenti yabantu abasaphila iminyaka emihlanu emva kokuxilongwa. Ngokutsho koMbutho woMhlaza waseMelika, inqanaba leminyaka eli-5 yokuphila kuwo onke amanqanaba omhlaza wemiphunga malunga ne-25%. Nangona kunjalo, eli nani liyahluka ngokuxhomekeka kwinqanaba lokufumanisa isifo. Umzekelo, inqanaba leminyaka emi-5 yokusinda kwi-low yomhlaza wemiphunga yasekhaya (umhlaza ongasasazinga ngaphandle kwemiphunga) iphakame kakhulu kunomhlaza we-metastatitic (umhlaza osasazeke kumalungu akude). [Umthombo: Umhlaza waseMelika]Nantsi itafile elula ebonisa i-5iver Inqanaba leminyaka emi-5 eqingqiweyo: Inqanaba eliqikelelweyo leminyaka eli-5 ubudala (i-Deler ayisasazi ukuba i-Inforby ye-33% indala i-38% ye-intanethi (umhlaza indadlulela kuyo, kwaye iziphumo ezizeziyo ziyahluka kakhulu. I-adenocarcinoh Adenocarcinoma kunokuba ngumceli mngeni, kodwa kukho izibonelelo ezikhoyo zokunceda abaguli kunye neentsapho zabo iintsapho. Ezi zibonelelo zibandakanya: Amaqela enkxaso acebisa ngonyango oluhlanganisayo lokudibanisa indawo yokuphila esempilweni, kubandakanya nokutya okulinganayo kunye nokuzilolonga rhoqo, kunokuphucula ubomi.Unyango lomhlaza we-Adenocarcar Uqhubekile kakhulu kule minyaka idlulileyo, ehambisa abaguli esebenzayo kwaye enokukhetha ngokwakhe. Ukuqonda isifo, unyango olukhoyo, kwaye iziphumo ezinokubakho zibalulekile ukwenza izigqibo ezinolwazi. Soloko unxibelelana nengcali yonyango olufanelekileyo ukuze uphuhlise eyona ilungileyo Unyango lomhlaza we-Adenocarcar Cwangcisa imeko yakho. I IZiko loPhando lweShandong Baeo inikezelwe ekuboneleleni ngononophelo olubanzi kwaye lube nemfesane kwizigulana ezine Adenocarcinoma.