Ukuqonda iindleko ze-fiepy yoxinzelelo lwendalo

Eli nqaku libonelela ngamagqabantshintshi ngokubanzi ngeendleko ezinxulumene nokunyanga umhlaza wemiphunga ohambelana notshintsho lwendalo, ukuphonononga iindlela zonyango ezahlukeneyo kunye nezinto ezibangela iindleko zonke zonyango. Siza kuhlolisisa iindlela ezifumanekayo, cinga ngeendlela ezinokubakho, kwaye zigxininise ukubaluleka kwezicwangciso zonyango lwezopolitiko zokulawula esi sifo sinzima.

Ukuqonda utshintsho lwendalo kumhlaza wemiphunga

Iindidi zophawu lwendalo

Utshintsho oluninzi lwendalo lunokuba negalelo kuphuhliso lomhlaza wemiphunga. Olu luhlu luchaphazela iintlobo ezibandakanyekayo ekukhuleni kweseli nokwalungisa, kukhokelela kwi-Longs yeSolls engalawulekiyo kunye nokuqulunqwa kwe-tumor. Utshintsho oluqhelekileyo lubandakanya i-EGFR, i-Alk, Ros1, kunye ne-BRAF, nganye nganye ichaphazela iindlela zonyango kwaye, ngenxa yoko, iindleko. Ukuqonda utshintsho oluthile lwendalo kubalulekile ekulungelelaniseni okona kusebenza kakhulu kwaye, okunokwenzeka, uninzi lwesicwangciso sokunyanga. Ukukhetha unyango kuyahluka kakhulu kuguquko oluthile lwendalo oluchongwe.

Izinketho zoNyango loMhlaza we-Lungs

Unyango olujolise kunyango

Unyango olujolisiweyo lingamaphi na iziyobisi eziyilelwe ukujolisa ngokuthe ngqo iiproteni ezingaqhelekanga ezenziwe ngomhlaza obangela umhlaza. Olu nyango luhlala lusebenza ngakumbi kwaye luneziphumo ebezingalindelekanga ezimbalwa kune-chemotherapy yezigulana ezinolwazi oluthile lwendalo. Nangona kunjalo, iindleko zonyango olujolisiweyo zinokubaluleka, ziyahluka ngokuxhomekeke kwichiza elithile kunye nexesha lonyango. Imizekelo yonyango olujolisiweyo ibandakanya i-EGFR Tyrosine Kinase Toithitors (i-TKIS) efana ne-aftidinib, i-Gefinib, kunye neRhalolonib; I-Alk tohitors ezinjengekrizotinib kunye neCrititinib; kunye ne-ros1 infistitors ezinjengekrizotinib kunye ne-togninb. Ixabiso lentsebenzo iyahluka ngokuxhomekeke kwizinto ezifana nethamo kunye nexesha lonyango.

Chemotherapy

I-chemotherapy ihlala iluncedo lonyango lomhlaza wemiphunga, kodwa ihlala ingasebenzi kwizigulana ezinolwazi oluthile lwendalo xa kuthelekiswa nonyango. Ixabiso le-chemotherapy liyahluka ngokuxhomekeke kumachiza athile asetyenzisiweyo kunye nobude bonyango. Nangona ngokubanzi kubiza kakhulu kunangaphambili, iindleko zonke zinokubaluleka ngenxa yezinto ezinde zonyango kunye nemfuno yotyelelo lwesibhedlele rhoqo.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Luhlobo oluthembisayo lonyango lwabaguli abaphumeleleyo Nangona kunjalo, njengonyango olujolisiweyo, amachiza amalum ama-monotherapy angabiza kakhulu, kwaye ukusebenza kwabo kuyahluka ngokuxhomekeke kwizinto ezithile. Iindleko eziphezulu zinokwenza ifuthe elikhulu kakhulu Ixabiso le-gesuation yomhlaza we-Lung.

Utyando kunye nonyango lwe-radiation

Utyando kunye nonyango lwe-radiation lukhetho olongezelelekileyo lonyango, luhlala ludityaniswa nezinye iindlela. Iindleko ezinxulumene nolu nyango ziphenjelelwa bubunzima beenkqubo kunye neemfuno zomntu ngamnye. Indawo kunye nodumo lwezonyango zinokuchaphazela kakhulu iindleko.

Izinto ezichaphazela iindleko zonyango

Iyonke Ixabiso le-gesuation yomhlaza we-Lung iphenjelelwe zizinto ezininzi. Oku kubandakanya uhlobo lonyango olufunekayo (unyango olujolise kwi-chemotherapy, umongo, umthambo, i-radiation), ukugubungela i-inshurensi, kunye nendawo yendawo yonyango. Ukubuyela rhoqo kwesibhedlele kunye neziphumo ezinokubakho ezinokubakho ezifuna unyango olongezelelweyo okanye amayeza aya kuba nefuthe kwixabiso lokugqibela.

Iindlela zokugcina iindleko

Ukulawulwa kweendleko zonyango lomhlaza wemiphunga kunokuba lucelomngeni. Izigulana kunye neentsapho zingaphonononga iindlela ezahlukeneyo zokunciphisa iindleko, kubandakanya ukuqaphela kweinshurensi, ukufuna iinkqubo zoncedo lwezezimali ezinikezelwa ziinkampani zamayeza okanye imibutho ekhutshiweyo, kunye nokuxoxa nabanikezeli beentlawulo zempilo. Ukuhlola uvavanyo lweklinikhi kunokuba yindlela yokunciphisa iindleko zonyango, ngelixa igalelo kwinkqubela phambili kwezonyango.

Ukufumana iindlela zoNyango zoNyango oluFikelelekayo

Ukuhambahamba ngokungxama konyango lomhlaza wemiphunga kunye neendleko zayo ezinxulumene nazo kufuna ucwangciso ngononophelo nophando. Kubalulekile ukuba unxibelelane noochwephesha boochwephesha kunye neengcali zempilo zokuphuhlisa isicwangciso sonyango esisebenza kakuhle ngokufikeleleka. Ukuqonda ukufezekisa iinkqubo zoncedo lwezezimali kunye nokuphonononga zonke iindlela zokugcina iindleko kubalulekile. Khumbula ukuhlala unxibelelana nemithombo enqabileyo yolwazi oluchanekileyo.

Ngolwazi oluthe kratya ngonyango lomhlaza kunye nenkxaso, cinga ngokunxibelelana ne IZiko loPhando lweShandong Baeo Ukuphonononga iindlela zokhetho zonyango kunye neenkqubo zoncedo lwezezimali.

Iphepha elichazayo: Iindidi zeendleko ezinikezelwe ziqikelelo kwaye zinokwahluka kakhulu kuxhomekeke kwimeko nganye. Nxibelelana nomboneleli wakho wezempilo ngolwazi oluchanekileyo lweendleko ezinxulumene nemeko yakho ethile.