Iinketho zoCengi zoMhlaza

Izinketho zoCwangciso loCengs zemiphunga: Isikhokelo esibanzi somhlaza esisikhokelo somhlaza ukwahluka kakhulu kwizinto ezininzi, kubandakanya nohlobo kunye nenqanaba lomhlaza, kunye nezinto ezikhethwayo. Esi sikhokelo sinika isishwankathelo esifanelekileyo sonyango olukhoyo, sikunceda uqonde ukhetho kunye nokuqwalaselwa ngokubandakanyeka ekwenzeni izigqibo ezizizo.

Ukuqonda amanqanaba omhlaza wemiphunga kunye neentlobo

Ngaphambi kokuxoxa ngeendlela zonyango, kubalulekile ukuqonde ukuba umhlaza wemiphunga asisosifo esinye. Iindidi ezahlukeneyo zomhlaza wemiphunga (E.G., Umhlaza omncinci weScuphul Wings Ngaphaya koko, inqanaba lomhlaza (i-IV, ibonisa ubungakanani bokusasazeka) kukhetho lonyango. Inkqubo yokufikelela ibandakanya iimvavanyo ezahlukeneyo, kubandakanya nokucinga kunye ne-biopsies, ukufumanisa indawo echanekileyo kunye nobungakanani bomhlaza. Isitayile esichanekileyo sibalulekile ekucwangciseni okona kusebenza kakhulu Iinketho zoCengi zoMhlaza.

Umhlaza-weseli ongenzi mncinci weseli (i-NSCLC)

I-NSCLC i-akhawunti malunga ne-85% yazo zonke iimpagi zemiphunga. Izinketho zonyango ze-NSCLC Vry ngokuxhomekeka kwinqanaba: Inqanaba lokuqala-I-NSCLC (I-I-I-I-I-I-IIIA): Utyando, uhlala udityaniswa ne-chemotherapy okanye i-raditherapy, ihlala ilawulwa. Ubuchule bokuzibandakanya kancinci buhlala buhlala busebenza ukunciphisa ixesha lokubuyisela kunye neengxaki. Indawo ye-NSCLC (Inqanaba IIB): Unyango lunokubandakanya ukudityaniswa kwe-chemotherapy, unyango lwe-radiation, kunye nonyango olunokubakho. Unyango olujolise kulo lunokuqwalaselwa ukuba i-tumar inophawu oluthile lwendalo. I-Metistatitic NSCLC (IV): Unyango lujolise kulawulo lweempawu, ukuphucula umgangatho wobomi, nokwandisa ukusinda. Izinketho zibandakanya i-chemotherapy, unyango olujolise kulo, ulungelelwaniso, kunye nononophelo lwenkxaso.

Umhlaza omncinci omncinci (i-SCLC)

I-SCLC luphawu olunobundlobongela onobundlobongela. Unyango luhlala lubandakanya i-chemotherapy, ihlala idityaniswa nonyango lwe-radiation, ngakumbi kwi-SCLC yenqanaba elilinganiselweyo. Ukunyanga kunokudlala indima kwezinye iimeko.

Eyona nto iphambili Iinketho zoCengi zoMhlaza

Iindlela ezininzi eziphambili zonyango ziyafumaneka Iinketho zoCengi zoMhlaza:

Utyando

Utyando lujolise ekususeni ithumba elinomhlaza kunye nezicubu ezijikelezileyo. Iindlela ezahlukeneyo zoqhankqalazo zikho, njenge-lobectomy (isuswa ye-LUGSO), iPneumonectomy (isuswa kuyo yonke imiphunga), kunye nokususwa kwe-quisge Ukhetho lotyando luxhomekeke kubungakanani kunye nendawo ye-tumoor, kunye nempilo yempilo yesigulana.

Chemotherapy

I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ingasetyenziswa bodwa okanye ngokudibeneyo nolunye unyango, njengokuhlinzwa okanye i-radiation phanya. Irejimeni ye-chemotherapy ye-chemotherapy iya kulungelelaniswa kuhlobo kunye nenqanaba lomhlaza. Iziphumo ebezingahluka kodwa zihlala zibandakanya ukudinwa, isicaphucaphu, kunye nelahleko yeenwele.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla amakhulu ukonakalisa iiseli zomhlaza. Ingasetyenziselwa ukuncipha amathumba ngaphambi kotyando, ukubulala iiseli zomhlaza emva kotyando (i-adsuiration radiation raty), okanye ukunciphisa iimpawu kwi-Advanced I-Adval Deast).

Unyango olujolise kunyango

Unyango olujolise kulo lusebenzisa iziyobisi ezilungiselelwe ukuba zijolise ngqo kwiiseli zomhlaza ezijolise kwingqolowa ethile yemvelo. Le ndlela inciphisa ingozi kwiiseli ezisempilweni, inokubakho ezinokubakho kwiziphumo ebezingalindelekanga ezimbalwa xa kuthelekiswa ne-chemotherapy yesiqhelo.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe nomhlaza. Isebenza ngokukhuthaza amajoni omzimba ukuze akwazi ukuhlasela iiseli zomhlaza. Umgono ubonakalise isithembiso esibalulekileyo xa usinyanga iindidi ezininzi zomhlaza wemiphunga, ngakumbi i-NSCLC.

Unonophelo lwenkxaso

Inkathalo yenkxaso igxile kulawulo lweempawu kunye nokuphucula umgangatho wobomi bomguli kuyo yonke inkqubo yonyango. Oku kunokubandakanya ulawulo lweentlungu, inkxaso yesondlo kunye nengcebiso ngokweemvakalelo. Kwi IZiko loPhando lweShandong Baeo, sinika ukhathalelo oluxhamlayo lokuphucula impilo-ntle yomonde.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukukhetha eyona ifanelekileyo Iinketho zoCengi zoMhlaza ifuna ukuqwalaselwa ngenyameko kwezi zinto ezahlukeneyo. Iqela elininzi leengcali zempilo, kubandakanya oochwephesha, oogqirha, oochwephesha, kunye nezinye iingcali, baya kusebenza kunye ukukhulisa iimfuno zonyango kunye neemeko ezahlukeneyo zoguli. Unxibelelwano oluvulekileyo phakathi kwesigulana kunye neqela labo lezempilo kubalulekile ukwenza izigqibo ezinolwazi.

Ukuqwalaselwa kubalulekile

Kubalulekile ukuxoxa konke okufumanekayo Iinketho zoCengi zoMhlaza Iqela lakho lezempilo kwaye uqonde izibonelelo ezinokubakho, umngcipheko kunye neziphumo ebezingalindelekanga zonyango ngalunye. Ulwazi olunikezwe apha kukolwazi ngokubanzi kwaye akufuneki luthathelwe ingqalelo kwingcebiso yonyango. Soloko ufuna ingcebiso ngonyango ngayo nayiphi na inkxalabo yezempilo. Khumbula, ukufunyanwa kwangoko sisitshixo. Ukuhlolwa rhoqo kunye nokuhamba ngokukhawuleza kwezempilo kubalulekile kwiziphumo ezingcono.