Unyango lwe-Lipung Wangle

Unyango oluphambili lomhlaza we-LIVU Olu phawu lubonelela ngolwazi olufanelekileyo lokuqonda iindlela ezahlukeneyo. Kubalulekile ukuba unxibelelane nogqirha wakho we-oncologist ukumisela esona sicwangciso sifanelekileyo sonyango kwiimeko zakho.

Ukuqonda amanqanaba omhlaza wemiphunga kunye neentlobo

Ngaphambi kokuxoxa ngeendlela zonyango, kubalulekile ukuba uziqonde iintlobo ezahlukeneyo kunye namanqanaba omhlaza wemiphunga. Olu lwazi lubalulekile ekuqinisekiseni ikhosi efanelekileyo yokusebenza. Umhlaza wemiphunga uhlulelwe ngokubanzi kwiintlobo ezimbini eziphambili: Umhlaza omncinci weseli I-NSCLC i-Akhawunti malunga ne-85% yazo zonke ii-Ingler Lihlambulelo kwaye iphinde yaqeshwa kwi-Adenocarcinoma, i-squamous carcinoma, kunye ne-carkoma enkulu. Isitayile somhlaza wemiphunga, sihlala sisebenzisa inkqubo ye-TNM (i-tuma, i-node, i-metastasis), ichaza ubungakanani bomhlaza wasasazeka. Amanqanaba aphezulu abonisa isifo esiphezulu kakhulu.

Isifo kunye neempembelelo zonyango

Inqanaba le Umhlaza wemiphunga oyintloko Impembelelo ngokuthe ngqo khetho lonyango. Inqanaba lokuqala Umhlaza wemiphunga oyintloko Ingaphathwa ngonyango kuphela, ngelixa amanqanaba aphezulu anokufuna indibaniselwano yotyando, i-chemotherapy, unyango lwe-radiation, kunye nonyango olujolise kunyango. Iqela elininzi, kubandakanya oogqirha, oosologists, oosochwephesha, kunye nezinye iingcali, baya kukuvavanya ngononophelo kwimeko yakho ethile kwaye baphuhlise isicwangciso sonyango.

Iinketho zoNcedo oluPhambili

Iindlela ezininzi zonyango zikho Umhlaza wemiphunga oyintloko, nganye inamandla kunye nokusikelwa umda.

Utyando

Ukususwa kwetyala, ukususwa kwethumba elinomhlaza kunye nezicubu ezijikelezileyo, kukhetho oluphambili lonyango lwenqanaba lokuqala Umhlaza wemiphunga oyintloko. Uhlobo lotyando luxhomekeke kwindawo ye-tumar kunye nobungakanani. Ukhetho lubandakanya i-lobectomy (isisu semiphunga), i-pneumonectomy (isuswa kuyo yonke imiphunga), kunye nophando lwe-Wedge (ukususwa kwecandelo elincinci le-tissue). Iindlela ezihlaselayo ezincinci, ezinjenge-uperacoproscopic yevidiyo encedisiweyo (VAT), zihlala zikhetha ukungahlaseli kwabo nokubuyisela kwakhona.

Chemotherapy

I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ihlala iqashiwe ngaphambi kotyando (i-neoadjualjurapy chemotherapy) yokuthoba ithumba, lenze kube lula ukususa, okanye emva kotyando (i-chemotherapy (i-chemotherated chemotherapy) yokuphelisa nayiphi na iiseli zomhlaza osele. I-chemotherapy ikwangunyango oluphambili kwinqanaba eliphezulu Umhlaza wemiphunga oyintloko. Iziyobisi ezisetyenzisiweyo kunye neshedyuli yonyango ixhomekeke kuhlobo kunye nenqanaba lomhlaza.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imiqadi yamandla aphezulu ukonakalisa iiseli zomhlaza. Ingasetyenziswa bodwa okanye ngokudibeneyo nolunye unyango. Unyango lwe-radiation ye-Biam lwangaphandle luhlobo oluqhelekileyo, luhambisa imitha kumatshini ngaphandle komzimba. Ngamanye amaxesha, i-brachytherapy (i-radiation yonyango lwangaphakathi) inokusetyenziswa, ukubeka imithombo yerediyo ngqo kwi-tumar.

Unyango olujolise kunyango

Unyango olujolise kunyango lusebenzisa iziyobisi ezijolise ngqo kwiiseli zomhlaza, ukunciphisa umonakalo kwiiseli ezisempilweni. Olu nyango lusebenza ngokukhethekileyo kwiindidi ezithile ze-NSCLC ezinolwazi oluthile lwendalo, ezinjenge-ENFR, iAlk, Ros1, kunye nokuguqulwa kwe-braf. Uvavanyo lukamfuza rhoqo lubalulekile ekuchongeni izigulana ezinokuthi zizuze kule ndlela yonyango.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Ukujonga izinto zokujonga, uhlobo lwechiza elinonyango, iiproteni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza. Olu nyango lubonise impumelelo ebalulekileyo ekupheliseni ukusinda kwizigulana ezinenqanaba eliphezulu Umhlaza wemiphunga oyintloko.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukukhetha indlela efanelekileyo yokunyanga Umhlaza wemiphunga oyintloko yinkqubo esebenzisanayo phakathi kwesigulana neqela labo lezempilo. Izinto ekufuneka ziqwalaselwe zibandakanya uhlobo kunye nenqanaba lomhlaza, impilo-ntle iyonke impilo kunye nemiphumo emiselweyo yenyanga, kunye nezinto azithandayo.

Uhlobo lonyango	Izibonelelo	Ukungancedi
Utyando	Inokubangela ukuba umhlaza wenqanaba lokuqala.	Isenokungalungelanga kuzo zonke izigulana ngenxa yempilo okanye kwindawo ye-tume.
Chemotherapy	Isebenza ngokunyanga umhlaza obanzi.	Inokuba neziphumo ezibi kakhulu.
Unyango lwe-radiation	Inokuthoba amathumba kwaye anciphise iimpawu.	Inokubangela iziphumo ebezingalindelekanga njengokudinwa kunye nokucaphuka kwesikhumba.
Unyango olujolise kunyango	Isebenza kakuhle kuguquko oluthile lwendalo.	Ayisebenzi kuzo zonke iintlobo zomhlaza wemiphunga.
I-gonotherapy	Ingakhokelela ekuxolweni kwexesha elide kwezinye izigulana.	Ingaba neziphumo ebezingalindelekanga zomzimba.

Inkxaso kunye nezixhobo

Ukujongana noxilongo Umhlaza wemiphunga oyintloko kunokuba ngumceli mngeni. Amaqela enkxaso, imibutho yenkxaso yesigulana, kunye nezixhobo ze-Intanethi zinokubonelela ngolwazi oluxabisekileyo, inkxaso yeemvakalelo, kunye nesikhokelo esifanelekileyo ngeli xesha. I IZiko loPhando lweShandong Baeo inikezelwe ekuboneleleni ngononophelo olubanzi kunye nenkxaso kwizigulana zomhlaza. Khumbula ukuba ukufuna inkxaso yinxalenye ebalulekileyo yokuhamba kolu hambo.IsCankmer: Olu lwazi lwenzelwe kuphela ngeenjongo zemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.