Iindlela ezincinci zomhlaza

Umhlaza omncinci omncinci (i-SCLC) Ngaba unomhlali onoburharha ofuna unyango olukhawulezayo nolusebenzayo. Izinketho zoNyango lwe-SCLC zibandakanya ukudityaniswa kwe-chemotherapy kunye nonyango lwe-radiation. Olunye ukhetho, njengokhuphiswano kunye nonyango, kunokuqwalaselwa kuxhomekeka kwinqanaba kunye neemeko zomhlaza. Esi sikhokelo sinika isishwankathelo esibanzi esikhoyo Iindlela ezincinci zomhlaza, Ukunceda abaguli kunye neentsapho zabo baqonda amathuba anokubangela ukuba umbane omncinci weseli ngumhlaza omncinci weseli?Umhlaza omncinci omncinci, ekwabizwa ngokuba ngumhlaza weseli we-OAT, ngumhlaza osikhulayo okhulayo ovela kwiiseli ze-neuroendornecrine kwimpundu. Inika ingxelo malunga ne-10-15% yazo yonke imiphunga yomhlaza kwaye ihambelana ngokutshaya. I-SCLC ibonakaliswa kukukhawuleziswa kukukhawuleziswa, ukwenza isifo sethemba lokungasebenzi kakuhle kunye nonyango. Inqanaba elincinci: Umhlaza uvalelwe kwelinye icala lesifuba kwaye unokuphathwa ngonyango lwemitha kwi-chem kunye ne-chemotherapy. Inqanaba elibanzi: Umhlaza usasaze ngaphezulu kwecala elinye lesifuba, kubandakanya namanye amalungu omzimba. Unyango oluqhelekileyo lubandakanya i-chemotherapy, kwaye inokubandakanya unyango lwe-radiation ukuya esifubeni kunye / okanye ezinye iisayithi zonyango lweseli. Umhlaza omncinci omncinci. Kubandakanya ukusebenzisa iziyobisi ukubulala iiseli zomhlaza kuwo wonke umzimba. Iirejimeni ze-chemotherapy eziqhelekileyo zibandakanya: i-etosplatide kunye ne-cisplatin (EP) (EPboplatin (EC) (EC) (EC) (EC) (EC) (EC) (EC) (EC) IZiko loPhando lweShandong Baena lisebenze ngenyameko kunye nemeko yehlabathi yehlabathi ukuphucula unyango lomhlaza kunye nezigulana ze-chemotherapy. Unyango lwe-radiation paradiodiouse usebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ihlala isetyenziswa ngokudibeneyo nge-chemotherapy yenqanaba elilinganiselweyo Umhlaza omncinci omncinci. Unyango lwe-radiation lungasetyenziselwa ukuphatha iisayithi ezithile ze-metastasis kwisifo esibanzi senqanaba, esibonelela ngoncedo lokuhlala. Zininzi iintlobo ze-radiation phanya: I-radiation ye-radiation ye-Biam yangaphandle (i-EBRT): Imitha inikezelwa kumatshini ngaphandle komzimba. I-Sterereotactic yomzimba we-radiation radiation (SBRT): Imisebe egxile kakhulu inikezelwa kwindawo encinci yomzimba kwii-Dose ezimbalwa zedosi eziphezulu. Nangona kunjalo, inokuqwalaselwa kwiimeko zenqanaba lokuqala apho umhlaza usendaweni. Ukuba utyando lwenziwa, luqhele ukulandelwa yi-chemotherapy.immunopokimmunourapdope uluphawu olunceda amajoni akho omzimba alwa nomhlaza wakho wokulwa. Isetyenziswa ngokuqhelekileyo kwinqanaba elibanzi Umhlaza omncinci omncinci emva kwe-chemotherapy. Iziyobisi ezininzi ezivunyiweyo zivunyiwe kwi-SCLC, kubandakanya: i-Petizolimbizob Durivanabhabha isebenza ngokuthintela iiproteni ezithintela iiseli zomhlaza ezihlaselayo ekuhlaseleni iiseli zomhlaza. Izifundo zibonakalisile ukuba ukongeza umongo-i-funotherapy ukuya kwi-chemotherapy inokuphucula amathuba okusinda kwizigulana ezinenqanaba elibanzi - i-SCLC enenqanaba elibanzi - i-SCLC yenqanaba elibanzi - i-SCLC yenqanaba elibanzi - i-SCLC yenqanaba elibanzi. Iqela kwisibhedlele se-Baooo alunikezi ukuba lihlale lihleli nophando malunga nophando lwamva nje ngonyango lwe Umhlaza omncinci omncinci. I-PCIATION ye-cranial ye-fricial (PCI) PCI ngunyango lwe-radiation kwingqondo esetyenziselwa ukuthintela ukusasazeka kwe Umhlaza omncinci omncinci kwingqondo. Ihlala icetyiswa kwizigulana ezinenqanaba elincinci-kwinqanaba le-SCLC esele iphendule kakuhle kunyango lokuqala. I-PCI ibonisiwe ukunciphisa umngcipheko we-metastase yengqondo kwaye iphucule ukusinda iyonke. Unyango lwe-UNEATERTARGERGEARGEARGEARGEARGEARGERGEARGERGERGERGERGERGERGERGETARTEARGERGERGETATREARGERGETETRAPTE. Ngelixa unyango olujolise kunyango luye lwaguqula unyango lwezinye iintlobo zomhlaza wemiphunga, azikasetyenziswanga ngokubanzi kwi-SCLC. Nangona kunjalo, uphando luyaqhubeka nokuchonga iithagethi ezinokubakho kwaye uphuhlise unyango olujolise kulo Umhlaza omncinci omncinci. Iimvavanyo ezivavanywayo ezihloliweyo zeZifundo zophando ezivavanya unyango olutsha okanye iindlela ezintsha zokusebenzisa unyango olukhoyo. Abaguli Umhlaza omncinci omncinci Ingathatha ukuthatha inxaxheba kuvavanyo lweklinikhi ukufikelela kulawulo lokusika amanzi okungafumaneki ngokubanzi. Iimvavanyo zeklinikhi zibalulekile ekuhambiseni unyango lwe-SCCC kunye nokuphucula iziphumo zesimo sengqondo.Ukuphiuqhekelwa kwendlela Umhlaza omncinci omncinci Inokubangela iziphumo ebezingalindelekanga, kubandakanya: ukudinwa kwe-suusea kunye nokugabha umlomo welahleko ye-Class ye-Class yeGazi kunokukunceda ukuba ulawule ezi ziphumo zinamayeza kunye nokuxhasa ukhathalelo kunye nokuxhasa. Kubalulekile ukunxibelelana nayiphi na imiphumo emiselweyo kugqirha wakho ukuze bakwazi ukuhlengahlengisa isicwangciso sakho sonyango njengoko kufuneka.prognosis kunye nenkathalo yokulandela Umhlaza omncinci omncinci Kuxhomekeka kwizinto ezininzi, kubandakanya inqanaba lomhlaza, impilo yesigulana iyonke, kunye nempendulo yabo kunyango. Ngelixa i-SCLC ngumhlaza onoburharha, unyango lungahlala uphucula ukusinda kunye nomgangatho wobomi. Ukuqeshwa rhoqo okulandelayo kubalulekile emva konyango ukubeka esweni ukuphinda ujonge kwaye ulawule nasiphi na iziphumo ebezingalindelekanga ixesha elide. IZiko loPhando lweShandong Baena linikezela ngeenkqubo zokulandela iinkqubo ezilandelayo ezibonelela ngononophelo lwezonyango. Fumanisa OkuninziIindlela zokukhetha ezofakelweyo zeNgcaciso yeZinto eziPhezulu zeZinto eziPhezulu Chemotherapy Limited I-SUGEARY (EMVA KOKUGQIBELA IXESHA LOKUGQIBELA ye-quididisciplicary carefmiver Unyango oluncinci lomhlaza oluncinci Ifuna indlela yemibuzo emininzi, ebandakanya iqela leengcali ezinjengee-oxiologists, oogqirha bamadini, oogqirha, oonontlalontle, kunye nabanikezeli benkaleko. Eli qela lisebenza kunye lokuphuhlisa isicwangciso sonyango esijongene neemfuno ezithile zesigulana ngasinye. UkuqukumbelaUmhlaza omncinci omncinci sisifo esinzima, kodwa ngonyango olufanelekileyo kunye nenkxaso, abaguli banokuphucula iziphumo kunye nomgangatho wobomi. Ukuqonda ukhetho olukhona lonyango kwaye usebenza ngokusondeleyo neqela lakho lezempilo kubalulekile ekwenzeni izigqibo ezinolwazi kunye nokuhambahamba phambili. Ukuba wena okanye umntu omthandayo ujongene ne Umhlaza omncinci omncinci Ukuqonda isifo, khumbula ukuba kukho ithemba, kwaye uninzi lwezixhobo ziyafumaneka ukuze ndikuncede kule nkqubo. Iphepha elichazayo: Olu lwazi lwenzelwe ulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye azisebenzi kakuhle. Kubalulekile ukuba ujongene nengcali yezempilo efanelekileyo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokwenza naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango. Soloko ufundela ingcebiso yogqirha wakho okanye omnye umnikezeli wezempilo ofanelekileyo ngayo nayiphi na imibuzo onokuba nayo malunga nemeko yonyango.Imithombo: Umbutho woMhlaza waseMelika - Umhlaza omncinci weSungs IZiko leSizwe lomhlaza - Iseli encinci yoMhlaza weLang Wing (PDQ?) - Inguqulelo yesigulana