Iinketho zoNcedo oluPhambili

Isikhokelo esibanzi sibonisa inkqubela phambili yamva nje Unyango oluphambili lomhlaza, ukubonelela ngokuqonda kwiindlela ezahlukeneyo zonyango, ukusebenza kwawo, kunye neziphumo ebezinokubakho. Sinenza unyango olusekwe nolwenziweyo lokukunceda uqonde ukhetho olufumanekayo kunye nokwenza izigqibo ezinolwazi ngokubonisana nomnikezeli wakho wezempilo. Ukuhambahamba kwe Unyango oluphambili lomhlaza ifuna ukuqonda okucokisekileyo kwesi sifo kunye nonyango olukhoyo. Eli nqaku lijolise ekuboneleleni ngolwazi.

Ukuqonda umhlaza wemiphunga

Isifo kunye nokuxilongwa

Ngokucacileyo Umhlaza wemiphunga kubalulekile ukuba ndicinge ngeyona ndlela ilungileyo yonyango. Oku kubandakanya uthotho lweemvavanyo, kubandakanya nokucinga (i-CT, Pet), i-biopsies, kunye novavanyo lwegazi. Inqanaba lomhlaza-nokuba ngaba sele ihamba phakathi okanye ekuchitheni iziko eliphantsi. Ukuqonda ngqo iiNgcaciso zeNkcazo yakho linyathelo lokuqala ekuphuhliseni isicwangciso sonyango.

Iindidi zomhlaza wemiphunga

Umhlaza wemiphunga Ibandakanya zombini umhlaza omncinci weselula (i-SCLC) kunye nomhlaza omncinci weseli I-NSSCLC i-akhawunti ezininzi zomhlaza kwaye ziphinde zihlulelwe kwiindawo ezinamacala (i-adenocarcinoma, i-carcinoma, iselfowuni enkulu), i-carcinma enkulu ye-carkoma), nganye inokuthi iphendule ngokwahlukeneyo kwiindlela ezahlukeneyo. Umahluko ubalulekile ekulungelelaniseni unyango Izicwangciso-qhinga.

Unyango ngonyango lwe-wangled yemiphunga

Chemotherapy

I-chemotherapy ihlala ilitye lesiseko Unyango oluphambili lomhlaza. Kubandakanya ukusebenzisa iziyobisi ukubulala iiseli zomhlaza, zihlala zilawulwa ngendlela eyiyo. Iirejista ezininzi zeChemotheratherapy zikho, nganye ilungiselelwe uhlobo oluthile kunye nenqanaba lomhlaza. Ukukhetha irejimeni kuthathela ingqalelo izinto ezinjengempilo yempilo yoguli kunye nobukho bohlobo oluthile lwemvelo. I-chemotheutic chemothetic chemotheutic iquka i-cisplatin, i-carboplaplatin, kunye nePaclimaXel. Iziphumo ebezingafaniyo ziyahluka kodwa zinokubandakanya isicaphucaphu, ukudinwa, kunye nelahleko yeenwele.

Unyango olujolise kunyango

Ukugxila konyango kugxilwe kwiimolekyuli ezithile zokukhula komhlaza. Ezi ntlalo zisebenza ngokukhethekileyo kwizigulana ezinolwazi oluthile lwendalo, ezinjenge-ENFR, iAlk, Ros1, okanye i-BRAF iguqukayo. Imizekelo iquka i-EGFR Tyrosine Kinase Intenitors (TKIS) njengeGefinib kunye neGrisinib, kunye ne-alk Ukusebenza konyango ekujoliswe kulo kuxhomekeke kubukho bamakisha obuthile wemfuza echongwe ngovavanyo lwe-biopsy. IZiko loPhando lweShandong Baeo Ukubonelela ngovavanyo oluphambili kwemfuza ukukhupha izigqibo zonyango.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe nomhlaza. I-Onmition yendawo yokutshekisha amagorha, efana ne-pembariyazab kunye neNivolomab, iiproteni zebhloksi ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza. La machiza anokuguquka unyango abanye Umhlambi ophumle, ekhokelela kuphuculo olubalulekileyo kwiirhafu zokusinda. Nangona kunjalo, umnqweno wokunyanga awusebenzi kuzo zonke izigulana, kwaye iziphumo ebezingalindelekanga zinokubandakanya ukudinwa kunye neziganeko ezimbi zinxulumene nomzimba.

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imitha yamandla amakhulu ukubulala iiseli zomhlaza. Ingasetyenziselwa ukuncitshiswa amathumba, okanye ukuphucula ukusebenza kolunye unyango. I-Sterereotactic ye-radialic ye-radiation ye-radiation (i-SBRT) yindlela ye-radiation ye-radiation ehambisa iidosi eziphezulu zemitha, ukunciphisa umonakalo kwizicubu ezijikelezileyo. Unyango lwe-radiation lunokubangela iziphumo ebezingalindelekanga njengokucaphuka kolusu kunye nokudinwa.

Utyando

Utyando lusenokuba lukhetho lwabaguli abakwi-Intanethi ekuqhubeni umhlaza wemiphunga, ngakumbi ukuba i-tumar iyonke (inokususwa ngokuqinileyo). Inkqubo yotyando ixhomekeke kwindawo nobungakanani bethumba kunye nempilo yempilo yesigulana. Ubuchule bokuzibandakanya kancinci buhlala kukhethwa ukuba banciphise ixesha lokubuyisela kunye neengxaki.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukukhetha impumelelo Unyango oluphambili lomhlaza Ifuna ukuthathelwa ingqalelo ngononophelo kwizinto ezininzi, kubandakanya nenqanaba kunye nohlobo lomhlaza, impilo yezigulana, kunye neziphumo ezinokubakho. Iqela elininzi leengcali zempilo, kubandakanya oochwephesha, oogqirha, kunye neendlela ze-radiations, kufuneka zisebenzisane ukuze ziphuhlise iSicwangciso soNyango esiSebenzayo. Vula unxibelelwano neqela lakho lezempilo libalulekile kulo lonke unyango inkqubo.

Iphepha elichazayo: Olu lwazi lucetywa ngeenjongo zemfundo kuphela kwaye akufuneki luthathelwe ingqalelo kwingcebiso yezamayeza. Soloko unxibelelana nengcali yokhathalelo lwempilo olufanelekileyo ukuze ufumane i-disnosis kunye nonyango lwemeko yonyango.

Imithombo: [Uluhlu lwezinto ezinokuthenjwa kwiinkcukacha-manani kunye nolwazi olubonisiweyo kwinqaku. Faka amakhonkco kwiiwebhusayithi ezifanelekileyo kwimibutho edumileyo efana neZiko leSizwe leSizwe (NCI) okanye uMbutho waseMelika uLungu (Ala).]