Umhlaza wemiphunga sisifo esibi, kodwa ukuqhubela phambili ngaphakathi Umhlaza wonyango zikhulise kakhulu iziphumo. Esi sikhokelo sibanzi siphonononga imiba eyahlukeneyo yomhlaza wemiphunga, ukusuka ekuxilongeni nasekuzinzisweni kwezinto zonyango kunye nokukhathalela okuxhasayo. Siza kuhlolisisa unyango olwahlukileyo, xoxa ngeziphumo ezinokubakho, kwaye ugxininise ukubaluleka kokufunyanwa kwangoko kunye nophando oluqhubekayo. Olu lwazi kukolwazi ngokubanzi kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nomboneleli wakho wezempilo ukuze akhokele ngokwakho malunga nempilo yakho kwaye Umhlaza wonyango.
Umhlaza wemiphunga uhlulelwe ngokubanzi kwiintlobo ezimbini eziphambili: Umhlaza omncinci weseli I-NSSCLC i-akhawunti ezininzi zomhlaza amatyala kwaye ziphunyeziwe kwizinto ezininzi eziphantsi, kubandakanya ne-Adenocarcinoma, i-squamous carcinoma, kunye ne-carkoma enkulu. Uhlobo lomhlaza wemiphunga luphembelela eyona ndlela ilungileyo Umhlaza wonyango.
Isitayile simisela ubungakanani bomhlaza osasazeke. Iinkqubo zokuSotisa, ezinje ngenkqubo ye-TNM, ihlela umhlaza wemiphunga esekwe kubungakanani be-tumor (T), ukubandakanyeka kwe-lymph node (m). Isitayile esichanekileyo sibalulekile ekuqinisekiseni ngokufanelekileyo Umhlaza wonyango Isicwangciso-qhinga.
Utyando luhlala luyindlela ephambili yonyango lomhlaza wenqanaba lokuqala. Oku kunokubandakanya ukususa ithumba kunye nenxalenye yemiphunga ejikelezileyo. Iindlela zokungahlaseli ezincinci zisetyenziswa rhoqo ukunciphisa ixesha lokubuyisela. Inkqubo yotyando ethile iya kuxhomekeka kwindawo nobungakanani bethumba.
I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ingasetyenziswa ngaphambi kotyando (i-neaadjualjurapy chemotherapy) yokuthoba ithumba, emva kotyando (i-chemotherapy (okanye i-chemotherapy) ukunciphisa umngcipheko wokuphinda ubeke umngcipheko wokuphinda ubeke ingozi, okanye njengeyona nto iphambili Umhlaza wonyango ngamanqanaba aphezulu. Iirejista ezahlukeneyo ze-chemotherapy zikhona, zilungelelaniswe kwimeko ethile yomntu ngamnye.
Unyango lwe-radiation lonyango lusebenzisa imitha yamandla amakhulu ukonakalisa iiseli zomhlaza. Ingasetyenziselwa ukuphatha i-tumoor yeprayimari, kunye neendawo ze-lymph ze-lymph okanye i-metastases ekude. Unyango lwangaphandle lwe-radiation radiation luqhelekile, ukuhambisa i-radiation evela kumatshini ngaphandle komzimba. Ezinye iintlobo zibandakanya i-brachytherapy (ifakisela izixhobo zerediyo ngqo kwi-tumar).
Unyango olujolise kulo lusebenzisa iziyobisi ezijolise ngqo kwiimolekyuli ezithile ezichaphazelekayo ekukhuleni kweseli yomhlaza kunye nokusinda. Olu nyango luhlala lusebenza ngakumbi kune-chemotherapy kwaye ube neziphumo ebezingalindelekanga ezimbalwa kwezinye izigulana. Ukukhethwa konyango olujolise kulo kuxhomekeke kumakikithi okhethekileyo ngokwemvelo akhoyo kwiiseli ze-tumor.
Ugonyo uhenyuza amajoni omzimba ukuze alwe nomhlaza. Olu nyango lusebenza ngokukhulisa amandla amajoni omzimba ukwamkela nokutshabalalisa iiseli zomhlaza. Umphumotheli unokusebenza ngokumangalisayo kwiintlobo ezithile zemiphunga, nakwinqanaba eliphezulu. Uphando luyaqhubeka ukwandisa ukusetyenziswa kwe-immunotherapy ngaphakathi Umhlaza wonyango.
Inkathalo yenkxaso igxile ekuphuculeni umgangatho wobomi boguli kuyo yonke i Umhlaza wonyango uhambo. Oku kunokubandakanya ulawulo lweentlungu, inkxaso yesondlo, kunye nokulawula iziphumo ebezingalindelekanga zonyango. Palliative care is a vital component of supportive care, focusing on symptom relief and improving quality of life for patients with advanced disease.
Uphando oluqhubekayo luyaqhubeka ukuqhubela phambili i Umhlaza wonyango. Unyango olutsha luhlala luphuhliswa, lubonelela ngethemba kwiziphumo eziphuculweyo. Oku kubandakanya iNovel yonyango olujolisiweyo, amagqabi okuphezulu, kunye nokudibanisa unyango. Ukufumana ulwazi oluthe kratya malunga nonyango oluphucukileyo, nceda uqhagamshelane nogqirha wakho we-oncologist okanye ufune ulwazi kumaziko ophano ngoxinzelelo olunamava anokuphinda-phinda IZiko leSizwe lomhlaza.
Ukufunyanwa kwangoko kubalulekile ukuze uphumelele Umhlaza wonyango. Ukuhlolwa rhoqo, ngakumbi abantu ababeka emngciphekweni omkhulu (abantu abatshayayo, abo banembali yosapho yomhlaza wemiphunga), banokuphucula kakhulu amaxabiso okusinda. Indlela yokuphila yokuphila njengokuyeka ukutshaya kunye nokuphepha ukuvezwa kwiibhlorho ze-carcinogens kunokunceda ukunciphisa umngcipheko wokolula umphunga wemiphunga.
Uhlobo lonyango | Inkcazo | Izibonelelo | Ukungancedi |
---|---|---|---|
Utyando | Ukususwa kwezicubu zomhlaza. | Inokubangela ukuba umhlaza wenqanaba lokuqala. | Ingangabi lilungele onke amanqanaba okanye iindawo. |
Chemotherapy | Ukusetyenziswa kweziyobisi ukubulala iiseli zomhlaza. | Unganyanga zombini ezamkelwe zasekhaya kunye ne-metastatitic. | Iziphumo ezisisiseko ezibalulekileyo zinokwenzeka. |
Unyango lwe-radiation | Ukusetyenziswa kwemitha enkulu yamandla ukonakalisa iiseli zomhlaza. | Inokusetyenziswa bodwa okanye ngokudibeneyo nolunye unyango. | Iziphumo ebezingalindelekanga zinokubandakanya ukucaphukisa ulusu kunye nokudinwa. |
Iphepha elichazayo: Olu lwazi luyinjongo zemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yezempilo efanelekileyo ukuze ufumane isifo kwaye Umhlaza wonyango. Ngolwazi oluthe kratya malunga nonyango lomhlaza, nceda undwendwele iZiko loPhando lwe-Shandong BaeoFA kwi https: //www.baofitaspital.com/
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