Eli nqaku libonelela ngamagqabantshintshi ngokubanzi Unyango lwe-tuculo Izinketho, ezibandakanya amanqanaba ahlukeneyo kunye neendlela ezahlukeneyo. Siza kuphonononga iindlela ezahlukeneyo zonyango, xoxa ngezinto ezichaphazela izigqibo zonyango, kwaye unike ukuqonda ukuba ulawule imiceli mngeni enxulumene Unyango lwe-tuculo. Esi sikhokelo sijolise ekuxhobiseni abantu kunye neentsapho zabo ngolwazi olufanelekileyo ukuba bahambe ngolu hambo luntsonkothileyo.
Amathumba amasuny ahlelwa ngokubanzi kwiindidi ezimbini eziphambili: i-begn (engeyiyo intsholongwane) kunye ne-malign (imbuyekezo). I-tumgy tumgy tumes ihlulelwe ukuba ihlulwe i-Lidar Isuti encinci yeSenki (i-SCLC) kunye nomhlaza omncinci weScuphuls omncinci (i-NSCLC). I-NSSCC i-akhawunti ezininzi ezichongiweyo zomhlaza wemiphunga. Uhlobo oluthile lwethumba Unyango lonyango Cwangcisa.
Isitali sibalulekile ekuzimiseleni Unyango lonyango Isicwangciso-qhinga. Inqanaba libonisa ubungakanani bomhlaza osasazwayo. Iinkqubo zokuzimela, ezinje ngenkqubo ye-TNM, qwalasela ubungakanani be-tumol (T), ukubandakanyeka kwe-lymph node (n), kunye ne-metastasis ekude (m). Isitayile esichanekileyo sifuna iimvavanyo ezahlukeneyo zokuxilonga, kubandakanya nokucinga (i-CT, Pet), i-biopsies, kunye novavanyo lwegazi.
Ukususwa kwe-sundor ye-tumar yindlela yokuqala yonyango lwenqanaba lomhlaza wamanzi. Inkqubo yotyando ethile ixhomekeke kwindawo ye-tumar kunye nobungakanani. Ukhetho lubandakanya i-lobectomy (isuswa ye-lobe), i-Segmertectomy (isuswa yecandelo), kunye nophando lwe-Wedge (ukususwa kwenxalenye encinci yemiphunga). Iindlela ezihlaselayo ezincinci, ezinjenge-Viracoscopic utyando lwe-Thoracoscopic (VAT), zihlala zikhetha ukunciphisa ukungafihli kunye nexesha lokubuyisela kwimeko yesiqhelo.
I-chemotherapy isebenzisa iziyobisi ukubulala iiseli zomhlaza. Ihlala isetyenziselwa umhlaza wenqanaba lenqanaba eliphambili, nokuba yedwa okanye ngokudibeneyo nolunye unyango. Iirejimeni ezininzi zeChemotheratherapy ziyafumaneka, kwaye ukhetho luxhomekeke kwizinto ezahlukeneyo kubandakanya uhlobo kunye nenqanaba lomhlaza, impilo yezigulana, kunye neziphumo ezinokubakho. IZiko leSizwe leSizwe Nikeza ulwazi oluneenkcukacha kwiiprotocoppy ze-chemotherapy.
Unyango lwe-radiation radi lusebenzisa i-radiation yamandla ethagethi ukujolisa kwaye utshabalalise iiseli zomhlaza. Ingasetyenziswa ngaphambi kotyando (neoadjuves), emva kotyando (i-mady), okanye njengonyango oluphambili lwamathumba angalunganga. I-radiation ye-radiation ye-BIAM yangaphandle yohlobo oluqhelekileyo. I-Sterereotactic yomzimba we-radiation radio (i-SBRT) yendlela echanekileyo yonyango lwemitha ehambisa iidosi eziphezulu zemitha kwiiseshoni ezimbalwa.
Unyango olujolise kunyango lusebenzisa iziyobisi ezijolise ngqo kwiiseli zomhlaza ngaphandle kokulimaza iiseli eziqhelekileyo. Ezi ntlalo zisebenza ngokukhethekileyo kwi-NSCLC ngotshintsho oluthile lwendalo. Imizekelo iquka abangenzi, i-Alk Uvavanyo lwemfuzo lubalulekile ekuchongeni izigulana ezinokuthi zizuze kwezi nyango zijolise kuzo.
Ugonyo uhenyuza amajoni omzimba ukuze alwe nomhlaza. Iziyobisi zokunyanga, ezinjengokujonga izinto, zincede amajoni omzimba ayazi kwaye atshabalalise iiseli zomhlaza. Le ndlela ibonakalise impumelelo ebalulekileyo ekunyangeni umhlaza wemiphunga, kunye nokusebenza kwayo kudla ngokuvavanywa nge-biomarkers efana nentetho ye-PD-L1.
Egqibelele Unyango lonyango Isicwangciso esithile kwaye sixhomekeke kwizinto ezininzi, kubandakanya nohlobo kunye nenqanaba le-tumes, impilo yesigulana, kunye nezinto azithandayo. Iqela elininzi leengcali zempilo, kubandakanya oochwephesha, oogqirha, oochwephesha, kunye nezinye iingcali, baya kusebenzisana ukuze baphuhlise iSicwangciso soNyango esipheleleyo esilungiselelwe iimfuno zomntu ngamnye.
Unyango lonyango inokubangela iziphumo ebezingalindelekanga ezahlukeneyo, kuxhomekeka kwiindlela ezithile ezisetyenzisiweyo. Ukulawula ezi ziphumo zecala kubalulekile ukuze kuphuculwe umgangatho wobomi. Amaqela enkxaso, iinkonzo zokucebisa, kunye nokukhathalela okuxhaphakileyo kunokunceda kakhulu abaguli kunye neentsapho zabo ngeli xesha lomngeni. I Umbutho waseMelika inikezela ngezixhobo ezixabisekileyo kunye neenethiwekhi zenkxaso kubantu abachaphazelekayo ngumhlaza wemiphunga.
Uphando oluqhubekayo luyaqhubeka Unyango lonyango Izinketho, ezikhokelela kwiziphumo eziphuculweyo kunye nomgangatho wobomi kwizigulana. Uvavanyo lweklinikhi lubonelela ngokufikelela kunyango olunempumelelo kwaye negalelo kuphuhliso lonyango olutsha noluphuculweyo. Ngolwazi oluthe kratya malunga novavanyo lweklinikhi, unokunxibelelana nomboneleli wakho wezempilo okanye ubhekisa kwizibonelelo ezifana Iklinikhi.gov.
Ngolwazi oluthe kratya kunye nokhethekileyo Unyango lwe-tuculo, khawuqwalasele uqhagamshelwano nonxibelelwano lwe-shandong baook https: //www.baofitaspital.com/
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