Unyango oluNcinci lweeLwimi oluNcinci

UKUNYANGWA KWE-SUGRY WINDAY I-LINGER YAMANQAKU ESIN: INDLELA YOKUZIPHATHA NGOKULANDELAYO KWI-DUGERCY WIND YABANTSI YABASEBENZI Esi sikhokelo sinika umbono ocacileyo wezinto ezahlukeneyo Unyango oluNcinci lweeLwimi oluNcinci Ukusondela ngoku.

Ukuqonda umhlaza omncinci weSungs (i-SCLC)

Umhlaza omncinci weseli yesele luphawu lomhlaza wemiphunga. Ngokungafaniyo nomhlaza omncinci we-LIGS (i-NSCLC), i-SCLC inomdla kakhulu kwi-chemotherapy, kodwa ikwandisasaza ngokukhawuleza. Ke ngoko, ukuxilongwa ngokukhawuleza kunye nonyango kubalulekile. Ukufunyanwa kwangoko, rhoqo ngokuhlolwa umntu osengozini enkulu, kuphucula kakhulu amathuba okuphumelela Unyango oluNcinci lweeLwimi oluNcinci.

Isifo se-SCLC

Isitayile esichanekileyo sibalulekile ekuqinisekiseni ubukhulu bomhlaza kunye nezigqibo zonyango. Isitali sisebenzisa iindlela ezahlukeneyo zokucinga ezinjengesithuba se-CT, isiKhangeli se-PET, kwaye ngamanye amaxesha i-biopsies ichonge inqanaba (elilinganiselweyo okanye libanzi) lesi sifo. Inqanaba le-SCLC livalelwe kwimiphunga enye kunye nendawo ejikelezileyo, ngelixa inqanaba le-SCLC lisasazeke kumalungu akude emzimbeni.

Izinketho zoNyango lweSumpley encinci

Unyango oluqhelekileyo lubandakanya ukudityaniswa kweendlela ezenzelwe ukuthoba ithumba kunye nokuthintela kusasazeka.

Chemotherapy

I-chemotherapy lilitye lezinto ze-SCLC Unyango oluNcinci lweeLwimi oluNcinci. Isebenzisa iziyobisi ezinamandla ukubulala iiseli zomhlaza. Ihlala isetyenziswa irejimeni ye-chemotheraperapy iquka i-cisplatin kunye ne-etosside. Irejimeni ethile kunye nedosi ixhomekeke kwimpilo epheleleyo yesigulana kunye nenqanaba lomhlaza. I-chemotherapy inokulawulwa ngaphambi kotyando (neoadjuves) okanye emva kotyando (i-madsus).

Unyango lwe-radiation

Unyango lwe-radiation lonyango lusebenzisa imisebe yamandla aphezulu ukonakalisa iiseli zomhlaza. Ihlala isetyenziswa ngokudibeneyo nge-chemotherapy, ngakumbi i-SCLC yenqanaba. Unyango lwe-radiation unyango lunokujolisa ngqo kwi-tumoor ngqo okanye isetyenziselwe ukunciphisa iimpawu ezinjengeentlungu okanye ubunzima bokuphefumla.

Utyando

Utyando ngokubanzi ayisiyonyango iphambili kwi-SCLC, ngaphandle kwamatyala anqabileyo kwisifo senqanaba lokuqala. Kungenxa yokuba i-SCLC ihlala isasazeka ngaphambi kokuba ifunyanwe. Nangona kunjalo, utyando lunokuqwalaselwa ngokudibeneyo kunye ne-chemotherapy kunye nonyango lwe-radiation kwiimeko ezithile.

Unyango olujolise kunyango

Unyango olujolise kulo luyasebenza ngokuchonga nokuhlasela iimolekyuli ezithile ezichaphazelekayo ekuyaleni komhlaza. Ngelixa engasetyenziswanga ngokubanzi kwi-SCLC njengakwi-NSCLC, uphando uyaqhubeka nokuphononongwa kwendima ekujoliswe kuyo ekunyangeni lohlobo lomhlaza onomhlaza.

I-gonotherapy

Ugonyo uhenyuza amajoni omzimba ukuze alwe iiseli zomhlaza. Ngelixa isiko hayi unyango lodidi lokuqala lwe-SCLC, amanye ama-Ismotherapys abonisa isithembiso kwiimvavanyo zeklinikhi kwaye anokubakho ngakumbi kwixesha elizayo.

Iinketho zonyango

Kwizigulana ezinenqanaba elibanzi-kwinqanaba le-SCLC ebanzi okanye abo bafumana ukuphinda baqatshelwe izifo, kukho iindlela ezongezelelweyo zonyango ekufuneka ziqwalaselwe:

Iimvavanyo zeklinikhi

Ukuthatha inxaxheba kwiimvavanyo zeklinikhi kubonelela ngokufikelela kweyona intsha kunye neyona intsha kakhulu Unyango oluNcinci lweeLwimi oluNcinci iindlela zokusondela. Ezi zilingo ziphonononga amachiza amatsha, ukudityaniswa konyango, kunye nezinye iindlela zovelwano. Ugqirha wakho we-oncologist unokuxoxa ukuba ngaba ulingo lweklinikhi lungafanelekile kuwe. Ezi zilingo zinika ithemba kwiziphumo eziphuculweyo kwaye zinegalelo ekuqhubeni uphando lomhlaza.

Unonophelo lwenkxaso

Ukulawula iimpawu kunye nokuphucula umgangatho wobomi kubalulekile Unyango oluNcinci lweeLwimi oluNcinci. Unonophelo lwenkxaso lubandakanya ulawulo lweentlungu, inkxaso yesondlo kunye nengcebiso ngokweemvakalelo nangokwengqondo. Le ndlela igqibeleleyo ibalulekile kubahlobo lonke bonyango ngokubanzi.

Ukukhetha isicwangciso sonyango esifanelekileyo

Ukhetho lonyango lwe-SCLC sisigqibo esibonakalayo. Ugqirha wakho we-oncologist uza kuphuhlisa isicwangciso sonyango ngokusekelwe kwimeko yakho ethile, ethathela ingqalelo izinto ezifana nenqanaba lomhlaza wakho, impilo yakho iyonke, kunye nezinto ozithandayo. Vula unxibelelwano neqela lakho lonyango kubalulekile ukwenza izigqibo ezinolwazi malunga nononophelo lwakho. Ukubonisana neengcali kumaziko anje ngeShandong Baeof IZiko loPhando loPhando (https: //www.baofitaspital.com/) Unokubonelela ngokufikelela ekugqibeni nasekufezekisweni Unyango oluNcinci lweeLwimi oluNcinci Khetha ukhetho.

Ulawulo lwexesha elide kunye nokulandela

Kwanasemva kokugqiba unyango lokuqala, ukuqeshwa rhoqo kokuqeshwa kubalulekile ukubeka esweni ukuphinda-phinda izifo kwaye kulawulwe naziphi na iziphumo ebezingalindelekanga zexesha elide. Ukufunyanwa kwangoko kokuphinda kwenziwe kwakhona kuvumela ungenelelo olungena kwaye luphucula amathuba onyango oluyimpumelelo.

I-Prognosis kunye neRhafu yokusinda

I-Prognosis ye-SCLC iyahluka ngokuxhomekeka kwizinto ezifana nenqanaba lokuxilongwa kunye nempendulo kunyango. Ngelixa i-SCLC inomsindo, inkqubela phambili kunyango iphucule irhafu yokuphucula. Ugqirha wakho we-oncologist unokubonelela nge-prognosis eyodwa ngakumbi ngokusekelwe kwiimeko zakho zabantu. Kubalulekile ukuxoxa ngezinto ezilindelekileyo kunye neenketho zenkxaso kwiqela lakho lezonyango.