Inqanaba lesi-3 elingelilo i-LIGY LAGNER (i-NSCLC) sisifo esibi, kodwa inkqubela phambili kunyango linika ithemba. Esi sikhokelo sibonelela ngesishwankathelo esikhoyo Inqanaba lonyango 3 Izibhedlele ezincinci zeseli kunye neendlela zonyango, egxininisa ukubaluleka kokukhathalela umntu kunye nokufuna ingcebiso yengcali. Ukuqonda isicwangciso sakho sonyango kubalulekile ukuba ujikeleze olu hambo lucelomngeni. Olu lwazi luyinjongo yemfundo kuphela kwaye akufuneki luthintelwe isikhokelo sonyango.
Inqanaba le-3 i-NSCLC lihlelwe kwinqanaba le-IIA kunye ne-IIB, ebonisa ubungakanani bomhlaza. Inqanaba leIA libandakanya ukusasazeka kwe-ymph neendawo ezikufuphi, ngelixa iqonga IIB libandakanya ukubandakanyeka okungaphezulu kwe-lymph kunye / okanye ukusasazeka kwizakhiwo ezikufuphi. Inkqubo yonyango ethile iya kuxhomekeka kwizinto ezininzi, kubandakanya nenqanaba elichanekileyo, impilo epheleleyo yesigulana, kunye neempawu zethumba (njengeprofayile yemfuza kunye neprofayili yemolekyuli).
Kwezinye izigulana ezinenqanaba 3 i-NSCLC, utyando lusenokuba lukhetho, olunokubandakanya ukususwa kwethumba kunye neendawo ezingqongileyo ze-lymph. Ukuba nakho utyando kuxhomekeke kwindawo nobungakanani bethumba kunye nempilo yesigulana iyonke. Ukhetho loqhaqho lunokubandakanya i-lobectomy (isisu se-lobe yomphunga) okanye i-pneumonectomy (isuswa kuyo yonke imiphunga). Inkathalo yasemva kwentsebenzo ibaluleke kakhulu ekubuyiseleni kwakhona.
I-chemotherapy isebenzisa amayeza ukonakalisa iiseli zomhlaza. Ihlala isetyenziswa ngaphambi kotyando (i-neaadjualjurapy chemotherapy) yokuthoba ithumba, ukuqhutywa kotyando ngempumelelo, okanye emva kotyando (i-chemotherapy (i-chemotherand chemotherapy) yokuphelisa nayiphi na iiseli zomhlaza osele. Iirejimeni ezahlukeneyo zeChemotheratherapy zikhona, zilungiselelwe iimfuno zomntu ngamnye zesigulana. Iziphumo ebezingalindelekanga zixhaphakile kwaye ziyahluka ngokuxhomekeke kumachiza asetyenzisiweyo.
Unyango lwe-radiation lonyango lusebenzisa imitha yamandla amakhulu ukuze ujolise kwaye ubulala iiseli zomhlaza. Ingasetyenziswa bodwa okanye ngokudibeneyo nolunye unyango. Unyango lwangaphandle lwe-radiation radiation luqhelekile, luthumele imitha ukusuka ngaphandle komzimba ukuya kwindawo ye-tumor. Unyango lwe-radiation lunokuba neziphumo ebezingalindelekanga, kubandakanya nokudinwa kunye nokucaphuka kolusu.
Iziyobisi ekugxilwe kuzo iziyobisi zigxile kwiimolekyuli ezithile kwiiseli zohlaza, zithintela ukukhula kwazo nokusasazeka. Olu nyango luhlala lusetyenziswa xa utshintsho oluthile lwendalo olukhoyo kwisituru. Ukusebenza kwenkqubo ekujoliswe kuyo kuxhomekeke kwiprofayili yemfuzo ye-tuma. Kufuneka iliso rhoqo kufuneka ihlole ukusebenza ngempumelelo kunye nokulawula nayiphi na imiphumo emiselweyo.
Unyango kunyango lunceda amajoni omzimba alwa iiseli zohlaza. Isebenza ngokukhulisa amandla amajoni omzimba ukuze akwazi ukuhlasela iiseli zomhlaza. Iziyobisi ezininzi ezimlumyo ziyafumaneka, nganye ineendlela ezithile zesenzo. Umgono unokuvelisa iimpendulo ezingapheliyo kodwa zinokuba neziphumo ebezingalindelekanga ezifuna ukubeka esweni okukufutshane.
Ukukhetha isibhedlele sasekunene kubalulekile. Qwalasela izinto ezinjengamava esibhedlele ngokunyanga umhlaza wemiphunga, ubungcali be-oncologis yayo kunye nonyango, ukufikelela kwiTekhnoloji yoNyango yoNyango (njengoNyango lweMeko yoNyango), kunye nokufumaneka kweenkonzo zenkxaso. Uphononongo lwezigulana kunye neengcebiso ezivela kwezinye izigulana zinokuxabiseka.
I IZiko loPhando lweShandong Baeo liziko eliphambili elinikezelwe ekuboneleleni ngononophelo lwe-AR-wobugcisa. Ukuzinikela kwabo kunyango olugxile ngomonde, kudityaniswe netekhnoloji yezoluntu, ibenza babe ngabasebenzi ababalulekileyo ebantwini abajamelene nalo mngeni.
Kubalulekile ukukhumbula ukuba uhambo lomhlaza ngamnye lwahlukileyo. Izicwangciso zonyango zilungiselelwe iimeko nganye, kwaye ivule unxibelelwano neqela lakho lezempilo kubalulekile. Ungaze uthandabuze ukubuza imibuzo, chaza inkxalabo yakho, kwaye uthathe inxaxheba ngenkuthalo xa usenza izigqibo malunga nonyango lwakho. Amaqela enkxaso kunye neenkonzo zokucebisa zinokubonelela ngemvakalelo enkulu ngokweemvakalelo nangokufanelekileyo.
Uhlobo lonyango | Izibonelelo ezinokubakho | Iziphumo ezinokubakho |
---|---|---|
Utyando | Gqibezela ukususwa kwe-tumation | Intlungu, usulelo, ubunzima bokuphefumla |
Chemotherapy | I-tudumer tumes, ukubulala iiseli zomhlaza | Isicaphucaphu, ukugabha, ukulahleka kweenwele, ukudinwa |
Unyango lwe-radiation | Ukujolisa nokubulala iiseli zomhlaza | Ukucaphuka kwesikhumba, ukudinwa, isicaphucaphu |
Iphepha elichazayo: Olu lwazi luyinjongo zemfundo kuphela kwaye akufuneki kuthathelwe ingqalelo icebiso ngonyango. Soloko unxibelelana nengcali yezempilo yokuxilongwa kunye nokunyanga nayiphi na imeko yonyango.
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