Ukwelashwa komdlavuza oshibhile kwezakhi zofuzo.

Ukwelashwa komdlavuza we-genetic ashibhile amaphaphu, Ukuqonda izinketho zakho zokukhetha Ukwelashwa komdlavuza oshibhile kwezakhi zofuzo. kungaba inselele. Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi sokwelashwa okutholakalayo, okugxile ezindleleni ezisebenzayo ngenkathi uqinisekisa ukunakekelwa kwekhwalithi. Sihlola izindlela ezahlukahlukene zokwelashwa, sixoxe ngezinto ezinethonya izindleko, futhi siqokomisa izinsiza ukukusiza uzulazule lolu hambo olunzima.

Ukuqonda ukuguqulwa kwezakhi zofuzo emdlavuza wamaphaphu

Izinhlobo zezakhi zofuzo

Umdlavuza wamaphaphu akusona isifo esisodwa; Iqoqo lezifo ezahlukahlukene eziphawulwa ukuguqulwa kwezakhi zofuzo. Lokhu kuguqulwa kungathinta kakhulu izinketho zokwelashwa kanye ne-prognosis. Ukuguqulwa okujwayelekile kufaka i-EGFR, Alk, Ros1, ne-BRAF. Ukuhlonza ukuguqulwa okuthile kubalulekile ekutholeni ukwelashwa okuhambisana nakho. Ukuqonda iphrofayili yakho yezakhi zofuzo

Umthelela wokuguqulwa kwezakhi zofuzo ekwelashweni

Ukuba khona kokuguqulwa okuthile kwezakhi zofuzo kuthonya ngqo izinqumo zokwelashwa. Isibonelo, iziguli ezinokuguqulwa kwe-egfr zingahlomula kumakhambi ahlosiwe njenge-tyrosine kinase inhibitors (TKIS), evame ukufakazela ukusebenza okusebenzayo futhi okunobuthi obuncane kunokwemvelo kwe-chemotherapy. Ngokufanayo, ukuguqulwa kwe-alk ne-ros1 kuphendula kahle ekwelashweni okuhlosiwe. Ukuqonda lokhu kuguqulwa kubalulekile ekwenzeni izinqumo ezinolwazi mayelana nezakho Ukwelashwa komdlavuza oshibhile kwezakhi zofuzo..

Izinketho zokwelashwa zodokotela wezakhi zofuzo amaphaphu

Ukwelashwa okuhlosiwe

Izidakamizwa ezihlosiwe yizidakamizwa ezenzelwe ukuhlasela amaseli athile omdlavuza ngokuguqulwa kofuzo oluthile, ukunciphisa ukulimala kwamaseli anempilo. Le ndlela ivame ukuholela ekubekezeleni okungcono kanye nemiphumela emibi embalwa uma iqhathaniswa ne-chemotherapy, okuholela ekutheni kube nezindleko eziphansi zezempilo ezihlala isikhathi eside ezihambisana nokuphatha imiphumela emibi. Izibonelo zifaka i-TKIS njenge-Afatiinib, i-gefitinib, i-erlotinib (ye-egfr mutations), kanye ne-crizotinib (ye-alk ne-ros1 cubutshiswa).

Chemotherapy

Ngenkathi i-chemotherapy ihlala iyitshe lelotshelo lokuphathwa komdlavuza wamaphaphu, ukwelashwa okuhlosiwe kuvame ukukhethwa ezigulini ezinokuguqulwa okuthile kofuzo ngenxa yokusebenza kwayo okuthuthukile nokubekezelelana. I-Chemotherapy ingahle isetshenziswe ngokubambisana nezindlela zokwelapha ezihlosiwe noma njengokwelashwa kwesalvage uma ezinye izindlela zokwelapha zehluleka. Izindleko ze-chemotherapy zingahluka ngokuya ngohlobo oluthile.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba wesiguli ukuze alwe namaseli womdlavuza. Ukuguqulwa okuthile kwezakhi zofuzo kungathonya ukusebenza kwe-immunotherapy. Izindleko ze-ImmunoSatherapy zingaba okukhulu, kepha izinzuzo zalo zesikhathi eside zingahle zilungise izindleko zokuqala ezimweni ezithile.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kungasetshenziselwa ukuqondisa nokubhubhisa amaseli womdlavuza, kaningi ngokuhlanganiswa nezinye izindlela zokwelapha. Kwesinye isikhathi inketho engabizi kakhulu, ikakhulukazi isifo esenziwe yisikhathi.

Izici ezithinta izindleko zokwelashwa

Izindleko ze Ukwelashwa komdlavuza oshibhile kwezakhi zofuzo. ingahluka kakhulu ngokusekelwe ezintweni eziningana: | Isici | Umthelela kwizindleko || --------------------------------------------------- Uhlobo Lokwelashwa | Izindlela zokwelapha ezihlosiwe zingabiza, ngenkathi i-chemotherapy ingahluka ngezindleko. || Isigaba somdlavuza | Izigaba zangaphambili ngokuvamile zidinga ukwelashwa okuncane kakhulu futhi okungabizi kakhulu. || Isikhathi sokwelashwa | Izikhathi zokwelashwa ezinde ngokwemvelo zikhulisa izindleko zonke. || Isibhedlela noma umtholampilo | Izindleko ziyahlukahluka phakathi kwabahlinzeki bezempilo abahlukahlukene. || Ukumbozwa komshuwalense | Izinhlelo zomshuwalense zithinta kakhulu izindleko ze-Out-of-Pocket. |

Ukuthola Izinketho Zokwelashwa Ezingabizi

Ukuzulazula kwezici zezezimali zokwelashwa komdlavuza kungaba nzima. Izinsizakusebenza eziningana zingakusiza ekufinyeleleni ekunakekelweni okungabizi: Izinhlelo Zosizo Eziguli: Izinkampani eziningi zemithi zinikeza izinhlelo zosizo lwezezimali ukusiza iziguli ezithola imishanguzo yazo. Ukuvivinywa kwemitholampilo: Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kokuncipha kokwelashwa kokusika ngezindleko ezincishisiwe. Hlala uthintana nodokotela wakho. Izinhlangano Zosizo lwezezimali: Izinhlangano ezingenzi nzuzo ezingenzi nzuzo zihlinzeka ngosizo lwezezimali ezigulini ezibhekene nomdlavuza ezibhekene nobunzima bezezimali.Remember, ngenkathi ufuna izinketho ezingabizi, ukubeka phambili ikhwalithi yokunakekelwa kuhlala kubanda. Ukuxoxa konke okukhethwayo nge-Oncologist yakho kuqinisekisa ukuthi uthola uhlelo lokwelashwa olungcono kakhulu. Ukunakekelwa komdlavuza kanye nokucwaninga komdlavuza, cabanga ngokuhlola izinsiza ezifana ne-Shandong Bandoong Baafa Research Institute (https://www.baofahospital.com/). Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alwenzi izeluleko zezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuholwa komuntu uqobo.