Izinketho ezishibhile zokwelashwa komdlavuza wamaphaphu ngokuqondisa umthwalo wezezimali we-lung umdlavuza wezokwelapha ubalulekile. Lo mbhalo uhlola izinketho ezingabizi zokwelashwa ezihlukaniswe ngesigaba somdlavuza wamaphaphu, zigcizelela izindlela ezenzelwe ubufakazi kanye nezinsizakusebenza ukusiza iziguli ezihamba uhambo lwazo. Sizohlola izindlela ezahlukahlukene zokwelashwa, izindleko zabo, nezinhlelo ezingaba usizo lwezezimali. Lo mhlahlandlela wenzelwe ukuhlinzeka ngokubuka konke okuphelele, futhi kubalulekile ukuxhumana nabachwepheshe bezokunakekelwa kwempilo kwezincomo ezenzelwe wena.

Izinketho ezishibhile zokwelashwa komdlavuza wamaphaphu ngesiteji

Umdlavuza wamaphaphu, imbangela ehamba phambili yokufa okuhlobene nomdlavuza emhlabeni jikelele, kudinga ukwelashwa okusheshayo nokwenza okusebenzayo. Kodwa-ke, izindleko zokwelashwa zingaba yisithiyo esibalulekile ezigulini eziningi. Lo mbhalo uhlose ukuhlinzeka ngesithombe esicacile se Izinketho ezishibhile zokwelashwa komdlavuza wamaphaphu ngesiteji, ukugxila kumasu angabizi kanye nezinsizakusebenza ezitholakalayo.

Ukuqonda izigaba zomdlavuza wamaphaphu

Isigaba somdlavuza wamaphaphu kakhulu sithinta kakhulu izinketho zokwelashwa nezindleko. Ukuzishaya kuhilela ukuhlola usayizi, indawo, futhi kwasakazekela ezindlini eziseduze ze-lymph node noma ezithweni ezikude. Izigaba zisukela esiteji I (zasendaweni) ziye eStag IV (Metastatic), ngesigaba ngasinye sidinga indlela ehlukile yokwelashwa.

Isiteji I & II Lung Cancer: Izinketho zokwelashwa zasendaweni

Ngomdlavuza wamaphaphu wokuqala (izigaba i kanye i-II), ukuhlinzwa kuvame ukwelashwa okuyinhloko. Ngenkathi ukuhlinzwa kungabiza, ukungenelela kusenesikhathi kungaholela ekuxoliseni isikhathi eside futhi kungahle kwehlise izindleko zokwelashwa ngokuhamba kwesikhathi. Amasu okuhlinza amancane ahlaselayo aqhubeka njalo, okunciphisa isibhedlela kuhlala isikhathi sokutakula kanye nesikhathi sokutakula, ngaleyo ndlela kuthinte izindleko. Ezinye izinketho ezinjengokwelashwa kwemisebe noma i-stereotactic yomzimba i-radiotherapy (SBT) nazo zingabhekwa njengezindlela ezingabizi kakhulu futhi zingabizi kakhulu ukuze zibe nomdlavuza wamaphaphu wokuqala. Funda kabanzi ngezinketho zokwelapha ze-radiation.

Umdlavuza wama-Space III I-RACREES: Izindlela ze-Multimodal

Umdlavuza we-Space III I-LEPS uhilela izifo ezibanzi kakhulu, ezivame ukudinga inhlanganisela yokwelashwa efana nokuhlinzwa (uma kungenzeka), i-chemotherapy, nokwelashwa kwemisebe. Izindleko zale ndlela ye-multimodal ngokuvamile ziphakeme kunokwelashwa kwangaphambi kwesikhathi. Kodwa-ke, ukuhlola okukhethwa kukho njengokwelashwa okuhlosiwe (uma kusebenza) kunganganikeza ukuphathwa okuthe xaxa okuthe xaxa okuphathelene nesikhathi esisheshayo kuqhathaniswa ne-chemotherapy ebanzi.

Isigaba se-IV LUP RABACER: Ukunakekelwa Kwamandla Nabaphathi

Isiteji I-IV LUP CHARACT siyi-metastatic, okusho ukuthi umdlavuza usakazekele kwezinye izingxenye zomzimba. Ukwelashwa kugxile ekuphatheni izimpawu, ukuthuthukisa ikhwalithi yempilo, futhi kwandise ukusinda. Izinketho zifaka i-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, nokunakekelwa okusekelwayo. Ukunakekelwa kwe-palliative kubalulekile kulesi sigaba, futhi kuhlolisise izinhlelo zosizo lwezezimali zokuphatha izimpawu nezindleko zokwelashwa kubalulekile.

Izindleko ze Izinketho ezishibhile zokwelashwa komdlavuza wamaphaphu ngesiteji Nge-Stage IV kungahluka kakhulu ngokuya ngezokwelapha ezithile ezisetshenzisiwe. Ukuhlola izivivinyo zemitholampilo kunganikezela ukufinyelela kwezindlela zokwelashwa okungenzeka ukuthi zingezelwa impilo ngezindleko eziphansi kunokwelashwa okujwayelekile.

Izinketho zokwelashwa nezinsizakusebenza ezingabizi

Amasu ambalwa angasiza ukuphatha izindleko zokwelashwa komdlavuza wamaphaphu:

• Izinhlelo Zosizo Losizo Kwezezimali: Izinhlangano eziningi zinikeza usizo lwezezimali lweziguli ezinomdlavuza, kubandakanya nezibonelelo, usizo lokusebenzisana, kanye nezinhlelo zosizo lwemithi. Xhumana nomhlinzeki wakho wezempilo noma usonhlalonhle ukuhlola izinsiza ezikhona.
• Izilingo Zomtholampilo: Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kokwelashwa okusikayo kuvame ukuthola izindleko ezincishisiwe. Khuluma nodokotela wakho we-oncologist ngokufaneleka.
• Ukuxoxisana ngezikweletu zezokwelapha: Unganqikazi ukuxoxa ngezibhedlela nabahlinzeki bomshuwalense ukunciphisa izikweletu zezokwelapha. Izibhedlela eziningi zinezinhlelo zosizo lwezezimali.
• Imithi ejwayelekile: Kusetshenziswa izinhlobo zemithi ejwayelekile kunganciphisa kakhulu izindleko ngenkathi kugcinwa ukusebenza kwempilo. Xoxa ngale ndlela nodokotela wakho.

Ithebula lokuqhathanisa lezindleko (okubonisana)

Ukuzikhulula: Amabanga wezindleko ahlinzekiwe anezilinganiso futhi angahluka kakhulu ezimweni ezithile, indawo, kanye nokukhethwa kokwelashwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo kanye nomshuwalense imininingwane efanele yezindleko.

Ngeminye imininingwane kanye nesiqondisi esiqondene nomuntu uqobo Izinketho ezishibhile zokwelashwa komdlavuza wamaphaphu ngesiteji nokusekelwa okuhlobene nezezimali, cabanga ukubonisana naye I-Shandong Baafa Cancer Research Institute. Banganikeza ngezinhlelo noma imininingwane ekhethekile eyenzelwe izidingo zakho ezithile.

QAPHELA: Lolu lwazi lungenxa yolwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Hlala uthintana nomuntu ochwepheshe wezempilo ofanelekile nganoma yimiphi imibuzo ongaba nayo mayelana nesimo sezokwelapha.