Ukuqonda kanye nokuzulazula kwezinketho zokwelashwa zeChina Adenocarcinoma umdlavuza wamaphaphu

Lo mhlahlandlela ophelele uhlola ubunzima be I-China Adenocarcinoma LUP PARERACT TORCHART, Ukuhlinzeka ngokuqonda ekuxilongeni, izindlela zokwelashwa, kanye nezinsizakusebenza zokusekela ezitholakala eChina. Sizohlola izindlela ezahlukahlukene zokwelashwa, siqokomisa ukusebenza kwazo, imiphumela emibi engaba khona, kanye nokufaneleka kwamaphrofayli ahlukene eziguli. Ukuqonda ama-nuances alesi sifo esinzima kubalulekile ekuthatheni izinqumo okunolwazi futhi uzuze imiphumela engcono kakhulu.

Ukuxilongwa kwe-Adenocarcinoma Lolung Cancer eChina

Ukutholwa kusenesikhathi nokuhlolwa

Ukutholwa kusenesikhathi kuthuthukisa kakhulu ukungasebenzi kahle I-China Adenocarcinoma LUP PARERACT TORCHART. Ukuhlolelwa njalo, ikakhulukazi kubantu abanobungozi obukhulu (labo abanomlando womndeni womdlavuza wamaphaphu noma umlando wokubhema kakhulu), kubaluleke kakhulu. Ukuskena kwethamo eliphansi kwe-tomography (LDCT) kusetshenziselwa ukutholwa kusenesikhathi, kunikeza ukuzwela okuphezulu kuqhathaniswa nendabuko ye-X-ray. Ukufinyelela ezinhlotsheni ezinjalo zokuhlola kuyahlukahluka ngaphesheya kweChina, futhi abantu kufanele babhekane nomhlinzeki wabo wezokunakekelwa kwempilo maqondana nezincomo ezifanele zokuhlola.

Izinqubo Zokuxilonga

Lapho kutholwa okutholakele okusolisayo, kudingeka ucwaningo oluqhubekayo ukuqinisekisa ukuxilongwa kanye nesigaba umdlavuza. Lokhu kufaka phakathi izinqubo ze-biopsy (i-bronchoscopy, i-mediastinoscopy, noma inaliti ye-biopsy) ukuthola amasampula wezicubu zokuhlolwa kwe-pathological. Ukuhlaziywa kwe-Pathological kusiza ukunquma i-subtype ethize ye-adenocarcinoma, ethonya amasu wokwelashwa. Amasu wokucabanga afana nokuskena kwe-CT, ama-PET SCANS, kanye nama-MRI Scans nawo aqashwe ukuze ahlole ubukhulu bokusakazwa komdlavuza.

Ukwelashwa kokwelashwa komdlavuza wamaphaphu we-adenocarcinoma eChina

Okuhlinzayo okuhlinza

Ukuze uthole kusenesikhathi China Adenocarcinoma Lolung Cancer, ukusetha kabusha kokuhlinza imvamisa indlela yokwelashwa oyithandayo. Izinga lokuhlinzwa lincike endaweni nosayizi wesimila. Amasu amancane ahlaselayo, njengokuhlinzwa kwe-thoracoscopic okusizwa kahle kwe-thoracoscopic (ama-vars), aya ngokuya esebenza, eholela ekunciphiseni usizi nezikhathi zokutakula ngokushesha. Kungenzeka ukuthi ukusetha kabusha kokuhlinza kunqunywa ngokusekelwe ezintweni eziningana, kufaka phakathi impilo yesiguli ephelele kanye nobungako bokusakazwa komdlavuza.

Chemotherapy

I-Chemotherapy isebenzisa umuthi ukubulala amaseli omdlavuza. Imvamisa isetshenziselwa i-Advanced-Stage China Adenocarcinoma Lolung Cancer, kungaba ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila, ngemuva kokuhlinzwa (i-chemotherapy chemotherapy) ukuqeda amaseli omdlavuza wezinto ezi-microscopic, noma njengokwelashwa okuyinhloko ezimweni lapho ukuhlinzwa kungeyona inketho. AmaRegimens ahlukahlukene angama-chemotherapy atholakala, ngokukhetha okuthile ngokuya ngezinto ezifana nohlobo lomdlavuza, isigaba, kanye nezimpawu zeziguli. Imiphumela emibi ye-chemotherapy ingasukela kokuncane kuya kokubi futhi kufanele kuxoxwe ngayo ne-Oncologist yokwelapha.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa ezihlose ama-molecule athile ahlose ukuthuthuka kweseli yomdlavuza kanye nokusinda. Ukuhlolwa kwama-molecular, njenge-EGFR, ALK, ROS1, kanye nokuhlolwa kwe-ROS1, kanye nokuhlolwa kwe-BRAF, kubalulekile ekunqumeni ukufaneleka kokwelashwa okuhlosiwe. Lezi zindlela zokwelapha zisebenza ngokukhethekile ezigulini zazo ezithumbise zofuzo ezithile zofuzo. Le khasi I-Shandong Baafa Cancer Research Institute Inikeza ukuhlolwa kofuzo okuphelele ukuqondisa izinqumo zokwelashwa.

Ukwelashwa kwemisebe

I-radiant therapy isebenzisa imisebe yamandla aphezulu ukushabalalisa amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyindlela ejwayelekile, ukuletha imisebe evela emshinini ongaphandle komzimba. Ezimweni ezithile, i-brachytherapy (ifaka imithombo yemisakazo ngqo kwisimila) ingabhekwa. Imiphumela emibi yokwelashwa kwemisebe incike emthanjeni wendawo kanye nokwelashwa futhi iyahlukahluka phakathi kweziguli.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nomdlavuza. Izidakamizwa ezi-immunotherapy, ezinjengezinhlasizo zokuhlola, zisiza amasosha omzimba aqaphele futhi acekele phansi amaseli omdlavuza. Lezi zindlela zokwelapha zikhombise ukusebenza kahle ezinhlotsheni ezithile zomdlavuza wamaphaphu, ikakhulukazi labo abanomthwalo wokuguquguquka kwesimilo omkhulu. Kodwa-ke, akuzona zonke iziguli ezisabe ama-immunotherapy, nemiphumela emibi kufanele ibhekwe ngokucophelela.

Ukusekelwa Nezinsizakusebenza zeziguli ezinomdlavuza wamaphaphu eChina

Ukuzulazula a China Adenocarcinoma Lolung Cancer Ukuxilongwa kungaba inselele. Izinsizakusebenza eziningi zokusekela zitholakala eChina ukusiza iziguli nemindeni yazo izimo ezingokomzwelo, ezingokomzimba nezinengqondo zesifo. Lezi zinsiza zifaka amaqembu okusekelana, izinsizakalo zokwelulekwa, nezinhlangano zokusekela iziguli. Le khasi I-Shandong Baafa Cancer Research Institute Inikeza ngezinsizakalo eziphelele zokusekela iziguli nemindeni yazo.

Ukukhetha uhlelo lokulashwa olufanele

Okulungile I-China Adenocarcinoma LUP PARERACT TORCHART I-PLAND iye yaziwa kakhulu futhi incike ezicini ezahlukahlukene, kufaka phakathi isigaba somdlavuza, izici ze-tumor, impilo yesiguli, kanye nokuthandwa ngumuntu. Ukubambisana okusondele phakathi kwesiguli, umndeni wazo, neqembu labaningi labachwepheshe bezokunakekelwa kwempilo, kubandakanya ne-Oncologists, odokotela abahlinzayo, kanye nezazi ze-radiation, kubalulekile ekwakheni isu elifanele lokwelashwa.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuxilongwa kanye nezincomo zokwelashwa.