Le ndatshana ihlinzeka ngesibukezo esiphelele sezindleko ezihambisana nokwelashwa umdlavuza omncane wamaphaphu (ES-SCLC) eChina. Ihlola izinketho ezahlukahlukene zokwelashwa, izici ezithonya izindleko, kanye nezinsizakusebenza ezikhona ezigulini nemindeni yazo izulazula lolu hambo olunzima. Sihlola izindleko ezingaba khona ezihambisana nokuxilongwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, ukunakekelwa okubhekiswe okuhlosiwe, ukunakekelwa okusekelwayo, kanye nokuphathwa kwesikhathi eside. Ukuqonda lezi zindleko kubalulekile ukuhlela okusebenzayo kwezezimali kanye nokufinyelela ukwesekwa okufanele.
Ukwanda kwesiteji esincane umdlavuza wamaphaphu (China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza) Indlela enolaka yomdlavuza wamaphaphu ophawulwa yi-metastasis ebanzi ngesikhathi sokuxilongwa. Lokhu kusho ukuthi umdlavuza usakaze ngale kwamaphaphu kwezinye izingxenye zomzimba. Ukwelashwa kuyinkimbinkimbi futhi kuvame ukubandakanya inhlanganisela yezindlela.
Ukuxilongwa okunembile kubaluleke kakhulu. Lokhu kufaka phakathi izifundo zokucabanga (ama-CT Scans, ama-pet scans), ama-biopsies, kanye nokuhlolwa kwegazi. Inqubo eyisiteji enquma ubukhulu be-Cancer Spread, inomthelela ezinqumweni zokwelashwa kanye nokuqagelwa kwezindleko. Ukuxilongwa kusenesikhathi nokunembile kuyisihluthulelo sokwenza ngcono imiphumela yokwelashwa futhi kungahle kunciphise okuphelele China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza.
I-Chemotherapy iyitshe le-Cornterstone lokwelashwa kwe-ES-SCLC. Kubandakanya ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli. I-regimen ekhethekile nobude buxhomeke ezintweni ezifuywayo ngazinye. Le khasi China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza Kwe-chemotherapy iyahlukahluka ngokuya ngohlobo nenombolo yemijikelezo edingekayo. Izindleko zingafaka umuthi uqobo, imali ekhokhwayo, kanye nesibhedlela esingaba khona.
Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma ngokubambisana ne-chemotherapy. Izindleko zokwelashwa kwemisebe zithonywa ngokwezinga zokwelashwa ezidingekayo kanye nohlobo lwemisebe esetshenzisiwe. Izici ezifaka isandla kokuphelele China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza Ngokwelashwa kwemisebe kufaka inani lezikhathi, indawo esetshenzisiwe, nanoma yiziphi izinqubo ezihambisanayo.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngenkathi kunciphisa ukulimala kwamaseli anempilo. Ukutholakala nezindleko zokulashwa okuhlosiwe kwe-ES-SCLC kungahluka. Le khasi China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza Okwelashwa okuhlosiwe kuya ngesidakamizwa esithile esisetshenzisiwe, umthamo, kanye nesikhathi sokwelashwa. Ezinye izindlela zokwelapha ezihlosiwe zingabiza kakhulu kune-chemotherapy yendabuko.
Ukunakekelwa kokusekelwa kubalulekile kulo lonke elashwa futhi kugxile ekuphatheni imiphumela emibi kanye nokwenza ngcono impilo. Lokhu kungafaka umuthi wokuphathwa kwezinhlungu, isicanucanu nokukhathala. Kubandakanya nokuxhaswa okunempilo, ukwelashwa ngokomzimba, kanye nokwelulekwa ngokomzwelo. Le khasi China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza Ngokunakekelwa kokusekelwa kuyehluka ngokuya ngezidingo zesiguli ngazinye kanye nezinga lokusekelwa elidingekayo.
Kunezici eziningana ezithonya jikelele China esiteji esisezingeni elincanyana se-cell lubizo izindleko zokwelashwa komdlavuza womdlavuza:
Into eqinile | Umthelela ezindlekweni |
---|---|
Isikhathi Sokulashwa | Ukwelashwa okude ngokwemvelo kuholela ezindlekweni eziphakeme. |
Ukukhetha Isibhedlela | Izindleko ziyahlukahluka kakhulu phakathi kwezibhedlela ezahlukahlukene kanye nabahlinzeki bezokunakekelwa kwempilo. |
Izindlela zokwelashwa ezithile ezisetshenzisiwe | Ezinye izindlela zokwelapha, ezinjengezokwelapha ezihlosiwe, zingabiza kakhulu kunabanye. |
Isidingo sokunakekelwa kokusekelwa | Ubungako bokunakekelwa kokusekelwa okudinga umthelela imali ephelele. |
Ukuzulazula kwezici zezezimali zokuphathwa komdlavuza kungaba nzima. Iziguli nemindeni yazo kufanele zihlole izinsiza ezahlukahlukene ukusiza ukuphatha izindleko. Lokhu kungafaka ukumbozwa komshuwalense, izinhlelo zosizo lwezezimali, namaqembu okusekelana. Kubalulekile ukuxoxa ngezinselelo ezingaba khona zezezimali neqembu lakho lezokunakekelwa kwempilo kusenesikhathini sokwelashwa.
Ngeminye imininingwane mayelana nezinketho zokwelashwa nokusekelwa komdlavuza, ungafisa ukuhlola izinsizakusebenza ezivela ezinhlanganweni ezihlonishwayo ezinjengeNational Cancer Institute (NCI) nezinye izikhungo ezifanele zezempilo zaseChina. Khumbula ukuthintana ne-Oncologist yakho ukuthuthukisa uhlelo lokwelashwa okwenziwe ngezifiso futhi ubhekane nanoma yimiphi imibuzo ongaba nayo ngezindleko.
Uyacelwa ukuthi wazi ukuthi imininingwane enikezwe lapha yolwazi olujwayelekile futhi akufanele ibhekwe njengezeluleko zezokwelapha. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.
I-Shandong Baafa Cancer Research Institute Inikeza ukunakekelwa komdlavuza okuphelele, kufaka phakathi ukwelashwa okuthuthukile komdlavuza wamaphaphu. Thintana nabo ukuze ufunde kabanzi ngezinsizakalo zabo kanye nezilinganiso zezindleko.
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