Lo mbhalo uhlinzeka ngolwazi ngokuthola ukwelashwa komdlavuza wamaphaphu ahlobene nokuguqulwa kwezakhi zofuzo eChina. Ihlola izinsiza ezikhona, izinketho zokwelashwa kanye nokucatshangelwa kwabantu abafuna ukunakekelwa. Sixoxa ngokubaluleka kokuxilongwa kusenesikhathi kanye nezindlela zokwelashwa ezenzelwe umuntu ngokususelwa ekuhlolweni kofuzo.
Umdlavuza wamaphaphu yisifo esiyinkimbinkimbi, futhi ukuba khona kwezakhi zofuzo kudlala indima enkulu ekuthuthukisweni nasekwelashweni kwayo. Izinguquko ezithile zofuzo, njenge-EGFR, Alk, Ros1, kanye ne-BRAF, kungathonya ukusebenza kwezindlela zokwelapha ezahlukahlukene. Ukuhlonza lokhu China i-genectic mutation umdlavuza wamaphaphu Ukuguqulwa kwezakhi zofuzo kubalulekile ekuqondiseni izinqumo zokwelashwa kanye nokwenza ngcono imiphumela. Ukuxilongwa kusenesikhathi kuyisihluthulelo sokwelashwa okuphumelelayo kwazo zonke izinhlobo zomdlavuza wamaphaphu. Ukuxilongwa okunembile nangesikhathi, okuvame ukubandakanya amasu athuthukile wokucabanga kanye nama-biopsies, kubaluleke kakhulu.
Ukwelashwa China i-genectic mutation umdlavuza wamaphaphu kuvame ukubandakanya indlela ye-multidisciplinary, enzelwe ukuguqulwa okuthile kofuzo okukhonjwayo. Lokhu kungafaka:
Izindlela ezihlosiwe ziyizidakamizwa ezenzelwe ukuqondisa amaseli omdlavuza ngokuqondile ngokuguqulwa okuthile kofuzo. Le mithi ingavimba ngempumelelo ukukhula nokusakazeka kwamaseli womdlavuza ngenkathi kunciphisa ukulimaza amaseli anempilo. Izibonelo zifaka phakathi i-EGFR Tyrosine KINASE LINASE LINASE ENSITOR (TKIS) yomdlavuza wamaphaphu oguquliwe kanye nama-alk inhibitors womdlavuza wamaphaphu we-alk-positive. Ukukhethwa kokwelashwa okuhlosiwe kuncike kakhulu ekuguqukeni okuthile okutholakele.
I-Chemotherapy, usebenzisa izidakamizwa zeCytotoxic, ihlala iyindlela ebalulekile yokwelashwa, evame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha noma njengendlela yokwelashwa eyinhloko kwezinye izimo. Ukusebenza kwe-chemotherapy kungathuthukiswa kakhulu ngokuqonda iphrofayili yofuzo yesiguli.
I-ImmunoSatherapy ihlanganisa amandla amasosha omzimba uqobo ukuze alwe nomdlavuza. Ukuvikelwa kwama-infrieve Checkpoices kuwuhlobo lwe-immunotherapy olungasebenza kakhulu ezinhlotsheni ezithile zomdlavuza wamaphaphu ngokuguqulwa okuthile. Basebenza ngokuvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. Ukufaneleka nokusebenza kahle kuncike kwiphrofayili ethile yofuzo yomdlavuza.
Ezimweni ezifanele, ukuhlinzwa kanye nokwelashwa kwemisebe kungaqashwa njengengxenye yohlelo lokuphathwa okuphelele. Isinqumo sokusebenzisa lezi zindlela sincike ezicini eziningana, kufaka phakathi indawo kanye nesigaba somdlavuza, impilo yesiguli yonke, kanye nephrofayili yofuzo yomdlavuza.
Ukuthola izikhungo ezikhethekile ngobuchwepheshe ekwelapheni umdlavuza wamaphaphu ochazwe ngofuzo kubalulekile. Izibhedlela ezinde ezihlonishwayo kanye nezikhungo zocwaningo lomdlavuza eChina zinikela ngamakhono okuthola okuthuthukile nokwelashwa. Ukucwaninga izibhedlela ezaziwa ngeminyango ye-Oncology yabo kanye nobungcweti ekuhlolweni kwamangqamuzana kubalulekile. Cabanga ukufuna umbono wesibili wokuqinisekisa uhlelo lokwelashwa olufanele lwesimo sakho esiyingqayizivele.
Kubantu abafuna ukunakekelwa komdlavuza okuphelele, The I-Shandong Baafa Cancer Research Institute yisikhungo esiholayo esinikezelwe ekunikezeni ukwelashwa komdlavuza okuthuthukile nocwaningo. Iqembu labo lochwepheshe lisebenzisa ubuchwepheshe obuqashile ukuletha ukunakekelwa okwenziwe ngezifiso, kufaka phakathi ukuhlolwa kokwelashwa okuyinkimbinkimbi kanye nezindlela zokwelashwa ezihambisana nazo.
Imininingwane enikezwe lapha yolwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Hlala uthintana ne-Oncologist efanelekayo noma ochwepheshe bezokunakekelwa kwempilo ukuze uthole ukuholwa okwenziwe ngezifiso kanye nezincomo zokwelashwa. Ukuxilongwa kusenesikhathi nokunakekelwa okuphelele kubalulekile ekuthuthukiseni amathuba emiphumela ephumelelayo ekwelapheni China i-genectic mutation umdlavuza wamaphaphu.
Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.
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