Ukuqonda nokwelapha isigaba 3A amaphaphu umdlavuza eChina

Lo mhlahlandlela ophelele uhlola ubunzima be I-China Stage 3A Amaphaphu Umdlavuza Wezokwelapha, ukuhlinzeka ngokuqonda ekuxilongeni, izinketho zokwelashwa kanye nentuthuko yakamuva ekunakekelweni kwe-Oncology eChina. Sizohlanganisa izindlela ezahlukahlukene zokwelashwa, imiphumela emibi engaba khona, kanye nokubaluleka kokufuna izeluleko zezokwelapha zezokwelashwa ezenzelwe izimo zakho ezithile.

Ukuxilongwa kwesiteji se-Stage 3a umdlavuza

Ukuqonda Uhlelo Lokulawula

Ukuqina okunembile kubalulekile ekunqumeni inkambo engcono kakhulu yokwelashwa China Stage 3A Lung Cancer. I-Stage 3A ikhombisa ukuthi umdlavuza usakazekele kwizindawo eziseduze ze-lymph nod kodwa hhayi ezingxenyeni ezikude zomzimba. Lesi sigaba siphinde sahlukaniswa (3A vs 3b) ngokususelwa ezingeni lokubandakanyeka kwe-lymph node. Ukuxilongwa okuqondile kufaka izivivinyo ezahlukahlukene kufaka phakathi ukuskena kokucabanga (CT, PET), Biopsies, ne-bronchoscopy. Ukuxilongwa kusenesikhathi nokunembile kuthinta kakhulu amanani empumelelo yokwelashwa.

Amathuluzi Okuxilonga nezinqubo

Amasu ambalwa wokucabanga athuthukile aqashwa ekuhlolweni komdlavuza wamaphaphu eChina. Ukuskena okuhlanganisiwe kwe-tomography (CT) kuhlinzeka ngezithombe ezinemininingwane yamaphaphu nezicubu ezizungezile, ngenkathi ama-tomography e-positron ephumayo (izilwane zasekhaya) asiza ukukhomba ubukhulu bomdlavuza asakazekele. I-Biopsies, ehilela ukususwa kwesampula yezicubu zokuhlolwa kwezicubu, kubalulekile ekuqinisekiseni ukuxilongwa kanye nokuthola uhlobo lomdlavuza wamaphaphu.

Izinketho zokwelashwa zeStage 3a umdlavuza wamaphaphu

Ukuhlinzwa kwesigaba 3a umdlavuza wamaphaphu

Ukuhlinzwa kungaba yindlela yokukhetha iziguli ezikhethwe ngokucophelela nge-Stage 3a umdlavuza wamaphaphu, ikakhulukazi lezo ezinomkhawulo we-lymph node development. Uhlobo lokuhlinzwa okwenziwe luncike endaweni nosayizi wesimila. Lokhu kungafaka phakathi kwe-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwalo lonke amaphaphu), noma izinqubo ezimbi kakhulu. Indlela yokuhlinza ekhethiwe inqunywa ithimba le-multidisciplinary of oncologists, odokotela abahlinzayo, nabanye ochwepheshe.

I-Chemotherapy e-Stage 3A amaphaphu umdlavuza womdlavuza

I-Chemotherapy idlala indima ebalulekile ekwelapheni China Stage 3A Lung Cancer, imvamisa isetshenziswa ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphinda. AmaRegimens ahlukahlukene angama-chemotherapy akhona, ngalinye lihlelwe ngesimo sesiguli ngasinye. Ukukhethwa kwezidakamizwa kanye nemithamo yazo kususelwa ezicini ezifana nohlobo lwamaseli omdlavuza, impilo yonke, nokunye ukucatshangelwa kwezokwelashwa.

Ukwelashwa kwemisebe ye-Stage 3a umdlavuza wamaphaphu

Ukwelashwa kwemisebe, kusetshenziswa imishayo ephezulu yamandla okubhubhisa amaseli womdlavuza, kuvame ukuqashwa ngokuhlanganiswa ne-chemotherapy noma ukuhlinzwa komdlavuza we-Stage 3a amaphaphu umdlavuza. Ukwelashwa kwemisebe yangaphandle kwe-beam kuyinto uhlobo oluvame kakhulu olusetshenzisiwe, olubhekiswe isimila kanye nezindawo ezizungezile ze-lymph. Uhlelo oluthile lwe-radiation lwenzelwe ngokucophelela ukunciphisa ukulimala kwezicubu ezinempilo ngenkathi kukhulisa ukubhujiswa kwamangqamuzana omdlavuza.

Ukwelashwa okuhlosiwe kanye ne-immunotherapy

Izindlela zokwelapha ezihlosiwe kanye nama-accunotherapies zibonisa intuthuko ebalulekile ekwelashweni komdlavuza. Izindlela zokwelapha ezihlosiwe zigxile kuma-molekyuli athile ababambe iqhaza ekukhuleni komdlavuza, kanti ama-accunotherapies ahlanganisa amasosha omzimba okuvimbela amaseli umdlavuzelo. Ukufaneleka kwalezi zindlela zokwelapha kuncike ezicini ezahlukahlukene, kufaka phakathi ukuguqulwa okuthile kwezakhi zofuzo kanye nempilo ephelele yesiguli. Lezi zindlela zokwelapha zivame ukuhlanganiswa ne-chemotherapy noma ukwelashwa kwemisebe ukuthuthukisa imiphumela. I-Shandong Baafa Cancer Research Institute Isikhungo esiphambili sokwelashwa komdlavuza okuthuthukile sisebenzisa lezi zindlela.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha uhlelo olufanele lokwelashwa lwe China Stage 3A Lung Cancer inqubo yokubambisana ehilela isiguli, i-oncologist, neqembu le-multidiscelinary. Leli qembu lingafaka phakathi odokotela abahlinzayo, izazi ze-radiation oncologists, ama-ocologist wezokwelapha, izazi zezezimali, nabanye ochwepheshe bezokunakekelwa kwempilo. Izici ezithonya izinqumo zokwelashwa zifaka iminyaka yesiguli, impilo ephelele, uhlobo nesigaba somdlavuza, kanye nokuthandwa ngumuntu. Ingxoxo ebanzi yezinzuzo ezingaba khona, ubungozi, kanye nemiphumela emibi yokwelashwa ngakunye kubalulekile ekwenzeni isinqumo esinolwazi.

Ukuphila nangaphezulu kwe-Stage 3a Lung Cancer

Ukuphila nangaphezulu kokuxilongwa kwesiteji 3a umdlavuza wamaphaphu kuvame ukudinga indlela ephelele yokuthola ukwelashwa, ukusekelwa okungokomzwelo nokulungiswa kwendlela yokuphila. Ukuqokwa okujwayelekile okulandelayo kubalulekile ukuqapha impendulo yokwelashwa futhi uthole noma yikuphi ukuphindaphinda. Amaqembu okusekela kanye nezinsizakalo zokwelulekwa zinganikeza ukwesekwa okubalulekile ngokomzwelo nangokoqobo ngalesi sikhathi esinzima. Ukugcina impilo enempilo, kufaka phakathi ukudla okulinganiselayo, ukuvivinya umzimba njalo, kanye namasu wokuphathwa kwengcindezi, kungathuthukisa kakhulu ikhwalithi yempilo.

Ukuzikhulula: 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.