Ukwelashwa komdlavuza wamaphaphu okuqala

Ukwelashwa komdlavuza wamaphaphu okuqala Le ndatshana ihlinzeka ngesibukezo esibanzi se Ukwelashwa komdlavuza wamaphaphu okuqala Izinketho, zigcizelela ukubaluleka kokuxilongwa kusenesikhathi kanye nokuchaza intuthuko yakamuva enkundleni.

Ukuqonda umdlavuza wamaphaphu wakuqala

Uyini umdlavuza wamaphaphu wokuqala?

Umdlavuza wamaphaphu okuqala ubhekisa umdlavuza ongakaze asabalale ngaphesheya kwamaphaphu noma ama-lymph node aseduze. Lokhu kuhlukaniswe ngezigaba njengezigaba i kanye ne-II ngokuya ngohlelo lwesitayela se-TNM. Ukutholwa kusenesikhathi kulesi sigaba kukhulisa kakhulu amathuba okuthola ukwelashwa okuphumelelayo kanye nokusinda isikhathi eside. Isenzo esisheshayo lapho ubona noma yiziphi izimpawu, njengokukhwehlela okuqhubekayo, ukufushane komoya, noma ubuhlungu besifuba, kubalulekile. Ukuhlolwa njalo, ikakhulukazi kubantu abanobungozi obukhulu, kunconywa ukuba ubambe umdlavuza wamaphaphu wokuqala ngaphambi kokuthi ithuthuke.

Izinqubo Zokuxilonga Zomdlavuza Wasekuqaleni Amaphaphu

Ukuxilonga umdlavuza wamaphaphu wokuqala Kubandakanya izinqubo eziningana, kufaka phakathi: Isifuba se-X-ray: Lesi isikhathi sivame ukuba yisinyathelo sokuqala, siveze ama-asnoralities angaba khona. I-CT SCAN: Inikeza izithombe ezinemininingwane yamaphaphu nezindawo ezizungezile, zisiza ukukhomba indawo kanye nosayizi wesimila. I-Bronchoscopy: ishubhu elincanyana eliguqukayo elinekhamera lifakwa emigwaqweni yomoya ukuze ngeso lengqondo futhi uqoqe amasampula wezicubu. I-Biopsy: isampula elincane lezicubu likhishwa futhi lihlolwe ngaphansi kwesibonakhulu ukuqinisekisa ukuxilongwa futhi kuthola uhlobo lomdlavuza wamaphaphu. Lokhu kubalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa komdlavuza wamaphaphu okuqala Hlela. I-PET SCAN: I-Pet Scan ingabona amaseli anomdlavuza okungenzeka ukuthi asatshalaliswe ngaphesheya kwamaphaphu. Lokhu kusiza ekubambeni umdlavuza kanye nokuqondisa izinqumo zokwelashwa.

Izinketho zokwelashwa zomdlavuza wamaphaphu wangasese

Ukukhethwa kwe Ukwelashwa komdlavuza wamaphaphu okuqala Kuya ngezici eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli ephelele, kanye nohlobo lomdlavuza wamaphaphu. Izinketho ezijwayelekile zifaka:

Indawo kadokotela

Ukuhlinzwa kuvame ukwelashwa okuyinhloko komdlavuza wamaphaphu wokuqala. Lokhu kungafaka ukususa isimila kanye nengxenye yezicubu zamaphaphu ezizungezile (i-lobectomy, ingxenye, i-Segmetectomy, ukusetha kabusha kwe-Wedge). Amasu wokuhlanza kancane ahlaselayo, anjenge-thoracic assistry e-thoracic (ama-Vats), avame ukuthandwa izikhathi zokutakula ngokushesha kanye nokuncipha kwe-scarring. Ukukhethwa kwendlela enhle kunazo zonke yokuhlinza kuzoxoxwa nodokotela ohlinzayo ofanelekayo. Kumacala athuthukile, kungadingeka izinketho eziningi kakhulu zokuhlinzwa.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa yedwa noma inhlanganisela ngokuhlinzwa noma nge-chemotherapy. Ukwelashwa kwemisebe yemisebe yeStereotactic

Chemotherapy

I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphinda.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngenkathi kunciphisa ukulimala kwamaseli anempilo. Le ndlela yokwelashwa ihambisana nokuguqulwa okuthile kwezakhi zofuzo okukhona esiswini.

Izinketho zokwelashwa ezithuthukile nokucwaninga

Ucwaningo oluqhubekayo luyaqhubeka nokuqhubekela phambili Ukwelashwa komdlavuza wamaphaphu okuqala Izinketho. I-ImmunoSatherapy, ngokwesibonelo, ihlanganisa amasosha omzimba wokulwa nomdlavuza. Le yinsimu evela ngokushesha ethembisa imiphumela ethembisayo yezinhlobo ezithile zomdlavuza wamaphaphu. Le khasi I-Shandong Baafa Cancer Research Institute inikezelwe ekuhlolweni nasekuthuthukiseni okusha Ukwelashwa komdlavuza wamaphaphu okuqala amasu.

Ukuphila nangokungaphezulu komdlavuza wamaphaphu wokuqala

Ngemuva kokwelashwa, aphoyintimenti alandelayo alandelayo kubalulekile ukubhekisisa noma yikuphi ukuphindaphinda. Ukushintsha kwendlela yokuphila, njengokuyeka ukubhema, ukugcina ukudla okunempilo, nokuzivocavoca umzimba njalo, kungathuthukisa kakhulu ikhwalithi yempilo kanye ne-prognosis yesikhathi eside. Amaqembu okusekela kanye nezinsizakalo zokwelulekwa nazo zinganikeza ukwesekwa okungokomzwelo okubalulekile nokuholwa.

Ukugcina

Ukutholwa kusenesikhathi futhi kufanelekile Ukwelashwa komdlavuza wamaphaphu okuqala zibalulekile emiphumeleni ephumelelayo. Ukuqonda izinqubo zokuxilonga nezinketho zokwelashwa ezikhona, kanye nokufuna ukuhlolwa okujwayelekile kwezokwelapha nokulandela indlela yokuphila enempilo, izinyathelo ezibalulekile zokuhlanganisa lesi sifo. Ukubonisana ne-Oncologist efanelekayo kunconyelwe ukuholwa okwenziwe ngezifiso nokwelashwa.

Ukwelashwa Inketho	Izinzuzo	Okubi
Indawo kadokotela	Amanani aphezulu elapha ngezigaba zokuqala; amandla okususwa okuphelele komdlavuza.	Kudinga ukuhlinzwa; amandla okubhekana nezinkinga; ayilungele zonke iziguli.
Ukwelashwa kwemisebe	Ukuqondiswa okuqondile; ingasetshenziswa yedwa noma nezinye izindlela zokwelapha; ngokuhlasela okuncane.	Imiphumela emibi okungenzeka; kungenzeka ingasebenzi njengokuhlinzwa kwawo wonke amacala.
Chemotherapy	Angancipha ama-tumors; ingasetshenziswa ngaphambi noma ngemuva kokuhlinzwa.	Imiphumela emibi ebalulekile; kungenzeka ingasebenzi kuzo zonke izinhlobo zomdlavuza.