Lo mhlahlandlela ophelele uhlola izinketho zokwelashwa kanye nezibhedlela eziholayo ezibhekelelana ngokuningiliziwe-isigaba esincane somdlavuza wamaphaphu (ES-SCLC). Sisebenzisa ubunzima balo mdlavuza onolaka, izinqubo zokuhlonza, amaphrothokholi ezokulashwa, kanye nokucatshangelwa okubalulekile kweziguli nemindeni yazo. Thola imininingwane yokuzulazula ohlelweni lwezempilo, ukufinyelela ekwelashweni kokusika, futhi uthathe izinqumo ezinolwazi ngalesi sikhathi esinzima.
Ukwanda kwesiteji esincane umdlavuza we-lung (es-SCLC) kuyindlela enolaka ikakhulukazi yomdlavuza wamaphaphu. Kubonakaliswa yi-metastasis ebanzi, okusho ukuthi amangqamuzana omdlavuvuna asabalale ngale kwamaphaphu ezingxenyeni ezikude zomzimba. Ukuxilongwa kusenesikhathi futhi ukwelashwa okusheshayo kubalulekile ekuthuthukiseni imiphumela yeziguli. Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli Dinga indlela yobuningi, imvamisa ehilela i-chemotherapy, ukwelashwa kwemisebe, kanye nokwelashwa okuhlosiwe. I-Prognosis ye-ES-SCLC iyinselele, kepha intuthuko ekwelashweni ithuthukise kakhulu amanani okusinda eminyakeni yamuva.
Ukuxilonga i-ES-SCLC kufaka phakathi inhlanganisela yokuhlolwa, kufaka phakathi ama-X-rays esifubeni, ama-CT Scans, i-pet scans, i-bronchoscopy, nama-biopsies. Lezi zivivinyo zisiza ekuboneni ubukhulu bokusakazwa komdlavuza kanye nokuqondisa ukwelashwa. Isiteji esinembile sibalulekile ekunqumeni okusebenzayo kakhulu Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli amasu.
I-Chemotherpepy iyitshe le-Cornterstone Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli. Ama-regimens ahlukahlukene angama-chemotherapy ayatholakala, avame ukuhambisana nesimo sesiguli ngasinye kanye nempilo yonke. Umgomo ukuncipha isimila futhi uthuthukise ikhwalithi yempilo yesiguli. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenziselwa ukwelashwa kwe-ES-SCLC zifaka i-cisplatin, etoposide, ne-carboplatin. I-regimen ethize inqunywa yi-Oncologist esuselwa ezintweni ezifana nempilo yesiguli, izici ze-tumor, kanye nokuba khona kwama-metastase.
Ukwelapha imisebe kungahle kusetshenziswe ngokubambisana ne-chemotherapy ukuqondisa izindawo ezithile zomdlavuza. Kungasiza ukunciphisa usayizi we-tumor kanye nokudambisa izimpawu. Ukwelashwa kwemisebe kungahle kusetshenziswe yedwa noma kuhlanganiswe nezinye izindlela zokwelapha, kuya ngesimo esithile sesiguli futhi ubukhulu bomdlavuza busakazeka. Kuyingxenye ebalulekile ye-A ephelele Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli Hlela.
Izindlela zokwelapha ezihlosiwe yimithi emisha egxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza kanye nokusinda. Lezi zindlela zokwelapha zingasetshenziswa ngokubambisana ne-chemotherapy noma ukwelashwa kwemisebe ukuthuthukisa ukusebenza kokwelashwa kanye nokunciphisa imiphumela emibi. Ukusetshenziswa kwezindlela zokwelapha ezihlosiwe ku-ES-SCLC kuya ngokuya kuvame kakhulu, futhi izinketho ezintsha zihlala zithuthukiswa.
Ukukhetha isibhedlela Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli yisinqumo esibucayi. Cabanga ngezinto ezifana nesipiliyoni sesibhedlela nge-ES-SCLC, ukutholakala kobuchwepheshe obunqenqemeni, ubuchwepheshe bethimba lezokwelapha, kanye nesipiliyoni seziguli jikelele. Funa izibhedlela ezinezikhungo zomdlavuza wamaphaphu ezinikezele kanye namaqembu ahlukahlukene afaka ama-oncologists, odokotela abahlinzayo, ama-radiation oncologists, kanye nochwepheshe abanakekelayo abasekelayo.
Lapho ukhetha isibhedlela Isiteji Esibanzi Sokudla Umdlavuza Wengcane Lungamuli, kubalulekile ukucwaninga ngamanani awo empumelelo, ubufakazi beziguli, kanye nokutholakala kwezilingo zomtholampilo. Ukutholwa kobuchwepheshe obuthuthukile bokuxilonga kanye nokwelashwa kanye nendawo esekelayo yokuba yisiguli kanye nomndeni wabo nakho kucatshangelwa ngokubaluleka. Ukugunyazwa kwesibhedlela kanye nezitifiketi zinganikeza ukuqonda okubalulekile kwikhwalithi yabo yokunakekelwa.
Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kwezindlela zokwelapha ezintsha futhi zinikele ekunakekelweni kokunakekelwa kwe-ES-SCLC. Izilingo eziningi zemitholampilo ziyaqhubeka, ziphenya izindlela zokwelapha ezintsha kanye nezindlela zokwelashwa. Isazi se-oncologist yakho singasiza ekuboneni ukuthi ukubamba iqhaza esivivinyweni somtholampilo kufanelekile ngesimo sakho esithile.
Ukubhekana nokuxilongwa kwe-ES-SCLC kungaba nkulu. Ukusekelwa okuvela emndenini, kubangani, kanye namaqembu okusekela kubalulekile. Izinhlangano eziningi zinikeza izinsiza kanye nokusekelwa kweziguli kanye nabathandekayo bazo. Ukuxhuma nabanye ababhekene nezinselelo ezifanayo kunganikeza ukwesekwa okubalulekile ngokomzwelo nangokoqobo. Khumbula ukuthi ukufuna usizo kuwuphawu lwamandla.
Isibhedlela | Ukuqoqa | Indawo lapho kubekwe khona |
---|---|---|
I-Shandong Baafa Cancer Research Institute | Ukwelashwa komdlavuza wamaphaphu | Shandong, China |
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.
Imithombo: (Faka imithombo yakho lapha ngezixhumanisi, usebenzisa i-rel = nefolowlow lapho kufanele khona.)
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