Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi se Ukwelashwa komdlavuza wamaphaphu ngesiteji, enikeza imininingwane ebalulekile yokuqonda izinketho zokwelashwa nokwenza izinqumo ezinolwazi. Sizohlola izigaba ezahlukahlukene zomdlavuza wamaphaphu, ukwelashwa okujwayelekile esigabeni ngasinye, kanye nezinto ezibalulekile okufanele ucabangele lapho uzulazula lolu hambo olunzima. Khumbula, ukubonisana nochwepheshe wezokunakekelwa kwempilo kubalulekile ekuhlelweni komuntu uqobo kanye nokwelashwa. Ukuthola ukunakekelwa okulungile eduze kwakho kubalulekile; Lo mhlahlandlela uzokusiza uqonde izinketho ezitholakala endaweni yakho.
Umdlavuza wamaphaphu uvaliwe ngokusekelwe kusayizi, indawo, wasakazekela ezindaweni ze-lymph, kanye nokuba khona kwezinsimbi ezikude. Isiteji esinembile sibalulekile ekunqumeni okuhle kakhulu Ukwelashwa komdlavuza wamaphaphu ngesiteji. Uhlelo lokusebenzisa izitayela lusebenzisa izinombolo zamaRoma (i, II, III, IV) ngokuhlukaniswa okwengeziwe (a no b) ukucwilisa ukuhlukaniswa. Isiteji ngibonisa umdlavuza owenziwe endaweni, ngenkathi isigaba i-IV sibonisa isifo semetastiatic. Ukuqonda isigaba sakho esithile yisinyathelo sokuqala ekuhleleni ukwelashwa okusebenzayo.
Ngomdlavuza wamaphaphu okuqala (isigaba i), ukusetha kabusha kwe-Scription (ukususwa kwesimila kanye nezicubu ezizungezile) kuvame ukwelashwa okuyinhloko. Lokhu kungafaka i-lobectomy (ukususwa kweLung Lobe) noma i-pneumonectomy (ukususwa kwalo lonke amaphaphu), kuya ngendawo nosayizi kamusi. Kwezinye izimo, izindlela zokwelapha ezinamahloni ezinjenge-chemotherapy noma ukwelashwa kwemisebe kunganconywa ukunciphisa ingozi yokuphindaphinda.
Umdlavuza weSiteji II amaphaphu ngokuvamile kubandakanya isimila esikhudlwana noma esakazeka kwizindawo eziseduzane ze-lymph node. Izinketho zokwelashwa zivame ukuhlanganisa ukuhlinzwa nge-adgevant chemotherapy noma ukwelashwa kwemisebe. Indlela yokwelashwa ethile izokwenzelwe izici zesiguli ngasinye kanye nezici ezithile ze-SURE. Umgomo ukususa umdlavuza ngokuhlinzwa bese usebenzisa i-adfuvant therapy ukunciphisa ingozi yokuphindaphinda.
Umdlavuza we-Space III amaphaphu ubandakanya izifo eziningi kakhulu, ngokunokwenzeka ngokusakazwa kwezindawo ze-lymph esifubeni. Ukwelashwa kuvame ukubandakanya inhlanganisela ye-chemotherapy, ukwelashwa kwemisebe, nokuhlinzwa okungenzeka, kuya ngesifo salesi sifo kanye nempilo yesiguli yonke. I-Chemotherapy inganikezwa ngaphambi kokuhlinzwa (i-neadjuvant) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adjuvant) ukuqeda noma yimaphi amaseli omdlavuza asele. Amasu wemisebe yemisebe ethuthukisiwe, enjengokwelashwa kwemisebe yemisebe ye-stereotactic (SBTT), nawo asetshenziswa.
Isiteji se-IV Lileng Cancer sibonisa ukuthi umdlavuza une-metastasised (Spread) ezizameni ezikude emzimbeni. Ukwelashwa kugxile ekuphatheni izimpawu, ukuthuthukisa ikhwalithi yempilo, futhi kwandise ukusinda. Izinketho zifaka i-chemotherapy, ukwelashwa okuhlosiwe (izidakamizwa ezibhekise kumaseli womdlavuza othile), i-immunotherapy (ehlanganisa amasosha omzimba wokulwa nomdlavuza), nokunakekelwa okusekelayo. Izilingo zemitholampilo zingase futhi zinikeze ukufinyelela kokwelashwa okusha kanye nokwelashwa. I-Shandong Baafa Cancer Research Institute Isikhungo esiholayo esinikezelwe ukuthuthukisa ucwaningo nokuhlinzeka ngokunakekela okunqenqemeni kweziguli ezinomdlavuza wamaphaphu.
Ukuthola ikhwalithi ephezulu Ukwelashwa komdlavuza wamaphaphu eduze kwami kudinga ukucatshangelwa ngokucophelela. Izici okufanele zicatshangelwe zifaka okuhlangenwe nakho kwethimba lezokwelapha, ukufinyelela kubuchwepheshe obuthuthukile kanye nezinketho zokwelashwa, kanye nedumela eliphelele lesikhungo. Izinsizakusebenza eziku-inthanethi, ukudluliswa kodokotela, futhi ubufakazi besiguli bungaba amathuluzi abalulekile ekuboneni abahlinzeki bezempilo abafanele. Khumbula, ukusekelwa kwethimba lakho lezempilo kubalulekile kulo lonke uhambo lwakho lokwelashwa. Unganqikazi ukubuza imibuzo futhi ufune ukucaciswa nganoma yisiphi isici sohlelo lwakho lokwelashwa. Ukuqonda izigaba nezinketho zokwelashwa kukunika amandla okwenza izinqumo ezinhle kakhulu zempilo yakho.
Ukwelashwa Ukwelashwa komdlavuza wamaphaphu ngesiteji kuyinkimbinkimbi futhi eyenziwe umuntu uqobo. Kunezici eziningana kuthonya izinqumo zokwelashwa, okubandakanya impilo yesiguli, isigaba nohlobo lomdlavuza wamaphaphu, kanye nokuthandwa ngumuntu. Ukuxhumana okuvulekile nge-Oncologist yakho kubalulekile ukuze kuqinisekiswe ukuthi uhlelo lokwelashwa luqondanisa nezidingo nezinhloso zakho ngazinye. Lokhu kufaka phakathi ukuxoxa ngemiphumela emibi enokwenzeka kanye namasu okuthuthukisa ukuze awalawule.
Isiteji | Ukwelashwa okujwayelekile |
---|---|
I & II | Ukuhlinzwa, chemotherapy (adjutant), ukwelashwa kwemisebe |
I-III | I-Chemotherapy, ukwelashwa kwemisebe (kufaka phakathi i-SBT), ukuhlinzwa (kumacala akhethiwe) |
I-IV | I-Chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, ukunakekelwa kokusekela |
Nesitatimende: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alusho izeluleko zezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.
1I-National Cancer Institute: https:/www.cancer.gov/
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