Izikhungo zokwelashwa komdlavuza wamaphaphu: isiqondisi esibanzi sokuqamba Isikhungo Sokulashwa Umdlavuza We-Lung kubalulekile ukunakekelwa okusebenzayo. Lo mhlahlandlela uhlinzeka ngemininingwane ephelele ukukusiza ukuthi uzulazule izinketho zakho futhi wenze izinqumo ezinolwazi. Sizohlola izindlela ezahlukahlukene zokwelashwa, izici okufanele sizicabangele lapho sikhetha isikhungo, kanye nezinsizakusebenza ukusekela uhambo lwakho.
Ukuqonda izinketho zokwelashwa komdlavuza wamaphaphu
Ukwelashwa komdlavuza wamaphaphu kuyehlukahluka ngokuya ngesiteji, uhlobo, nempilo yakho yonke. Izindlela ezijwayelekile zifaka:
Indawo kadokotela
Ukususwa kwesimila kwesimila kungaba inketho yomdlavuza wamaphaphu wokuqala. Izinqubo zisukela kumasu wokuhlaselwa kancane afana nokuhlinzwa kwe-thoracoscopic okusizwayo ngevidiyo (ama-vat) ezinhlosweni ezibanzi kakhulu njenge-lobectomy noma i-pneumonectomy. Ukukhetha kuncike ezintweni ezifana nosayizi, indawo, kanye nempilo yakho yonke.
Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingasetshenziswa ngaphambi kokuhlinzwa ukuncipha kwesimila (i-neadjuvant chemotherapy), ngemuva kokuhlinzwa ukubulala amaseli okugcina umdlavuza (i-adgevant chemotherapy), noma njengokuphathwa komdlavuza okuyinhloko komdlavuza wamaphaphu athuthukile. Ama-regimens ahlukene we-chemotherapy akhona, ahambisana nesimo sakho esithile.
Ukwelashwa kwemisebe
Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukulimaza nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, ukuletha imisebe evela emshinini ongaphandle komzimba. Ukwelashwa kwemisebe yangaphakathi (i-brachytherapy) kubandakanya ukubeka imithombo yemisakazo ngqo noma eduze kwesimila.
Ukwelashwa okuhlosiwe
Izidakamizwa zokwelapha ezihlosiwe eziqondiwe ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Le ndlela isebenza ngokukhethekile ezinhlotsheni ezithile zomdlavuza wamaphaphu ngokuguqulwa okuthile kwezakhi zofuzo.
I-ImmunoSatherapy
I-ImmunoSatherapy isiza amasosha omzimba wakho womzimba alwe nomdlavuza wamaseli. Lezi zindlela zokwelapha zingakhulisa impendulo yakho yokuzivikela komzimba noma ukusiza amaseli omzimba aqaphele futhi ahlasele ama-cell cell ngokuphumelelayo. I-ImmunoSatherapy iyindlela yokwelashwa ebaluleke kakhulu yomdlavuza wamaphaphu.
Ukukhetha isikhungo sokuvuselela umdlavuza wamaphaphu
Ukukhetha a
Isikhungo Sokulashwa Umdlavuza We-Lung kudinga ukucatshangelwa ngokucophelela. Nazi izinto ezibalulekile zokuhlola:
Ubuchwepheshe kanye nesipiliyoni
Funa izikhungo ezinabafundisi abanolwazi, odokotela abahlinzayo, kanye nabelaphi bemisebe enakekela umdlavuza wamaphaphu. Cwaninga izimfanelo zabo kanye nerekhodi lethrekhi. Bheka izitifiketi zeBhodi kanye nokuzihlanganisa nezikhungo zokucwaninga eziholayo. Ivolumu ephezulu yamacala omdlavuza wamaphaphu aphathwa ngokuvamile ingakhombisa isipiliyoni esikhudlwana nobuchwepheshe.
Ubuchwepheshe nezinsizakusebenza
Ubuchwepheshe obuthuthukisiwe budlala indima enkulu ekwelashweni komdlavuza wamaphaphu ophumelelayo. Cabanga ngezikhungo ezihlomele izinhlelo ze-state-of-the-art, ama-pet scans), amakhono okuhlinza amarobhothi, kanye nobuchwepheshe bokwelashwa kwemisebe ethuthukisiwe.
Ukunakekelwa okuphelele
Indlela ephelele ibalulekile. Khetha isikhungo esinikeza indlela yethimba leqembu le-multidiscuplinary, elihlanganisa ndawonye ama-oncologists, odokotela abahlinzayo, abahlengikazi bemisebe, nabahlengikazi, kanye nabasebenzi abasekelayo ukuhlinzeka ukunakekelwa okuphelele. Bheka izikhungo ezinikezela ukufinyelela kwezinsizakalo zokunakekelwa kwePalliative ukubhekana nokuphathwa kwezinhlungu kanye nekhwalithi yokukhathazeka ngempilo.
Izinsizakalo Zokusekelwa Kweziguli
Ukusekelwa okungokomzwelo nangokoqobo kubalulekile ngesikhathi sokwelashwa. Funa izikhungo ezinabasebenzi abasizi abazinikezele, abahlinzeka ngezinsizakusebenza njengokululeka, izinhlelo zosizo lwezezimali, kanye nezinto zokufunda iziguli. Izikhungo eziningi zinikeza amaqembu okusekelana ukukuxhumanisa nezinye iziguli nemindeni.
Ucwaningo Nokulingwa Kwemitholampilo
Cabanga ngezikhungo ezibandakanyeke ngokwenza umdlavuza we-LEP RACTEREN CUCTION futhi unikeze izilingo zomtholampilo. Ukubamba iqhaza esivivinyweni somtholampilo kunganikeza ukufinyelela kwezindlela zokwelapha ezintsha futhi zinomthelela entuthukweni ekunakekelweni komdlavuza wamaphaphu.
Izinsizakusebenza nokusekelwa
Izinhlangano eziningi zinikeza izinsizakusebenza ezibalulekile nokusekelwa kwalabo abathintwe umdlavuza wamaphaphu: I-American Lung Association: Inikeza imininingwane, amaqembu okusekelana, kanye nokukhangisa. I-Lung Cancer Research Foundation: Izimali zicwaninga futhi zisekela iziguli nemindeni yazo. I-National Cancer Institute: Inikeza imininingwane ephelele yokwelashwa komdlavuza kanye nocwaningo.Ikunakekelwa okuhlukile kanye nendlela ye-multidiscilonary to
Ukwelashwa komdlavuza wamaphaphu, cabanga ukuhlola izinsiza kanye nobungcweti obutholakala kwi-Shandong Baofa Cancer Research Institute. Ungafunda okuningi kwiwebhusayithi yabo:
https://www.baofahospital.com/.
Ukuhlaziywa kokuqhathanisa kwezikhungo zokwelashwa (Isibonelo esibonisa)
Isikhungo sokwelashwa | ISIQINISEKISO SOKUXHUMANA | Ubuchwepheshe be-radiation therapy | Izinhlelo ze-ImmunoSatherapy | Izinsizakalo Zokusekelwa Kweziguli |
Maphakathi a | Ivolumu ephezulu, ukuhlinzwa kwamarobhothi | I-radiotherapy elungiselelwe i-radiotherapy (IMRT), SCBT | Izinketho eziningi ze-immunotherapy ezitholakalayo | Amaqembu Okusekela Okubanzi, Usizo lwezezimali |
Isikhungo b | Odokotela abahlinzayo, ama-vats | I-IMRT, 3D i-radiotherapy | Izinketho Ezikhawulelwe I-Im-imzwe | Ukusekelwa kwesiguli okuyisisekelo |
Isikhungo c | IVolumu Elinganiselayo, Ukuhlinzwa Kwendabuko | I-3D evumelana ne-radiotherapy | Izinketho ezimbalwa | Ukusekelwa kwesiguli okukhawulelwe |
Qaphela: Lesi yisibonelo esibonisa futhi asimeleli ukuqhathanisa okuphelele kwakho konke
Izikhungo zokwelashwa komdlavuza wamaphaphu.Remember, ukukhetha okulungile
Isikhungo Sokulashwa Umdlavuza We-Lung isinyathelo esibalulekile. Thatha isikhathi sakho, uqoqe imininingwane, bese uxoxa ngezinketho zakho nethimba lakho lezempilo ukuqinisekisa ukuthi uthola ukunakekelwa okungcono kakhulu okungenzeka. Hlala uthintana nodokotela wakho ngaphambi kokwenza noma yiziphi izinqumo mayelana nokwelashwa kwakho.