Imithi yokwelashwa umdlavuza wamaphaphu eduze kwami: Ukuthola ukunakekelwa kwelungelo lokunakekela umdlavuza wezokwelapha okusebenzayo eduze kwami kungazizwa kunzima. Lo mhlahlandlela uhlinzeka ngesibukezo esiphelele sokwelashwa okutholakalayo, ukucatshangelwa kokukhetha ukunakekelwa okulungile, kanye nezinsizakusebenza ukukusiza uzulazule lolu hambo. Kubalulekile ukukhumbula ukuthi lolu lwazi lungelolwazi olujwayelekile futhi akufanele luthathe indawo yokubonisana nochwepheshe wezokwelapha. Njalo xoxa ngezinketho zakho zokwelashwa nodokotela wakho.
Ukuqonda umdlavuza wamaphaphu kanye nezinketho zokwelashwa
Umdlavuza wamaphaphu uyisifo esiyinkimbinkimbi ngezinhlobo ezahlukahlukene nezigaba. Izinketho zokwelashwa zincike ezicini eziningana, kufaka phakathi uhlobo lomdlavuza, isigaba salo, impilo yakho yonke, kanye nezintandokazi zomuntu siqu. Ukwelashwa okujwayelekile komdlavuza wamaphaphu kubandakanya ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, nokugoma. Iziguli eziningi ziyazuza ngokuhlanganiswa kwalezi zindlela.
I-Chemotherapy yomdlavuza wamaphaphu
I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Imvamisa isetshenziswa ezigabeni ezithuthukile zomdlavuza wamaphaphu noma ukuncipha kwamathumbu ngaphambi kokuhlinzwa. Izidakamizwa ezijwayelekile ze-chemotherapy zomdlavuza wamaphaphu zihlanganisa i-cisplatin, i-carboplatin, i-paclitaxel, ne-doncetaxel. Imiphumela emibi iyahlukahluka, kepha ingafaka i-nausea, ukukhathala, kanye nokulahlekelwa izinwele. Udokotela wakho we-oncologist uzoxoxa ngemiphumela emibi namasu wokuphatha.
Ukwelashwa okuhlosiwe
Izidakamizwa zokwelapha ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza. Le mithi ingasebenza kakhulu ezinhlotsheni ezithile zomdlavuza wamaphaphu, ikakhulukazi lezo ezinokuguqulwa okuthile kofuzo. Izibonelo zezidakamizwa zokwelapha ezihlosiwe zifaka i-Afatiinib, erlotinib, i-gefitinib, kanye ne-ostertinib.
I-ImmunoSatherapy
I-ImmunoSatherapy ikhulisa amasosha omzimba wokulwa namaseli womdlavuza. Le ndlela yokwelashwa iguqule ukwelashwa komdlavuza wamaphaphu, okunikeza izinzuzo zesikhathi eside kwezinye iziguli. Izibonelo zemithi ye-immunotherapapy ifaka i-pembrolikumab, nivolumabab, kanye ne-atezolikumab.
Ukwelashwa kwemisebe
Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukubulala amaseli womdlavuza. Ingasetshenziswa ukuncipha kwamathumbu, ukudambisa izimpawu, noma ukuphatha umdlavuza osabalale. Imisebe ye-beam yangaphandle inguhlobo oluvame kakhulu, kepha i-brachytherapy (imisebe yangaphakathi) nayo ingahle isetshenziswe.
Ukuthola ukwelashwa komdlavuza wamaphaphu eduze kwakho
Ukuthola imithi yokwelashwa komdlavuza wamaphaphu efanelekile eduze kwami kudinga ukucatshangelwa ngokucophelela. Qala ngokubonisana nodokotela wakho wokuqala wokunakekelwa. Bangakudlulisela ku-Oncologist, uchwepheshe womdlavuza ongahlola isimo sakho futhi ancome uhlelo lokwelashwa oluqondene nomuntu uqobo.
Ukucwaninga nge-Oncologists yendawo kanye nezibhedlela
Sebenzisa izinjini zokucinga eziku-inthanethi ukuthola ama-oncologists kanye nezibhedlela ezinakekela ukwelashwa komdlavuza wamaphaphu endaweni yangakini. Funa izindawo ezinedumela eliqinile, ubuchwepheshe obuthuthukisiwe, kanye nochwepheshe bezokwelapha abanolwazi. Ungahlola futhi izilinganiso eziku-inthanethi nezilinganiso ukuze uthole imininingwane evela kwezinye iziguli ezihlangenwe nakho. Cabanga ngezinto ezifana nokugunyazwa kwezibhedlela kanye nokutholakala kwezinsizakalo ezikhethekile, njengokulingwa kwemitholampilo.
Uma kucatshangelwa izivivinyo zemitholampilo
Izilingo zemitholampilo zinikeza ukufinyelela kokwelashwa okusha okungenzeka kungatholakali kabanzi. Ukubamba iqhaza kwecala lomtholampilo kunganikeza izinzuzo ezingaba khona ngenkathi kufaka isandla ocwaningweni lomdlavuza. Isazi se-oncologist yakho singakusiza ekuboneni ukuthi ngabe icala lokwelashwa likulungele yini.
Ukucatshangelwa Okubalulekile
Ukukhetha ukwelashwa okulungile kudinga ukucubungula ngokucophelela kwezinto eziningana:
Into eqinile | Ukufanisa |
Isigaba somdlavuza | Isigaba somdlavuza wakho sizothinta kakhulu ukukhetha ukwelashwa. |
Uhlobo lomdlavuza | Izinhlobo ezahlukene zomdlavuza wamaphaphu ziphendula ngendlela ehlukile ekwelashweni ezahlukahlukene. |
Impilo yonke | Impilo yakho yonke kanye nekhono lokubekezelela ukwelashwa kuyinto ebalulekile. |
Leli thebula ngezinjongo zolwazi kuphela futhi akufanele lisetshenziswe njengento ebambele ngezeluleko zokwelashwa eziqeqeshiwe.
Ukuthola Ukusekelwa
Ukubhekana nokuxilongwa komdlavuza wamaphaphu kungaba yinselele ngokomzwelo. Amaqembu okusekela, izinhlangano zokwelulekwa, kanye nezinhlangano ezixhaswe yiziguli zinganikeza usizo olukhululiwe.Ngalo eminye imininingwane ngentengo yomdlavuza ethuthukile, ungabheka izinsiza ezifana neNational Cancer Institute (
https:/www.cancer.gov/). Khumbula, ukufuna ukusekelwa nokuqonda kusuka kochwepheshe bezokwelapha kanye namanethiwekhi okusekelwa kubalulekile kulo lonke uhambo lwakho.
I-Shandong Baafa Cancer Research Institute Inikeza ukunakekelwa komdlavuza okuphelele, usebenzisa intuthuko yakamuva ekwelashweni. Hlala ubeka phambili ukuxhumana nethimba lakho lezempilo ukuqinisekisa ukuthi uthola ukunakekelwa okwenziwe ngezifiso nokusebenzayo. p>