Izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji: Umhlahlandlela obanzi we-Diodiotethos unikeza ukubuka konke Izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji, echaza indlela ehlukahlukene esetshenziswa ezigabeni ezahlukahlukene zesifo. Kubalulekile ukuxhumana ne-Oncologist yakho ukuthola uhlelo lokwelashwa olufanele kakhulu olususelwa ezimweni zakho ngazinye. Lolu lwazi lwenzelwe izinjongo zokufundisa futhi akufanele lubambe iqhaza izeluleko zokwelashwa eziqeqeshiwe.

Ukuqonda izigaba zomdlavuza wamaphaphu nokwelashwa

Umdlavuza wama-lung uhlukaniswe ngezigaba ngokuya ngosayizi nendawo indawo yesimila, noma ngabe isabalale kwizindawo eziseduzane ze-lymph, nokuthi ngabe inemetastasised (Spread) ezingxenyeni ezikude zomzimba. Isigaba somdlavuza sithinta kakhulu izinketho zokwelashwa ezitholakalayo. Umdlavuza wamaphaphu okuqala ngokuvamile wayelapheka kakhulu kunomdlavuza wamaphaphu osezingeni eliphakeme.

Isiteji I Lungeng Cancer Trancer Turnance Options

Okuhlinzayo okuhlinza

Ezigulini eziningi ezinesigaba i umdlavuza wamaphaphu, Ukuhlinzwa ukuze kususwe isimila (ukusetha kabusha) kuyindlela yokuphathwa yokwelashwa eyinhloko. Lokhu kungafaka phakathi kwe-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwalo lonke amaphaphu), noma i-segmentectomy (ukususwa kwengxenye yamaphaphu). Ukukhethwa kokuhlinzwa kuncike endaweni nosayizi wesimila. Ukuhlinzwa ngemuva, ezinye iziguli zingazuza ku-Adgevant Chemotherapy ukunciphisa ingozi yokuphindaphinda.

Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT)

I-SBT uhlobo lokwelashwa kwemisebe enikezela ngemithamo ephezulu yemisebe endaweni ebhekiswe ngqo. Kunye indlela engapheli yokuhlinzwa kwezinye iziguli ezinesigaba i umdlavuza wamaphaphu, ikakhulukazi labo abangafaneleki abafanelekile ngokuhlinzwa ngenxa yezinye izimo zezempilo. I-SBRT ihanjiswa ngezikhathi ezimbalwa esikhathini esifushane.

Izinketho Zomdlavuza Wezokwelashwa Ngeziteji II

Ukuhlinzwa kulandelwa ukwelashwa okunama-advant

Ifana nesigaba I, ukuhlinzwa kuvame ukuwumugqa wokuqala wokwelashwa kwesigaba II umdlavuza wamaphaphu. Kodwa-ke, ukwelashwa okunama-admivant (chemotherapy, ukwelashwa kwemisebe, noma bobabili) kuvame ukunconywa ngemuva kokuhlinza ukwehlisa ithuba lokuphindaphinda. Uhlobo oluthile nobude besikhathi sokwelashwa okunama-advant kuzoncika ezicini ngazinye.

I-Chemotherapy kanye nokwelashwa kwemisebe

Kwezinye izimo, ikakhulukazi uma ukuhlinzwa kungenzeki, inhlanganisela ye-chemotherapy kanye nokwelashwa kwemisebe kungahle kusetshenziselwe ukuncipha isimila nokulawula lesi sifo. Le ndlela ihlose ukuthuthukisa ukusinda kanye nekhwalithi yempilo.

Izinketho zokwelashwa komdlavuza womdlavuza we-III III

Ukwelashwa kwe-Chemotherapy kanye nokwelashwa kwemisebe (okufanayo noma ukulandelana)

Isiteji III umdlavuza wamaphaphu Imvamisa kubandakanya ukwelashwa okuningana, imvamisa kuhlanganiswa kwe-chemotherapy kanye nokwelashwa kwemisebe enikezwe kanye kanye (ngasikhathi sinye) noma ngokulandelana (okulandelana okunye). Le ndlela ehlanganisiwe ihlose ukuncipha isimila futhi ikuvimbele ekusakazeni ngokwengeziwe.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe ziyizidakamizwa ezibhekise ngqo amaseli omdlavuza ngokuqondile, kushiya amaseli aphilile angalimalanga. Ukuguqulwa okuthile kwezakhi zofuzo kuma-lung cancrence cell kungenza baphendule ngokwelashwa okuhlosiwe. Isazi se-oncologist yakho sizokwenza ukuhlola ukuthola ukuthi ngabe ukwelashwa okuqondisiwe kufanelekile yini ngesimo sakho.

Izinketho zokwelashwa komdlavuza womdlavuza we-IV

I-Systemic Therapy

Isigaba IV umdlavuza wamaphaphu, okusatshalaliswe ezingxenyeni ezikude zomzimba (metastasis), kubhekwa njengengatholakali. Ukwelashwa kugxile ekuphatheni lesi sifo kanye nokwenza ngcono impilo yesiguli. Izindlela zokwelapha ezihlelekile, ezinjenge-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, futhi kwesinye isikhathi ukwelashwa kwemisebe, kusetshenziselwa ukulawula ukukhula komdlavuza futhi kudambise izimpawu.

Ukunakekelwa Okusekelayo

Ukunakekelwa kokusekelwa kubalulekile ezigulini nge-Stage IV umdlavuza wamaphaphu. Lokhu kufaka phakathi ukuphathwa kwezinhlungu, ukulawulwa kwezimpawu, ukwesekwa kokudla okunempilo, nokusekelwa ngokomzwelo nangokwengqondo. Ochwepheshe be-Palliative Care badlala indima ebalulekile ekunikezeni ukunakekelwa okuphelele kokusekelwa.

Ukuthola ukunakekelwa okulungile eduze kwakho

Ukuthola ukwelashwa okungcono kakhulu kwakho umdlavuza wamaphaphu kudinga ukucatshangelwa ngokucophelela. Izikhungo eziningi ezinhle kakhulu zomdlavuza zikhona, zinikeza ukunakekelwa okuphelele. Uma udinga indawo ebanzi yokunakekelwa komdlavuza, cabanga ngezikhungo zokucwaninga ezifana ne-Shandong Bandoong Baafa Research Institute (https://www.baofahospital.com/) ngezinketho zokwelashwa ezithuthukile.

Khumbula, ukutholwa kusenesikhathi nokuxilongwa kubalulekile ekwelashweni komdlavuza wamaphaphu okuphumelelayo. Xhumana nodokotela wakho uma uhlangabezana nanoma yikuphi okuphathelene nezimpawu. Ukungenelela kusenesikhathi kuvame ukuholela emiphumeleni engcono.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.