Ukwelashwa komdlavuza we-Neuroendeendeocrine Lung

-Zwayo Ukwelashwa komdlavuza we-Neuroendeendeocrine Lung Izinketho zibalulekile ezigulini nasemindenini yazo. Lo mbhalo uhlinzeka ngesibukezo esinemininingwane yezindlela ezahlukahlukene zokwelashwa ezitholakalayo, okubandakanya ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye nokwelashwa okuhlosiwe, kanye nemininingwane yokulawula impilo yempilo kanye nokwenza ngcono impilo yempilo. Siphinde sixoxe ngokubaluleka kwezinhlelo zokwelashwa ezenzelwe wena kanye nezilingo zemitholampilo.Neundlaent Neuroendocric LUng CancerUmdlavuza wamaphaphu we-Neuroendeendocrine (NELC) uhlobo olungavamile lomdlavuza wamaphaphu ovela kumaseli we-neuroendocrine. Lawa maseli anezici zamangqamuzana ezinzwa nama-hormone-akhiqize ama-hormone. I-NELC ihlukaniswe kabanzi ezinhlotsheni ezimbili eziphambili: I-Small Cell Lung Cancer (SCLC) kanye ne-Cell Cell Neuroendocrine Carcinoma (LCNEC). I-SCLC ivame kakhulu futhi imvamisa ikhula futhi isakazeka ngokushesha, ngenkathi i-LCNEC ijwayelekile kepha futhi inolaka.Indlela ethile yokwelashwa ethile ye umdlavuza wamaphaphu we-Neuroendeendocrine Kuya ngezici eziningana, kufaka phakathi uhlobo nesigaba somdlavuza, impilo yesiguli ephelele, kanye nezinketho zazo.Izinketho zazo ze-SCLC encane ye-LEP Cancer (SCLC) i-SCLC ivame ukuphathwa ngenhlanganisela ye-chemotherapy ne-radiation therapy. Nakhu ukwehlukana: I-Chemotherapychemothemothemothemothery ukwelashwa okuyinhloko kwe-SCLC. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenzisiwe zifaka phakathi: i-cisplatin noma i-carboplatin etoposide irinotecan topotecanchemothemisotheripapy ihlose ukubulala amaseli omdlavuza kuwo wonke umzimba. Ngokuvamile kuphathwe ngemijikelezo, ngezikhathi zokuphumula phakathi ukuze kuvunyelwe ukuthi umzimba uphinde uthole ukwelashwa okuphezulu kwe-therapy usebenzisa imishayo ephezulu yamandla ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa: Ukwelapha isimila esiyinhloko ephaneni ukwelapha umdlavuza osabalale ebuchosheni (i-PCI) ukunciphisa izimpawu ezinjengobuhlungu noma ukuphefumula ubucwebe Kodwa-ke, kungaba inketho yeziguli ezinezidakamizwa zangaphambi kokuqala-izitolo ze-SCLC.ImmunotherapyimMotherapy, njenge-Atezolikumab kanye neDurvalumab, zivunyiwe ukuthi zisetshenziswe ngokuhlanganiswa ne-chemotherapy ekwelapheni i-SCLC ebanzi. Le mishanguzo isiza amasosha omzimba ukuba aqaphele futhi ahlasele izinketho ze-cell cell.reate ye-cell cell ye-cell neuroendocrine carcinoma kuvame ukuphathwa ngendlela efanayo nakuwona umdlavuza wamaphaphu (NSCLC), kepha ngokuguqulwa okuthile. Izinketho zokwelashwa zingafaka: Ukuhlinzekwa kokuhlinzwa kuvame ukuba umugqa wokuqala wokwelashwa we-LCNEC, ikakhulukazi uma umdlavuza uhlelwe futhi ungasuswa ngokuphelele. Izinqubo ezijwayelekile zokuhlinza zifaka phakathi: Ukuvuselelwa kwe-Wedge (ukususwa kwesiqeshana esisezingeni eliphansi, esimiswe e-Wedge esingu-Lobectomy (ukususwa kwalo lonke i-Lobe of the Amaphaphu) i-chemotherapychemothemothemothemothemothemothery kuvame ukusetshenziswa ngemuva kwamangqamuzana omdlavuza asele. Kungase futhi kusetshenziswe njengokuphathwa okuyisisekelo kwe-LCNEC okusabalale kwezinye izingxenye zomzimba. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenzisiwe zifaka phakathi: I-Cisplatin noma i-Carboplatin Etoposideradiation therapy ingasetshenziselwa ukwelapha i-LCNEC ngemuva kokuhlinzwa noma ngokuhlanganiswa ne-chemotherapy. Ingasetshenziswa futhi ukudambisa izimpawu ezinjengobuhlungu noma ubunzima bokuphefumula.Tareged therapytargeced izidakamizwa ezihlose ama-molecule athile athinteka ekukhuleni kwamaseli womdlavuza futhi asakazeka. Yize kungenjalo evame ukusetshenziswa ku-LCNEC njengakwezinye izinhlobo ze-NSCLC, izindlela zokwelapha ezihlosiwe zingaba inketho uma amaseli omdlavuza anemiphumela ethile. Ukwelashwa komdlavuza we-Neuroendeendeocrine LungUkwelashwa komdlavuza we-Neuroendeendeocrine Lung Kungadala imiphumela ehlukahlukene emibi, ngokuya ngohlobo lokwelashwa kanye nempilo yesiguli. Imiphumela emibi evamile ifaka phakathi: Ukukhathala Nausea nokuhlanza izinwele zokulahlekelwa izinwele izilonda ukulahleka kwe-Appetite Countsit ye-Appetite okubalulekile ukukhuluma nodokotela wakho nganoma yimiphi imiphumela emibi oyitholayo. Kunezindlela eziningi zokuphatha imiphumela emibi futhi uthuthukise ikhwalithi yempilo yakho ngesikhathi sokwelashwa. Lokhu kungafaka umuthi, izinguquko zokudla, kanye nokwelapha okusekelayo njenge-acupuncture noma i-massage.Imbani yeShandong Bandong Baccer Celance Research Institute in Ukwelashwa komdlavuza we-Neuroendeendeocrine LungI-Shandong Baafa Cancer Research Institute (https://baofahospital.com) Kubekelwe ukuthuthukisa ucwaningo lomdlavuza kanye nokwenza ngcono ukunakekelwa kweziguli. Isikhungo sethu siqhuba izivivinyo zemitholampilo ukuze sihlaziye okusha futhi okusha Ukwelashwa komdlavuza we-Neuroendeendeocrine Lung Amasu, afaka isandla ekuthuthukisweni kwezindlela zokwelapha ezisebenzayo. Sizibophezele ekunikezeni ukunakekelwa okuphelele nokwenziwe ngezifiso ezigulini nge-NELC, kufaka phakathi intuthumo yakamuva ekulingweni komdlavuza wezokwelapha umdlavuza.Chinical for Umdlavuza wamaphaphu we-NeuroendeendocrineIzilingo zemitholampilo yizifundo zokucwaninga ezihlola izindlela ezintsha zokuvimbela, ukuthola, noma ukuphatha umdlavuza. Ukubamba iqhaza esivivinyweni somtholampilo kungakunika ukufinyelela kokutholwa kokwelashwa okungama-curting okungakatholakali kangako. Kubalulekile ukukhuluma nodokotela wakho ukubona ukuthi icala lokwelashwa likulungele yini. Le khasi I-National Cancer Institute Iwebhusayithi inikeza imininingwane ekutholeni izilingo zomtholampilo.Ilproving ikhwalithi yokuphila konke nge umdlavuza wamaphaphu we-Neuroendeendocrine kungaba inselele. Kubalulekile ukugxila ekugcinweni kwempilo yakho ngesikhathi sokwelashwa. Lokhu kungafaka: Ukudla ukudla okunempilo Ukuzivocavoca Ukuzivocavoca Ukuphatha Ukuxineka Ukuxhumana namaqembu okusekelayo afuna ukusekelwa okungokomzwelo okuvela emndenini, kubangane, noma engcwelisweni yokwelashwa ehlelwe kahle umdlavuza wamaphaphu we-Neuroendeendocrine ihlukile. Kubalulekile ukusebenzisana neqembu labasebenzi bezokunakekelwa kwempilo ukuthuthukisa uhlelo lokwelashwa oluqondene nomuntu uqobo oluhambisana nezidingo nezinhloso zakho ezithile. Leli qembu lingafaka: I-Acologist Radiast Radiation Surcolonist Surcologist Gulmonmologist Nurse pluy pluyprosponosnothol kanye nokulandela umfutho we umdlavuza wamaphaphu we-Neuroendeendocrine Iyahlukahluka ngokuya ngohlobo nesigaba somdlavuza, kanye nempilo yesiguli yonke. Ukutholwa kusenesikhathi nokwelashwa kungathuthukisa amathuba okusinda. Ukunakekelwa okujwayelekile kokulandela kubalulekile ukuqapha ukuphindeka futhi uphathe noma yimiphi imiphumela emibi yezokwelashwa.Khey Ukucatshangelwa kobuntu bomdlavuza we-Neuroendocrine amaphaphu okulungile Ukwelashwa komdlavuza we-Neuroendeendeocrine Lung Indlela idinga ukucubungula ngokucophelela kwezici eziningana. Nayi itafula elifingqiwe elibalulekile lokucatshangelwa: I-Factor Devation Cancer Type SCLC vs LCNEC - Ubhala izindlela zokuphathwa kwezokwelapha (isb. I-Cancer Stage yasendaweni ye-MetaStatic - Ithonya Ukuqina Kwezokwelapha Nezinhloso (E.G. Isimo sokusebenza kwezempilo sonke, ama-comorbidities - Thinta ukubekezelela ukwelashwa okunolaka njenge-chemotherapy. Imikhuba yokwelashwa ikhala i-vs. Isilawuli Sokulawula - Imihlahlandlela Yokukhetha Ukwelashwa Nokulindelwe. Izintandokazi ezithandwayo izinqumo ezinolwazi ngokususelwa kumanani athile kanye nezinto eziza kuqala. Ukuzikhulula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinhloso zolwazi kuphela, futhi alwenzi izeluleko zezokwelapha. Kubalulekile ukuthintana nochwepheshe wezempilo ofanelekayo nganoma yiziphi izinkathazo zezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma yokwelashwa.