Ukuthola okulungile Ukwelashwa kwamaphaphu okubhekwa kwamaphaphu eduze kwami

Lo mhlahlandlela uhlinzeka ngemininingwane ephelele ukukusiza uqonde futhi uzulazule ngezinketho zakho Ukwelashwa komdlavuza wamaphaphu okuyisisekelo endaweni yangakini. Sizomboza izindlela ezahlukahlukene zokwelashwa, izici okufanele sizicabangele lapho sikhetha uhlelo lokwelashwa, nezinsizakusebenza ukusiza inqubo yakho yokwenza izinqumo. Ukuthola ukunakekelwa okungcono kakhulu kwesimo sakho kudinga ukucatshangelwa ngokucophelela futhi kukhethwe izinqumo. Ake sihlole izinketho zakho.

Ukuqonda umdlavuza wamaphaphu oyinhloko

Uyini umdlavuza wamaphaphu okuyisisekelo?

Umdlavuza wamaphaphu oyinhloko uvela emaphashini, ngokungafani nomdlavuza osabalale (metastased) kusuka kwenye ingxenye yomzimba. Kunezinhlobo ezimbili eziphambili: umdlavuza omncane we-cell luleng (SCLC) kanye ne-non-omncane cell lung cancer (NSCLC). I-NSCLC i-Akhawunti enkulu yokuxilongwa komdlavuza wamaphaphu. Uhlobo oluthile lomdlavuza lwamaphaphu luthonya kakhulu indlela yokwelashwa engcono kakhulu.

Ukugoqa nokuxilonga

Ukuchithwa okunembile komdlavuza kubalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa komdlavuza wamaphaphu okuyisisekelo. Lokhu kufaka phakathi izivivinyo ezahlukahlukene zokuxilonga, kufaka phakathi ukuskena kokucabanga (CT, PET), Biopsies, kanye nokuhlolwa kwegazi. Isigaba somdlavuza (i-IV) sibonisa ubukhulu besifo nokusakazeka kwaso. Ukutholwa kusenesikhathi kubalulekile, njengoba imiphumela yokwelashwa imvamisa ingcono ezigabeni zangaphambilini.

Izinketho zokwelashwa zomdlavuza wamaphaphu oyisisekelo

Indawo kadokotela

Ukususwa kwesimila kwesimila kungaba inketho yomdlavuza wamaphaphu wokuqala. Lokhu kungabandakanya i-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwalo lonke amaphaphu), noma izinqubo ezimbi kakhulu ngokuya ngendawo nosayizi we-smoree. Amasu okuhlinza ahlala avela, okuholela ezinqubweni ezingabonakali ezingabonakali ngezikhathi zokutakula ngcono. Ukufaneleka kokuhlinzwa kuncike ezicini eziningana, kufaka phakathi impilo yesiguli yonke nendawo kanye nosayizi wesimila.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa ukuncipha kwamathumbu ngaphambi kokuhlinzwa, ukubhubhisa amaseli asele umdlavuza ngemuva kokuhlinzwa, noma njengokuphathwa okuyisisekelo kweziguli ezingezona ezivivinyayo. Ukwelapha imisebe yangaphandle yangaphandle kuyinto evame kakhulu, kepha i-brachytherapy (imisebe yangaphakathi) nayo ingasetshenziswa ezimweni ezithile. Imiphumela emibi ingahluka kepha ivame ukufaka ukukhathala nokucasuka kwesikhumba.

Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli emzimbeni wonke. Imvamisa isetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha njengokuhlinzwa noma ngemisebe. I-regimen ethile ye-chemotherapy izoncika ohlotsheni nesigaba somdlavuza wamaphaphu. Imiphumela emibi ingafaka i-nausea, ukulahlekelwa izinwele, nokukhathala.

Ukwelashwa okuhlosiwe

Izidakamizwa ezihlosiwe ezihlosiwe zihlasela ubungako obuthile ngaphakathi kwamaseli womdlavuza. Le ndlela ivame ukusebenza ngempumelelo futhi inobuthi obuncane kunendabuko ye-chemotherapy. Lezi zindlela zokwelapha ziya ngokuya zisetshenziselwa izinhlobo ezithile ze-NSCLC, ikakhulukazi lezo ezikhona zofuzo. Ukutholakala kokwelapha okuhlosiwe kuyaqhubeka ukwandisa ngocwaningo oluqhubekayo.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe namaseli womdlavuza. I-Imm CheckPoint Risegerors iyisigaba esikhulu semithi ye-immunotherapy eguqule ukwelashwa kwezinhlobo eziningana zomdlavuza wamaphaphu. Le mithi isiza amasosha omzimba aqaphele futhi ahlasele amaseli womdlavuza ngempumelelo. Imiphumela emibi ingahluka kepha ivame ukufaka imicimbi ehlobene nokuvikelwa komzimba.

Ukukhetha isikhungo sokwelashwa esifanele eduze kwakho

Ukukhetha iqembu lezokwelapha eliqeqeshiwe libalulekile ukuze liphumelele Ukwelashwa komdlavuza wamaphaphu okuyisisekelo. Cabanga ngalezi zinto:

• Ubuchwepheshe bodokotela kanye nesipiliyoni ekwelashweni komdlavuza wamaphaphu.
• Ubuchwepheshe besikhungo nezinsizakusebenza.
• Ubufakazi beziguli nokubuyekezwa.
• Ukufinyelela amaqembu amaningi ahlukahlukene (ama-oncologists, odokotela abahlinzayo, ama-radiologists, njll.).
• Ukusondela kanye lula wena nohlelo lwakho lokusekelwa.

Izibhedlela zasekhaya zocwaningo kanye nezikhungo zomdlavuza ezinakekela umdlavuza wamaphaphu. Abaningi banikela ngezinsizakusebenza ze-inthanethi ukukusiza ufunde kabanzi ngezinsizakalo zabo namaphrofayili kadokotela. Unganqikazi ukuxhumana nezikhungo eziningi ukuze ubuze imibuzo futhi uhlele ukubonisana.

Ukuthola Ukusekelwa

Ukubhekana nokuxilongwa komdlavuza wamaphaphu kungaba nzima. Amanethiwekhi okusekela abalulekile kuzo zombili iziguli nemindeni yazo. Cabanga ukujoyina amaqembu okusekelana, ukuxhuma nezinhlangano zokusekela iziguli, noma ukufuna izinsizakalo zokwelulekwa. Kunezinsizakusebenza eziningi ezitholakalayo zokuhlinzeka ngosizo olungokomzwelo, olusebenzayo nolwenzelwe ohambweni lwakho kulo lonke uhambo lwakho. Khumbula, awuwedwa.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Njalo uthintane nochwepheshe wezempilo ofanelekayo wokuxilongwa kanye nezincomo zokwelashwa.

Ngeminye imininingwane futhi uhlole izinketho zokwelashwa ezithuthukile, cabanga ngokuvakasha I-Shandong Baafa Cancer Research Institute.