Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile

Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile Iziguli zidinga ukucatshangelwa ngokucophelela ngenxa yemiphumela emibi engaba khona kanye nezimo zezempilo ezahlukahlukene. Lo mhlahlandlela uhlinzeka ngesibukezo esiphelele sokukhethwa kwemisebe, Ukuhlelwa kokwelashwa, ukuphathwa komthelela we-Side, kanye namasu okunakekela asekelayo, okuhlose ukuthuthukisa ikhwalithi yempilo kanye nemiphumela yabantu asebekhulile ephathwa umdlavuza wamaphaphu. Kugcizelela ukubaluleka kwezinhlelo zokwelashwa ezenziwe ngezifiso kanye nokwenza izinqumo ezibandakanya ukuhilela isiguli, umndeni nezokunakekelwa kwempilo.Ukuqonda kwe-RACRAPY Yokwelapha umdlavuza wamaphaphu? Kunezinhlobo ezimbili eziphambili: umdlavuza we-cell ongewona omncane (NSCLC) kanye nomdlavuza omncane weseli (i-SCLC). I-NSCLC ivame kakhulu futhi ifaka ama-subtypes afana ne-adenocarcinoma, squamous cell carcinoma, kanye ne-carcinoma enkulu ye-carcinoma enkulu. I-SCLC inolaka ngokwengeziwe futhi ivame ukuxhunyaniswa nokubhema.Isebenza yini ukwelashwa kwemisebe? Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu noma izinhlayiya ukubulala amaseli omdlavuza. Isebenza ngokulimaza i-DNA ngaphakathi kwalawa maseli, ibavimbele ekukhuleni nasekwahlukaniseni. Imisebe ingahanjiswa ngaphandle, isebenzisa umshini ongaphandle komzimba (imisebe yangaphandle yangaphandle), noma ngaphakathi, ngokubeka impahla enemisebe ngqo noma eduze kwesimila (i-brachytherapy).Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile: Iziguli ezihlobene nazo ezihlobene nezimo zivame ukuba nezinye izimo zezempilo (ama-comorbidities) ezingathinta ukubekezelela kwabo Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile. Umsebenzi we-Organ Organisation, njengenhliziyo namandla, angancishiswa, abenze bathambekele kakhulu emiphumeleni emibi. Kubalulekile ukuhlola isimo sempilo esinawo wonke umuntu ngaphambi kokuqala ukwelashwa.assessing frailty kanye nokusebenza kwesimo, isimo sokwenyuka sengcupheni, kanye nesilinganiso sekhono lesiguli sokwenza imisebenzi yansuku zonke, kuyizinto ezibalulekile ekunqumeni ukufaneleka kwe Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile. Iziguli ezine-frailty ezibalulekile noma ezingezinhle zokusebenza zingadinga izindlela zokwelashwa eziguquliwe noma ukungenelela kokunakekelwa kokunakekelwa kwe-radiation yokwelashwa kwemisebe yeLung Consarexternernernentral beam beam beam beam beaman theraation therapy (Ebrt) Ebrt ziletha imisebe evela emshinini ngaphandle komzimba. Kusetshenziswa amasu ambalwa, kufaka phakathi: I-3D-Conformal Radiant Therapy (3D-CRT): Bakha imishayo yemisebe ukufanisa ukwakheka kwesimila, ukunciphisa ukuvezwa kwezicubu ezizungezile. Ukwelashwa kwemisebe elungiselelwe kakhulu (IMRT): Isebenzisa ama-accelerators alawulwa yikhompyutha ukuletha imithamo eqondile yemisebe kuya isimila. Lokhu kunganciphisa imiphumela emibi ngokuqhubeka nokusindisa izicubu ezinempilo. Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT): Ihambisa imithamo ephezulu yemisebe ibe yisimila esincane, esichazwe kahle ekwelashweni okumbalwa. Imvamisa isetshenziselwa umdlavuza wamaphaphu wokuqala ezigulini okungezona ama-ukhetho lokuhlinzwa. I-Proton Therapy: Isebenzisa ama-proton esikhundleni se-x-ray. Izimpawu zifaka amanani amandla awo amaningi ekujuleni okuthile, ngokunciphisa ukuvezwa kwezicubu ezizungezile. I-Brachytherthepybrachythekerapytheke ifaka ukubeka imithombo yemisakazo ngqo noma eduze kwesimila. Kuvame ukusetshenziswa umdlavuza wamaphaphu uma kuqhathaniswa ne-EBRT. Ingabhekwa ezimweni ezithile, njengokuphamba ama-tumors avimba ukuhlelwa kwe-airway.Treetment futhi kulingisa iqhaza le-radiation Oncologista Radista Radiation Oncorist ngudokotela osebenzisa umdlavuza. Bazohlola isimo sesiguli, banqume uhlobo olufanele nethamo lemisebe, bese bengamele inqubo yokwelashwa. Isikhungo Sokucwaninga Nge-Shendong Baafa Cancer Research Institute sisebenzisa ukuhola ama-Oncologists anikezelwe ekunakekelweni okugxile kweziguli. Ukulingiswa ngaphambi kokuqala Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile, ukumbumbuluzwa kwenziwa ukuhlela ukwelashwa. Lokhu kufaka ukuthatha izithombe ezinemininingwane, njenge-CT Scans, ukukhomba indawo nosayizi we-smoree kanye nokwenza imephu izindawo ezizophathwa. Isiguli sibekwe etafuleni lokwelashwa ngendlela efanayo bazobe bezokwelapha imiphumela emibi ye Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulileImiphumela emibi ejwayelekileUkwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile Kungadala imiphumela emibi, ehlukahlukene ngokuya ngendawo ephathwayo, umthamo wemisebe, kanye nempilo yesiguli. Imiphumela emibi ejwayelekile ifaka: Ukukhathala: Uzizwe ukhathele noma ubuthakathaka. Ukusabela kwesikhumba: Ubomvu, ukucasuka, noma ukuncipha kwesikhumba endaweni ephathisiwe. Esophagitis: Ukuvuvukala kwe-esophagus, okubangela ubunzima bokugwinya. Pneumonitis: Ukuvuvukala kwamaphaphu, okubangela ukukhwehlela nokufushane komoya. Amasu wokuphatha amasu amasu aseceleni asiza kungasiza ukuphatha imiphumela emibi: Imithi: Ukukhazimula kobuhlungu, umuthi wokulwa nabantu, kanye nemithi yokwelapha i-esophagitis noma i-pneumonitis. Ukuxhaswa kokudla okunempilo: Ukudla ukudla okunempilo nokuhlala ama-hydrate kungasiza ukugcina amandla namazinga wamandla. Ukunakekelwa kwesikhumba: Ukugcina isikhumba sihlanzekile futhi kufakwe umswakama kungasiza ukuvikela ukucasuka kanye nokutheleleka. ISIVIVINYO: Ukuzivocavoca ngomusa kungasiza ukunciphisa ukukhathala futhi kuthuthukise inhlala-kahle. I-pneumonitis engokoqobo yokufunda kabusha ibonise ukuthi iziguli ezingaphezu kweminyaka engama-70 ziyaqhubeka Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile wayenethuba eliphakeme lama-20% lokuthuthukisa inyumonitis. Ukutholwa kusenesikhathi kubalulekile, futhi izimpawu ezinjengokuphefumula okufana nokukhwehlela owomile kufanele kubikwe ngokushesha kwi-Radiation Oncology Team.Suportive ukubaluleka kwethimba le-Multidiscelinary TeamDiplinary Team, kufaka phakathi odokotela, abahlengikazi, banganikeza ukunakekelwa okuphelele kokusekelwa. Leli qembu lingasiza ukuphatha izimpawu, lihlinzeke ngokusekelwa okungokomzwelo, futhi libhekane nezinkinga ezingokoqobo. Ukwelulekwa, amaqembu okusekela, kanye nokunye ukungenelela kwengqondo kungasiza iziguli ukubhekana nengcindezi, ukukhathazeka kanye nokudana kokunye ukunxusa kwe-recrrenceafter kuqeda Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile, aphoyintimenti alandelayo alandelayo adingekayo ukubhekisisa ukuphindeka futhi aphathe noma yimiphi imiphumela emibi yesikhathi eside. Lokhu kuqokwa kufaka phakathi izivivinyo zomzimba, izivivinyo zokucabanga, kanye nokuhlolwa kwegazi.Imiphumela emibi ye-setteremiome yezokwelapha kungahle kungaveli kuze kube izinyanga noma iminyaka ngemuva kokwelashwa. Le miphumela sekwephuzile ingafaka i-lubrosis ye-lung fibrosis (ukushabalala kwamaphaphu), izinkinga zenhliziyo, kanye nomonakalo wezinzwa. Ukuqapha kanye nokuphathwa okuqhubekayo kubalulekile ukunciphisa umthelela wale miphumela sekwephuzile. Kufanele baxoxe ngezinhloso zabo, amagugu, kanye nezinto ezincamelayo ngeqembu labo lezempilo. Ukwenza izinqumo okwabiwe kuqinisekisa ukuthi uhlelo lokwelashwa luqondanisa nezidingo nezidingo zesiguli ngazinye. Imibuzo yokubuza uDokotela wakho ngaphambi kokuqala Ukwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile, iziguli kufanele zibuze imibuzo yabo yodokotela abanjengokuthi: Yiziphi izinzuzo nezingozi zokwelashwa kwemisebe? Yiziphi izindlela zokwelashwa ezihlukile? Yimiphi imiphumela emibi engaba khona yokwelashwa kwemisebe? Ngabe uhlelo lokwelashwa luzokwenziwa kanjani ngezidingo zami ngazinye? Yiziphi izinsizakalo zokunakekelwa ezisekelayo ezitholakalayo? UkugcinaUkwelashwa kwemisebe ye-Lung Can Cancerly asebekhulile Iziguli zingaba inketho yokwelashwa esebenzayo, kepha ukucubungula ngokucophelela izinto ezihlobene nobudala, ubuthakathaka, nemiphumela emibi engaba khona ibalulekile. Izinqumo zokwelashwa ezenzelwe wena, ukunakekelwa okuphelele kokusekelwa, kanye nokwenza izinqumo okwabiwe ngazo ukwandisa imiphumela futhi kuthuthukise impilo yabantu asebekhulile abathola umdlavuza wamaphaphu.Ukuzikhulula: Lolu lwazi ngolwazi 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. Njalo funa izeluleko zodokotela wakho noma omunye umhlinzeki wezempilo ofanelekayo nganoma yimiphi imibuzo ongaba nayo mayelana nesimo sezokwelapha. ? 2024 Shandong Bandong Baafa Cancer Research Institute. Wonke Amalungelo Agodliwe.