Ukwelashwa kwemisebe yeziguli ezinomdlavuza wamaphaphu asebekhulile: isiqondisi esiphelele esifanele Ukwelashwa kwemisebe yomdlavuza wamaphaphu Ngoba iziguli ezikhulile zingaba yinkimbinkimbi. Lo mhlahlandlela uhlinzeka ngemininingwane ebalulekile ukukusiza uqonde izinketho ezitholakalayo nokwenza izinqumo ezinolwazi. Sizomboza izinhlobo ezahlukahlukene zokwelashwa, imiphumela emibi engaba khona, nezinto okufanele zicatshangelwe lapho ikhetha indlela engcono kakhulu yothandekayo wakho noma wena. Lolu lwazi akufanele lubhekwe njengeluleke lwezokwelapha; Hlala uthintana nodokotela wakho.
Ukuqonda umdlavuza wamaphaphu kubantu asebekhulile
Izinselelo zokwelapha iziguli ezikhulile zamaphaphu
Umdlavuza wamaphaphu kwabadala asebekhulile uletha izinselelo ezihlukile. Izimo zezempilo ezihlobene nobudala, njengezifo zenhliziyo noma izinkinga zezinso, zingathonya izinqumo zokwelashwa nokubekezelelana. I-Frailty nesimo sempilo sonke sinokucatshangelwa okubalulekile lapho sihlela isu lokwelashwa. Kubalulekile ukuba nokuhlolwa okuphelele kwempilo ephelele yesiguli ukuthola indlela efanelekayo kakhulu. Injongo akuyona ukuhlasela umdlavuza, kepha ukuyiphatha ngempumelelo futhi ithuthukise ikhwalithi yempilo yesiguli.
Izinhlobo zokwelashwa kwemisebe yomdlavuza wamaphaphu
Izinhlobo eziningana ze
Ukwelashwa kwemisebe yomdlavuza wamaphaphu ziyatholakala. Lokhu kufaka phakathi: Ukwelashwa kwemisebe yangaphandle (EBRT): Lolu uhlobo oluvame kakhulu, usebenzisa umshini ongaphandle komzimba ukuletha imisebe kuya isimila. Ukunemba kwamasu wesimanje we-EBRT, njengokuqina kwemisebe ye-radiated radiated radiation therapy (IMRT) kanye nokwelashwa kwemisebe ye-stereotactic (SBT), inciphisa ukulimala kwezicubu ezinempilo ezizungezile. I-Stereotactic Radiosurgery (SRS): I-SRS iyindlela eqondile yokwelashwa kwemisebe enikezela umthamo ophakeme wemisebe encane, isimila esichazwe kahle kumaseshini angashadile noma ambalwa. Iwusizo ikakhulukazi kuma-tumors amancane futhi imvamisa inobuthi obuncane kunezinye izinhlobo zokwelapha imisebe. I-Brachytherapy: Lokhu kufaka phakathi ukubeka imithombo yemisakazo ngqo noma eduze kwesimila. Kuvame ukusetshenziswa umdlavuza wamaphaphu kodwa kungaba inketho ezimweni ezithile.
Ukukhetha ukwelashwa okulungile: Izici okufanele zicatshangelwe
Impilo yesiguli ephelele kanye nokuqina
Impilo yesiguli yonke ibaluleke kakhulu. Ukuhlolwa okuphelele kwe-comorbidities kanye nesimo sokusebenza kubalulekile ekunqumeni ukubekezelelana nokwelashwa kanye nokufaneleka. Ithimba labaningi labachwepheshe bezokunakekelwa kwempilo, kufaka phakathi izazi ze-Oncologists, ama-Pulmonologists, kanye nochwepheshe bama-geriatric, bavame ukusebenza ndawonye ukuthuthukisa uhlelo lokwelashwa olufanele.
Izici ze-Tumor
Ubukhulu, indawo, kanye nesigaba somdlavuza wamaphaphu kuthonya kakhulu izinqumo zokwelashwa. Amathumba amancane, asendaweni angahle alungele i-SBTT, ngenkathi ama-tumors amakhulu noma athuthukile angadinga inhlanganisela yokwelashwa kwemisebe kanye ne-chemotherapy noma okunye ukwelashwa.
Imiphumela emibi yokwelashwa kwemisebe
Ukwelashwa kwemisebe kungaba nemiphumela emibi, engahluka ngokuya ngohlobo lokwelashwa nomuntu. Imiphumela emibi ejwayelekile ifaka ukukhathala, ukusabela kwesikhumba, nokuphefumula ubunzima. Le miphumela emibi ivame ukungalawulwa, futhi abahlinzeki bezempilo basebenza ukuze bayinciphise ngokunakekelwa okufanelekile.
Ukuthola ukunakekelwa eduze kwakho
Ukuthola ukunakekelwa kwekhwalithi ephezulu kubalulekile. Thintana nodokotela wakho ukuxoxa ngezinketho zakho futhi uhlole ukudluliselwa kwizikhungo zomdlavuza ezikhethekile. Ungaphinde ucwaninge izibhedlela zasendaweni kanye nemitholampilo enakekela ngaphakathi
Ukwelashwa kwemisebe yomdlavuza wamaphaphu. Cabanga ngezinsizakalo ngobuchwepheshe ekwelapheni iziguli ezindala ngomdlavuza wamaphaphu.
I-Shandong Baafa Cancer Research Institute Ingabe isikhungo esiholayo esinikeza ukunakekelwa komdlavuza okuphelele, futhi ungathola imininingwane eminingi ngezinsizakalo zabo kuwebhusayithi yabo.
Ukugcina
Ukuzulazula ubunzima be
Ukwelashwa kwemisebe yomdlavuza wamaphaphu Ezigulini ezikhulile zidinga ukucubungula ngokucophelela kwezinto ezahlukahlukene. Indlela yokubambisana ebandakanya ithimba le-multidisciplinary, ukuxhumana okuvulekile nabasebenzi bezempilo, kanye nokugxila ekuthuthukiseni ikhwalithi yempilo kubalulekile. Khumbula njalo ukufuna izeluleko zokwelashwa eziqeqeshiwe eziqondisweni ezenzelwe umuntu.