Ukwelashwa okuncane komdlavuza wama-cell lungleng: umhlahlandlela ophelele

Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi se Ukwelashwa okuncane kwe-Cell Lung Loan (SCLC) Izinketho, zichaza intuthuko yakamuva kanye nokucatshangelwa kweziguli. Sihlola izigaba ezahlukahlukene zesifo, izindlela zokwelashwa, nokunakekelwa kokusekela, ukugcizelela ukubaluleka komuthi owenziwe ngezifiso nokunakekelwa kokubambisana. Ukuqonda izinketho zakho zokwelashwa kubalulekile, futhi le nsiza ihlose ukukunika amandla ulwazi ukuze uzulazule lolu hambo oluyinselele.

Ukuqonda umdlavuza wamaphaphu amancane

Uyini umdlavuza omncane wamaphutha weseli?

Umdlavuza omncane weseli Uhlobo lomdlavuza wamaphaphu okhula futhi usakaze ngokushesha. Imvamisa ehlotshaniswa nomlando wokubhema, yize ama-non-smokers angakhulisa futhi i-SCLC. Ngokungafani ne-cell cancer (NSCLC) emincane (i-SCLC), i-SCLC izwela kakhulu ukwelashwa kwe-chemotherapy kanye nokwelashwa kwemisebe, okwenza lezi zindlela zokwelapha izisekelo zokuphatha kwayo. Kodwa-ke, imvelo ye-SCLC enolaka idinga isu lokuphamba elisheshayo neliphelele.

Ibala umdlavuza omncane weseli

Isitayela sinquma ubukhulu bomdlavuza asakazekela. Isiteji se-SCLC sisebenzisa uhlelo olubheka usayizi we-tummu, ukubandakanyeka kwezindawo ze-lymph, kanye nokuba khona kwama-metastase akude. Isiteji esinembile sibalulekile ekunqumeni okuhle kakhulu ukwelashwa okuncane komdlavuza wamaphutha Hlela. Udokotela wakho we-oncologist uzosebenzisa amasu ahlukahlukene wokucabanga, kufaka phakathi ukuskena kwe-CT kanye nokuskena kwezilwane zasekhaya, ukunquma isigaba sakho.

Izinketho zokwelashwa zomdlavuza omncane weseli

Chemotherapy

I-Chemotherapy iyindlela yokuphathwa eyiyo umdlavuza omncane weseli, kuvame ukubandakanya inhlanganisela yezidakamizwa ukukhulisa ukusebenza kahle futhi kunciphise imiphumela emibi. I-regimens evame ukusetshenziswa kwama-chemotherapy ifaka phakathi i-cisplatin ne-etoposide. I-regimen ethize incike ezicini eziningana, kufaka phakathi isigaba somdlavuza kanye nempilo yesiguli yonke. Funda kabanzi mayelana nezinketho ze-Chemotherapy kusuka kuNational Cancer Institute.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Isetshenziswa kaningi ngokuhlangana ne-chemotherapy, ikakhulukazi nge-SCLC yasendaweni. Imisebe ingahanjiswa ngaphandle (ukwelashwa kwemisebe ye-beam yangaphandle) noma ngaphakathi (i-brachytherapy). Indlela eqondile incike endaweni kanye nobungako bomdlavuza.

Ukwelashwa okuhlosiwe

Ngenkathi kuvame ukwedlula i-chemotherapy kanye nemisebe ku-SCLC, izindlela zokwelapha ezihlosiwe ziyavela njengezinketho zokwelashwa. Lezi zindlela zokwelapha zibhekise ama-molecule athile athile ababambe iqhaza ekukhuleni komdlavuza kanye nentuthuko, enikeza amandla okunemba okuqondile futhi okusebenzayo ngemiphumela emibi embalwa. Ucwaningo olusha luyaqhubeka nokuhlola izindlela zokwelapha ezihlosiwe ezithembisayo ze umdlavuza omncane weseli.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe nomdlavuza. Ngenkathi indima yayo e-SCLC isavela, i-immunotherapy ikhombisa isethembiso esandayo, ikakhulukazi ngokuhlanganiswa nezinye izindlela zokwelapha. Izilingo eziqhubekayo zemitholampilo zihlola amasu ahlukahlukene okuma-immunewootherapy ahlukahlukene umdlavuza omncane weseli.

Ukunakekelwa Okusekelayo

Ukuphatha imiphumela emibi ehambisana ukwelashwa okuncane komdlavuza wamaphutha kubalulekile ukuthuthukisa ikhwalithi yempilo yeziguli. Ukunakekelwa kokusekela kungafaka umuthi wokuphatha ubuhlungu, isicanucanu nokukhathala; ukwelulekwa kokudla okunempilo; kanye nokuxhaswa kwengqondo.

Ukwelashwa okuthuthukile komdlavuza wamakephu

Ezigulini ezithuthukile noma ezijwayelekile umdlavuza omncane weseli, Izinketho zokwelashwa zingabandakanya ukuhlanganiswa okuhlukile kwe-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy. Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikezela ukufinyelela kokwelashwa okungama-cutting futhi kufake isandla ekuthuthukiseni ucwaningo kule ndawo. Udokotela wakho we-oncologist uzosiza ekutholeni inkambo engcono kakhulu yesenzo esekwe esimweni sakho esithile.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhethwa kwe ukwelashwa okuncane komdlavuza wamaphutha kucatshangelwa kakhulu. Isazi se-oncologist yakho sizocubungula izinto eziningana, kufaka phakathi isigaba sakho somdlavuza, impilo yonke, kanye nokuthandwa ngumuntu. Kubalulekile ukuba nezingxoxo ezivulekile nezithembekile nethimba lakho lezokwelapha ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwakho. E-Shandong Bandoof Baccer Research Institute (https://www.baofahospital.com/), sizibophezele ekunikezeni ukunakekelwa okuphelele nokwenziwe ngezifiso kweziguli nge umdlavuza omncane weseli. Iqembu lethu labazinikezele lochwepheshe lisebenza ngokubambisana ukuletha imiphumela engcono kakhulu.

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.