Ukwelashwa komdlavuza wamaphaphu amancane

Ukwelashwa komdlavuza wamaphaphu amancane Izinketho ziyehluka kakhulu ngokuya ngesigaba somdlavuza, impilo yesiguli ephelele, kanye nezintandokazi zomuntu siqu. Lo mbhalo uhlola izindlela ezahlukahlukene zokwelashwa ezitholakala kumdlavuza wamaphaphu amancane, okubandakanya ukuhlinzwa, ukwelashwa kwemisebe, i-chemotherapy, ukwelashwa okuhlosiwe, ne-immunotherapy. Sizoxoxa ngezinzuzo nokubi kwenketho ngayinye, kanye nemiphumela emibi engaba khona kanye nemiphumela yesikhathi eside. Ukuxilongwa kanye nokwelashwa kusenesikhathi kubalulekile ngamanani okusinda athuthukisiwe.Ukuqonda umdlavuza omncane wamaphaphu umdlavuza wamaphaphu (SCLC)? Kuhlotshaniswa ngokubhema ngokubhema futhi kuvame ukusakazeka ngokushesha kwezinye izingxenye zomzimba. Ngenxa yesimo sayo esinolaka, ukutholwa kusenesikhathi kanye nokwelashwa okusheshayo kubalulekile. Amathiphu weseli elincane le-Lung Lung Conversclc ahlukaniswe ngezigaba ezimbili:Isigaba esilinganiselwe: Umdlavuza uvalelwe ohlangothini lwesifuba kanye nama-lymph node aseduze.Isigaba esibanzi: Umdlavuza usakaze ngale kolunye uhlangothi lwesifuba, ezinhlafunweni ezikude ama-lymph, noma ezinye izitho.Ukwelashwa komdlavuza wamaphaphu amancane Izinketho indlela yokwelashwa ye-SCLC incike esigabeni somdlavuza. I-Shandong Baafa Cancer Research Institute Kunikezelwe ekuhlinzekeni umdlavuza othuthuke kakhulu futhi ophelele wokunakekelwa komdlavuza kwe-SCLCthe okuyisisekelo ukwelashwa okuyisisekelo kwe-Inqunyelwe-Isiteji SCLC kuvame ukufaka phakathi ukuhlanganiswa kokulandelayo:I-Chemotherapy: I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli emzimbeni wonke. Ngokuvamile kungumugqa wokuqala wokwelashwa we-SCLC.Ukwelashwa kwemisebe: Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla okuqondisa nokubhubhisa amaseli womdlavuza endaweni ethile. Imvamisa isetshenziswa ngokubambisana ne-chemotherapy.Ukuhlinzwa: Ezimweni ezingavamile, ukuhlinzwa kungaba yindlela yokususa isimila, ikakhulukazi uma incane futhi ayikaze isakazeke. Kodwa-ke, i-SCLC iyaqabukela iphathwe ngokuhlinzwa yedwa.atrement ye-sclcreat ebanzi ye-SCLCREATE ye-SCLCREATE ebanzi ye-SCLC ebanzi ngokuvamile igxile ekulawuleni ukusabalala komdlavuza kanye nezimpawu ezidalulayo. Izinketho zifaka:I-Chemotherapy: I-Chemotherapy ihlala iyitshe le-Cornerstone lokwelashwa kwe-Extendel-Stage SCLC.I-ImmunoSatherapy: I-ImmunoSatherapy isebenzisa izidakamizwa ukusiza amasosha omzimba alwe nomdlavuza. Ingasetshenziswa ngokuhlanganiswa ne-chemotherapy.Ukwelashwa kwemisebe: Ukwelashwa kwemisebe kungasetshenziselwa ukudambisa izimpawu ezinjengobuhlungu noma ukufushane komoya, noma ukuncipha kwamathumbu acindezela izitho ezibalulekile.Ukunakekelwa kwe-Palliative: Ukunakekelwa kwePalliative kugxile ekuphatheni izimpawu kanye nokwenza ngcono ikhwalithi yempilo yeziguli ezine-Advanced Cancer.Specific Ukwelashwa komdlavuza wamaphaphu amancane I-Modalitychemothemothemotherpapy ye-SCLCCheMothemothemotherapy ukwelashwa okuhlelekile, okusho ukuthi kuthinta wonke umzimba. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenziselwa i-SCLC zifaka i-cisplatin noma i-carboplatin, ne-etoposide. Imiphumela emibi ingafaka i-nausea, ukugabha, ukulahleka kwezinwele, ukukhathala, kanye nengozi eyandayo yokutheleleka. Le miphumela emibi ingalawulwa ngemithi yokunakekelwa kwemithi yokunakekelwa kokwelashwa kwe-SCLCRADIADY ingahanjiswa ngaphandle kusetshenziswa umshini ohlose imisebe yemisebe noma i-radioactive izinto ezibekwe eduze kwesimila. Imiphumela emibi yokwelashwa kwemisebe ingahle ifake ukucasuka kwesikhumba, ukukhathala, kanye nobunzima bokugwinya, ngokuya nge-pemlcimmunotherapy izidakamizwa, ezifana ne-pemlcimmunotherapy izidakamizwa, zibonisa ukuthi zingezelwa nge-chemotherapy. Le mishanguzo isebenza ngokuvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. Imiphumela emibi ingafaka ukukhathala, ukuqubuka, ukuguquguquka kwesifo, kanye nokwelashwa okuzenzakalelayo kwezidakamizwa zezokwelapha ze-SCLCTARGETET TARCTULES OKUFANELEKILE IZIMPAHLA noma ekusindeni komdlavuza kanye nokusinda. Ngenkathi izindlela zokwelapha ezihlosiwe ziguqule ukwelashwa kwezinye izinhlobo zomdlavuza, azikabikwa kabanzi e-SCLC. Ucwaningo luyaqhubeka ukukhomba okuhlosiwe okungaba khona futhi luthuthukise izindlela zokwelapha ezihlosiwe ezisebenzayo zalesi sifo.Chizolical izivivinyo ze Ukwelashwa komdlavuza wamaphaphu amancaneIzilingo zemitholampilo yizifundo zokucwaninga ezihlola ukwelashwa okusha noma ukuhlanganiswa kokwelashwa. Iziguli ezine-SCLC zingacabanga ukubamba iqhaza ezivivinyweni zemitholampilo ukufinyelela ezokwelapha ezisikezwayo ezingatholakali kabanzi. Khuluma nodokotela wakho ngokuthi icala lomtholampilo likulungele yini. Uvame ukuthola eminye imininingwane ku- Iwebhusayithi Kazwelonke Yomdlavuza Yezwe.Nganimaging Eceleni Ukwelashwa komdlavuza wamaphaphu amancaneUkwelashwa komdlavuza wamaphaphu amancane kungadala uhla lwemiphumela emibi. Kubalulekile ukuxhumana ngokukhululekile neqembu lakho lezokunakekelwa kwempilo nganoma yimiphi imiphumela emibi ohlangabezana nayo ukuze iphethwe ngempumelelo. Imiphumela emibi ejwayelekile namasu okuphatha afaka:Isicanucanu nokuhlanza: Imithi ye-anti-nausea ingasiza ukunciphisa lezi zimpawu.Ukukhathala: Ukuphumula, ukuzivocavoca okukhanyayo, nokudla okuhle kungasiza ukuphatha ukukhathala.Ukulahleka kwezinwele: Ukulahleka kwezinwele kungumphumela ojwayelekile we-chemotherapy. Cabanga ukugqoka i-wig noma ikhanda lesembozo.Izilonda zomlomo: Ukuhlanzeka okuhle ngomlomo kanye nama-mourwashes akhethekile kungasiza ukuvikela nokwelapha izilonda zomlomo.Ingozi eyengeziwe yokutheleleka: Gwema izixuku futhi ugeze izandla zakho kaningi ukuze unciphise ubungozi bokutheleleka.Survival amanani Umdlavuza wamaphaphu omncaneAmanani okusinda we-SCLC ahlukahluka ngokuya ngesigaba somdlavuza nezinye izinto. Ngokuya kwe- I-American Cancer Society, Izinga lokusinda leminyaka emi-5 le-Limited-Stage SCLC licishe libe ngu-27%, kuyilapho isilinganiso seminyaka emi-5 sokusinda kwe-SCLC esisezingeni eliphakeme cishe singama-3%. Kodwa-ke, lezi kumane nje ziyizilinganiso, futhi imiphumela yomuntu ngamunye ingahluka kakhulu. Kwashona isifinyezo samanani okusinda okujwayelekile ngesigaba: Isigaba seminyaka engu-5 yokusinda kweminyaka engu-5 silinganiselwe esiteji. 27% esiteji esibanzi. 3% Ukubaluleka kokutholwa kusenesikhathi kwe-SCLC kusenesikhathi kungumdlavuza onolaka, ukutholwa kusenesikhathi kubalulekile ekuthuthukiseni amanani okusinda. Uma unomlando wokubhema noma ezinye izici zobungozi zomdlavuza wamaphaphu, khuluma nodokotela wakho ngezinketho zokuhlola, njenge-low-dose con scans.conclusionUkwelashwa komdlavuza wamaphaphu amancane inqubo eyinkimbinkimbi edinga indlela yobuningi. Kubaluleke kakhulu kumlingani nochwepheshe abanolwazi nabanekhono. Uma ngabe kutholakale ukuthi une-SCLC, kubalulekile ukudingida zonke izinketho zakho zokwelashwa nethimba lakho lezokunakekelwa kwempilo ukuthuthukisa uhlelo olwenzelwe wena. Iqembu at I-Shandong Baafa Cancer Research Institute, eyaziwa nangokuthi uBaofa Hospital, zinikezelwe ekuhlinzekeni ngokwelashwa komdlavuza wamaphaphu onqenqemeni nokunakekelwa kwesihawu. Khumbula ukuxoxa ngazo zonke izinketho ezitholakalayo ze Ukwelashwa komdlavuza wamaphaphu amancane nethimba lakho lezokwelapha.