Ukwelashwa komdlavuza wamaphaphu oqinile

Ukwelashwa komdlavuza wamaphaphu oqinile Izinketho ziyehluka ngokuya ngesigaba somdlavuza, impilo yesiguli ephelele, kanye nezinto ozithandayo. Izindlela ezijwayelekile zibandakanya ukuhlinzwa, ukwelashwa kwemisebe, i-chemotherapy, ukwelashwa okuhlosiwe, kanye ne-immunotherapy. Imvamisa, inhlanganisela yalezi zindlela zokwelapha isetshenziselwa ukufeza imiphumela engcono kakhulu ye-.UndauNetiveant squamous tureng canhouthowhat is squamous cell umdlavuza?Umdlavuza wamaphaphu oqinile luhlobo lomdlavuza we-cell ongelona omncane (NSCLC). Isuka kumaseli wesibhakabhaka, aphansi, amaseli amancanyana agqame imigwaqo yamaphaphu. Lolu hlobo lomdlavuza luvame ukuxhunyaniswa nokubhema, yize kungenzeka kwabangabhemi futhi. Ukuqonda izici ze umdlavuza wamaphaphu oqinile kubalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa komdlavuza wamaphaphu oqinile uhlelo.Risk factors kanye nokuvimbela isici sobungozi esiyingozi umdlavuza wamaphaphu oqinile kuyabhema. Ezinye izici zobungozi zifaka ukuvezwa kwentuthu ye-Secondhand, iRadon, asbestos, namanye amakhemikhali athile. Ngenkathi ukuvimbela okuphelele akwenzeki njalo, ukunciphisa ukuvezwa kwalezi zinto zobungozi kunganciphisa kakhulu ingozi yokuthola lolu hlobo lomdlavuza. Ukuhlolwa okujwayelekile, ikakhulukazi kubantu abanomlando wokubhema, kubalulekile nokutholwa kusenesikhathi. Isikhungo Sokucwaninga Nge-Shandong Baafa Cancer Research Institute sigcizelela izindlela zokuvimbela ezemfundo yezempilo yomphakathi, vakashela baofahospital.com Ngolwazi oluthe xaxa.Idiagnosis kanye nama-stachdiagnostic inqubo umdlavuza wamaphaphu oqinile Imvamisa kubandakanya inhlanganisela yokuhlolwa kokucabanga (okufana nesifuba ama-x-ray kanye nama-CT scans), i-bronchoscopy, ne-biopsy. I-biopsy ukususwa kwesampula elincane lezicubu zokuhlolwa ngaphansi kwesibonakhulu. Lokhu kuvumela izazi ze-pathologists ukuqinisekisa ukuba khona kwamangqamuzana omdlavuza futhi kunqume uhlobo oluthile lomdlavuza wamaphaphu. Sticang squang squam fascence casccince umdlavuza wamaphaphu oqinile kutholakala ukuthi, kuvinjelwe ukunquma ubukhulu bokusakazwa komdlavuza. Ukuhlanza kubalulekile ekukhetheni okufanele kakhulu Ukwelashwa komdlavuza wamaphaphu oqinile. Isiteji sivame ukunqunywa kusetshenziswa uhlelo lwe-TNM (isimila, i-node, i-metastasis), ebheka usayizi wesimila, nokuthi ngabe umdlavuza usakaze ama-metastans (asatshalaliswe ezithweni ezikude (asakazeka ezinhlamvini ezikude) Ukwelashwa komdlavuza wamaphaphu oqinile Inketho yeSigaba sokuqala umdlavuza wamaphaphu oqinile lokho akukaze kusakaze kumasayithi akude. Izinketho zokuhlinzwa ezifaka phakathi: Ukuvuselelwa kwe-Wedge: Ukususwa kwesiqephu esincane, esimise okwenziwe nge-wedge.I-Segmetectomy: Ukususwa kwengxenye enkulu yamaphaphu kunokuvuselelwa kwe-wedge.I-Lobectomy: Ukususwa kwe-lobe yonke yamaphaphu.Pneumonicyy: Ukususwa kwalo lonke amaphaphu.Ihlobo lokuhlinzwa okwenziwe kuncike ngosayizi nendawo yezokwelapha ephelele yezempilo, kanye nokwelashwa kwezempilo zesiguli kusebenzisa imisebe ephezulu kakhulu ukubulala umdlavuza. Ingasetshenziswa njengenhloko Ukwelashwa komdlavuza wamaphaphu oqinile noma ngokuhlanganiswa nokuhlinzwa kanye ne-chemotherapy. Izinhlobo ezahlukahlukene zokwelapha imisebe zifaka:Ukwelashwa kwemisebe yangaphandle yangaphandle (EBRT): Imisebe ihanjiswa emshinini ngaphandle komzimba.Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT): Uhlobo oluqondile lwe-EBRT olunikezela ngemithamo ephezulu yemisebe endaweni encane.Brachytherapy: Imbewu noma izintambo ezinemisebe zibekwa ngqo emtamoni noma eduze komhlanga.chemotherotherapychemothemothemy zisebenzisa izidakamizwa ukubulala umdlavuza wonke umzimba. Kuvame ukusetshenziselwa ukwelapha umdlavuza wamaphaphu oqinile okusatshalaliswe ngale kwamaphaphu noma sekubuyiselwe ngemuva kokwelashwa kokuqala. Izidakamizwa ze-Chemotherapy zivame ukuphathwa ngokungenamfihlo (ngokusebenzisa umthambo). Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenziselwa ukwelapha umdlavuza wamaphaphu oqinile Faka phakathi i-cisplatin, i-carboplatin, i-paclitaxel, kanye ne-mesetaxegel.Targeged Theraptytarged Therapty Drapy Drugs Drugs Target ama-molecule athile (njengamaprotheni noma ufuzo) okubandakanyeka ekukhuleni kweseli yomdlavuza kanye nokusinda. Le mishanguzo ivame ukusebenza ngempumelelo futhi inemiphumela emibi embalwa kunendabuko ye-chemotherapy. Kodwa-ke, ukwelashwa okuhlosiwe kusebenza kuphela uma amaseli womdlavuza ene-molecule ethile yethage. Isibonelo, ezinye umdlavuza wamaphaphu oqinile Amaseli anokuguqulwa kwezakhi zofuzo le-egfr noma gene alk. Izidakamizwa zokwelapha ezihlosiwe ezibhekiswe eziqondisiwe ezibhekiswe kulolu shintsho zingasetshenziswa ukuphatha lo mkhakhakhakha. Noma kunjalo, Ukwelashwa komdlavuza wamaphaphu oqinile Imvamisa ayiphenduli kanye nokwelashwa okuhlosiwe njengezinye izinhlobo ze-NSCLC. Xhumana nodokotela eShandong Baafa Cancer Research Institute ye-Precision Treasure Option.Immunotherapyimmunotherapy izidakamizwa zisiza amasosha omzimba alwe nomdlavuza. Le mishanguzo isebenza ngokuvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. I-ImmunoSatherapy ikhombisile imiphumela ethembisayo ekwelapheni umdlavuza wamaphaphu oqinile, ikakhulukazi ezigulini ezinomdlavuza wazo usuthuthukile ngemuva kwe-chemotherapy. Izidakamizwa ezijwayelekile ezenziwa nge-immunotherapy ezisetshenziselwa ukwelapha umdlavuza wamaphaphu oqinile Faka phakathi i-pembrolikumab, nivolumab, kanye ne-atezolikumab.trent kususelwa ku-STEAGEarly-Stage (Isigaba I & II) sokufika kusenesikhathi umdlavuza wamaphaphu oqinile, ukuhlinzwa kuvame ukuba yinhloko Ukwelashwa komdlavuza wamaphaphu oqinile. Ukwelashwa kwemisebe noma i-chemotherapy kungahle kusetshenziswe ngemuva kokuhlinzwa ukubulala noma yimaphi amaseli omdlavuza asele. Endaweni Ethuthukile (Isigaba III) Esendaweni ethuthukile umdlavuza wamaphaphu oqinile Usakaze ezindlini eziseduze ze-lymph kodwa hhayi kumasayithi akude. Ukwelashwa kuvame ukufaka inhlanganisela ye-chemotherapy ne-radiation therapy. Ukuhlinzwa kungahle kube yinketho kwezinye izimo. Metastatic (isigaba iv) metastatic umdlavuza wamaphaphu oqinile isakazekele ezithweni ezikude. Izinketho zokwelashwa zifaka i-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa kwemisebe. Inhloso yokwelashwa ukulawula ukukhula komdlavuza futhi unciphise izimpawu.side imiphumela kanye nabaphathiUkwelashwa komdlavuza wamaphaphu oqinile kungadala imiphumela emibi. Imiphumela ethile eseceleni etholwayo izoncika ohlotsheni lokwelashwa olutholakele. Imiphumela emibi ejwayelekile ifaka ukukhathala, isicanucanu, ukugabha, ukulahleka kwezinwele, nezilonda zomlomo. Ukuphatha imiphumela emibi kuyingxenye ebalulekile ye Ukwelashwa komdlavuza wamaphaphu oqinile inqubo. Iziguli kufanele zikhulume nodokotela bazo nganoma yimiphi imiphumela emibi abahlangabezana nazo ukuze bakwazi ukuphathwa ngempumelelo.Clowlical ChitisClinical izivivinyo yizifundo zokucwaninga ezihlola okusha Ukwelashwa komdlavuza wamaphaphu oqinile Izinketho. Ukubamba iqhaza kwecala lomtholampilo kunganikeza iziguli ukufinyelela kokwelashwa okungama-curting okungatholakali kabanzi. Iziguli ezinesifiso sokubamba iqhaza esivivinyweni somtholampilo kufanele zikhulume nodokotela zazo. umdlavuza wamaphaphu oqinile kuya ngezici eziningana, kufaka phakathi isigaba somdlavuza, impilo yesiguli ephelele, kanye Ukwelashwa komdlavuza wamaphaphu oqinile etholakele. Ukutholwa kusenesikhathi nokusheshisa Ukwelashwa komdlavuza wamaphaphu oqinile ingathuthukisa i-prognosis. Ukunakekelwa kokulandela kubalulekile ngemuva Ukwelashwa komdlavuza wamaphaphu oqinile Ukuqapha ukuphindaphindeka futhi uphathe noma yimiphi imiphumela emibi yesikhathi eside.Summary of Treatment Opertion's a itafula efingqa izinketho zokwelashwa ezivamile ze umdlavuza wamaphaphu oqinile Kususelwa esiteji: Isigaba Sokukhethwa Kwezindlela Zokulashwa Esijwayelekile Isigaba se-I & II (ukuqala kabusha), i-radiant therapy, i-chemotherant (amacala aqokiwe), i-immunotherapy, ukwelashwa kwemisebe ephilayo ehlala enamaphaphu aphezulu Umdlavuza utholwe nge umdlavuza wamaphaphu oqinile kungaba yinto eyinselele. Kubalulekile ukuba nohlelo lokusekelwa oluqinile nokufinyelela kwizisetshenziswa ezingakusiza ubhekane nezinselelo zomdlavuza ezingokomzimba nangokomzwelo zomdlavuza. Amaqembu okusekela, ukwelulekwa, kanye nokunakekelwa kwe-palliative konke kungadlala indima ebalulekile ekuthuthukiseni ikhwalithi yempilo yeziguli ezine umdlavuza wamaphaphu oqinile. Khumbula lokho Ukwelashwa komdlavuza wamaphaphu oqinile Futhi ukunakekelwa kuyavela ngokuqhubekayo, ngezinketho ezintsha zitholakala njalo. Ukuhlala unolwazi futhi kusebenza ekunakekelweni kwakho kubalulekile ngomphumela omuhle kakhulu. Vakashela Mayelana NATHI Ingxenye ye-Shandong Bandong Baccer Research Institute Iwebhusayithi ukuze ufunde kabanzi mayelana nokusondela kwabo ekunakekelweni kweziguli kanye nokucwaninga.Imininingwane yolwazi kuhloselwe ulwazi 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.