Lo mhlahlandlela ophelele usiza abantu ababhekene a umdlavuza wamaphaphu oqinile Ukuxilongwa Zuza Ukuzulazula kwezwe eliyinkimbinkimbi yezinketho zokwelashwa bese uthola isibhedlela esihle kakhulu ngezidingo zabo. Sizohlola izindlela ezahlukahlukene zokwelashwa, izici okufanele sizicabangele lapho sikhetha isibhedlela, nezinsizakusebenza zokusiza enqubweni yakho yokwenza izinqumo. Lolu lwazi lwenzelwe izinjongo zokufundisa futhi alwenzi izeluleko zezokwelapha; Hlala uthintana nodokotela wakho.
Umdlavuza wamaphaphu oqinile Uhlobo lomdlavuza we-cell oluncane lwama-lung (NSCLC) ovela kumaseli wesibhakabhaka ahlanganisa i-bronchi (airways) yamaphaphu. Kuvame ukuhlotshaniswa nomlando wokubhema futhi kuvame ukukhula kancane kunenye izinhlobo zomdlavuza wamaphaphu. Ukutholwa kusenesikhathi kuthuthukisa imiphumela yokwelashwa.
Ukuchithwa okunembile kwe umdlavuza wamaphaphu oqinile kubalulekile ekunqumeni uhlelo olufanele lokwelashwa. Lokhu kufaka phakathi ukuhlolwa kokucabanga njenge-CT Scans kanye ne-PET SCANS, kanye nama-biopsies ukuhlaziya amaseli we-tumor. Isiteji sibonisa ubukhulu bokusakazwa komdlavuza.
Ukususa isimila se-Tumol kuyindlela evamile yokwelashwa yesikhathi esisekuqaleni umdlavuza wamaphaphu oqinile. Inqubo ethile yokuhlinzwa incike endaweni nosayizi wesimila. Amasu amancane ahlaselayo, anjenge-thoracoscopic ahlinza ama-thoracoscopic (ama-vat), avame ukuthandwa ukunciphisa isikhathi sokuthola kabusha.
I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila, ngemuva kokuhlinzwa (i-chemotherapy chemotherapy) ukunciphisa ingozi yokuphindaphindwa, noma njengokuphathwa okuyisisekelo kwesigaba esithuthukile umdlavuza wamaphaphu oqinile. Ama-regimens ahlukene we-chemotherapy akhona, ahambisana nezidingo zesiguli ngazinye.
Ukwelashwa kwemisebe kusebenzisa imisebe ephakeme yamandla ukushabalalisa amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Ukwelapha imisebe ye-beam yangaphandle kuvame ukusetshenziswa, ukuletha imisebe evela emshinini ngaphandle komzimba. Kwezinye izimo, i-brachytherapy (ukwelashwa kwemisebe yangaphakathi) nakho kungaba yindlela.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngaphandle kokulimaza amaseli anempilo. Izinguquko ezithile zofuzo ngaphakathi umdlavuza wamaphaphu oqinile ingenza iziguli zilungele ukwelashwa okuhlosiwe. Ukusebenza kokulashwa okuhlosiwe kuncike ekubakhona kwama-biomarkers athile.
I-ImmunoSatherapy isiza amasosha omzimba womzimba alwe nomdlavuza. I-CheckPoint Avidors uhlobo lwe-immunotherapy oluvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. I-ImmunoSatherapy ikhombisile imiphumela ethembisayo ekwelapheni umdlavuza wamaphaphu oqinile, ikakhulukazi ezigabeni ezithuthukile.
Ukukhetha isibhedlela umdlavuza wamaphaphu oqinile Ukwelashwa kuyisinqumo esibucayi. Cabanga ngalezi zinto:
Funa izibhedlela ezinabafundi base-Oncologists abanolwazi kanye nodokotela ohlinzayo be-thoracic ochwepheshe ukwelashwa komdlavuza wamaphaphu. Cwaninga amazinga okuphumelela asesibhedlela kanye nemiphumela yeziguli. Bheka odokotela abaqinisekiswe yibhodi nobuchwepheshe obuthuthukisiwe.
Uhlelo olunzulu lokwelashwa kufanele lufake hhayi ubuchwepheshe bezokwelapha kuphela kodwa futhi nezinsizakalo zokunakekelwa ezisekelwayo, ezinjengabahlengikazi be-Oncology, abasonhlalonhle, kanye nochwepheshe bokuvuselela. Funa izibhedlela ezinikela ngendlela ye-multidisciplinary, ehlanganisa ochwepheshe abahlukahlukene ukuhlinzeka ngokunakekelwa okuphelele.
Ubuchwepheshe obuthuthukisiwe budlala indima ebalulekile ekwelashweni komdlavuza wamaphaphu okusebenzayo. Bheka ukuthi ngabe isibhedlela sikwazi ukufinyelela amasu wokucabanga athuthukile, izinketho zokuhlaselwa okuncane, kanye nemishini yokwelashwa yemisebe yezwe.
Ukubuyekezwa kwe-inthanethi kanye nezilinganiso zesibhedlela kunganikeza ukuqonda okubalulekile ekuhlangenwe nakho kwesiguli. Amawebhusayithi afana nama-HealthGrades kanye nezikhungo zeMedicare & Medicaid Services (CMS) zinikeza izilinganiso zesibhedlela kanye nezikolo zokuzanelisa kweziguli.
Ukuthola imininingwane ethembekile nokusekelwa kubalulekile ngalesi sikhathi esiyinselelo. Cabanga ngalezi zinsiza:
Khumbula, ukutholwa kusenesikhathi nokulashwa okusheshayo kubalulekile ukuthola imiphumela yokuthuthukisa umdlavuza wamaphaphu oqinile. Unganqikazi ukufuna usizo nokusekelwa eqenjini lakho lezempilo kanye nezinhlangano ezisekelayo.
Kuthuthukile futhi kuphelele Ukwelashwa komdlavuza wamaphaphu oqinile, cabanga I-Shandong Baafa Cancer Research Institute, isikhungo esiholayo esizinikezele ekunikezeni ukunakekelwa okuhlukile nokusika izinketho zokwelashwa.
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