Ukwelashwa komdlavuza we-Stage 2A Amaphaphu Iphinde ihlole izici ezithonya izinqumo zokwelashwa nokubaluleka kwendlela ye-multidisciplinary. Imininingwane yethulwa ngezinhloso zemfundo futhi akufanele ibhekwe njengezeluleko zezokwelapha. Hlala uthintana ne-Oncologist yakho ukuze uhlele ngokwezifiso zokwelashwa.

Ukwelashwa komdlavuza we-Stage 2A Amaphaphu: Umhlahlandlela Ophelele

Isiteji 2A Lung Cancer Ingabe ukuxilongwa okukhulu, kepha intuthuko e-Oncology yezokwelapha ithuthukise imiphumela yokwelashwa ethuthukile. Ukuqonda izinketho ezahlukahlukene zokwelashwa ezitholakalayo kubalulekile ngokwenza izinqumo ezinolwazi kanye neqembu lakho lezempilo. Lo mhlahlandlela uhlola izici ezibalulekile ze I-Stage 2A Amaphaphu Umdlavuza Wezokwelapha, Ukukusiza uzulazule lolu hambo olunzima.

Ukuqonda Isigaba 2A I-RACER

Umdlavuza we-Stage 2a Lung ufingqa ukuthi umdlavuza usakazekele kwizindawo eziseduzane ze-lymph, kepha hhayi ezingxenyeni ezikude zomzimba. Uhlelo oluthile lokwelashwa luncike ezicini eziningana, kufaka phakathi uhlobo lomdlavuza wamaphaphu (iseli elincane noma iseli elincanyana), usayizi nendawo yempilo yesiguli, kanye nokuba khona kwezinye izimo zezokwelapha. Isiteji esinembile sibalulekile ekunqumeni inkambo efanelekile yesenzo.

Izinketho zokwelashwa ze-Stage 2A Lung Cancer

Indawo kadokotela

Ukuhlinzwa kuvame ukwelashwa okuyinhloko Isiteji 2A Lung Cancer, ihlose ukususa isimila kanye nezindawo ezithintekayo ze-lymph. Uhlobo lokuhlinzwa luncike endaweni kanye nosayizi kamusi. Lokhu kungafaka i-lobectomy (ukususwa kwe-lump lobe) noma i-pneumonectomy (ukususwa kwalo lonke amaphaphu). Amasu ahlaselayo anciphisa ukuhlinzwa kwe-thoracoscopic okusizwayo kwevidiyo (ama-vat) asetshenziswa kaningi ukunciphisa isikhathi sokuthola kabusha futhi anciphise ukudonsa. Izingozi ezingaba khona nezinkinga ezihambisana nokuhlinzwa kufanele zixoxwe kahle nodokotela ohlinzayo.

Chemotherapy

I-Chemotherapy ifaka ukusetshenziswa kwezidakamizwa ukubulala umdlavuza amaseli. Ingasetshenziswa ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukunciphisa isimila, okwenza kube lula ukususa, noma ngemuva kokuhlinzwa (noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukuqeda noma yimaphi amaseli omdlavuza asele. I-regimen ethile ye-chemotherapy incike ngohlobo lomdlavuza wamaphaphu kanye nempilo yesiguli ephelele. Imiphumela emibi ejwayelekile ifaka isicanucanu, ukukhathala, kanye nokulahleka kwezinwele, kepha lokhu kungalawulwa ngempumelelo.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukushabalalisa amaseli womdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa (i-neadjuvant radiotherapy) ukuncipha isimila, ngemuva kokuhlinzwa (i-radiotherapy ye-addiotherapy) ukunciphisa ingozi yokuphindaphindwa, noma njengokwelashwa okuyinhloko ezimweni lapho ukuhlinzwa kungakhezi khona inketho. Ukwelashwa kwemisebe ye-beam yangaphandle kuvame ukusetshenziswa kakhulu, kepha kwezinye izimo, i-brachytherapy (imisebe yangaphakathi) kungahle kubhekwe. Imiphumela emibi ingafaka ukucasuka kwesikhumba, ukukhathala, kanye nobunzima bokuphefumula.

Ukwelashwa okuhlosiwe

Izidakamizwa ezihlosiwe ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza kanye nokusinda. Ngokuvamile zisetshenziselwa iziguli ezinomdlavuza we-cell ongelona omncane (NSCLC) ezinokuguqulwa okuthile kwezakhi zofuzo, njenge-egfr noma i-ALK. Lezi zindlela zokwelapha zinikeza indlela ebhekiswe kakhudlwana, eholela emiphumeleni emibi embalwa uma iqhathaniswa ne-chemotherapy yendabuko.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nomdlavuza. Isebenza ngokuphakamisa amandla amasosha omzimba wokubona nokuhlasela amaseli womdlavuza. I-ImmunoSatheraPy ivele njengentuthuko ebalulekile ekwelashweni komdlavuza wamaphaphu, enikeza izinzuzo ezihlala njalo kwezinye iziguli. Imiphumela emibi engaba khona iyahlukahluka kepha ingafaka ukukhathala, ukuqubuka kwesikhumba kanye nokuvuvukala kwamaphaphu.

Ukukhetha uhlelo lokulashwa olufanele

Isinqumo mayelana nohlelo lokwelashwa olufanele lwe- Isiteji 2A Lung Cancer Iyinkimbinkimbi, edinga indlela ye-multidisciplinary ehilela i-Oncologists, odokotela abahlinzayo be-thoracic, ama-radiation oncologists, nabanye ochwepheshe. Izici ezinjengezinkathi zesiguli, impilo ephelele, izici ze-tumor, kanye nokuzikhethela komuntu siqu konke kubhekwa. Ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile ukwenza izinqumo ezinolwazi ezivumelanisa nezidingo zakho kanye nezinhloso zakho. Ingxoxo ephelele ngezinzuzo, ubungozi kanye nemiphumela emibi yendlela ngayinye yokwelashwa ibalulekile.

Ukubaluleka kwethimba lokunakekela asekelwa

Ukuzulazula kungaxilongwa umdlavuza kungaba yinselele ngokomzwelo nangokomzimba. Ukwakha inethiwekhi yokusekelwa eqinile, kufaka phakathi umndeni, abangane kanye namaqembu okusekelayo, kubalulekile. Izinsizakusebenza eziningi ziyatholakala ukusiza iziguli futhi abathandekayo bazo zibhekane nezinselelo zokwelashwa komdlavuza. Lezi zinsizakusebenza zifaka izinsizakalo zokwelulekwa, amaqembu anokuxhaswa ngeziguli, kanye nezinhlelo zosizo lwezezimali. Unganqikazi ukufuna ukwesekwa okudingayo kulo lonke uhambo lwakho.

Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alwenzi izeluleko zezokwelapha. Okwezincomo zokwelashwa okwenziwe ngezifiso nokuholwa, zihlala zibonisana nochwepheshe wezempilo ofanelekayo. Le khasi I-Shandong Baafa Cancer Research Institute yisikhungo esiholayo esinikezelwe ekunikezeni ukunakekelwa komdlavuza okuthuthukile kanye nocwaningo.