Isigaba 3 Ukwelapha umdlavuza wamaphaphu

Ukwelashwa komdlavuza we-STAGE 3 LUP ROCTRACT: Ukuqonda okuphelele kwesiqondisi kanye nokuzulazula okukhethwa kukho kwezokwelashwa kwesigaba 3 Umdlavuza we-Lobincethis ahlinzeka ngesibukezo esibanzi se Isigaba 3 Ukwelapha umdlavuza wamaphaphu Izinketho, zichaza izindlela ezahlukahlukene, ukusebenza kwazo, imiphumela emibi engaba khona, kanye nokucatshangelwa kweziguli. Sizohlola izigaba ezahlukahlukene zokwelashwa, okubandakanya ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy, bese sixoxa ngokuthi lezi zindlela zokwelapha zivame ukusetshenziswa kanjani ngokuhlanganiswa. Lo mhlahlandlela uhlose ukunika amandla abantu ababhekene nalokhu kuxilongwa ngolwazi oludingekayo ukwenza izinqumo ezinolwazi ngokubambisana nethimba labo lezempilo. Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa futhi akufanele lubambe iqhaza izeluleko zokwelashwa eziqeqeshiwe. Hlala uthintana ne-Oncologist yakho yezincomo ezenzelwe wena.

Ukuqonda isigaba 3 umdlavuza wamaphaphu

Izitayela kanye nokuhlukaniswa

Isigaba 3 umdlavuza wamaphaphu Ingabe isigaba esibanzi sihlanganisa izigaba IIIA ne-IIB, okukhombisa ubukhulu be-Cancer's. Isiteji se-IIIA sibandakanya umdlavuza osabalale kwizindawo eziseduzane zama-lymph, kanti isigaba se-IIIB sibonisa ukusakazeka okuthuthuke kakhulu. Uhlelo olwenziwe lula ukwelashwa luxhomeke kakhulu ekulweni okuqondile kanye nesimo sempilo yesiguli ngasinye. Ukuqina okunembile kubalulekile ekunqumeni isu elisebenzayo lokwelashwa elisebenzayo. Udokotela wakho uzosebenzisa amasu ahlukahlukene wokucabanga, njenge-CT Scans kanye nezikena ze-PET, kanye nama-biopsies, ukuthola isigaba esinembile nezimpawu zomdlavuza wakho. Lokhu kuhlola okunemininingwane kubalulekile ukuvumelanisa okungcono kakhulu Isigaba 3 Ukwelapha umdlavuza wamaphaphu abuyele kuwe.

Izinhlobo zomdlavuza wamaphaphu

Umdlavuza wamaphaphu akusona isifo esisodwa; Kuhlanganisa izinhlobo eziningana, kufaka phakathi umdlavuza we-cell ongelona omncane (NSCLC) kanye nomdlavuza omncane we-cell luleng (SCLC). Uhlobo lomdlavuza wamaphaphu luthonya kakhulu izinqumo zokwelashwa. I-NSCLC ilandisa iningi lamacala omdlavuza womdlavuza wamaphaphu futhi ngokuvamile liphendula ngendlela ehlukile ekwelapheni kune-SCLC. Ukwazi uhlobo oluthile lomdlavuza wamaphaphu wakho kubalulekile ekunqumeni okuhle kakhulu Isigaba 3 Ukwelapha umdlavuza wamaphaphu Hlela.

Izinketho zokwelashwa zesigaba 3 umdlavuza wamaphaphu

Indawo kadokotela

Ukususwa Kokuhlinza Isimila, ngokunokwenzeka kufaka phakathi ingxenye yamaphaphu noma ama-lymph, kungaba inketho kwezinye iziguli ezine Isigaba 3 umdlavuza wamaphaphu, ikakhulukazi labo abasezigabeni zangaphambili zeSigaba IIIA. Kungenzeka ukuthi ukuhlinzwa kuncike ezicini ezahlukahlukene, kufaka phakathi indawo nosayizi wesimila, impilo yesiguli, nobungako be-lymph node development. Udokotela wakho we-oncologist uzohlola ukufaneleka kwakho ukuze ahlinzwe futhi axoxe ngezingozi nezinzuzo ezingaba khona.

Chemotherapy

Chemotherapy, usebenzisa izidakamizwa ukubhubhisa amaseli womdlavuza, kuvame ukusetshenziswa ku Isigaba 3 Ukwelapha umdlavuza wamaphaphu, kungaba ngaphambi (i-neAdjuvant) noma ngemuva (i-adjuvant) ukuhlinzwa, noma njengokuphathwa okuyisisekelo uma ukuhlinzwa kungeyona inketho. Ama-regimens amaningi akhona, futhi ukukhetha okuthile kuzoncika ezintweni ezifana nohlobo lomdlavuza wamaphaphu, isigaba salesi sifo, kanye nempilo yesiguli yonke. Imiphumela emibi engaba khona ye-chemotherapy ingabaluleka futhi iyahlukahluka kakhulu phakathi kweziguli.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingahle isetshenziswe yedwa noma inhlanganisela nezinye izindlela zokwelapha ze Isigaba 3 umdlavuza wamaphaphu. Ukwelapha imisebe ye-beam yangaphandle kuvame ukusetshenziswa, kuqondise imishayo yemisebe kusuka ngaphandle komzimba ukuqondisa isimila. Kwezinye izimo, i-brachytherapy, okubandakanya ukubekwa kwezinto ezinemisebe ngqo noma eduze kwesimila, kungabhekwa.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxile kuma-molecule athile ngaphakathi kwamaseli womdlavuza okhuthaza ukukhula kwawo nokusinda. Lezi zindlela zokwelapha zisebenza ngokukhethekile ekuguqukeni kofuzo okuthile okutholakala kwamanye amaphaphu amaphaphu. Uma ukuhlolwa kofuzo kuveza ukuguqulwa okuthile, izindlela zokwelapha ezihlosiwe zingasebenza kakhulu ekwelapheni Isigaba 3 umdlavuza wamaphaphu.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe nomdlavuza. Lezi zindlela zokwelapha zingasebenza kakhulu, ikakhulukazi ezinhlotsheni ezithile zomdlavuza wamaphaphu, futhi zivame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha. Imiphumela emibi ye-ImmunoSatherapy ingenzeka kepha imvamisa iyalawuleka.

Ukwenza Izinqumo Ezinolwazi

Ukuzulazula Isigaba 3 Ukwelapha umdlavuza wamaphaphu Dinga ukusebenzisana okuqinile phakathi kwesiguli neqembu labo lezempilo. Ukuxhumana okuvulekile nge-Oncologist yakho kubaluleke kakhulu. Unganqikazi ukubuza imibuzo futhi uveze ukukhathazeka kwakho. Ukuqonda uhlelo lokwelashwa, imiphumela emibi engaba khona, futhi imiphumela yesikhathi eside ibalulekile ngokwenza izinqumo ezinolwazi ezivumelanisa nezidingo zakho kanye nezinketho zakho. Le khasi I-Shandong Baafa Cancer Research Institute Inikeza izinketho zokwelashwa ezithuthukile nendawo esekelayo yeziguli ezibhekene nale nselelo.

Imiphumela emide yokwelashwa nokuphathwa

Ukwelashwa Isigaba 3 umdlavuza wamaphaphu kuvame ukubandakanya imiphumela emibi ebalulekile. Lokhu kungafaka ukukhathala, isicanucanu, ukulahlekelwa izinwele, izinguquko ekudleni, nokuningi. Ukuphatha le miphumela emibi kuyingxenye ebalulekile yenqubo yokwelashwa. Iqembu lakho lezempilo lizosebenza nawe ukunciphisa le miphumela emibi futhi uthuthukise ikhwalithi yempilo yakho ngesikhathi sokwelashwa. Ukuxhumana okuvulekile kubalulekile ekuhlonzeni nasekubhekaneni nezinkinga ezingaba khona ngokushesha. Khumbula, amaqembu okusekela kanye nezinsizakusebenza ziyatholakala ukukusiza ukwazi ukubhekana nezinselelo zokwelashwa komdlavuza.

Ukuqondisisa kanye nombono wesikhathi eside

I-Prognosis ye Isigaba 3 umdlavuza wamaphaphu Iyahlukahluka ngokuya ngezinto ezahlukahlukene, kufaka phakathi isigaba esithile, uhlobo lomdlavuza wamaphaphu, impilo yesiguli, kanye nempendulo yokwelashwa. Intuthuko ekwelashweni ithuthukise kakhulu imiphumela eminyakeni yamuva. Ngenkathi i-Outlook yomuntu ngamunye ihlukile, kugxilwe kakhulu ekukhuliseni amazinga okusinda kanye nekhwalithi yempilo. Ukunakekelwa okujwayelekile kokulandela kubalulekile ekuqapheleni kanye nokuphathwa kwesikhathi eside.

QAPHELA: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi lungenzi izeluleko zezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.