Isiteji se-Stage 3A Amaphaphu kanye nezinketho zokwelashwa kanye ne-athikili ye-OutlookLing zinikezela ngesibukezo esiphelele sezinketho zokwelashwa kanye ne-prognosis yomdlavuza we-Stage 3a lung. Simboza izindlela ezahlukahlukene zokwelashwa, okubandakanya ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, kanye nokwelashwa okuhlosiwe, ukuxoxa ngempumelelo kwazo, imiphumela emibi ekhona, kanye nokufaneleka kwamaphrofayli ahlukene eziguli. Imininingwane enikezwe lapha ngezinjongo zokufundisa futhi akufanele ifake izeluleko zokwelashwa eziqeqeshiwe. Hlala uthintana ne-Oncologist yakho ukuze uthole uhlelo lokwelashwa okwenziwe umuntu uqobo.

Isiteji 3A Amaphaphu umdlavuza: Izinketho zokwelashwa kanye Outlook

Isiteji 3a amaphaphu umdlavuza Imele inselelo ebalulekile ku-Oncology, ebonakaliswa ukusakazwa komdlavuza kwizindawo eziseduzane ze-lymph node. Ukuqonda izinketho zokwelashwa okutholakalayo nemiphumela yazo engaba khona kubalulekile ezigulini nasemindenini yazo. Lo mhlahlandlela uhlose ukuhlinzeka ngolwazi olucacile, olufushane mayelana I-Stage 3A Amaphaphu Umdlavuza Wezokwelapha, egcizelela ukubaluleka kokunakekelwa okwenziwe ngezifiso kanye nokwenza izinqumo ngokubambisana neqembu lakho lezempilo. Khumbula, imininingwane lapha ngezinjongo zokufundisa futhi akufanele ithathe indawo yokubonisana nochwepheshe bezokwelapha.

Ukuqonda isigaba se-Stage 3A I-Laweng Cancer

Ngaphambi kokuphuza ekwelashweni, kubalulekile ukuqonda imininingwane ye Isiteji 3a amaphaphu umdlavuza. Lesi sigaba sibonisa ukuthi umdlavuza usakazekele ezinhlakeni ze-lymph ohlangothini olufanayo lwesifuba njenge-tumor (N2), kodwa hhayi ezindlini ze-lymph ohlangothini lwesifuba noma ezingosi ezikude. I-subtype ethize yomdlavuza wamaphaphu (iseli elincane noma iseli elingasenamncane) futhi lithonya kakhulu amasu okulashwa. Ukuzikhandla okunembile kwenziwa ngokuhlolwa kokulingisa okufana nokuskena kwe-CT, ama-pet scans, ne-bronchoscopy, kanye nama-biopsies.

Izindlela zokwelashwa zomdlavuza we-Stage 3a lung

Ukwelashwa Isiteji 3a amaphaphu umdlavuza Imvamisa kubandakanya inhlanganisela yokwelashwa, evame ukubizwa ngokuthi ukwelashwa kwe-multimodal. Indlela efanelekile incike ezicini eziningana, kufaka phakathi impilo yesiguli ephelele, uhlobo oluthile nendawo kanye nendawo yesimila, nobungako bokubandakanyeka kwe-lymph node.

Indawo kadokotela

Ukuhlinzwa kungaba inketho kwezinye iziguli ezine Isiteji 3a amaphaphu umdlavuza, ikakhulukazi lezo ezinokuzibandakanya kwe-nodal okulinganiselwe nempilo enhle yonke. Uhlobo lokuhlinzwa lungahluka kusuka ku-lobectomy (ukususwa kweLung Lobe) ku-pneumonectomy (ukususwa kwalo lonke amaphaphu). Ukusetha kabusha kwe-Sokuhlinzwa kuhlose ukususa wonke amaseli omdlavuza abonakalayo.

Chemotherapy

I-Chemotherapy ukwelashwa okuhlelekile okusebenzisa izidakamizwa ukubulala amaseli womdlavuza emzimbeni wonke. Kuvame ukusetshenziswa ngaphambi kokuhlinzwa (i-neAVjuvant Chemotherapy) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphindeka. Ama-regimens amaningana angama-chemotherapy ayatholakala, futhi ukukhetha kuncike ezintweni ezifana nohlobo lomdlavuza kanye nezimpawu zomuntu ngamunye. AmaRegimens ajwayelekile afaka i-Cisplatin ne-Etoposide, noma i-carboplatin ne-paclitaxel.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Phakathi kwa- Isiteji 3a amaphaphu umdlavuza, ukwelashwa kwemisebe kungahle kusetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant radiotherapy) noma ngemuva kokuhlinzwa (i-radiotherapy ye-addiotherapy), noma njengengxenye ye-chemoradiation ye-conferture. Ukwelashwa kwemisebe yemisebe yeStereotactic (SBT) kuyindlela eqondile kakhulu yemisebe enikezela ngemithamo ephezulu yemisebe ibe yisimila ezihlalweni ezimbalwa.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe ziyizidakamizwa eziqondise ngqo amaseli omdlavuza ngaphandle kokulimaza amaseli ajwayelekile. Ukusetshenziswa kokwelashwa okuhlosiwe kunqunywa ukwakheka kofuzo kwesimila. Isibonelo, uma ama-tumor ama-harbors athile aguqukayo efuzo (njenge-egfr, i-alk, i-ros1), izindlela zokwelapha ezihlosiwe ezinjengezinto ezihlosiwe ezinjenge-egth inhibitors noma ama-alk inhibitors angasebenza kakhulu.

Ukukhetha ukwelashwa kanye ne-prognosis

Ukukhethwa kwendlela yokwelashwa engcono kakhulu ye Isiteji 3a amaphaphu umdlavuza inqubo yokubambisana phakathi kwesiguli neqembu labo le-oconology. Lokhu kubandakanya ukuhlolwa ngokucophelela kwempilo yesiguli, izici zesimila, kanye nezinzuzo ezingaba khona nezingozi zenketho yokwelashwa ngakunye. Ukunakekelwa kwe Isiteji 3a amaphaphu umdlavuza Iyahlukahluka ngokuya ngezinto ezifana ne-Tumor Histology, ubukhulu bokuzibandakanya kwe-lymph node, kanye nokuphendula kwesiguli ukwelashwa. Ngenkathi i-Outlook ingaba inselele, intuthuko ekwelashweni ithuthukise kakhulu amanani okusinda eminyakeni yamuva. Ukuxoxa ngokuvuselelwa ngokukhululekile nangokweqiniso nethimba lakho lezokunakekelwa kwezempilo kubalulekile ngokwenza izinqumo ezinolwazi nokuhlela ikusasa.

Ukukhetha isikhungo sokwelashwa esifanele

Ukukhetha isikhungo somdlavuza ofanelekayo kubaluleke kakhulu ukuthola ukunakekelwa okungcono kakhulu okungenzeka Isiteji 3a amaphaphu umdlavuza. Funa izikhungo ezinabantu abanolwazi lwe-oncologists, amaqembu amaningi, ukufinyelela ubuchwepheshe obuthuthukile, nokuzibophezela ekunakekelweni okugxile kweziguli. Cwaninga futhi uqhathanise izinketho ezahlukahlukene, ugxile ebuchosheni babo ekwelashweni komdlavuza wamaphaphu, futhi unganqikazi ukubuza imibuzo ukuze uqiniseke ukuthi uzizwa ukhululekile ngokuzikhethela kwakho.

Ngeminye imininingwane ngezinketho zokwelashwa komdlavuza ezithuthukile, ungahle ucabangele ukuxhumana I-Shandong Baafa Cancer Research Institute ngokubonisana. Banikela ngezinsizakalo eziningi ezahlukahlukene kanye nobuchwepheshe obunqenqemeni ukuphatha lesi sifo esiyinkimbinkimbi. Khumbula ukuxoxa ngazo zonke izici zokwelashwa kwakho nethimba lakho lezempilo ukwenza izinqumo ezinhle kakhulu zempilo yakho.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.