Ukwelashwa komdlavuza we-Stage One Amaphaphu: Ukuqondisa Okubanzi Kokuqondisa Isigaba esisodwa somdlavuza wamaphaphu Izinketho zibalulekile ekuphathweni okusebenzayo. Lo mhlahlandlela uhlinzeka ngesibukezo esinemininingwane yokwelashwa okutholakalayo, okugxile ekusebenzeni kwabo, imiphumela emibi, kanye nokufaneleka kwabantu abahlukahlukene. Sizohlola izinketho zokuhlinza, ukwelashwa kwemisebe, kanye nokwelashwa okuhlosiwe, ukukunikeza ulwazi ukwenza izinqumo ezinolwazi ngokubonisana nethimba lakho lezokunakekelwa kwezempilo. Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa futhi alubandakanyi izeluleko zezokwelapha eziqeqeshiwe.
Ukuqonda isigaba somdlavuza wamaphaphu owodwa
Yini isigaba somdlavuza wamaphaphu owodwa?
Isiteji Somdlavuza Oyedwa Oyimanga iyisigaba sokuqala somdlavuza wamaphaphu. Kulesi sigaba, umdlavuza uvalelwe emaphashini noma amaphaphu e-lymph node. Ukutholwa kusenesikhathi kuthuthukisa kakhulu amanani empumelelo yokwelashwa kanye ne-prognosis ephelele. Ubukhulu nendawo ye-tumor ithonya ukwelashwa kokwelashwa. Kubalulekile ukuqaphela ukuthi ngisho nasesigabeni i, kukhona izigaba ezingezansi (IA ne-IB) ngokususelwa kusayizi we-tumor kanye nokuzibandakanya kwe-lymph node. Isiteji esinembile sibalulekile ekunqumeni isu elifanele kakhulu lokwelashwa.
Izimpawu zesigaba umdlavuza wamaphaphu owodwa
Abantu abaningi nabo
Isiteji Somdlavuza Oyedwa Oyimanga Zizwa azikho izimpawu ezibonakalayo ezigabeni zokuqala. Lokhu kuqokomisa ukubaluleka kokuhlolwa okujwayelekile, ikakhulukazi abantu abasengozini enkulu (labo abanomlando wokubhema noma ukuvezwa kwama-carcinogens). Kodwa-ke, ezinye izimpawu ezingaba khona zingafaka ukukhwehlela okuphikelelayo, izinhlungu zesifuba, ukuphefumula, ukuphefumula, noma igazi kwi-sputum. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kubalulekile ukufuna ukunakekelwa kwezokwelapha okusheshayo kokuxilongwa kanye nokuhlola.
Izinketho zokwelashwa zesigaba somdlavuza wamaphaphu owodwa
Izinketho eziningana zokwelashwa ziyatholakala
Isiteji Somdlavuza Oyedwa Oyimanga, futhi ukukhetha kuncike ezicini ezahlukahlukene, kufaka phakathi impilo yesiguli ephelele, izici ze-tumor, kanye nezinto ozithandayo. Lezi zinketho zivame ukuxoxa futhi ziqondiswe ngokubambisana phakathi kwe-Oncologist kanye nesineke.
Ukuhlinzwa: ukwelashwa okuyinhloko
Ukuhlinzwa kuvame ukwelashwa okuyinhloko kwe
Isiteji Somdlavuza Oyedwa Oyimanga. Inqubo ethile yokuhlinzwa incike ngosayizi nendawo nendawo yesimila. Izinqubo ezijwayelekile zifaka phakathi i-lobectomy (ukususwa kwe-lobe yamaphaphu), ukusetha kabusha kwe-wedge (ukususwa kwengxenye encane yamaphaphu), noma i-pneumonectomy (ukususwa kwalo lonke amaphaphu). Amasu ahlaselayo angenasisekelo, anjenge-thoracoscopic ukuhlinzwa kwe-thoracoscopic (ama-vars), avame ukuthandwa, okuphumela ekulweni okuncane, izinhlungu ezincishisiwe, nezikhathi zokutakula ngokushesha. I-Shandong Bandong Baccer Research Institute inikezela ngamasu athuthukile okuhlinza anodokotela ohlinza amakhono kakhulu. Ngeminye imininingwane, vakashela iwebsite yabo:
https://www.baofahospital.com/Ukwelashwa kwemisebe
Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa njengokwelashwa okuyinhloko ezimweni lapho ukuhlinzwa kungeyona inketho noma njengezokwelapha ezinamahloni ngemuva kokuhlinzwa ukuze kuncishiswe ubungozi bokuphindelela. Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT) kuyindlela eqondile yokwelashwa kwemisebe enikezela ngemithamo ephezulu yemisebe ibe yisimila ngenkathi kunciphisa ukulimala kwezicubu ezinempilo.
Ukwelashwa okuhlosiwe
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa ezibhekise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Ngenkathi kungenjalo ukwelashwa komugqa wokuqala
Isiteji Somdlavuza Oyedwa Oyimanga, izindlela zokwelapha ezihlosiwe zingabhekwa ezimweni ezithile, ikakhulukazi uma isimila sinezinguquko ezithile zofuzo.
Ukunakekelwa kwezokwelapha ngemuva kokulandela nokulandela
Ukulandela ukwelashwa kwe
Isiteji Somdlavuza Oyedwa Oyimanga, Ukuqapha okuqhubekayo nokunakekelwa kokulandela kubalulekile. Lokhu kufaka phakathi ukuhlolwa okujwayelekile, ukuskena kokucabanga, kanye nokuhlolwa kwegazi ukuthola noma yikuphi ukuphindaphindwa noma izinkinga. Ukushintsha kwendlela yokuphila, njengokuyeka ukubhema nokwamukela indlela yokudla enempilo kanye nenqubo yokuzivocavoca, kunconyelwa kakhulu ukusekela impilo yonke nenhlala-kahle. Lokhu kuguqulwa kwendlela yokuphila kungathinta kakhulu amanani okusinda isikhathi eside.
Ukwenza Izinqumo Ezinolwazi
Ukuzulazula a
Isiteji Somdlavuza Oyedwa Oyimanga Ukuxilongwa kungaba inselele. Ukuxhumana okuvulekile nge-Oncologist yakho kubaluleke kakhulu ekwenzeni izinqumo zokwelashwa ezinolwazi. Unganqikazi ukubuza imibuzo futhi uveze ukukhathazeka kwakho. Iqembu lakho lezokunakekelwa kwempilo lizosebenza nawe ukuthuthukisa uhlelo lokwelashwa oluqondene nomuntu uqobo olubhekela izidingo zakho kanye nezintandokazi zakho.
| Ukwelashwa Inketho | Izinzuzo | Okubi |
| Indawo kadokotela | Amanani aphezulu okulahla, amandla okususwa okuphelele kwesimila. | Dinga ama-anesthesia, amathuba okuba nezinkinga njengokutheleleka noma ukopha. |
| Ukwelashwa kwemisebe | Ingasetshenziswa yedwa noma inhlanganisela ngokuhlinzwa. Ngokungahlaseli kunokuhlinzwa. | Kungadala imiphumela emibi njengokukhathala, ukucasuka kwesikhumba kanye nesicanucanu. |
| Ukwelashwa okuhlosiwe | Kubhekiswe amaseli omdlavuza ngokuqondile, ukunciphisa ukulimala kwamaseli anempilo. | Kungenzeka ingasebenzi kuzo zonke izinhlobo zomdlavuza wamaphaphu. Angaba nemiphumela emibi. |
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwezempilo ofanelekayo ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.
