Ukwelashwa Chemo kanye nokwelashwa kwemisebe yomdlavuza wamaphaphu

Izinketho zokwelashwa zomdlavuza wamaphaphu: Chemo kanye nemisebe ye-radiation therapseateposit nobunzima be Ukwelashwa Chemo kanye nokwelashwa kwemisebe yomdlavuza wamaphaphu kubalulekile ezigulini nasemindenini yazo. Lo mhlahlandlela ophelele uhlola izindlela ezahlukahlukene zokwelashwa, izinzuzo zawo, imiphumela emibi kanye nokucatshangelwa ngokukhetha indlela efanele. Sizokwenza imininingwane ye-chemotherapy ne-radiation therapy, sigxile kwizicelo zabo ekwelashweni komdlavuza wamaphaphu, bese nixoxa ngokuthi lezi zindlela zivame ukusetshenziswa kanjani ngokubambisana.

Ukuqonda ukwelashwa komdlavuza wamaphaphu

Umdlavuza wamaphaphu uyisifo esiyinkimbinkimbi ngezigaba nezinhlobo ezahlukahlukene. Izinhlelo zokwelashwa zihlukaniswa kakhulu, zenzelwe izici ezithile zomdlavuza, impilo yesiguli ephelele, kanye nezintandokazi zomuntu siqu. Izindlela zokwelapha eziyinhloko zomdlavuza wamaphaphu zihlanganisa ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy. Lo mbhalo uzogxila kakhulu Ukwelashwa kwe-Chemo nokwelashwa kwemisebe yomdlavuza wamaphaphu.

I-Chemotherapy yomdlavuza wamaphaphu

I-Chemotherapy ifaka ukusebenzisa izidakamizwa ezinamandla ukubulala umdlavuza amaseli. Emdlavuza wamaphaphu, kungenzeka ukuthi i-chemotherapy ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila, ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphindwa komdlavuza, noma njengokuphathwa komdlavuza okuyinhloko komdlavuza wamaphaphu athuthukile. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenziselwa umdlavuza wamaphaphu zihlanganisa i-cisplatin, i-carboplatin, i-paclitaxel, i-doncetaxel ne-gemcitabine. I-regimen ethize izoncika ohlotsheni nesigaba somdlavuza. Imiphumela emibi ingahluka kepha ingahle ifake phakathi isicanucanu, ukugabha, ukukhathala, ukulahlekelwa izinwele, nezilonda zomlomo. Le miphumela emibi ivame ukungalawulwa ngokunakekelwa okusekelwayo.

Ukwelashwa kwemisebe yomdlavuza wamaphaphu

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukubulala umdlavuza amaseli nokuncipha kwamathumbu. Ingasetshenziswa yedwa noma inhlanganisela nge-chemotherapy. Izinhlobo zokwelashwa kwemisebe yomdlavuza wamaphaphu zifaka ukwelashwa kwemisebe yangaphandle (EBRT), eletha imisebe evela emshinini ngaphandle komzimba, kanye ne-brachytherapy, okubandakanya ukubeka imithombo yemisakazo ngqo noma eduze kwesimila. Ukwelashwa kwemisebe kungadala imiphumela emibi njengokukhathala, ukucasuka kwesikhumba, ukufushane komoya, nokukhwehlela. Futhi, ukunakekelwa kokusekela kubalulekile ekuphatheni le miphumela emibi.

Ukuhlanganisa i-chemotherapy kanye nokwelashwa kwemisebe

Kaningi, Ukwelashwa Chemo kanye nokwelashwa kwemisebe yomdlavuza wamaphaphu zisetshenziswa ngasikhathi sinye noma ngokulandelana. I-ChemoRadiation, ukusetshenziswa okuhlanganisiwe kwe-chemotherapy kanye nokwelashwa kwemisebe, kuyindlela ejwayelekile yokungenzi kahle umdlavuza wama-lung (NSCLC). Le nhlanganisela ingasebenza kangcono ukwedlula ukwelashwa yedwa, kepha futhi kwandisa ubungozi bemiphumela emibi. Isinqumo sokusebenzisa i-chemoradiation sizoncika esigabeni somdlavuza kanye nempilo yesiguli yonke.

Ukukhetha uhlelo lokulashwa olufanele

Ukukhetha ukwelashwa okuphelele komdlavuza wamaphaphu kuyinqubo yokubambisana phakathi kwesiguli neqembu labo lezempilo. Lokhu kufaka phakathi ama-oncologists, ama-radiation oncologists, odokotela abahlinzayo, nabanye ochwepheshe. Iqembu lizocubungula izici ezahlukahlukene, kufaka phakathi uhlobo nesigaba somdlavuza, iminyaka yesiguli kanye nempilo yonke, kanye nokuthandwa ngumuntu. Ukuxhumana okuvulekile kanye nokuqonda okuphelele kwezinketho zokwelashwa kubalulekile ngokwenza izinqumo ezinolwazi. Kubalulekile ukubuza imibuzo futhi ufune ukucaciswa mayelana nanoma yisiphi isici sohlelo lokwelashwa.

Izinketho zokwelashwa ezithuthukile nokunakekelwa kokusekela

Ngezigaba ezithuthukile zomdlavuza wamaphaphu, noma lapho umdlavuza ususakaze (metastased), ezinye izindlela zokwelapha ezifana nokwelashwa okuhlosiwe kanye ne-immunotherapy zingabhekwa eceleni noma esikhundleni salokho esikhundleni Ukwelashwa kwe-Chemo nokwelashwa kwemisebe yomdlavuza wamaphaphu. Lezi zindlela zokwelapha zibhekise ama-molecule athile noma amasosha omzimba okulwa nomdlavuza. Ngaphezu kwalokho, ukunakekelwa okuphelele kokusekelwa kubalulekile kulo lonke uhambo lokwelashwa. Lokhu kungafaka ukuphathwa kobuhlungu, ukusekelwa okunempilo, ukwelulekwa ngokomzwelo, kanye nokwelashwa ngokomzimba ukusiza ukuphatha imiphumela emibi futhi kuthuthukise ikhwalithi yempilo. I-Shandong Baafa Cancer Research Institute Inikeza ukunakekelwa komdlavuza okuphelele.

Imibuzo ebuzwa njalo (ama-FAQ)

Lesi sigaba sizogcwala ngemibuzo ebuzwa njalo mayelana Ukwelashwa kwe-Chemo nokwelashwa kwemisebe yomdlavuza wamaphaphu. Lokhu kuzophendulwa ngokufanele nangokunembile, ngokususelwa ocwaningweni lwakamuva lwezokwelapha kanye nemikhuba emihle kakhulu.

Buza	Phendula
Ngabe umuthi we-chemo nokwelashwa kwemisebe ugcine isikhathi esingakanani?	Isikhathi sokuhluka kuyenzeka ngokuya ngesigaba somdlavuza kanye nokuphendula komuntu ngamunye ekwelashweni. Ingasukela kusuka emasontweni ambalwa ibe izinyanga ezimbalwa.
Yimiphi imiphumela yesikhathi eside yokwelashwa kwemisebe?	Imiphumela yesikhathi eside ingahluka kakhulu, kepha eminye imiphumela engabandakanya ukukhathala, ukulimala kwenhliziyo kanye namaphaphu, kanye nomdlavuza wesibili. Ukuhlolwa okujwayelekile kubalulekile ekuqapheleni impilo yesikhathi eside.

Nesitatimende: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alusho izeluleko zezokwelapha. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho. Imininingwane enikezwe lapha ayiyona indawo yeseluleko esifanele sezokwelapha, ukuxilongwa, noma ukwelashwa. Njalo funa izeluleko zodokotela wakho noma omunye umhlinzeki wezempilo ofanelekayo nganoma yimiphi imibuzo ongaba nayo mayelana nesimo sezokwelapha. Ungalokothi unqabe izeluleko eziqeqeshiwe zezokwelapha noma ukubambezeleka ngokuzifuna ngenxa yento oyifundile kule webhusayithi.