Ukwelashwa komdlavuza wamaphaphu okuqala: Ukuxilongwa, izigaba, kanye nokwelashwa kokutholwa kahle kuthuthukisa amathuba okuphumelela Ukwelashwa Ukuphathwa komdlavuza wamaphaphu. Le ndatshana ihlinzeka ngesibukezo esiphelele somdlavuza wamaphaphu okuqala, kufaka phakathi ukuxilongwa, ukuqina, kanye nezinketho zokwelashwa ezikhona. Sizohlola intuthuko yakamuva nezindlela zokukusiza uqonde lesi sifo esiyinkimbinkimbi kangcono. Lolu lwazi ngolwazi olujwayelekile futhi akufanele luthathe indawo yokubonisana nochwepheshe wezokwelapha.

Ukuxilongwa komdlavuza wamaphaphu okuqala kanye nokugaya

Ukuxilongwa kusenesikhathi kubalulekile ukuze kusebenze Ukwelashwa Ukuphathwa komdlavuza wamaphaphu. Umdlavuza wamaphaphu uvame ukuletha ngezimpawu ezicashile, wenza inselelo yokuqala inselele. Kodwa-ke, ukuhlolwa okujwayelekile, ikakhulukazi kubantu abanobungozi obukhulu, kungathuthukisa kakhulu imiphumela. Ukuxilongwa kuhlanganisa izinyathelo eziningana:

Ukuhlolwa kokucabanga

I-Chest X-Rays, ukuskena kwe-CT, kanye nezikena ze-PET zivame ukusetshenziswa ukukhomba nokuthola amaphaphu ama-nodule noma ama-maste. Lawa masu wokucabanga asiza ekutholeni usayizi, indawo, nobungako besimila.

Biopsy

I-biopsy ifaka ukususa isampula elincane lezicubu elisendaweni esolisayo yokuhlolwa kwelebhu. Lokhu kubalulekile ekuqinisekiseni ukuxilongwa komdlavuza wamaphaphu futhi kunqume uhlobo lwayo (isbl.

Indawo emiphi

Lapho ukuxilongwa kuqinisekisiwe, kwenziwa iziteleka ukunquma ubukhulu bokusakazwa komdlavuza. Uhlelo olusebenzisa izidakamizwa lusebenzisa izinombolo (0-Iv) ukuhlukanisa lesi sifo ngokuya ngosayizi, ukuhileleka kwe-lymph node, ne-metastasis. Isiteji esinembile sibalulekile ekuqondiseni izinqumo zokwelashwa.

Izinketho zokwelashwa zomdlavuza wamaphaphu wangasese

Ukwelashwa komdlavuza wamaphaphu wangasese kuyahlukahluka ngokuya ngezinto eziningana, kufaka phakathi uhlobo nesigaba somdlavuza, impilo yesiguli, kanye nokuthandwa ngumuntu. Izindlela ezijwayelekile zokwelashwa zifaka:

Indawo kadokotela

Ukuhlinzwa kuvame ukwelashwa okuyinhloko komdlavuza wamaphaphu wokuqala. Uhlobo lokuhlinzwa luncike endaweni nosayizi wesimila. Izinketho zifaka phakathi i-lobectomy (ukususwa kwe-lobe yamaphaphu), ukusetha kabusha kwe-wedge (ukususwa kwengxenye encane yamaphaphu), kanye ne-pneumonectomy (ukususwa kwalo lonke amaphaphu).

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukubulala umdlavuza amaseli. Ingasetshenziswa yedwa noma inhlanganisela ngokuhlinzwa noma nge-chemotherapy. I-Stereotactic body radiotherapy (SBTT), uhlobo olunembile kakhulu lokwelashwa kwemisebe, luvame ukusetshenziselwa amaphaphu okudla amaphaphu okuqala angafanele ukuhlinzwa.

Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphinda. Ukukhethwa kwezidakamizwa ze-chemotherapy kuncike ohlotsheni nesigaba somdlavuza wamaphaphu.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zinemithi ebhekise ngqo amaseli omdlavuza ngenkathi inciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziselwa iziguli ezinokuguqulwa okuthile kwezakhi zofuzo kumaseli abo omdlavuza wamaphaphu. Funda kabanzi ngezokwelapha ezihlosiwe ezivela kuNational Cancer Institute.

Ukukhetha ukwelashwa: Indlela yokubambisana

Ukukhethwa kokufanele kakhulu Ukwelashwa Ukuphathwa komdlavuza wamaphaphu Isu lingumzamo wokubambisana phakathi kwesiguli nethimba labaningi labasebenzi bezokunakekelwa kwempilo, kufaka phakathi ama-Oncologists, odokotela abahlinzayo, ama-radiologists kanye nabanye ochwepheshe. Leli qembu lizocubungula zonke izinto ezifanele ukudala uhlelo lokwelashwa oluqondene nomuntu uqobo.

Ngeminye imininingwane nokusekelwa maqondana nomdlavuza wamaphaphu, ungaxhumana ne I-Shandong Baafa Cancer Research Institute ngeseluleko kanye nokunakekelwa kwezokwelapha.

Ukunakekelwa kanye nokunakekelwa kokulandela

I-prognosis yomdlavuza wamaphaphu wangaphambi kwesikhathi ingcono kakhulu kunezigaba ezithuthukile. Ukuqokwa okujwayelekile kokulandela, kufaka phakathi izivivinyo zokucabanga, kubalulekile ukuqapha ukuphindeka futhi uqinisekise ukutholwa kwazo noma yiziphi izinkinga ezintsha. Uhlelo oluthile lokulandela luzonqunywa yiqembu lakho lezempilo.

Khumbula, ukutholwa kusenesikhathi nokushesha Ukwelashwa Ukuphathwa komdlavuza wamaphaphu yizici ezibalulekile ekuthuthukiseni imiphumela. Uma unezinto ezikhathazayo ngomdlavuza wamaphaphu, thintana nochwepheshe wezempilo ngokushesha.