Le ndatshana ihlinzeka ngesibukezo sezinketho zokwelashwa komdlavuza wamaphaphu angasebenzi, isifo esiyinkimbinkimbi esidinga indlela ye-multidisciplinary. Ihlola izindlela ezahlukahlukene zokwelashwa, ezigxile enjongweni yazo, izinzuzo ezingaba khona kanye nemiphumela emibi. Imininingwane ihlinzekwa ngezinhloso zemfundo futhi akufanele ibhekwe njengezeluleko zokwelashwa. Hlala uthintana ne-Oncologist yakho ukuze uhlele ngokwezifiso zokwelashwa.
Umdlavuza wamaphaphu angasebenzi kahle ubhekisa kumdlavuza wamaphaphu angeke asuswe ngokuhlinzwa ngenxa yezinto ezifana nosayizi we-tumor, indawo, asakazekele kwezinye izitho (noma impilo yesiguli. Lokhu akusho ukuthi azikho izinketho zokwelashwa. Esikhundleni salokho, ukugxila kuguqukela kokwelashwa okwenzelwe ukuphatha umdlavuza futhi kuthuthukise ikhwalithi yempilo yesiguli. Lezi zindlela zokwelapha zihlose ukulawula ukukhula kwezimila, ukudambisa izimpawu, futhi kwandiswe ukusinda.
Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukuqondisa nokubhubhisa amaseli womdlavuza. Ngomdlavuza wamaphaphu angasebenzi kahle, kuvame ukusetshenziselwa ukuncipha kwamathumbu, ukudambisa izinhlungu ezibangelwa ukucindezelwa kwezinhlaka eziseduze, futhi kuthuthukise ukuphefumula. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, ukuletha imisebe evela emshinini ongaphandle komzimba. Ukwelashwa kwemisebe yeStereotactic komzimba (SBTT) kuyindlela eqondile kakhulu yokwelashwa kwemisebe enikezela umthamo ophakeme wemisebe kuya isimila ekwelashweni okumbalwa. Ukukhethwa kokwelashwa kwemisebe kuncike ezicini ezahlukahlukene, kufaka phakathi indawo yesimila, usayizi, kanye nempilo yesiguli yonke.
I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingasetshenziswa yedwa noma ihlanganiswe nezinye izindlela zokwelapha, njengokulashwa kwemisebe. Izidakamizwa ze-Chemotherapy zilawulwa ngokungenamfihlo noma ngomlomo. Imiphumela emibi ejwayelekile ifaka ukukhathala, isicanucanu, ukulahleka kwezinwele, nezilonda zomlomo. Isazi se-oncologist yakho sizokhetha ngokucophelela irejimeni ye-chemotherapy ngokususelwa esimweni sakho esithile kanye nohlobo lomdlavuza. I-National Cancer Institute Inikeza imininingwane eningiliziwe ngezinketho ze-chemotherapy.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngaphandle kokulimaza amaseli anempilo kangako njenge-chemotherapy. Lezi zindlela zokwelapha zisebenza ngezinhlobo ezithile zomdlavuza wamaphaphu anezinguquko ezithile zofuzo. Izibonelo zifaka phakathi isibth. Isazi se-oncologist yakho sizokwenza ukuhlolwa kofuzo ukuthola ukuthi ngabe ukwelashwa okuqondisiwe kufanelekile yini.
I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba womzimba ukulwa nomdlavuza. Lezi zindlela zokwelapha zihlose ukukhuthaza amasosha omzimba ukuba aqaphele futhi ahlasele amaseli omdlavuza. I-CheckPoint inhibitors iyihlobo elijwayelekile le-immunotherapy elivimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. I-ImmunoSatherapy ingaba nemiphumela emibi ebalulekile, futhi ukuqapha okusondele kuyadingeka.
Ukunakekelwa kokusekelwa kudlala indima ebalulekile ekuphatheni imiphumela emibi yokwelashwa komdlavuza kanye nokwenza ngcono impilo yesiguli. Lokhu kungafaka ukuphathwa kwezinhlungu, ukwesekwa kokudla okunempilo, kanye nokwelulekwa ngokomzwelo. Ukunakekelwa kwePalliative kugxile ekunciphiseni izimpawu kanye nokwenza ngcono induduzo, kungakhathalekile ukuthi isigamu sesifo. Iqembu le-multidisciplinary, kufaka phakathi ama-Oncologists, abahlengikazi, kanye nabanye ochwepheshe, basebenza ngokubambisana ukuhlinzeka ngokunakekelwa okuphelele kokusekela.
Okuncono Ukwelashwa komdlavuza wamaphaphu angasebenzi kahle I-PLAND ihlukaniswe kakhulu futhi incike ezicini eziningi, kufaka phakathi uhlobo nesigaba somdlavuza wamaphaphu, impilo yesiguli, kanye nokuthandwa ngumuntu. Ingxoxo eningilizayo ne-Oncologist ibalulekile ukuthuthukisa isu lokwelashwa elenzelwe umuntu uqobo. At I-Shandong Baafa Cancer Research Institute, sinikeza indlela ebanzi yokuba Ukwelashwa komdlavuza wamaphaphu angasebenzi kahle, ukuhlinzeka iziguli ngentuthuko yakamuva e-Oncology yezokwelapha nokunakekelwa kokusekelwa.
Lesi sigaba sizogcwala imibuzo evame ukubuzwa nezimpendulo ezihlobene nokwelashwa komdlavuza wamaphaphu angasebenzi. (Qaphela: Lesi sigaba sizokwandiswa ngama-FAQ wangempela asuselwa imibuzo ejwayelekile yesiguli kanye nocwaningo.)
Uhlobo lokwelashwa | Izinzuzo Ezingaba khona | Imiphumela emibi engaba khona |
---|---|---|
Ukwelashwa kwemisebe | I-tumor shrinkage, ukukhululeka kobuhlungu | Ukukhathala, ukucasuka kwesikhumba |
Chemotherapy | Bulala amaseli omdlavuza, uthuthukise ukusinda | Isicanucanu, ukulahleka kwezinwele, ukukhathala |
Ukwelashwa okuhlosiwe | Ukuqondiswa okuqondile kwamaseli womdlavuza | Ukuqhuma, isifo sohudo |
I-ImmunoSatherapy | Kuvuselela ukuphendula komzimba | Ukukhathala, ukuvuvukala |
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.
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