Izibhedlela Zokwelashwa Kwezokwelapha Zokwelashwa Amaphaphu Ezokwelapha

Ukwelashwa komdlavuza wamaphaphu: Umuthi, izibhedlela, kanye nokwelashwa okuthuthukile ukwelashwa okulungile komdlavuza wamaphaphu kubalulekile. Lo mhlahlandlela uhlinzeka ngesibukezo sokutholakala Izibhedlela Zokwelashwa Kwezokwelapha Zokwelashwa Amaphaphu Ezokwelapha, ukugxila ezikhethweni zezokwelapha, ukukhetha esibhedlela, kanye nentuthuko yakamuva yokwelashwa. Sihlose ukukuhlomisa ngolwazi oludingekayo ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwezempilo.

Ukuqonda izinketho zokwelashwa komdlavuza wamaphaphu

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

Indawo kadokotela

Ukususwa kokuhlinza kwamasu anomdlavuza kuvame ukuba inketho yokwelashwa eyinhloko yomdlavuza wamaphaphu wokuqala. Amasu aphezulu okuhlinza akhona, kufaka phakathi i-lobectomy (ukususwa kweLung Lobe), i-pneumonectomy (ukususwa kohlelo lonke lwamaphaphu), kanye nokuvuselelwa kabusha kwe-wedge (ukususwa kwesigaba esincane sezicubu zamaphaphu). Impumelelo yokuhlinzwa incike ngosayizi nendawo yendawo yesimila.

Chemotherapy

I-Chemotherapy isebenzisa umuthi ukubulala amaseli omdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa ku-shrink tumors (neadjuvant chemotherapy), ngemuva kokuhlinzwa ukuze kususwe amaseli omdlavuza (adgevant chemotherapy), noma njengokuphathwa okuyisisekelo komdlavuza wamaphaphu athuthukile. Izidakamizwa ezivame ukusetshenziswa kwe-chemotherapy zifaka i-cisplatin, i-carboplatin, ne-paclitaxel. Imiphumela emibi ingahluka kepha ivame ukufaka isicanucanu, ukukhathala, kanye nokulahleka kwezinwele.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukulimaza nokubulala amaseli womdlavuza. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, ukuletha imisebe evela emshinini ongaphandle komzimba. Ukwelapha imisebe ebhekiswe okuhlosiwe njengokwelashwa kwemisebe yemisebe ye-stereotactic (SBTT) kuyatholakala, kunikeza ukulethwa kwemisebe okuqondile ukunciphisa ukulimala kwezicubu ezizungezile.

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zinemithi ebhekise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha zivame ukugxila ekuguqukeni okuthile kwezakhi zofuzo noma amaprotheni azibandakanye ekukhuleni komdlavuza. Izibonelo zifaka phakathi isibth ngu-Egth (njenge-Erlotinib neGefitin) kanye ne-Alk inhibitors (njengeCrizotinib).

I-ImmunoSatherapy

I-ImmunoSatherapy ihlose ukukhulisa amasosha omzimba okuvimbela amaseli umdlavuzelo. Lezi zindlela zokwelapha zisebenza ngokuvimba amaprotheni omzimba ukuthi aqaphele futhi ahlasele amaseli omdlavuza noma ngokuvuselela amasosha omzimba okuhlasela ama-cell cell ngokuphumelelayo. I-ImmunoSatheraPy ikhombisile impumelelo ebalulekile ekwelapheni izinhlobo ezithile zomdlavuza wamaphaphu.

Ukukhetha isibhedlela esifanele sakho Izibhedlela Zokwelashwa Kwezokwelapha Zokwelashwa Amaphaphu Ezokwelapha

Ukukhetha isibhedlela Ukwelashwa komdlavuza wamaphaphu yisinqumo esibalulekile. Cabanga ngalezi zinto ezilandelayo:

Ubuchwepheshe bodokotela

Funa izibhedlela ezinama-oncologists asebenza emdlavuza wamaphaphu futhi ezinolwazi ngezindlela ezahlukahlukene zokwelashwa. Cwaninga abasebenzi bezokwelapha basesibhedlela, kufaka neziqu zabo kanye nesipiliyoni. Izibhedlela eziningi zishicilela amaphrofayili odokotela abasebenza online.

Izinsiza zokwelashwa nobuchwepheshe

Qinisekisa ukuthi isibhedlela sinazo ubuchwepheshe obuthuthukile nemishini edingekayo ekwelashweni okusebenzayo kakhulu. Lokhu kungafaka amasistimu wokuhlinza amarobhothi, imishini yokwelapha ethuthukile yemisebe, kanye nezindawo zokwenza izivivinyo zemitholampilo.

Izinsizakalo Zokusekela

Izinsizakalo zokusekelwa esibhedlela zibalulekile kuyo yonke inqubo yokwelashwa. Bheka ukuthi ngabe isibhedlela sinikeza ukusekelwa okuphelele, kufaka phakathi ukunakekelwa kwe-palliative, izinsizakalo zokuvuselela izinsiza, kanye nokusekelwa okungokomzwelo kokubili isiguli kanye nomndeni wabo.

Ukubuyekezwa kwesiguli nezilinganiso

Ukubuyekezwa kwe-inthanethi kanye nezilinganiso zesibhedlela kunganikeza imininingwane ekuhlangenwe nakho kwesiguli. Funa impendulo ngezinto ezahlukahlukene, njengekhwalithi yokunakekelwa, ukuphendula kwabasebenzi, nokwaneliseka kweziguli jikelele.

Izindlela zokwelapha ezithuthukile kanye nezilingo zemitholampilo ze Ukwelashwa komdlavuza wamaphaphu

Inkambu yokuphathwa komdlavuza wamaphaphu ihlala ivela. Izindlela zokwelapha ezithuthukile kanye nezilingo zemitholampilo zinikeza ithemba elisha leziguli. Ukucwaninga nokubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kokwelashwa okusikiwe okungenzeka kungatholakali kabanzi. Izibhedlela eziningi ezinkulu kanye nezikhungo zocwaningo ziqhuba izivivinyo zemitholampilo.

Uhlobo lokwelashwa	Izinzuzo Ezingaba khona	Imiphumela emibi engaba khona
Chemotherapy	Ithuka ama-tums, ibulala amaseli omdlavuza	Isicanucanu, ukukhathala, ukulahleka kwezinwele
Ukwelashwa kwemisebe	Ukulimala futhi ubulala amaseli omdlavuza	Ukucasuka kwesikhumba, ukukhathala, ukuvuvukala
Ukwelashwa okuhlosiwe	Ngokuqondile kuhlose amaseli omdlavuza	Ukuqhuma, isifo sohudo, ukukhathala
I-ImmunoSatherapy	Ikhuthaza amasosha omzimba ukulwa nomdlavuza	Ukukhathala, ukuqubuka kwesikhumba, isifo sohudo

Khumbula ukuthintana nodokotela wakho ukuthola inkambo enhle kakhulu ye Izibhedlela Zokwelashwa Kwezokwelapha Zokwelashwa Amaphaphu Ezokwelapha ngesimo sakho esithile. Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Kwezincomo ezenzelwe wena uqobo, ngaso sonke isikhathi funa ukuholwa kuchwepheshe ofanelekayo wezempilo. Ukuthola eminye imininingwane ngokunakekelwa komdlavuza okuthuthukile, cabanga ngokuvakasha I-Shandong Baafa Cancer Research Institute.DiscSCIOMER: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Xhumana nochwepheshe wezokunakekelwa kwempilo ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho. Imininingwane ephathelene nokwelashwa okuthile nokusebenza kwazo kutholwa kwiNational Cancer Institute kanye nezinye izinhlangano zezokwelapha ezihlonishwayo. Njalo funa izeluleko zokwelashwa eziqeqeshiwe zokuxilongwa nokwelashwa.