Izinketho zokwelashwa kwamaphaphu wezokwelashwa ezilonda ngesigaba esiseduze kwami

Izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji: Izinketho eziphelele zokwelashwa komdlavuza ziyahlukahluka ngokuya ngesigaba somdlavuza. Lo mhlahlandlela uhlinzeka ngesibukezo sokwelashwa okuhlukile okutholakalayo, ukusebenza kwabo ngempumelelo ezigabeni ezahlukahlukene, futhi izici okufanele zicatshangelwe lapho wenza izinqumo zokwelashwa. Khumbula, lolu lwazi lungenxa yolwazi olujwayelekile futhi akufanele luthathe indawo yokubonisana ne-Oncologist efanelekayo. Njalo funa izeluleko zokwelashwa eziqeqeshiwe ngesimo sakho esithile.

Ukuqonda izigaba zomdlavuza wamaphaphu

I-LUPS Cancer Stirging ibalulekile ekunqumeni inkambo enhle kakhulu ye Izinketho zokwelashwa kwamaphaphu wezokwelashwa ezilonda ngesigaba esiseduze kwami. Uhlelo lokusebenzisa izitebhisi lusebenzisa izinombolo zamaRoma (i-IV) ukwahlukanisa izigaba zomdlavuza, ngibe ngakuqala futhi i-IV ngokuba yinto ethuthuke kakhulu. Isiteji sinqunywa ngokuhlolwa okuhlukahlukene kufaka phakathi ukuskena kokucabanga (CT, PET), i-biopsy, futhi kungenzeka i-bronchoscopy. Ukwazi isigaba kusiza ithimba lakho lezempilo ukuthi lincome uhlelo olufanele kakhulu nolusebenzayo lokwelashwa.

Isiteji Umdlavuza

Isiteji Mina amaphaphu umdlavuza seyakhethwe sendawo, esisho ukuthi asikaze sisabalale ngaphesheya kwamaphaphu. Izinketho zokwelashwa zivame ukufaka ukuhlinzwa (i-lobectomy, i-Segmectectomy, ukusetha kabusha kwe-Wedge), kuvame ukulandela ukwelashwa okunama-admivant (chemotherapy noma ukwelashwa kwemisebe) ukuqeda noma yimaphi amaseli omdlavuza wezinto ezingama-microscopic.

Isiteji II Lung Cancer

Isigcawu II sibonisa ukuthi umdlavuza usukhule makhulu noma wasakazekela kwizindawo eziseduze ze-lymph node. Ukwelashwa okuvame ukufaka ukuhlinzwa, kuvame ukuhlanganiswa ne-adjuvant chemotherapy noma ukwelashwa kwemisebe, ngokuya ngezimpawu ezithile zesimila kanye nempilo yesiguli yonke.

Isiteji se-III Lung Cancer

Esiteji III, umdlavuza usakazekele ezindlini eziseduze ze-lymph node. Izinketho zokwelashwa ziyinkimbinkimbi ngokwengeziwe futhi zingafaka inhlanganisela ye-chemotherapy, ukwelashwa kwemisebe (kuhlanganisa nokwelashwa kwemisebe ye-stereotactic (i-SBTT), futhi kungenzeka ukuthi umdlavuza uma umdlavuza uma uthathwa njengokwelashwa kwe-NeaJujvant (Pre -ted).

Isigaba IV Lung Cancer

Isigaba IV, esaziwa nangokuthi umdlavuza wamaphaphu we-metastatic, kusho umdlavuza usakaze ezingxenyeni ezikude zomzimba. Ukwelashwa kugxile ekuphatheni lesi sifo kanye nokwenza ngcono impilo yempilo, kuvame ukusebenzisa ukwelashwa okuhlosiwe, i-immunotherapy, i-chemotherapy, nokunakekelwa okusekelwayo.

Izinketho zokwelashwa zomdlavuza wamaphaphu

Izindlela eziningana zokwelashwa zisetshenziselwa ukulwa nomdlavuza wamaphaphu, kuya ngesigaba kanye nesimo sesiguli ngasinye. Lokhu kufaka phakathi:

Indawo kadokotela

Ukuhlinzwa kuhlose ukususa isimila esinomdlavuza kanye nama-lymph node aseduze. Izinqubo ezahlukahlukene zokuhlinzwa ezikhona, ezisukela ezindleleni ezihlaselayo ezihlaselayo ekuhlelweni okubanzi okwengeziwe. Ukufaneleka kokuhlinzwa kuncike esiteji somdlavuza, impilo yesiguli, nendawo nosayizi wesimila.

Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli emzimbeni wonke. Ingasetshenziswa ngaphambi kokuhlinzwa (i-neAVjujuvant), ngemuva kokuhlinzwa (i-adjuvant), noma ukwelashwa okuyinhloko kwamaphaphu athuthukile athuthukile. Izidakamizwa ezijwayelekile ze-chemotherapy zifaka i-cisplatin, i-carboplatin, ne-paclitaxel.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe yamandla aphezulu ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma ihlanganiswe nezinye izindlela zokwelapha, ezinjenge-chemotherapy noma ukuhlinzwa. Amasu we-radiation ahlukene akhona, kufaka phakathi ukwelashwa kwemisebe yangaphandle (EBRT) ne-Brachytherapy.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Le mishanguzo isebenza ngokuphazamisa ama-molecule athile ahilelekile ekukhuleni komdlavuza futhi asakaze. Izibonelo zifaka phakathi i-EGFR Hhinsitors (Gefitinib, erlotinib) kanye ne-Alk inhibitors (Crizotinib, AlectiniB).

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba wokulwa nokulwa namaseli womdlavuza. Isebenza ngokuqinisa amandla amasosha omzimba okubona nokubhubhisa amaseli womdlavuza noma ngokuvimba amasiginali avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. Izibonelo zifaka inhibitors yokuhlola (pembrolikumab, nivolumab).

Imfanelo Izinketho zokwelashwa kwamaphaphu wezokwelashwa ezilonda ngesigaba esiseduze kwami

Ukuthola ukunakekelwa okufanele eduze kwakho kudinga ukucatshangelwa ngokucophelela. Qala ngokubonisana nodokotela wakho oyinhloko wokunakekelwa, okwazi ukuthumela ku-Oncologist ebhekelela umdlavuza wamaphaphu. Ungasebenzisa futhi izinsizakusebenza online ukuthola i-Oncologists endaweni yangakini. Qiniseka ukuthi uqinisekisa ubuqiniso kanye nesipiliyoni sanoma yimuphi umhlinzeki wezokunakekelwa kwempilo ngaphambi kokwenza isikhathi sokuqokwa. Cabanga ngezinto ezifana nezindawo zesibhedlela, idumela lesibhedlela, kanye nobungcweti be-Oncologist ekwelapheni izigaba ezahlukahlukene zomdlavuza wamaphaphu. I-Shandong Bandoong Baafa Cancer Research Institute https://www.baofahospital.com/ Inikeza ukunakekelwa komdlavuza wamaphaphu okuphelele, usebenzisa ubuchwepheshe bezwe nochwepheshe abanolwazi.

Ukucatshangelwa Okubalulekile

Khumbula ukuthi isimo somuntu ngamunye sihlukile. Izinqumo zokwelashwa kufanele zenziwe ngokubambisana nethimba lakho lezokunakekelwa kwempilo, zicabanga ngezinto ezifana nesigaba somdlavuza, uhlobo lomdlavuza wamaphaphu (umdlavuza wamaphaphu ongelona omncane), impilo yesiguli ephelele, kanye nokuthandwa ngumuntu.

Nesitatimende

Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alwenzi izeluleko zezokwelapha. Kubalulekile ukubheka nobungcweti bokunakekelwa kwempilo okufanelekile ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha. 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.