Lo mhlahlandlela ophelele uhlola okuhlukahlukene Ukwelashwa okusha kokwelashwa komdlavuza we-Carter Cancer Izinketho zitholakala kumdlavuza we-cell ongelona omncane (NSCLC), uhlobo olubi lomdlavuza wamaphaphu. Sizosebenzisa ngezindlela ezahlukene zokwelashwa, sixoxe ngezinto ezinethonya izindleko, futhi sinikeze izinsiza ezigulini ezifuna eminye imininingwane. Ukuqonda lezi zici kubalulekile ngokwenza izinqumo ezinolwazi mayelana nohambo lwakho lwezempilo.
I-NSCLC ifaka ama-subtypes amaningana, kufaka phakathi i-adenocarcinoma, i-squamous cell carcinoma, kanye ne-carcinoma enkulu yeselula. Uhlobo oluthile lwe-NSCLC luthonya kakhulu amasu okulashwa kanye nokufunwa. Isazi se-oncologist yakho sizonquma i-subtype eqondile nge-biopsy nezinye izivivinyo zokuxilonga.
Ukuzikhandla okunembile kubalulekile ekunqumeni ubukhulu bomdlavuza kanye nezinqumo zokwelashwa okuqondisa. Ukuzihlaziya kuhilela uchungechunge lwezivivinyo, njengokuskena kokucabanga (CT, PET) kanye ne-biopsies, ukuhlola usayizi nendawo ye-metastasis. Ukuxilongwa kusenesikhathi kuyisihluthulelo sokwenza ngcono imiphumela yokwelashwa kanye namazinga okusinda jikelele. Ukutholwa kusenesikhathi kungavinjelwa ngokuhlolwa okujwayelekile, ikakhulukazi kubantu abanezici zobungozi njengokubhema umlando.
Ukuhlinzwa kungaba yindlela yokukhetha iziguli ezine-NSCLC yangaphambi kwesikhathi. Uhlobo lokuhlinzwa luncike endaweni nosayizi we-tumor futhi lungahluka kusuka ku-lobectomy (ukususwa kweLung Lobe) ku-pneumonectomy (ukususwa kwalo lonke amaphaphu). Izindleko zokuhlinzwa ziyahlukahluka ngokuya ngendawo yesibhedlela, imali ehlinzayo, kanye nobude bokuhlala esibhedlela. Ngeminye imininingwane, ungahle ufune ukubonisana no I-Shandong Baafa Cancer Research Institute ngokubonisana okuphelele.
I-Chemotherapy ifaka ukusetshenziswa kwezidakamizwa ukubulala umdlavuza amaseli. Imvamisa isetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha, njengokuhlinzwa noma ukwelashwa kwemisebe. I-regimen ethile ye-chemotherapy ixhomeke esiteji somdlavuza kanye nempilo yesiguli. Izindleko ziyahlukahluka ngokuya ngezidakamizwa ezisetshenzisiwe kanye nesikhathi sokwelashwa. Izindlela zokwelapha ezihlosiwe zohlobo olusha nentsha zinezinto ezihlukile zamanani.
Ukwelashwa kwemisebe kusebenzisa imisebe ephakeme yamandla ukushabalalisa amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Izindleko zokwelashwa kwemisebe zincike kwinani lezindlela zokwelapha ezidingekayo kanye nezinsiza ezisetshenzisiwe. Imisebe ye-beam yangaphandle kanye ne-brachytherapy yizinhlobo ezivamile.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza, ukunciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziswa ezigulini ezinokuguqulwa okuthile kwezakhi zofuzo ezikhonjwe ngokuhlolwa kwamangqamuzana. Izindleko ezihambisana nokwelashwa okuhlosiwe ziyehluka kakhulu ngokuya ngesidakamizwa esithile. Le mithi ingabiza kakhulu kune-chemotherapy yendabuko.
I-ImmunoSatherapy isiza amasosha omzimba womzimba alwe nomdlavuza wamaseli. Ama-inhibitors ama-inhibitors namanye ama-amcynotherapapies angasebenza kakhulu kwezinye iziguli, kepha izindleko ziyacatshangelwa futhi zivame ukucubungula ukucatshangelwa ngokucophelela kwezinzuzo ezingaba khona ngokumelene nezindleko. Izindleko zivame ukuba phezulu ngenxa yobunzima bokwelashwa kanye nokuqapha okuqhubekayo okudingekayo.
Izindleko ze Ukwelashwa okusha kokwelashwa komdlavuza we-Carter Cancer ingahluka kakhulu ngokuya ngezinto eziningana:
Into eqinile | Umthelela ezindlekweni |
---|---|
Isigaba somdlavuza | Izigaba zangaphambili zivame ukudinga ukwelashwa okuningana okuningana, okuholela ezindlekweni eziphansi. |
Uhlobo lokwelashwa | Izindlela zokwelapha ezihlosiwe kanye ne-immunotherapy ngokuvamile zibiza kakhulu kune-chemotherapy. |
Ubude bokwelashwa | Izikhathi zokuthola ukwelashwa okude ngokwemvelo zikhuphuka izindleko zizonke. |
Isibhedlela nemali yezezibhedlela | Izindleko ziyahlukahluka ngokuya ngendawo yendawo kanye nedumela lomhlinzeki wezokunakekelwa kwempilo. |
Ukumboza umshwalense | Amasu omshuwalense ayahlukahluka ekubhekaneni kwabo kokwelashwa komdlavuza; Izindleko ezingaphandle kwephakethe zingaba okukhulu. |
Ukuzulazula kwezinkinga zokuphathwa kweNSCLC kungaba inselele. Izinhlangano eziningi zinikeza ukwesekwa nezinsizakusebenza ezigulini nasemindenini yazo:
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomhlinzeki wakho wezempilo wokuxilongwa kanye nezinketho zokwelashwa.
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