Ukwelashwa komdlavuza omusha ongewona omncane weseli: izibhedlela nezinketho

Le ndatshana ihlinzeka ngemininingwane ephelele yokwelashwa kwakamuva komdlavuza wamaphaphu okungewona omncane (NSCLC), ukugxila ezikhethweni ezitholakala ezibhedlela eziholayo kanye nasezikhungweni zocwaningo. Sizohlola izindlela ezahlukahlukene zokwelashwa, ukusebenza kwazo, kanye nokucatshangelwa ngokukhetha inkambo engcono kakhulu yesenzo. Funda ngentuthuko yakamuva futhi uthole izinsizakusebenza ukukusiza uzulazule lolu hambo olunzima.

Ukuqonda umdlavuza we-cell ongewona omncane (NSCLC)

Ama-account angewona ama-cell lungling luleng accouth cishe ama-85% awo wonke umdlavuza wamaphaphu. Kubalulekile ukuqonda izigaba ezahlukahlukene nezinhlobo ze-NSCLC ukunquma okufanele kakhulu Ukwelashwa Nezingcingo Ezintsha Ezingaphansi Zomdlavuza Zomdlavuza ukunikela. Ukutholwa kusenesikhathi kuthuthukisa imiphumela yokwelashwa. Ukuchithwa kwe-NSCLC kufaka ukunquma ubukhulu bomdlavuza ukusakazeka, okuthonya izinqumo zokwelashwa. Izici ezibalulekile okufanele uzicabangele zifaka usayizi we-tumor, indawo, ukubandakanyeka kwezindawo ze-lymph, kanye ne-metastasis kwezinye izitho.

Izinketho zokwelashwa ze-NSCLC

Indawo kadokotela

Ukuvuselelwa kokuhlinzwa kuvame ukuba inketho yokwelashwa eyinhloko ye-NSCLC yesigaba sokuqala. Lokhu kufaka ukususa isimila esinomdlavuza kanye nomugqa wezicubu ezizungezile ezinempilo. Inqubo ethile yokuhlinzwa incike endaweni nosayizi wesimila. Amasu amancane ahlaselayo aya ngokuya esetshenziselwa ukunciphisa isikhathi sokutakula kanye nezinkinga. Ukulandelwa kokuhlinzwa okuphakathi kubalulekile ukubhekisisa ukuphindeka.

Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Imvamisa isetshenziselwa ukwelapha i-NSCLC esezingeni eliphakeme, kungaba ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukuqeda amaseli omdlavuza asele. Ama-regimens ahlukahlukene angama-chemotherapy akhona, ngokuzikhethela kuya ngohlobo oluthile nesigaba somdlavuza. Imiphumela emibi ingahluka kakhulu phakathi kwabantu.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukuqondisa nokubhubhisa amaseli womdlavuza. Ingasetshenziswa yedwa noma ihlanganiswe nge-chemotherapy noma ukuhlinzwa. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, ukuletha imisebe evela ngaphandle komzimba. I-Brachytherapy, ehilela ukubeka izinto ezinemisebe ngqo noma eduze kwesimila, kungenye indlela. Imiphumela emibi ingafaka ukukhathala, ukucasuka kwesikhumba, kanye nesicanucanu.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngokususelwa ekuguqulweni kwazo zofuzo noma ezinye izici. Le ndlela ihlose ukunciphisa ukulimala kwamaseli anempilo, ukunciphisa imiphumela emibi eqhathaniswa ne-chemotherapy. Izindlela eziningi zokwelapha ezihlosiwe zitholakala nge-NSCLC, futhi ukusebenza kwazo kuncike kwiphrofayili ethile yofuzo yesimila. Ukuhlolwa njalo ukuqapha impendulo yomdlavuza ekwelashweni kubalulekile.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe namaseli womdlavuza. Kuyindawo entsha kodwa evuka ngokushesha ekwelashweni komdlavuza. Ukuhlola inhibitors, uhlobo lwe-immunotherapy, lusebenza ngokukhethekile ezinhlotsheni ezithile ze-NSCLC. Le mishanguzo ivimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. Imiphumela emibi ye-ImmunoSatherapy kungenzeka, futhi ukuqapha ngokucophelela kuyadingeka.

Ukukhetha isibhedlela esifanele ukwelashwa kweNSCLC

Ukukhetha isibhedlela esifanele isinyathelo esibalulekile ohambweni lwakho lomdlavuza olwela umdlavuza. Funa izibhedlela ezinezikhungo zomdlavuza wamaphaphu akhethekile, onolwazi lwe-oncologists, kanye nobuchwepheshe bokuvuthalwa kwezokwelapha. Cabanga ngezinto ezifana nezingalo zesibhedlela, amanani okusinda wesineke, kanye nokuthola izivivinyo zomtholampilo. Le khasi I-Shandong Baafa Cancer Research Institute isikhungo esidumile esigxile kakhulu ekwelashweni komdlavuza okuthuthukile. Izibhedlela zocwaningo zivame ukubamba iqhaza ekuhlolweni kwemitholampilo, okunikeza ukufinyelela kwezindlela zakamuva zokuhlola.

Izilingo Zomtholampilo Nokucwaninga

Ukubamba iqhaza ezilingweni zemitholampilo kunganikeza ukufinyelela kokwelashwa okusha okungatholakali kabanzi. Izilingo zemitholampilo yizifundo zocwaningo ezenzelwe ukuhlola ukuphepha nokusebenza kahle kokwelashwa okusha. Isazi se-oncologist yakho singasiza ekuboneni ukuthi iqhaza kuqubuka yini kwecala lomtholampilo kufanelekile ngesimo sakho. Izinhlangano eziningi ezihlonishwayo, ezinjengeNational Cancer Institute (NCI), zinikezela ngemininingwane yokulingwa okuqhubekayo kwemitholampilo.

Izinsizakusebenza nokusekelwa

Ukubhekana nokuxilongwa kwe-NSCLC kungaba nzima. Khumbula ukufuna ukusekelwa emndenini wakho, abangane kanye nethimba lezempilo. Amaqembu okusekela anganikeza ukuxhumana okubalulekile nabanye ababhekene nezinselelo ezifanayo. Izinhlangano eziningi zezwe nezasekhaya zinikeza izinsiza kanye nokusekelwa kweziguli ezinomdlavuza wamaphaphu nemindeni yazo. I-Shandong Baafa Cancer Research Institute Futhi inikeza izinsizakalo zokusekela eziphelele ezigulini zalo.

Nesitatimende: Le ndatshana yenzelwe izinjongo zolwazi kuphela futhi ayisenzi izeluleko zezokwelapha. Hlala uthintana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukuxilongwa kanye nezincomo zokwelashwa.