Izinketho zokwelashwa kanye nezibhedlela zesigaba 4 umdlavuza wamaphaphu

Lo mhlahlandlela ophelele uhlola intuthuko yakamuva kanye nezinketho zokwelashwa ezitholakala kumdlavuza we-Stage 4 LUPL, enikeza imininingwane ebalulekile yeziguli nemindeni yazo ukuzulazula kulolu sizoxilongwa olunzima. Sizoxoxa ngezindlela ezahlukahlukene zokwelapha, sichaza imikhawulo yazo, ukulinganiselwa, kanye nemiphumela emibi engaba khona, futhi sigqamise ukubaluleka kokufuna ukunakekelwa ezibhedlela ezihlonishwayo ezinakekela ukungena ngaphakathi Ukwelashwa okusha ukwelashwa okusha kwama-LUM Cancer Stages 4 Izibhedlela.

Ukuqonda isigaba 4 umdlavuza wamaphaphu

Ukuxilongwa kanye nokuqina

Isigaba 4 umdlavuza wamaphaphu, owaziwa nangokuthi umdlavuza wamaphaphu we-metastatic, ukhombisa ukuthi umdlavuza usabalale ngaphesheya kwamaphaphu kwezinye izingxenye zomzimba. Ukuxilongwa okunembile kubandakanya izivivinyo zokuzilibazisa (i-CT Scans, i-PET SCNS), ama-biopsies, kanye nokuhlolwa kwegazi. Isiteji sasekuqaleni nesinembile sibalulekile ekunqumeni okusebenzayo kakhulu Ukwelashwa okusha ukwelashwa okusha kwama-LUM Cancer Stages 4 Izibhedlela.

Imigomo yokwelashwa esiteji 4

Ukwelashwa ngalesi sigaba kugxile ekuphatheni izimpawu, kuthuthukisa ikhwalithi yempilo, futhi kwandise ukusinda. Ngenkathi ukwelashwa okuphelele kungenzeka kungenzeki, intuthuko ebalulekile iholele emiphumeleni ethuthukisiwe kanye nokuphila okude kweziguli eziningi. Indlela engcono kakhulu ivame ukubandakanya ithimba le-multidisciplinary, kufaka phakathi izazi ze-Oncologists, odokotela abahlinzayo, kanye nochwepheshe bezokunakekelwa kwabaphikisi. Ukuthola isibhedlela ngobuchwepheshe ekuphatheni Ukwelashwa okusha ukwelashwa okusha kwama-LUM Cancer Stages 4 Izibhedlela kubaluleke kakhulu.

Izinketho zokwelashwa ezitholakalayo zeStage 4 LUP RABACER

Ukwelashwa okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxile ekuguqukeni okuthile kwezakhi zofuzo ngaphakathi kwamaseli omdlavuza. Le mishanguzo ingahle ihlehlise amathumbu futhi ithuthukise amanani okusinda ezigulini ezinokuguqulwa okuthile. Izibonelo zifaka i-EGFR inhibitors, ama-alk inhibitors, nabanye. Isazi se-oncologist yakho sizonquma ukuthi ungumuntu okhethwayo wezokwelapha okuhlosiwe ngokuya ngephrofayili yakho ethile yesimivu. Le khasi I-National Cancer Institute Inikeza imininingwane enemininingwane ngalezi zindlela zokwelapha.

Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Kuyindlela evamile yokwelashwa komdlavuza we-Stage 4 Lung, ovame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha noma njengendlela yokwelashwa ye-standalone. Uhlobo oluthile lwe-chemotherapy oluthile luzoncika ezintweni ezifana nempilo yakho yonke, uhlobo lomdlavuza wamaphaphu, kanye nokuba khona kwanoma yikuphi ukuguqulwa okuthile. Imiphumela emibi ijwayelekile futhi iyahlukahluka ngokuya ngesidakamizwa esisetshenzisiwe. Ukuphathwa ngokucophelela kwemiphumela emibi kubalulekile.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amandla amasosha omzimba uqobo ukuze alwe nomdlavuza. Lezi zindlela zokwelapha zisebenza ngokuqinisa amandla amasosha omzimba wokubona nokubhubhisa amaseli womdlavuza. Ukuhlola inhibitors, njenge-pembrolikumab kanye ne-nivolumab, yizibonelo zezidakamizwa ze-immunotherapy ezisetshenziselwa umdlavuza wamaphaphu. Lezi zindlela zokwelapha ziguqule ukunakekelwa kweziguli ezithile nomdlavuza wamaphaphu athuthukile. Ukukhethwa kwe-immunotherapy kuncike ezintweni ezinjengezinga lezincazelo ze-PD-L1 kanye nokuba khona kwama-biomarkers athile.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukubulala umdlavuza amaseli nokuncipha kwamathumbu. Ingasetshenziswa ukunciphisa izimpawu, njengobuhlungu obangelwa ama-metastases amathambo, noma njengengxenye yendlela yokwelashwa ehlanganisa. Imiphumela emibi ingafaka ukukhathala, ukucasuka kwesikhumba kanye nesicanucanu, yize lokhu kuvame ukuphatha.

Ukunakekelwa Okuphakeme Nokuphilayo

Ukunakekelwa kokusekelwa kugxile ekuthuthukiseni ikhwalithi yempilo yesiguli ngokuphatha izimpawu ezinjengobuhlungu, ukukhathala, isicanucanu, kanye nokuphefumula komoya. Ukunakekelwa kwePalliative kunikeza ukusekelwa okuphelele kokubhekana nezidingo ezingokomzimba, ezingokomzwelo nezokomoya zeziguli nemindeni yazo kuyo yonke ukugula. Lokhu kubalulekile ikakhulukazi esiteji 4 lapho ukugxila kwinduduzo kanye nekhwalithi yempilo kubaluleke kakhulu.

Ukukhetha isibhedlela esifanele ukwelashwa kwakho

Ukukhetha isibhedlela ngobuchwepheshe ku Ukwelashwa okusha ukwelashwa okusha kwama-LUM Cancer Stages 4 Izibhedlela kubalulekile ukuthola imiphumela efanele. Cabanga ngezinto ezifana nesipiliyoni sokwelashwa komdlavuza we-advanced amaphaphu, ukufinyelela ezilingweni zakamuva zomtholampilo, nendlela ehlukahlukene ehilela ama-oncologists, odokotela abahlinzayo, kanye nochwepheshe be-palliative. Funa izibhedlela ezinezilinganiso eziphezulu zokugculiseka kweziguli nezinhlelo zokucwaninga eziqinile.

Ukuthola Izibhedlela Ezihlonishwayo

Izibhedlela zocwaningo endaweni yangakini noma lezo ezineminyango edumile ye-Oncology. Bheka amawebhusayithi abo ukuthola imininingwane ngezinhlelo zabo zomdlavuza wamaphaphu, amaphrofayli odokotela, namanani empumelelo. Ubufakazi beziguli nokubuyekezwa bunganikezela nokuqonda okubalulekile. Izibhedlela eziningi zinikeza izinsizakusebenza ze-inthanethi kanye nokubonisana okubonakalayo ukukusiza wenze izinqumo ezinolwazi.

Khumbula, lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi alwenzi izeluleko zezokwelapha. Hlala uthintana nodokotela wakho noma uchwepheshe wezokunakekelwa kwezempilo ofanelekayo ukuthola izinketho nezinketho zokwelashwa. Ngeminye imininingwane ngomdlavuza wamaphaphu kanye nezinketho zokwelashwa, ungahlola nezinsizakusebenza ezivela ezinhlanganweni ezifana ne American Lung Association kanye I-American Cancer Society.

At I-Shandong Baafa Cancer Research Institute (https://www.baofahospital.com/), Sizinikezele ekunikezeni ukunakekelwa okuphelele nokunozwela kweziguli ezinomdlavuza wamaphaphu. Ithimba lethu elinolwazi lisebenzisa intuthuko yakamuva ekuxilongeni nokwelashwa, kuqinisekiswe imiphumela engcono kakhulu yeziguli zethu.