Lo mhlahlandlela ophelele uhlola ubunzima be Ukwelashwa komdlavuza wamaphaphu okuyisisekelo Futhi kukusiza uqonde izinketho zakho. Sizomboza izindlela ezahlukahlukene zokwelashwa, izinto ezithonya izinqumo zokwelashwa, kanye nokubaluleka kokufuna ukunakekelwa kusuka ekuhlonipheni Izibhedlela uchwepheshe emdlavuza wamaphaphu. Funda ngentuthuko yakamuva futhi uthole izinsiza ukusekela uhambo lwakho.
Umdlavuza wamaphaphu uhlukaniswe kabanzi ezinhlotsheni ezimbili eziphambili: I-Small Cell Lung Cancer (SCLC) kanye ne-non-cell luleng umdlavuza (NSCLC). I-NSCLC ibamba iningi lamacala omdlavuza wamaphaphu. Uhlobo oluthile lomdlambelo wamaphaphu luthinta kakhulu amasu wokwelashwa. Ukuxilongwa okunembile nge-biopsy kanye nokucabanga kubalulekile ekunqumeni inkambo engcono kakhulu yesenzo Ukwelashwa komdlavuza wamaphaphu okuyisisekelo.
Ukuzihlamba kuchaza ubukhulu bokusakazeka komdlavuza. Lokhu kunqunywa ngokuhlolwa okuhlukahlukene, kufaka phakathi ukuskena kokucabanga (i-CT, pet) kanye nama-biopsies. Isiteji (i-IV) sithonya kakhulu ezinhlelweni zokwelashwa. Umdlavuza wokuqala wesiteji angaphathwa ngogesi ngowodwa, ngenkathi umdlavuza we-Advanced-Stage evame ukudinga inhlanganisela yokwelashwa.
Ukuhlinzwa kuyindlela yokwelashwa eyinhloko yomdlavuza wamaphaphu wokuqala. Lokhu kungafaka ukususa ingxenye noma wonke amaphaphu athintekile. Amasu wokuhlanza kancane ahlaselayo, anjenge-thoracoscopic ukuhlinzwa kwe-thoracoscopic (ama-vars), ayanda kakhulu, okuholela ekubunjweni okuncane kanye nezikhathi zokutakula ngokushesha. Ukufaneleka kokuhlinzwa kuncike ezicini eziningana, kufaka phakathi impilo yesiguli yonke nendawo kanye nosayizi wesimila.
I-Chemotherapy isebenzisa izidakamizwa ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neAVJuvant) ukuncipha isimila, ngemuva kokuhlinzwa (i-adjuvant) ukunciphisa ubungozi bokuphindelela, noma ukwelashwa okuyinhloko komdlavuza wamaphaphu osezingeni eliphezulu. Ama-regimens ahlukene we-chemotherapy akhona, futhi ukukhetha kuncike ohlotsheni nesigaba somdlavuza wamaphaphu.
Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukushabalalisa amaseli womdlavuza. Ingasetshenziswa ukuncipha kwamathumbu, ukudambisa izimpawu, noma ukuphatha umdlavuza osabalale. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, kepha i-brachytherapy (imisebe yangaphakathi) nayo ingahle isetshenziswe ezimweni ezithile. Uhlobo oluthile kanye nomthamo wokwelapha imisebe kuhlelwa ngokucophelela ngokususelwa ezidingweni zesiguli ngazinye.
Izindlela ezihlosiwe ziyizidakamizwa ezihlose ngqo amaseli omdlavuza ngaphandle kokulimaza amaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziselwa ukwelapha umdlavuza wamaphaphu osezingeni eliphezulu ngokuguqulwa okuthile kwezakhi zofuzo. Ukukhethwa kokwelashwa okuhlosiwe kuqondiswa ukuhlolwa kofuzo kwesimila.
I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe nomdlavuza. Isebenza ngokuqinisa amandla amasosha omzimba okubona nokubhubhisa amaseli womdlavuza. I-ImmunoSatheraPy ikhombisile impumelelo ebalulekile ekwelapheni izinhlobo ezithile zomdlavuza wamaphaphu, ikakhulukazi lezo ezinama-biomarkers athile.
Ukukhetha a isibhedlela Ngesikhungo somdlavuza wamaphaphu esizinikezele sibalulekile. Funa izikhungo ezinaye ama-oncologists anolwazi, odokotela abahlinzayo, kanye nabelaphi bemisebe enakekela umdlavuza wamaphaphu. Cabanga ngezinto ezifana namanani empumelelo esibhedlela, ubuchwepheshe obuthuthukisiwe obusetshenzisiwe, nezinsizakalo zokusekelwa kweziguli ezinikezwayo. I-Shandong Baafa Cancer Research Institute yisikhungo esiholayo esinikezelwe ekunikezeni okuthuthukile Ukwelashwa komdlavuza wamaphaphu okuyisisekelo nokunakekelwa kweziguli okuphelele.
Uhlelo lokwelashwa olufanele lwe- Ukwelashwa komdlavuza wamaphaphu okuyisisekelo kucatshangelwa kakhulu. Kunezici eziningana zithonya inqubo yokwenza izinqumo, kufaka phakathi:
Into eqinile | Umthelela ekwelashweni |
---|---|
Uhlobo lomdlavuza wamaphaphu | Inquma indlela yokwelashwa (ukuhlinzwa, i-chemo, ukwelashwa okuhlosiwe, njll.) |
Isigaba somdlavuza | Ithonya ukwelashwa kanye nokuhlanganiswa kwezokwelapha |
Impilo yesiguli iphelele | Inquma ukubekezelela ukwelashwa okunolaka |
Ukuguqulwa kwezakhi zofuzo | Iqondisa ukukhethwa kwezindlela zokwelapha ezihlosiwe |
Ukubhekana nokuxilongwa komdlavuza wamaphaphu kungaba yinselele. Amaqembu okusekela, izinhlangano zokusekela iziguli, kanye nochwepheshe bezempilo bengqondo banganikeza usizo olukhulu ngokomzwelo nangokoqobo. Kubalulekile ukwakha uhlelo lokusekelwa ukuze ubhekane nezinselelo ze Ukwelashwa komdlavuza wamaphaphu okuyisisekelo.
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi lungenzi izeluleko zezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.
Imithombo:
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