Izinketho zokwelashwa zomdlavuza omncane weseli ezibhedlela eziholayo

Lo mhlahlandlela ophelele uhlola okuhlukahlukene Izinketho zokwelashwa zeCile Cell Lweng (SCLC) etholakala ezibhedlela eziholayo. Sizokweluleka ngentuthuko yakamuva ekwelashweni, sixoxe ngezinto ezinethonya ethonya izinqumo zokwelashwa, futhi sinikeze ngokuqonda ekubalulekeni kokufuna ukunakekelwa kwamaqembu e-Oncology anolwazi. Funda nge-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, nezinketho zokunakekelwa kokusekelwa kokulawula i-SCLC.

Ukuqonda umdlavuza wamaphaphu amancane

Uyini umdlavuza omncane wamaphutha weseli?

Umdlavuza omncane weseli (i-SCLC) Uhlobo olukhula ngokushesha futhi olunolaka lomdlavuza wamaphaphu. Ngokuvamile kutholakala esiteji esithuthukile, okwenza ukutholwa kusenesikhathi kanye nokwelashwa okusheshayo. Amangqamuzana omdlavuza avela emincane futhi eyindilinga ngaphansi kwesibonakhulu, ehlukanisa kusuka ku-Non-Celle cell LUCS (NSCLC). I-SCLC izwela kakhulu ku-chemotherapy, eyakha isisekelo samasu okuthola ukwelashwa.

Izitebhisi kanye nokuxilongwa kwe-SCLC

Ukuchithwa okunembile kwe I-SCLC kubalulekile ekunqumeni indlela efanele yokwelashwa. Lokhu kufaka phakathi izivivinyo ezahlukahlukene zokuxilonga, kufaka phakathi ukuskena kokucabanga (ukuskena kwe-CT, i-pet scans), i-bronchoscopy, nama-biopsies ukuhlola ubukhulu bokusakazeka komdlavuza. Izitebhisi zivame ukuhlukanisa i-SCLC njenge-limited-stage (eboshwe ohlangothini olulodwa lwesifuba) noma esiteji esibanzi (Spread ngapha nangapha uhlangothi lwesifuba).

Izinketho zokwelashwa zomdlavuza omncane weseli

I-Chemotherapy ye-SCLC

I-Chemotherapy yitshe legumbi le ukwelashwa okuncane komdlavuza wamaphutha. Isebenzisa izidakamizwa ezinamandla ukubulala umdlavuza amaseli. I-regimens evame ukusetshenziswa ye-chemotherapy ye-SCLC ivame ukubandakanya ukuhlanganiswa kwezidakamizwa ezifana ne-cisplatin ne-etoposide. I-regimen ethize kanye nomthamo ancike empilweni yomuntu ngamunye, isigaba somdlavuza, nezinye izinto. I-Chempotherapy ebanzi isetshenziswa ngokuvamile kuzo zombili izikhawu futhi ezikhawulelwe-isigaba SCLC.

Ukwelashwa kwemisebe ye-SCLC

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukuqondisa nokubhubhisa amaseli womdlavuza. Imvamisa isetshenziswa ngokubambisana ne-chemotherapy, ikakhulukazi esiteji esilinganiselwe I-SCLC. Ukwelashwa kwemisebe kungahle kunciphise amathumbu, kunciphise izimpawu, futhi kuthuthukiswe amanani okusinda lapho kuhlanganiswa ne-chemotherapy. Uhlobo kanye umthamo wokwelashwa kwemisebe uncike esimweni somuntu kanye nomdlavuza.

Ukwelashwa okuhlosiwe kwe-SCLC

Izidakamizwa ezihlosiwe ezihlosiwe zigxile kuma-molecule athile ahilelekile ekukhuleni kweseli yomdlavuza kanye nentuthuko. Ngenkathi ngokwesiko ngokwesiko kusebenza ngempumelelo ku-SCLC kuqhathaniswa ne-NSCLC, ucwaningo luyaqhubeka nokuhlola izindlela ezintsha zokwelapha umdlavuza onolaka. Isibonelo, ezinye izilingo zihlola ukusetshenziswa kwama-ejenti we-immunotherapy ngokuhlanganiswa ne-chemotherapy.

Ukunakekelwa kokusekelwa kwe-SCLC

Ukunakekelwa kokusekelwa kudlala indima ebalulekile ekuphatheni imiphumela emibi ye ukwelashwa okuncane komdlavuza wamaphutha kanye nokwenza ngcono impilo yesiguli. Lokhu kungafaka ukuphathwa kobuhlungu, ukusekelwa okunempilo, kanye nokuphathwa kwezinye izimpawu njengokukhathala nokuphefumula. Ukunakekelwa kokusekelwa kubalulekile ukuze kugcinwe inhlala-kahle yesiguli kuyo yonke inqubo yokwelashwa.

Ukukhetha isikhungo sokwelashwa esifanele somdlavuza wamaphaphu amancane

Ukukhetha isibhedlela esidume nge-oncologists onolwazi kanye nohlelo oluphelele lokwelashwa lubalulekile ukuze luphumelele ukwelashwa okuncane komdlavuza wamaphutha. Cabanga ngezinto ezifana nesipiliyoni sesibhedlela nge-SCLC, ukufinyelela ubuchwepheshe obuthuthukile, kanye nokutholakala kwezilingo zokwelashwa. Ezigulini ezifuna izinketho zokunakekelwa okuthuthukile, I-Shandong Baafa Cancer Research Institute Inikeza izinhlelo eziphelele zokwelashwa komdlavuza. Bazinikezele ekuhlinzekeni ukunakekelwa kanye nokusekelwa kwe-art kanye nokusekelwa kweziguli ezilwa nomdlavuza.

Izilingo Zomtholampilo ze-SCLC

Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kwezindlela ezintsha zokwelapha futhi kufake isandla ekuthuthukiseni ukwelashwa kwe-SCLC. Izibhedlela eziningi nezikhungo zocwaningo zinikeza izivivinyo zokwelashwa ezigulini ezine-SCLC. Xoxa ngethuba lokubandakanyeka kwecala lomtholampilo ne-Oncologist yakho. Izilingo zemitholampilo zinikeza amathuba ezigulini ukuthola ukwelashwa okusikayo futhi zinikele ekuthuthukisweni kwesikhathi esizayo ekunakekelweni komdlavuza.

Ukuqondisisa kanye nombono wesikhathi eside

I-Prognosis ye umdlavuza omncane weseli Iyahlukahluka ngokuya ngesiteji ekuxilongeni, impilo yesiguli ephelele, kanye nempendulo yokwelashwa. Ngenkathi i-SCLC ivame ukuba nolaka, intuthuko ekwelashweni ithuthukile imiphumela ethuthukisiwe yeziguli eziningi. Ukunakekelwa okujwayelekile kokulandela nokuqapha kubalulekile ngemuva kokwelashwa ukuthola nokuphatha noma yikuphi ukuphindwaphindwa.

Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo ukuze uthole ukutholakala nokwelashwa kwanoma yisiphi isimo sezokwelapha.