Lo mhlahlandlela ophelele uhlola izinketho zokwelashwa zomdlavuza we-squamous cell lung (SCLC), ugxile ezindleleni ezahlukahlukene ezitholakalayo kanye neqhaza elibalulekile lezibhedlela ezikhethekile ekunikezeni ukunakekelwa okusebenzayo. Sizokwenza intuthuko yakamuva kuyo Izibhedlela Zokwelashwa Ezisezingeni Lokwelashwa Umdlavuza Wokulashwa Umdlavuza, ukugqamisa izindlela ezahlukahlukene zokwelashwa nezinto ezithonya izinqumo zokwelashwa. Ukuqonda izinketho zakho kubalulekile ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwezempilo.
I-squamous cell lung umdlavuza uhlobo lomdlavuza we-cell ongelona omncane (NSCLC). Kuvela emangqamuzaneni ashubile ahambisa izindima ezinkulu zomoya emaphashini. Izinketho ze-Prognosis kanye nokwelashwa kuncike ezicini eziningana, kufaka phakathi isigaba somdlavuza ngesikhathi sokuxilonga, impilo yesiguli ephelele, kanye nezimpawu ezithile zesimila. Ukutholwa kusenesikhathi kuthuthukisa kakhulu imiphumela, kugcizelela ukubaluleka kokuhlolwa okujwayelekile nokuthola usizo lwezokwelapha ngokushesha nganoma yisiphi izimpawu eziphathelene nanoma yikuphi okuphathelene nezimpawu.
Ukuvuselelwa Kwezigcawu kuyindlela ejwayelekile yokwelashwa komdlavuza we-squam esisezingeni eliphakeme. Inqubo ifaka ukususa isimila esinomdlavuza kanye nomugqa wezicubu ezinempilo. Ubungako bokuhlinzwa buxhomeke ngosayizi nendawo nendawo yesimila. Amasu okuhlinza ahlaselayo asetshenziselwa kakhulu ukunciphisa isikhathi sokuthola kabusha futhi athuthukise imiphumela yeziguli.
I-Chemotherapy isebenzisa izidakamizwa ezinamandla ukubulala umdlavuza amaseli. Ingahle isetshenziswe ngaphambi kokuhlinzwa (i-neadjuvant chemotherapy) ukuncipha isimila, ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukunciphisa ingozi yokuphindaphindwa, noma njengokuphathwa okuyisisekelo kwesifo esisezingeni eliphakeme. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenzisiwe ngaphakathi Izibhedlela Zokwelashwa Ezisezingeni Lokwelashwa Umdlavuza Wokulashwa Umdlavuza faka i-cisplatin ne-doncetaxel. Imiphumela emibi iyahlukahluka ngokuya ngohlobo oluthile lwezidakamizwa.
Ukwelashwa kwemisebe kusebenzisa imisebe ephakeme yamandla ukushabalalisa amaseli womdlavuza. Ingasetshenziswa yedwa noma ihlanganiswe nezinye izindlela zokwelapha. Ukwelashwa kwemisebe yangaphandle yangaphandle kuyinto evame kakhulu, ukuletha imisebe evela emshinini ongaphandle komzimba. Kwezinye izimo, i-brachytherapy, ehilela ukubeka imbewu enemisebe noma ukufakwa ngqo esiswini, kungahle kusetshenziswe.
Izindlela zokwelapha ezihlosiwe ziyizidakamizwa ezibhekise ama-molecule athile ahilelekile ekukhuleni komdlavuza kanye nentuthuko. Lezi zindlela zokwelapha zivame ukusetshenziswa ezigulini ezinesifo esisezingeni eliphakeme noma labo umdlavuza wakhe usuthuthuke ngemuva kwezinye izindlela zokwelapha. Ukusebenza kahle kwezindlela zokwelapha ezihlosiwe kuncike ekubeni khona kwezakhi zofuzo ezithile ngaphakathi kwamaseli we-tumor.
I-ImmunoSatherapy ihlanganisa amasosha omzimba uqobo ukuze alwe nomdlavuza. Isebenza ngokuqinisa amandla amasosha omzimba okubona nokubhubhisa amaseli womdlavuza. I-CheckPoint Avidors uhlobo lwe-immunotherapy oluvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. I-ImmunoSatheraPy ikhombisa isethembiso ekwelapheni izinhlobo ezahlukahlukene zomdlavuza wamaphaphu futhi zivame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha.
Ukukhetha esibhedlela onolwazi ekwelapheni umdlavuza wamaphaphu kubalulekile ukuthola imiphumela efanele. Funa izibhedlela ezinezikhungo zomdlavuza wamaphaphu ezinikezele, onolwazi lwe-oncologists kanye nodokotela abahlinzayo, ubuchwepheshe obuthuthukisiwe kanye nezinsizakalo zokusekela eziphelele. Cabanga ngezinto ezinjengezobufakazi beziguli, ukugunyazwa kanye nezinhlelo zokucwaninga esibhedlela. Izibhedlela ezibhekise ekwelashweni komdlavuza ezithuthukile zivame ukunikeza ukunakekelwa okuhlukahlukene, okubandakanya ochwepheshe abavela emikhakheni ehlukahlukene ukuthuthukisa amasu wezokwelashwa aqondene nokwelashwa.
Ukunakekelwa okuphelele komdlavuza kanye nezinketho zokwelashwa ezithuthukile, cabanga I-Shandong Baafa Cancer Research Institute. Ukuzibophezela kwabo ekusungulweni okusha nasekunakekelweni okugxile kweziguli kubabeka ngokwabo.
Uhlelo lokwelashwa olufanele lwe-squamous cell lung umdlavuza olwenziwe ngazinye futhi luya ngezici ezimbalwa, kufaka phakathi:
Into eqinile | Umthelela ekwelashweni |
---|---|
Isigaba somdlavuza | Inquma ubukhulu nohlobo lokwelashwa oludingekayo. |
Impilo yesiguli iphelele | Ithonya amandla wesiguli okubekezelela ukwelashwa. |
Izici ze-Tumor | Ukuguqulwa kwezakhi zofuzo nezinye izici kungathonya izinqumo zokwelashwa. |
Izintandokazi Zesineke | Izinqumo zokwelashwa zenziwa ngokubambisana eduze nesiguli. |
Ukwelashwa kwe Izibhedlela Zokwelashwa Ezisezingeni Lokwelashwa Umdlavuza Wokulashwa Umdlavuza uhlala evela. Ithuthuka ezinkomeni ezahlukahlukene zokwelashwa, okubandakanya ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy, ithuthukise imiphumela yeziguli. Ukutholwa kusenesikhathi nokwelashwa ezibhedlela ezikhethekile kuhlala kubalulekile ukuphumelela kahle. Ukusebenzisana phakathi kwesiguli kanye nethimba labaningi labasebenzi bezokunakekelwa kwempilo kubalulekile ekwakheni uhlelo lokwelashwa oluqondene nomuntu uqobo olubhekela kangcono izidingo nezinhloso zomuntu.
Ukuzikhulula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nomuntu oqeqeshiwe wezokunakekelwa kwezempilo ukuze kuxilongwa kanye nokwelashwa kwanoma yisiphi isimo sezokwelapha.
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