Ukwelashwa komdlavuza we-squam ongewona omncane

Lo mhlahlandlela ophelele uhlola izinketho ezahlukahlukene zokwelashwa ezitholakala kumdlavuza we-squam ongewona omncane weseli (NSCLC). Silungiselela intuthuko yakamuva kuyo ukwelapha, kufaka phakathi ukuhlinzwa, i-chemotherapy, ukwelashwa kwemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy, ukuhlinzeka ngokuqonda okucacile kokusebenza kahle kwemiphumela nemiphumela emibi engaba khona. Funda ngezitezi, ukuxilongwa, nokubaluleka komuntu uqobo ukwelapha amapulani wokuphatha lesi sifo esiyinkimbinkimbi. Siphinde futhi sibhekane nezinyathelo zokunakekelwa kokusekela ukuthuthukisa ikhwalithi yempilo ngesikhathi nangemva kwalokho ukwelapha.

Ukuqonda Squamous Squam Relle Cancer Luc

Yini i-squamous cell luseng can?

I-squamous cell carcinoma uhlobo lwe NSCLC okuvela ekulweni kwemigwaqo emikhulu yomoya emaphashini. Imvamisa ehlotshaniswa nomlando wokubhema. Ukutholwa kusenesikhathi kubalulekile ukuze uphumelele ukwelapha. Le khasi ukwelapha Indlela icatshangelwe kakhulu futhi incike esigabeni somdlavuza kanye nempilo yesiguli yonke.

Sticang squang squamous cell lung cancer

Ukuzithoba kubandakanya ukunquma ubukhulu bokusakazwa komdlavuza. Lokhu kubalulekile ekunqumeni inkambo enhle kakhulu ye ukwelapha ingomane umdlavuza we-squam ongewona omncane weseli. I-STAGLIGE ijwayele ukwenziwa ngokuhlolwa kokulingisa (ama-CT Scans, ama-pet scans), ama-biopsies, futhi mhlawumbe noBronchoscopy. Isigaba (i-IV) sithonya ukwelapha Izinqumo, kanye neziguli zikhuthazwa ukuthi zixoxe ngokucaciswa kokuxilongwa kwazo kanye nesiteji ne-Oncologist yazo. Ukuqonda isigaba sakho kuzokuvumela ukuthi uhlele ngokubambisana okufanele kakhulu ukwelapha Isu.

Izinketho zokwelashwa zomdlavuza we-squam ongewona omncane weseli

Indawo kadokotela

Ukuhlinzwa kuvame ukuba yinhloko ukwelapha Inketho yeSigaba sokuqala umdlavuza we-squam ongewona omncane weseli. Ngokuya ngendawo nosayizi wesimila, izinqubo ezahlukahlukene zokuhlinzwa ezihlukile. Lokhu kungafaka ukukhipha isimila kanye nengxenye yezicubu zamaphaphu ezizungezile (i-lobectomy noma i-wedge resection). Kungenzeka ukuthi ukuhlinzwa kuncike ezicini ezahlukahlukene ezifana nempilo yesiguli nendawo kanye nosayizi wesimila.

Chemotherapy

I-Chemotherapy ifaka ukusebenzisa izidakamizwa ukubulala umdlavuza amaseli. Imvamisa isetshenziswa ngokuhlanganiswa nokunye ukwelapha Izindlela, njengokulashwa kwemisebe noma ukuhlinzwa, ngezigaba ezithuthukile ze umdlavuza we-squam ongewona omncane weseli. Izidakamizwa ezijwayelekile ze-chemotherapy ezisetshenziselwa NSCLC Faka phakathi i-cisplatin, i-carboplatin, ne-paclitaxel. Imiphumela emibi iyahlukahluka, futhi ukuphatha lezi zici ezibalulekile ze ukwelapha inqubo.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ephezulu yamandla ukulimaza nokubhubhisa amaseli womdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa ku-shrink tumors (i-neadjuvant therapy), ngemuva kokuhlinzwa ukuze kuqedwe noma yimaphi amaseli omdlavuza asele (ukwelashwa okususiwe), noma njengokunhloko ukwelapha Ezigulini ezingafanele ukuhlinzwa. Ukwelashwa kwemisebe nakho kungasetshenziselwa ukuphatha izimpawu ezibangelwa umdlavuza ophambili.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngokuguqulwa okuthile kofuzo. Le ndlela ingasebenza kakhulu ezigulini ezinama-tumors anazo zofuzo. Ngokwesibonelo, ukuguqulwa okuthile kwe-EGFR ku NSCLC ingaphendula kahle kumakhambi aqondile ahlosiwe. Ukuhlolwa kwezakhi zofuzo kubalulekile ukuthola ukufaneleka kwalezi zindlela zokwelapha.

I-ImmunoSatherapy

I-ImmunoSatherapy ihlanganisa amandla okuvikelwa komzimba uqobo ukuze alwe namaseli womdlavuza. Lezi zindlela zokwelapha zisebenza ngokuvuselela noma ukuthuthukisa impendulo yokuzivikela ekuhlaselweni kanye nokubhubhisa amaseli omdlavuza. I-ImmunoSatherapy iguqule i ukwelapha womdlavuza omningi, kufaka phakathi izinhlobo ezithile ze NSCLC. Izinsuku zokuhlola inhibitors ziyisibonelo esikhulu salolu hlobo ukwelapha.

Ukunakekelwa Okusekelayo

Ukuphatha imiphumela emibi yomdlavuza ukwelapha yingxenye ebalulekile yokunakekelwa okuphelele. Ukunakekelwa kokusekelwa kubandakanya izinsizakalo ezahlukahlukene, kufaka phakathi ukuphathwa kwezinhlungu, ukwesekwa kokudla, nokwelulekwa, ukuthuthukisa ikhwalithi yempilo yesiguli ngesikhathi nangemva kwalokho ukwelapha. Izingxoxo nezazi zakho ze-Oncologist kanye nethimba labo lokunakekela zibalulekile ekunqumeni uhlelo oluhle kakhulu lokunakekelwa kokubeletha.

Izinhlelo zokwelashwa ezenzelwe umuntu uqobo

Kubalulekile ukukhumbula lokho ukwelapha ingomane umdlavuza we-squam ongewona omncane weseli kungokwezifiso kakhulu. Indlela enhle kakhulu incike ezicini eziningi ezibandakanya isigaba somdlavuza, impilo yesiguli ephelele, kanye nokuba khona kwanoma yikuphi ukuguqulwa kofuzo oluthile. Ingxoxo ebanzi ene-Oncologist ibalulekile ukuthuthukisa i-a ukwelapha Isu elikhulisa ukusebenza ngempumelelo ngenkathi linciphisa imiphumela emibi. Iqembu lakho lezokunakekelwa kwezempilo lizosebenzisana nawe ukuze wenze ubuciko becebo elihlangabezana nezidingo nezinhloso zakho.

Ngeminye imininingwane noma ukuhlela ukubonisana, sicela uvakashele I-Shandong Baafa Cancer Research Institute. Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lubhekwe njengeluleke lwezokwelapha. Hlala uthintana nochwepheshe wezokunakekelwa kwempilo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma ukwelapha.