Ukwelashwa komdlavuza we-Stage 2A Amaphaphu: Umhlahlandlela Ophelele

Umdlavuza we-Stage 2a Lung udinga indlela yobuningi ekwelashweni, ehambisana nezimpawu ezithile zesiguli esithile. Lo mhlahlandlela uhlinzeka ngesibukezo sezinketho ezahlukahlukene zokwelashwa, imiphumela emibi engaba khona, kanye nokucatshangelwa okubalulekile kweziguli ezizulazula kulokhu kuxilongwa. Ukuqonda izindlela ezahlukahlukene zokwelashwa kanye nezinzuzo zabo ezingaba khona kanye nezingqinamba kubalulekile ngokwenza izinqumo ezinolwazi kanye nethimba lakho lezokunakekelwa kwezempilo.

Ukuqonda Isigaba 2A I-RACER

Umdlavuza we-Stage 2a Lung ufingqa ukuthi umdlavuza usakazekele kwizindawo eziseduzane ze-lymph not hhayi ezingxenyeni ezikude zomzimba. Uhlelo oluqondile lokwelashwa luzoncika ezicini ezifana nosayizi nendawo yesimila, impilo yesiguli, kanye nohlobo lomdlavuza wamaphaphu (isblc) noma umdlavuza omncane weseli (i-SCLC)). Ukuxilongwa kusenesikhathi nokunembile kubaluleke kakhulu Ukwelashwa kwe-Stage 2A Amaphaphu Umdlavuza Womdlavuza. I-Shandong Baafa Cancer Research Institute Inikeza amandla aphambili wokuxilonga ukuze kuqinisekiswe izitebhisi eziqondile nezinhlelo zokwelashwa ezenzelwe wena.

Izinketho zokwelashwa ze-Stage 2A Lung Cancer

Indawo kadokotela

Ukuhlinzwa kuvame ukuba inketho yokwelashwa eyinhloko yokwelashwa kwe-Stage 2A Amaphaphu Cancer. Uhlobo lokuhlinzwa lungahluka ngokuya ngendawo nosayizi wesimila. Lokhu kungafaka phakathi kwe-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwalo lonke amaphaphu), noma i-wedge resection (ukususwa kwengxenye encane yamaphaphu). Amasu wokuhlanza kancane ahlaselayo avame ukusetshenziswa ukunciphisa isikhathi sokuthola kabusha kanye nezinkinga. Ukuvuselelwa kokuhlinzwa okuvikelekile kubalulekile ukululama okuphumelelayo. Impumelelo yokuhlinzwa ivame ukuncika ezempilo zesiguli ngasinye kanye nezimpawu ezithile zomdlavuza wazo. I-Shandong Baafa Cancer Research Institute Isebenzisa amasu okuhlinza isimo se-state-of-the-art yokususwa komdlavuza wamaphaphu.

Chemotherapy

I-Chemotherapy, isebenzisa izidakamizwa ezinamandla ukubulala amaseli womdlavuza, ingahle isetshenziswe ngaphambi (i-neadjun) noma ngemuva (i-adjuvant) ukuhlinzwa ukuze ithuthukise amathuba okuthola ikhambi. Ingasetshenziswa futhi njengokuphathwa okuyisisekelo uma ukuhlinzwa akuyona inketho. I-regimens evame ukusetshenziswa chemotherapy ye Ukwelashwa kwe-Stage 2A Amaphaphu Umdlavuza Womdlavuza Faka nezinhlanganisela zezidakamizwa ezisuselwa kwiplatinamu njenge-CISPLATIn noma i-carboplatin, kanye namanye ama-Chemotherapy Agents. I-regimen ethile ye-chemotherapy izonqunywa ngokususelwa ezicini ngazinye, futhi imiphumela emibi engaba khona kufanele ixoxwe ne-Oncologist yakho. I-Shandong Baafa Cancer Research Institute Inikeza izinsizakalo eziphelele ze-chemotherapy ezisekelwa ngabakwa-Oncologists abanolwazi.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imishayo ephezulu yamandla ukubulala amaseli womdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa ukuncipha isimila, ngemuva kokuhlinzwa ukubulala noma yimaphi amaseli omdlavuza asele, noma njengokwelashwa okuyinhloko uma ukuhlinzwa kungahle kube khona. Ukwelashwa kwemisebe yemisebe yeStereotactic (SBTT) kuyindlela eqondile yokwelashwa kwemisebe enikezela ngemithamo ephezulu yemisebe ibe yisimila ngenkathi kunciphisa ukulimala kwezicubu ezinempilo. Imiphumela emibi engaba khona yokwelashwa kwemisebe iyahlukahluka ngokuya ngendawo yethamo neyokwelashwa.

Ukwelashwa okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ngqo amaseli omdlavuza ngaphandle kokulimaza amaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziswa ezigulini ezinokuguqulwa okuthile kwezakhi zofuzo kumaseli abo e-tumor. Ukukhethwa kokwelashwa okuhlosiwe kudalulwe kakhulu futhi kuncike emiphumeleni yokuhlolwa kofuzo kwesampula ye-tumor. I-Shandong Baafa Cancer Research Institute Inokufinyelela ekuhlolweni okuthuthukile kwe-genomic ukunquma isu lokwelashwa elifanele.

I-ImmunoSatherapy

I-ImmunoSatherapy isiza amasosha omzimba womzimba alwe nomdlavuza wamaseli. Lezi zindlela zokwelapha ziya ngokuya zibaluleke kakhulu ku Ukwelashwa kwe-Stage 2A Amaphaphu Umdlavuza Womdlavuza futhi ingahle isetshenziswe ngokuhlanganiswa nezinye izindlela zokwelapha. I-CheckPoint Avidors uhlobo lwe-immunotherapy oluvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amaseli omdlavuza. Ukusebenza kwe-immunotherapy kuyahlukahluka kubantu abathile.

Ukukhetha uhlelo lokulashwa olufanele

Uhlelo lokwelashwa oluhle kakhulu lwe Ukwelashwa kwe-Stage 2A Amaphaphu Umdlavuza Womdlavuza kunqunywa ngengxoxo yokubambisana phakathi kwesiguli neqembu labo lezempilo. Leli qembu ngokuvamile lifaka isazi se-oncologist, udokotela ohlinzayo we-thoracic, isakhiwo se-radiation oncologist, nabanye ochwepheshe njengoba kudingeka. Izici ezibukwe njengezibandakanya ubudala beziguli, impilo ephelele, uhlobo nesigaba somdlavuza, kanye nokuthandwa ngumuntu. Kubalulekile ukuhlanganyela ngenkuthalo kule nqubo yokwenza izinqumo futhi ubuze imibuzo ukuthi iqinisekise ukuthi uqonda ngokuphelele izinketho zokwelashwa kanye nezingozi zabo nezinzuzo.

Ukunakekelwa kanye nokunakekelwa kwesikhathi eside

I-Prognosis ye-Stage 2A Loweng Cancer ihluka futhi incike ezicini eziningana, kufaka phakathi uhlobo lomdlavuza wamaphaphu, usayizi nendawo yesimila, kanye nempilo yesiguli yonke. Ukuqokwa kokulandela njalo kubalulekile ekuqapheleni ukusebenza kokwelashwa nokuthola noma yikuphi ukuphindaphinda. Ukunakekelwa kwesikhathi eside kungafaka ukuhlolwa njalo, ukuskena kokucabanga, nokusekelwa okuqhubekayo ukuphatha noma yimiphi imiphumela emibi yesikhathi eside ekwelashweni. Iziguli kufanele zilondoloze ukuxhumana okuvulekile nabahlinzeki babo bezempilo kulo lonke uhambo lwabo lokwelashwa.

Ukuzikhulula: Lolu lwazi lungelolwazi olujwayelekile futhi alukha ngezeluleko zokwelashwa. Hlala uthintana nomuntu ochwepheshe bezokunakekelwa kwezempilo ofanelekayo kunoma yikuphi ukukhathazeka ngempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma yokwelashwa kwakho.