Izinketho zokwelashwa zeStage 3 Non-Small Cell Lo Cancer (NSCLC)

Isiteji 3 Umdlavuza we-Inglice RELL SENTER (NSCLC) ukuxilongwa okukhulu, kepha intuthuko ekwelashweni inikeza ithemba. Lo mhlahlandlela uhlinzeka ngesibukezo sokutholakala Ukwelashwa Isigaba 3 Izibhedlela Zokwelashwa Umdlavuza Wezingcingo Futhi izindlela zokwelashwa, ukugcizelela ukubaluleka kokunakekelwa komuntu uqobo nokufuna izeluleko zezokwelashwa zesakhiwo. Ukuqonda uhlelo lwakho lokwelashwa kubalulekile ukuzulazula kuloluhambo olunzima. Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele lube esikhundleni sombukiso wezokwelapha ochwepheshe.

Ukuqonda isigaba 3 NSCLC

Isigaba 3 NSCLC sahlukaniswa esiteji I-IIIA ne-IIB, okukhombisa ubukhulu bomdlavuza asakazekelayo. Isiteji I-IIII sibandakanya ukusakazwa komdlavuza kuma-lymph node aseduze, kuyilapho isigaba se-IIB sifaka phakathi kokuzibandakanya okubanzi kwe-lymph node kanye / noma ukusabalala ezakhiweni eziseduze. Indlela yokwelashwa ethile izoncika ezicini eziningana, kufaka phakathi isigaba esinembile, impilo yesiguli ephelele, kanye nezimpawu zesimila (njengezici zezakhi zofuzo kanye nephrofayli yamangqamuzana).

Izinketho zokwelashwa zesigaba 3 NSCLC

Indawo kadokotela

Kwezinye iziguli ezine-Stage 3 NSCLC, ukuhlinzwa kungaba inketho, okungenzeka kubandakanya ukususwa kwesimila nezindawo ezizungezile ze-lymph node. Izeleka kokuhlinzwa kuncike endaweni nosayizi wesimila kanye nempilo yesiguli yonke. Izinketho zokuhlinza ezingafaka phakathi kwe-lobectomy (ukususwa kwe-lobe yamaphaphu) noma i-pneumonectomy (ukususwa kwalo lonke amaphaphu). Ukunakekelwa kokusebenza kwangemva kokusebenza kubalulekile ukuthola kabusha.

Chemotherapy

I-Chemotherapy isebenzisa umuthi wokubhubhisa amaseli womdlavuza. Imvamisa isetshenziswa ngaphambi kokuhlinzwa (i-neAVjuvant Chemotherapy) ukuncipha isimila, ukwenza ukuhlinzwa kusebenze kakhulu, noma ngemuva kokuhlinzwa (i-adgevant chemotherapy) ukuqeda noma yimaphi amaseli omdlavuza asele. AmaRegimens ahlukahlukene angama-chemotherapy akhona, ahambisana nezidingo zesiguli ngazinye. Imiphumela emibi iyajwayelekile futhi iyahluka ngokuya ngemithi ethile esetshenzisiwe.

Ukwelashwa kwemisebe

Ukwelashwa kwemisebe kusebenzisa imisebe ye-High-Energy ukuqondisa nokubulala amaseli womdlavuza. Ingasetshenziswa yedwa noma inhlanganisela nezinye izindlela zokwelapha. Ukwelapha imisebe ye-beam yangaphandle kuvame ukuqashwa kuvame ukuqashwa, kuqondise imisebe kusuka ngaphandle komzimba kuya esizeni se-tumor. Ukwelashwa kwemisebe kungaba nemiphumela emibi, kufaka phakathi ukukhathala nokucasuka kwesikhumba.

Ukwelashwa okuhlosiwe

Izidakamizwa zokwelapha ezihlosiwe zigxile kuma-molecule athile ngaphakathi kwamaseli womdlavuza, kuvimbela ukukhula kwazo nokusakazeka. Lezi zindlela zokwelapha zivame ukusetshenziswa lapho ukuguqulwa okuthile kwezakhi zofuzo. Ukusebenza kokulashwa okuhlosiwe kuncike kwiphrofayili yofuzo le-tumor. Kudingeka ukuqapha njalo ukuze kuhlolwe ukusebenza kwecala nokuphatha noma yimiphi imiphumela emibi engaba khona.

I-ImmunoSatherapy

I-ImmunoSatherapy isiza amasosha omzimba womzimba alwe nomdlavuza wamaseli. Isebenza ngokuphakamisa amandla amasosha omzimba wokubona nokuhlasela amaseli womdlavuza. Izidakamizwa eziningana ze-ImmunoSatherapy ziyatholakala, ngalinye linezindlela ezithile zesenzo. I-ImmunoSatherapy ingakhiqiza izimpendulo ezihlala isikhathi eside kepha ingaba nemiphumela emibi edinga ukuqapha okusondele.

Ukukhetha a Ukwelashwa Isigaba 3 Izibhedlela Zokwelashwa Umdlavuza Wezingcingo

Ukukhetha isibhedlela esifanele kubalulekile. Cabanga ngezinto ezifana nesipiliyoni sesibhedlela ngokwelapha umdlavuza wamaphaphu, ubuchwepheshe bezinhlelo zalo ze-oncologists kanye nodokotela ohlinzayo, ukufinyelela kubuchwepheshe obuthuthukile bokuthola imisebe noma ukutholakala kwezinsizakalo eziphelele zokusekelwa. Ukubuyekezwa kwesineke nezincomo ezivela kwezinye iziguli nakho kungaba yigugu.

Le khasi I-Shandong Baafa Cancer Research Institute yisikhungo esiholayo esinikezelwe ekuhlinzekeni ukunakekelwa komdlavuza wezwe. Ukuzibophezela kwabo ekunakekelweni okugxile kweziguli, kuhlangene nobuchwepheshe obuthuthukile bezobuchwepheshe, kubenza babe yinhlangano ebalulekile yabantu ababhekene nale nselelo.

Ukucatshangelwa Okubalulekile

Kubalulekile ukukhumbula ukuthi lonke uhambo lomdlavuza ngamunye luhlukile. Amasu wezokwelapha ahambisana nezimo ngazinye, futhi ukuxhumana okuvulekile nethimba lakho lezokunakekelwa kwempilo kubalulekile. Ungalokothi unqikaze ukubuza imibuzo, uveze ukukhathazeka kwakho, futhi ubambe iqhaza ngenkuthalo ekwenzeni izinqumo ngokwelashwa kwakho. Amaqembu okusekela kanye nezinsizakalo zokwelulekwa zinganikeza ukwesekwa okubalulekile ngokomzwelo nangokoqobo.

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.