
Kab lus no muab cov ncauj lus kom ntxaws txog kev kho mob ntsws cancer siab heev kev xaiv, tshawb nrhiav qhov kev nce qib tshiab hauv kev kho mob oncology, cov txheej txheem phais, thiab kev txhawb nqa. Peb yuav hais txog ntau yam kev kho mob, lawv cov txiaj ntsig, cov kev mob tshwm sim, thiab kev txiav txim siab rau kev xaiv txoj hauv kev raws li tus neeg mob. Kev nkag siab txog cov kev xaiv no txhawb cov neeg mob thiab lawv tsev neeg los txiav txim siab nrog lawv pab neeg kho mob.
Advanced mob ntsws cancer feem ntau txhais tau tias yog theem III lossis IV kab mob, qhov chaw mob qog noj ntshav tau kis dhau lub ntsws mus rau cov ntaub so ntswg, cov qog nqaij hlav, lossis cov kab mob nyob deb. Kev kho cov hom phiaj rau kev mob qog noj ntshav siab hloov pauv los ntawm kev mob siab rau kev tswj cov tsos mob, txhim kho lub neej zoo, thiab txuas ntxiv muaj sia nyob. Cov tswv yim kho mob tshwj xeeb yog nyob ntawm ntau yam, suav nrog hom mob qog noj ntshav (cov cell me lossis cov cell tsis me), theem, qhov chaw, thiab tus neeg mob tag nrho kev noj qab haus huv.
Ob hom mob qog noj ntshav hauv lub ntsws yog cov qog nqaij hlav qog nqaij hlav me me (SCLC) thiab cov qog nqaij hlav tsis me me (NSCLC). NSCLC suav rau feem coob ntawm kev kuaj mob ntsws cancer. Kev kho mob rau mob ntsws cancer siab heev Nws txawv heev nyob ntawm qhov kev faib tawm no. NSCLC feem ntau teb tau zoo dua rau cov kev kho mob, thaum SCLC feem ntau nkag siab rau cov tshuaj kho mob.
Chemotherapy tseem yog lub hauv paus ntawm kev kho mob ntsws cancer siab heev. Nws suav nrog kev siv tshuaj tua kab mob qog noj ntshav. Ntau yam tshuaj kho mob muaj nyob, feem ntau haum rau hom tshwj xeeb thiab theem ntawm mob qog noj ntshav. Cov kev mob tshwm sim tuaj yeem suav nrog xeev siab, qaug zog, thiab plaub hau poob, tab sis cov no feem ntau tswj tau nrog kev txhawb nqa.
Cov phiaj xwm kev kho mob tsom mus rau cov caj ces txawv txav hauv cov qog nqaij hlav cancer. Cov kev kho no muaj txiaj ntsig zoo rau cov neeg mob uas cov qog muaj qee yam kev hloov pauv, xws li EGFR, ALK, lossis ROS1. Cov phiaj xwm kev kho mob tuaj yeem ua kom muaj sia nyob thiab txhim kho lub neej zoo dua piv rau cov tshuaj khomob hauv cov xwm txheej tshwj xeeb. Kawm paub ntau ntxiv txog kev kho mob los ntawm National Cancer Institute.
Immunotherapy harnesses lub cev lub cev tiv thaiv kab mob tiv thaiv kab mob. Immune checkpoint inhibitors, ib hom tshuaj tiv thaiv kab mob, thaiv cov protein uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Cov kev kho mob no tau hloov kho cov kev kho mob ntawm qee tus mob ntsws cancer siab heev rooj plaub, muab cov txiaj ntsig ntev rau qee tus neeg mob. Txawm li cas los xij, tsis yog txhua tus neeg mob teb rau immunotherapy. Cov kev mob tshwm sim tuaj yeem suav nrog kev qaug zog, ua pob khaus ntawm daim tawv nqaij, thiab cov xwm txheej tiv thaiv kab mob, yuav tsum tau saib xyuas kom zoo.
Kev kho hluav taws xob siv hluav taws xob muaj zog los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los txo cov qog, txo cov tsos mob xws li mob lossis ua pa nyuaj, lossis tiv thaiv kev kis mob qog noj ntshav. Kev kho hluav taws xob yuav siv tau ib leeg lossis ua ke nrog lwm yam kev kho mob.
Kev phais tsis tshua siv nyob rau hauv mob ntsws cancer siab heev tshaj nyob rau hauv cov kab mob thaum ntxov. Txawm li cas los xij, hauv qee kis, kev phais yuav yog ib qho kev xaiv los tshem tawm cov qog nqaij hlav hauv zos uas ua rau muaj cov tsos mob tseem ceeb lossis tiv thaiv qhov teeb meem. Qhov ua tau ntawm kev phais yog nyob ntawm tus neeg mob qhov kev noj qab haus huv tag nrho thiab qhov kev kis mob qog noj ntshav.
Kev txhawb nqa kev saib xyuas ua lub luag haujlwm tseem ceeb hauv kev txhim kho lub neej zoo rau cov neeg mob uas raug mob kev kho mob ntsws cancer siab heev. Qhov no suav nrog kev tswj cov kev mob tshwm sim ntawm kev kho mob, muab qhov mob nyem, txhawb kev noj zaub mov zoo, thiab kev tawm tswv yim txog kev xav thiab kev puas siab puas ntsws. Palliative care tsom mus rau kev txo cov tsos mob thiab txhim kho kev nplij siab, txhim kho tus neeg mob lub neej zoo thoob plaws hauv kev kho mob thiab dhau mus. Ntawm Shandong Baofa Cancer Research Institute, peb tau cog lus los muab kev saib xyuas zoo thiab muaj siab hlub rau peb cov neeg mob.
Kev xaiv ntawm txoj kev kho kom zoo rau mob ntsws cancer siab heev yog ib tug complex txheej txheem uas yuav tsum tau ua tib zoo xav txog ntau yam. Pab neeg ua haujlwm ntau yam, suav nrog cov kws kho mob oncologist, kws phais mob, kws kho mob hluav taws xob, thiab lwm tus kws kho mob tshwj xeeb, ua haujlwm nrog tus neeg mob los tsim cov tswv yim kho tus kheej. Qhov no feem ntau suav nrog kev sib xyaw ua ke ntawm kev kho mob kom ua kom muaj txiaj ntsig zoo thiab txo qis cov kev mob tshwm sim. Kev saib xyuas thiab kev ntsuas tsis tu ncua tso cai rau kev hloov kho rau txoj kev npaj kho mob raws li xav tau.
| Kev Kho Mob Modality | Mechanism ntawm Action | Tej yam tshwm sim |
|---|---|---|
| Tshuaj kho mob | Tua cov qog nqaij hlav cancer | xeev siab, qaug zog, plaub hau poob |
| Hom Kev Kho Mob | Lub hom phiaj tshwj xeeb ntawm cov qog nqaij hlav qog noj ntshav | Ua pob liab vog, raws plab, lub siab ua haujlwm tsis zoo |
| Immunotherapy | Stimulates lub cev tiv thaiv kab mob | Kev qaug zog, ua pob khaus tawv nqaij, tiv thaiv kab mob tsis zoo |
| Kev kho hluav taws xob | Siv cov hluav taws xob muaj zog los tua cov qog nqaij hlav cancer | Cov tawv nqaij khaus, nkees, xeev siab |
Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob rau txhua yam kev txhawj xeeb txog kev noj qab haus huv lossis ua ntej txiav txim siab txog koj txoj kev noj qab haus huv lossis kev kho mob.
Tsis lees paub: Kab lus no yog rau cov ntaub ntawv xov xwm nkaus xwb thiab tsis yog cov lus qhia kho mob. Cov ntaub ntawv uas tau muab rau hauv no yuav tsum tsis txhob siv los hloov cov lus qhia kev kho mob, kev kuaj mob, lossis kev kho mob. Ib txwm nrhiav kev qhia ntawm koj tus kws kho mob lossis lwm tus kws kho mob uas tsim nyog nrog cov lus nug uas koj muaj txog kev mob nkeeg. Tsis txhob tso tseg cov lus qhia txog kev kho mob lossis ncua sijhawm nrhiav nws vim qee yam koj tau nyeem hauv lub vev xaib no.