
Phau ntawv qhia ntxaws no tshawb txog toj roob hauv pes Tuam Tshoj non-me me cell ntsws kev kho mob, muab kev nkag siab txog ntau yam kev kho mob, kev nce qib hauv kev tshawb fawb, thiab cov peev txheej muaj rau cov neeg mob thiab lawv tsev neeg. Peb yuav hais txog kev kuaj mob, cov tswv yim kho mob, kev sim tshuaj kho mob, thiab kev saib xyuas kev txhawb nqa, tsom mus rau qhov kev txhim kho tshiab kawg hauv thaj chaw tseem ceeb ntawm oncology.
Non-small cell lung cancer (NSCLC) suav rau feem coob ntawm cov qog nqaij hlav ntsws. Nws yog ib pawg ntawm cov qog nqaij hlav uas loj hlob hauv lub ntsws thiab yog tus cwj pwm los ntawm lawv cov qauv ntawm tes. Kev kuaj pom ntxov yog qhov tseem ceeb rau kev kho kom zoo. Cov tsos mob tuaj yeem sib txawv heev, tab sis tej zaum yuav muaj xws li hnoos tsis tu ncua, ua tsis taus pa, mob hauv siab, thiab qhov hnyav tsis tau piav qhia. Yog tias koj ntsib ib qho ntawm cov tsos mob no, nws tseem ceeb heev uas yuav tau mus ntsib kws kho mob kom kuaj tau sai.
Kev kuaj mob feem ntau suav nrog kev kuaj duab (xws li CT scans thiab X-rays), biopsies, thiab kuaj ntshav. Staging-txiav txim siab txog qhov mob qog noj ntshav-yog qhov tseem ceeb rau kev kho cov phiaj xwm kho mob. TNM staging system feem ntau siv, faib cov qog raws li lawv qhov loj me (T), lymph node kev koom tes (N), thiab metastasis (M).
Rau NSCLC thaum ntxov, kev phais-xws li lobectomy (tshem tawm lub lobe) lossis pneumonectomy (tshem tawm lub ntsws) - feem ntau yog thawj txoj kev kho mob. Qhov kev vam meej ntawm kev phais yog nyob ntawm ntau yam, nrog rau theem ntawm kev mob qog noj ntshav thiab tus neeg mob txoj kev noj qab haus huv tag nrho. Cov txheej txheem phais Advanced minimizes invasiveness thiab txhim kho lub sij hawm rov qab.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws nquag siv ua ke nrog lwm yam kev kho mob xws li kev phais lossis kev kho hluav taws xob. Muaj ntau txoj kev khomob khomob muaj, nrog rau kev xaiv nyob ntawm seb mob qog noj ntshav thiab hom. Kev mob tshwm sim tuaj yeem sib txawv, tab sis cov kws kho mob tuaj yeem tswj cov tsos mob zoo. Shandong Baofa Cancer Research Institute muaj cov kev pabcuam kws khomob dav dav.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob siab rau lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer. Nws tuaj yeem siv ua ntej, thaum lub sijhawm, lossis tom qab kev phais, lossis ua kev kho mob rau cov qog ua haujlwm tsis tau. Ntau hom kev kho hluav taws xob muaj nyob, suav nrog kev siv hluav taws xob sab nraud thiab brachytherapy.
Cov phiaj xwm kho mob tsom rau cov kev hloov pauv molecular hauv cov qog nqaij hlav cancer. Cov kev kho no zoo rau cov neeg mob NSCLC uas muaj kev hloov pauv caj ces, xws li EGFR, ALK, thiab ROS1 hloov pauv. Kev nce qib hauv cov phiaj xwm kev kho mob tau txhim kho cov txiaj ntsig zoo rau qee tus neeg mob. Shandong Baofa Cancer Research Institute muab kev nkag mus rau qhov kev nce qib tshiab hauv cov kev kho mob tshwj xeeb.
Immunotherapy harnesses lub cev lub cev tiv thaiv kab mob tiv thaiv kab mob. Cov kev kho mob no ua tau zoo nyob rau hauv ntau zaus ntawm Tuam Tshoj non-me me cell ntsws kev kho mob thiab feem ntau siv rau qib siab NSCLC. 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.
Ntau qhov kev sim tshuaj tau tab tom ua hauv Suav teb tshawb nrhiav cov kev kho tshiab thiab txhim kho cov uas twb muaj lawm rau NSCLC. Kev koom tes hauv kev sim tshuaj yuav muab kev nkag mus rau cov kev kho mob uas tsis tau muaj dav dav. Cov Shandong Baofa Cancer Research Institute tuaj yeem koom nrog hauv ntau yam kev sim tshuaj cuam tshuam nrog Tuam Tshoj non-me me cell ntsws kev kho mob. Nws yog ib qho tseem ceeb los tham txog qhov muaj peev xwm koom nrog kev sim tshuaj nrog koj tus kws kho mob oncologist.
Kev pab txhawb nqa tsom mus rau kev txhim kho tus neeg mob lub neej zoo thaum lub sijhawm thiab tom qab kho. Qhov no suav nrog kev tswj cov kev mob tshwm sim ntawm kev kho mob, muab kev txhawb nqa kev xav, thiab muab kev qhia noj zaub mov. Kev nkag mus rau kev saib xyuas palliative tseem yog qhov tseem ceeb rau cov neeg muaj kab mob siab.
Txoj kev npaj kho mob zoo tshaj plaws rau Tuam Tshoj non-me me cell ntsws kev kho mob nyob ntawm ntau yam, suav nrog theem thiab hom mob qog noj ntshav, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Nws yog ib qho tseem ceeb uas yuav tau ua haujlwm ze nrog tus kws kho mob oncologist los tsim ib txoj kev kho tus kheej. Muaj ntau txoj hauv kev, nrog rau cov kws kho mob oncologist, kws phais mob, kws kho mob hluav taws xob, thiab lwm tus kws kho mob tshwj xeeb, feem ntau pom zoo rau kev saib xyuas zoo.
| Hom Kev Kho Mob | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Kev phais | Muaj peev xwm kho tau rau cov kab mob thaum ntxov | Tej zaum yuav tsis haum rau txhua tus neeg mob; muaj peev xwm ua rau muaj teeb meem |
| Tshuaj kho mob | Siv tau rau ntau theem ntawm NSCLC | Cov kev mob tshwm sim tseem ceeb tuaj yeem ua tau |
| Kev kho hluav taws xob | Precise targeting ntawm cov qog nqaij hlav cancer | Muaj peev xwm rau kev mob tshwm sim nyob ntawm thaj chaw kho |
Cov ntaub ntawv no yog npaj rau kev paub dav dav thiab cov ntaub ntawv xov xwm nkaus xwb, thiab tsis yog cov lus qhia kho mob. Nws yog ib qho tseem ceeb kom sab laj nrog tus kws kho mob uas tsim nyog 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.