
Cov lus qhia dav dav no tshawb txog qhov nyuaj ntawm kev kho hluav taws xob rau kev mob ntsws cancer hauv cov neeg laus hauv Suav teb, hais txog kev txhawj xeeb txog kev xaiv kev kho mob, kev mob tshwm sim, thiab tag nrho cov kev mob tshwm sim. Peb delve rau hauv qhov kev nce qib tshiab thiab kev txiav txim siab tshwj xeeb rau cov neeg tsis muaj zog no.
Mob qog noj ntshav hauv cov neeg laus muaj teeb meem tshwj xeeb. Frailty, muaj lwm yam comorbidities (xws li kab mob plawv lossis ntshav qab zib), thiab txo qis hauv nruab nrog cev muaj peev xwm cuam tshuam rau kev kho mob siab ntev thiab tau txais txiaj ntsig. Yog li ntawd, tus kheej txoj hauv kev yog qhov tseem ceeb, ua tib zoo ntsuas cov txiaj ntsig zoo ntawm Tuam Tshoj hluav taws xob kho mob rau cov neeg laus mob ntsws cancer tiv thaiv kev pheej hmoo ntawm kev mob tshwm sim.
Kev kuaj mob kom raug thiab raws sijhawm yog qhov tseem ceeb. Qhov no suav nrog kev sib xyaw ua ke ntawm cov txheej txheem kev yees duab (xws li CT scans thiab PET scans) thiab biopsies txhawm rau txiav txim siab theem ntawm tus mob qog noj ntshav thiab nws kis tau. Kev kuaj pom thaum ntxov yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig, thiab kev tshuaj xyuas tsis tu ncua raug pom zoo rau cov neeg muaj kev pheej hmoo siab. Cov txheej txheem staging pab txiav txim siab txog kev kho mob uas tsim nyog tshaj plaws, suav nrog lub luag haujlwm ntawm kev kho hluav taws xob.
Muaj ntau hom kev kho hluav taws xob muaj, txhua tus nrog nws qhov zoo thiab qhov tsis zoo. Sab nrauv kab hluav taws xob kho mob (EBRT) yog txoj hauv kev zoo tshaj plaws, xa hluav taws xob los ntawm lub tshuab sab nraum lub cev. Lwm cov kev xaiv muaj xws li brachytherapy (tso cov khoom siv hluav taws xob ncaj qha rau hauv cov qog) thiab stereotactic lub cev hluav taws xob kho (SBRT), cov txheej txheem meej heev uas muab cov koob tshuaj hluav taws xob ntau hauv tsawg zaus. Kev xaiv ntawm kev kho yog nyob ntawm ntau yam, nrog rau theem ntawm tus mob qog noj ntshav, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab qhov chaw ntawm cov qog. Kev sab laj nrog oncologists ntawm cov chaw muaj koob npe zoo li cov Shandong Baofa Cancer Research Institute yog qhov tseem ceeb rau kev txiav txim siab qhov kev ua zoo tshaj plaws rau Tuam Tshoj hluav taws xob kho mob rau cov neeg laus mob ntsws cancer.
Kev nce qib hauv hluav taws xob oncology tau coj mus rau ntau hom kev kho mob, txo qis kev puas tsuaj rau cov ntaub so ntswg noj qab haus huv. Cov tswv yim no, feem ntau siv nrog rau lwm yam kev kho mob, tsom kom ua kom muaj txiaj ntsig zoo tshaj plaws ntawm hluav taws xob thaum txo cov kev mob tshwm sim. Lub hom phiaj yog txhawm rau txhim kho lub neej zoo thiab ua kom muaj sia nyob ntev rau cov neeg mob laus uas tab tom ua Tuam Tshoj hluav taws xob kho mob rau cov neeg laus mob ntsws cancer.
Kev kho hluav taws xob tuaj yeem ua rau muaj ntau yam kev mob tshwm sim, xws li mob me mus rau qhov hnyav. Cov no tuaj yeem suav nrog qaug zog, khaus tawv nqaij, xeev siab, thiab nqos nyuaj. Qhov loj ntawm cov kev mob tshwm sim txawv nyob ntawm seb hom thiab koob tshuaj ntawm cov hluav taws xob, nrog rau tus neeg mob qhov kev noj qab haus huv tag nrho. Kev pab txhawb nqa ua lub luag haujlwm tseem ceeb hauv kev tswj cov kev mob tshwm sim no thiab txhim kho cov neeg mob kev nplij siab.
Oncologists thiab cov kws kho mob ua haujlwm sib koom tes los txo cov kev mob tshwm sim los ntawm kev npaj kho mob ceev faj thiab kev txhawb nqa. Qhov no yuav suav nrog kev noj tshuaj, kev hloov pauv kev noj haus, thiab lwm cov tswv yim txhawm rau txhim kho tus neeg mob kev noj qab haus huv thoob plaws hauv txoj kev kho mob. Cov neeg mob yuav tsum sib txuas lus nrog lawv pab neeg saib xyuas kev noj qab haus huv los daws txhua yam kev txhawj xeeb lossis kev mob tshwm sim thaum lub sijhawm Tuam Tshoj hluav taws xob kho mob rau cov neeg laus mob ntsws cancer.
Qhov kev kwv yees rau mob qog noj ntshav hauv cov neeg laus muaj ntau qhov sib txawv nyob ntawm ntau yam, suav nrog theem ntawm mob qog noj ntshav, tus neeg mob kev noj qab haus huv tag nrho, thiab kev kho mob zoo. Kev teem sij hawm rov qab mus tas li yog qhov tseem ceeb los saib xyuas cov lus teb kho mob thiab daws txhua yam teeb meem uas yuav tshwm sim. Kev saib xyuas mus sij hawm ntev tsom mus rau kev tswj hwm lub neej zoo thiab tswj txhua yam kev mob tshwm sim.
Xaiv lub chaw muaj npe nrov thiab paub txog kev mob qog noj ntshav yog qhov tseem ceeb. Tshawb nrhiav cov chaw nrog ntau pab pawg kws kho mob oncologist, kws kho hluav taws xob, kws saib xyuas neeg mob, thiab cov neeg ua haujlwm txhawb nqa los muab kev saib xyuas zoo. Yam tseem ceeb uas yuav tsum tau xav txog suav nrog lub chaw tshaj lij hauv kev kho cov neeg laus uas muaj mob qog noj ntshav, kev siv thev naus laus zis, thiab kev pabcuam rau cov neeg mob. Kev tshawb nrhiav thiab ua tib zoo saib xyuas yog qhov tseem ceeb hauv kev xaiv qhov chaw zoo rau Tuam Tshoj hluav taws xob kho mob rau cov neeg laus mob ntsws cancer.