
Kev Kho Mob ntsws Cancer los ntawm Theem: Ib Daim Ntawv Qhia Txog Kev Kho Mob ntsws cancer kev xaiv txawv txawv nyob ntawm theem ntawm kev mob qog noj ntshav. Phau ntawv qhia no muab cov ntsiab lus ntawm kev kho mob rau txhua theem, hais txog qhov tseem ceeb ntawm kev tshawb pom ntxov thiab kev saib xyuas tus kheej. Peb yuav tshawb nrhiav kev phais, kev kho hluav taws xob, tshuaj khomob, kev kho mob, thiab kev tiv thaiv kab mob, nrog rau kev saib xyuas kev txhawb nqa. Nco ntsoov, cov ntaub ntawv no yog rau kev paub dav dav thiab yuav tsum tsis txhob hloov kev sab laj nrog kws kho mob.
Mob qog noj ntshav yog ua tiav siv lub kaw lus uas piav qhia qhov loj thiab qhov chaw ntawm cov qog, seb nws puas tau kis mus rau cov qog nqaij hlav nyob ze, thiab seb nws puas tau metastasized (kis) mus rau qhov chaw ntawm lub cev. Lub staging system pab cov kws kho mob txiav txim siab qhov zoo tshaj plaws ntawm kev kawm kev kho mob ntsws cancer los ntawm theem. Cov theem feem ntau suav txij li kuv mus rau IV, nrog rau kuv yog qhov ntxov tshaj plaws thiab IV yog qhov siab tshaj plaws.
Hauv theem I kev kho mob ntsws cancer los ntawm theem feem ntau muaj kev phais kom tshem tawm cov qog thiab ib puag ncig lub ntsws. Cov txheej txheem tshwj xeeb nyob ntawm qhov chaw thiab qhov loj ntawm cov qog. Qee zaum, kev siv tshuaj kho mob ntxiv lossis kev kho hluav taws xob tuaj yeem raug pom zoo tom qab kev phais kom txo tau qhov kev pheej hmoo ntawm rov tshwm sim dua. Kev tshawb pom ntxov nyob rau theem no ua rau muaj txiaj ntsig zoo dua qub.
Theem II kev kho mob ntsws cancer los ntawm theem Feem ntau yuav muaj kev phais, feem ntau ua raws li kev kho tshuaj khomob lossis kev kho hluav taws xob. Qhov luaj li cas ntawm kev phais yuav txawv nyob ntawm seb lub qog qhov loj thiab qhov chaw. Lub hom phiaj yog tshem tawm cov qog kom tiav thiab tiv thaiv kev rov tshwm sim dua.
Theem III kev kho mob ntsws cancer los ntawm theem yog qhov nyuaj dua thiab tuaj yeem koom nrog kev kho mob. Cov kev xaiv muaj xws li kev phais (yog tias ua tau), chemotherapy, thiab kev kho hluav taws xob. Cov theem no feem ntau yog sib faib ntxiv (IIIA, IIIB) los coj kev txiav txim siab kho mob. Kev nce qib hauv cov txheej txheem hluav taws xob, xws li stereotactic body radiotherapy (SBRT), tau txhim kho cov txiaj ntsig zoo rau qee cov neeg mob uas muaj mob qog noj ntshav theem III.
Theem IV kev kho mob ntsws cancer los ntawm theem Nws suav hais tias yog metastatic, txhais tau hais tias mob qog noj ntshav tau kis mus rau cov kabmob nyob deb. Kev kho mob tsom rau kev tswj cov tsos mob, txhim kho lub neej zoo, thiab txuas ntxiv kev ciaj sia. Cov kev xaiv muaj xws li kev kho mob, kev kho mob (cov tshuaj uas tsom rau cov qog nqaij hlav tshwj xeeb), thiab kev tiv thaiv kab mob (uas siv lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav). Kev sim tshuaj kho mob kuj tseem yuav xav txog.
Muaj ntau txoj kev kho mob, txhua tus muaj nws tus kheej cov txiaj ntsig thiab kev pheej hmoo. Kev xaiv ntawm kev kho mob 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 kev nyiam ntawm tus kheej. Nco ntsoov tham txog kev kho mob nrog koj tus kws kho mob.
Kev phais feem ntau yog thawj txoj kev kho mob rau lub ntsws cancer thaum ntxov. Cov txheej txheem phais sib txawv yog siv nyob ntawm qhov chaw thiab qhov loj ntawm cov qog. Qhov no tej zaum yuav muaj xws li lobectomy (tshem tawm lub lobe ntawm lub ntsws), pneumonectomy (tshem tawm tag nrho lub ntsws), los yog wedge resection (tshem tawm ib feem me me ntawm lub ntsws). Cov txheej txheem phais mob tsawg kawg nkaus, xws li kev phais video-pab thoracoscopic (VATS), tau dhau los ua ntau dua.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Sab nraud beam hluav taws xob kho yog hom ntau tshaj plaws. Qee zaum, brachytherapy (kev kho hluav taws xob sab hauv) tuaj yeem siv.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav thoob plaws lub cev. Nws tuaj yeem siv ua ntej kev phais (neoadjuvant chemotherapy), tom qab phais (adjuvant chemotherapy), lossis ua thawj txoj kev kho mob rau theem siab mob ntsws cancer.
Targeted therapy siv cov tshuaj uas tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer. Cov kev kho no zoo dua rau qee hom mob qog noj ntshav thiab feem ntau siv ua ke nrog lwm yam kev kho mob.
Immunotherapy pab lub cev tiv thaiv kab mob tiv thaiv kab mob qog noj ntshav. Muaj ntau hom kev txhaj tshuaj tiv thaiv kab mob muaj rau mob ntsws cancer. Cov kev kho mob no tseem ceeb zuj zus hauv kev tawm tsam mob qog noj ntshav siab.
Kev txhawb nqa kev saib xyuas yog qhov tseem ceeb thoob plaws hauv lub tebchaws kev kho mob ntsws cancer los ntawm theem txheej txheem. Qhov no suav nrog kev tswj cov tsos mob xws li mob, qaug zog, thiab ua tsis taus pa; muab kev txhawb nqa khoom noj khoom haus; thiab muab kev txhawb nqa kev xav thiab kev xav. Palliative care tsom mus rau kev txhim kho lub neej zoo rau cov neeg mob uas muaj mob qog noj ntshav siab.
Kev tshawb nrhiav ntxov thiab kev kuaj mob yog qhov tseem ceeb rau kev ua tiav kev kho mob ntsws cancer los ntawm theem. Yog tias koj muaj kev txhawj xeeb txog mob qog noj ntshav, nrog rau tus kws kho mob tam sim ntawd. Yog xav paub ntxiv txog kev kho mob qog noj ntshav thiab kev tshawb fawb, koj tuaj yeem tshawb nrhiav cov peev txheej los ntawm cov koom haum muaj koob npe xws li National Cancer Institute (https://www.cancer.gov/). Rau cov neeg nrhiav kev kho mob tshwj xeeb, lub Shandong Baofa Cancer Research Institute muaj cov kev pab cuam.
| Theem | Kev Xaiv Kev Kho Mob |
|---|---|
| I & II | Kev phais, qee zaum ua raws li kev siv tshuaj khomob lossis kev kho hluav taws xob. |
| III | Kev phais (yog tias ua tau), chemotherapy, hluav taws xob kho. |
| IV | Chemotherapy, tsom txoj kev kho, immunotherapy, kev pab txhawb nqa. |
Disclaimer: Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob kom kuaj xyuas thiab kho.