
Kev Xaiv Kev Kho Mob ntsws ntsws los ntawm theem: Phau Ntawv Qhia Txog Cov Tsev Kho MobLung cancer kev xaiv kev kho mob txawv txav txawv nyob ntawm theem ntawm tus 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 cov phiaj xwm saib xyuas tus kheej tsim los ntawm kev sab laj nrog cov kws paub txog oncologist. Peb yuav tshawb nrhiav cov kev xaiv phais mob, kev kho hluav taws xob, tshuaj khomob, kev kho mob, thiab kev tiv thaiv kab mob, qhia txog lub luag haujlwm ntawm cov tsev kho mob ua haujlwm hauv kev muab cov kev kho mob siab heev.
Mob ntsws cancer yog theem siv lub kaw lus uas txiav txim siab qhov loj thiab qhov chaw ntawm cov qog, kev koom tes ntawm cov qog nqaij hlav, thiab muaj cov metastases nyob deb. Cov theem, feem ntau nyob ntawm theem I mus rau theem IV, yog qhov tseem ceeb hauv kev txiav txim siab txog kev kho mob uas tsim nyog. Mob ntsws cancer thaum ntxov (Stages I-IIIA) feem ntau teb tau zoo rau cov kev kho mob hauv zos, thaum mob ntsws cancer siab heev (Stages IIIB-IV) feem ntau xav tau kev kho mob ua ke.
Rau kev kho mob ntsws cancer xaiv los ntawm theem Kuv, phais resection (tshem tawm ntawm cov qog thiab ib puag ncig lub ntsws cov ntaub so ntswg) feem ntau yog thawj txoj kev kho mob. Nyob ntawm qhov loj thiab qhov chaw ntawm cov qog, cov txheej txheem me me xws li kev phais mob thoracoscopic (VATS) tuaj yeem siv. Qee qhov xwm txheej, kev siv tshuaj kho mob ntxiv lossis kev kho hluav taws xob tuaj yeem raug pom zoo los txo qhov kev pheej hmoo ntawm kev rov tshwm sim dua. Qhov kev xaiv ntawm kev kho mob yuav txiav txim siab los ntawm cov yam ntxwv xws li tus neeg mob qhov kev noj qab haus huv tag nrho, hom mob qog noj ntshav (mob cell vs. non-small cell), thiab qog cov yam ntxwv. Cov tsev kho mob tshwj xeeb hauv kev phais thoracic thiab oncology muab cov txheej txheem phais mob siab tshaj plaws thiab kev kho mob tom qab phais.
Kev kho mob ntsws cancer xaiv los ntawm theem II thiab IIIA feem ntau koom nrog kev phais phais, kws khomob, thiab / lossis kev kho hluav taws xob. Txoj kev npaj kho mob zoo tshaj plaws yog tus kheej raws li cov yam ntxwv tshwj xeeb ntawm cov qog thiab tus neeg mob txoj kev noj qab haus huv. Piv txwv li, neoadjuvant chemotherapy (chemotherapy ua ntej kev phais) yuav raug siv los txo cov qog, ua rau kev phais tsawg dua. Adjuvant chemotherapy tom qab phais yuav pab tshem tawm cov qog nqaij hlav cancer ntxiv. Kev kho hluav taws xob tuaj yeem siv ua ke nrog kev phais lossis tshuaj khomob rau cov chaw tshwj xeeb.
Kev kho mob ntsws cancer xaiv los ntawm theem IIIB thiab IV, sawv cev rau theem siab mob ntsws cancer, yog qhov nyuaj dua thiab xav tau ntau txoj kev qhuab qhia. Kev kho mob feem ntau muaj kev sib xyaw ua ke ntawm kev kho mob, xws li tshuaj tua kab mob, kev kho mob, kev tiv thaiv kab mob, thiab kev kho hluav taws xob. Cov phiaj xwm kev kho mob ua haujlwm los ntawm kev tsom cov molecules tshwj xeeb koom nrog hauv kev loj hlob thiab kev sib kis ntawm cov qog nqaij hlav cancer. Immunotherapy pab lub cev tiv thaiv kab mob tiv thaiv kab mob qog noj ntshav. Kev kho hluav taws xob tuaj yeem siv los txo cov tsos mob lossis txo cov qog. Cov tsev kho mob uas muaj cov chaw kho mob qog noj ntshav, muab kev nkag mus rau kev sim tshuaj thiab cov kev kho mob siab, yog qhov tseem ceeb rau cov neeg mob hauv cov theem no. Palliative care plays lub luag haujlwm tseem ceeb hauv kev tswj cov tsos mob thiab txhim kho lub neej zoo rau cov neeg mob qog nqaij hlav cancer theem siab.
Kev xaiv tsev kho mob rau kev kho mob ntsws cancer xaiv los ntawm theem yog qhov kev txiav txim siab tseem ceeb. Xav txog cov tsev kho mob nrog:
Tshawb xyuas cov tsev kho mob kom zoo, nrhiav cov ntawv pov thawj, kev lees paub, thiab cov ntawv pov thawj ntawm tus neeg mob. Rau kev saib xyuas zoo, xav txog cov tsev kho mob koom nrog hauv kev sim tshuaj rau kev kho mob qog noj ntshav tshiab. Cov Shandong Baofa Cancer Research Institute tau mob siab rau muab kev saib xyuas mob qog noj ntshav zoo tshaj plaws thiab ua tiav.
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. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau txhua yam lus nug uas koj muaj txog koj tus mob lossis kev xaiv kho mob. Cov phiaj xwm kho mob yog tus kheej heev thiab nyob ntawm ntau yam tshwj xeeb rau txhua tus neeg mob.