
Cov Kev Xaiv Kho Mob Lung Cancer los ntawm StageLung kev kho mob qog noj ntshav txawv txawv nyob ntawm theem ntawm tus mob qog noj ntshav. Kab lus no muab cov ntsiab lus dav dav ntawm cov kev kho mob sib txawv rau txhua theem, hais txog qhov tseem ceeb ntawm kev saib xyuas tus kheej thiab kev nce qib tshiab hauv kev kho mob ntsws cancer xaiv los ntawm theem. Peb yuav tshawb nrhiav cov kev xaiv phais mob, kws khomob, kev kho hluav taws xob, kev kho mob, thiab kev tiv thaiv kab mob, qhia txog lawv lub luag haujlwm ntawm ntau theem ntawm tus kabmob. Kev nkag siab txog koj qhov kev kuaj mob tshwj xeeb yog qhov tseem ceeb hauv kev txiav txim siab nrog koj pab neeg kho mob.
Kev mob qog noj ntshav hauv lub ntsws yog theem siv cov txheej txheem uas txiav txim siab qhov loj thiab qhov chaw ntawm cov qog, muaj kev cuam tshuam ntawm cov qog nqaij hlav qog noj ntshav, thiab seb cov qog nqaij hlav puas tau metastasized (kis) mus rau cov kab mob nyob deb. Feem ntau cov kab ke ua ke yog TNM system, uas siv cov ntawv los sawv cev rau cov qog loj (T), cov qog ntshav qog ntshav (N), thiab metastasis (M). Cov xwm txheej no tau ua ke los txiav txim siab tag nrho theem (Stage I-IV), uas cuam tshuam loj heev kev kho mob ntsws cancer xaiv los ntawm theem. Cov theem yav dhau los feem ntau muaj cov kab mob zoo dua thiab ntau txoj kev kho mob muaj.
Theem I kev kho mob ntsws cancer xaiv los ntawm theem feem ntau koom nrog kev phais kom tshem tawm cov qog thiab ib puag ncig lub ntsws. Cov txheej txheem phais tshwj xeeb nyob ntawm qhov chaw thiab qhov loj ntawm cov qog. Cov kev xaiv muaj xws li lobectomy (tshem tawm ntawm lub lobe ntawm lub ntsws), kev tshem tawm ntawm lub ntsws (tshem tawm ntawm lub ntsws me me), lossis segmentectomy (tshem tawm ntawm lub ntsws ntu). Qee qhov xwm txheej, cov txheej txheem cuam tshuam me me xws li kev siv yeeb yaj kiab-pab thoracoscopic phais (VATS) yuav raug siv. Tom qab kev phais, kev siv tshuaj kho mob ntxiv lossis kev kho hluav taws xob yuav raug txiav txim siab los txo qhov kev pheej hmoo ntawm kev rov tshwm sim dua.
Kev kho mob rau theem II kev kho mob ntsws cancer xaiv los ntawm theem feem ntau ua ke nrog kev phais nrog kev siv tshuaj kho mob adjuvant lossis kev kho hluav taws xob. Qhov luaj li cas ntawm kev phais zoo ib yam li Qib I, tab sis qhov ntxiv ntawm kev kho mob ntxiv yog txhawm rau txhim kho cov txiaj ntsig los ntawm kev tsom mus rau cov qog nqaij hlav cancer ntxiv. Qhov kev xaiv ntawm kev siv tshuaj khomob thiab kev kho hluav taws xob yog nyob ntawm ntau yam, suav nrog tus neeg mob tag nrho kev noj qab haus huv thiab cov yam ntxwv tshwj xeeb ntawm cov qog. Shandong Baofa Cancer Research Institute muaj kev phais kev phais thiab kev kho mob ntxiv.
Theem III kev kho mob ntsws cancer xaiv los ntawm theem yog qhov nyuaj dua thiab feem ntau koom nrog kev kho mob. Qhov no yuav suav nrog kev phais (yog tias ua tau), chemotherapy, thiab kev kho hluav taws xob (feem ntau muab concurrently). Targeted therapy lossis immunotherapy kuj tseem raug txiav txim siab nyob ntawm seb cov yam ntxwv ntawm caj ces ntawm cov qog. Lub hom phiaj yog kom txo cov qog kom ntau li ntau tau thiab txhim kho kev ciaj sia. Cov txheej txheem Advanced, xws li stereotactic body radiotherapy (SBRT) thiab immunotherapy, tau siv ntau dua nyob rau theem III.
Theem IV kev kho mob ntsws cancer xaiv 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. Lub hom phiaj hloov los ntawm kev kho mob mus rau kev kho mob palliative, tsom rau kev txhim kho lub neej zoo thiab txuas ntxiv kev ciaj sia. Cov kev kho mob muaj xws li kws khomob, kev kho mob (yog tias tsim nyog muaj kev hloov pauv caj ces), thiab immunotherapy. Kev sim tshuaj kho mob kuj tseem yog ib qho kev xaiv los tshawb nrhiav cov kev kho tshiab thiab tshiab. Kev txhawb nqa, suav nrog kev tswj qhov mob thiab txo cov tsos mob, yog qhov tseem ceeb ntawm theem no.
Kev xaiv kev kho mob rau kev kho mob ntsws cancer xaiv los ntawm theem yog ib qho kev txiav txim siab ntawm tus kheej, ua nyob rau hauv kev sib tham nrog tus kws kho mob oncologist. Ntau yam raug txiav txim siab, suav nrog theem ntawm mob qog noj ntshav, tus neeg mob txoj kev noj qab haus huv tag nrho, thiab cov yam ntxwv tshwj xeeb ntawm cov qog. Kev ntsuam xyuas caj ces yuav ua tau los txheeb xyuas cov hom phiaj rau kev kho mob. Cov txheej txheem txiav txim siab tseem yuav tham txog cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob thiab hnyav rau tus neeg mob qhov kev nyiam thiab lub hom phiaj.
Kev kho mob ntsws cancer yog qhov hloov zuj zus mus tas li. Muaj kev nce qib tsis tu ncua hauv cov hom phiaj kho mob, immunotherapies, thiab lwm yam kev hloov tshiab. Kev paub txog kev tshawb fawb tshiab thiab sib tham txog kev kho mob tshiab nrog koj pab neeg kho mob yog qhov tseem ceeb.
| Theem | Kev Xaiv Kev Kho Mob |
|---|---|
| Theem I | Kev phais (lobectomy, wedge resection), muaj peev xwm kho tau tshuaj kho mob lossis hluav taws xob |
| Theem II | Kev phais + tshuaj kho mob ntxiv lossis hluav taws xob |
| Theem III | Kev phais (yog tias ua tau), chemotherapy, radiation therapy, targeted therapy, immunotherapy |
| Theem IV | Chemotherapy, tsom txoj kev kho, immunotherapy, palliative care |
Disclaimer: Cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog ib tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho txhua yam mob.
Cov peev txheej: (Ntxiv cov chaw muaj feem xyuam rau cov ntaub ntawv qhia txog theem, cov txheej txheem kho mob, thiab lwm yam. Piv txwv li, National Cancer Institute, American Cancer Society thiab lwm yam. Sau cov nplooj ntawv tshwj xeeb yog tias ua tau.)