Kev kho mob qog noj ntshav hauv lub ntsws tseem ceeb: Phau Ntawv Qhia Txog Kev Kho Mob ntsws cancerPrimary ntsws nyob ntawm ntau yam, suav nrog hom thiab theem ntawm mob qog noj ntshav, tus neeg mob noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Cov txheej txheem no muab cov ntaub ntawv tseem ceeb rau kev nkag siab txog ntau txoj hauv kev. Nws yog ib qho tseem ceeb uas yuav tau sab laj nrog koj tus kws kho mob oncologist kom txiav txim siab txog txoj kev kho mob uas haum rau koj tus kheej.
Nkag siab txog theem mob qog noj ntshav thiab hom
Ua ntej sib tham txog kev kho mob, nws yog ib qho tseem ceeb kom nkag siab txog ntau hom thiab theem ntawm kev mob ntsws cancer. Qhov kev paub no yog qhov tseem ceeb rau kev txiav txim siab qhov kev ua kom tsim nyog. Mob ntsws cancer tau muab faib ua ob yam tseem ceeb: me me cell lung cancer (SCLC) thiab non-small cell lung cancer (NSCLC). NSCLC suav txog kwv yees li 85% ntawm tag nrho cov mob qog noj ntshav hauv lub ntsws thiab tau muab faib ntxiv rau hauv adenocarcinoma, squamous cell carcinoma, thiab cell carcinoma loj. Kev mob qog nqaij hlav hauv lub ntsws, feem ntau yog siv TNM system (Tumor, Node, Metastasis), txiav txim siab txog qhov kis ntawm tus mob qog noj ntshav. Cov theem siab qhia tau tias muaj kab mob siab dua.
Staging thiab Treatment Implications
The stage of
thawj lub ntsws cancer cuam tshuam ncaj qha rau kev xaiv kho mob. Thaum ntxov
thawj lub ntsws cancer Tej zaum yuav kho nrog kev phais ib leeg, thaum cov theem siab tuaj yeem xav tau kev sib txuas ntawm kev phais, kws khomob, kev kho hluav taws xob, thiab kev kho mob. Pab neeg ua haujlwm ntau yam, suav nrog cov kws phais mob, kws kho mob oncologist, kws kho hluav taws xob, thiab lwm tus kws kho mob tshwj xeeb, yuav ua tib zoo tshuaj xyuas koj qhov xwm txheej tshwj xeeb thiab tsim cov phiaj xwm kho tus kheej.
Kev xaiv kho mob qog noj ntshav thawj zaug
Muaj ntau txoj kev kho mob rau
thawj lub ntsws cancer, txhua tus nrog nws lub zog thiab kev txwv.
Kev phais
Kev phais phais, tshem tawm cov qog nqaij hlav cancer thiab cov ntaub so ntswg ib puag ncig, yog ib qho kev kho mob tseem ceeb rau theem pib.
thawj lub ntsws cancer. Hom kev phais nyob ntawm tus qog qhov chaw thiab qhov loj. Cov kev xaiv muaj xws li lobectomy (tshem tawm ntawm lub ntsws lobe), pneumonectomy (tshem tawm tag nrho lub ntsws), thiab wedge resection (tshem tawm ib feem me me ntawm lub ntsws). Cov tswv yim cuam tshuam tsawg kawg nkaus, xws li kev phais video-pab thoracoscopic (VATS), feem ntau nyiam rau lawv qhov txo qis thiab lub sijhawm rov qab sai dua.
Tshuaj kho mob
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws feem ntau ua hauj lwm ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, ua kom yooj yim tshem tawm, los yog tom qab phais (adjuvant chemotherapy) kom tshem tawm cov qog nqaij hlav uas tseem tshuav. Tshuaj kho mob kuj yog ib qho kev kho mob tseem ceeb rau theem siab
thawj lub ntsws cancer. Cov tshuaj tshwj xeeb siv thiab lub sijhawm kho yog nyob ntawm hom thiab theem ntawm kev mob qog noj ntshav.
Kev kho hluav taws xob
Kev kho hluav taws xob siv cov kab hluav taws xob siab los rhuav tshem cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Sab nrauv kab hluav taws xob kho mob yog hom kev tshaj tawm, xa hluav taws xob los ntawm lub tshuab sab nraud lub cev. Qee zaum, brachytherapy (kev kho hluav taws xob sab hauv) tuaj yeem siv, tso cov khoom siv hluav taws xob ncaj qha rau hauv lossis ze ntawm cov qog.
Hom Kev Kho Mob
Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov kev kho no muaj txiaj ntsig tshwj xeeb rau qee hom NSCLC uas muaj kev hloov pauv caj ces, xws li EGFR, ALK, ROS1, thiab BRAF kev hloov pauv. Kev kuaj caj ces tsis tu ncua yog qhov tseem ceeb los txheeb xyuas cov neeg mob uas tuaj yeem tau txais txiaj ntsig los ntawm txoj kev kho no.
Immunotherapy
Immunotherapy siv lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. 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. Cov kev kho mob no tau pom tias muaj kev vam meej hauv kev nthuav dav rau cov neeg mob uas muaj qib siab
thawj lub ntsws cancer.
Xaiv Txoj Kev Npaj Kho Mob Zoo
Kev xaiv ntawm txoj kev kho zoo tshaj plaws rau
thawj lub ntsws cancer yog kev sib koom tes ntawm tus neeg mob thiab lawv pab neeg kho mob. Yam uas yuav tsum xav txog muaj xws li hom thiab theem ntawm mob qog noj ntshav, tus neeg mob tag nrho kev noj qab haus huv thiab kev noj qab haus huv, cov kev mob tshwm sim ntawm kev kho mob, thiab kev nyiam ntawm tus kheej.
| Hom Kev Kho Mob | Qhov zoo | Qhov tsis zoo |
| Kev phais | Muaj peev xwm kho tau rau mob qog noj ntshav thaum ntxov. | Tej zaum yuav tsis haum rau txhua tus neeg mob vim qhov chaw noj qab haus huv lossis qog nqaij hlav. |
| Tshuaj kho mob | Siv tau rau kev kho mob qog noj ntshav thoob plaws. | Yuav muaj kev phiv loj heev. |
| Kev kho hluav taws xob | Yuav txo cov qog thiab txo cov tsos mob. | Yuav ua rau muaj kev phiv xws li qaug zog thiab khaus tawv nqaij. |
| Hom Kev Kho Mob | Muaj txiaj ntsig zoo rau kev hloov pauv caj ces tshwj xeeb. | Tsis zoo rau txhua hom mob ntsws cancer. |
| Immunotherapy | Muaj peev xwm ua rau kev tso cai mus sij hawm ntev hauv qee cov neeg mob. | Yuav muaj kev tiv thaiv kab mob tiv thaiv kab mob. |
Kev them nyiaj yug thiab Resources
Fim kev kuaj mob ntawm
thawj lub ntsws cancer tuaj yeem nyuaj. Cov pab pawg txhawb nqa, cov koom haum txhawb nqa tus neeg mob, thiab cov peev txheej hauv online tuaj yeem muab cov ntaub ntawv tseem ceeb, kev txhawb siab rau lub siab, thiab cov lus qhia siv tau rau lub sijhawm no. Cov
Shandong Baofa Cancer Research Institute tau mob siab rau muab kev saib xyuas thiab kev txhawb nqa rau cov neeg mob qog noj ntshav. Nco ntsoov tias kev nrhiav kev txhawb nqa yog ib feem tseem ceeb ntawm kev taug txoj kev no.Disclaimer: Cov ntaub ntawv no yog tsim los 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.