
Theem 2A Kev Kho Mob ntsws Cancer: Ib Daim Ntawv Qhia Kom Paub Cov kab lus no muab cov ncauj lus kom ntxaws txog kev kho mob rau theem 2A mob qog noj ntshav, suav nrog kev phais, kws khomob, kev kho hluav taws xob, kev kho mob, thiab kev tiv thaiv kab mob. Nws kuj tseem tshawb txog cov xwm txheej cuam tshuam txog kev txiav txim siab kho mob thiab qhov tseem ceeb ntawm ntau txoj kev qhuab qhia. Cov ntaub ntawv raug nthuav tawm rau lub hom phiaj kev kawm thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob oncologist rau kev npaj kho tus kheej.
Qib 2A mob ntsws cancer yog ib qho kev kuaj mob hnyav, tab sis kev nce qib hauv kev kho mob oncology tau txhim kho cov txiaj ntsig kho mob zoo. Kev nkag siab txog ntau yam kev kho mob uas muaj yog qhov tseem ceeb rau kev txiav txim siab nrog koj pab neeg kho mob. Phau ntawv qhia no tshawb txog qhov tseem ceeb ntawm theem 2A kho mob ntsws cancer, pab koj taug txoj kev nyuaj no.
Qib 2A mob qog noj ntshav qhia tau tias mob qog noj ntshav tau kis mus rau cov qog ntshav nyob ze, tab sis tsis mus rau qhov chaw nyob deb ntawm lub cev. Txoj kev npaj kho mob tshwj xeeb yog nyob ntawm ntau yam, suav nrog hom mob qog noj ntshav (hluav taws xob me lossis tsis yog lub xovtooj me), qhov loj thiab qhov chaw ntawm cov qog, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab muaj lwm yam mob. Kev qhia kom meej yog qhov tseem ceeb rau kev txiav txim siab qhov kev ua kom tsim nyog.
Kev phais feem ntau yog thawj txoj kev kho mob rau theem 2A mob ntsws cancer, aiming tshem cov qog thiab cuam tshuam cov qog ntshav. Hom kev phais nyob ntawm tus qog qhov chaw thiab qhov loj. Qhov no yuav koom nrog lobectomy (tshem tawm ntawm lub ntsws lobe) lossis pneumonectomy (tshem tawm tag nrho lub ntsws). Cov tswv yim cuam tshuam tsawg kawg nkaus xws li video-pab phais thoracoscopic (VATS) feem ntau ua haujlwm los txo lub sijhawm rov qab los thiab txo qhov caws pliav. Tej zaum yuav muaj kev pheej hmoo thiab teeb meem cuam tshuam nrog kev phais yuav tsum tau tham nrog koj tus kws phais.
Kev siv tshuaj khomob suav nrog kev siv tshuaj tua kabmob qog noj ntshav. Nws tuaj yeem siv ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, ua kom yooj yim tshem tawm, lossis tom qab phais (adjuvant chemotherapy) txhawm rau tshem tawm cov qog nqaij hlav uas tseem tshuav. Cov kws khomob tshwj xeeb yog nyob ntawm hom mob qog noj ntshav thiab tus neeg mob txoj kev noj qab haus huv. Cov kev mob tshwm sim muaj xws li xeev siab, qaug zog, thiab plaub hau poob, tab sis feem ntau cov no tuaj yeem tswj tau zoo.
Kev kho hluav taws xob siv cov kab hluav taws xob siab los rhuav tshem cov qog nqaij hlav cancer. Nws tuaj yeem siv ua ntej kev phais (neoadjuvant radiotherapy) kom txo cov qog, tom qab kev phais (adjuvant radiotherapy) kom txo tau txoj kev pheej hmoo ntawm kev rov tshwm sim dua, lossis ua thawj txoj kev kho mob hauv cov xwm txheej uas tsis muaj kev phais. Kev kho hluav taws xob sab nraud feem ntau yog siv, tab sis qee zaum, brachytherapy (sab hauv hluav taws xob) yuav raug txiav txim siab. Cov kev mob tshwm sim muaj xws li tawv nqaij khaus, nkees, thiab ua tsis taus pa.
Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob ntawm cov qog nqaij hlav cancer thiab kev ciaj sia. Lawv feem ntau yog siv rau cov neeg mob uas tsis yog mob qog noj ntshav me me (NSCLC) uas muaj kev hloov pauv caj ces, xws li EGFR lossis ALK hloov pauv. Cov kev kho mob no muaj ntau lub hom phiaj, uas yuav ua rau muaj kev phiv tsawg dua piv rau cov tshuaj chemotherapy.
Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Nws ua haujlwm los ntawm kev txhawb lub cev tiv thaiv kab mob kom paub txog thiab tua cov qog nqaij hlav cancer. Immunotherapy tau tshwm sim los ua ib qho kev nce qib tseem ceeb hauv kev kho mob ntsws cancer, muab cov txiaj ntsig ntev rau qee tus neeg mob. Cov kev mob tshwm sim muaj peev xwm sib txawv tab sis tuaj yeem suav nrog qaug zog, ua pob khaus tawv nqaij, thiab mob ntsws.
Kev txiav txim siab txog txoj kev kho kom zoo rau theem 2A mob ntsws cancer yog ib qho nyuaj, yuav tsum muaj ntau txoj kev qhuab qhia nrog rau cov kws kho mob oncologist, kws phais neeg thoracic, hluav taws xob oncologist, thiab lwm tus kws kho mob tshwj xeeb. Cov yam ntxwv xws li tus neeg mob lub hnub nyoog, kev noj qab haus huv tag nrho, cov yam ntxwv ntawm cov qog, thiab kev nyiam ntawm tus kheej yog tag nrho cov kev xav. Qhib kev sib txuas lus nrog koj pab neeg saib xyuas kev noj qab haus huv yog qhov tseem ceeb rau kev txiav txim siab paub meej uas ua raws li koj tus kheej xav tau thiab cov hom phiaj. Kev sib tham dav dav txog cov txiaj ntsig, kev pheej hmoo, thiab cov kev mob tshwm sim ntawm txhua txoj kev kho mob yog qhov tseem ceeb.
Kev tshawb nrhiav kev kuaj mob qog noj ntshav tuaj yeem ua rau lub siab xav thiab lub cev nyuaj. Tsim kom muaj kev txhawb nqa muaj zog, suav nrog tsev neeg, phooj ywg, thiab pab pawg txhawb nqa, yog qhov tseem ceeb. Muaj ntau yam kev pab cuam los pab cov neeg mob thiab cov neeg lawv hlub daws cov teeb meem ntawm kev kho mob qog noj ntshav. Cov kev pab cuam no suav nrog cov kev pab sab laj, pab pawg neeg txhawb pab neeg mob, thiab cov kev pab nyiaj txiag. Tsis txhob yig mus nrhiav kev txhawb nqa koj xav tau thoob plaws koj txoj kev taug.
Nco ntsoov, cov ntaub ntawv no yog rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Rau cov lus qhia txog kev kho tus kheej thiab kev taw qhia, nco ntsoov sab laj nrog tus kws kho mob tsim nyog. Cov Shandong Baofa Cancer Research Institute yog ib lub tuam txhab ua lag luam uas tau mob siab rau muab kev kho mob qog noj ntshav siab thiab kev tshawb fawb.