
Phau ntawv qhia no muab cov ntsiab lus dav dav ntawm qhov zoo tshaj plaws kho mob ntsws cancer zoo tshaj plaws cov kev xaiv muaj, pab koj nkag siab txog ntau txoj hauv kev thiab yam uas yuav tsum tau xav txog thaum txiav txim siab tseem ceeb txog koj txoj kev saib xyuas. Peb tshawb nrhiav ntau yam kev kho mob, lawv cov txiaj ntsig, thiab cov kev mob tshwm sim. Nco ntsoov, cov ntaub ntawv no yog rau kev kawm thiab yuav tsum tsis txhob hloov cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob oncologist lossis tus kws kho mob rau cov lus pom zoo ntawm tus kheej.
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 rau feem coob ntawm kev kuaj mob ntsws cancer. Hom mob ntsws cancer tseem ceeb cuam tshuam kho mob ntsws cancer zoo tshaj plaws cov tswv yim. Nkag siab txog koj tus mob qog noj ntshav yog qhov tseem ceeb rau kev npaj kho mob zoo. Koj tus kws kho mob oncologist yuav ua ntau yam kev ntsuam xyuas, suav nrog kev kuaj biopsies, txhawm rau txiav txim siab hom thiab theem ntawm koj tus mob qog noj ntshav.
Staging txiav txim seb qhov kev kis mob qog noj ntshav. Cov theem ntawm I (localized) mus rau IV (metastatic). Cov theem cuam tshuam rau kev xaiv kho mob ntsws cancer zoo tshaj plaws thiab kev kwv yees. Kev qhia kom meej yog qhov tseem ceeb rau kev kho cov phiaj xwm kho mob uas zoo tshaj plaws rau cov kev xav tau tshwj xeeb ntawm tus neeg mob. Koj tus kws kho mob oncologist yuav piav qhia koj theem thiab nws qhov cuam tshuam.
Kev phais, xws li lobectomy (tshem tawm ntawm lub ntsws lobe) los yog pneumonectomy (tshem tawm tag nrho lub ntsws), tej zaum yuav yog ib qho kev xaiv rau kev mob ntsws cancer thaum ntxov. Qhov ua tau ntawm kev phais yog nyob ntawm cov yam xws li qhov loj thiab qhov chaw ntawm cov qog, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab muaj lwm yam mob. Cov txheej txheem phais me me feem ntau nyiam kom txo tau lub sijhawm rov qab los thiab txo qhov caws pliav.
Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws yuav siv tau ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, tom qab phais (adjuvant chemotherapy) kom txo tau txoj kev pheej hmoo ntawm kev rov tshwm sim dua, lossis ua thawj txoj kev kho mob rau kev mob ntsws cancer. Cov tshuaj siv tshuaj khomob rau kev mob ntsws cancer muaj xws li cisplatin, carboplatin, thiab paclitaxel. Kev mob tshwm sim sib txawv, tab sis feem ntau suav nrog xeev siab, qaug zog, thiab plaub hau poob. Koj tus kws kho mob oncologist yuav tham txog cov kev mob tshwm sim thiab txoj hauv kev los tswj lawv.
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 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 (sab hauv hluav taws xob) yuav siv tau.
Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb koom nrog hauv kev loj hlob qog noj ntshav. Cov kev kho mob no tshwj xeeb tshaj yog rau qee hom mob qog noj ntshav nrog rau kev hloov caj ces tshwj xeeb. Piv txwv xws li EGFR inhibitors (piv txwv li, gefitinib, erlotinib) thiab ALK inhibitors (piv txwv li, crizotinib). Koj tus kws kho mob oncologist yuav txiav txim siab seb txoj kev kho mob puas tsim nyog raws li koj cov kab mob qog noj ntshav.
Immunotherapy siv lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Cov tshuaj tiv thaiv kab mob tiv thaiv kab mob, xws li pembrolizumab thiab nivolumab, feem ntau siv hauv kev kho mob qog noj ntshav. Cov tshuaj no thaiv cov proteins uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Immunotherapy tuaj yeem muaj kev phiv loj heev, uas yuav tsum tau saib xyuas kom zoo.
Qhov zoo tshaj plaws kho mob ntsws cancer zoo tshaj plaws Txoj kev npaj yog tus kheej thiab nyob ntawm ntau yam, suav nrog hom thiab theem ntawm mob qog noj ntshav, koj txoj kev noj qab haus huv tag nrho, thiab koj nyiam. Koj tus kws kho mob oncologist yuav ua haujlwm nrog koj los tsim cov tswv yim kho mob uas ua raws li koj tus kheej xav tau thiab cov hom phiaj. Qhib kev sib txuas lus nrog koj pab neeg saib xyuas kev noj qab haus huv yog qhov tseem ceeb nyob rau hauv txoj kev kho mob.
Kev ntsib kev kuaj mob ntsws cancer yuav nyuaj. Nws yog ib qho tseem ceeb kom muaj lub zog txhawb zog nyob rau hauv qhov chaw. Muaj ntau yam kev pab cuam los pab koj thiab koj cov neeg koj hlub taug txoj kev no. Cov koom haum xws li American Cancer Society thiab Lung Cancer Research Foundation muab cov ntaub ntawv tseem ceeb, pab pawg txhawb nqa, thiab kev pab nyiaj txiag. Shandong Baofa Cancer Research Institute kuj muab kev txhawb nqa dav dav thiab qib siab kho mob ntsws cancer zoo tshaj plaws kev xaiv.
Disclaimer: Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov nrog koj tus kws kho mob lossis lwm tus kws kho mob tsim nyog yog tias koj muaj lus nug txog koj kev noj qab haus huv lossis xav tau kev pab tswv yim.