
Phau ntawv qhia dav no tshawb nrhiav kho mob ntsws cancer kho cov tshuaj kho mob tsev kho mob, muab cov ntaub ntawv tseem ceeb ntawm cov kev kho mob uas muaj, cov tsev kho mob ua ntej, thiab cov kev nce qib tshiab hauv kev kho mob ntsws cancer. Peb delve rau hauv ntau txoj kev kho mob, qhia txog lawv cov kev ua tau zoo, muaj peev xwm tshwm sim, thiab tsim nyog rau ntau theem ntawm tus kab mob. Peb kuj tseem hais txog cov tsev kho mob muaj npe nrov tshwj xeeb hauv kev kho mob qog noj ntshav hauv lub ntsws, hais txog qhov tseem ceeb ntawm kev xaiv qhov chaw kho mob zoo rau kev saib xyuas zoo.
Kev phais tseem yog lub hauv paus ntawm kho mob ntsws cancer rau cov kab mob thaum ntxov. Hom kev phais nyob ntawm tus qog qhov chaw thiab qhov loj. Cov txheej txheem muaj xws li lobectomy (tshem tawm ntawm lub ntsws lobe), pneumonectomy (tshem tawm tag nrho lub ntsws), thiab wedge resection (tshem tawm ntawm ib feem me me ntawm lub ntsws). Kev phais mob zoo sib txawv nyob ntawm ntau yam, suav nrog tus neeg mob tag nrho kev noj qab haus huv thiab theem ntawm mob qog noj ntshav. Kev rov qab ua haujlwm tom qab muaj lub sijhawm mus pw hauv tsev kho mob ua raws li kev kho kom rov qab muaj zog thiab lub ntsws ua haujlwm.
Tshuaj kho mob siv tshuaj muaj zog los tua cov qog nqaij hlav cancer. Nws yog feem ntau siv rau qib siab kho mob ntsws cancer, ib leeg los yog ua ke nrog lwm yam kev kho mob xws li hluav taws xob. Feem ntau siv cov tshuaj khomob rau kev mob ntsws cancer xws li cisplatin, carboplatin, paclitaxel, thiab docetaxel. Cov kev mob tshwm sim tuaj yeem muaj txij li mob me mus rau qhov hnyav thiab nyob ntawm cov tshuaj tshwj xeeb thiab ntau npaum li cas. Cov neeg mob yuav tsum sib tham txog cov kev mob tshwm sim thiab cov tswv yim tswj hwm nrog lawv tus kws kho mob oncologist.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tsom thiab rhuav tshem cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Ntau hom kev kho hluav taws xob muaj nyob, suav nrog kev kho hluav taws xob sab nraud thiab brachytherapy (sab hauv hluav taws xob). Kev mob tshwm sim tuaj yeem suav nrog qaug zog, khaus tawv nqaij, thiab nqos nyuaj, nyob ntawm thaj chaw kho mob. Qhov kev siv zog thiab lub sijhawm ntawm kev kho mob raug kho raws li tus neeg mob xav tau thiab theem mob qog noj ntshav.
Cov phiaj xwm kev kho mob siv cov tshuaj tsim los tua cov qog nqaij hlav tshwj xeeb uas muaj kev phom sij tsawg rau cov hlwb noj qab haus huv. Cov kev kho mob no tsom rau kev hloov pauv caj ces lossis cov proteins uas ua rau muaj mob qog noj ntshav. Piv txwv ntawm hom tshuaj kho mob siv hauv cov tshuaj kho mob ntsws cancer suav nrog EGFR inhibitors (xws li gefitinib thiab erlotinib) thiab ALK inhibitors (xws li crizotinib). Qhov ua tau zoo ntawm kev kho mob yog nyob ntawm qhov kev hloov pauv caj ces tshwj xeeb muaj nyob hauv cov qog.
Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Nws suav nrog kev siv tshuaj uas txhawb lub cev tiv thaiv kab mob kom paub thiab rhuav tshem cov qog nqaij hlav cancer. Cov tshuaj siv tshuaj tiv thaiv kab mob uas siv hauv kho mob ntsws cancer suav nrog checkpoint inhibitors xws li pembrolizumab thiab nivolumab. Immunotherapy tuaj yeem ua rau muaj kev txhim kho tseem ceeb hauv kev ciaj sia rau qee tus neeg mob tab sis kuj tseem tuaj yeem ua rau muaj kev phiv loj heev uas yuav tsum tau saib xyuas kom zoo.
Xaiv lub tsev kho mob rau kho mob ntsws cancer yog qhov kev txiav txim siab tseem ceeb. Xav txog yam xws li tsev kho mob kev paub txog kev kho mob ntsws cancer, nws nkag mus rau cov thev naus laus zis siab, kev txawj ntse ntawm nws pab neeg kho mob (nrog rau cov kws phais, kws kho mob, thiab kws kho hluav taws xob), thiab cov neeg mob cov lus pov thawj. Kev tshawb fawb hauv tsev kho mob qhov ua tau zoo, kev lees paub, thiab kev pabcuam neeg mob yog qhov tseem ceeb. Tej zaum koj kuj yuav xav mus saib hauv tsev kho mob uas muaj cov kev kho mob dav dav suav nrog kev kho mob palliative.
Txawm hais tias tsab xov xwm no tau npaj los muab cov ntaub ntawv nthuav dav, nws tseem ceeb heev rau kev sab laj nrog koj tus kws kho mob rau tus kheej kho mob ntsws cancer kho cov tshuaj lus qhia. Qhov kev ua tau zoo tshaj plaws ib txwm nyob ntawm tus kheej qhov xwm txheej thiab kev kho mob tshiab kawg. Yog xav paub ntxiv thiab nkag mus rau cov kws tshaj lij kho mob hauv ntiaj teb, mus saib Shandong Baofa Cancer Research Institute.
| Hom Kev Kho Mob | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Kev phais | Muaj peev xwm kho tau rau mob qog noj ntshav thaum ntxov | Kev phais loj nrog cov teeb meem tshwm sim |
| Tshuaj kho mob | Yuav txo cov qog, ua kom lub neej ntev | Qhov tshwm sim tseem ceeb |
| Kev kho hluav taws xob | Muaj peev xwm tsom cov cheeb tsam tshwj xeeb, tswj cov tsos mob | Kev mob tshwm sim nyob ntawm thaj chaw kho mob |
| Hom Kev Kho Mob | Tsawg teeb meem rau cov hlwb noj qab haus huv | Tsis zoo rau txhua hom mob ntsws cancer |
| Immunotherapy | Kev cuam tshuam ntev rau qee tus neeg mob | Muaj peev xwm ua rau muaj kev phiv loj heev |
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 tus kws kho mob kom kuaj xyuas thiab kho txhua yam mob.