kho mob ntsws cancer xaiv los ntawm theem nyob ze kuv

Kev Xaiv Kev Kho Mob ntsws ntsws los ntawm theem: Phau Ntawv Qhia Txog Kev Kho Mob ntsws cancer kev xaiv txawv txawv nyob ntawm theem ntawm tus mob qog noj ntshav. Phau ntawv qhia no muab cov ntsiab lus ntawm cov kev kho mob sib txawv, lawv cov txiaj ntsig ntawm ntau theem, thiab cov ntsiab lus los txiav txim siab thaum txiav txim siab txog kev kho mob. Nco ntsoov, cov ntaub ntawv no yog rau kev paub dav dav thiab yuav tsum tsis txhob hloov kev sab laj nrog tus kws tshaj lij oncologist. Ib txwm nrhiav kev pab tswv yim kho mob rau koj qhov xwm txheej tshwj xeeb.

Nkag siab txog theem mob qog noj ntshav

Kev mob qog nqaij hlav ntsws yog qhov tseem ceeb rau kev txiav txim siab qhov kev kawm zoo tshaj plaws kho mob ntsws cancer xaiv los ntawm theem nyob ze kuv. Lub staging system siv cov lej Roman (I-IV) los txheeb xyuas qhov mob qog noj ntshav, nrog rau kuv yog qhov ntxov tshaj plaws thiab IV yog qhov siab tshaj plaws. Cov theem yog txiav txim siab los ntawm ntau yam kev ntsuam xyuas nrog rau kev tshuaj ntsuam xyuas (CT, PET), biopsy, thiab muaj peev xwm bronchoscopy. Paub txog theem pab koj pab neeg kho mob kom pom zoo rau txoj kev kho mob uas tsim nyog thiab ua tau zoo tshaj plaws.

Theem I Lung Cancer

Mob qog noj ntshav theem I yog nyob hauv zos, txhais tau tias nws tsis tau kis dhau lub ntsws. Cov kev kho mob feem ntau suav nrog kev phais (lobectomy, segmentectomy, wedge resection), feem ntau ua raws li kev kho mob ntxiv (kev kho tshuaj khomob lossis kev kho hluav taws xob) txhawm rau tshem tawm cov qog nqaij hlav qog noj ntshav.

Theem II mob ntsws cancer

Qib II qhia tias mob qog noj ntshav tau loj tuaj lossis kis mus rau cov qog ntshav nyob ze. Kev kho mob feem ntau suav nrog kev phais, feem ntau ua ke nrog kev kho tshuaj kho mob lossis kev kho hluav taws xob, nyob ntawm seb tus yam ntxwv tshwj xeeb ntawm cov qog thiab tus neeg mob kev noj qab haus huv tag nrho.

Theem III Lung Cancer

Nyob rau theem III, mob qog noj ntshav tau kis mus rau cov qog nqaij hlav nyob ze lossis cov qauv. Kev xaiv kev kho mob yog qhov nyuaj dua thiab tuaj yeem suav nrog kev sib xyaw ua ke ntawm kev kho mob, kev kho hluav taws xob (xws li stereotactic lub cev hluav taws xob kho lub cev - SBRT), thiab muaj peev xwm phais yog tias tus mob qog noj ntshav tau txiav txim siab rov kho dua tom qab neoadjuvant (ua ntej phais) kho.

Theem IV Lung Cancer

Theem IV, tseem hu ua metastatic ntsws cancer, qhia tias mob qog noj ntshav tau kis mus rau qhov chaw nyob deb ntawm lub cev. Kev kho mob tsom rau kev tswj tus kab mob thiab txhim kho lub neej zoo, feem ntau siv cov phiaj xwm kev kho mob, kev tiv thaiv kab mob, tshuaj tua kab mob, thiab kev txhawb nqa.

Txoj Kev Kho Mob rau Mob ntsws Cancer

Ob peb txoj kev kho mob yog siv los kho mob ntsws cancer, nyob ntawm theem thiab tus neeg mob tus mob. Cov no suav nrog:

Kev phais

Kev phais yog txhawm rau tshem tawm cov qog nqaij hlav cancer thiab cov qog ntshav nyob ze. Cov txheej txheem phais sib txawv muaj nyob, xws li los ntawm cov txheej txheem me me mus rau ntau qhov kev phais. Qhov tsim nyog ntawm kev phais yog nyob ntawm theem ntawm cov qog nqaij hlav, tus neeg mob txoj kev noj qab haus huv, thiab qhov chaw thiab qhov loj ntawm cov qog.

Tshuaj kho mob

Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav thoob plaws lub cev. Nws tuaj yeem siv ua ntej kev phais (neoadjuvant), tom qab phais (adjuvant), lossis ua thawj txoj kev kho mob rau cov qog nqaij hlav hauv lub ntsws. Cov tshuaj kws khomob feem ntau suav nrog cisplatin, carboplatin, thiab paclitaxel.

Kev kho hluav taws xob

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, xws li tshuaj khomob lossis phais. Muaj cov txheej txheem hluav taws xob sib txawv, suav nrog kev kho hluav taws xob sab nraud (EBRT) thiab brachytherapy.

Hom Kev Kho Mob

Targeted therapy siv cov tshuaj uas tshwj xeeb rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov tshuaj no ua haujlwm los ntawm kev cuam tshuam nrog cov molecules tshwj xeeb koom nrog hauv kev loj hlob thiab kev sib kis. Piv txwv xws li EGFR inhibitors (gefitinib, erlotinib) thiab ALK inhibitors (crizotinib, alectinib).

Immunotherapy

Immunotherapy harnesses lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Nws ua haujlwm los ntawm kev txhawb nqa lub cev tsis muaj peev xwm paub txog thiab rhuav tshem cov qog nqaij hlav cancer lossis los ntawm kev thaiv cov cim qhia uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Piv txwv li muaj xws li checkpoint inhibitors (pembrolizumab, nivolumab).

Nrhiav Kev kho mob ntsws Cancer Options Los ntawm theem nyob ze kuv

Nrhiav kev saib xyuas tsim nyog nyob ze koj yuav tsum tau ua tib zoo xav. Pib los ntawm kev sab laj nrog koj tus kws kho mob thawj zaug, uas tuaj yeem xa koj mus rau tus kws kho mob oncologist tshwj xeeb hauv kev mob ntsws cancer. Koj tuaj yeem siv cov peev txheej hauv online los nrhiav cov kws kho mob oncologist hauv koj cheeb tsam. Nco ntsoov xyuas cov ntaub ntawv pov thawj thiab kev paub dhau los ntawm ib tus kws kho mob ua ntej teem sijhawm. Xav txog yam xws li lub tsev kho mob cov chaw, lub koob npe nrov, thiab tus kws kho mob oncologist hauv kev kho ntau theem ntawm mob ntsws cancer. Lub koom haum Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ muaj kev saib xyuas mob qog noj ntshav hauv lub ntsws, siv cov thev naus laus zis thev naus laus zis thiab cov kws paub txog kev paub.

Kev txiav txim siab tseem ceeb

Nco ntsoov tias txhua tus neeg qhov xwm txheej yog qhov tshwj xeeb. Kev txiav txim siab txog kev kho mob yuav tsum tau ua nrog kev sib koom tes nrog koj pab neeg kho mob, xav txog yam xws li theem ntawm mob qog noj ntshav, hom mob qog noj ntshav (mob qog noj ntshav tsis yog qog nqaij hlav qog nqaij hlav lossis mob qog nqaij hlav me me), tus neeg mob kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej.

Tsis lees paub

Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb thiab tsis yog cov lus qhia kho mob. Nws yog ib qho tseem ceeb rau kev sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kev kho mob ntawm txhua yam mob. Cov ntaub ntawv muab los ntawm no tsis yog hloov pauv rau cov lus qhia kho mob, kev kuaj mob, lossis kev kho mob. Ib txwm nrhiav kev qhia ntawm koj tus kws kho mob lossis lwm tus kws kho mob uas tsim nyog nrog cov lus nug uas koj muaj txog kev mob nkeeg. Tsis txhob tso tseg cov lus qhia txog kev kho mob lossis ncua sijhawm nrhiav nws vim qee yam koj tau nyeem hauv lub vev xaib no.