kev kho mob ntsws cancer kev xaiv los ntawm theem

Cov Kev Xaiv Kho Mob Lung Cancer los ntawm StageTreatment xaiv rau kev mob ntsws cancer txawv txav nyob ntawm theem ntawm tus kab mob. Cov lus qhia dav dav no qhia txog cov kev kho mob muaj nyob rau txhua theem, muab cov ntaub ntawv tseem ceeb kom nkag siab txog koj cov kev xaiv thiab txiav txim siab paub.

Nkag siab txog theem mob qog noj ntshav

Kev mob qog nqaij hlav ntsws yog qhov tseem ceeb rau kev txiav txim siab qhov tsim nyog kev kho mob ntsws cancer kev xaiv los ntawm theem. Cov txheej txheem staging siv cov lej (I, II, IIIA, IIIB, IV) thiab cov ntawv (A, B) los piav txog qhov mob qog noj ntshav, suav nrog cov qog loj, cov qog ntshav qog ntshav, thiab metastasis (kis mus rau cov kabmob nyob deb).

Theem I Lung Cancer

Mob qog noj ntshav theem I feem ntau yog nyob rau hauv lub ntsws. Cov kev xaiv kho mob rau theem no feem ntau suav nrog: Kev phais: Kev tshem tawm ntawm cov qog yog thawj txoj kev kho mob, uas muaj xws li lobectomy (tshem tawm ntawm lub ntsws lobe) lossis pneumonectomy (tshem tawm tag nrho lub ntsws). Qhov kev txiav txim siab txog qhov kev phais yog nyob ntawm ntau yam, nrog rau cov qog qhov loj thiab qhov chaw. Piv txwv li, cov qog me me tsuas yog xav tau ib qho kev txiav tawm (tshem tawm ntawm ib feem me me ntawm lub ntsws). Tom qab kev phais, cov kev kho mob adjuvant feem ntau yog ua haujlwm los txhim kho txoj hauv kev ntawm kev tso tawm mus ntev. Stereotactic Lub Cev Radiation Therapy (SBRT): Qhov kev siv hluav taws xob zoo tshaj plaws no muab cov koob tshuaj hluav taws xob ntau rau cov qog uas muaj kev cuam tshuam tsawg heev rau cov ntaub so ntswg noj qab haus huv. Nws feem ntau yog ib qho kev xaiv rau cov neeg mob uas tsis yog cov neeg sib tw phais.

Theem II mob ntsws cancer

Qib II mob qog noj ntshav qhia tau tias muaj qog loj dua lossis kev koom tes ntawm cov qog ntshav nyob ze. Cov kev kho mob tej zaum yuav muaj xws li: Kev phais: Zoo ib yam li Theem I, kev phais feem ntau yog thawj txoj kev kho mob, txhawm rau ua kom tiav cov qog tshem tawm. Txoj kev phais tshwj xeeb yuav nyob ntawm qhov qog qhov loj thiab qhov chaw. Cov kev phais yuav muaj xws li los ntawm lobectomy mus rau pneumonectomy. Tshuaj kho mob: Kev siv tshuaj khomob tuaj yeem siv ua ntej (neoadjuvant) lossis tom qab (adjuvant) phais txhawm rau txhim kho kev kho mob. Kev kho hluav taws xob: Kev kho hluav taws xob, suav nrog SBRT lossis cov qauv siv hluav taws xob sab nraud sab nraud, tuaj yeem siv ib leeg lossis ua ke nrog kev phais thiab / lossis tshuaj khomob.

Theem IIIA Mob ntsws Cancer

Nyob rau theem IIIA, mob qog noj ntshav tau kis mus rau cov qog nqaij hlav nyob ze lossis muaj cov qog loj dua. Kev kho mob muaj xws li: Kev phais (yog tias ua tau): Kev phais phais yuav yog ib qho kev xaiv rau qee tus neeg mob, ua raws li kev siv tshuaj kho mob ntxiv thiab / lossis kev kho hluav taws xob. Tshuaj kho mob: Chemotherapy feem ntau yog lub hauv paus ntawm kev kho mob, feem ntau ua ke nrog kev kho hluav taws xob. Kev kho hluav taws xob: Concurrent chemoradiation (chemotherapy thiab radiation therapy muab ib txhij) yog ib txoj hauv kev rau theem IIIA mob ntsws cancer.

Theem IIIB Lung Cancer

Theem IIIB muaj feem cuam tshuam nrog cov qog ntshav qog ntshav thiab / lossis cov qog loj dua. Kev kho mob feem ntau tsom rau: Tshuaj kho mob: Chemotherapy yog thawj txoj kev kho mob rau theem no, feem ntau ua ke nrog kev kho hluav taws xob. Kev kho hluav taws xob: Concurrent chemoradiation therapy yog nquag siv. Targeted Therapy: Rau cov neeg mob uas muaj kev hloov pauv caj ces hauv lawv cov qog nqaij hlav, cov kev kho mob yuav raug txiav txim siab ntxiv rau lwm cov kev kho mob.

Theem IV Lung Cancer

Qib IV mob ntsws cancer qhia tau hais tias tus mob qog noj ntshav tau metastasized rau cov kab mob nyob deb. Kev kho mob yog tswj hwm tus kab mob thiab txhim kho lub neej zoo. Cov kev xaiv muaj xws li: Tshuaj kho mob: Systemic chemotherapy yog ib txoj hauv kev tseem ceeb, feem ntau ua ke nrog lwm cov kev kho mob. Targeted Therapy: Cov phiaj xwm kev kho mob feem ntau siv rau cov neeg mob uas muaj kev hloov pauv caj ces tshwj xeeb, txhawm rau tiv thaiv kev loj hlob ntawm cov qog nqaij hlav cancer. Immunotherapy: Immunotherapy pab lub cev tiv thaiv kab mob tiv thaiv kab mob qog noj ntshav. Nws tau pom tias muaj kev vam meej hauv qee cov neeg mob uas muaj theem IV mob ntsws cancer. Kev kho hluav taws xob: Kev kho hluav taws xob tuaj yeem siv los kho cov chaw tshwj xeeb ntawm metastasis txhawm rau txo cov tsos mob thiab txhim kho lub neej zoo. Palliative care yog ib qho tseem ceeb heev los daws cov tsos mob thiab ua kom tus neeg mob muaj kev nplij siab.

Xaiv txoj kev kho mob

Qhov zoo tshaj plaws kev kho mob ntsws cancer kev xaiv los ntawm theem nyob ntawm ntau yam, suav nrog tus neeg mob qhov kev noj qab haus huv tag nrho, theem thiab hom mob qog noj ntshav, thiab kev nyiam ntawm tus kheej. Nws yog ib qho tseem ceeb kom muaj kev sib tham nrog koj tus kws kho mob oncologist los tsim ib txoj kev kho tus kheej. Nco ntsoov, ntau yam kev kho mob tuaj yeem siv ua ke. Lub koom haum Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ muaj ntau yam kev txawj ntse hauv cheeb tsam no.

Lus Cim Tseem Ceeb:

Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob uas tsim nyog rau kev kuaj mob thiab kho mob ntsws cancer. Kev npaj kho mob rau tus kheej yuav tsum tau ua kom haum rau txhua tus neeg mob qhov xwm txheej tshwj xeeb.