kho mob ntsws qog kho mob

Kev kho mob ntsws ntsws: Phau Ntawv Qhia

Kab lus no muab cov ntsiab lus dav dav ntawm kho mob ntsws kev xaiv, encompassing ntau theem thiab mus kom ze. Peb yuav tshawb nrhiav cov kev kho mob sib txawv, sib tham txog yam cuam tshuam txog kev txiav txim siab kho mob, thiab muab kev nkag siab txog kev tswj hwm cov teeb meem cuam tshuam nrog kho mob ntsws. Phau ntawv qhia no yog tsim los txhawb cov tib neeg thiab lawv tsev neeg nrog kev paub tseem ceeb rau kev taug kev nyuaj no.

Nkag siab txog mob ntsws

Hom mob ntsws ntsws

Cov qog nqaij hlav hauv ntsws tau muab faib ua ob pawg loj: benign (tsis yog mob qog noj ntshav) thiab malignant (cancerous). Cov qog qog nqaij hlav qog nqaij hlav tau muab cais ntxiv rau hauv cov qog nqaij hlav qog nqaij hlav me me (SCLC) thiab cov qog nqaij hlav tsis me me (NSCLC). NSCLC suav rau feem coob ntawm kev kuaj mob ntsws cancer. Hom kab mob ntsws tshwj xeeb cuam tshuam rau kho mob ntsws qog kho mob npaj.

Mob ntsws Cancer

Staging yog qhov tseem ceeb hauv kev txiav txim siab qhov tsim nyog kho mob ntsws qog kho mob tswv yim. Cov theem qhia txog qhov kev kis mob qog noj ntshav. Staging systems, xws li TNM system, xav txog cov qog loj (T), lymph node kev koom tes (N), thiab nyob deb metastasis (M). Qhov tseeb staging yuav tsum muaj ntau yam kev kuaj mob, suav nrog kev tshuaj ntsuam xyuas (CT, PET), biopsies, thiab kuaj ntshav.

Kev Xaiv Kev Kho Mob rau Mob ntsws

Kev phais

Kev phais tshem tawm ntawm cov qog yog ib qho kev kho mob tseem ceeb rau kev mob ntsws cancer thaum ntxov. Cov txheej txheem phais tshwj xeeb nyob ntawm tus qog qhov chaw thiab qhov loj. Cov kev xaiv muaj xws li lobectomy (tshem tawm ntawm lub lobe), segmentectomy (tshem tawm ntawm ntu), thiab kev tshem tawm (tshem tawm ntawm ib feem me ntawm lub ntsws). Cov tswv yim cuam tshuam tsawg kawg nkaus, xws li video-pab phais thoracoscopic (VATS), feem ntau nyiam kom txo qis kev cuam tshuam thiab lub sijhawm rov qab los.

Tshuaj kho mob

Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws feem ntau yog siv rau kev mob qog noj ntshav siab theem siab, ib leeg lossis ua ke nrog lwm yam kev kho mob. Muaj ntau txoj kev khomob khomob muaj, thiab kev xaiv nyob ntawm ntau yam xws li hom thiab theem ntawm mob qog noj ntshav, tus neeg mob kev noj qab haus huv tag nrho, thiab cov teebmeem tshwm sim. National Cancer Institute muab cov ncauj lus kom ntxaws txog cov txheej txheem chemotherapy.

Kev kho hluav taws xob

Kev kho hluav taws xob siv hluav taws xob hluav taws xob siab rau lub hom phiaj thiab rhuav tshem cov qog nqaij hlav cancer. Nws tuaj yeem siv ua ntej kev phais (neoadjuvant), tom qab phais (adjuvant), lossis ua thawj txoj kev kho mob rau cov qog ua haujlwm tsis tau. Sab nraud beam hluav taws xob kho yog hom ntau tshaj plaws. Stereotactic lub cev hluav taws xob kho (SBRT) yog ib daim ntawv qhia meej dua ntawm kev kho hluav taws xob uas xa cov hluav taws xob ntau hauv ob peb zaug.

Hom Kev Kho Mob

Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer yam tsis ua mob rau lub cev. Cov kev kho mob no tshwj xeeb tshaj yog rau NSCLC nrog cov kev hloov caj ces tshwj xeeb. Piv txwv xws li EGFR inhibitors, ALK inhibitors, thiab PD-1 / PD-L1 inhibitors. Kev kuaj caj ces yog qhov tseem ceeb los txheeb xyuas cov neeg mob uas yuav tau txais txiaj ntsig los ntawm cov kev kho mob no.

Immunotherapy

Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Cov tshuaj tiv thaiv kab mob, xws li cov tshuaj tiv thaiv kab mob, pab lub cev tiv thaiv kab mob kom paub thiab rhuav tshem cov qog nqaij hlav cancer. Txoj hauv kev no tau pom tias muaj txiaj ntsig zoo hauv kev kho mob qog noj ntshav siab, thiab nws cov txiaj ntsig tau raug soj ntsuam los ntawm biomarkers zoo li PD-L1 qhia.

Xaiv Txoj Kev Npaj Kho Mob Zoo

Qhov zoo tshaj plaws kho mob ntsws qog kho mob txoj kev npaj yog tus kheej thiab nyob ntawm ntau yam, nrog rau hom thiab theem ntawm lub ntsws qog, tus neeg mob lub cev tag nrho, thiab kev nyiam ntawm tus kheej. Ib pab neeg ua haujlwm ntau yam ntawm cov kws kho mob, suav nrog cov kws kho mob oncologist, kws phais mob, kws kho hluav taws xob, thiab lwm tus kws kho mob tshwj xeeb, yuav koom tes los tsim cov phiaj xwm kev kho mob dav dav raws li tus neeg xav tau.

Tswj Cov Kev Pab Cuam Tshuam thiab Kev Txhawb Nqa

Kev kho mob ntsws hlav tuaj yeem ua rau muaj kev phiv ntau yam, nyob ntawm seb cov kev kho mob tshwj xeeb siv. Kev tswj cov kev mob tshwm sim no tseem ceeb heev rau kev txhim kho lub neej zoo. Cov pab pawg txhawb nqa, kev pab sab laj, thiab kev saib xyuas palliative tuaj yeem pab cov neeg mob thiab lawv tsev neeg tau zoo thaum lub sijhawm nyuaj no. Cov American Lung Association muab cov peev txheej muaj txiaj ntsig thiab kev txhawb nqa tes hauj lwm rau cov tib neeg cuam tshuam los ntawm kev mob ntsws cancer.

Kev tshawb fawb thiab kev tsim kho tshiab hauv kev kho mob ntsws ntsws

Kev tshawb fawb tsis tu ncua yog nce mus ntxiv kho mob ntsws qog kho mob cov kev xaiv, ua rau kev txhim kho cov txiaj ntsig thiab lub neej zoo rau cov neeg mob. Kev sim tshuaj kho mob muab kev nkag mus rau cov kev kho tshiab thiab pab txhawb kev txhim kho cov kev kho tshiab thiab txhim kho. Yog xav paub ntxiv txog kev sim tshuaj, koj tuaj yeem sab laj nrog koj tus kws kho mob lossis xa mus rau cov peev txheej xws li ClinicalTrials.gov.

Yog xav paub ntxiv thiab tshwj xeeb kho mob ntsws, xav hu rau Shandong Baofa Cancer Research Institute ntawm https://www.baofahospital.com/