kev kho mob uas tsis yog mob ntsws cancer me me nyob ze kuv

Nrhiav Txoj Cai Kev Kho Mob Tsis Muaj Kab Mob Me Me Kev Kho Mob Los Ntawm Kuv

Cov lus qhia dav dav no yuav pab koj taug qab qhov nyuaj ntawm kev nrhiav tau zoo Non-small cell lung cancer (NSCLC) kev kho mob kev xaiv nyob ze koj. Peb tshawb nrhiav ntau yam kev kho mob, kev txiav txim siab rau kev xaiv kev saib xyuas zoo, thiab cov peev txheej los pab koj txoj kev taug.

Nkag siab Tsis yog-Small Cell Lung Cancer

NSCLC yog dab tsi?

Mob qog noj ntshav tsis yog me me yog hom mob ntsws cancer ntau tshaj plaws, suav txog li 80-85% ntawm tag nrho cov mob ntsws cancer. Nws tau categorized rau ntau yam subtypes, txhua tus muaj cov yam ntxwv tshwj xeeb cuam tshuam rau cov tswv yim kho mob. Kev tshawb pom ntxov yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig. Nkag siab txog koj qhov tshwj xeeb NSCLC subtype yog ib kauj ruam tseem ceeb hauv kev txiav txim siab qhov zoo tshaj plaws ntawm kev kawm kev kho mob uas tsis yog me me mob ntsws cancer kho nyob ze kuv.

Staging thiab Diagnosis

Qhov tseeb theem-kev txiav txim siab txog kev kis mob qog noj ntshav-yog qhov tseem ceeb hauv kev npaj kev kho mob uas tsis yog me me mob ntsws cancer kho nyob ze kuv. Qhov no suav nrog ntau yam kev sim, suav nrog kev kuaj pom (CT, PET), biopsies, thiab kuaj ntshav. Cov theem dictates txoj kev kho mob uas tsim nyog tshaj plaws. Piv txwv li, NSCLC theem pib tuaj yeem kho tau nrog kev phais ib leeg, thaum cov theem siab yuav xav tau kev kho mob sib xyaw.

Kev Xaiv Kev Kho Mob rau NSCLC

Kev phais

Kev phais tshem tawm ntawm cov qog yog ib qho kev kho mob tseem ceeb rau NSCLC thaum ntxov. Cov txheej txheem tshwj xeeb nyob ntawm tus qog qhov chaw thiab qhov loj. Qhov no yuav suav nrog lobectomy (tshem tawm ntawm lub ntsws lobe), pneumonectomy (tshem tawm tag nrho lub ntsws), lossis kev tshem tawm (tshem tawm ntawm lub ntsws me me). Tom qab kev phais, kev kho kom rov zoo yog qhov tseem ceeb rau kev rov qab los.

Tshuaj kho mob

Tshuaj kho mob siv tshuaj tua kab mob qog noj ntshav. Nws feem ntau ua haujlwm ua ntej kev phais (neoadjuvant) kom txo cov qog, tom qab kev phais (adjuvant) kom tshem tawm cov qog nqaij hlav uas tseem tshuav, lossis ua thawj txoj kev kho mob rau NSCLC siab heev. Cov tshuaj chemotherapy rau NSCLC suav nrog cisplatin, carboplatin, paclitaxel, thiab docetaxel. Cov kev mob tshwm sim sib txawv tab sis feem ntau tswj tau nrog kev txhawb nqa.

Kev kho hluav taws xob

Kev kho hluav taws xob siv hluav taws xob hluav taws xob ua kom puas thiab ua kom puas cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg, ua ntej lossis tom qab kev phais, lossis ua ke nrog kev kho mob. Sab nrauv kab hluav taws xob feem ntau yog siv, xa hluav taws xob los ntawm lub tshuab sab nraud lub cev. Qee zaum, brachytherapy (sab hauv hluav taws xob) yuav raug txiav txim siab.

Hom Kev Kho Mob

Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb hauv cov qog nqaij hlav cancer, cuam tshuam lawv txoj kev loj hlob thiab kev ciaj sia. Cov kev kho no muaj txiaj ntsig tshwj xeeb hauv NSCLC cov neeg mob uas muaj kev hloov pauv caj ces, xws li EGFR, ALK, lossis ROS1 kev hloov pauv. Kev sim tsis tu ncua txhawm rau txheeb xyuas cov kev hloov pauv no yog qhov tseem ceeb los txiav txim siab qhov tsim nyog rau kev kho mob. Piv txwv li Osimertinib (Tagrisso), Crizotinib (Xalkori), thiab Afatinib (Gilotrif).

Immunotherapy

Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Nws ua haujlwm los ntawm kev txhawb lub cev tiv thaiv kab mob kom paub txog thiab tua cov qog nqaij hlav cancer. Cov tshuaj tiv thaiv kab mob, xws li pembrolizumab (Keytruda) thiab nivolumab (Opdivo), muaj txiaj ntsig zoo rau qee tus neeg mob NSCLC, feem ntau ua ke nrog kev kho mob lossis lwm yam kev kho mob. Cov kev mob tshwm sim tuaj yeem suav nrog qaug zog, ua pob khaus ntawm daim tawv nqaij, thiab kev tiv thaiv kev tiv thaiv tsis zoo.

Nrhiav txoj kev kho mob zoo nyob ze koj

Xaiv qhov chaw kho mob

Xaiv lub chaw tsim nyog oncology yog qhov tseem ceeb. Nrhiav cov chaw nrog cov kws paub txog oncologist, cov thev naus laus zis siab, thiab cov ntaub ntawv muaj zog hauv NSCLC kev kho mob. Xav txog tej yam xws li kev nyob sib ze rau koj lub tsev, lub chaw lub koob npe nrov, thiab muaj cov kev kho mob tshwj xeeb, kev sim tshuaj, thiab kev pab txhawb nqa. Tshawb xyuas online thiab nrhiav kev pom zoo los ntawm koj tus kws kho mob thawj zaug lossis cov kws kho mob uas ntseeg siab.

Kev sim tshuaj

Kev koom nrog hauv kev sim tshuaj muaj kev nkag mus rau cov kev kho mob uas tsis tau muaj dav. Cov kev sim no tau ua tib zoo tsim los sim cov kev kho tshiab thiab txhim kho cov txiaj ntsig kev kho mob. Koj tus kws kho mob oncologist tuaj yeem pab koj txiav txim siab seb qhov chaw kuaj mob puas haum rau koj qhov xwm txheej tshwj xeeb. Koj tuaj yeem tshawb nrhiav cov ntaub ntawv tshawb fawb soj ntsuam xws li ClinicalTrials.gov txhawm rau nrhiav cov kev tshawb fawb cuam tshuam.

Kev them nyiaj yug thiab Resources

Kev tshawb nrhiav kev kuaj mob qog noj ntshav tuaj yeem nyuaj. Nrhiav kev xav thiab kev txhawb nqa los ntawm pab pawg txhawb nqa, cov koom haum mob qog noj ntshav (piv txwv li, American Lung Association, Lung Cancer Foundation of America), thiab cov kev pab sab laj. Cov peev txheej no muab cov ntaub ntawv tseem ceeb, kev taw qhia, thiab kev txhawb siab rau cov neeg mob thiab lawv tsev neeg.

Lus Cim Tseem Ceeb

Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nws yog ib qho tseem ceeb rau kev sab laj nrog tus kws kho mob oncologist lossis kws kho mob tshwj xeeb rau kev kuaj mob tus kheej, kev npaj kho mob, thiab kev saib xyuas tsis tu ncua ntsig txog. kev kho mob ntsws cancer uas tsis yog me me. Cov ntaub ntawv qhia ntawm no tsis yog hloov pauv rau cov lus qhia kws 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.

Yog xav paub ntxiv lossis tshawb nrhiav cov kev kho mob ntawm lub koom haum tshawb fawb txog qog noj ntshav, mus saib Shandong Baofa Cancer Research Institute.