
Kev mob ntsws ntsws rov tshwm sim, kev kuaj mob hnyav, yuav tsum muaj kev qhia dav dav thiab tus kheej rau kev kho mob. Phau ntawv qhia no muab cov ntsiab lus ntawm kev xaiv kev kho mob, hais txog qhov tseem ceeb ntawm kev sab laj nrog oncologists rau cov tswv yim tsim nyog. Peb yuav tshawb nrhiav ntau yam kev kho mob, lawv cov txiaj ntsig, thiab cov kev mob tshwm sim uas tshwm sim, txhawb nqa koj nrog cov ntaub ntawv txhawm rau taug qab txoj kev nyuaj no. Cov ntaub ntawv no yog rau kev kawm thiab yuav tsum tsis txhob hloov cov lus qhia txog kev kho mob.
Recurrent mob ntsws cancer hais txog kev rov qab mob qog noj ntshav tom qab kev kho mob thawj zaug. Nws tuaj yeem rov tshwm sim hauv tib qhov chaw (kev rov tshwm sim hauv zos) lossis kis mus rau lwm qhov ntawm lub cev (metastatic recurrence). Hom mob qog noj ntshav pib, qhov ntev ntawm tus kab mob, thiab tus neeg mob qhov kev noj qab haus huv tag nrho cuam tshuam rau kev kho mob. Kev tshawb pom ntxov yog qhov tseem ceeb hauv kev ua kom tiav kev kho mob.
Kev mob ntsws ntsws rov qab tuaj yeem muab faib ua ntau yam subtypes, suav nrog cov qog nqaij hlav qog nqaij hlav me me (SCLC) thiab cov qog nqaij hlav tsis me me (NSCLC). Txhua subtype yuav tsum muaj kev kho mob sib txawv. Kev txiav txim siab hom mob qog noj ntshav los ntawm kev kuaj ntshav thiab kuaj ntshav yog qhov tseem ceeb rau kev ua haujlwm zoo kho mob ntsws cancer recurrent.
Cov tswv yim kho mob rau mob ntsws cancer recurrent yog tus kheej heev thiab nyob ntawm ntau yam. Cov xwm txheej no suav nrog hom thiab theem ntawm tus mob qog noj ntshav, qhov chaw ntawm qhov rov tshwm sim, tus neeg mob txoj kev noj qab haus huv, thiab kev kho mob yav dhau los.
Cov phiaj xwm kev kho mob tsom rau cov molecules tshwj xeeb hauv cov qog nqaij hlav cancer txhawm rau tiv thaiv lawv txoj kev loj hlob thiab kev sib kis. Cov kev kho mob no feem ntau siv tau rau cov neeg mob uas muaj kev hloov caj ces tshwj xeeb. Piv txwv xws li tyrosine kinase inhibitors (TKIs) thiab monoclonal antibodies. Kev ua tau zoo ntawm cov kev kho mob no yog nyob ntawm qhov muaj cov biomarkers tshwj xeeb hauv cov qog nqaij hlav cancer. Cov Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/) muab cov kev ntsuam xyuas molecular los txheeb xyuas qhov kev kho kom zoo rau cov neeg mob.
Kev kho mob yog siv tshuaj tua kab mob qog noj ntshav. Nws tuaj yeem muab tshuaj intravenously lossis hais lus. Txawm hais tias muaj txiaj ntsig zoo hauv qee qhov xwm txheej, kev siv tshuaj khomob tuaj yeem ua rau muaj kev phiv loj, suav nrog qaug zog, xeev siab, thiab plaub hau poob. Qhov kev xaiv ntawm kev kho tshuaj khomob yog nyob ntawm hom tshwj xeeb thiab theem ntawm kev mob qog noj ntshav.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ntau los tua cov qog nqaij hlav cancer. Nws tuaj yeem siv los tsom rau thaj chaw tshwj xeeb ntawm kev rov tshwm sim, xws li qog nqaij hlav hauv zos. Kev kho hluav taws xob yuav siv tau ib leeg lossis ua ke nrog lwm yam kev kho mob xws li tshuaj tua kab mob.
Immunotherapy harnesses lub cev tiv thaiv kab mob tiv thaiv kab mob. Checkpoint inhibitors yog ib hom tshuaj tiv thaiv kab mob uas thaiv cov protein uas tiv thaiv lub cev tiv thaiv kab mob los ntawm kev tawm tsam cov qog nqaij hlav cancer. Cov kev kho mob no tau pom tias muaj kev vam meej hauv qee cov neeg mob uas muaj mob qog noj ntshav rov qab.
Kev phais yuav yog ib qho kev xaiv rau cov neeg mob uas muaj kev rov tshwm sim hauv zos. Qhov ua tau ntawm kev phais yog nyob ntawm qhov chaw thiab qhov loj ntawm cov qog rov tshwm sim, nrog rau tus neeg mob txoj kev noj qab haus huv tag nrho.
Xaiv qhov zoo tshaj plaws kho mob ntsws cancer recurrent txoj kev npaj yog kev sib koom tes ntawm tus neeg mob thiab lawv tus kws kho mob oncologist. Kev nkag siab zoo txog tus kab mob qog noj ntshav thiab tus neeg mob cov keeb kwm kho mob yog qhov tseem ceeb. Kev sib tham yuav tsum suav nrog cov txiaj ntsig zoo, kev pheej hmoo, thiab kev mob tshwm sim ntawm txhua txoj kev kho mob. Kev sim tshuaj kho mob kuj tseem raug txiav txim siab, muab kev nkag mus rau cov kev kho tshiab.
Tswj cov kev mob tshwm sim thiab txhim kho lub neej zoo yog qhov tseem ceeb thoob plaws hauv txoj kev kho mob. Kev txhawb nqa kev saib xyuas tuaj yeem suav nrog kev tswj qhov mob, kev txhawb nqa zaub mov, thiab kev pab sab laj. Cov Shandong Baofa Cancer Research Institute tau cog lus los muab kev saib xyuas tus neeg mob holistic, hais tsis tau tsuas yog lub cev ntawm tus kab mob tab sis kuj rau kev xav thiab kev puas siab puas ntsws.
Kev teem caij ua raws li niaj zaus yog qhov tseem ceeb tom qab mob ntsws cancer recurrent kev kho mob los saib xyuas txhua qhov rov tshwm sim lossis kev loj hlob ntawm tus kab mob. Kev kuaj ntshav thiab ntshav yuav ua tau ib ntus txhawm rau taug qab tus neeg mob cov lus teb rau kev kho. Kev tshawb pom ntxov ntawm kev rov tshwm sim ua rau muaj kev cuam tshuam sai thiab muaj peev xwm txhim kho hauv cov txiaj ntsig.
Disclaimer: Cov ntaub ntawv no yog tsim los rau kev kawm nkaus xwb 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 kev kho mob.