
Theem 1B Kev Kho Mob ntsws Cancer: Nrhiav Lub Tsev Kho Mob Zoo Qhov tsab xov xwm no muab cov lus qhia dav dav ntawm kev kho mob theem 1b mob qog noj ntshav hauv tsev kho mob, qhia txog ntau yam kev kho mob muaj, yam yuav tsum xav txog thaum xaiv tsev kho mob, thiab cov peev txheej los nrhiav kev kho mob zoo tshaj plaws. Nws qhia txog qhov tseem ceeb ntawm kev kuaj mob ntxov thiab cov phiaj xwm kho tus kheej. Cov ntaub ntawv hais txog kev sim tshuaj thiab pab pawg txhawb nqa kuj suav nrog.
Qib 1B mob qog noj ntshav tau kuaj pom thaum lub qog me me (tsawg dua 3cm) thiab tsis tau kis mus rau cov qog nqaij hlav nyob ze lossis lwm qhov hauv lub cev. Kev tshawb pom ntxov thiab kev kho mob tsim nyog yog qhov tseem ceeb rau kev txhim kho cov neeg muaj sia nyob. Phau ntawv qhia no tsom mus rau kev tshawb nrhiav qhov nyuaj ntawm kev nrhiav lub tsev kho mob zoo rau koj kev kho mob theem 1b kho mob ntsws cancer hauv tsev kho mob xav tau.
Hauv Theem 1B, cov qog loj yog qhov tseem ceeb. Txawm hais tias feem ntau me dua nyob rau theem tom ntej, kev ntsuas meej yog qhov tseem ceeb hauv kev txiav txim siab qhov kev kho mob zoo tshaj plaws. Qhov chaw tshwj xeeb hauv lub ntsws kuj cuam tshuam rau kev txiav txim siab kho mob. Paub txog cov yam ntxwv ntawm cov qog yog qhov tseem ceeb rau kev npaj kho mob zoo.
Mob qog noj ntshav muaj ntau hom, suav nrog cov qog nqaij hlav tsis me hauv lub ntsws (NSCLC) thiab qog nqaij hlav qog hlwb (SCLC). Cov tswv yim kho mob sib txawv ntawm cov hom no. NSCLC muaj ntau dua thiab tau muab faib ua subtypes xws li adenocarcinoma, squamous cell carcinoma, thiab cell carcinoma loj. Kev nkag siab txog hom tshwj xeeb yog qhov tseem ceeb hauv kev txiav txim siab tsim nyog kev kho mob theem 1b kho mob ntsws cancer hauv tsev kho mob.
Kev phais feem ntau yog thawj txoj kev kho mob rau theem 1B mob ntsws cancer. Qhov no suav nrog tshem cov qog nqaij hlav cancer thiab cov npoo ntawm cov ntaub so ntswg noj qab haus huv. Hom kev phais nyob ntawm lub qog qhov chaw thiab qhov loj me, xws li los ntawm lobectomy (tshem tawm ntawm lub lobe ntawm lub ntsws) mus rau wedge resection (tshem tawm ntawm ib qho me me). Cov txheej txheem cuam tshuam tsawg kawg nkaus, xws li kev phais mob phais mob phais (VATS), feem ntau nyiam los txo cov sij hawm rov qab thiab teeb meem. Kev rov qab ua haujlwm tom qab ua haujlwm yog qhov tseem ceeb rau kev rov ua kom rov zoo tag nrho.
Kev kho hluav taws xob siv hluav taws xob siab los tua cov qog nqaij hlav cancer. Nws yuav siv tau ib leeg los yog ua ke nrog kev phais, tshwj xeeb tshaj yog tias muaj kev pheej hmoo ntawm rov tshwm sim dua. Stereotactic body radiation therapy (SBRT) yog ib daim ntawv qhia meej heev ntawm kev kho hluav taws xob feem ntau siv rau cov qog me me. Cov kev mob tshwm sim ntawm kev kho hluav taws xob tuaj yeem sib txawv nyob ntawm qhov ntau npaum li cas thiab qhov chaw kho mob.
Kev siv tshuaj khomob siv tshuaj los rhuav tshem cov qog nqaij hlav cancer. Thaum tsis yog thawj kab kev kho mob rau theem 1B mob qog noj ntshav, nws yuav siv tau rau hauv cov xwm txheej tshwj xeeb, xws li ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog los yog tom qab phais (adjuvant chemotherapy) kom txo tau txoj kev pheej hmoo ntawm rov tshwm sim. Kev siv tshuaj khomob tuaj yeem muaj ntau yam teebmeem, thiab kev tswj kom tsim nyog yog qhov tseem ceeb.
Nrhiav cov tsev kho mob nrog rau cov chaw kho mob ntsws mob ntsws thiab cov kws phais mob thoracic thiab cov kws kho mob oncologist. Kev lees paub los ntawm cov koom haum muaj npe nrov, xws li Lub Koom Haum Koom Tes, qhia txog kev cog lus rau kev saib xyuas zoo. Tshawb xyuas lub tsev kho mob qhov ua tau zoo thiab cov qhab nias siab ntawm cov neeg mob. Xav txog qhov muaj cov thev naus laus zis siab heev thiab cov txheej txheem phais mob me me.
Ib txoj kev npaj kho mob yuav tsum tau ua raws li koj cov kev xav tau tshwj xeeb thiab qhov xwm txheej. Sib tham txog koj cov kev xaiv nrog ntau tus kws tshaj lij kom nkag siab tob txog cov txiaj ntsig thiab kev pheej hmoo ntawm txhua txoj kev kho mob. Koj qhov kev xaiv hauv tsev kho mob yuav tsum muaj kev cog lus rau tus kheej cov tshuaj.
Kev txhawb nqa ib puag ncig yog qhov tseem ceeb thaum kho mob qog noj ntshav. Xyuas kom lub tsev kho mob muaj kev pab txhawb nqa, suav nrog kev tawm tswv yim, kev kho kom rov zoo, thiab kev nkag mus rau pab pawg. Qhov muaj ntawm cov kev pabcuam no tuaj yeem cuam tshuam rau koj cov kev paub dhau los thiab kev noj qab haus huv.
Cov American Lung Association thiab cov American Cancer Society muab cov peev txheej tseem ceeb thiab kev txhawb nqa rau cov tib neeg ntsib kev kuaj mob ntsws cancer. Cov koom haum no muab cov ntaub ntawv qhia txog kev xaiv kho mob, kev sim tshuaj, thiab pab pawg txhawb nqa. Kev sib txuas nrog lwm tus neeg mob tuaj yeem ua tau zoo heev. Rau cov neeg mob hauv Suav teb, Shandong Baofa Cancer Research Institute yog ib lub tuam txhab ua lag luam uas muab kev kho mob siab heev thiab kev saib xyuas.
Kev koom nrog hauv kev sim tshuaj ntsuam xyuas yuav muab kev nkag mus rau cov kev kho tshiab thiab pab txhawb kev nce qib hauv kev kho mob ntsws cancer. Kev sim tshuaj yog ua tib zoo saib xyuas cov kev tshawb fawb tshawb fawb uas sim cov kev kho tshiab. Koj tus kws kho mob oncologist tuaj yeem pab koj txiav txim siab yog tias kev koom tes hauv kev sim tshuaj yog tsim nyog rau koj qhov xwm txheej. Cov National Institutes of Health (NIH) lub website muab cov ntaub ntawv qhia dav dav ntawm kev sim tshuaj tsis tu ncua.
| Kev kho mob xaiv | Qhov zoo | Qhov tsis zoo |
|---|---|---|
| Kev phais phais | Kev kho mob siab rau cov qog nqaij hlav thaum ntxov, muaj peev xwm tshem tawm cov qog ua kom tiav. | Invasiveness, pheej hmoo ntawm teeb meem, lub sij hawm rov qab. |
| Kev kho hluav taws xob | Lub hom phiaj meej ntawm cov qog, tuaj yeem siv ua ke nrog kev phais. | Tej yam tshwm sim xws li qaug zog thiab khaus tawv nqaij. |
| Tshuaj kho mob | Kev kho mob, tuaj yeem ncav cuag micrometastases. | Cov kev mob tshwm sim tseem ceeb, muaj peev xwm rau toxicity. |
Disclaimer: Cov ntaub ntawv no yog rau kev paub dav dav thiab tsis yog cov lus qhia kho mob. Nco ntsoov sab laj nrog koj tus kws kho mob lossis lwm tus kws kho mob uas tsim nyog rau cov lus nug uas koj muaj txog kev mob nkeeg.