
Cov lus qhia dav dav no yuav pab koj nkag siab txog theem 2B txoj kev kho mob ntsws cancer thiab nrhiav cov tsev kho mob muaj koob npe muab kev saib xyuas zoo tshaj plaws. Peb npog cov kev kho mob, yam cuam tshuam rau kev xaiv tsev kho mob, thiab cov peev txheej los pab koj txoj kev txiav txim siab. Kawm paub txog qhov kev nce qib tshiab kawg thiab yuav ua li cas rau kev taug kev nyuaj no.
Qib 2B mob qog noj ntshav qhia tau tias mob qog noj ntshav tau kis mus rau cov qog nqaij hlav nyob ze, tab sis tsis mus rau qhov chaw nyob deb ntawm lub cev. Siv tau kev kho mob theem 2b kho mob ntsws cancer nyob ntawm ntau yam, nrog rau hom mob qog noj ntshav, qhov loj thiab qhov chaw ntawm cov qog, tus neeg mob qhov kev noj qab haus huv tag nrho, thiab kev nyiam ntawm tus kheej. Kev xaiv kev kho mob feem ntau muaj kev sib xyaw ua ke, txhawm rau ua kom tiav cov qog tshem tawm lossis txo qis.
Feem ntau kev kho mob theem 2b kho mob ntsws cancer txoj kev muaj xws li:
Kev phais, feem ntau yog lobectomy (tshem tawm ntawm lub ntsws lobe) los yog pneumonectomy (tshem tawm tag nrho lub ntsws), yog ib qho kev kho mob tseem ceeb rau ntau theem 2B mob ntsws cancer. Lub hom phiaj yog kom tshem tawm cov qog nqaij hlav cancer kom tiav. Kev phais txoj kev vam meej nyob ntawm cov yam xws li qog qhov chaw thiab tus neeg mob qhov kev noj qab haus huv tag nrho.
Tshuaj kho mob siv tshuaj muaj zog los tua cov qog nqaij hlav cancer. Nws yuav siv tau ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, tom qab phais (adjuvant chemotherapy) kom txo tau qhov kev pheej hmoo ntawm rov tshwm sim dua, los yog kev kho thawj zaug yog kev phais tsis yog kev xaiv. Feem ntau siv cov tshuaj khomob rau kev mob qog noj ntshav muaj xws li cisplatin thiab carboplatin, feem ntau ua ke nrog lwm cov tshuaj.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob ua kom puas thiab tua cov qog nqaij hlav cancer. Nws tuaj yeem siv ua ntej kev phais kom txo cov qog, tom qab kev phais kom tua cov qog nqaij hlav cancer uas tseem tshuav, lossis ua thawj txoj kev kho mob yog tias phais tsis tau. Stereotactic body radiotherapy (SBRT) yog ib daim ntawv qhia meej heev ntawm kev kho hluav taws xob uas xa cov hluav taws xob ntau rau cov qog thaum txo qis kev puas tsuaj rau cov ntaub so ntswg nyob ib puag ncig.
Targeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer, txo qis kev puas tsuaj rau cov hlwb noj qab haus huv. Cov kev kho no yog tsim los rau cov kev hloov caj ces tshwj xeeb uas pom hauv cov qog nqaij hlav cancer. Qhov ua tau zoo ntawm kev kho mob yog nyob ntawm seb muaj cov cim caj ces hauv cov qog.
Immunotherapy boosts lub cev lub cev tiv thaiv kab mob los tua cov qog nqaij hlav cancer. Nws yog ib qho kev cog lus kev kho mob, feem ntau siv nrog rau lwm yam kev kho mob. Kev xaiv ntawm immunotherapy nyob ntawm seb yam xws li hom thiab theem ntawm kev mob ntsws cancer.
Xaiv lub tsev kho mob rau kev kho mob theem 2b kho mob ntsws cancer yuav tsum tau ua tib zoo xav. Nrhiav:
Ib pab neeg ntawm cov kws tshaj lij thiab paub txog oncologist thiab kws phais neeg thoracic yog qhov tseem ceeb. Tshawb nrhiav lub tsev kho mob cov neeg ua haujlwm kho mob, lawv cov ntaub ntawv pov thawj, thiab lawv cov kev paub txog kev kho mob ntsws cancer.
Xyuas kom lub tsev kho mob muaj kev nkag mus rau cov thev naus laus zis kho tshiab, xws li cov txuj ci thev naus laus zis thev naus laus zis (SBRT), kev phais neeg hlau, thiab cov tshuaj khomob tam sim no thiab kev tiv thaiv kab mob.
Nrhiav cov tsev kho mob uas muab kev pab txhawb nqa dav dav, suav nrog kev kho mob palliative, kev txhawb nqa kev puas siab puas ntsws, thiab cov kev pab cuam kho mob. Cov kev pabcuam no tuaj yeem txhim kho lub neej zoo thaum lub sijhawm thiab tom qab kho.
Thaum cov txiaj ntsig ntawm tus kheej sib txawv, tshawb fawb lub tsev kho mob qhov ua tau zoo thiab cov txiaj ntsig ntawm tus neeg mob rau kev kho mob qog noj ntshav. Cov ntaub ntawv no tuaj yeem muab kev nkag siab zoo rau hauv tsev kho mob cov kws tshaj lij.
Ntau qhov kev pabcuam tuaj yeem pab koj nrhiav cov tsev kho mob tsim nyog rau kev kho mob theem 2b kho mob ntsws cancer:
Nco ntsoov, nrhiav lub tsev kho mob zoo yog ib kauj ruam tseem ceeb hauv koj txoj kev kho mob. Kev tshawb fawb zoo thiab qhib kev sib txuas lus nrog koj pab neeg kho mob yuav pab koj txiav txim siab paub.
Xav txog kev tshawb nrhiav kev txawj ntse muaj nyob ntawm Shandong Baofa Cancer Research Institute rau kev kho mob ntsws cancer siab heev. Lawv txoj kev mob siab rau kev kho tshiab thiab kev saib xyuas tus neeg mob ua rau lawv muaj peev xwm los tshawb nrhiav cov kev xaiv rau koj kev kho mob theem 2b kho mob ntsws cancer xav tau.