
Qib 3 uas tsis yog mob qog noj ntshav me me (NSCLC) yog qhov mob hnyav, tab sis kev nce qib hauv kev kho mob muaj kev cia siab. Phau ntawv qhia no muab cov ntsiab lus ntawm muaj Kev kho mob theem 3 uas tsis yog me me ntawm lub ntsws cancer kho Cov Tsev Kho Mob thiab cov kev xaiv kho mob, hais txog qhov tseem ceeb ntawm kev saib xyuas tus kheej thiab nrhiav cov kws kho mob cov lus qhia. Nkag siab txog koj txoj kev npaj kho mob yog qhov tseem ceeb rau kev taug kev nyuaj no. Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob hloov cov kev taw qhia kws kho mob.
Theem 3 NSCLC tau muab faib ua theem IIIA thiab IIIB, qhia txog kev kis mob qog noj ntshav. Theem IIIA cuam tshuam txog kev mob qog noj ntshav mus rau cov qog ntshav nyob ze, thaum Theem IIIB suav nrog kev koom tes ntawm cov qog ntshav qab zib ntau dua thiab / lossis kis mus rau cov qauv nyob ze. Txoj kev kho mob tshwj xeeb yuav nyob ntawm ntau yam, suav nrog theem meej, tus neeg mob tag nrho kev noj qab haus huv, thiab qog cov yam ntxwv (xws li noob caj noob ces thiab molecular profile).
Rau qee tus neeg mob nrog Theem 3 NSCLC, kev phais yuav yog ib qho kev xaiv, uas muaj feem cuam tshuam nrog kev tshem tawm cov qog thiab cov qog nqaij hlav nyob ib puag ncig. Qhov ua tau ntawm kev phais yog nyob ntawm qhov chaw thiab qhov loj ntawm cov qog thiab tus neeg mob qhov kev noj qab haus huv tag nrho. Kev phais yuav muaj xws li lobectomy (tshem tawm ntawm lub ntsws ntawm lub ntsws) lossis pneumonectomy (tshem tawm tag nrho lub ntsws). Kev saib xyuas tom qab ua haujlwm yog qhov tseem ceeb rau kev rov qab los.
Kev siv tshuaj khomob siv tshuaj los rhuav tshem cov qog nqaij hlav cancer. Nws feem ntau siv ua ntej kev phais (neoadjuvant chemotherapy) kom txo cov qog, ua rau kev phais zoo dua, lossis tom qab phais (adjuvant chemotherapy) txhawm rau tshem tawm cov qog nqaij hlav uas tseem tshuav. Muaj ntau yam kev kho mob chemotherapy, raws li tus neeg mob xav tau. Cov kev mob tshwm sim muaj tshwm sim thiab sib txawv nyob ntawm cov tshuaj siv tshwj xeeb.
Kev kho hluav taws xob siv hluav taws xob hluav taws xob siab rau lub hom phiaj thiab tua cov qog nqaij hlav cancer. Nws tuaj yeem siv ib leeg lossis ua ke nrog lwm yam kev kho mob. Sab nrauv kab hluav taws xob kho mob feem ntau yog ua haujlwm, coj hluav taws xob tawm sab nraud ntawm lub cev mus rau qhov chaw qog. Kev kho hluav taws xob tuaj yeem ua rau muaj kev phiv, nrog rau kev qaug zog thiab khaus tawv nqaij.
Targeted therapy tshuaj tsom rau cov molecules tshwj xeeb hauv cov qog nqaij hlav cancer, cuam tshuam lawv txoj kev loj hlob thiab kev sib kis. Cov kev kho mob no feem ntau siv thaum muaj kev hloov pauv caj ces muaj nyob hauv cov qog. Qhov ua tau zoo ntawm kev kho mob yog nyob ntawm tus qog cov caj ces. Kev saib xyuas tsis tu ncua yog xav tau los ntsuas qhov kev kho mob zoo thiab tswj xyuas cov kev mob tshwm sim.
Immunotherapy pab lub cev tiv thaiv kab mob tiv thaiv kab mob qog noj ntshav. Nws ua haujlwm los ntawm kev txhawb lub cev tiv thaiv kab mob kom paub txog thiab tua cov qog nqaij hlav cancer. Muaj ntau cov tshuaj tiv thaiv kab mob, txhua tus muaj cov txheej txheem tshwj xeeb ntawm kev ua. Immunotherapy tuaj yeem tsim cov lus teb ntev ntev tab sis kuj tuaj yeem muaj cov kev mob tshwm sim uas yuav tsum tau saib xyuas ze.
Xaiv lub tsev kho mob zoo yog qhov tseem ceeb. Xav txog yam xws li tsev kho mob kev paub txog kev kho mob qog noj ntshav, kev txawj ntse ntawm nws cov kws kho mob oncologist thiab kws phais neeg, kev nkag mus rau cov thev naus laus zis kho mob (xws li kev phais neeg hlau lossis cov txheej txheem hluav taws xob siab), thiab muaj cov kev pabcuam txhawb nqa. Kev tshuaj xyuas tus neeg mob thiab cov lus pom zoo los ntawm lwm tus neeg mob kuj tseem muaj txiaj ntsig.
Cov Shandong Baofa Cancer Research Institute yog ib lub tsev kawm ua thawj coj uas mob siab rau muab kev kho mob qog noj ntshav hauv lub xeev. Lawv txoj kev mob siab rau kev saib xyuas tus neeg mob, ua ke nrog cov thev naus laus zis kho mob siab, ua rau lawv muaj txiaj ntsig zoo rau cov tib neeg uas ntsib qhov kev nyuaj no.
Nws yog ib qho tseem ceeb kom nco ntsoov tias txhua tus neeg txoj kev mob qog noj ntshav yog qhov tshwj xeeb. Cov phiaj xwm kho mob raug kho raws li cov xwm txheej ntawm tus kheej, thiab qhib kev sib txuas lus nrog koj pab neeg kho mob yog qhov tseem ceeb. Tsis txhob ua siab deb nug cov lus nug, qhia koj cov kev txhawj xeeb, thiab koom tes nrog kev txiav txim siab txog koj txoj kev kho mob. Cov pab pawg txhawb nqa thiab cov kev pab sab laj tuaj yeem pab txhawb kev xav thiab kev ua tau zoo.
| Hom Kev Kho Mob | Cov txiaj ntsig muaj peev xwm | Tej yam tshwm sim |
|---|---|---|
| Kev phais | Ua kom tiav cov qog tshem tawm | Mob, kab mob, ua pa nyuaj |
| Tshuaj kho mob | Txo cov qog, tua cov qog nqaij hlav cancer | xeev siab, ntuav, plaub hau poob, qaug zog |
| Kev kho hluav taws xob | Targeting thiab tua cov qog nqaij hlav cancer | Cov tawv nqaij khaus, nkees, xeev siab |
Disclaimer: Cov ntaub ntawv no yog siv rau kev kawm nkaus xwb thiab yuav tsum tsis txhob suav hais tias yog cov lus qhia kho mob. Nco ntsoov sab laj nrog tus kws kho mob kom kuaj xyuas thiab kho txhua yam mob.