Gawo 3 Chithandizo cha khansa ya m'mapapo yosakhala yaying'ono

Gawo 3 Njira Zopangira Khansa Yam'mapapo Yam'mapapo Yosakhala Yaing'ono Nkhaniyi ikupereka chithunzithunzi chokwanira cha njira zothandizira khansa ya m'mapapo yomwe si yaing'ono ya cell 3 (NSCLC), kuphatikizapo opaleshoni, chemotherapy, radiation therapy, target therapy, and immunotherapy. Imafufuza zakupita patsogolo kwaposachedwa ndikuthandizira odwala kumvetsetsa zomwe asankha pokambirana ndi oncologist wawo.

Gawo 3 Njira Zochizira Khansa Yam'mapapo Yosakhala Yaing'ono

Gawo 3 kansa ya m'mapapo yosakhala yaing'ono (NSCLC) ndi matenda oopsa, koma kupita patsogolo kwachipatala kumapereka njira zingapo zothandizira. Njira yabwino kwambiri imatengera zinthu zosiyanasiyana, kuphatikiza mtundu ndi gawo la khansa, thanzi lanu lonse, komanso zomwe mumakonda. Nkhaniyi ikufuna kukudziwitsani bwino za chithandizo chomwe chilipo, koma ndikofunikira kukumbukira kuti chidziwitsochi sichiyenera kulowa m'malo mwa kukambirana ndi dokotala wanu. Adzapanga dongosolo lachithandizo lamunthu payekha malinga ndi mikhalidwe yanu yapadera.

Kumvetsetsa Gawo 3 NSCLC

Gawo 3 la NSCLC lagawidwa mu magawo IIIA ndi IIIB, kuwonetsa kukula kwa khansa. Gawo la IIIA limakhudza khansa yomwe yafalikira ku ma lymph nodes oyandikana nawo, pomwe IIIB imaphatikizapo kukhudzidwa kwambiri ndi ma lymph node komanso ziwalo zomwe zingakhale pafupi. Masitepe olondola ndi ofunikira kuti mudziwe njira yothandizira kwambiri. Mayesero oyerekeza monga CT scans ndi PET scans amagwiritsidwa ntchito kuti awonetsetse khansa.

Njira Zochiritsira za Gawo 3 NSCLC

Opaleshoni

Opaleshoni ikhoza kukhala njira kwa odwala ena omwe ali ndi gawo 3 la NSCLC, makamaka omwe ali ndi matenda am'deralo. Mtundu wa opaleshoni yochitidwa zimadalira malo ndi kukula kwa chotupacho. Zingaphatikizepo kuchotsa chotupacho ndi gawo la mapapo (lobectomy kapena pneumonectomy) ndi ma lymph nodes omwe angakhudzidwe. Zosankha za opaleshoni nthawi zambiri zimawunikidwa potengera zomwe zimachitika pagulu lamagulu osiyanasiyana. Shandong Baofa Cancer Research Institute imapereka ukadaulo wokwanira wa opaleshoni ya oncology.

Chemotherapy

Chemotherapy, kugwiritsa ntchito mankhwala kuti aphe maselo a khansa, ndi njira yochizira pagawo 3 kansa ya m'mapapo yosakhala yaing'ono. Itha kugwiritsidwa ntchito musanachite opaleshoni (neoadjuvant chemotherapy) kuti muchepetse chotupacho, pambuyo pa opareshoni (adjuvant chemotherapy) kuti muchepetse chiopsezo choyambiranso, kapena ngati chithandizo choyambirira ngati opaleshoni sikutheka. Pali mitundu yosiyanasiyana ya mankhwala a chemotherapy, ndipo kusankha kumadalira pa zinthu monga thanzi la wodwalayo komanso mawonekedwe ake enieni a chotupa.

Chithandizo cha radiation

Chithandizo cha radiation chimagwiritsa ntchito cheza champhamvu kwambiri kuti chiwononge maselo a khansa. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi chemotherapy pagawo 3 kansa ya m'mapapo yosakhala yaing'ono, nthawi imodzi kapena motsatizana. Chithandizo cha radiation chingathandize kuchepetsa zotupa, kuchepetsa zizindikiro, komanso kupulumutsa moyo. Stereotactic body radiation therapy (SBRT) ndi njira yolondola kwambiri yothandizira ma radiation yomwe imapereka milingo yayikulu ya radiation ku chotupacho ndikuchepetsa kuwonongeka kwa minofu yozungulira yathanzi.

Chithandizo Chachindunji

Mankhwala omwe akuyembekezeredwa ndi mankhwala omwe amayang'ana makamaka ma cell a khansa potengera masinthidwe awo. Ngati wanu kansa ya m'mapapo yosakhala yaing'ono ali ndi kusintha kwina kwa majini, monga kusintha kwa EGFR kapena ALK rearrangements, mankhwala omwe akuwongolera angakhale njira yabwino yothandizira. Njira zochiritsirazi zimapereka zinthu zomwe zimayang'aniridwa kwambiri, zomwe zimakhala ndi zotsatirapo zochepa poyerekeza ndi mankhwala achikhalidwe. Shandong Baofa Cancer Research Institute amagwiritsa ntchito njira zamakono ndi matekinoloje kuwunika mbiri ya majini.

Immunotherapy

Immunotherapy imagwiritsa ntchito chitetezo chamthupi kulimbana ndi khansa. Mankhwala a Immunotherapy, monga ma checkpoint inhibitors, amatha kuthandizira chitetezo chamthupi kuzindikira ndikuukira maselo a khansa bwino. Immunotherapy imagwiritsidwa ntchito kwambiri pochiza kansa ya m'mapapo yosakhala yaing'ono, kaŵirikaŵiri limodzi ndi machiritso ena, ndipo wasonyeza kulonjeza m’kuwongolera zotulukapo za odwala ena. Chithandizo chamtunduwu chakhala patsogolo kwambiri kwa odwala ena.

Kusankha Njira Yoyenera ya Chithandizo

Dongosolo labwino kwambiri lamankhwala la gawo 3 kansa ya m'mapapo yosakhala yaing'ono zimatsimikiziridwa ndi gulu la akatswiri azaumoyo osiyanasiyana, kuphatikiza akatswiri a oncologists, maopaleshoni, ma radiation oncologists, ndi akatswiri ena. Adzalingalira mozama za moyo wanu, monga thanzi lanu lonse, kukula kwa khansa, ndi zomwe mumakonda, kuti mupange njira yochiritsira yokhazikika komanso yokwanira. Kulankhulana momasuka ndi gulu lanu lazaumoyo ndikofunikira panthawi yonse ya chithandizo.

Mayesero Achipatala

Kutenga nawo mbali m'mayesero azachipatala kumatha kupereka mwayi wopeza chithandizo chanthawi zonse ndikuthandizira kupita patsogolo kansa ya m'mapapo yosakhala yaing'ono kafukufuku. Katswiri wanu wa oncologist atha kukambirana ngati kutenga nawo mbali pamayesero azachipatala kungakhale koyenera kwa inu.

Chodzikanira: Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani ndi wothandizira zaumoyo wanu zokhudzana ndi thanzi lanu kapena musanapange zisankho zokhudzana ndi thanzi lanu kapena chithandizo chanu.