chithandizo siteji 3 sanali yaing'ono cell khansa ya m'mapapo chithandizo Zipatala

Njira Zochiritsira za Gawo 3 Khansa Yam'mapapo Yosakhala Yang'ono Yang'ono (NSCLC)

Gawo 3 la khansa ya m'mapapo yopanda yaying'ono (NSCLC) ndiyomwe imadziwika bwino, koma kupita patsogolo kwamankhwala kumapereka chiyembekezo. Bukuli likupereka mwachidule zomwe zilipo chithandizo siteji 3 sanali yaing'ono cell khansa ya m'mapapo chithandizo Zipatala ndi njira zamankhwala, kutsindika kufunikira kwa chisamaliro chamunthu payekha komanso kufunafuna upangiri wachipatala wa akatswiri. Kumvetsetsa dongosolo lanu lamankhwala ndikofunikira kuti muyende paulendo wovutawu. Izi ndi zongophunzitsa zokha ndipo siziyenera kulowa m'malo mwa upangiri wachipatala.

Kumvetsetsa Gawo 3 NSCLC

Gawo 3 NSCLC lagawidwa mu Gawo IIIA ndi IIIB, kuwonetsa kukula kwa khansa. Gawo la IIIA limakhudza kufalikira kwa khansa ku ma lymph nodes omwe ali pafupi, pomwe Gawo IIIB limaphatikizapo kukhudzidwa kwambiri ndi / kapena kufalikira kumagulu oyandikana nawo. Njira yeniyeni yochizira imatengera zinthu zingapo, kuphatikiza siteji yeniyeni, thanzi la wodwalayo, komanso mawonekedwe a chotupacho (monga chibadwa ndi mawonekedwe a maselo).

Njira Zochiritsira za Gawo 3 NSCLC

Opaleshoni

Kwa odwala ena omwe ali ndi Gawo 3 NSCLC, opaleshoni ikhoza kukhala njira, yomwe ingaphatikizepo kuchotsa chotupacho ndi ma lymph nodes ozungulira. Kuthekera kwa opaleshoni kumadalira malo ndi kukula kwa chotupacho komanso thanzi la wodwalayo. Njira zopangira opaleshoni zingaphatikizepo lobectomy (kuchotsa lobe ya m'mapapo) kapena pneumonectomy (kuchotsa mapapu onse). Chisamaliro cha postoperative ndichofunikira kwambiri pakuchira.

Chemotherapy

Chemotherapy imagwiritsa ntchito mankhwala kuti awononge maselo a khansa. Amagwiritsidwa ntchito nthawi zambiri asanachite opaleshoni (neoadjuvant chemotherapy) kuti achepetse chotupacho, kupangitsa opaleshoni kukhala yothandiza kwambiri, kapena pambuyo pa opaleshoni (adjuvant chemotherapy) kuti athetse ma cell a khansa omwe atsala. Pali mitundu yosiyanasiyana ya mankhwala a chemotherapy, yogwirizana ndi zosowa za wodwala aliyense. Zotsatira zake zimakhala zofala ndipo zimasiyana malinga ndi mankhwala omwe amagwiritsidwa ntchito.

Chithandizo cha radiation

Thandizo la radiation limagwiritsa ntchito ma radiation amphamvu kwambiri kulunjika ndi kupha maselo a khansa. Itha kugwiritsidwa ntchito yokha kapena kuphatikiza ndi mankhwala ena. Thandizo la radiation lakunja limagwiritsidwa ntchito nthawi zambiri, kuwongolera ma radiation kuchokera kunja kwa thupi kupita kumalo otupa. Chithandizo cha radiation chikhoza kukhala ndi zotsatirapo zake, kuphatikizapo kutopa ndi kupsa mtima pakhungu.

Chithandizo Chachindunji

Mankhwala ochizira omwe amayang'aniridwa amayang'ana mamolekyu ena mkati mwa maselo a khansa, kulepheretsa kukula kwawo ndikufalikira. Mankhwalawa amagwiritsidwa ntchito nthawi zambiri pamene kusintha kwa majini kulipo m'chotupacho. Kuchita bwino kwa chithandizo chomwe mukufuna kuchiza kumadalira momwe chotupacho chilili. Kuwunika pafupipafupi ndikofunikira kuti muwone momwe mankhwalawa amathandizira ndikuwongolera zovuta zilizonse zomwe zingachitike.

Immunotherapy

Immunotherapy imathandiza chitetezo cha mthupi kulimbana ndi maselo a khansa. Zimagwira ntchito pokulitsa mphamvu ya chitetezo chamthupi kuzindikira ndikuukira maselo a khansa. Mankhwala angapo a immunotherapy alipo, iliyonse ili ndi njira zake zochitira. Immunotherapy imatha kutulutsa mayankho okhalitsa koma imathanso kukhala ndi zotsatirapo zomwe zimafunikira kuyang'anitsitsa.

Kusankha a Chithandizo Gawo 3 Zipatala Zam'mapapo Zopanda Ma cell Osachepera

Kusankha chipatala choyenera ndikofunikira. Ganizirani zinthu monga zomwe chipatalachi chakumana nacho pochiza khansa ya m'mapapo, ukatswiri wa akatswiri ake a oncology ndi maopaleshoni, mwayi wopeza chithandizo chamankhwala apamwamba (monga opaleshoni ya robotic kapena njira zapamwamba zama radiation), komanso kupezeka kwa chithandizo chokwanira. Ndemanga za odwala ndi malingaliro ochokera kwa odwala ena angakhalenso ofunika.

The Shandong Baofa Cancer Research Institute ndi bungwe lotsogola lodzipereka popereka chithandizo chamakono cha khansa. Kudzipereka kwawo pakusamalira odwala, kuphatikiza ndi matekinoloje apamwamba azachipatala, kumawapangitsa kukhala chida chofunikira kwa anthu omwe akukumana ndi vutoli.

Mfundo Zofunika

Ndikofunika kukumbukira kuti ulendo wa khansa wa munthu aliyense ndi wapadera. Mapulani a chithandizo amapangidwa mogwirizana ndi momwe munthu aliyense payekhapayekha, ndipo kulankhulana momasuka ndi gulu lanu lazaumoyo ndikofunikira. Osazengereza kufunsa mafunso, kufotokoza zakukhosi kwanu, ndi kutenga nawo mbali popanga zisankho zamankhwala anu. Magulu othandizira ndi chithandizo cha uphungu angapereke chithandizo chamtengo wapatali chamaganizo ndi chothandiza.

Chodzikanira: Izi ndi zongophunzitsa zokha ndipo siziyenera kutengedwa ngati upangiri wachipatala. Nthawi zonse funsani akatswiri azachipatala kuti mudziwe ndi kuchiza matenda aliwonse.