Phekolo e theko e tlaase ea liphatsa tsa lefutso tsa mofetše oa matšoafo

Kalafo e Cheap ea Phetoho ea Liphatsa tsa lefutso ea Kankere ea Matšoafo: Ho Utloisisa Likhetho tsa HaoHo utloisisa likhetho tsa Kalafo e theko e tlaase ea liphatsa tsa lefutso tsa kankere ea matšoafo e ka ba phephetso. Tataiso ena e fana ka kakaretso e akaretsang ea liphekolo tse fumanehang, e shebane le mekhoa e sa jeng chelete e ngata ha e ntse e netefatsa tlhokomelo ea boleng. Re hlahloba mekhoa e fapaneng ea kalafo, re buisana ka lintlha tse susumetsang litšenyehelo, 'me re totobatsa lisebelisoa tse tla u thusa ho tsamaea leetong lena le rarahaneng.

Ho utloisisa Phetoho ea Liphatsa tsa lefutso ho Kankere ea Matšoafo

Mefuta ea Liphetoho tsa Liphatsa tsa lefutso

Kankere ea matšoafo hase lefu le le leng; ke pokello ea mafu a fapaneng a khetholloang ka ho fetoha ha liphatsa tsa lefutso. Liphetoho tsena li ka ama mekhoa ea phekolo le prognosis haholo. Liphetoho tse tloaelehileng li kenyelletsa EGFR, ALK, ROS1, le BRAF. Ho khetholla phetoho e khethehileng ke ea bohlokoa bakeng sa ho lokisa phekolo. Ho utloisisa boemo ba hau ba liphatsa tsa lefutso ho u lumella ho fumana phekolo e reretsoeng haholoanyane le e ka 'nang ea sebetsa haholoanyane, e ka amang katleho ea litšenyehelo ka tsela e sa tobang.

Tšusumetso ea Phetoho ea Liphatsa tsa lefutso ho Phekolo

Ho ba teng ha liphatsa tsa lefutso tse itseng ho susumetsa ka ho toba khetho ea phekolo. Ka mohlala, bakuli ba nang le liphetoho tsa EGFR ba ka rua molemo ho litlhare tse lebisitsoeng tse kang tyrosine kinase inhibitors (TKIs), hangata li bontša hore li sebetsa hantle ebile li le chefo ho feta chemotherapy ea setso. Ka mokhoa o ts'oanang, liphetoho tsa ALK le ROS1 le tsona li arabela hantle ho liphekolo tse lebisitsoeng. Ho utloisisa liphetoho tsena ho bohlokoa ho etsa liqeto tse nang le tsebo mabapi le boemo ba hau Kalafo e theko e tlaase ea liphatsa tsa lefutso tsa kankere ea matšoafo.

Khetho ea Kalafo bakeng sa Phetoho ea Liphatsa tsa lefutso Kankere ea Matšoafo

Targeted Therapy

Litlhare tse reriloeng ke lithethefatsi tse etselitsoeng ho hlasela lisele tse itseng tsa mofetše ka liphetoho tse itseng tsa lefutso, ho fokotsa tšenyo ea lisele tse phetseng hantle. Hangata mokhoa ona o lebisa ho mamello e ntle le litla-morao tse fokolang ha li bapisoa le chemotherapy, tse ka lebisang ho theola litšenyehelo tsa nako e telele tsa tlhokomelo ea bophelo tse amanang le ho laola litla-morao. Mehlala e kenyelletsa li-TKI tse kang afatinib, gefitinib, erlotinib (bakeng sa liphetoho tsa EGFR), le crizotinib (bakeng sa liphetoho tsa ALK le ROS1).

Chemotherapy

Le ha chemotherapy e ntse e le motheo oa kalafo ea mofetše oa matšoafo, kalafo e lebisitsoeng hangata e ratoa ho bakuli ba nang le liphetoho tse itseng tsa lefutso ka lebaka la ts'ebetso ea eona e ntlafalitsoeng le mamello. Chemotherapy e ntse e ka sebelisoa hammoho le liphekolo tse lebisitsoeng kapa e le mokhoa oa ho pholosa haeba liphekolo tse ling li hlōleha. Litsenyehelo tsa chemotherapy li ka fapana ho latela mofuta o itseng.

Immunotherapy

Immunotherapy e sebelisa matla a sesole sa 'mele sa mokuli ho loantša lisele tsa mofetše. Liphetoho tse ling tsa lefutso li ka susumetsa katleho ea immunotherapy. Litsenyehelo tsa immunotherapy e ka ba tse ngata, empa melemo ea eona ea nako e telele e ka fokotsa litšenyehelo tsa pele maemong a itseng.

Phekolo ea Mahlaseli

Kalafo ea radiation e ka sebelisoa ho lebisa le ho senya lisele tsa mofetše, hangata li kopane le liphekolo tse ling. Ka linako tse ling ke khetho e bolokang chelete e ngata, haholo-holo bakeng sa mafu a sebakeng seo.

Lintlha tse Amang Litšenyehelo tsa Kalafo

Litsenyehelo tsa Kalafo e theko e tlaase ea liphatsa tsa lefutso tsa kankere ea matšoafo e ka fapana haholo ho latela lintlha tse 'maloa:| Ntlha | Kameho ho Litšenyehelo Mofuta oa Kalafo | Liphekolo tse lebelloang li ka bitsa chelete e ngata, athe chemotherapy e ka fapana ka litšenyehelo. | Mothati oa Kankere | Mekhahlelo ea pejana ka kakaretso e hloka kalafo e matla le e sa tureng. | Nako ea Kalafo | Linako tse telele tsa kalafo li eketsa litšenyehelo ka kakaretso. | Sepetlele kapa Tleliniki | Litšenyehelo lia fapana lipakeng tsa bafani ba tlhokomelo ea bophelo ba fapaneng. | Tšireletso ea Inshorense | Merero ea inshorense e ama haholo litšenyehelo tse tsoang pokothong. |

Ho Fumana Likhetho tsa Kalafo tse Rekoang

Ho latela likarolo tsa lichelete tsa kalafo ea mofets'e ho ka ba boima haholo. Lisebelisoa tse 'maloa li ka u thusa ho fumana tlhokomelo e theko e tlaase: Mananeo a thuso ea mokuli: Lik'hamphani tse ngata tsa meriana li fana ka mananeo a thuso ea lichelete ho thusa bakuli ho lefella meriana ea bona. Liteko tsa bongaka: Ho nka karolo litekong tsa bongaka ho ka fana ka phihlello ea liphekolo tsa maemo a holimo ka theko e tlase. Kamehla buisana le ngaka ea hau. Mekhatlo ea lithuso tsa lichelete: Mekhatlo e mengata e sa etseng phaello e fana ka thuso ea lichelete ho bakuli ba mofetše ba tobaneng le mathata a lichelete.Hopola, ha u ntse u batla mekhoa e ka rekoang, ho beha boleng ba tlhokomelo pele ho ntse ho le bohlokoa. Ho buisana ka likhetho tsohle le oncologist ea hau ho netefatsa hore o fumana moralo o motle ka ho fetisisa oa kalafo. Bakeng sa tlhokomelo e felletseng ea mofets'e le lipatlisiso, nahana ka ho hlahloba lisebelisoa joalo ka Setsi sa Patlisiso sa Kankere sa Shandong Baofa (https://www.baofahospital.com/). Tlhahisoleseding ena e reretsoe merero ea thuto feela 'me ha e kopanele keletso ea bongaka. Kamehla buisana le mofani oa tlhokomelo ea bophelo bakeng sa tataiso ea hau.