
Inqanaba 0 lomhlaza wemiphunga, nokwaziwa ngokuba yi-carcinoma in situ, lelona nqanaba lokuqala lomhlaza wemiphunga. Kubalulekile ukuqonda iindlela zonyango kunye neendleko ukwenza izigqibo ezizizo. Esi sikhokelo siphonononga iindlela ezahlukeneyo, sijolise ekufikeleleni nasekusebenzeni. Ukufunyaniswa kwangoko ngundoqo kunyango oluyimpumelelo, kwaye ukuqonda ukhetho lwakho linyathelo lokuqala. Siza kuphonononga iindlela ezahlukeneyo zonyango kunye nezinto ezichaphazela iindleko.
Inqanaba 0 lomhlaza wemiphunga libonakaliswa ziiseli ezingaqhelekanga ezivaleleke kwinwebu yeendlela zomoya (bronchi). Ezi seli azikangeni kwizicubu ezijikelezileyo. Ngenxa yokuba ibekwe kwindawo, inezinga eliphezulu lokunyanga ngonyango olufanelekileyo. Ukungabikho kokusasazeka kuchaphazela kakhulu ukhetho lonyango kunye ne-prognosis iyonke. Ukufunyaniswa kwangethuba yeyona nto ibalulekileyo ukuze kusebenze kwaye kudla ngokungabizi kakhulu isigaba cheap 0 unyango umhlaza wemiphunga.
Ukuxilongwa ngokuqhelekileyo kubandakanya i-biopsy, enceda ukufumanisa uhlobo kunye nenqanaba lomhlaza. Iimvavanyo zokucinga ezifana ne-CT scans kunye ne-bronchoscopy zibalulekile ekuvavanyeni ubungakanani besi sifo. Imbali yonyango eneenkcukacha kunye nokuhlolwa komzimba nazo ziyinxalenye ebalulekileyo yenkqubo yokuxilongwa. Ukuchaneka kokuxilongwa kuchaphazela ngokuthe ngqo ukhetho lwe isigaba cheap 0 unyango umhlaza wemiphunga iqhinga.
Utyando lolona nyango luphambili kwiSigaba 0 somhlaza wemiphunga. I-lobectomy isusa yonke i-lung lobe, ngelixa i-wedge resection isusa icandelo elincinci lomphunga eliqulethe iiseli ezinomhlaza. Ukhetho phakathi kwezi nkqubo luxhomekeke kwindawo yethumba kunye nobukhulu. Iindleko zotyando zinokwahluka kakhulu ngokusekelwe esibhedlele kunye nogqirha wotyando, okuchaphazela ixabiso elipheleleyo le isigaba cheap 0 unyango umhlaza wemiphunga. Uvavanyo lwaphambi kotyando lubalulekile ekumiseleni eyona ndlela ifanelekileyo yotyando kunye nokuxela kwangaphambili iingxaki ezinokubakho.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ingasetyenziswa njengenye indlela yotyando kwezinye iimeko, ngakumbi kwizigulane ezingabaviwa botyando. Ukusebenza kunye neendleko zonyango ngemitha zixhomekeke kwisixhobo esisetyenziswayo, idosi yemitha, kunye nobude bonyango. Iziphumo ebezingalindelekanga zonyango lwemitha, kunye nolawulo lwabo, lungongeza kwiindleko zizonke isigaba cheap 0 unyango umhlaza wemiphunga.
Ngelixa ingaqhelekanga kwiNqanaba 0, ezinye iindlela zonyango zinokuqwalaselwa ngokuxhomekeke kwiimeko zomntu ngamnye. Oku kunokubandakanya unyango ekujoliswe kulo okanye ichemotherapy, nangona ezi zingasetyenziswa rhoqo kweli nqanaba lokuqala. Isigqibo sokulandela nayiphi na kwezi kufuneka senziwe ngokubonisana ngokusondeleyo ne-oncologist. Ukuphonononga zonke iinketho kunceda izigulana zifumane ezona zisebenzayo kwaye zifikelelekayo isigaba cheap 0 unyango umhlaza wemiphunga isicwangciso.
Iindleko ze isigaba cheap 0 unyango umhlaza wemiphunga inokwahluka ngokubanzi ngokuxhomekeke kwizinto ezininzi. Ezi ziquka:
| Umba | Impembelelo kwiindleko |
|---|---|
| Uhlobo lotyando (Lobectomy vs. Wedge resection) | I-lobectomy ngokubanzi ibanzi kwaye ngoko ibiza kakhulu. |
| Indawo yesibhedlele kunye nohlobo | Izibhedlele zokufundisa eziphambili zihlala zibiza kakhulu kunezibhedlele ezincinci zasekuhlaleni. |
| Ubude bexesha lokuhlala esibhedlele | Ukuhlala ixesha elide konyusa iindleko ezinxulumene negumbi kunye nebhodi, ukhathalelo lokonga, kunye nezinye iinkonzo. |
| Isidingo sonyango olongezelelweyo (umzekelo, unyango ngemitha) | Unyango ngemitha yongeza kwindleko yonyango iyonke. |
| Ukhuseleko lwe-inshurensi | I-inshurensi inefuthe elikhulu kwiindleko eziphuma epokothweni. |
Ukufumana okufikelelekayo isigaba cheap 0 unyango umhlaza wemiphunga kufuna ukucwangciswa ngenyameko kunye nophando. Ukuphonononga iinketho ezifana nezibhedlele zasekuhlaleni, ukuthethathethana nababoneleli bezempilo, kunye nokuphonononga iinkqubo zoncedo lwemali ngamanyathelo abalulekileyo. Kukwabalulekile ukuba uyiqonde kakuhle i-inshorensi yakho kunye neendleko eziphuma epokothweni phambi kokuba wenze naziphi na izigqibo.
Ngolwazi oluthe vetshe kunye noncedo, unganqwenela ukubonisana naye IZiko loPhando ngoMhlaza laseShandong Baofa. Khumbula ukuba uhlala udibana nogqirha wakho okanye i-oncologist ukumisela eyona ndlela ilungileyo yokwenza kwimeko yakho ethile.
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.
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