
Esi sikhokelo sibanzi sinceda abantu abajongene nokuxilongwa komhlaza wemiphunga we-adenocarcinoma e-China bajonge iindlela zonyango kwaye bafumane olona nyango lufumanekayo kufutshane nabo. Siphonononga iindlela ezahlukeneyo zonyango, ukubaluleka kokufunyanwa kwangoko, kunye nezinto ezibalulekileyo ekufuneka ziqwalaselwe xa ukhetha umboneleli wezempilo. Esi sikhokelo sigxininisa ukufikelela kulwazi oluthembekileyo kunye nezibonelelo zokuxhobisa ukuthathwa kwezigqibo ezinolwazi kwizigulane kunye neentsapho zabo.
I-Adenocarcinoma lolona hlobo luxhaphakileyo lomhlaza wemiphunga, ophuma kumadlala emiphungeni avelisa amadlala. Iimpawu zayo zinokuba zibuqili kumanqanaba okuqala, zihlala zilinganisa ezinye izifo zokuphefumla, ziqaqambisa ukubaluleka kokufunyanwa kwangoko ngokuvavanywa rhoqo.
Umhlaza wemiphunga we-Adenocarcinoma, njengamanye ama-cancer, uhlelwa ngokusekwe kubungakanani kunye nokusasazeka kwethumba. Ukuqonda isigaba kubalulekile ekumiseleni isicwangciso sonyango esifanelekileyo. Ukulinganisa ngokuqhelekileyo kwenziwa ngovavanyo lwe-imaging (CT scans, PET scans) kwaye ngamanye amaxesha i-biopsies. Ukufunyanwa kwangethuba kuphucula kakhulu iziphumo zonyango.
Utyando, olufana ne-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga wonke), inokuba lukhetho lomhlaza wemiphunga we-adenocarcinoma wesigaba sokuqala. Ukuba nokwenzeka kotyando kuxhomekeke kwizinto ezifana nendawo yethumba kunye nempilo yonke yesigulana. Ubuchwephesha obungenabuncinci busetyenziswa kakhulu ukunciphisa ixesha lokubuyisela kunye nokuphucula iziphumo zesigulane.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isenokusetyenziswa phambi kotyando (i-neoadjuvant chemotherapy) ukuthoba ithumba, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda, okanye njengonyango lokuqala lwesifo esikwinqanaba eliphezulu. Kukho iirejimeni ezahlukeneyo zechemotherapy, ezilungiselelwe iimfuno zesigulana kunye neempawu zethumba.
Unyango lweradiation lusebenzisa imitha yemitha ephezulu ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango. Unyango lwemitha yangaphandle lusetyenziswa ngokuqhelekileyo, ngelixa i-brachytherapy (i-radiation yangaphakathi) inokhetho kwiimeko ezithile. Ukuhanjiswa okuchanekileyo kwemitha yemitha kubalulekile ukunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza ezinotshintsho oluthile lwemfuza. Uvavanyo lweempawu ezithile zofuzo (umzekelo, i-EGFR, i-ALK) ibalulekile ukugqiba ukufaneleka kwonyango olujoliswe kuyo. Le ndlela inikezela ngokuchanekileyo ngakumbi kunye neziphumo ebezingalindelekanga ezimbalwa xa kuthelekiswa nechemotherapy yendabuko.
I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. I-immune checkpoint inhibitors luhlobo lwe-immunotherapy oluthintela iiprotheni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza. Olu lukhetho lonyango oluthembisayo kwiindidi ezininzi zomhlaza wemiphunga, kuquka i-adenocarcinoma.
Ukukhetha umboneleli wezempilo oqeqeshiweyo nonamava kubalulekile. Qwalasela ezi nkalo:
Kwizigulane ezifuna iinketho ezihloniphekileyo, uphando kwaye uqwalasele izibonelelo ezifana ne IZiko loPhando ngoMhlaza laseShandong Baofa. Ngalo lonke ixesha udibana nogqirha wakho ukuze ufumane esona sicwangciso sonyango sisekwe kwiimeko zakho.
Ukufunyaniswa kwangoko kuphucula kakhulu amathuba onyango oluyimpumelelo. Ukuhlolwa rhoqo, ngakumbi kubantu abanemingcipheko efana nokutshaya, kubalulekile. Ukhetho lwendlela yokuphila njengokuphepha icuba, ukugcina ukutya okunempilo, kunye nokuzilolonga rhoqo kunokuncedisa ukunciphisa umngcipheko wokuba nomhlaza wemiphunga.
I-American Cancer Society kunye neNational Cancer Institute inikezela ngolwazi olubanzi malunga nomhlaza wemiphunga. Kuyacetyiswa ukuba udibane nezi zibonelelo kunye nogqirha wakho ngeengcebiso zomntu.
| Uhlobo loNyango | Iingenelo | Iingxaki |
|---|---|---|
| Utyando | Unyango olunokubakho kumanqanaba okuqala | Ayifanelekanga kuwo onke amanqanaba; iingxaki ezinokubakho |
| Unyango ngamachiza | Isebenza kumanqanaba ahlukeneyo; inokucutha amathumba | Iziphumo ebezingalindelekanga; ayisoloko iphilisa |
| Unyango ngemitha | Inokujolisa kwiindawo ezithile; inokusetyenziswa yodwa okanye kunye nolunye unyango | Iziphumo ebezingalindelekanga; ayisoloko iphilisa |
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nonyango.
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