Unyango lwaseTshayina olungelulo oluncinci lomhlaza wemiphunga

China Non-iNcinci Non-iNcinane yoNyango loMhlaza weMiphuphu yeSeli

Esi sikhokelo sibanzi siphonononga imbonakalo-mhlaba ye China non-incinci unyango umhlaza weseli wemiphunga, ukubonelela ngengqiqo kwiindlela ezahlukeneyo zonyango, ukuqhubela phambili kuphando, kunye nezibonelelo ezikhoyo kwizigulane kunye neentsapho zabo. Siza kugubungela uxilongo, izicwangciso zonyango, ulingo lwezonyango, kunye nokhathalelo lwenkxaso, sigxile kuphuhliso lwamva nje kule ndawo ibalulekileyo ye-oncology.

Ukuqonda uMhlaza weMiphunga yeSeli engeNcinci (NSCLC)

Yintoni i-NSCLC?

Umhlaza wemiphunga weseli engeyiyo encinci (NSCLC) ubangela uninzi lomhlaza wemiphunga. Liqela lomhlaza ophuhla emiphungeni kwaye luphawulwa ngolwakhiwo lweeseli. Ukufunyaniswa kwangoko kubalulekile kunyango oluyimpumelelo. Iimpawu zinokwahluka kakhulu, kodwa zinokubandakanya ukukhohlela okuzingileyo, ukuphefumla kancinci, iintlungu zesifuba, kunye nokwehla kobunzima obungachazwanga. Ukuba ufumana nayiphi na kwezi mpawu, kubalulekile ukudibana nogqirha ukuze uxilongwe ngokukhawuleza.

Uxilongo kunye nokubekwa kwe-NSCLC

Uxilongo ngokuqhelekileyo lubandakanya iimvavanyo zokucinga (njenge-CT scans kunye ne-X-reyi), i-biopsies, kunye novavanyo lwegazi. Ukumisela-ukugqiba ubungakanani bomhlaza-kubalulekile ekulungiseleleni izicwangciso zonyango. Inkqubo yesiteji ye-TNM isetyenziswa ngokuqhelekileyo, ihlela amathumba ngokusekelwe kubukhulu bawo (T), ukubandakanyeka kwe-lymph node (N), kunye ne-metastasis (M).

Iinketho zonyango lwe-NSCLC eTshayina

Utyando

Kwinqanaba lokuqala le-NSCLC, utyando-kuquka i-lobectomy (ukususwa kwe-lobe) okanye i-pneumonectomy (ukususwa komphunga) -ngokuqhelekileyo unyango oluphambili. Ukuphumelela kotyando kuxhomekeke kwizinto ezahlukeneyo, kuquka inqanaba lomhlaza kunye nempilo yonke yomguli. Iindlela zotyando ezikwinqanaba eliphezulu zinciphisa ukuhlasela kwaye ziphucule amaxesha okubuyisela.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isetyenziswa rhoqo ngokudityaniswa nolunye unyango olunjengotyando okanye unyango ngemitha. Iirejimeni ezininzi zechemotherapy ziyafumaneka, ngokhetho oluxhomekeke kwinqanaba lomhlaza kunye nohlobo. Iziphumo ebezingalindelekanga zinokwahluka, kodwa abaqeqeshi bezempilo banokulawula ezi mpawu ngokufanelekileyo. IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngeenkonzo zechemotherapy ezibanzi.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Ingasetyenziswa ngaphambi, ngexesha, okanye emva kotyando, okanye njengonyango oluphambili lwamathumba angasebenziyo. Iindidi ezahlukeneyo zonyango lwemitha zikhona, kubandakanywa ukusasazeka kwemitha yangaphandle kunye nebrachytherapy.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise kutshintsho oluthile lwemolekyuli ngaphakathi kweeseli zomhlaza. Ezi zonyango zisebenza kakuhle kwizigulane ze-NSCLC ezineenguqu ezithile zofuzo, ezifana ne-EGFR, ALK, kunye nokuguqulwa kwe-ROS1. Ukuqhubela phambili kunyango olujoliswe kuyo luye lwaphucula kakhulu iziphumo kwezinye izigulane. IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngokufikelela kuphuculo lwamva nje kunyango ekujoliswe kulo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Olu nyango lusebenza kwiimeko ezininzi China non-incinci unyango umhlaza weseli wemiphunga kwaye zihlala zisetyenziselwa i-NSCLC yenqanaba eliphezulu. I-Checkpoint inhibitors, uhlobo lwe-immunotherapy, ibhlokhi iiprotheni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza.

Iimvavanyo zeklinikhi kunye noPhando

Ulingo oluninzi lwezonyango luyaqhuba e-China luphanda ngonyango lwenoveli kunye nokuphucula olusele lukhona lwe-NSCLC. Ukuthatha inxaxheba kulingo lwezonyango kunokunika ufikelelo kunyango lwe-cutting-edge olungekafumaneki ngokubanzi. I IZiko loPhando ngoMhlaza laseShandong Baofa inokubandakanyeka kwizilingo ezahlukeneyo zeklinikhi ezinxulumene ne China non-incinci unyango umhlaza weseli wemiphunga. Kubalulekile ukuxoxa malunga nokubanakho ukuthatha inxaxheba kulingo lwezonyango kunye ne-oncologist yakho.

Ukhathalelo lweNkxaso

Ukhathalelo lwenkxaso lujolise ekuphuculeni umgangatho wobomi besigulane ngexesha nasemva konyango. Oku kuquka ukulawula iziphumo ebezingalindelekanga zonyango, ukunika inkxaso ngokweemvakalelo, kunye nokunika isikhokelo ngezondlo. Ukufikelela kukhathalelo lokuthomalalisa kukwabalulekile kwabo banesifo esikwinqanaba eliphezulu.

Ukukhetha iSicwangciso soNyango esiLungileyo

Isicwangciso sonyango esingcono kakhulu China non-incinci unyango umhlaza weseli wemiphunga kuxhomekeke kwizinto eziliqela, kuquka inqanaba nohlobo lomhlaza, impilo yomguli ngokubanzi, nezinto azikhethayo. Kubalulekile ukusebenzisana ngokusondeleyo ne-oncologist ukuphuhlisa isicwangciso sonyango lomntu. Indlela yokufikelela kwiinkalo ezininzi, ebandakanya i-oncologists, oogqirha botyando, i-radiation oncologists, kunye nezinye iingcali, idla ngokucetyiswa ngokhathalelo olufanelekileyo.

Olu lwazi lujoliswe kulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Kubalulekile ukudibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.