China Inqanaba 1b Unyango lomhlaza wemiphunga: Isikhokelo esiBanziUkuqonda ubunzima benqanaba laseTshayina lenqanaba loku-1b lonyango lomhlaza wemiphunga lufuna indlela eneenkalo ezininzi. Esi sikhokelo sibonelela ngenkcazo eneenkcukacha zoxilongo, ukhetho lonyango, ukuxilongwa, kunye nezixhobo ezikhoyo eTshayina kubantu abajongene nalo mngeni. Sijonge ukukuxhobisa ngolwazi olufunekayo ukuze uhambe ngolu hambo ngokufanelekileyo.
Ukuxilongwa kunye neSigaba se-1b soMhlaza weMiphunga
Ukuxilongwa ngokuchanekileyo kusisiseko sonyango olusebenzayo. Inkqubo idla ngokuqala ngeX-reyi yesifuba okanye nge-CT scan, enokuthi iveze amaqhuqhuva emiphunga akrokrelekayo. Uphando olongezelelweyo, olufana ne-bronchoscopy, i-biopsy, kunye ne-mediastinoscopy, zidla ngokuqhutyelwa ukuqinisekisa ukuxilongwa kunye nokumisela inqanaba lomhlaza. Ukwenziwa kweqonga kunceda abaqeqeshi bezempilo ukuba babone ubungakanani bokusasazeka komhlaza, okuchaphazela izicwangciso zonyango. Inqanaba 1b libonisa ngokuthe ngqo ithumba elincinci elivalelwe emiphungeni, ngaphandle kokusasazeka kwiilymph nodes okanye kwamanye amalungu omzimba.
Ukuqonda iNkqubo yeStaging
Inkqubo yesiteji ye-TNM (I-Tumor, Node, Metastasis) isetyenziswa ngokubanzi ukuhlula umhlaza wemiphunga. Kwinqanaba laseTshayina le-1b lonyango lomhlaza wemiphunga, inqanaba le-TNM libonisa ubungakanani obuncinci bethumba (T1 okanye i-T2) kwaye akukho nxaxheba kwii-lymph nodes zommandla (N0) okanye i-metastasis ekude (M0). Inqanaba elichanekileyo libalulekile kucwangciso lonyango lomntu. Kubalulekile ukuxoxa ngeenkcukacha ezithile zesiteji kunye ne-oncologist yakho ukuze uqonde ngokupheleleyo iimpembelelo zayo.
IiKhetho zoNyango lweNqanaba loku-1b loMhlaza weMiphunga e-China
Unyango lwenqanaba loku-1 lomhlaza wemiphunga eTshayina lubandakanya utyando, oluhlala lulandelwa lunyango lwe-adjuvant. Eyona ndlela iqhelekileyo yotyando yi-lobectomy, ukususwa kwenwebu yomphunga equlethe ithumba. Ukhetho lwenkqubo yotyando luxhomekeke kwizinto ezininzi, kubandakanya indawo yethumba, ubungakanani, kunye nempilo yonke yesigulana.
Iinketho zoTyando
| Inkqubo | Inkcazo |
| Lobectomy | Ukususwa kwenwebu yomphunga. |
| Segmentectomy | Ukususwa kwecandelo lomphunga. |
| Ukususwa kweWedge | Ukususwa komphetho omncinci wezicubu zemiphunga ezinethumba. |
Unyango lweAdjuvant
Emva kotyando, unyango lwe-adjuvant lunokucetyiswa ukunciphisa umngcipheko wokuphindaphinda. Oku kunokubandakanya ichemotherapy, unyango olujoliswe kuyo, okanye unyango lweradiation. Isigqibo sokusebenzisa unyango lwe-adjuvant senziwa kwimeko nganye, kuqwalaselwa izinto ezifana neminyaka yesigulana, impilo iyonke, kunye neempawu zethumba. I-oncologist yakho iya kuvavanya ngononophelo izibonelelo kunye nobungozi bonyango lwe-adjuvant kwimeko yakho ethile.
I-Prognosis kunye noLawulo lwexesha elide
Uqikelelo lwenqanaba le-1b lomhlaza wemiphunga eTshayina luthandeka kunyango olufanelekileyo. Ukufunyanwa kwangoko kunye nonyango olusebenzayo kuphucula kakhulu amathuba okuphila ixesha elide. Nangona kunjalo, ukuqeshwa kokulandelela rhoqo kubalulekile ekubekeni iliso kuzo naziphi na iimpawu zokuphindaphinda kunye nokujongana nazo naziphi na iingxaki ezinokubakho.
Ukhathalelo lwasemva koNyango
Ukhathalelo lwasemva kotyando luhlala lubandakanya ulawulo lweentlungu, unyango lokuphefumla, kunye nokubeka iliso kwiingxaki ezinokubakho ezifana nosulelo okanye inyumoniya. Ukulandelela ixesha elide kubandakanya ukuxilongwa rhoqo, ukuhlolwa kwemifanekiso, kunye novavanyo lwegazi ukujonga ukuphinda kwesifo. Ukuguqulwa kwendlela yokuphila, njengokuyeka ukutshaya (ukuba kufanelekile) kunye nokutya okunempilo, kudlala indima ebalulekileyo ekuphuculeni iziphumo zexesha elide.
Izibonelelo kunye neNkxaso yeZigulana zoMhlaza weLung eChina
Ukujonga ukuxilongwa komhlaza wemiphunga kunokuba ngumngeni. Imibutho emininzi kunye nezibonelelo ziyafumaneka e-China ukunika inkxaso kunye nolwazi kwizigulane kunye neentsapho zabo. Ezi zixhobo zinokunika isikhokelo malunga nokhetho lonyango, uncedo lwemali, kunye nenkxaso yeemvakalelo. Ngolwazi olongezelelweyo kunye nenkxaso, unokunqwenela ukubonisana nemibutho ejongene nokhathalelo lwe-oncology eTshayina. Unokujonga kwakhona izixhobo ezifumanekayo nge
IZiko loPhando ngoMhlaza laseShandong Baofa.
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.