
Ukufumana ukuphefumla (ukuphefumla kancinci) kunye nomhlaza wemiphunga luphawu olucinezelayo olufuna ukhathalelo lwezonyango olukhawulezileyo. Esi sikhokelo sibanzi siphonononga ukuxilongwa, ukhetho lonyango, kunye nokhathalelo oluxhasayo olukhoyo eTshayina lokulawula ukuphefumla okunxulumene nomhlaza wemiphunga. Siza kuphonononga iindlela ezahlukeneyo, sigxininisa ukubaluleka kokungenelela kwangethuba kunye nokhathalelo lomntu.
Ukuphefumla kumhlaza wemiphunga kunokuvela kwizinto ezininzi, kubandakanywa ukukhula kwethumba elithintele iindlela zomoya, i-pleural effusions (i-fluid buildup ejikeleze imiphunga), usulelo lwemiphunga, kunye nefuthe lomhlaza entliziyweni nakwimiphunga. Ubunzima bokuphefumla buhluka ngokubanzi ngokuxhomekeke kwinqanaba lomhlaza kunye nempilo yomntu.
Ukuxilongwa ngokuchanekileyo kuqala ngembali yonyango olucokisekileyo, uvavanyo lomzimba, kunye neemvavanyo zokucinga ezifana ne-X-ray yesifuba, i-CT scans, kunye ne-bronchoscopy enokubakho. Ezi nkqubo zinceda ukukhomba unobangela wokuphefumla kunye nobungakanani bomhlaza wemiphunga.
Ulawulo lwezonyango lujolise ekujonganeni noonobangela abaphambili bokuphefumla. Oku kunokubandakanya amayeza afana ne-bronchodilators ukuvula iindlela zomoya, i-diuretics ukunciphisa ukwakhiwa kwamanzi, unyango lwe-oxygen ukuphucula amanqanaba e-oksijini, kunye nokulawulwa kweentlungu zokungakhululeki. Kwezinye iimeko, unyango lweradiation lunokusetyenziselwa ukucutha amathumba avala umoya. IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngezicwangciso zolawulo lwezonyango eziphucukileyo ezilungiselelwe iimfuno zomntu ngamnye.
Iinkqubo ezincinci ezihlaselayo, ezifana ne-thoracentesis (ukukhupha ulwelo olusuka kwi-pleural space) okanye ungenelelo lwe-bronchoscopic ukucima izithintelo, kunokubonelela ngokukhululeka ekuphefumleni. Ezi nkqubo zihlala zinexesha elifutshane lokuchacha kunotyando olubanzi.
Kwezinye iimeko, utyando lunokuba yimfuneko ukususa amathumba okanye ukulungisa imiba esisiseko ebangela ukuphefumla. Uhlobo lotyando luxhomekeke kwindawo kunye nobungakanani bomhlaza.
Ukhathalelo oluxhasayo ludlala indima ebalulekileyo ekulawuleni ukuphefumla kunye nokuphucula umgangatho wobomi. Oku kubandakanya i-physiotherapy yokuphefumula ekuncedeni ukucacisa i-airways, inkxaso yengqondo ukujamelana nokuxhalaba kunye noxinzelelo oluhambelana nokugula, kunye neendlela zokulawula iintlungu. Ukhathalelo lwePalliative lujolise ekudambiseni iimpawu kunye nokuphucula intuthuzelo kwizigulana ezinomhlaza wemiphunga ophezulu.
Ukukhangela inkqubo yokhathalelo lwempilo kunokuba ngumngeni. Ukufuna ukhathalelo kumaziko athembekileyo aneengcali ze-oncologists ezinamava kunye neengcali zokuphefumla kubalulekile kwiziphumo ezizezona zilungileyo. Ubuchwephesha kunye nezibonelelo ezikhoyo kwizibhedlele ezihamba phambili e-China ziqinisekisa ukuba izigulane zifumana ukhathalelo olubanzi, olusekelwe kubungqina babo Unyango lwaseTshayina lokuphefumla kumhlaza wemiphunga. Qwalasela oothunywashe abafana nodumo lwesibhedlele, iindlela zonyango ezikhethekileyo ezifumanekayo, namava eqela lezempilo xa lisenza izigqibo. Ngolwazi oluthe kratya malunga nezibonelelo kunye nenkxaso, ihlala icetyiswa ukuba uqhagamshelane nochwepheshe bezonyango.
Iimpawu zakwangoko zinokuba zifihlakeleyo kwaye zihlala zifana nezinye izifo zokuphefumla. Ukukhohlela okuzingisileyo, ukukhohlela igazi, iintlungu zesifuba, ukwehla kobunzima obungachazwanga, kunye nokudinwa zezinye zezinto ezinokubakho. Kubalulekile ukuba udibane nogqirha ukuba ufumana naziphi na iimpawu.
Ukulinganisa kunceda ukumisela ubungakanani bokusasazeka komhlaza kunye nokukhokela izigqibo zonyango. Inkqubo ye-TNM (I-Tumor, Node, Metastasis) isetyenziswa ngokuqhelekileyo, ichaza ubungakanani besisu, ukubandakanyeka kwe-lymph node, kunye nobukho be-metastasis.
| Indlela yoNyango | Iingenelo | Iimpembelelo ezinokuba khona |
|---|---|---|
| Unyango ngeoksijini | Ukuphucula amanqanaba oksijini, ukunciphisa ukuphefumla | Ukomisa kweempumlo kancinci, ukucaphuka kwesikhumba ngamanye amaxesha |
| Unyango ngemitha | Ukuncipha kwethumba, ukuvulwa kwendlela yomoya | Ukudinwa, ukucaphuka kwesikhumba, ukonakala okunokwenzeka kwemiphunga |
| Amayeza (Bronchodilators) | Umoya opholileyo, ukuphefumla lula | Ukungcangcazela, ukunyuka kwentliziyo (kwezinye iimeko) |
Ukuzihlangula: Olu lwazi lololwazi jikelele kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.
Imithombo: (Dwelisa iijenali zonyango ezifanelekileyo kunye nemibutho apha enefomathi efanelekileyo yokucaphula, umzekelo, iZiko loMhlaza leSizwe, iijenali zonyango ezihloniphekileyo ezinxulumene nomhlaza wemiphunga kunye nonyango lokuphefumla. Qinisekisa ukuba usebenzisa imithombo echanekileyo nethembekileyo.)
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