Utshintsho lwemfuza unyango lomhlaza wemiphunga kufutshane nam

Utshintsho lwemfuza unyango lomhlaza wemiphunga kufutshane nam

UGuquko lweMfuzo yoNyango loMhlaza weMiphunga Kufuphi kum

Ukufumana unyango olululo lwe ukuguqulwa kofuzo kumhlaza wemiphunga kunokuba nzima. Esi sikhokelo sibanzi sikunceda ukuba uqonde iinketho zakho kwaye ufumane ukhathalelo olukhethekileyo kufutshane nawe. Siza kuphonononga iindlela ezahlukeneyo zonyango ezilungiselelwe uguqulo oluthile lwemfuza, sichaze ukubaluleka kweyeza elilolwakho, kwaye sibonelele ngezixhobo zokufumana i-oncologists ekhokelayo kunye nezixhobo zophando kwindawo yakho.

Ukuqonda iiNguqu zeGenetic kuMhlaza weLung

Umhlaza wemiphunga sisifo esintsonkothileyo, kwaye ubukho botshintsho oluthile lwemfuza buchaphazela kakhulu amacebo onyango. Olu tshintsho luchaphazela indlela iiseli zomhlaza ezikhula ngayo kwaye ziphendule kunyango. Ukuchonga utshintsho oluthile oluqhuba umhlaza wakho wemiphunga kubalulekile kucwangciso lonyango lomntu. Iinguqu eziqhelekileyo ziquka i-EGFR, ALK, ROS1, BRAF, kunye nabanye. Iinketho zonyango zohluka kakhulu ngokusekwe kuguquko oluchongiweyo. Ngokomzekelo, izigulane ezinokuguqulwa kwe-EGFR zinokuzuza kwiindlela zonyango ezijoliswe kuzo njenge-tyrosine kinase inhibitors (TKIs).

Iindidi zoVavanyo lwemfuzo kuMhlaza weMiphunga

Uvavanyo lwemfuzo lubalulekile ukumisela utshintsho oluthile lwemfuza olukhoyo kwiiseli zomhlaza wemiphunga. Oku kubandakanya i-biopsy, apho isampulu encinci yezicubu zethumba ihlalutywa. Kukho iindlela ezininzi, kubandakanywa ulandelelwano lwesizukulwana esilandelayo (NGS), esinokuchonga uluhlu olubanzi lweenguqu ngaxeshanye. I-oncologist yakho iya kukukhokela kwinkqubo efanelekileyo yokuvavanya kwaye ichaze iziphumo.

IiKhetho zoNyango loMhlaza weMiphunga ochazwe ngokwemfuza

Unyango lwe ukuguqulwa kofuzo kumhlaza wemiphunga idla ngokubandakanya indibaniselwano yonyango olulungelelaniswe notshintsho oluthile. Oku kunokubandakanya:

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise ngokukodwa kwiiprotheni ezingaqhelekanga eziveliswa ziiseli zomhlaza ngenxa yokuguqulwa kofuzo. La machiza asebenza ngakumbi kwaye aneziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yemveli. Imizekelo ibandakanya ii-TKI ezifana ne-afatinib, i-gefitinib, kunye ne-erlotinib yokuguqulwa kwe-EGFR, kunye ne-crizotinib okanye i-alectinib yokuguqulwa kwe-ALK. I-oncologist yakho iya kukunceda uqonde ukuba loluphi unyango olujoliswe kuyo olufanelekileyo kwinguqu yakho ethile.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba wakho ukulwa neeseli zomhlaza. Olu nyango lunokusebenza ngokukodwa kwiintlobo ezithile zofuzo zomhlaza wemiphunga. Ii-Checkpoint inhibitors, ezifana ne-pembrolizumab kunye ne-nivolumab, zisetyenziswa ngokuqhelekileyo ngamachiza onyango lwe-immunotherapy.

Unyango ngamachiza

Nangona unyango olujoliswe kuyo kunye ne-immunotherapy zikhethwa kwiinguqu ezininzi zofuzo, i-chemotherapy ihlala iyindlela ebalulekileyo, ngokukodwa ngokudibanisa nolunye unyango okanye ukulawula izifo ezinzulu. I-oncologist yakho iya kugqiba irejimeni efanelekileyo ye-chemotherapy ngokusekelwe kwimeko yakho ethile.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ihlala isetyenziswa ngokudibeneyo nolunye unyango okanye ukunciphisa iimpawu kwizigaba eziphambili.

Ukufumana uKhathalelo oluKhethekileyo Kufuphi nawe kwiGenetic Mutation yoMhlaza weLung

Ukufumana ii-oncologists ezinamava kunye namaziko onyango asebenza ngokukhethekileyo ukuguqulwa kofuzo kumhlaza wemiphunga ibalulekile. Qala ngokubonisana nogqirha wakho wokhathalelo oluphambili, onokukuthumela kwi-oncologist. Unokukhangela kwi-intanethi kwii-oncologists kunye namaziko omhlaza akufutshane nawe. Izibhedlele ezininzi kunye namaziko ophando anikezele ngeenkqubo zomhlaza wemiphunga ezinobungcali kuvavanyo lwemfuzo kunye nonyango lomntu. Cinga ngokujonga umanyano kunye nemibutho ephambili yophando lomhlaza njengeZiko leSizwe loMhlaza (NCI). I IZiko loPhando ngoMhlaza laseShandong Baofa liziko elikhokelayo elibonelela ngonyango olukumgangatho ophezulu kunye nophando kwi-oncology.

Iingqwalasela ezibalulekileyo

Ulwazi olunikelwe apha lololwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Soloko udibana nogqirha wakho okanye omnye umboneleli wezempilo oqeqeshiweyo ngayo nayiphi na imibuzo onokuba nayo malunga nemeko yonyango. Ungaze utyeshele iingcebiso zobugqirha okanye ulibazise ukulifuna ngenxa yento oyifundileyo kule webhusayithi.

Uhlobo loGuqulo Iinketho zoNyango ekuJoliswe kuzo
EGFR Afatinib, Gefitinib, Erlotinib, Osimertinib
I-ALK Crizotinib, Alectinib, Brigatinib
I-ROS1 Crizotinib, Lorlatinib, Entrectinib

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.

Imithombo: [Faka amakhonkco kwimithombo ethembekileyo efana ne-NCI, amanqaku ejenali afanelekileyo, njl., kunye ne-rel=nofollow]

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