ukunyangwa komhlaza wemiphunga

Ukunyangwa komhlaza wemiphunga igxile ekulawuleni umhlaza wemiphunga okhula ngokucothayo onokuthi ungadingi ungenelelo oluqatha olukhawulezileyo. Iinketho zonyango zihlala zibandakanya uphononongo olusebenzayo, olukwabizwa ngokuba 'kukulinda ngenkathalo,' ecaleni konyango ekujoliswe kulo kunye neenkqubo ezihlaselayo kancinci ukulawula ukukhula kwethumba kunye nokunciphisa iimpawu. Le ndlela ijolise ekulondolozeni umgangatho wobomi ngeli lixa kujongwana nokuqhubeka komhlaza.Ukuqonda Umhlaza Wemiphunga OngasebenziyoYintoni UMhlaza Wemiphunga Ongasebenziyo?Umhlaza wemiphunga ongasebenziyo ibhekisa kwiintlobo zomhlaza wemiphunga ezikhula ngokucothayo. Ezi zomhlaza zisenokungabangeli zimpawu ziqaphelekayo ixesha elide kwaye zinokufunyaniswa ngengozi ngexesha lovavanyo lomfanekiso wezinye iimeko. Ngenxa yokukhula kwabo okucothayo, indlela yokuqala yokuya ukunyangwa komhlaza wemiphunga Ihlala yohluka kuleyo yomhlaza wemiphunga ondlongondlongo. Iintlobo zoMhlaza weMiphuphu eZithileyoIintlobo ezithile zomhlaza wemiphunga zikholisa ukuba ngamavila. Ezi ziquka: I-Adenocarcinoma in situ (AIS), eyayifudula ibizwa ngokuba yi-bronchioloalveolar carcinoma (BAC) Amanye amathumba e-carcinoid akhula ngokucothayo Amanye amanqanaba asezantsi e-mucinous adenocarcinomas. umhlaza wemiphunga ongenamsebenzi ngokuqhelekileyo kubandakanya: Uvavanyo lomfanekiso: I-X-ray yesifuba, i-CT scans, kunye ne-PET scans zinokunceda ukuchonga nokujonga amaqhuqhuva emiphunga okanye amathumba. I-Biopsy: I-biopsy, edla ngokwenziwa nge-bronchoscopy okanye ngenaliti ekhokelwa yi-CT, ibalulekile ekuqinisekiseni ukuxilongwa kunye nokumisela uhlobo oluthile lomhlaza wemiphunga. umhlaza wemiphunga ongenamsebenzi. Oku kubandakanya: Ukubeka iliso rhoqo ngeemvavanyo ze-imaging (umzekelo, i-CT scans) rhoqo kwiinyanga ezimbalwa. Ukulandelela ngononophelo ubungakanani bethumba kunye nezinga lokukhula. Ukulibazisa unyango olusebenzayo de kubekho imiqondiso yokuqhubela phambili okuphawulekayo okanye iimpawu ezikhulayo.Injongo yokucupha okusebenzayo kukuphepha unyango olungeyomfuneko kunye nemiphumo enokubakho kwizigulane ezinomhlaza ongabangeli iingxaki. Le ndlela ikholisa ukuthandwa ngamaziko afana neShandong Baofa Cancer Research Institute (fumana ngakumbi apha) apho umgangatho wobomi ungowona ubalulekileyo.UKhetho loNyango loMhlaza weMiphuphu eZithumileyoLuyimfunekoNini unyango? umhlaza wemiphunga ongenamsebenzi kuba yimfuneko xa: Ithumba libonisa ukukhula okubonakalayo kwimifanekiso yemifanekiso. Isigulana siba neempawu ezifana nokukhohlela, ukuphefumla nzima, okanye intlungu esifubeni. Kukho ubungqina bokusasazeka kwii-lymph nodes ezikufutshane okanye kwamanye amalungu omzimba.IiNdlela zoNyango ezifumanekayoUkhetho oluninzi lukhona ukunyangwa komhlaza wemiphunga, kuxhomekeke kuhlobo oluthile kunye nenqanaba lomhlaza: Utyando: Ukususwa kotyando (ukususwa) kwethumba kudla ngokuba yinto ekhethwayo yendawo umhlaza wemiphunga ongenamsebenzi. Ubuchwephesha obungenabuncinci, njengotyando lwethoracoscopic oluncediswa yividiyo (VATS), lunokunciphisa ixesha lokubuyisela. Unyango ngemitha: Unyango lwemitha yemitha ye-stereotactic (SBRT) ihambisa iidosi eziphezulu zemitha kwithumba ngelixa igcina izicubu ezisempilweni ezingqongileyo. Oku kunokuba yinto efanelekileyo kwizigulane ezingabaviwa botyando. Unyango olujolisiweyo: Kwiintlobo ezithile ze umhlaza wemiphunga ongenamsebenzi, njenge-adenocarcinomas eneenguqu ezithile zofuzo (umzekelo, i-EGFR, i-ALK), unyango olujoliswe kuyo lunokusebenza kakhulu. La machiza ajolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. Unyango lokukhupha amanzi: I-Radiofrequency ablation (RFA) okanye i-microwave ablation (MWA) isebenzisa ubushushu ukutshabalalisa ithumba. Ezi ziinkqubo zokuhlasela kancinci ezinokuthi zisetyenziswe ukunyanga amathumba amancinci, ahlala kwindawo.Ukuthelekisa Unyango UkhethoOlona khetho lonyango luxhomekeke kwizinto ezininzi, kubandakanywa uhlobo kunye nenqanaba lomhlaza, impilo yesigulana ngokubanzi, kunye nezinto abazikhethayo. Nalu uthelekiso olwenziwe lula oluqhelekileyo ukunyangwa komhlaza wemiphunga iindlela: Unyango iiPros Cons Utyando oluqhelekileyo lwaBaviwa (VATS) Unyango olunokubakho, ukhetho oluncinci lukhona Ifuna umviwa olungileyo wotyando, okunokubakho iingxaki Amathumba asekuhlaleni, impilo entle iyonke SBRT Non-invasive, esebenzayo kumathumba asekuhlaleni Anokubakho kwiziphumo ebezingalindelekanga ezinxulumene nemitha Hayi abaviwa botyando, iimpembelelo ezithile zengingqi yezofuzo Ithagethi yeziphumo ezithile zofuzo. I-chemotherapy Isebenza kuphela kwii-tumors ezinokuguqulwa okuthe ngqo, ukuxhathisa kunokuphuhlisa i-Tumors kunye ne-EGFR, i-ALK, okanye ezinye iinguqu ezijoliswe kuzo Ablation (RFA / MWA) I-invasive encinci, inokuphinda ifaneleke kuphela izicubu ezincinci, ezinokuthi ziphinde ziphindeke Amancinci, ama-tumors asekhaya, kungekhona abaviwa botyando Ukuhlala kunye ne-Indolent Lung CancerUmgangatho woBomi bengqwalaselaKuba umhlaza wemiphunga ongenamsebenzi ihlala ihamba kancinci, ukugcina umgangatho wobomi yeyona nto ixhalabisayo. Uvavanyo olusebenzayo kunye nonyango olunobundlobongela obuncinci lujolise ekunciphiseni iziphumo ebezingalindelekanga kwaye zivumele izigulane ziphile njengesiqhelo kangangoko. Iqela laseShandong Baofa Cancer Research Institute likholelwa kwindlela equkayo yokhathalelo lomhlaza. Unokufunda ngakumbi malunga nefilosofi yethu kwiphepha lethu ngathi.Ulandelelwano Lolandelelwano Ukuqeshwa rhoqo kolandelelo kubalulekile ekubekeni iliso umhlaza kunye nokulawula naziphi na iimpawu. Oku kuqeshwa kunokubandakanya: Iimvavanyo zokucinga (i-CT scans) iimviwo zomzimba Iimvavanyo zegazi. umhlaza wemiphunga ongenamsebenzi kunokuba lucelomngeni. Izigulane kunye neentsapho zazo zinokuzuza koku: Amaqela enkxaso Iinkonzo zeengcebiso Izibonelelo zemfundo UkuqukumbelaUkunyangwa komhlaza wemiphunga ifuna indlela yobuqu elungelelanisa imfuno yolawulo lomhlaza kunye nomnqweno wokugcina umgangatho wobomi. Ukubek' esweni okusebenzayo, utyando, unyango lwemitha, kunye nonyango olujoliswe kuyo zizo zonke ezinokuthi zibenokhetho. Ukusebenza ngokusondeleyo neqela lamagcisa okhathalelo lwempilo kubalulekile ekuphuhliseni isicwangciso sonyango esingcono.