unyango lomhlaza wemiphunga ngesigaba kufuphi nam

Unyango loMhlaza weMiphuphu ngokweSigaba: IsiKhokelo esiBanzi

Esi sikhokelo sinika amagqabantshintshi abanzi unyango umhlaza wemiphunga ngesigaba, enikezela ngolwazi olubalulekileyo lokuqonda iindlela zonyango kunye nokwenza izigqibo ezizizo. Siza kuphonononga amanqanaba ahlukeneyo omhlaza wemiphunga, unyango oluqhelekileyo kwinqanaba ngalinye, kunye nezinto ezibalulekileyo ekufuneka siziqwalasele xa uhamba kolu hambo lunzima. Khumbula, ukubonisana nengcali yezempilo kubalulekile kwisikhokelo somntu kunye nocwangciso lonyango. Ukufumana ukhathalelo olululo kufutshane nawe kubalulekile; esi sikhokelo siya kukunceda uqonde iinketho ezikhoyo kwindawo yakho.

Ukuqonda amanqanaba oMhlaza wemiphunga

Umhlaza wamaphaphu uhlelwa ngokusekwe kubungakanani bethumba, indawo, ukusasazeka kwiilymph nodes, kunye nobukho beemetastases ezikude. Iqonga elichanekileyo libalulekile ekumiseleni eyona ifanelekileyo unyango umhlaza wemiphunga ngesigaba. Inkqubo yeqonga isebenzisa amanani aseRoma (I, II, III, IV) kunye nezahlulo ezingaphezulu (A kunye no-B) ukucokisa ukuhlelwa. Inqanaba I libonisa umhlaza wendawo, ngelixa iSigaba IV simele isifo se-metastatic. Ukuqonda inqanaba lakho elithile linyathelo lokuqala lokucwangcisa unyango olusebenzayo.

Inqanaba I Unyango lomhlaza wemiphunga

Kumhlaza wemiphunga okwinqanaba lakwangoko (Inqanaba I), uqhaqho loqhaqho (ukususwa kwethumba kunye nezicubu ezingqongileyo) luhlala lolona nyango luphambili. Oku kunokubandakanya i-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela), kuxhomekeka kwindawo elikuyo elo thumba kunye nobukhulu. Kwezinye iimeko, unyango lwe-adjuvant olufana ne-chemotherapy okanye unyango lwe-radiation lunokucetyiswa ukunciphisa umngcipheko wokuphindaphinda.

Inqanaba II Unyango lomhlaza wemiphunga

Inqanaba lesi-II lomhlaza wemiphunga lidla ngokubandakanya ithumba elikhulu okanye lisasazeke kwii-lymph nodes ezikufutshane. Iinketho zonyango zihlala zidibanisa utyando kunye ne-adjuvant chemotherapy okanye unyango lweradiation. Indlela yonyango ethile iya kulungelelaniswa neempawu zesigulana ngasinye kunye neempawu ezithile zethumba. Injongo kukususa umhlaza ngotyando emva koko usebenzise unyango lwe-adjuvant ukunciphisa umngcipheko wokuphindaphinda.

Inqanaba III Unyango loMhlaza weMiphunga

Inqanaba lesithathu lomhlaza wemiphunga libandakanya isifo esibanzi ngakumbi, esinokuthi sisasazeke kwii-lymph nodes esifubeni. Unyango luhlala lubandakanya indibaniselwano yechemotherapy, unyango lweradiation, kunye notyando olunokwenzeka, ngokuxhomekeke kubungakanani besifo kunye nempilo yesigulana iyonke. I-Chemotherapy inokunikwa phambi kotyando (neoadjuvant) ukucutha ithumba okanye emva kotyando (adjuvant) ukuphelisa naziphi na iiseli zomhlaza eziseleyo. Iindlela ezikwinqanaba eliphezulu lokusasazeka kwemitha, ezifana nonyango lwemitha yemitha ye-stereotactic (SBRT), nazo ziyasetyenziswa.

Inqanaba le-IV loNyango loMhlaza weMiphunga

Inqanaba le-IV lomhlaza wemiphunga libonisa ukuba umhlaza uye wasasazeka (usasazeka) kwiindawo ezikude emzimbeni. Unyango lujolise ekulawuleni iimpawu, ukuphucula umgangatho wobomi, kunye nokwandisa ubomi. Ukhetho lubandakanya ichemotherapy, unyango olujoliswe kuyo (iziyobisi ezijolise kwiiseli ezithile zomhlaza), i-immunotherapy (ukusebenzisa amajoni omzimba ukulwa nomhlaza), kunye nokhathalelo oluxhasayo. Ulingo lwezonyango lunokunikezela ngofikelelo kunyango oluqalayo kunye nonyango. IZiko loPhando ngoMhlaza laseShandong Baofa liziko elikhokelayo elizinikele ekuqhubeleni phambili uphando kunye nokubonelela ngononophelo olukumgangatho ophezulu kwizigulana ezinomhlaza wemiphunga.

Ukufumana Unyango loMhlaza Wemiphunga Kufuphi Nawe

Ukufumana umgangatho ophezulu unyango lomhlaza wemiphunga kufutshane nam kufuna ukuqwalaselwa ngenyameko. Izinto ekufuneka ziqwalaselwe ziquka amava eqela lezonyango, ukufikelela kubuchwephesha obuphezulu kunye nokhetho lonyango, kunye nodumo lulonke lweziko. Izixhobo ezikwi-Intanethi, ukuhanjiswa koogqirha, kunye nobungqina besigulane kunokuba zizixhobo ezixabisekileyo ekuchongeni ababoneleli bezempilo abafanelekileyo. Khumbula, inkxaso yeqela lakho lezempilo ibalulekile kulo lonke uhambo lwakho lonyango. Ungalibazisi ukubuza imibuzo kwaye ufune ingcaciso kuwo nawuphi na umba wesicwangciso sakho sonyango. Ukuqonda amanqanaba kunye nokhetho lonyango kukuxhobisa ukuba wenze ezona zigqibo zilungileyo kwimpilo yakho.

Iingqwalasela ezibalulekileyo

Unyango lwe unyango umhlaza wemiphunga ngesigaba intsonkothile kwaye yenziwe ngumntu kakhulu. Izinto ezininzi zinefuthe kwizigqibo zonyango, kubandakanya impilo yesigulana iyonke, inqanaba kunye nohlobo lomhlaza wemiphunga, kunye nezinto ozikhethayo. Unxibelelwano oluvulekileyo kunye ne-oncologist yakho lubalulekile ukuqinisekisa ukuba isicwangciso sonyango sihambelana neemfuno kunye neenjongo zakho. Oku kubandakanya ukuxoxa ngeziphumo ebezingalindelekanga kunye nokuphuhlisa izicwangciso zokulawula.

Ukuziphendulela: Olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.

¹Iziko leSizwe loMhlaza: https://www.cancer.gov/