iinketho zonyango lomhlaza wemiphunga ngexabiso leqonga

Iinketho zoNyango lomhlaza wemiphunga ngokweSigaba & neCostLung ukhetho lonyango lomhlaza lohluka kakhulu ngokuxhomekeke kwinqanaba lomhlaza kunye nempilo yesigulana iyonke. Ukuqonda ezi ndlela zokhetho kunye neendleko ezinxulumene nazo kubalulekile ekwenzeni izigqibo ezizizo. Esi sikhokelo sibanzi sibonelela ngamagqabantshintshi eendlela zonyango kumanqanaba ahlukeneyo, ukuqwalaselwa kweendleko, kunye nezibonelelo zoncedo olongezelelweyo.

IiNdlela zokuNyangwa koMhlaza weMiphunga ngokwenqanaba nangeendleko

Umhlaza wemiphunga, oyena nobangela uphambili wokusweleka okunxulumene nomhlaza kwihlabathi liphela, ufuna indlela ebanzi yonyango. Isicwangciso esithile sonyango sixhomekeke kakhulu kwinqanaba lomhlaza ekuxilongeni, impilo yonke yesigulane, kunye nezinye izinto ezizimeleyo. Esi sikhokelo sijolise ekunikeni ukuqonda okucacileyo kweendlela ezahlukeneyo zonyango ezikhoyo kwinqanaba ngalinye, kunye neendleko ezinxulumene nazo. Kubalulekile ukukhumbula ukuba olu lwazi lulwazi ngokubanzi kwaye akufanele luthathe indawo yokubonisana ne-oncologist eqeqeshiwe.

Inqanaba I oKhetho lokuNyangwa koMhlaza weMiphunga

Uqhaqho loKutyandwa

Kumhlaza wemiphunga okwinqanaba lokuqala (inqanaba I), uqhaqho loqhaqho-ukususwa kwezicubu ezinomhlaza wemiphunga-kudla ngokuba lolona nyango luphambili. Oku kunokuqala ukusuka kwi-lobectomy (ukususwa kwe-lobe ye-lung) ukuya kwi-pneumonectomy (ukususwa komphunga wonke), kuxhomekeke kwindawo kunye nobukhulu bethumba. Iindleko zotyando ziyahluka kakhulu ngokusekelwe kwisibhedlele, iindleko zogqirha wotyando, kunye nokuntsonkotha kwenkqubo. Unokulindela iindleko ezibalulekileyo ezinxulumene nokulaliswa esibhedlele, i-anesthesia, kunye nokunyamekela emva kokusebenza.

Unyango lweRadiation Body Stereotactic (SBRT)

I-SBRT lukhetho olungangeneleliyo kumhlaza wemiphunga okwinqanaba lakwangoko, ukuhambisa iidosi eziphezulu zemitha yemitha kwithumba ngendlela echanekileyo. Ihlala isetyenziselwa amathumba amancinci angafikeleleki ngotyando. Ngelixa ngokubanzi ixabiso eliphantsi kunotyando, i-SBRT isabandakanya iindleko ezibalulekileyo ezinxulumene neeseshini zonyango lwemitha kunye neentlawulo zonyango ezinxulumeneyo.

Inqanaba II-IIIA IiNdlela zokuNyangwa koMhlaza weMiphunga

Utyando + I-Adjuvant Chemotherapy okanye unyango lweRadiation

Amanqanaba II kunye ne-IIA ahlala ebandakanya indibaniselwano yotyando, ichemotherapy, kunye/okanye unyango lweradiation. Utyando lususa izicubu ezinomhlaza, ngelixa ichemotherapy kunye/okanye nemitha ijolise kuzo naziphi na iiseli zomhlaza eziseleyo. Iindleko zale ndlela idityanisiweyo ziphezulu kakhulu kunotyando lodwa, oluquka iindleko zonyango oluninzi kunye nokuhlala ixesha elide esibhedlele.

I-Chemotherapy kunye noNyango lweRadiation

Ukuba utyando aluyonto inokwenziwa ngenxa yobungakanani bomhlaza okanye impilo yomguli, unyango lwechemotherapy nonyango lwemitha lunokusetyenziswa lodwa okanye ludityaniswe. I-Chemotherapy ibandakanya ukusebenzisa amayeza ukubulala iiseli zomhlaza, ngelixa unyango lwemitha lusebenzisa imitha yamandla aphezulu ukonakalisa iiseli zomhlaza. Iindleko zolu nyango ziyahluka ngokuxhomekeke kumachiza athile asetyenzisiweyo, inani leeseshoni zonyango lwemitha, kunye nobude bonyango.

Inqanaba le-IIIB kunye ne-IV loKhetho lokuNyangwa koMhlaza weMiphuphu

Unyango lweSistim (uNyango lweKhemo, unyango olujolisiweyo, unyango lwe-Immunotherapy)

Kumhlaza wemiphunga okwinqanaba eliphezulu (IIIB kunye ne-IV), unyango lwenkqubo luhlala lulolona nyango luphambili. Ezi ziquka ichemotherapy, unyango olujoliswe kuyo (iziyobisi ezijolise kwiiseli ezithile zomhlaza), kunye nonyango lwamajoni omzimba (amachiza omeleza inkqubo yomzimba yokuzikhusela ukuze alwe nomhlaza). Olu nyango lunokubiza kakhulu, kunye neendleko ezibalulekileyo eziqhubekayo zamayeza kunye nokutyelela ugqirha. Iindleko ezichanekileyo zinokwahluka kakhulu ngokuxhomekeke kumachiza athile asetyenzisiweyo kunye nempendulo yesigulane kunyango.

Ukhathalelo lweNkxaso

Ukhathalelo lwePalliative, olujolise ekuphuculeni umgangatho wobomi kwizigulana ezinomhlaza ophezulu, ikwayinkalo ebalulekileyo yonyango kumanqanaba amva. Oku kunokubandakanya ukulawula intlungu, ukulawula iimpawu, kunye nenkxaso yeemvakalelo. Iindleko ezinxulumene nokhathalelo lokuthomalalisa zingahluka ngokuxhomekeke kwiinkonzo ezifunekayo.

Iindleko zokuqwalaselwa kwe IiNdlela zokuNyangwa koMhlaza wemiphunga

Iindleko ze unyango lomhlaza wemiphunga inokwahluka kakhulu ngokuxhomekeke kwizinto ezininzi, kubandakanywa inqanaba lomhlaza, uhlobo lonyango olufunyenweyo, ubude bexesha lonyango, umboneleli wezempilo, kunye ne-inshorensi. Kubalulekile ukuxoxa ngoqikelelo lweendleko kunye neqela lakho lezempilo kunye nomboneleli weinshorensi kwangoko kwinkqubo yonyango.

Iinkqubo zoncedo lwemali zinokufumaneka ukunceda ukunciphisa iindleko eziphezulu zonyango lomhlaza. Izibhedlele ezininzi kunye namaziko omhlaza anabacebisi bezezimali abanokunceda izigulana zijonge ezi ndlela. I Umbutho womhlaza waseMelika ikwabonelela ngezibonelelo kwizigulana ezisokolayo ngumthwalo wemali wonyango lomhlaza.

Iingqwalasela ezibalulekileyo

Olu lwazi lololwazi kuphela kwaye akufuneki luthathe indawo yengcebiso yomntu oqeqeshiweyo. Qhagamshelana ne-oncologist yakho ukumisela isicwangciso sonyango esilungileyo kwimeko yakho ethile. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo lubalulekile ekuphuculeni iziphumo zomhlaza wemiphunga.

Qaphela: Uluhlu lweendleko luqikelelo kwaye lunokwahluka kakhulu ngokusekelwe kwiimeko zomntu ngamnye. Thetha nomboneleli wakho wezempilo malunga noqikelelo oluchanekileyo lweendleko.

Ngolwazi olongezelelweyo okanye ukuxoxa ngeyakho ukhetho lonyango lomhlaza wemiphunga, unganqwenela ukubonisana neengcali kwi IZiko loPhando ngoMhlaza laseShandong Baofa.

Ukuziphendulela: Olu lwazi lujoliswe kulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye alubandakanyi iingcebiso zonyango. Kubalulekile ukudibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.