iinketho zonyango umhlaza wemiphunga ngokwenqanaba Izibhedlele

Iinketho Zonyango Lomhlaza Wemiphunga ngokweSigaba: Isikhokelo esiBanzi seZibhedlele Ukhetho lomhlaza wemiphunga luyohluka kakhulu ngokuxhomekeke kwinqanaba lomhlaza. Esi sikhokelo sinika inkcazo yeendlela zonyango kwisigaba ngasinye, sigxininisa ukubaluleka kwezicwangciso zokunakekelwa komntu ngamnye eziphuhliswe ngokubonisana ne-oncologists enamava. Siza kuphonononga ukhetho lotyando, unyango lweradiation, ichemotherapy, unyango ekujoliswe kulo, kunye ne-immunotherapy, sigxininisa indima yezibhedlele eziphambili ekuboneleleni olu nyango luphezulu.

Ukuqonda amanqanaba oMhlaza wemiphunga

Umhlaza wemiphunga uhlelwa kusetyenziswa inkqubo eqwalasela ubungakanani nendawo yethumba, ukubandakanyeka kwee-lymph nodes, kunye nobukho beemetastases ezikude. Izigaba, ngokuqhelekileyo ukusuka kwiNqanaba I ukuya kwiSigaba IV, zibalulekile ekumiseni isicwangciso sonyango esifanelekileyo. Umhlaza wemiphunga wesigaba sakwangoko (Izigaba I-IIIA) kaninzi uphendula kakuhle kunyango lwendawo, ngelixa umhlaza wemiphunga okwinqanaba eliphezulu (Inqanaba IIIB-IV) udla ngokufuna indibaniselwano yonyango.

Inqanaba I oKhetho lokuNyangwa koMhlaza weMiphunga

Kuba iinketho zonyango umhlaza wemiphunga ngesigaba Mna, uqhaqho loqhaqho (ukususwa kwethumba kunye nezicubu zemiphunga ezingqongileyo) kudla ngokuba lolona nyango luphambili. Ngokuxhomekeke kubungakanani kunye nendawo yethumba, iindlela zokungenelela kancinci ezifana notyando lwethoracoscopic oluncediswa yividiyo (VATS) lunokusetyenziswa. Kwezinye iimeko, i-adjuvant chemotherapy okanye unyango lwe-radiation inokucetyiswa ukunciphisa umngcipheko wokuphindaphinda. Ukhetho lonyango luya kumiselwa yimiba efana nempilo yonke yesigulana, uhlobo lomhlaza wemiphunga (iseli encinci vs. iseli engeyincinci), kunye neempawu zethumba. Izibhedlele ezijongene notyando lwe-thoracic kunye ne-oncology zibonelela ngezona ndlela ziphezulu zotyando kunye nokhathalelo lwasemva kotyando.

Inqanaba II kunye ne-IIA UKhetho loNyango loMhlaza weMiphuphu

Ukhetho lonyango lomhlaza wemiphunga ngokwenqanaba I-II kunye ne-IIA zihlala zibandakanya ukudibanisa ukuchithwa kokuhlinzwa, i-chemotherapy, kunye / okanye unyango lwe-radiation. Isicwangciso sonyango esilungileyo sixhomekeke kwiimpawu ezithile ze-tumor kunye nempilo yesigulane. Umzekelo, i-neoadjuvant chemotherapy (ichemotherapy phambi kotyando) inokusetyenziselwa ukucutha ithumba, yenze utyando lube lukhulu. I-Adjuvant chemotherapy emva kotyando inceda ukuphelisa naziphi na iiseli zomhlaza eziseleyo. Unyango lweradiation lunokusetyenziswa ngokubambisana notyando okanye ichemotherapy ukujolisa kwiindawo ezithile.

Inqanaba le-IIIB kunye ne-IV loKhetho loNyango loMhlaza weMiphuphu

Ukhetho lonyango lomhlaza wemiphunga ngokwenqanaba I-IIIB kunye ne-IV, emele umhlaza wemiphunga yenqanaba eliphezulu, inzima kakhulu kwaye ifuna indlela ye-multidisciplinary. Unyango ludla ngokubandakanya indibaniselwano yonyango, olufana nechemotherapy, unyango olujoliswe kuyo, unyango lwamajoni omzimba, kunye nonyango lwemitha. Unyango olujoliswe kuyo lusebenza ngokujolisa kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni nasekusasazekeni kweeseli zomhlaza. Immunotherapy inceda amajoni omzimba ukulwa umhlaza. Unyango lwemitha lunokusetyenziswa ukuthomalalisa iimpawu okanye ukuncipha kwamathumba. Izibhedlele ezinamaziko omhlaza abanzi, abonelela ngokufikelela kulingo lwezonyango kunye neendlela zonyango oluphezulu, zibalulekile kwizigulana ezikwezi zigaba. Ukhathalelo lwePalliative ludlala indima ebalulekileyo ekulawuleni iimpawu kunye nokuphucula umgangatho wobomi kwizigulana ezinomhlaza wemiphunga okwinqanaba eliphezulu.

Ukukhetha iSibhedlele esiLungileyo kuNyango loMhlaza weMiphunga

Ukuchongwa kwesibhedlele iinketho zonyango umhlaza wemiphunga ngesigaba sisigqibo esibalulekileyo. Qwalasela izibhedlele ezine:

• Oogqirha abanamava be-thoracic kunye nee-oncologists ezigxile kumhlaza wemiphunga.
• Ukufikelela kubuchwephesha bokuxilonga kunye nonyango oluphezulu (umzekelo, utyando lwerobhothi, unyango oluphezulu lwemitha).
• Indlela yeqela lezinto ezininzi ebandakanya i-oncologists yezonyango, ii-oncologists ngemitha, oogqirha botyando lwesifuba, iingcali zezifo, kunye nezinye iingcali.
• Inkqubo yenkxaso ebanzi yezigulane kunye neentsapho zazo.

Phanda izibhedlele ngokucokisekileyo, ujonge iziqinisekiso, iziqinisekiso, kunye nobungqina besigulane. Kukhathalelo oluphezulu, qwalasela izibhedlele ezithatha inxaxheba kulingo lwezonyango lwenoveli yonyango lomhlaza wemiphunga. I IZiko loPhando ngoMhlaza laseShandong Baofa izinikele ekuboneleleni ngokhathalelo olubanzi noluhambele phambili lomhlaza wemiphunga.

Ukuzihlangula

Olu lwazi lujoliswe kulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na imibuzo onokuba nayo malunga nemeko yakho yezonyango okanye iindlela zonyango. Izicwangciso zonyango zixhomekeke kakhulu kumntu ngamnye kwaye zixhomekeke kwimiba eyahlukeneyo ethile kwisigulana ngasinye.