utyando lonyango lomhlaza wemiphunga

Unyango loMhlaza weLung: Isikhokelo esiBanzi kuTyandoUmhlaza wamaLung sisifo esimandundu, kodwa inkqubela phambili utyando lonyango lomhlaza wemiphunga zinika ithemba kwizigulana ezininzi. Esi sikhokelo sibonelela ngombono obanzi wokhetho lotyando, kukunceda uqonde inkqubo kwaye wenze izigqibo ezinolwazi.

Ukuqonda uMhlaza weLung kunye noKhetho loTyando

Iindidi zoMhlaza weLung kunye nokuLungela uCando

Izinto ezininzi zigqiba ukufaneleka kotyando lwe unyango lomhlaza wemiphunga. Uhlobo lomhlaza wemiphunga (iseli encinci okanye iseli engeyiyo encinci), inqanaba lawo, impilo yesigulana iyonke, kunye nendawo elikuyo ithumba zonke zinendima ebalulekileyo. Umhlaza wemiphunga weseli engeyiyo encinci (NSCLC), olona hlobo luxhaphakileyo, uhlala unyangeka ngotyando, ngakumbi kumanqanaba awo okuqala. Umhlaza wemiphunga omncinci weseli (SCLC), nangona kunjalo, unyangwa ngechemotherapy kunye nonyango lweradiation, njengoko ithande ukusasazeka ngokukhawuleza.

Iinkqubo zoTyando kuMhlaza weMiphunga

Iinkqubo ezininzi zotyando zisetyenziswa kwi utyando lonyango lomhlaza wemiphunga, nganye ilungiselelwe kwimeko nganye: I-Lobecectomy: Ukususwa kwe-lobe yonke yomphunga. Le yinkqubo eqhelekileyo yomhlaza wemiphunga okwinqanaba lakwangoko. I-Segmentectomy: Ukususwa kwenxalenye ye-lung lobe. Le yindlela engaphantsi kokuhlasela, ihlala ikhethwa xa ithumba lincinci kwaye livalelwe kwicandelo elithile. Ukususwa kweWedge: Ukususwa kweqhekeza elincinci, elimilise kwimiphunga yethishu equlethe ithumba. Oku ngokuqhelekileyo kusetyenziselwa amathumba amancinci kakhulu. Pneumonectomy: Ukususwa komphunga uphela. Le yinkqubo ebanzi ngakumbi, edla ngokugcinelwa amathumba amakhulu okanye lawo achaphazela inxalenye ebalulekileyo yomphunga.Ukhetho lotyando luxhomekeke kwizinto eziliqela, kuquka ubungakanani bethumba, indawo ekuyo, kunye nempilo yomguli ngokubanzi. Ugqirha wakho uya kuxoxa ngeyona ndlela ilungileyo kwimeko yakho ethile.

Ukuqwalaselwa kwangaphambili kokuSebenza kunye neNkqubo yoCando

UVavanyo lwaphambi kotyando kunye noLungiselelo

Ngaphambi kokuhamba utyando lonyango lomhlaza wemiphunga, izigulana zivavanywa ngokucokisekileyo. Oku kubandakanya ukuphononongwa kwembali yonyango, ukuhlolwa komzimba, iimvavanyo zokucinga (i-CT scans, i-PET scans, i-MRI), kunye neemvavanyo ze-pulmonary function ukuvavanya amandla emiphunga. Ukulungiselela utyando kubandakanya ukuguqulwa kwendlela yokuphila, njengokuyeka ukutshaya kunye nokuphucula impilo yonke.

Inkqubo yoTyando kunye noBuyiselo

Utyando lonyango lomhlaza wemiphunga iqhele ukwenziwa kusetyenziswa ubuchule obuncinci bokuhlasela (i-VATS - utyando lwethoracoscopic oluncediswa yividiyo) nanini na kunokwenzeka, okukhokelela kwizikeko ezincinci, iintlungu ezisezantsi, kunye namaxesha okubuyisela ngokukhawuleza. I-thoracotomy evulekileyo, indlela ephazamisayo ngakumbi, inokufuneka kwezinye iimeko. Ukubuyisela emva kokusebenza kubandakanya ukulawula intlungu, unyango lokuphefumula, kunye nokuvuselelwa komzimba ukuze kubuyiselwe ukusebenza kwemiphunga kunye namandla.

Ukhathalelo lwangemva kokuSebenza kunye neNjongo yexesha elide

Ukubuyisela kwisimo sangaphambili kunye noKhathalelo lokulandelisa

Emva koko utyando lonyango lomhlaza wemiphunga, izigulane zifuna unyango oluqhubekayo. Oku kubandakanya ukuqeshwa okulandelwa rhoqo kunye nogqirha otyandayo kunye ne-oncologist ukubeka iliso ukuphindaphinda, ukulawula naziphi na iingxaki, kunye nokubonelela ngenkxaso. Iinkqubo zokuvuselela imiphunga zinokunceda izigulane ziphinde zibe namandla kwaye ziphucule umgangatho wobomi bazo.

Amazinga okusinda kwexesha elide kunye noMgangatho woBomi

Amazinga okusinda emva utyando lonyango lomhlaza wemiphunga ziyahluka ngokuxhomekeke kwizinto ezifana nenqanaba lomhlaza ngexesha lokuxilonga, uhlobo lotyando, kunye nempilo yonke yesigulane. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo kuyiphucula kakhulu imbonakalo. Izigulana ezininzi zinokuphila ubomi obusebenzayo nobanelisayo emva kotyando oluyimpumelelo, nangona ukubekwa esweni rhoqo kubalulekile.

Ukukhetha iQela loNyango oluLungileyo kunye neZibonelelo

Ukufumana iqela eliqeqeshiweyo nelinamava otyando lwe-oncology kubaluleke kakhulu kwimpumelelo unyango lomhlaza wemiphunga. Jonga oogqirha botyando kunye nee-oncologists ezinobuchwephesha bobuchule obuncinci kunye nerekhodi eqinisekisiweyo yeziphumo ezilungileyo zesigulana. Cinga ngokufuna uluvo lwesibini ukuqinisekisa ukuba ufumana olona khathalelo lunokwenzeka. Ukufumana ulwazi oluthe kratya malunga nonyango lomhlaza wemiphunga kunye nezibonelelo zenkxaso, unokucinga ngokuqhagamshelana namaziko afana ne Umbutho womhlaza waseMelika okanye i Umbutho wamaLung waseMelika. Ukufumana unyango oluphezulu kunye nolwazi olongezelelweyo, unokufuna ukuhlola amaziko ahloniphekileyo akhethekileyo kuphando lomhlaza kunye nonyango, njengeShandong Baofa Cancer Research Institute (https://www.baofahospital.com/).