
Ukufumana isibhedlele esifanelekileyo unyango ithumba emiphunga kunokuba nzima. Esi sikhokelo sibonelela ngolwazi olubalulekileyo ukukunceda ukuba ujonge ubunzima bokuxilongwa, iindlela zonyango, kunye nokukhetha indawo efanelekileyo yonyango. Siza kujonga iindlela ezahlukeneyo zonyango, izinto ekufuneka uziqwalasele xa ukhetha isibhedlele, kunye nezixhobo zokunceda kwinkqubo yakho yokwenza izigqibo.
Amathumba emiphungeni ahlulahlulwe ngokubanzi kwi-benign (non-cancer) kunye ne-malignant (umhlaza). Amathumba anobungozi ahlelwa kwakhona abe ngumhlaza wemiphunga yeseli encinci (SCLC) kunye nomhlaza wemiphunga yeseli engeyincinci (NSCLC), ngalinye lifuna iindlela ezahlukeneyo zonyango. Ukuqonda uhlobo oluthile lwe ithumba lemiphunga ibalulekile kucwangciso lonyango olusebenzayo. Ukufunyaniswa kwangoko kuphucula kakhulu i-prognosis.
Ukwenziwa kwe ithumba lemiphunga umhlaza, ukusuka kwiNqanaba loku-I ukuya kwiNqanaba IV, lichaza ubungakanani bokunwenwa komhlaza. Oku kuchaphazela ukhetho lonyango kunye nenkangeleko iyonke. Ukulinganisa kubandakanya iimvavanyo ze-imaging (CT scans, PET scans) kunye ne-biopsies ukuvavanya ubungakanani be-tumor, indawo, kunye nokubandakanyeka kwe-lymph node. Iingxoxo ezineenkcukacha kunye nee-oncologists zibalulekile ekuqondeni inqanaba lakho elithile.
Utyando, olufana ne-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela), lolona nyango luphambili kwibakala lokuqala. ithumba lemiphunga umhlaza. Ubuchwephesha obuhlaselayo obuncinci, njengotyando lwethoracoscopic oluncediswa yividiyo (i-VATS), lubonelela ngamaxesha ancitshisiweyo okubuyisela kunye namanxeba. Ukuba nokwenzeka kotyando kuxhomekeke kwizinto ezifana nendawo yethumba, ubungakanani, kunye nempilo iyonke.
I-Chemotherapy ibandakanya ukusebenzisa amayeza ukutshabalalisa iiseli zomhlaza. Isetyenziswa rhoqo kwinqanaba eliphezulu ithumba lemiphunga Umhlaza, nokuba uwedwa okanye udityaniswe nolunye unyango olufana nonyango lwemitha. Imiphumo emibi iyahluka ngokuxhomekeke kumachiza athile asetyenzisiweyo, kwaye ukhathalelo oluxhasayo luyimfuneko ekulawuleni.
Unyango lweradiation lusebenzisa imiqadi ene-eneji ephezulu ukujolisa nokubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene notyando okanye ichemotherapy. Unyango lwemitha yangaphandle ludla ngokusetyenziswa, ngelixa ibrachytherapy ibandakanya ukubeka imathiriyeli yeradioactive ngqo ngaphakathi okanye kufutshane nethumba. Indlela ethile ixhomekeke kuhlobo, inqanaba, kunye nendawo ye ithumba lemiphunga.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza ezinotshintsho oluthile lwemfuza. Olu nyango lulungiselelwe izigulane ngamnye ngokusekelwe kwiprofayili yemfuza yethumba, ukwandisa ukusebenza kakuhle ngelixa kuncitshiswa iziphumo ebezingalindelekanga. Le ndlela yokwenziwa komntu iyatshintsha ithumba lemiphunga unyango.
I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Olu nyango lusebenza ngokomeleza inkqubo yomzimba yokuzikhusela ekuboneni nasekutshabalaliseni iiseli zomhlaza. Immunotherapy ibonise iziphumo ezithembisayo ekunyangeni ezahlukeneyo ithumba lemiphunga zomhlaza, rhoqo ukwandisa amazinga okuphila. Ii-agent ezikhethekileyo ze-immunotherapy zikhethwa ngokusekelwe kwiimpawu ze-tumor zesigulane.
Ukukhethela isibhedlele unyango ithumba emiphunga kufuna ukuqwalaselwa ngenyameko. Izinto ekufuneka ziqwalaselwe ziquka:
Ukuphanda izibhedlele, ukuphonononga iiwebhusayithi zabo, kunye nokuthetha nezinye izigulana kunokunceda ekwenzeni isigqibo esinolwazi. Ungalibazisi ukubuza imibuzo kwaye ufune izimvo ezininzi ngaphambi kokuba wenze ukhetho lwakho.
Imibutho emininzi ibonelela ngezibonelelo ezixabisekileyo kubantu abajongene nazo ithumba lemiphunga unyango. I-American Cancer Society kunye neNational Cancer Institute inikezela ngolwazi olubanzi, amaqela enkxaso, kunye nesikhokelo kulo lonke uhambo lonyango. Soloko udibana nomboneleli wakho wezempilo ngeengcebiso ezenzelwe wena kunye nezicwangciso zonyango. Kwiinketho zonyango oluphezulu nolukhethekileyo, qwalasela amaziko ophando anamaziko omhlaza wemiphunga azinikeleyo.
Kwizigulane ezifuna ukhathalelo olubanzi noluphezulu, IZiko loPhando ngoMhlaza laseShandong Baofa inikeza uluhlu lwezonyango ezikumgangatho ophezulu ithumba lemiphunga. Iqela labo elinamava libonelela ngezicwangciso zokhathalelo lomntu ngamnye ezilungiselelwe iimfuno ezizodwa zesigulane ngasinye. Ukuzibophelela kweziko kuphando nakwizinto ezintsha kuqinisekisa ukufikelela kwiindlela zonyango ezikumgangatho ophezulu.
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