unyango ithumba emiphunga

Unyango lwethumba emiphunga: IsiKhokelo esiBanziUkuqonda ubunzima be unyango ithumba emiphunga ifuna indlela eneenkalo ezininzi, ebandakanya ukuxilongwa, ukuseta, kunye neendlela zonyango ezilungiselelwe iimfuno zesigulana ngasinye. Esi sikhokelo sinika inkcazo eneenkcukacha yangoku unyango ithumba emiphunga iindlela, ezichaza ukusebenza kwazo, iziphumo ebezingalindelekanga, kunye nokufaneleka kwezigaba ezahlukeneyo zesifo. Siza kuphonononga ukhetho lotyando, unyango lwemitha, ichemotherapy, unyango ekujoliswe kulo, kunye nonyango lomzimba, sigxininisa ukubaluleka kwesicwangciso sonyango lomntu siqu esiphuhliswe ngokudibana ne-oncologist eqeqeshiweyo.

Uxilongo kunye nokuQiniswa kwamathumba emiphunga

Ukuxilongwa ngokuchanekileyo kunye nezigaba kubalulekile ekuqinisekiseni eyona ifanelekileyo unyango ithumba emiphunga iqhinga. Oku kubandakanya iinkqubo ezininzi:

Iindlela zokuSebenza

IiX-reyi zesifuba, iCT scans, iPET scan, neMRI scan zisetyenziselwa ukubona elo thumba, lihlole ubukhulu nendawo elikuyo, nokubona nakuphi na ukunwenwela kwiilymph nodes ezikufutshane okanye kwamanye amalungu omzimba. Le mifanekiso ibalulekile ekumiseleni inqanaba le ithumba lemiphunga.

I-Biopsy

I-biopsy, ebandakanya ukususa isampulu yethishu encinci, ibalulekile ekuqinisekiseni ukuxilongwa kunye nokumisela uhlobo lweeseli zomhlaza wemiphunga (umzekelo, umhlaza wemiphunga weseli ongewona mncinci, umhlaza weseli emiphunga). Oku kuvumela ukuba ngokwezifiso unyango ithumba emiphunga ukucwangcisa.

Ukwenza iqonga

Uluhlu luhlula ubungakanani bomhlaza ngokusekwe kubungakanani bethumba, ukubandakanyeka kwe-lymph node, kunye ne-metastasis (ukusasazeka kumalungu akude). Izikhokelo zokwenza izigqibo zonyango kwaye ziqikelele i-prognosis. Inkqubo yeqonga ye-TNM isetyenziswa ngokuqhelekileyo.

Iinketho zoNyango lweTumor yeLung

Zininzi iindlela zonyango ezikhoyo unyango ithumba emiphunga, ehlala isetyenziswa ngokudibeneyo ngokuxhomekeke kwinqanaba kunye nohlobo lomhlaza:

Utyando

Ukususwa ngokuhlinzwa kwe-tumor (umzekelo, i-lobectomy, i-pneumonectomy) ingaba yindlela yokukhetha kwinqanaba lokuqala. amathumba emiphunga. Iindlela ezincinci zokuhlasela zisetyenziselwa ukunciphisa ixesha lokubuyisela. Ukuphumelela kotyando kuxhomekeke kwizinto ezifana nendawo kunye nobukhulu bethumba kunye nempilo yonke yesigulane.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene notyando okanye ichemotherapy. Unyango lwemitha yemitha yangaphandle lolona hlobo luxhaphakileyo. Unyango lwemitha yemitha ye-stereotactic (SBRT) luhlobo oluchanekileyo lonyango lwemitha kumathumba amancinci.

Unyango ngamachiza

Unyango ngamachiza lubandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Ihlala isetyenziselwa inqanaba eliphezulu amathumba emiphunga, nokuba uwedwa okanye ecaleni kolunye unyango olufana nemitha okanye unyango olujoliswe kuyo. Zininzi iirejimeni zechemotherapy, nganye ineseti yayo yeziphumo ebezingalindelekanga.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lujolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza. La mayeza asebenza ngokukodwa kwiindidi ezithile zeseli ezingezona ezincinci amathumba emiphunga ngokuguqulwa kofuzo oluthile (umzekelo, EGFR, ALK, ROS1).

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa neeseli zomhlaza. I-immune checkpoint inhibitors luhlobo lwe-immunotherapy olubonise isithembiso esibalulekileyo ekunyangeni inqanaba eliphezulu. amathumba emiphunga. Olu nyango lunokuba neenzuzo zexesha elide.

Ukukhetha iSicwangciso soNyango esiLungileyo

Elona liphezulu unyango ithumba emiphunga isicwangciso sesomntu kwaye sixhomekeke kwizinto ezininzi: Inqanaba lomhlaza Uhlobo lweeseli zomhlaza kwimpilo yesigulane kunye nezinto ezikhethwayo Ukufumaneka kokhetho lonyango.

Indima yeQela leeNdlela ezininzi

Isebenza unyango ithumba emiphunga ihlala ibandakanya iqela lezinto ezininzi, kubandakanya i-oncologists, oogqirha botyando, iingcali zemitha, iingcali zokuphefumla, kunye nezinye iingcali zempilo. Le ndlela yokubambisana iqinisekisa isicwangciso sonyango esibanzi kunye nomntu ngamnye. Ngolwazi oluthe kratya okanye ukufumana ukhathalelo olukhethekileyo, ungajonga izixhobo ezifana ne Iziko lomhlaza leSizwe.

Ukulawula iZiphumo eziPhakamileyo

Unyango lwethumba emiphunga kunokubangela iziphumo ebezingalindelekanga ezahlukahlukeneyo, njengokudinwa, isicaphucaphu, ukuqothuka kweenwele, nobunzima bokuphefumla. Ezi ziphumo bezingalindelekanga zinokulawulwa ngokhathalelo oluxhasayo kunye namayeza. Unxibelelwano oluvulekileyo neqela lakho lezempilo lubalulekile ekujonganeni nazo naziphi na izinto ezikuxhalabisayo okanye iingxaki.

Inkxaso eyongezelelweyo kunye nezibonelelo

Ngolwazi olongezelelweyo kunye nenkxaso malunga unyango ithumba emiphunga, cinga ngokuqhagamshelana namaqela axhasa izigulane, uthungelwano lwenkxaso, okanye izibonelelo ze-intanethi ezithembekileyo. Ukuphonononga ezi ndlela kunokubonelela ngoncedo oluxabisekileyo ngeli xesha linzima. Kukhathalelo olubanzi lomhlaza kunye nophando, unokuqwalasela IZiko loPhando ngoMhlaza laseShandong Baofa, iziko eliphambili elizibophelele ekuqhubeleni phambili unyango lomhlaza kunye nempilo yesigulane.