
Esi sikhokelo sibonelela ngolwazi olunzulu ekufumaneni nasekukhetheni izibhedlele ezikhethekileyo kunyango lwe-neuroendocrine umdlavuza wamaphaphu (NELC). Sigubungela iingqwalasela eziphambili, ukhetho lonyango, kunye nezixhobo zokukunceda uhambe kolu hambo lunzima. Funda malunga nezibhedlele eziphambili kunye nobuchule bazo ekuxilongeni nasekunyangeni olu hlobo lomhlaza wemiphunga.
Umhlaza wemiphunga weNeuroendocrine luhlobo olungaqhelekanga ngokwentelekiso lomhlaza wemiphunga osuka kwiiseli ze-neuroendocrine zemiphunga. Ezi seli zivelisa iihomoni kwaye zahlukile kwiiseli ezibangela iindidi eziqhelekileyo zomhlaza wemiphunga. I-NELC iphinda ihlulwe kwii-subtypes ezininzi ngokusekelwe kuhlobo lweeseli kunye neempawu zokukhula, ezichaphazela izicwangciso zonyango. Ukuxilongwa kwangethuba kunye nonyango olufanelekileyo lubalulekile kwisiphumo esihle esinokubakho.
I-NELC ibandakanya i-spectrum ye-cancer, kubandakanywa i-carcinoids (i-low-grade), i-carcinoids e-atypical (i-intermediate-grade), kunye ne-cell neuroendocrine carcinomas (i-high-grade). Ibakala lichaphazela kakhulu indlela yonyango. Ukuqonda uhlobo oluthile olusezantsi luyimfuneko kucwangciso lonyango lomntu.
Ukukhethela isibhedlele unyango lomhlaza wemiphunga neuroendocrine kufuna ukuqwalaselwa ngenyameko. Izinto eziphambili zibandakanya amava esibhedlele ekuphatheni i-NELC, ubuchule bee-oncologists kunye namaqela otyando, ukufikelela kwiiteknoloji zokuxilonga eziphuculweyo (ezifana ne-PET scans kunye ne-imaging ephuculweyo), kunye nokufumaneka kwamaqela ononophelo lwe-multidisciplinary. Ukuba kufutshane kwesibhedlele kwikhaya lakho kunye nothungelwano lwenkxaso kufuneka lubandakanywe.
Khangela izibhedlele ezineenkqubo ze-oncology ze-thoracic ezizinikeleyo kunye nomthamo ophezulu wezigulane ze-NELC. Phanda ngamava eoncologists, upapasho, kunye nokuthatha inxaxheba kulingo lwezonyango. Ukuzinikela kwesibhedlele kuphando nakwizinto ezintsha kubonisa ukuzinikela ekuboneleleni ngonyango olukumgangatho ophezulu. Jonga iziqinisekiso kunye neziqinisekiso ezinxulumene nokhathalelo lomhlaza.
Isebenza unyango lomhlaza wemiphunga neuroendocrine isoloko ifuna inkqubo ebandakanya i-oncologists yezonyango, i-oncologists yotyando, i-radiation oncologists, i-pulmonologists, i-pathologists kunye neengcali ezixhasayo. Iqela lokhathalelo olulungelelanisiweyo liqinisekisa unyango olubanzi kwaye lijongana nemiba eyahlukeneyo yentlalontle yesigulane.
Utyando lukhetho oluqhelekileyo lonyango lwe-NELC yendawo. Ubungakanani botyando buxhomekeke kwizinto ezifana nobungakanani bethumba kunye nendawo. Ubuchwephesha obuncinci, njengotyando lwe-thoracoscopic oluncediswa yividiyo (VATS), luhlala lusetyenziselwa ukunciphisa ukuhlaselwa kunye nokuphucula ixesha lokubuyisela.
Unyango ngamachiza lunokusetyenziswa zidityaniswe notyando okanye njengonyango lokuqala lweNELC ephucukileyo. Irejimeni ethile yechemotherapy ixhomekeke kwibakala lethumba kunye nempilo yonke yesigulana. Unyango ekujoliswe kulo nalo luya lubandakanywa ngakumbi kwizicwangciso zonyango.
Unyango lwemitha, nokuba ngumqadi wangaphandle okanye ibrachytherapy, ingasetyenziselwa ukujolisa kwithumba kunye nokunciphisa ubukhulu bayo. Ingasetyenziswa yodwa okanye idibene nolunye unyango.
Unyango ekujoliswe kulo lusebenza ngokujolisa kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza. Iindlela ezininzi zonyango ezijoliswe kuzo zibonise isithembiso ekuphatheni i-NELC, ngakumbi ezo zineenguqu ezithile zofuzo. Ugqirha wakho uya kugqiba ukuba ngaba olu khetho lonyango lufanelekile kwimeko yakho ethile.
Izibonelelo ezininzi zinokunceda ekuchongeni izibhedlele ezinobuchule bokunyanga i-NELC. Oku kubandakanya abalawuli bezibhedlele ezikwi-Intanethi, imibutho yobuchwephesha efana neAmerican Society of Clinical Oncology (ASCO), kunye namaziko omhlaza kazwelonke. Unokufuna iingcebiso kugqirha wakho wokhathalelo oluphambili okanye ezinye iingcali.
Kukhathalelo olubanzi kunye nonyango lwe Neuroendocrine Umhlaza wemiphunga, qwalasela IZiko loPhando ngoMhlaza laseShandong Baofa. Banikezela ngobuchule obuphezulu bokuxilonga kunye neendlela ezininzi zonyango.
Khumbula, ulwazi olunikelwe apha lololwazi ngokubanzi kwaye akufuneki luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana nogqirha wakho okanye ingcali yezempilo eqeqeshiweyo ukuze ufumane ukuxilongwa kunye nokucwangciswa konyango. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo lubalulekile kwiziphumo ezizezona zilungileyo umhlaza wemiphunga we-neuroendocrine.
ecaleni>
umzimba>