
Ukufumana Unyango Olululo kuMhlaza Wemiphunga Ongatshayiyo Eli nqaku libonelela ngolwazi olubanzi ngeendlela zonyango lomhlaza wemiphunga kubantu abangatshayiyo, ligxile kwinkqubela phambili yamva nje kunye neendlela ezifumanekayo kwizibhedlele eziphambili. Ibandakanya ukuxilongwa, iindlela zonyango, kunye nezibonelelo zenkxaso kunye nolwazi olungaphezulu.
Umhlaza wemiphunga, ngelishwa, awucaluli. Ngelixa ukutshaya kungoyena nobangela uphambili, inani elikhulu labantu bafunyaniswa benalo umhlaza wemiphunga ongatshayiyo abangatshayiyo. Oku kunika imingeni eyodwa ekuxilongeni nasekunyangeni. Esi sikhokelo sinceda ukuhamba ngeendlela ezintsonkothileyo zokufumana esona sibhedlele singcono kunye nonyango umhlaza wemiphunga ongatshayiyo. Ukuqonda ukhetho lwakho kubalulekile ukwenza izigqibo ezinolwazi malunga nempilo yakho.
Ngelixa ukutshaya kuseyeyona nto iphambili kumngcipheko womhlaza wemiphunga, zininzi ezinye izinto ezinegalelo kwesi sifo kubantu abangatshayiyo. Ezi ziquka: ukuvezwa kwirhasi yeradon, iasbestos, kunye nezinye iicarcinogens; imbali yentsapho yomhlaza wemiphunga; ukumoshwa komoya; kunye nemfuzo ethile. Ukuchonga ezi meko kubalulekile ekumiseleni eyona ndlela yonyango ilungileyo.
Uxilongo lwe umhlaza wemiphunga ongatshayiyo ilandela imigaqo efanayo naleyo yabantu abatshayayo. Oku ngokuqhelekileyo kubandakanya: iiX-reyi zesifuba, i-CT scans, i-bronchoscopy, i-biopsy, kunye ne-PET scans ezinokubakho. Ukufunyaniswa kwangethuba kubalulekile, ukwenza ukuhlolwa rhoqo kubalulekile, ngakumbi kwabo banenkangeleko yomngcipheko ophezulu. Isantya kunye nokuchaneka kokuxilongwa kubaluleke kakhulu ekuqinisekiseni ukucwangciswa konyango olusebenzayo.
Utyando luhlala luyinto ebalulekileyo yonyango kwiimeko ezininzi umhlaza wemiphunga ongatshayiyo. Inkqubo ethile ixhomekeke kwindawo, ubungakanani, kunye nenqanaba lomhlaza. Oku kunokuqala ukusuka kwi-lobectomy (ukususwa kwe-lung lobe) ukuya kwi-pneumonectomy (ukususwa komphunga uphela). Iindlela zotyando ezikwinqanaba eliphezulu zinciphisa ukuhlasela kwaye ziphucule amaxesha okubuyisela.
I-Chemotherapy isebenzisa amayeza ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Ihlala isetyenziswa phambi kotyando (neoadjuvant) ukucutha amathumba, emva kotyando (adjuvant) ukuphelisa iiseli zomhlaza eziseleyo, okanye njengonyango lokuqala xa utyando lungelulo ukhetho. Irejimeni ethile ye-chemotherapy ixhomekeke kuhlobo kunye nenqanaba lomhlaza. Iziphumo ebezingalindelekanga ziyalawuleka ngenkxaso efanelekileyo.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene notyando okanye ichemotherapy. Imitha yemitha yangaphandle lolona hlobo luxhaphakileyo, kodwa ibrachytherapy (imitha yangaphakathi) ikwasetyenziswa kwiimeko ezithile. Unyango ekujoliswe kulo njenge-stereotactic body radiotherapy (SBRT) luya kusetyenziswa kakhulu ukunciphisa umonakalo kwiithishu ezisempilweni.
Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza, ukunciphisa umonakalo kwiiseli eziphilileyo. Oku kuluncedo kakhulu kwizigulane ezinotshintsho lwemfuza oluthile olunxulunyaniswa nomhlaza wemiphunga. Ukuvavanya rhoqo kunceda ukufumanisa ukufaneleka kwezonyango ezijoliswe kuzo. Ukusebenza kolu nyango kusoloko kubekwa iliso ngezilingo zeklinikhi eziqhubekayo.
I-Immunotherapy idibanisa amajoni omzimba ukulwa neeseli zomhlaza. Inokusebenza kakhulu kwiintlobo ezithile zomhlaza wemiphunga kwaye ihlala isetyenziswa ngokudityaniswa nolunye unyango. Lo mmandla usahlumayo uqhubeka ukhula ngophando oluqhubekayo kunye nophuhliso.
Ukukhetha isibhedlele esifanelekileyo linyathelo elibalulekileyo kuhambo lwakho lonyango. Qwalasela izinto ezifana nezi:
Ukuphanda izibhedlele ngokucokisekileyo, ukufunda uphononongo lwesigulana, kunye nokudibana nogqirha wakho zonke ziinkalo ezibalulekileyo zesi sigqibo. Khumbula ukubuza imibuzo malunga namava abo nge umhlaza wemiphunga ongatshayiyo iimeko, amazinga okuphumelela unyango, kunye neenkqubo zenkxaso ezikhoyo.
Ukujongana nokuxilongwa komhlaza wemiphunga kunokuba ngumngeni. Izibonelelo ezininzi zinika inkxaso kunye nolwazi kwizigulane kunye neentsapho zabo. Ezi zibandakanya amaqela axhasa izigulane, uthungelwano lwenkxaso, kunye nezibonelelo ze-intanethi. Ukunxibelelana nabanye abawaqondayo amava akho kunokuba luncedo kakhulu ngexesha lonyango.
Ukufumana ulwazi oluthe kratya ngonyango kunye nenkxaso yomhlaza wemiphunga, unganqwenela ukuthathela ingqalelo ukuqhagamshelana ne IZiko loPhando ngoMhlaza laseShandong Baofa iinkcukacha malunga nobuchule babo kunye neenkonzo ekunyangeni iintlobo ezahlukeneyo zomhlaza wemiphunga, kuquka umhlaza wemiphunga ongatshayiyo.
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.
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