
Esi sikhokelo sibonelela ngolwazi olubanzi ukukunceda uqonde kwaye ujonge iinketho zakho unyango lomhlaza wemiphunga yokuqala kwindawo yakho yasekhaya. Siza kujonga iindlela ezahlukeneyo zonyango, izinto ekufuneka uziqwalasele xa ukhetha isicwangciso sonyango, kunye nezixhobo zokunceda inkqubo yakho yokwenza izigqibo. Ukufumana olona nyango lufanelekileyo kwimeko yakho kufuna uqwalaselo olucokisekileyo nokukhetha unolwazi. Makhe sihlolisise ukhetho lwakho.
Umhlaza wemiphunga wokuqala usuka kwimiphunga, ngokuchaseneyo nomhlaza othe wasasazeka (metastasized) ukusuka kwelinye ilungu lomzimba. Zimbini iindidi eziphambili: umhlaza wemiphunga weseli encinci (SCLC) kunye nomhlaza wemiphunga weseli ongeyonxalenye encinci (NSCLC). I-NSCLC yenza uninzi loxilongo lomhlaza wemiphunga. Uhlobo oluthile lomhlaza wemiphunga lunempembelelo enkulu kwindlela yonyango.
Inqanaba elichanekileyo lomhlaza libalulekile ekumiseleni eyona nto isebenzayo unyango lomhlaza wemiphunga yokuqala. Oku kubandakanya iimvavanyo ezahlukeneyo zokuxilonga, kuquka iimaging scans (CT, PET), ibiopsy novavanyo lwegazi. Inqanaba lomhlaza (I-IV) libonisa ubungakanani besifo kunye nokusasazeka kwayo. Ukufunyaniswa kwangethuba kungundoqo, njengoko iziphumo zonyango zingcono kakhulu kumanqanaba angaphambili.
Ukususwa ngotyando lwethumba kunokuba lukhetho lomhlaza wemiphunga wesigaba sakwangoko. Oku kunokubandakanya i-lobectomy (ukususwa kwe-lobe yomphunga), i-pneumonectomy (ukususwa komphunga uphela), okanye iinkqubo ezingaphantsi kakhulu ngokuxhomekeke kwindawo kunye nobukhulu bethumba elo. Ubuchule botyando buhlala buguquguquka, bukhokelela kwiinkqubo ezingaphantsi kunye namaxesha aphuculweyo okubuyisela. Ukufaneleka kotyando kuxhomekeke kwizinto ezininzi, kubandakanywa impilo yonke yesigulana kunye nendawo kunye nobukhulu besisu.
Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziselwa ukucutha amathumba phambi kotyando, ukutshabalalisa iiseli zomhlaza eziseleyo emva kotyando, okanye njengonyango oluphambili kwizigulana ezingengabo abaviwa botyando. Unyango lwemitha yangaphandle lwemitha lolona hlobo luxhaphakileyo, kodwa ibrachytherapy (imitha yangaphakathi) isenokusetyenziswa kwiimeko ezithile. Iziphumo ebezingalindelekanga zinokwahluka kodwa zihlala zibandakanya ukudinwa nokucaphuka kwesikhumba.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziswa ngokudityaniswa nolunye unyango olunjengotyando okanye ngemitha. Irejimeni ethile yechemotherapy iya kuxhomekeka kudidi kunye nenqanaba lomhlaza wemiphunga. Iziphumo ebezingalindelekanga zinokubandakanya isicaphucaphu, ukulahleka kweenwele, kunye nokudinwa.
Amachiza onyango ekujoliswe kuwo ahlasela izinto ezingaqhelekanga kwiiseli zomhlaza. Le ndlela idla ngokusebenza ngakumbi kwaye inetyhefu encinci kunechemotherapy yendabuko. Ezi zonyango zisetyenziselwa ngakumbi kwiintlobo ezithile ze-NSCLC, ngakumbi ezo zineenguqu ezithile zofuzo. Ukufumaneka konyango olujoliswe kuyo luyaqhubeka nokwandisa ngophando oluqhubekayo.
I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. I-Immune checkpoint inhibitors ludidi oluphambili lwamachiza onyango lwe-immunotherapy oluguqule unyango lweentlobo ezininzi zomhlaza wemiphunga. La mayeza anceda amajoni omzimba ukuba abone kwaye ahlasele iiseli zomhlaza ngokufanelekileyo. Imiphumo emibi inokwahluka kodwa ihlala ibandakanya iziganeko ezimbi ezinxulumene nomzimba.
Ukukhetha iqela lezonyango eliqeqeshiweyo kubalulekile ukuze uphumelele unyango lomhlaza wemiphunga yokuqala. Qwalasela ezi nkalo:
Phanda izibhedlele zasekhaya kunye namaziko omhlaza agxile ekukhathaleni umhlaza wemiphunga. Abaninzi banikezela ngezixhobo ze-intanethi ukukunceda ufunde ngakumbi malunga neenkonzo zabo kunye neeprofayili zoogqirha. Ungalibazisi ukuqhagamshelana namaziko amaninzi ukubuza imibuzo kunye neshedyuli yokubonisana.
Ukujongana nokuxilongwa komhlaza wemiphunga kunokuba nzima. Uthungelwano lwenkxaso lubalulekile kwizigulane zombini kunye neentsapho zazo. Cinga ngokujoyina amaqela enkxaso, ukudibanisa nemibutho exhasa izigulane, okanye ukufuna iinkonzo zokucebisa. Zininzi izixhobo ezifumanekayo zokubonelela ngenkxaso yeemvakalelo, ephathekayo, kunye nolwazi kulo lonke uhambo lwakho. Khumbula, awuwedwa.
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo eqeqeshiweyo yokuxilongwa kunye nengcebiso zonyango.
| Uhlobo loNyango | Inkcazo | Iingenelo | Iingxaki |
|---|---|---|---|
| Utyando | Ukususwa kwethumba. | Okunokuthi kunyangelwe umhlaza wenqanaba lokuqala. | Isenokungalungeli zonke izigulane. |
| Unyango ngemitha | Isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. | Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango. | Inokuba neziphumo ebezingalindelekanga ezifana nokudinwa kunye nokucaphuka kwesikhumba. |
| Unyango ngamachiza | Usebenzisa iziyobisi ukubulala iiseli zomhlaza. | Unokuwunyanga umhlaza othe wanwenwa. | Inokuba neziphumo ebezingalindelekanga ezibalulekileyo. |
Ngolwazi oluthe vetshe kunye nokuphonononga iindlela zonyango oluphezulu, cinga ngokundwendwela IZiko loPhando ngoMhlaza laseShandong Baofa.
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