
Esi sikhokelo sibanzi sikunceda ukuba ukhangele ubunzima bokufumana okusebenzayo unyango lomhlaza wemiphunga yesquamous iinketho kwindawo yakho yendawo. Siphonononga iindlela ezahlukeneyo zonyango, izinto ekufuneka ziqwalaselwe xa ukhetha umboneleli, kunye nezixhobo zokuxhasa kunye nolwazi. Ukuqonda iinketho zakho kunye nokufumana ukhathalelo olufanelekileyo kubalulekile ekuhambeni kolu hambo lucelomngeni.
Umhlaza wemiphunga yeeseli zesquamous luhlobo lomhlaza wemiphunga weseli olungelulo oluncinci (NSCLC) olusuka kwiiseli ze-squamous ezihlala kwiindlela zomoya ezinkulu zemiphunga. Ibonakaliswa ngendawo yayo kunye neempawu ezithile zeselula. Ukufunyaniswa kwangoko ngundoqo ekuphuculeni iziphumo zonyango. Iimpawu zinokwahluka, kodwa zinokubandakanya ukukhohlela okuzingileyo, ukukhohlela igazi, iintlungu zesifuba, ukutswina, kunye nokuncipha kobunzima obungachazwanga. Ukuba ufumana nayiphi na kwezi mpawu, kubalulekile ukubonisana nogqirha ukuze ufumane ukuxilongwa ngokufanelekileyo.
Uxilongo ngokuqhelekileyo lubandakanya iimvavanyo zokucinga ezifana ne-CT scans kunye ne-X-reyi, kunye ne-biopsy ukuqinisekisa ubukho beeseli zomhlaza kunye nokumisela inqanaba lesi sifo. Inqanaba libalulekile ekumiseleni eyona ndlela yonyango ilungileyo. Inkqubo yesiteji iqwalasela ubungakanani kunye nendawo ye-tumor, ukubandakanyeka kwe-lymph node, kunye nobukho be-metastasis (ukusasazeka komhlaza kwamanye amalungu omzimba).
Ukususwa ngotyando lwethumba kunokuba lukhetho kwizigulane ezinesigaba sokuqala umhlaza wemiphunga. Uhlobo lotyando luxhomekeke kwindawo kunye nobukhulu bethumba. Oku kunokubandakanya i-lobectomy (ukususwa kwelobe yomphunga), i-pneumonectomy (ukususwa komphunga uphela), okanye ukukhupha imiphunga (ukususwa kwecandelo elincinane lomphunga). Amazinga okuphumelela otyando ayahluka ngokuxhomekeke kwizinto ezahlukeneyo, kubandakanywa nenqanaba lomhlaza kunye nempilo yonke.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza kunye nokuncipha kwamathumba. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango, olufana nechemotherapy okanye utyando. Unyango lwemitha yangaphandle yemitha yindlela eqhelekileyo, apho imitha yemitha ihanjiswa kumatshini ongaphandle komzimba. Unyango lwemitha ekujoliswe kulo, olufana ne-brachytherapy, lunokusetyenziswa kwezinye iimeko.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Inokulawulwa ngomthambo okanye ngomlomo. Unyango lwekhemotherapy lunokusetyenziswa phambi kotyando ukucutha ithumba (neoadjuvant chemotherapy), emva kotyando lokubulala naziphi na iiseli zomhlaza eziseleyo (i-adjuvant chemotherapy), okanye njengonyango lokuqala lomhlaza wenqanaba eliphezulu. Irejimeni ethile ye-chemotherapy iya kuxhomekeka kwizinto zomntu ngamnye kunye nesigaba sesifo. Imiphumo emibi ye-chemotherapy inokwahluka, kwaye ugqirha wakho uya kuxubusha oku nawe.
Unyango ekujoliswe kulo ngamachiza ajolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. Olu nyango luhlala lusetyenziswa kwizigulane ezinenqanaba eliphezulu umhlaza wemiphunga, ngakumbi ukuba amathumba abo aneenguqu ezithile zofuzo. Ukusebenza kweendlela zonyango ezijoliswe kuzo kuxhomekeke kubukho beempawu ezithile ze-biomarker, ezifana ne-EGFR, ALK, okanye ukuguqulwa kwe-ROS1.
I-Immunotherapy idibanisa amandla amajoni omzimba ukulwa neeseli zomhlaza. Amachiza e-Immunotherapy, anje nge-checkpoint inhibitors, anceda amajoni omzimba aqonde kwaye ahlasele iiseli zomhlaza. Olu nyango lubonise isithembiso kwizigulana ezihambele phambili umhlaza wemiphunga kwaye zihlala zisetyenziswa ngokudityaniswa nolunye unyango.
Ukufumana i-oncologist enobuchule obukhethekileyo kunyango lomhlaza wemiphunga kubalulekile. Qala ngokucela ugqirha wakho oyintloko wokunyamekela ukuba uthunyelwe okanye uphando lweengcali kwindawo yakho. Jonga i-oncologists enxulumene nezibhedlele ezinkulu okanye amaziko omhlaza, njengoko la maziko ehlala efumana unyango lwamva nje kunye nobuchwepheshe. Izixhobo ze-intanethi kunye neendawo zokuphonononga isigulane nazo zinokuba luncedo.
Cinga ngezinto ezifana namava e-oncologist kunye umhlaza wemiphunga, indlela yabo yonyango, kunye nendlela yabo yokunxibelelana. Ukukhetha umniki-nkonzo oziva ukhululekile kwaye uzithembile kubalulekile. Khumbula, uyinxalenye ebalulekileyo yeqela lakho lezempilo, kwaye unxibelelwano oluvulekileyo nogqirha wakho lubalulekile.
Ukujongana nokuxilongwa komhlaza kunokuba nzima. Kubalulekile ukusebenzisa izixhobo zenkxaso ezikhoyo. Imibutho emininzi, kuquka i-American Cancer Society kunye neLung Cancer Alliance, inika ulwazi oluxabisekileyo, amaqela enkxaso, kunye neenkqubo zoncedo lwezemali. Ezi zixhobo zinokukunceda ukuba umelane nemingeni yonyango ngokweemvakalelo, ngokwasemzimbeni, nangokwemali.
Ungalibazisi ukufikelela kwiqela lakho lokhathalelo lwempilo, amaqela enkxaso, okanye obathandayo ukuze ufumane uncedo. Inkqubo yokuxhasa eyomeleleyo inokuchaphazela kakhulu impilo yakho yonke ngexesha lonyango nangaphezulu. IZiko loPhando ngoMhlaza laseShandong Baofa uzinikele ekunikeni ukhathalelo olubanzi lomhlaza.
Olu lwazi lujoliswe kulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye aluquki iingcebiso zonyango. Kubalulekile ukudibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.
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