
Inqanaba 1A umhlaza wemiphunga uyanyangeka, kwaye ukuxilongwa kwangoko kuphucula kakhulu amathuba onyango oluyimpumelelo kunye nokuphila ixesha elide. Esi sikhokelo sibonelela ngolwazi kwiinketho zonyango kwaye sikuncede ukuba uqonde amanyathelo alandelayo okufumana ukhathalelo olufanelekileyo oluthembekileyo isigaba 1a kwizibhedlele zonyango lomhlaza wemiphunga.
Inqanaba 1Umhlaza wemiphunga ubonisa ithumba elincinane (elingaphantsi kweesentimitha ezi-2) elingakhange lisasazeke kwii-lymph nodes ezikufutshane okanye kwamanye amalungu omzimba. Ukufunyaniswa kwangoko kubalulekile kunyango oluyimpumelelo. Ziliqela izinto eziphembelela izicwangciso zonyango, kubandakanywa uhlobo lomhlaza wemiphunga (iseli engeyincinci okanye iseli encinci), impilo yesigulana iyonke, kunye nendawo yethumba.
Unyango oluphambili lwe isigaba 1 a unyango umhlaza wemiphunga lutyando, ngokuqhelekileyo i-lobectomy (ukususwa kwe-lung lobe) okanye i-wedge resection (ukususwa kwecandelo elincinane lemiphunga). Kwezinye iimeko, iindlela zotyando ezingephi, ezifana notyando lwethoracoscopic oluncediswa yividiyo (VATS), luyasetyenziswa. Obu buchule bubangela ukuba kufakwe amancinci kunye namaxesha okubuyisela ngokukhawuleza. Ukhetho lwenkqubo yotyando luxhomekeke kwizinto ezifana nobungakanani bethumba kunye nendawo.
Ukususwa ngotyando lwethishu ezinomhlaza lolona nyango luqhelekileyo isigaba 1 a unyango umhlaza wemiphunga. Indlela yotyando ethile ilungiselelwe iimeko zomntu ngamnye wesigulane. Utyando olunempumelelo ludla ngokukhokelela ekunyangeni, kuxhomekeka kwezinye izinto ezifana nempilo yomguli xa iyonke.
Emva kotyando, unyango lwe-adjuvant lunokucetyiswa ukunciphisa umngcipheko wokuphinda umhlaza. Olu nyango lunokubandakanya ichemotherapy okanye iradiotherapy, kuxhomekeka kwimeko ethile yesigulana kunye novavanyo lwe-oncologist. Olu nyango lujolise kuzo naziphi na iiseli zomhlaza eziseleyo ukuphucula amazinga okuphila ixesha elide. Kubalulekile ukuxoxa ngezi ndlela ngocoselelo neqela lakho lezonyango.
Kwezinye iimeko, ngakumbi ukuba utyando lubonwa lusemngciphekweni kakhulu kwisigulana, unyango lweradiation lunokusetyenziswa njengonyango oluphambili lwesigulana. isigaba 1 a unyango umhlaza wemiphunga. Oku kubandakanya imiqadi ephezulu yamandla ukujolisa nokutshabalalisa iiseli zomhlaza. I-Stereotactic body radiotherapy (SBRT) luhlobo oluchane kakhulu lonyango lwemitha enokusebenza kakhulu kumathumba amancinci.
Ukukhetha isibhedlele esifanelekileyo kubalulekile kunyango oluyimpumelelo. Qwalasela izinto ezifana namava esibhedlele ekunyangeni umhlaza wemiphunga, ubuchule boogqirha botyando kunye neengcali zeoncologists, kunye nobugcisa obukhoyo kunye neenkonzo zenkxaso. Khangela izibhedlele ezinomthamo ophezulu wotyando lomhlaza wemiphunga kunye nendlela yeqela elibandakanya izinto ezininzi ezibandakanya oogqirha botyando, i-oncologists, i-radiologists, kunye nezinye iingcali. Phanda kwaye ubuze imibuzo - ukuqonda ukhathalelo oya kulufumana kubaluleke kakhulu. Ngolwazi oluthe vetshe, unokufuna ukubonisana nengcali kwiziko elithembekileyo elifana ne IZiko loPhando ngoMhlaza laseShandong Baofa.
Ukuqeshwa rhoqo kokulandelela kubalulekile emva koko isigaba 1 a unyango umhlaza wemiphunga. Oku kuqeshwa kubandakanya ukubeka iliso kuzo naziphi na iimpawu zokuphindaphinda kunye nokulawula iziphumo ebezingalindelekanga. I-oncologist yakho iya kusebenza nawe ukuphuhlisa isicwangciso sexesha elide somntu wakho.
Xa uxoxa ngeendlela zonyango, kubalulekile ukubuza ugqirha wakho le mibuzo:
Imibutho emininzi ibonelela ngezibonelelo kunye nenkxaso kubantu abafunyaniswa benomhlaza wemiphunga. Le mibutho inika ulwazi oluxabisekileyo, amaqela enkxaso, kunye neenkonzo zenkxaso.
Khumbula, ukufunyaniswa kwangoko kunye nonyango zingundoqo kwiziphumo eziyimpumelelo nge isigaba 1 a unyango umhlaza wemiphunga. Ungalibazisi ukufuna unyango olukhawulezileyo ukuba ufumana naziphi na iimpawu.
| UKhetho Lonyango | Inkcazo | Iingenelo | Iingxaki |
|---|---|---|---|
| Utyando (Lobectomy/Wedge Resection) | Ukususwa kwezicubu zemiphunga ezinomhlaza. | Izinga eliphezulu lokunyanga, unyango oluqinisekileyo. | Iingxaki ezinokwenzeka njengosulelo, ukopha, kunye nemiba yokuphefumla. |
| Unyango ngemitha (SBRT) | Imitha ekujoliswe kuyo ukutshabalalisa iiseli zomhlaza. | Ukuhlasela okuncinci, ujoliso oluchanekileyo. | Inokubangela iziphumo ebezingalindelekanga ezifana nokudinwa, ukucaphuka kolusu, kunye nokudumba kwemiphunga. |
| Unyango ngamachiza (Adjuvant) | Amachiza okubulala iiseli zomhlaza. | Yehlisa umngcipheko wokuphindaphinda. | Imiphumo emibi inokuba yinto ebalulekileyo, kuquka isicaphucaphu, ukulahleka kweenwele, kunye nokudinwa. |
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nonyango.
ecaleni>
umzimba>