isigaba 2a unyango lomhlaza wemiphunga

Inqanaba lesi-2A loNyango loMhlaza weMiphunga: Isikhokelo esiBanzi Eli nqaku libonelela ngamagqabantshintshi aneenkcukacha zokhetho lonyango lwenqanaba le-2A lomhlaza wemiphunga, utyando olugubungelayo, ichemotherapy, unyango lwemitha, unyango olujoliswe kuyo, kunye nonyango lwamajoni omzimba. Ikwaphonononga izinto eziphembelela izigqibo zonyango kunye nokubaluleka kwendlela yokwenza izinto ezininzi. Ulwazi lunikezelwa ngeenjongo zemfundo kwaye akufanele luthathwe njengengcebiso yezonyango. Soloko udibana ne-oncologist yakho malunga nokucwangciswa konyango lomntu.

Inqanaba 2A Unyango lomhlaza wemiphunga: Isikhokelo esiBanzi

Inqanaba 2A umhlaza wemiphunga luxilongo olunzima, kodwa inkqubela phambili kwi-oncology yezonyango iphucule kakhulu iziphumo zonyango. Ukuqonda iindlela ezahlukeneyo zonyango ezikhoyo kubalulekile ukwenza izigqibo ezinolwazi kunye neqela lakho lezempilo. Esi sikhokelo siphonononga imiba ephambili ye isigaba 2A unyango lomhlaza wemiphunga, ikunceda ukuba uhambe kolu hambo lunzima.

Ukuqonda iNqanaba 2A Umhlaza wemiphunga

Inqanaba 2A umhlaza wemiphunga ubonisa ukuba umhlaza usasazeke kwii-lymph nodes ezikufutshane, kodwa hayi kwiindawo ezikude zomzimba. Isicwangciso sonyango oluthile sixhomekeke kwizinto eziliqela, kuquka uhlobo lomhlaza wemiphunga (iseli encinci okanye iseli engeyincinci), ubungakanani kunye nendawo yethumba, impilo yesigulane iyonke, kunye nobukho bezinye iimeko zonyango. Iqonga elichanekileyo libalulekile ekumiseleni ikhondo elifanelekileyo lesenzo.

IiKhetho zoNyango lweSigaba 2A soMhlaza weMiphunga

Utyando

Utyando ludla ngokuba lolona nyango luphambili isigaba 2A umhlaza wemiphunga, ejolise ekususeni i-tumor kunye ne-lymph nodes ezichaphazelekayo. Uhlobo lotyando luxhomekeke kwindawo yethumba kunye nobukhulu. Oku kunokubandakanya i-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela). Ubuchwephesha obungenabuqhetseba obuncinci njengotyando lwethoracoscopic oluncediswa yividiyo (i-VATS) luhlala lusetyenziswa ukunciphisa ixesha lokubuyisela kunye nokunciphisa amanxeba. Imingcipheko enokubakho kunye neengxaki ezinxulumene noqhaqho kufuneka zixoxwe ngokucokisekileyo nogqirha wakho wotyando.

Unyango ngamachiza

Unyango ngamachiza lubandakanya ukusetyenziswa kwamachiza okubulala iiseli zomhlaza. Ingasetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukuthoba ithumba, ukwenza kube lula ukulisusa, okanye emva kotyando (i-adjuvant chemotherapy) ukuphelisa naziphi na iiseli zomhlaza eziseleyo. Irejimeni ethile yechemotherapy ixhomekeke kuhlobo lomhlaza wemiphunga kunye nempilo yonke yesigulana. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka isicaphucaphu, ukudinwa, nokulahleka kweenwele, kodwa ezi zihlala zilawuleka ngokufanelekileyo.

Unyango ngemitha

Unyango ngemitha isebenzisa imiqadi enamandla kakhulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziswa phambi kotyando (neoadjuvant radiotherapy) ukucutha ithumba, emva kotyando (adjuvant radiotherapy) ukunciphisa umngcipheko wokuphinda, okanye njengonyango lokuqala kwiimeko apho utyando lungelukhetho. Unyango lwemitha yangaphandle lusetyenziswa kakhulu, kodwa kwiimeko ezithile, ibrachytherapy (imitha yangaphakathi) inokuqwalaselwa. Iziphumo ebezingalindelekanga zinokubandakanya ukucaphuka kwesikhumba, ukudinwa, kunye nobunzima bokuphefumla.

Unyango ekujoliswe kulo

Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. Ngokuqhelekileyo zisetyenziselwa izigulana ezinomhlaza wemiphunga engeyiyo encinci (i-NSCLC) enokuguqulwa kofuzo oluthile, olufana nokuguqulwa kwe-EGFR okanye i-ALK. Ezi zonyango zibonelela ngendlela ekujoliswe kuyo ngakumbi, enokukhokelela kwiziphumo ebezingalindelekanga ezimbalwa xa kuthelekiswa nechemotherapy yesintu.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Isebenza ngokonyusa amandla amajoni omzimba okuqaphela kunye nokuhlasela iiseli zomhlaza. I-Immunotherapy iye yavela njengenkqubela phambili ebalulekileyo kunyango lomhlaza wemiphunga, inika izibonelelo ezihlala ixesha elide kwezinye izigulana. Imiphumo enokubakho iyahluka kodwa inokuquka ukudinwa, ukurhawuzelela kwesikhumba, kunye nokudumba kwemiphunga.

Ukukhetha iSicwangciso soNyango esiLungileyo

Isigqibo malunga nesicwangciso sonyango esisiso isigaba 2A umhlaza wemiphunga yinto entsonkothileyo, efuna indlela ebandakanya i-oncologists yezonyango, oogqirha botyando lwesifuba, i-radiation oncologists, kunye nezinye iingcali. Izinto ezinje ngobudala besigulana, impilo iyonke, iimpawu zethumba, kunye nokhetho lobuqu zonke zithathelwa ingqalelo. Unxibelelwano oluvulekileyo kunye neqela lakho lezempilo lubalulekile ukwenza izigqibo ezinolwazi ezihambelana neemfuno zakho kunye neenjongo zakho. Ingxoxo ebanzi malunga neenzuzo, iingozi, kunye neziphumo ebezingalindelekanga zokhetho ngalunye lonyango luyimfuneko.

Ukubaluleka kweQela lokuNika iNkxaso

Ukujonga ukuxilongwa komhlaza kunokuba ngumngeni ngokwasemphefumlweni nasemzimbeni. Ukwakha uthungelwano oluluqilima lwenkxaso, kubandakanywa usapho, abahlobo, kunye namaqela enkxaso, kubalulekile. Izibonelelo ezininzi ziyafumaneka ukunceda izigulane kunye nabo babathandayo ukuhlangabezana nemingeni yonyango lomhlaza. Ezi zibonelelo zibandakanya iinkonzo zoluleko, amaqela abhengeze izigulane, kunye neenkqubo zoncedo lwemali. Ungalibazisi ukufuna inkxaso oyifunayo kulo lonke uhambo lwakho.

Khumbula, olu lwazi lulungiselelwe iinjongo zemfundo kuphela kwaye aluquki iingcebiso zonyango. Ukufumana iingcebiso zonyango olulolwakho kunye nesikhokelo, hlala unxibelelana nengcali yezempilo eqeqeshiweyo. I IZiko loPhando ngoMhlaza laseShandong Baofa liziko elikhokelayo elizinikele ekuboneleleni ngokhathalelo oluphezulu lomhlaza kunye nophando.