isigaba 2b unyango lomhlaza wemiphunga

Inqanaba 2B loNyango loMhlaza weMiphuphu: IsiKhokelo esiBanziUkuqonda iNqanaba le-2B loMhlaza weMiphuphu kunye noNyango oluFumanekayo Esi sikhokelo sibonelela ngamagqabantshintshi abanzi isigaba 2b unyango lomhlaza wemiphunga iinketho. Siza kuphonononga iindlela ezahlukeneyo zonyango, sixoxe ngokusebenza kwazo, kwaye siqaqambise ukubaluleka kwezicwangciso zokhathalelo lomntu eziphuhliswe ngokudibana ne-oncologist. Khumbula, olu lwazi lwenzelwe iinjongo zemfundo kwaye akufuneki luthathe indawo yengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane ukuxilongwa kunye neengcebiso zonyango.

Ukuqonda iNqanaba 2B Umhlaza wemiphunga

Yintoni inqanaba lesi-2B loMhlaza wemiphunga?

Inqanaba 2B umhlaza wemiphunga ibonisa ukuba umhlaza unwenwele ngaphaya kwethumba eliphambili lemiphunga. Kwinqanaba lesi-2B, ithumba likhulu kunakwinqanaba langaphambili kwaye kusenokwenzeka ukuba lisasazeke kwii-lymph nodes ezikufutshane. Ubungakanani obuthile kunye nokubandakanyeka kwe-lymph node kuchaza i-2B sub-classification. Iqonga elichanekileyo libalulekile ekumiseleni esona sicwangciso sisebenzayo sonyango. Iindidi zeemvavanyo zokuxilonga, kubandakanywa i-CT scans, i-biopsies, kunye ne-bronchoscopy, ziqeshwe ukufikelela kwinqanaba elichanekileyo.

Imiba enefuthe kwiZigqibo zoNyango

Izinto ezininzi zinefuthe ekukhetheni isigaba 2b unyango lomhlaza wemiphunga. Ezi ziquka: Ubungakanani be-tumor kunye nendawo: Ubungakanani kunye nendawo ye-tumor ephambili yempembelelo yokwenziwa kotyando kunye nobungakanani botyando olufunekayo. Ukubandakanyeka kwe-lymph node: Ubukho kunye nobukhulu bokusasazeka kwii-lymph nodes ezikufutshane zibalulekile kucwangciso lonyango. Impilo yesigulana iyonke: Impilo yesigulane ngokubanzi kunye nazo naziphi na iimeko esele zikho ngaphambili zichaphazela kakhulu ukunyamezelana nokufaneleka konyango. Uhlobo lomhlaza wemiphunga: Iindidi ezahlukeneyo zomhlaza wemiphunga (umzekelo, iseli encinci vs. Iseli engeyiyo encinci) ineendlela ezahlukeneyo zonyango. Uvavanyo lwemolekyuli lunokuchonga utshintsho oluthile lwemfuza olunokuthi lube nokwazisa izigqibo zonyango.

IiKhetho zoNyango lweSigaba 2B soMhlaza weMiphuphu

Utyando

Utyando, oluhlala lubandakanya i-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela), ihlala ililitye lembombo. isigaba 2b unyango lomhlaza wemiphunga kwizigulane ezininzi. Ubungakanani botyando buxhomekeke kwiimpawu zethumba kunye nendawo. Ubuchwephesha obuncinci bokwenza utyando, njengotyando lwethoracoscopic oluncediswa yividiyo (VATS), luhlala lukhethwa ukunciphisa ixesha lokubuyisela kunye neengxaki. Ukhathalelo lwasemva kotyando luyimfuneko ekubuyiseleni okuyimpumelelo.

Unyango ngamachiza

I-Chemotherapy, kusetyenziswa amayeza emithanjeni ukujolisa kwiiseli zomhlaza, inokusetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukucutha ithumba, kwenze kube lula ukulisusa. Isenokusetyenziswa emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphindaphinda. Iintlobo ezahlukeneyo ze-chemotherapeutic agents ziyafumaneka, kwaye irejimeni ethile ilungiselelwe isigulane ngasinye. Imiphumo enokubakho ye-chemotherapy kufuneka ixoxwe kunye neqela lezempilo.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziselwa ngaphambi kokuhlinzwa, emva kokuhlinzwa, okanye yodwa kuxhomekeke kwiimeko zomntu. Unyango lwe-radiation lunokulawulwa ngaphandle (unyango lwe-radiation yangaphandle) okanye ngaphakathi (i-brachytherapy). Iziphumo ebezingalindelekanga zonyango lweradiation zinokubandakanya ukudinwa, ukucaphuka kwesikhumba, kunye neminye imiba, zonke ezo kufuneka ziqwalaselwe nomboneleli wakho wezempilo.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise kwiinguqu ezithile zofuzo ngaphakathi kweeseli zomhlaza. Ezi zonyango zinokusebenza kakhulu kwizigulane ezineenguqu ezithile zofuzo, ukuphucula iziphumo kunye nokunciphisa imiphumo emibi xa kuthelekiswa ne-chemotherapy yendabuko. Uvavanyo lwemfuzo lubalulekile ukufumanisa ukufaneleka konyango olujoliswe kuyo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. I-immunotherapies ethile ibonise isithembiso kunyango lomhlaza wemiphunga, ngakumbi abo banotshintsho oluthile lwemfuza. Olu nyango luvuselela amajoni omzimba ukuba ahlasele kwaye atshabalalise iiseli zomhlaza. Njengezinye iindlela zonyango, ukubekwa esweni kweziphumo ebezingalindelekanga kuyafuneka.

Ukukhetha iSicwangciso soNyango esiLungileyo

Olona nyango lungcono isigaba 2b somhlaza wemiphunga igqityezelwa ngeendlela ezininzi ezibandakanya i-oncologists, oogqirha botyando, kunye nezinye iingcali zempilo. Isicwangciso sonyango senzelwe umntu ngamnye, kuthathelwa ingqalelo imeko ethile yesigulana, imbali yonyango, kunye nezinto ezikhethwayo. Ingxoxo ebanzi yeenzuzo ezinokuthi zibekho, iingozi, kunye neziphumo ebezingalindelekanga zokhetho ngalunye lonyango lubalulekile phambi kokuba wenze isigqibo.

Ukuphila nenqanaba 2B Umhlaza wemiphunga

Ukuphila ngokuxilonga umhlaza kunokuba lucelomngeni. Inkxaso ngokwasemphefumlweni nangokwengqondo ibalulekile ekuhambeni kolu hambo. Amaqela enkxaso, iingcebiso, kunye nothungelwano lwenkxaso yosapho anokunika uncedo oluxabisekileyo. Kubalulekile ukugcina unxibelelwano oluvulekileyo neqela lezempilo kwaye ufune inkxaso xa ifuneka.

Ulwazi oluthe vetshe kunye neMithombo

I-National Cancer Institute (NCI) kunye ne-American Cancer Society (ACS) inikezela ngolwazi olubanzi kunye nemithombo yomhlaza wemiphunga. NCI kwaye ACS ziyimithombo exabisekileyo yezigulana neentsapho zazo. Ngokhathalelo lomntu, cinga ngokufuna ukubonisana kumaziko omhlaza abekekileyo njengeShandong Baofa Cancer Research Institute. Unokufumana ulwazi oluthe kratya kwaye ucwangcise ukubonisana kwiwebhusayithi yabo: https://www.baofahospital.com/