
Ukufumana isibhedlele esifanelekileyo isigaba 3 unyango umhlaza wemiphunga kunokuba nzima. Esi sikhokelo sibonelela ngolwazi oluyimfuneko ukukunceda ukuba ujonge iinketho zakho kwaye wenze izigqibo ezinolwazi. Siza kuphonononga iindlela zonyango, iingqwalasela zokukhetha isibhedlele, kunye nezixhobo zokukuxhasa kulo lonke uhambo lwakho.
Inqanaba lesi-3 lomhlaza wemiphunga lihlelwa ngokwezigaba ze-IIA kunye ne-IIIB, nto leyo ebonisa ubungakanani bokunwenwa komhlaza. Iinketho zonyango ziyahluka ngokuxhomekeke kwinqanaba elithile kunye nempilo yomntu jikelele. Iindlela zonyango eziqhelekileyo zibandakanya utyando, ichemotherapy, unyango lweradiation, unyango olujoliswe kuyo, kunye nonyango lwe-immunotherapy. Ukhetho lonyango lwenziwa ngumntu kwaye lunqunywe liqela leengcali ze-oncologists, oogqirha botyando kunye nezinye iingcali.
Ukukhethela isibhedlele isigaba 3 unyango umhlaza wemiphunga sisigqibo esibalulekileyo. Ziliqela izinto ekufuneka ziqwalaselwe:
Khangela izibhedlele ezinomthamo ophezulu we isigaba 3 somhlaza wemiphunga iimeko kunye neengcali ze-oncologists ezijongene ne-thoracic oncology. Izibhedlele ezinamaziko omhlaza wemiphunga azinikeleyo zihlala zinamaqela ahlukeneyo kunye nokufikelela kubuchwepheshe bonyango lwamva nje. Phanda ngamazinga empumelelo yesibhedlele kunye neziphumo zesigulana.
Qwalasela izibhedlele ezibonelela ngeteknoloji yonyango olukwinqanaba elisezantsi, olufana neendlela zotyando ezihlaselayo kancinane, unyango oluphuculweyo ngemitha (njenge-stereotactic body radiotherapy - SBRT), kunye nokufikelela kulingo lwezonyango. Ukuthatha inxaxheba kumanyathelo ophando kunokunikezela ngofikelelo kunyango olutsha olungekafumaneki ngokubanzi.
Indawo enika inkxaso ichaphazela kakhulu impilo-ntle yesigulana. Vavanya iinkonzo zenkxaso yezigulane zesibhedlele, kubandakanywa iingcebiso, ukhathalelo lokuthomalalisa, kunye nokufikelela kumaqela enkxaso. Khangela izibhedlele ezigxininise kakhulu kukhathalelo olujoliswe kwisigulana.
Nangona umgangatho wokhathalelo ubalulekile, qwalasela indawo yesibhedlele kunye nokufikeleleka kwakho kunye nosapho lwakho. Imiba efana nokuba kufutshane nekhaya, iindlela zokuhamba, kunye nokufumaneka kwendawo yokuhlala kufuneka ziqwalaselwe.
Unyango lwe isigaba 3 somhlaza wemiphunga idla ngokuba yintlanganisela yonyango. Indlela ekhethekileyo ilungiselelwe imeko yomntu ngamnye:
Utyando lunokuba lukhetho kwezinye izigulane ezine isigaba 3 somhlaza wemiphunga, ejolise ekususeni ithumba lomhlaza. Uhlobo lotyando luxhomekeke kwindawo yethumba kunye nobukhulu.
I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Ihlala isetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukucutha ithumba okanye emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda.
Unyango lweradiation lusebenzisa imiqadi yamandla aphezulu ukujolisa nokutshabalalisa iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa ingozi kwiiseli eziphilileyo. Olu nyango ludla ngokusetyenziswa kunye nechemotherapy okanye olunye unyango.
Immunotherapy inceda amajoni omzimba ukulwa umhlaza. Le ndlela intsha kakhulu ibonisa iziphumo ezithembisayo kwabanye isigaba 3 somhlaza wemiphunga iimeko.
Qala ukukhangela kwakho ngokubonisana nogqirha wakho wokhathalelo oluphambili okanye i-pulmonologist. Banokubonelela ngokuthunyelwa kwii-oncologists kwaye bakuncede ukuba uhambe kwinkqubo. Imithombo ye-Intanethi, efana ne-National Cancer Institute (NCI) iwebhusayithi (https://www.cancer.gov/), nikela ngolwazi oluxabisekileyo malunga nomhlaza wemiphunga kunye neendlela zonyango. Khumbula ukuphanda ngokucokisekileyo izibhedlele ezinokubakho kwaye ubuze imibuzo ukuqinisekisa ukuba ufumana eyona ifanelekileyo kwiimfuno zakho.
Ukhathalelo olubanzi, qwalasela amaziko anegama eliqinileyo kwi-oncology, njenge IZiko loPhando ngoMhlaza laseShandong Baofa. Banikezela ngonyango oluphezulu kunye nendawo exhasayo kwizigulana ezihambayo isigaba 3 unyango umhlaza wemiphunga.
| UKhetho Lonyango | Iingenelo | Iingxaki |
|---|---|---|
| Utyando | Okunokubanako ukunyanga, kuphucula amazinga okusinda | Ayifanelekanga kuzo zonke izigulane, inokuba neziphumo ebezingalindelekanga |
| Unyango ngamachiza | Ngaba iyancipha amathumba, inokusetyenziswa ngokudibeneyo kunye nolunye unyango | Imiphumo emibi ebalulekileyo, ayinakusebenza kuzo zonke izigulane |
| Unyango ngemitha | Inokujolisa kwiindawo ezithile, isetyenziswe yodwa okanye idityaniswe nolunye unyango | Iziphumo ebezingalindelekanga ezifana nokudinwa nokucaphuka kwesikhumba |
Ukuzihlangula: Olu lwazi lololwazi jikelele kwaye aluyiyo ingcebiso yezonyango. Soloko ubonisana nengcali yezempilo ukuxilongwa kunye nonyango lwaso nasiphi na isimo sonyango.
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