isigaba 3 unyango umhlaza wemiphunga

Inqanaba lesi-3 loNyango loMhlaza weMiphunga: IsiKhokelo esiBanziUkuqonda kunye noKhetho lokuHamba loNyango lweNqanaba lesi-3 loMhlaza weMiphuphu Eli nqaku libonelela ngesishwankathelo esibanzi isigaba 3 unyango umhlaza wemiphunga iinketho, echaza iindlela ezahlukeneyo, ukusebenza kwazo, iziphumo ebezingalindelekanga ezinokubakho, kunye nokuqwalaselwa kwezigulane. Siza kuphonononga amanqanaba ahlukeneyo onyango, kubandakanywa utyando, ichemotherapy, unyango lweradiation, unyango ekujoliswe kulo, kunye nonyango lwe-immunotherapy, kwaye sixoxe ngendlela olu nyango luhlala lusetyenziswa ngayo ngokudibeneyo. Esi sikhokelo sijolise ekuxhobiseni abantu abajongene nesi sifo ngolwazi oluyimfuneko ukuze benze izigqibo ezinolwazi ngentsebenziswano neqela labo lezempilo. Khumbula, olu lwazi lwenzelwe iinjongo zemfundo kwaye akufuneki luthathe indawo yengcebiso yezonyango. Soloko udibana ne-oncologist yakho malunga neengcebiso ezenzelwe wena.

Ukuqonda iNqanaba lesi-3 loMhlaza weMiphunga

Ukuhlelwa kunye nokuhlelwa

Inqanaba lesi-3 lomhlaza wemiphunga ludidi olubanzi olubandakanya izigaba IIIA kunye ne-IIIB, ebonisa ubungakanani bomhlaza. Inqanaba IIIA libandakanya umhlaza oye wasasazeka kwii-lymph nodes ezikufutshane, ngelixa iSigaba IIIB sibonisa ukusasazeka okuphambili. Isicwangciso esithile sonyango sixhomekeke kakhulu kwisigaba esichanekileyo kunye nesimo sempilo yesigulane ngasinye. Iqonga elichanekileyo libalulekile ekumiseleni esona sicwangciso sisebenzayo sonyango. Ugqirha wakho uya kusebenzisa iindlela ezahlukeneyo zokujonga umfanekiso, njenge-CT scans nePET scans, kunye ne-biopsies, ukufumanisa inqanaba elichanekileyo kunye neempawu zomhlaza wakho. Olu vavanyo luneenkcukacha lubalulekile ekulungiseni okona kulungileyo isigaba 3 unyango umhlaza wemiphunga sondela kuwe.

Iintlobo zomhlaza wemiphunga

Umhlaza wemiphunga awusosifo esinye; iquka iindidi ezininzi, kubandakanywa nomhlaza wemiphunga weseli ongeyonxalenye encinci (NSCLC) kunye nomhlaza wemiphunga omncinci weseli (SCLC). Uhlobo lomhlaza wemiphunga lunefuthe kakhulu kwizigqibo zonyango. I-NSCLC iphendula uninzi lwezehlo zomhlaza wemiphunga kwaye ngokubanzi ziphendula ngokwahlukileyo kunyango kune-SCLC. Ukwazi uhlobo oluthile lomhlaza wakho wemiphunga kubalulekile ekuqinisekiseni okona kulungileyo isigaba 3 unyango umhlaza wemiphunga isicwangciso.

IiNdlela zoNyango lweNqanaba lesi-3 loMhlaza weMiphunga

Utyando

Ukususwa ngotyando lwethumba, okunokuthi kubandakanye inxalenye yemiphunga okanye i-lymph nodes, kunokuba lukhetho kwezinye izigulana isigaba 3 somhlaza wemiphunga, ngakumbi abo bakwizigaba zangaphambili zeNqanaba IIIA. Ukuba nokwenzeka kotyando kuxhomekeke kwizinto ezahlukeneyo, kuquka indawo kunye nobukhulu bethumba, impilo yesigulana iyonke, kunye nobungakanani bokubandakanyeka kwe-lymph node. I-oncologist yakho yotyando iya kuvavanya ukulungela kwakho utyando kwaye ixoxe ngeengozi ezinokubakho kunye neenzuzo.

Unyango ngamachiza

I-Chemotherapy, esebenzisa amayeza ukutshabalalisa iiseli zomhlaza, isetyenziswa rhoqo isigaba 3 unyango umhlaza wemiphunga, nokuba kuphambi kwe (neoadjuvant) okanye emva kotyando (lwe-adjuvant), okanye njengonyango lokuqala ukuba utyando aluyondlela yokukhetha. Kukho iirejimeni ezininzi ze-chemotherapy, kwaye ukhetho oluthile luya kuxhomekeka kwizinto ezifana nohlobo lomhlaza wemiphunga, isigaba sesifo, kunye nempilo yonke yesigulane. Imiphumo enokubakho ye-chemotherapy inokubaluleka kwaye ihluke ngokubanzi phakathi kwezigulane.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango lwe isigaba 3 somhlaza wemiphunga. Unyango lwemitha yemitha yangaphandle luqhele ukusetyenziswa, isalathisa imiqadi yemitha ephuma ngaphandle komzimba ukujolisa kwithumba. Kwezinye iimeko, i-brachytherapy, ebandakanya ukubekwa kwezinto ze-radioactive ngqo okanye kufuphi ne-tumor, inokuqwalaselwa.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza ezikhuthaza ukukhula kunye nokuphila kwazo. Olu nyango lusebenza ngokukodwa kwiinguqulelo ezithile zemfuza ezifumaneka kumhlaza wemiphunga. Ukuba uvavanyo lwemfuzo lubonisa utshintsho oluthile, unyango olujoliswe kuyo lunokusebenza kakhulu ekunyangeni isigaba 3 somhlaza wemiphunga.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Olu nyango lunokusebenza kakhulu, ngakumbi kwiintlobo ezithile zomhlaza wemiphunga, kwaye luhlala lusetyenziswa ngokudibeneyo nolunye unyango. Iziphumo ebezingalindelekanga ze-Immunotherapy zinokwenzeka kodwa zihlala zilawuleka.

Ukwenza Izigqibo Ezinolwazi

Ukujonga isigaba 3 unyango umhlaza wemiphunga kufuna ubambiswano olomeleleyo phakathi kwesigulana kunye neqela labo lokhathalelo lwempilo. Unxibelelwano oluvulekileyo kunye ne-oncologist yakho yeyona nto ibalulekileyo. Ungalibazisi ukubuza imibuzo kwaye uchaze inkxalabo yakho. Ukuqonda isicwangciso sonyango, iziphumo ebezingalindelekanga ezinokwenzeka, kunye neziphumo zexesha elide kubalulekile ukwenza izigqibo ezinolwazi ezihambelana neemfuno zakho kunye nezinto ozikhethayo. I IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngeendlela zonyango oluphezulu kunye nemeko yenkxaso yezigulane ezijongene nalo mngeni.

Iimpembelelo eziPhakamileyo zoNyango kunye noLawulo

Unyango lwe isigaba 3 somhlaza wemiphunga ihlala ibandakanya iziphumo ebezingalindelekanga ezibalulekileyo. Oku kunokubandakanya ukudinwa, isicaphucaphu, ukulahleka kweenwele, utshintsho kumdla wokutya, nokunye. Ukulawula ezi ziphumo bezingalindelekanga yinxalenye ebalulekileyo yenkqubo yonyango. Iqela lakho lezempilo liya kusebenza nawe ukunciphisa ezi ziphumo bezingalindelekanga kunye nokuphucula umgangatho wobomi bakho ngexesha lonyango. Unxibelelwano oluvulelekileyo lungundoqo ekuchongeni nasekulungiseni imiba enokwenzeka ngokukhawuleza. Khumbula, amaqela enkxaso kunye nezibonelelo ziyafumaneka zokukunceda umelane nemingeni yonyango lomhlaza.

I-Prognosis kunye neNgcaciso yexesha elide

Iprognosis ye isigaba 3 somhlaza wemiphunga iyahluka ngokubanzi ngokuxhomekeke kwizinto ezahlukeneyo, kuquka inqanaba elithile, uhlobo lomhlaza wemiphunga, impilo yesigulana iyonke, kunye nempendulo kunyango. Ukuqhubela phambili kunyango kuye kwaphucula kakhulu iziphumo kwiminyaka yamuva. Ngelixa imbonakalo yomntu ngamnye yahlukile, kugxilwe ekwandiseni amazinga okusinda kunye nomgangatho wobomi. Ukunyamekela okulandelwa rhoqo kubalulekile ekubekweni kweliso ixesha elide kunye nokulawula.

Qaphela: Olu lwazi lulungiselelwe iinjongo zemfundo kuphela kwaye aluquki iingcebiso zonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.