phezulu 10 amaziko unyango umhlaza wemiphunga

Ukufumana okona kulungileyo phezulu 10 amaziko unyango umhlaza wemiphunga ibalulekile kwiziphumo eziyimpumelelo. Isikhokelo sethu sigxininisa izibonelelo ezikhokelayo ezaziwa ngonyango olutsha, i-oncologists enamava, kunye nokhathalelo olujoliswe kwisigulane, esinika ithemba kunye nomgangatho wobomi obuphuculweyo.Ukuqonda Iinketho zoNyango loMhlaza weLungUmhlaza wamaLung sisifo esinzima, kwaye iindlela zonyango ziyahluka ngokuxhomekeka kuhlobo kunye nenqanaba lomhlaza, kunye nempilo yonke yesigulane. Isicwangciso sonyango esibanzi sihlala sibandakanya indibaniselwano yonyango. Nalu ujongo kwiindlela eziqhelekileyo: Utyando Ukususwa kwethumba kuhlala kulunyango lokuqala lomhlaza wemiphunga. Kukho iindlela ezahlukeneyo zotyando, kuquka:Ukususwa kweWedge: Ukususwa kwecandelo elincinane lemiphunga emiphunga.Lobectomy: Ukususwa kwelobe yonke yomphunga.Inyumoniya: Ukususwa komphunga wonke.Unyango lweRadiation TherapyRadiation isebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Inokuhanjiswa ngaphandle (kumatshini ongaphandle komzimba) okanye ngaphakathi (ngokubeka imathiriyeli ye-radioactive kufuphi nomhlaza). Iindidi eziqhele ukusetyenziswa zonyango lweradiation ziquka:Unyango lweBeam Radiation yangaphandle (EBRT): Olona hlobo luqhelekileyo, ukuhambisa imitha ephuma kumatshini.Unyango lweRadiation Body Stereotactic (SBRT): Ihambisa iidosi eziphezulu zokusasazeka kwemitha kwindawo ekujoliswe kuyo ngokuchanekileyo kunyango olumbalwa.Brachytherapy: Unyango lwemitha yangaphakathi, apho imathiriyeli yeradioactive ibekwe ngqo okanye kufuphi nethumba.ChemotherapyChemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziselwa izigaba eziphambili zomhlaza wemiphunga okanye emva kotyando ukuze kupheliswe naziphi na iiseli zomhlaza eziseleyo.Iyeza elijoliswe kunyango elijoliswe kuyo lihlasela iimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokusasazeka. La machiza ahlala esetyenziselwa umhlaza wemiphunga yeseli engeyincinci (NSCLC) kunye nokuguqulwa kofuzo oluthile.ImmunotherapyImmunotherapy inceda amajoni omzimba alwe nomhlaza. La machiza anokomeleza amandla omzimba okwazi ukubona nokuhlasela iiseli zomhlaza. I-immune checkpoint inhibitors luhlobo oluxhaphakileyo lwe-immunotherapy olusetyenziselwa umhlaza wemiphunga.Iizinto ekufuneka ziqwalaselwe xa ukhetha iziko loNyangoUkukhetha ilungelo phezulu 10 amaziko unyango umhlaza wemiphunga sisigqibo sobuqu. Qwalasela ezi nkalo:Ubungcali beQela lezoNyango: Jonga i-oncologists enamava, oogqirha botyando, i-radiation oncologists, kunye nezinye iingcali.Iinketho zonyango ziyafumaneka: Iziko kufuneka libonelele ngoluhlu olubanzi lweendlela zonyango, kubandakanywa ukuqhubela phambili kwamva nje.Uvavanyo lweklinikhi: Ukuthatha inxaxheba kulingo lwezonyango kunokubonelela ngokufikelela kunyango olukwinqanaba eliphezulu.Iinkonzo zeNkxaso yezigulana: Iinkonzo zenkxaso, ezifana neengcebiso, isikhokelo sesondlo, kunye namaqela enkxaso, anokuphucula amava onyango ngokubanzi.Indawo kunye noFikelelo: Qwalasela indawo elikuyo iziko kunye nokufikeleleka kwalo kuwe nosapho lwakho Amaziko ali-10 aphezulu oNyango loMhlaza weMiphungaNgelixa inqanaba eliqinisekileyo kunzima ukulimisela, la maziko abonwa rhoqo ngokugqwesa kwawo kunyango lomhlaza wemiphunga (Adweliswe ngokungacwangciswanga):IYunivesithi yaseTexas i-MD Anderson Cancer Centre (Houston, TX): Yaziwa ngokhathalelo olubanzi lomhlaza, uphando, kunye nolingo lwezonyango. MD Anderson Cancer Centre inikezelwe ekupheliseni umhlaza.IZiko loMhlaza weSikhumbuzo seSloan seKettering (eNew York, NY): Iziko lomhlaza elikhokelayo eligxile kuphando, ukusungula izinto ezintsha, kunye nokhathalelo lwesigulane.Iklinikhi yaseMayo (Iindawo ezininzi): Inikezela ngokhathalelo olubanzi lomhlaza kunye neendlela zokwenza izinto ezininzi. I Iklinikhi yaseMayoIikhampasi zibonelela ngeendlela ezahlukeneyo.I-Dana-Farber Cancer Institute (Boston, MA): Iziko lomhlaza elaziwayo elidibene neHarvard Medical School.Johns Hopkins Sidney Kimmel Iziko loMhlaza eliBanzi (Baltimore, MD): Inikezela ngonyango oluphambili lomhlaza kunye neenkqubo zophando.I-UCLA Jonsson Comprehensive Cancer Centre (Los Angeles, CA): Iziko lomhlaza elikhokelayo elijolise kuphando kunye nonyango oluyilayo.IYunivesithi yasePennsylvania Iziko lomhlaza lase-Abramson (Philadelphia, PA): Inikezela ngokhathalelo olubanzi lomhlaza kunye neenkqubo zophando.I-Northwestern Medicine ye-Robert H. Lurie iZiko loMhlaza eliBanzi (eChicago, IL): Ibonelela ngonyango oluphambili lomhlaza kunye nophando.Iziko lomhlaza laseStanford (eStanford, CA): Iziko lomhlaza eliphambili elijolise kuphando kunye nokhathalelo lwesigulane.Iziko loMhlaza laseVanderbilt-Ingram (eNashville, TN): Inikezela ngokhathalelo olubanzi lomhlaza kunye neenkqubo zophando.Utshintsho kuNyango loMhlaza weLung Unyango lomhlaza wamaLung luhlala luvela. Ezinye zezinto ezintsha ezithembisayo ziquka:I-Liquid BiopsiesLiquid biopsies luvavanyo lwegazi olunokubona umhlaza we-DNA okanye iiseli zomhlaza ezijikeleza egazini. Zingasetyenziselwa ukubeka iliso impendulo yonyango, ukufumanisa ukuphindaphinda, kunye nokuchonga ukuguqulwa kofuzo.I-Minimally Invasive SurgeryI-invasive invasive techniques, ezifana ne-video-assisted thoracoscopic surgery (VATS) kunye notyando lwerobhothi, vumela oogqirha botyando ukuba basuse i-tumors kunye ne-incision encinci, okubangelwa intlungu engaphantsi, ukubuyisela ngokukhawuleza unyango, kunye neyeza eziphuculweyo zonyango zibandakanya unyango oluphuculweyo. isigulana ngasinye esekelwe kwiprofayile yabo yofuzo, iimpawu ithumba, kunye nezinye izinto. Le ndlela inokunceda ekuphuculeni ukusebenza konyango kunye nokunciphisa iziphumo ebezingalindelekanga.Indima yovavanyo lweklinikhi Ulingo lwezonyango luphononongo lophando oluvavanya unyango olutsha okanye iindlela ezintsha zokusebenzisa unyango olukhoyo. Ukuthatha inxaxheba kulingo lwezonyango kunokubonelela ngofikelelo kunyango oluphambili kwaye lube negalelo ekuqhubeleni phambili unyango lomhlaza wemiphunga. Ukuqhagamshelana nayiphi na i phezulu 10 amaziko unyango umhlaza wemiphunga inokukukhokelela kulingo lwezonyango oluxabisekileyo.Iinkalo zendlela yokuphila kunye neNkxaso yoNyangoOkongezelela kunyango lwezonyango, iimeko zendlela yokuphila kunye nokhathalelo oluxhasayo ludlala indima ebalulekileyo ekulawuleni umhlaza wemiphunga. Ezi ziquka:Ukuyeka Ukutshaya: Ukuyeka ukutshaya kubalulekile ekuphuculeni iziphumo zonyango kunye nokuthintela ukuphindaphinda.Isondlo: Ukugcina ukutya okunempilo kunokuncedisa ukunyusa amajoni omzimba kunye nokuphucula impilo yonke.Umthambo: Ukuzivocavoca rhoqo kunokunceda ukunciphisa ukudinwa, ukuphucula isimo sengqondo, kunye nokuphucula umgangatho wobomi.Ulawulo loxinzelelo: Uxinzelelo lunokwenza buthathaka amajoni omzimba kwaye lube nefuthe elibi kwiziphumo zonyango. Ubuchwephesha obufana ne-yoga, ukucamngca, kunye nokuphefumla okunzulu kunokunceda ukulawula uxinzelelo.I-Shandong Baofa Cancer Research Institute, ngelixa ingadweliswanga kwi-top 10 esemthethweni apha ngasentla, iyayiqonda indlela epheleleyo efunekayo yonyango oluphumelelayo lomhlaza. Sikhuthaza uphando kunye nentsebenziswano kunyango lomhlaza, sijolise impilo-ntle yesigulana. Ukuqonda iNqanaba lesi-4 loNyango loMhlaza weMiphungaInqanaba lesi-4 lomhlaza wemiphunga, nokwaziwa ngokuba ngumhlaza wemiphunga we-metastatic, kuthetha ukuba umhlaza unwenwele kwamanye amalungu omzimba. Ngelixa unyango lusenokungasoloko lunokwenzeka kweli nqanaba, unyango olwahlukeneyo lunokunceda ukulawula esi sifo, ukuphucula umgangatho wobomi, nokwandisa ubomi. Iinketho zonyango lwenqanaba lesi-4 lomhlaza wemiphunga ziquka:Unyango Lwenkqubo: I-Chemotherapy, unyango olujoliswe kuyo, kunye ne-immunotherapy zihlala zisetyenziselwa ukunyanga umhlaza wemiphunga wenqanaba lesi-4. Ukhetho lonyango luxhomekeke kuhlobo lomhlaza wemiphunga, ubukho botshintsho lwemfuza ethile, kunye nempilo yesigulana iyonke.Unyango ngemitha: Unyango lwemitha lunokusetyenziswa ukuthomalalisa iimpawu ezinjengeentlungu okanye ukuphefumla kancinci okubangelwa ngamathumba emiphungeni okanye kwamanye amalungu omzimba.Utyando: Kwezinye iimeko, utyando lunokuba lukhetho lokususa i-metastases ezimeleyo okanye ukukhulula iimpawu.Ukhathalelo lwePalliative: Ukhathalelo lwePalliative lujolise ekudambiseni iimpawu kunye nokuphucula umgangatho wobomi kwizigulana ezinomhlaza ophezulu. Oku kunokubandakanya ukulawulwa kweentlungu, inkxaso yesondlo, kunye nenkxaso yovakalelo.Izibonelelo zeZigulana zoMhlaza weMiphunga kunye neeNtsaphoImibutho emininzi ibonelela ngolwazi, inkxaso, kunye nezibonelelo kwizigulane ezinomhlaza wemiphunga kunye neentsapho zazo. Ezi ziquka:Umbutho wamaLung waseMelika: Inika ulwazi malunga nomhlaza wemiphunga, amaqela enkxaso, kunye neenzame zokuxhasa.ISiseko soPhando ngoMhlaza weLung: Ixhasa uphando ngezimali kumhlaza wemiphunga kwaye inika ulwazi kwizigulana neentsapho.Uphando ngoMhlaza e-UK: Ibonelela ngolwazi malunga nomhlaza, kubandakanywa nomhlaza wemiphunga, kuluntu kunye neengcali zempilo.Ukufumana ilungelo phezulu 10 amaziko unyango umhlaza wemiphunga kufuna uphando olucokisekileyo nolwazelelelo. Ngokuqonda iinketho zakho kunye nokusebenza ngokusondeleyo neqela lakho lezempilo, unokwenza izigqibo ezinolwazi malunga nesicwangciso sakho sonyango kwaye uphucule amathuba akho esiphumo esiyimpumelelo. Ukuthelekiswa koNyango oluqhelekileyo lweMiphunga yoMhlaza woNyango Inkcazo Ukusetyenziswa okuqhelekileyo okunokubakho kweZiphumo eziPhakamileyo Utyando Ukususwa ngokwasemzimbeni kwezicubu ezinomhlaza. Umhlaza wemiphunga wesigaba sakwangoko. Iintlungu, usulelo, ukopha, ukuphelelwa ngumphefumlo. UNyango lweRadiation Lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Amanqanaba ahlukeneyo, ukukhululeka kweempawu. Ukudinwa, ukucaphuka kwesikhumba, ukukhohlela, ukuphelelwa ngumphefumlo. I-Chemotherapy Isebenzisa amayeza ukubulala iiseli zomhlaza. Amanqanaba aphezulu, emva kotyando. Isicaphucaphu, ukuhlanza, ukudinwa, ukulahleka kweenwele. Unyango olujolisiweyo lujolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. I-NSCLC enotshintsho oluthile. Ukuqhawuka kwesikhumba, urhudo, iingxaki zesibindi. I-Immunotherapy Yongeza amajoni omzimba ukulwa nomhlaza. Amanqanaba aphezulu, iintlobo ezithile zomhlaza wemiphunga. Ukudinwa, irhashalala, ukusabela kwe-autoimmune.