unyango kwangoko unyango umhlaza wemiphunga Izibhedlele

Unyango loMhlaza wokuQala: Izibhedlele kunye noKhetho

Esi sikhokelo sibanzi siphonononga iindlela zonyango zomhlaza wemiphunga ezikwinqanaba lakwangoko, sigxile kwindima ebalulekileyo yezibhedlele kunye nezibonelelo zonyango ezikhethekileyo ekuboneleleni ngokhathalelo olusebenzayo. Siza kugubungela uxilongo, iindlela zonyango, kunye nokubaluleka kokufuna unyango lwangexesha ngezona ziphumo zingcono. Ukufumana isibhedlele esifanelekileyo sakho unyango lomhlaza wemiphunga kwangoko yeyona nto ibalulekileyo, kwaye esi sikhokelo siya kukunceda ujonge esi sigqibo sibalulekileyo.

Ukuqonda uMhlaza weMiphunga weNqanaba lokuqala

Uxilongo kunye neStaging

Ukufunyaniswa kwangethuba kubalulekile ukuze uphumelele unyango lomhlaza wemiphunga kwangoko. Uxilongo luhlala luqala ngovavanyo lwemifanekiso efana ne-CT scan kunye nedosi esezantsi ye-X-reyi yesifuba. I-biopsy iqinisekisa ukuxilongwa kwaye imisela inqanaba lomhlaza, elibalulekileyo ekumiseleni isicwangciso sonyango esifanelekileyo. Ukulinganisa okuchanekileyo kunceda oogqirha bahlole ubungakanani bokusasazeka komhlaza kwaye bachaze ukhetho lonyango.

Iintlobo zoMhlaza weMiphunga wesigaba sakwaQala

Umhlaza wemiphunga uhlelwe ngokubanzi kumhlaza wemiphunga omncinci weseli (SCLC) kunye nomhlaza wemiphunga ongeyonxalenye encinci (NSCLC). I-NSCLC yenza ubuninzi bomhlaza wemiphunga kwaye iphinda ihlelwe kwiintlobo ezincinci (i-adenocarcinoma, i-squamous cell carcinoma, i-cell carcinoma enkulu) enefuthe kwizigqibo zonyango. Ukuqonda uhlobo lwakho oluthile kubalulekile ekuphuhliseni umntu unyango lomhlaza wemiphunga kwangoko isicwangciso. Esona sibhedlele sibalaseleyo siya kuba neengcali ezinamava kuhlobo ngalunye olungaphantsi.

IiKhetho zoNyango loMhlaza weMiphuphu okwinqanaba lokuqala

Utyando

Utyando, oluhlala lubandakanya i-lobectomy (ukususwa kwe-lung lobe) okanye ukususwa kwe-wedge (ukususwa kwecandelo elincinane lemiphunga), lolona nyango luphambili kumhlaza wemiphunga okwinqanaba lakwangoko. Ubungakanani botyando buxhomekeke kubungakanani, indawo, kunye nenqanaba lomhlaza. Ubuchwephesha obuncinci bokwenza utyando, njengotyando lwethoracoscopic oluncediswa yividiyo (i-VATS), luya luxhaphaka, lunikezela ngexesha elincitshisiweyo lokubuyisela kunye nokulimala. Ubuchule beqela lotyando kwisibhedlele esikhethiweyo sibaluleke kakhulu kwimpumelelo yotyando.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idibene notyando okanye ichemotherapy. I-Stereotactic body radiotherapy (SBRT) luhlobo oluchanekileyo lonyango lwemitha olunikezela ngeedosi eziphezulu zokusasazeka kwemitha kwithumba kwiiseshini ezimbalwa, ukunciphisa umonakalo kwiithishu eziphilileyo ezingqongileyo. Ubukho betekhnoloji yeradiation ephezulu yeyona nto iphambili ekufuneka uyiqwalasele xa ukhetha isibhedlele sakho unyango lomhlaza wemiphunga kwangoko.

Unyango ngamachiza

Unyango ngamachiza lubandakanya ukusetyenziswa kweziyobisi ukutshabalalisa iiseli zomhlaza. Isenokusetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukucutha ithumba, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda, okanye njengonyango oluphambili kwezinye iimeko. Ukukhethwa kwamachiza e-chemotherapy kuxhomekeke kwizinto ezahlukeneyo, kubandakanywa uhlobo kunye nenqanaba lomhlaza, kunye nempilo yonke yesigulana. Isibhedlele esinesebe elibanzi le-oncology sibonelela ngoluhlu olubanzi lweenketho zechemotherapy kunye neenkonzo zenkxaso.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lusebenzisa iziyobisi ezijolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nophuhliso. Olu nyango lunokusebenza kakhulu kwiintlobo ezithile zomhlaza wemiphunga kunye neenguqu ezithile zofuzo. Ukumisela ukufaneleka kunyango olujoliswe kuyo kufuna uvavanyo lwemfuza yesampulu yethumba. Izibhedlele ezinikezela ngezakhono zovavanyo oluphezulu lwemolekyuli zixhotyiswe ngcono ukuba zibonelele ngokubanzi unyango lomhlaza wemiphunga kwangoko kunye nonyango lobuqu.

Ukukhetha iSibhedlele esiLungileyo kuNyango loMhlaza wokuQala

Ukukhetha isibhedlele esifanelekileyo sakho unyango lomhlaza wemiphunga kwangoko sisigqibo esibalulekileyo. Qwalasela ezi nkalo zilandelayo:

Umba	Iingqwalasela
Amava kunye nobuGcisa	Khangela izibhedlele ezineenkqubo eziphezulu zomhlaza wemiphunga kunye nee-oncologists ezinamava, oogqirha botyando, kunye neengcali zonyango. Khangela isatifikethi sebhodi kunye nokuthatha inxaxheba kulingo lwezonyango.
Itekhnoloji kunye neZibonelelo	Qinisekisa ukuba isibhedlele siyafikelela kumfanekiso wokuxilonga okwinqanaba eliphezulu, ubuchule botyando obungangeneleliyo, kunye nobuchwepheshe bonyango lokusasazeka ngemitha.
Iinkonzo zeNkxaso	Cinga ngokufumaneka kweenkonzo zenkxaso ezibanzi, kubandakanywa abongikazi be-oncology, oonontlalontle, kunye namaqela enkxaso.
Uphononongo lwesigulane kunye neeReyithingi	Phonononga uphononongo lwesigulana kwi-intanethi kunye neereyithingi ukuze ufumane ulwazi kumgangatho wokhathalelo lwesibhedlele kunye namava esigulana.

Kwabo bafuna ukhathalelo oluphezulu kunye neendlela ezintsha zonyango, cinga ngokuphonononga izibonelelo ezikhoyo IZiko loPhando ngoMhlaza laseShandong Baofa. Bazinikele ekunikeni ukhathalelo olubanzi nolunovelwano kwizigulana ezinomhlaza.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.

¹ [Umthombo wedatha/izibalo ukuba ziyasebenza]