unyango lomhlaza wemiphunga kwangoko

Unyango lwakwangoko loMhlaza weMiphunga: Uxilongo, Amanqanaba, kunye noKhetho loNyango Ukufunyanwa kwangoko kuphucula kakhulu amathuba okuphumelela. unyango lomhlaza wemiphunga kwangoko. Eli nqaku libonelela ngamagqabantshintshi abanzi malunga nomhlaza wemiphunga okwinqanaba lakwangoko, kubandakanywa ukuxilongwa, ukubekwa, kunye nonyango olukhoyo. Siza kuphonononga inkqubela phambili kunye neendlela zokukunceda usiqonde ngcono esi sifo sinzima. Olu lwazi lulwazi ngokubanzi kwaye akufanele luthathe indawo yokubonisana nochwepheshe bezonyango.

Ukuxilongwa komhlaza wemiphunga kwangethuba kunye nenqanaba

Ukuxilongwa kwangoko kubalulekile ukuze kusebenze unyango lomhlaza wemiphunga kwangoko. Umhlaza wemiphunga uhlala ubonisa iimpawu ezifihlakeleyo, nto leyo eyenza ukuba kube nzima ukufunyanwa kwangoko. Nangona kunjalo, ukuhlolwa rhoqo, ngakumbi kubantu abasengozini enkulu, kunokuphucula kakhulu iziphumo. Ukuxilongwa ngokuqhelekileyo kubandakanya amanyathelo amaninzi:

Iimvavanyo zomfanekiso

IiX-reyi zesifuba, iCT scan, nePET scan zidla ngokusetyenziswa ukubona nokukhangela amaqhuqhuva okanye ubunzima bemiphunga. Ezi ndlela zokucinga zinceda ekuboneni ubukhulu, indawo, kunye nobungakanani bethumba.

I-Biopsy

I-biopsy ibandakanya ukususa isampulu yethishu encinci kwindawo erhanelekayo ukuze ihlolwe elabhoratri. Oku kubalulekile ekuqinisekiseni ukuxilongwa komhlaza wemiphunga kunye nokumisela uhlobo lwawo (umzekelo, umhlaza wemiphunga we-cell ongewona omncinci (NSCLC) okanye umhlaza wemiphunga omncinci (SCLC)).

Ukwenza iqonga

Emva kokuba uxilongo luqinisekisiwe, ukulinganisa kuyenziwa ukujonga ubungakanani bokusasazeka komhlaza. Inkqubo yesiteji isebenzisa amanani (0-IV) ukuhlula isifo ngokusekelwe kubukhulu be-tumor, ukubandakanyeka kwe-lymph node, kunye ne-metastasis. Iqonga elichanekileyo libalulekile ekukhokheleni izigqibo zonyango.

IiKhetho zoNyango loMhlaza weMiphuphu okwinqanaba lokuqala

Unyango lomhlaza wemiphunga okwinqanaba lakwangoko luyohluka ngokuxhomekeke kwizinto ezininzi, kubandakanywa uhlobo kunye nenqanaba lomhlaza, impilo yesigulana iyonke, kunye nezinto esizikhethayo. Iindlela zonyango eziqhelekileyo ziquka:

Utyando

Utyando luhlala lolona nyango luphambili kumhlaza wemiphunga okwinqanaba lakwangoko. Uhlobo lotyando luxhomekeke kwindawo kunye nobukhulu bethumba. Iinketho ziquka i-lobectomy (ukususwa kwe-lobe ye-lung), ukususwa kwe-wedge (ukususwa kwecandelo elincinci lomphunga), kunye ne-pneumonectomy (ukususwa komphunga wonke).

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yamandla aphezulu ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe noqhaqho okanye ichemotherapy. I-Stereotactic body radiotherapy (SBRT), uhlobo oluchanekileyo kakhulu lonyango ngemitha, isoloko isetyenziselwa umhlaza wemiphunga okwinqanaba lakwangoko olungakulungelanga utyando.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isenokusetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukunciphisa ithumba okanye emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda. Ukukhethwa kwamachiza e-chemotherapy kuxhomekeke kuhlobo kunye nenqanaba lomhlaza wemiphunga.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo ngamayeza ajolise ngokukodwa kwiiseli zomhlaza ngelixa enciphisa umonakalo kwiiseli eziphilileyo. Olu nyango luhlala lusetyenziselwa izigulana ezinotshintsho oluthile lwemfuza kwiiseli zabo zomhlaza wemiphunga. Funda ngakumbi malunga nonyango olujoliswe kuyo kwiZiko leSizwe loMhlaza.

UKhetho loNyango: Indlela yokusebenzisana

Ukukhethwa kwezona zifanelekileyo unyango lomhlaza wemiphunga kwangoko iqhinga ngumzamo wokusebenzisana phakathi kwesigulane kunye neqela leengcali zempilo ezininzi, kuquka i-oncologists, oogqirha botyando, i-radiologists, kunye nezinye iingcali. Eli qela liza kuthathela ingqalelo zonke izinto ezifanelekileyo ukwenza isicwangciso sonyango lomntu.

Ngolwazi oluthe vetshe kunye nenkxaso malunga nomhlaza wemiphunga, ungaqhagamshelana ne IZiko loPhando ngoMhlaza laseShandong Baofa ukufumana iingcebiso zonyango kunye nokhathalelo.

I-Prognosis kunye noNonophelo lokulandela

Ingqikelelo yomhlaza wemiphunga okwinqanaba lakwangoko ingcono kakhulu kuneyamanqanaba aphambili. Ukuqeshwa okulandelwa rhoqo, kubandakanywa iimvavanyo ze-imaging, kubalulekile ukubeka iliso ukuphindaphinda kunye nokuqinisekisa ukufunyanwa kwangaphambili kwazo naziphi na iingxaki ezintsha. Isicwangciso esikhethekileyo sokulandelela siya kugqitywa liqela lakho lezempilo.

Khumbula, ukufunyaniswa kwangaphambili kunye nokukhawuleza unyango lomhlaza wemiphunga kwangoko yimiba ephambili ekuphuculeni iziphumo. Ukuba unenkxalabo ngomhlaza wemiphunga, dibana nengcali yezempilo ngokukhawuleza.