
Eli nqaku libonelela ngombono wokhetho lonyango lomhlaza wemiphunga ongasebenziyo, isifo esinzima esifuna indlela ebanzi. Iphonononga iindlela ezahlukeneyo zonyango, igxile kwinjongo yazo, iingenelo ezinokubakho, kunye neziphumo ebezingalindelekanga. Ulwazi lubonelelwa ngeenjongo zemfundo kwaye akufuneki luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana ne-oncologist yakho malunga nokucwangciswa konyango lomntu.
Igama elithi umhlaza wemiphunga ongasebenziyo libhekiselele kumhlaza wemiphunga ongenakususwa ngotyando ngenxa yezinto ezifana nobukhulu bethumba, indawo, ukusasazeka kwamanye amalungu (metastasis), okanye impilo yesigulana iyonke. Oku akuthethi ukuba akukho zikhetho zonyango. Endaweni yoko, ugxininiso lutshintshela kunyango olulungiselelwe ukulawula umhlaza kunye nokuphucula umgangatho wobomi besigulana. Olu nyango lujolise ekulawuleni ukukhula kwethumba, ukunciphisa iimpawu, kunye nokwandisa ubomi.
Unyango lwemitha lusebenzisa imitha yamandla aphezulu ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Kumhlaza wemiphunga ongasebenziyo, udla ngokusetyenziselwa ukuthoba amathumba, ukuthomalalisa iintlungu ezibangelwa kuxinzelelo lwezakhiwo ezikufutshane, kunye nokuphucula ukuphefumla. Unyango lwemitha yemitha yangaphandle lolona hlobo luxhaphakileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. Unyango lwemitha ye-Stereotactic body radiation (SBRT) luhlobo oluchane kakhulu lonyango lwemitha olunikezela ngethamo eliphezulu lokusasazeka kwemitha kwithumba kunyango olumbalwa. Ukhetho lonyango ngemitha luxhomekeke kwizinto ezahlukeneyo, kuquka indawo elikuyo ithumba, ubungakanani, kunye nempilo yesigulana iyonke.
Unyango ngamachiza lubandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango, olufana nonyango ngemitha. Iziyobisi ze-Chemotherapy zilawulwa nge-intravenously okanye ngomlomo. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka ukudinwa, isicaphucaphu, ukulahleka kweenwele, kunye nezilonda emlonyeni. I-oncologist yakho iya kukhetha ngononophelo irejimeni yechemotherapy ngokusekwe kwimeko yakho ethile kunye nohlobo lomhlaza. Iziko lomhlaza leSizwe inikeza ulwazi oluthe kratya malunga nokhetho lwechemotherapy.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza ngaphandle kokonakalisa iiseli ezisempilweni njengechemotherapy. Olu nyango lusebenza kwiintlobo ezithile zomhlaza wemiphunga ezinotshintsho oluthile lwemfuza. Imizekelo ibandakanya i-EGFR inhibitors, i-ALK inhibitors, kunye ne-ROS1 inhibitors. I-oncologist yakho iya kwenza uvavanyo lwemfuza ukufumanisa ukuba unyango olujoliswe kuyo lufanelekile.
I-Immunotherapy isebenzisa amandla amajoni omzimba okulwa nomhlaza. Olu nyango lujolise ekuvuseleleni amajoni omzimba ukuba aqaphele kwaye ahlasele iiseli zomhlaza. I-Checkpoint inhibitors luhlobo oluqhelekileyo lwe-immunotherapy oluvimba iiprotheni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza. Unyango lwe-Immunotherapy lunokuba neziphumo ezibi ezibalulekileyo, kwaye uhlolo olusondeleyo luyimfuneko.
Ukhathalelo oluxhasayo ludlala indima ebalulekileyo ekulawuleni iziphumo ebezingalindelekanga zonyango lomhlaza kunye nokuphucula umgangatho wobomi besigulana. Oku kunokubandakanya ukulawulwa kweentlungu, inkxaso yesondlo, kunye nokucetyiswa ngokweemvakalelo. Ukunyamekela kwe-Palliative kugxile ekunciphiseni iimpawu kunye nokuphucula induduzo, kungakhathaliseki ukuba nqanaba lesifo. Iqela lezinto ezininzi, kubandakanywa i-oncologists, abongikazi, kunye nezinye iingcali, basebenza kunye ukubonelela ngoncedo olubanzi lwenkxaso.
Eyona ilungileyo unyango olungasebenziyo unyango lomhlaza wemiphunga Isicwangciso somntu ngamnye kwaye sixhomekeke kwizinto ezininzi, kubandakanya uhlobo kunye nenqanaba lomhlaza wemiphunga, impilo yesigulana iyonke, kunye nezinto ezikhethwa ngumntu. Ingxoxo eneenkcukacha kunye ne-oncologist ibalulekile ukuphuhlisa isicwangciso sonyango lomntu. Kwi IZiko loPhando ngoMhlaza laseShandong Baofa, sinikezela ngendlela ebanzi unyango lomhlaza wemiphunga olungasebenziyo, ukubonelela izigulana ngenkqubela phambili yamva nje kwi-oncology yonyango kunye nokunakekelwa kwenkxaso.
Eli candelo liza kuzaliswa yimibuzo esoloko ibuzwa kunye neempendulo ezinxulumene nonyango olungasebenziyo lomhlaza wemiphunga. (Qaphela: Eli candelo liza kwandiswa ngee-FAQ zokwenyani ezisekelwe kwimibuzo eqhelekileyo yesigulana kunye nophando.)
| Uhlobo loNyango | IiNzuzo ezinokubakho | Iimpembelelo ezinokuba khona |
|---|---|---|
| Unyango ngemitha | I-tumor shrinkage, ukunciphisa intlungu | Ukudinwa, ukucaphuka kwesikhumba |
| Unyango ngamachiza | Ukubulala iiseli zomhlaza, ukuphucula ukuphila | Isicaphucaphu, ukulahleka kweenwele, ukudinwa |
| Unyango ekujoliswe kulo | Ukujoliswa okuchanekileyo kweeseli zomhlaza | Irhashalala, urhudo |
| Immunotherapy | Ivuselela ukuphendula komzimba | Ukudinwa, ukudumba |
I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.
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