unyango ukhetho umhlaza wemiphunga unyango ngesigaba

Iinketho zoNyango loMhlaza weMiphuphu ngokhetho lwe-StageTreatment lomhlaza wemiphunga zohluka kakhulu ngokuxhomekeke kwinqanaba lesi sifo. Esi sikhokelo sibanzi sichaza unyango olukhoyo kwinqanaba ngalinye, ukunika ulwazi olubalulekileyo ukuqonda ukhetho lwakho kunye nokwenza izigqibo ezizizo.

Ukuqonda amanqanaba oMhlaza wemiphunga

Inqanaba lomhlaza wemiphunga libalulekile ekumiseleni okufanelekileyo unyango ukhetho umhlaza wemiphunga unyango ngesigaba. Inkqubo yesiteji isebenzisa amanani (I, II, IIIA, IIIB, IV) kunye noonobumba (A, B) ukuchaza ubungakanani bomhlaza, ngokuqwalasela ubungakanani be-tumor, ukubandakanyeka kwe-lymph node, kunye ne-metastasis (isasazeka kwizitho ezikude).

Inqanaba I Umhlaza wemiphunga

Inqanaba I umhlaza wemiphunga ukholisa ukuba kwindawo emiphungeni. Iinketho zonyango kwesi sigaba zihlala ziquka: Utyando: Ukususwa ngotyando lwethumba lolona nyango luphambili, olunokuthi luquke i-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela). Isigqibo malunga nobungakanani botyando sixhomekeke kwizinto eziliqela, kuquka ubungakanani bethumba nendawo elikuyo. Umzekelo, ithumba elincinane linokufuna kuphela ukususwa kwewedge (ukususwa kwecandelo elincinane lezicubu zemiphunga). Emva kotyando, unyango lwe-adjuvant ludla ngokusetyenziswa ukuphucula amathuba oxolelo lwexesha elide. Unyango lweRadiation Body Stereotactic (SBRT): Olu nyango lujolise kakhulu kunyango lwemitha luzisa iidosi eziphezulu zemitha kwithumba elinempembelelo encinci kwizihlunu ezisempilweni ezingqongileyo. Idla ngokuba lukhetho lwezigulane ezingengabo abaviwa botyando.

Inqanaba II Umhlaza wemiphunga

Inqanaba II lomhlaza wemiphunga libonisa ithumba elikhulu okanye ukubandakanyeka kwee-lymph nodes ezikufutshane. Ukhetho lonyango lunokubandakanya: Utyando: Ngokufana nenqanaba I, utyando luhlala lolona nyango luphambili, lujolise ekususweni ngokupheleleyo kwethumba. Indlela yotyando ethile iya kuxhomekeka kubungakanani bethumba kunye nendawo. Iinketho zotyando zinokususela kwi-lobectomy ukuya kwi-pneumonectomy. Unyango ngamachiza: I-Chemotherapy inokusetyenziswa ngaphambi kwe-(neoadjuvant) okanye emva kotyando (i-adjuvant) ukuphucula iziphumo zonyango. Unyango ngemitha: Unyango ngemitha, kuqukwa i-SBRT okanye unyango oluqhelekileyo lwemitha lwangaphandle, lunokusetyenziswa lodwa okanye ludityaniswe notyando kunye/okanye nechemotherapy.

Inqanaba IIIA Umhlaza wemiphunga

Kwinqanaba IIIA, umhlaza usasazeke kwii-lymph nodes ezikufutshane okanye unamathumba amakhulu. Unyango luquka: Utyando (ukuba lunokwenzeka): Uqhaqho loqhaqho lunokuba lukhetho kwezinye izigulana, lulandelwe yi-adjuvant chemotherapy kunye/okanye unyango lweradiation. Unyango ngamachiza: I-Chemotherapy ngokuqhelekileyo ilitye lembombo kunyango, ehlala idityaniswa nonyango lwemitha. Unyango ngemitha: Unyango ngaxeshanye lwekhemoradiation (ichemotherapy kunye nonyango lweradiation olunikwa ngaxeshanye) yindlela eqhelekileyo kwiSigaba IIIA somhlaza wemiphunga.

Inqanaba IIIB Umhlaza wemiphunga

Inqanaba IIIB libandakanya ukubandakanyeka kwe-lymph node kunye / okanye amathumba amakhulu. Unyango ludla ngokujolisa koku: Unyango ngamachiza: Unyango ngamachiza lolona nyango luphambili kweli nqanaba, luhlala ludityaniswa nonyango lwemitha. Unyango ngemitha: Unyango lwe-chemoradiation olufanayo lusetyenziswa rhoqo. Unyango olujolisiweyo: Izigulana ezinotshintsho oluthile lwemfuza kwiiseli zabo zethumba, unyango olujoliswe kuyo lunokuqwalaselwa ukongeza kolunye unyango.

Inqanaba IV Umhlaza wemiphunga

Inqanaba le-IV lomhlaza wemiphunga libonisa ukuba umhlaza uye wadibana namalungu akude. Unyango lujolise ekulawuleni isifo kunye nokuphucula umgangatho wobomi. Ukhetho lubandakanya: Unyango ngamachiza: I-systemic chemotherapy yindlela ephambili, ehlala idityaniswa nolunye unyango. Unyango olujolisiweyo: Unyango ekujoliswe kulo lusetyenziswa rhoqo kwizigulane ezinokuguqulwa kwemfuzo ethile, ejolise ekuthinteleni ukukhula kweeseli zomhlaza. I-Immunotherapy: Immunotherapy inceda amajoni omzimba ukulwa iiseli zomhlaza. Ibonise impumelelo ebalulekileyo kwezinye izigulana ezinomhlaza wemiphunga weSigaba IV. Unyango ngemitha: Unyango lweradiation lungasetyenziselwa ukunyanga iindawo ezithile ze-metastasis ukunciphisa iimpawu kunye nokuphucula umgangatho wobomi. Ukhathalelo lwePalliative lubalulekile ekujonganeni neempawu kunye nokuqinisekisa intuthuzelo yesigulana.

Ukukhetha Unyango Olululo

Eyona ilungileyo unyango ukhetho umhlaza wemiphunga unyango ngesigaba kuxhomekeke kwizinto ezininzi, kuquka impilo yesigulana iyonke, inqanaba kunye nohlobo lomhlaza wemiphunga, kunye nezinto ozikhethayo. Kubalulekile ukuba ube nengxoxo ebanzi kunye ne-oncologist yakho ukuphuhlisa isicwangciso sonyango lomntu. Khumbula, unyango oluninzi lunokusetyenziswa ngokudibeneyo. Iziko loPhando ngoMhlaza laseShandong Baofa https://www.baofahospital.com/ inikeza uluhlu olubanzi lobuchwephesha kule ndawo.

Inqaku elibalulekileyo:

Olu lwazi lulwazi ngokubanzi kwaye aluqulunqi iingcebiso zonyango. Soloko udibana nengcali yokhathalelo lwempilo ukuze uxilongwe kunye nonyango lomhlaza wemiphunga. Izicwangciso zonyango lomntu ngamnye kufuneka zilungelelaniswe kwimeko eyodwa yesigulane ngasinye.