unyango iinketho zonyango umhlaza wemiphunga

IiKhetho zoNyango loMhlaza weMiphunga

Umhlaza wemiphunga sisifo esiyingozi, kodwa ukuqhubela phambili kunyango kuye kwaphucula kakhulu iziphumo. Esi sikhokelo sibanzi siphonononga ezahlukeneyo unyango iinketho zonyango umhlaza wemiphunga, ukukunceda uqonde iindlela ezikhoyo kunye neengenelo ezinokubakho kunye neengxaki. Siza kugubungela uphando lwamva nje kwaye sigxininise ukubaluleka kwezicwangciso zonyango olulolwakho olukhokelwa ngoogqirha abanamava. Ukuqonda iinketho zakho kubalulekile ekwenzeni izigqibo ezinolwazi malunga nohambo lwakho lwezempilo.

Ukuqonda uMhlaza Wemiphunga kunye nezigaba zawo

Umhlaza wemiphunga uhlelwe ngokweendidi ezimbini eziphambili: umhlaza wemiphunga weseli encinci (SCLC) kunye nomhlaza wemiphunga weseli ongengomncinci (NSCLC). I-NSCLC yenza uninzi lwezehlo zomhlaza wemiphunga. Ukulinganisa, ukugqiba ubungakanani bokusasazeka komhlaza, kubalulekile ekuthatheni isigqibo malunga nokufanelekileyo unyango iinketho zonyango umhlaza wemiphunga. Amanqanaba avela kwi-I (indawo) ukuya kwi-IV (i-metastatic), echaphazela izicwangciso zonyango. Ukulinganisa okuchanekileyo, okuhlala kubandakanya iimvavanyo ze-imaging ezifana ne-CT scans kunye ne-biopsies, kubaluleke kakhulu.

Eqhelekileyo Unyango IiKhetho zoNyango loMhlaza wemiphunga

Utyando

Ukususwa ngotyando lwethumba lukhetho lomhlaza wemiphunga okwinqanaba lakwangoko. Ubuchule bubandakanya i-lobectomy (ukususwa kwe-lung lobe), i-pneumonectomy (ukususwa komphunga uphela), kunye ne-wedge resection (ukususwa kwecandelo elincinci lezicubu zemiphunga). Impumelelo yotyando ixhomekeke kwizinto ezifana nobungakanani bethumba, indawo, kunye nempilo yonke yesigulana. Iziko loPhando ngoMhlaza laseShandong Baofa, (https://www.baofahospital.com/), ibonelela ngobuchule obuphezulu botyando kunye noogqirha abanamava.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Ihlala isetyenziselwa umhlaza wemiphunga okwinqanaba eliphezulu, nokuba uwedwa okanye udityaniswe nolunye unyango. Amachiza aqhelekileyo e-chemotherapy kumhlaza wemiphunga abandakanya i-cisplatin, i-carboplatin, kunye ne-paclitaxel. Iziphumo ebezingalindelekanga ziyahluka kodwa zinokubandakanya isicaphucaphu, ukudinwa, nokulahleka kweenwele. Ukubeka iliso ngononophelo kunye nokunakekelwa kwenkxaso kubalulekile ngexesha le-chemotherapy.

Unyango ngemitha

Unyango lweradiation lusebenzisa imitha ephezulu yamandla ukonakalisa iiseli zomhlaza kunye nokuncipha kwamathumba. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango. Unyango lwemitha yangaphandle lwemitha luxhaphake kakhulu, ukuhambisa imitha kumatshini ongaphandle komzimba. Unyango lwemitha yangaphakathi (brachytherapy) ibandakanya ukubeka imathiriyeli yeradioactive ngqo okanye kufutshane nethumba.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa ingozi kwiiseli eziphilileyo. Olu nyango luhlala lusetyenziselwa i-NSCLC kunye neenguqu ezithile zofuzo. Imizekelo ibandakanya i-EGFR inhibitors (njenge-gefitinib kunye ne-erlotinib) kunye ne-ALK inhibitors (njenge-crizotinib). Uvavanyo lwemfuzo lubalulekile ukufumanisa ukufaneleka kunyango olujoliswe kuyo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa nomhlaza. Iya ibaluleke kakhulu kunyango lomhlaza wemiphunga. I-immune checkpoint inhibitors, ezifana ne-pembrolizumab kunye ne-nivolumab, iiprotheni ezithintela amajoni omzimba ekuhlaseleni iiseli zomhlaza. I-Immunotherapy ingaba nemiphumo emibi ebalulekileyo, efuna ukubeka iliso elisondeleyo.

Ukukhetha Okulungileyo Unyango IiKhetho zoNyango loMhlaza wemiphunga

Eyona ilungileyo unyango iinketho zonyango umhlaza wemiphunga zixhomekeke kwizinto ezahlukeneyo, kuquka inqanaba lomhlaza, uhlobo, kunye nempilo yonke yomguli. Iqela leengcali ezininzi, kubandakanywa ii-oncologists, oogqirha botyando, i-radiation oncologists, kunye nezinye iingcali zempilo, zisebenza kunye ukuphuhlisa isicwangciso sonyango lomntu. Esi sicwangciso siqwalasela iingenelo ezinokubakho, iingozi, kunye neziphumo ebezingalindelekanga zokhetho ngalunye lonyango, lulungelelanise iimfuno kunye nezinto azikhethayo umntu.

Uphando oluQhubekayo kunye nezikhokelo zexesha elizayo

Uphando luqhubela phambili nokuqonda kwethu umhlaza wemiphunga kunye nokuphucula iindlela zonyango. Ulingo lwezonyango lubonelela ngokufikelela kunyango oluphambili kwaye lube negalelo kwinkqubela phambili yexesha elizayo unyango iinketho zonyango umhlaza wemiphunga. Ukuhlala unolwazi malunga nophando lwamva nje kunye nokuxoxa ngokuthatha inxaxheba kulingo lwezonyango kunye ne-oncologist yakho kubalulekile.

Ukuziphendulela: Olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko ubonisana nengcali yokhathalelo lwempilo oluqeqeshelwe ukuxilongwa nonyango.