unyango unyango umhlaza wemiphunga

Ukuqonda kunye nokuHamba Unyango Unyango lomhlaza wemiphunga Iinketho Eli nqaku libonelela ngamagqabantshintshi abanzi okhetho lonyango lomhlaza wemiphunga, likunceda ukuba uqonde iindlela ezahlukeneyo kunye noqwalaselo olubandakanyekayo ekukhetheni indlela elungileyo. Siphonononga iindlela ezahlukeneyo zonyango, ukusebenza kwazo, iziphumo ebezingalindelekanga ezinokwenzeka, kunye nokubaluleka kokhathalelo lomntu. Ulwazi olunikezelweyo lwenzelwe iinjongo zemfundo kwaye akufanelekanga ukuba luthathelwe ingqalelo njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ukuze ufumane ukuxilongwa kunye nezicwangciso zonyango.

Iintlobo ze Unyango lomhlaza wemiphunga

Utyando

Ukususwa ngotyando lwethumba lomhlaza yindlela eqhelekileyo kwisigaba sokuqala unyango lomhlaza wemiphunga. Uhlobo lotyando luxhomekeke kwindawo kunye nobukhulu bethumba, kunye nempilo yonke yesigulane. Oku kunokubandakanya i-lobectomy (ukususwa kwe-lobe), i-pneumonectomy (ukususwa komphunga uphela), okanye ukususwa kwe-wedge (ukususwa kwenxalenye encinane yomphunga). Amazinga okuphumelela kotyando ayahluka ngokuxhomekeke kwizinto ezahlukeneyo, kwaye ukhathalelo lwasemva kotyando lubalulekile ekuchacheni.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziswa kunye nolunye unyango, olufana noqhaqho okanye unyango lweradiation, ye unyango lomhlaza wemiphunga. Iziyobisi eziqhelekileyo zechemotherapy ezisetyenziselwa umhlaza wemiphunga ziquka i-cisplatin, i-carboplatin, i-paclitaxel, kunye ne-docetaxel. Iziphumo ebezingalindelekanga zinokwahluka kodwa zihlala zibandakanya isicaphucaphu, ukudinwa, nokulahleka kweenwele. Irejimeni ethile ilungiselelwe isigulane ngasinye kunye nesigaba somhlaza wabo.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziselwa ukuthoba amathumba ngaphambi kotyando, ukutshabalalisa iiseli zomhlaza eziseleyo emva kotyando, okanye njengonyango oluphambili kunyango oluphambili. unyango lomhlaza wemiphunga. Unyango lwemitha yemitha yangaphandle lolona hlobo luxhaphakileyo, kodwa ibrachytherapy (imitha yangaphakathi) isenokusetyenziswa. Iziphumo ebezingalindelekanga zokusasazeka kwemitha zinokubandakanya ukucaphuka kwesikhumba, ukudinwa, nokuphefumla kancinci.

Unyango ekujoliswe kulo

Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza. Olu nyango lusebenza kuphela kwiindidi ezithile zomhlaza wemiphunga ezinotshintsho oluthile lwemfuza. Imizekelo ibandakanya i-EGFR inhibitors (njenge-erlotinib kunye ne-gefitinib) kunye ne-ALK inhibitors (njenge-crizotinib). Unyango olujoliswe kuyo luneziphumo ebezingalindelekanga ezimbalwa kunechemotherapy.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa neeseli zomhlaza. Olu nyango lunceda amajoni omzimba abone kwaye ahlasele iiseli zomhlaza ngokufanelekileyo. I-Checkpoint inhibitors, njenge-pembrolizumab kunye ne-nivolumab, isetyenziswa ngokuqhelekileyo unyango lomhlaza wemiphunga. Unyango lwe-Immunotherapy lunokuba neziphumo ezibi ezibalulekileyo, ezinye zazo ezinokuba nzima.

Ukukhetha Okulungileyo Unyango Unyango lomhlaza wemiphunga Cwangcisa

Eyona ndlela ilungileyo yoku unyango lomhlaza wemiphunga ixhomekeke kakhulu kumntu ngamnye kwaye ixhomekeke kwizinto ezininzi, kubandakanywa uhlobo kunye nenqanaba lomhlaza, impilo yonke yesigulana, kunye nezinto ezikhethwa ngumntu. Iqela lezinto ezininzi, elibandakanya ii-oncologists, oogqirha botyando, iingcali ngemitha, kunye nezinye iingcali, baya kusebenza kunye ukuphuhlisa isicwangciso sonyango lomntu. Kubalulekile ukuba ube nonxibelelwano oluvulekileyo nomboneleli wakho wezempilo ukwenza izigqibo ezinolwazi malunga nokhathalelo lwakho.

NONE Unyango lomhlaza wemiphunga Iinketho

Kwizigulana ezinomhlaza wemiphunga ophezulu, ukhetho lonyango lunokubandakanya indibaniselwano yechemotherapy, unyango lweradiation, unyango ekujoliswe kulo, kunye ne-immunotherapy. Ulingo lwezonyango lusenokuqwalaselwa, lubonelela ngokufikelela kwiindlela zonyango eziqalwayo. Ukhathalelo lwePalliative lujolise ekuphuculeni umgangatho wobomi kunye nokulawula iimpawu kuyo yonke inkqubo yonyango.

Izibonelelo kunye neNkxaso

Imibutho emininzi ibonelela ngenkxaso kunye nezibonelelo kubantu kunye neentsapho ezichatshazelwe ngumhlaza wemiphunga. Ezi ziquka i-American Lung Association kunye ne-Lung Cancer Research Foundation. Le mibutho inika ulwazi, amaqela enkxaso, kunye neenzame zokuxhasa. Ukunxulumana nezi zixhobo kunokunikela uncedo oluxabisekileyo ngokweemvakalelo nolusebenzisekayo ngeli xesha linzima. Ngolwazi oluthe vetshe, ungacinga ngokundwendwela i IZiko loPhando ngoMhlaza laseShandong Baofa iwebhusayithi.

Ukuthelekiswa kweeNdlela zoNyango

Indlela yoNyango	Ukusebenza kakuhle	Iziphumo ezisecaleni
Utyando	Isebenza kakhulu kumhlaza wenqanaba lokuqala	Iintlungu, usulelo, ubunzima bokuphefumla
Unyango ngamachiza	Isebenza kumanqanaba ahlukeneyo, ahlala esetyenziswa ngokudibeneyo	Isicaphucaphu, ukudinwa, ukulahleka kweenwele, ukucinezelwa komzimba
Unyango ngemitha	Isebenza kumhlaza wendawo, inokucutha amathumba	Ukucaphuka kwesikhumba, ukudinwa, ukuphefumla kancinci
Unyango ekujoliswe kulo	Isebenza kutshintsho oluthile lwemfuza	Ngokuqhelekileyo iziphumo ebezingalindelekanga ezimbalwa kunechemotherapy
Immunotherapy	Isebenza kwiintlobo ezithile kunye nezigaba zomhlaza wemiphunga	Inokuba neziphumo ebezingalindelekanga ezibalulekileyo nezinokubanzima

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nomboneleli wakho wezempilo ngazo naziphi na iinkxalabo zempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.