unyango neuroendocrine unyango umhlaza wemiphunga

Unyango lwe-Neuroendocrine Lung Cancer

Umhlaza wemiphunga we-Neuroendocrine luhlobo olunqabileyo lomhlaza wemiphunga olusuka kwiiseli ze-neuroendocrine zemiphunga. Esi sikhokelo esibanzi siphonononga iindlela ezahlukeneyo zonyango lwe unyango lomhlaza wemiphunga neuroendocrine, egxininisa ukubaluleka kokunyamekela umntu ngamnye kunye nenkqubela yamva nje entsimini. Ukuqonda iinkcukacha zokuxilongwa kwakho kunye nokusebenza ngokusondeleyo ne-oncologist yakho kubalulekile ekuphuhliseni isicwangciso sonyango esisebenzayo.

Ukuqonda i-Neuroendocrine Lung Cancer

Iintlobo ze-Neuroendocrine Lung Cancer

Umhlaza wemiphunga we-Neuroendocrine uhlelwa ngokweendidi ezahlukeneyo ngokusekwe kwiimpawu zeeseli kunye neepatheni zokukhula. Oku kubandakanya i-carcinoids eqhelekileyo, i-atypical carcinoids, i-cell neuroendocrine carcinomas enkulu, kunye nomhlaza wemiphunga omncinci weseli (SCLC). Uhlobo lwe umhlaza wemiphunga we-neuroendocrine ichaphazela kakhulu indlela yonyango.

Umhlaza wemiphunga weNeuroendocrine

Ukulinganisa kubandakanya ukujonga ubungakanani bokusasazeka komhlaza. Oku ngokuqhelekileyo kwenziwa ngovavanyo lokucinga (CT scans, PET scans) kwaye kunokubandakanya ukuxilongwa kwebhayopsy. Iqonga libalulekile ekukhetheni okufanelekileyo unyango lomhlaza wemiphunga we-neuroendocrine kunye nokuqikelela i-prognosis.

Iinketho zonyango kwi-Neuroendocrine Lung Cancer

Utyando

Utyando luhlala lolona nyango luphambili kwibakala lakwangoko umhlaza wemiphunga we-neuroendocrine, ngakumbi kwiithumba zendawo. Uhlobo lotyando luxhomekeke kwindawo kunye nobukhulu bethumba. Ubuchwephesha obuhlaselayo budla ngokukhethwa xa kunokwenzeka.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Isenokusetyenziswa yodwa okanye kudityaniswe nolunye unyango. Irejimeni ethile ye-chemotherapy ixhomekeke kuhlobo kunye nenqanaba le umhlaza wemiphunga we-neuroendocrine. Iiarhente ze-chemotherapeutic ezisetyenziswa ngokuqhelekileyo ziquka i-carboplatin kunye ne-etoposide ye-SCLC.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukutshabalalisa iiseli zomhlaza. Ingasetyenziselwa ukunciphisa amathumba, ukukhulula iimpawu, okanye ukuthintela ukuphindaphinda komhlaza. Unyango lwemitha yangaphandle lusetyenziswa ngokuqhelekileyo, kodwa i-brachytherapy (imitha yangaphakathi) inokuba yinto ekhethwayo.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lusebenzisa iziyobisi ezijolise kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni kweeseli zomhlaza kunye nokuphila. Olu nyango luhlala lusebenza ngakumbi kwaye luneziphumo ebezingalindelekanga ezimbalwa kunechemotherapy yesintu. Ukufumaneka konyango ekujoliswe kulo unyango lomhlaza wemiphunga neuroendocrine kuxhomekeke kuhlobo oluthile kunye neprofayili yemfuza yethumba. Imizekelo ibandakanya ii-inhibitors ezijolise kwi-receptor tyrosine kinases ethile.

Immunotherapy

I-Immunotherapy idibanisa amandla amajoni omzimba ukulwa nomhlaza. Isebenza ngokuvuselela amajoni omzimba ukuba aqaphele kwaye ahlasele iiseli zomhlaza. I-immune checkpoint inhibitors, njenge-pembrolizumab kunye ne-atezolizumab, ibonise isithembiso ekunyangeni ezinye iintlobo umhlaza wemiphunga we-neuroendocrine.

Ukukhetha iSicwangciso soNyango esiLungileyo

Elona liphezulu unyango lomhlaza wemiphunga neuroendocrine Isicwangciso sixhomekeke kakhulu kumntu ngamnye kwaye sixhomekeke kwizinto ezahlukeneyo, kubandakanywa uhlobo kunye nenqanaba lomhlaza, impilo yonke yesigulana, kunye nezinto ezikhethwa ngumntu. Intsebenziswano esondeleyo kunye ne-oncologist enamava ibalulekile ekuphuhliseni isicwangciso sonyango lomntu. Nge IZiko loPhando ngoMhlaza laseShandong Baofa, sizama ukubonelela ngononophelo olupheleleyo kunye novelwano kuzo zonke izigulane zethu.

I-Prognosis kunye noNonophelo lokulandela

Iprognosis ye umhlaza wemiphunga we-neuroendocrine iyahluka kakhulu ngokuxhomekeke kuhlobo kunye nenqanaba lomhlaza, kunye nempilo yonke yesigulana. Ukuqeshwa rhoqo kokulandelela kubalulekile ekubekeni iliso kwimpumelelo yonyango kunye nokufumanisa nayiphi na into eyenzeka kwakhona. Olu qeshwa lubandakanya iimvavanyo ze-imaging kunye novavanyo lomzimba.

Izibonelelo ezingaphaya

Ukuze ufumane inkcazelo engakumbi malunga umhlaza wemiphunga we-neuroendocrine kunye nonyango lwayo, dibana nogqirha wakho okanye ubhekisele kwimithombo ethembekileyo njengeZiko loMhlaza leSizwe (https://www.cancer.gov/). Soloko ubeka phambili iingxoxo kunye nomboneleli wakho wezempilo phambi kokuba wenze naziphi na izigqibo malunga nonyango lwakho.