unyango amayeza amatsha kumhlaza wemiphunga isigaba 4 Izibhedlele

IiKhetho zoNyango kunye nezibhedlele zeNqanaba lesi-4 loMhlaza weMiphunga

Esi sikhokelo sibanzi siphonononga inkqubela phambili kunye nonyango olukhoyo lwamva nje lwenqanaba lesi-4 lomhlaza wemiphunga, lubonelela ngolwazi olubalulekileyo kwizigulane kunye neentsapho zazo ezijongana nolu xilongo lucelomngeni. Siza kuxoxa ngeendlela ezahlukeneyo zonyango, sichaza izibonelelo zazo, imida, kunye neziphumo ebezingalindelekanga ezinokubakhona, kwaye siqaqambise ukubaluleka kokufuna ukhathalelo kwizibhedlele ezihloniphekileyo ezigxile kwimpilo yengqondo. unyango amayeza amatsha kumhlaza wemiphunga isigaba 4 Izibhedlele.

Ukuqonda iNqanaba lesi-4 loMhlaza weMiphunga

Uxilongo kunye neStaging

Inqanaba lesi-4 lomhlaza wemiphunga, okwaziwa ngokuba ngumhlaza wemiphunga we-metastatic, libonisa ukuba umhlaza usasazeke ngaphaya kwemiphunga uye kwamanye amalungu omzimba. Ukuxilongwa ngokuchanekileyo kubandakanya uvavanyo lwemifanekiso (i-CT scans, i-PET scans), i-biopsies kunye novavanyo lwegazi. Ukubekwa kwangaphambili kunye nokuchanekileyo kubalulekile ekuqinisekiseni eyona nto isebenzayo unyango amayeza amatsha kumhlaza wemiphunga isigaba 4 Izibhedlele.

Iinjongo zoNyango kwiNqanaba lesi-4

Unyango kweli nqanaba lujolise ekulawuleni iimpawu, ukuphucula umgangatho wobomi, kunye nokwandisa ubomi. Nangona unyango olupheleleyo lungenakwenzeka, ukuqhubela phambili okubonakalayo kukhokelele kwiziphumo eziphuculweyo kunye nobomi obude bezigulane ezininzi. Eyona ndlela ilungileyo isoloko ibandakanya iqela lezinto ezininzi, kubandakanywa ioncologists, oogqirha botyando, kunye neengcali zokhathalelo lwempilo. Ukufumana isibhedlele esinobuchule bokulawula unyango amayeza amatsha kumhlaza wemiphunga isigaba 4 Izibhedlele yeyona nto ibalulekileyo.

IiNdlela eziFumanekayo zoNyango lweNqanaba lesi-4 loMhlaza weMiphunga

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lujolise kwiinguqu ezithile zofuzo ngaphakathi kweeseli zomhlaza. La mayeza anokunciphisa ngokufanelekileyo amathumba kwaye aphucule amazinga okuphila kwizigulane ezinokuguqulwa okuthile. Imizekelo ibandakanya i-EGFR inhibitors, i-ALK inhibitors, kunye nabanye. I-oncologist yakho iya kugqiba ukuba ungumgqatswa wonyango olujoliswe kuyo ngokusekwe kwiprofayile yakho yethumba. I Iziko lomhlaza leSizwe inika iinkcukacha ezithe vetshe ngolu nyango.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukubulala iiseli zomhlaza. Lukhetho oluqhelekileyo lonyango lwenqanaba lesi-4 lomhlaza wemiphunga, olusoloko lusetyenziswa ngokudityaniswa nolunye unyango okanye njengonyango oluzimeleyo. Irejimeni ethile yechemotherapy iya kuxhomekeka kwizinto ezifana nempilo yakho iyonke, uhlobo lomhlaza wemiphunga, kunye nobukho balo naluphi na utshintsho oluthile. Iziphumo ebezingalindelekanga ziqhelekile kwaye ziyahluka kakhulu kuxhomekeke kwiyeza elisetyenzisiweyo. Ulawulo ngononophelo lweziphumo ebezingalindelekanga lubalulekile.

Immunotherapy

I-Immunotherapy isebenzisa amandla amajoni omzimba okulwa nomhlaza. Olu nyango lusebenza ngokomeleza inkqubo yomzimba yokuzikhusela ekuboneni nasekutshabalaliseni iiseli zomhlaza. Ii-Checkpoints inhibitors, ezifana ne-pembrolizumab kunye ne-nivolumab, ziyimizekelo yamachiza okugonyela asetyenziswa rhoqo kumhlaza wemiphunga. Olu nyango lutshintshe ukhathalelo lwezigulana ezithile ezinomhlaza wemiphunga ophezulu. Ukukhethwa kwe-immunotherapy kuxhomekeke kwizinto ezifana nenqanaba lokubonisa i-PD-L1 kunye nobukho beempawu ezithile zebhayoloji.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza kunye nokuncipha kwamathumba. Ingasetyenziselwa ukunciphisa iimpawu, ezifana nentlungu ebangelwa yi-bone metastases, okanye njengenxalenye yendlela yokudibanisa unyango. Iziphumo ebezingalindelekanga zinokubandakanya ukudinwa, ukucaphuka kwesikhumba, kunye nesicaphucaphu, nangona ezi ziqhele ukulawuleka.

Ukhathalelo lweNkxaso kunye nePalliative

Ukhathalelo oluxhasayo lujolise ekuphuculeni umgangatho wobomi besigulane ngokulawula iimpawu ezinjengeentlungu, ukudinwa, isicaphucaphu, kunye nokuphefumula okufutshane. Ukhathalelo lwePalliative lubonelela ngenkxaso ebanzi yokujongana neemfuno zomzimba, zeemvakalelo, nezomoya zezigulana kunye neentsapho zabo ngalo lonke ixesha lokugula. Oku kubaluleke ngakumbi kwinqanaba lesi-4 xa kugxilwa kubutofotofo kunye nomgangatho wobomi ubalulekile.

Ukukhetha isibhedlele esiLungileyo kuNyango lwakho

Ukukhetha isibhedlele esinobuchule kuso unyango amayeza amatsha kumhlaza wemiphunga isigaba 4 Izibhedlele ibalulekile kwiziphumo ezigqwesileyo. Qwalasela izinto ezinje ngamava onyango oluhambele phambili lomhlaza wemiphunga, ukufikelela kulingo lwamva nje lweklinikhi, kunye nendlela ebandakanya izinto ezininzi ezibandakanya ioncologists, oogqirha botyando, kunye neengcali zokhathalelo lwempilo. Khangela izibhedlele ezinemilinganiselo ephezulu yokwaneliseka kwezigulane kunye neenkqubo zophando ezinamandla.

Ukufumana izibhedlele ezihloniphekileyo

Phanda izibhedlele kwindawo yakho okanye ezo zinamasebe aziwayo e-oncology. Jonga iiwebhusayithi zabo ngolwazi malunga neenkqubo zabo zomhlaza wemiphunga, iiprofayili zikagqirha, kunye namazinga okuphumelela. Ubungqina besigulane kunye nophononongo lunokubonelela ngeembono ezibalulekileyo. Izibhedlele ezininzi zibonelela ngezixhobo ze-intanethi kunye nokubonisana okubonakalayo ukukunceda wenze izigqibo ezinolwazi.

Khumbula, olu lwazi lulungiselelwe iinjongo zemfundo kuphela kwaye aluquki iingcebiso zonyango. Soloko udibana nogqirha wakho okanye igcisa lezempilo eliqeqeshiweyo ukuze uxilongwe kunye neendlela zonyango. Ukufumana ulwazi oluthe kratya malunga nomhlaza wemiphunga kunye nokhetho lonyango, unokujonga izixhobo ezivela kwimibutho efana ne Umbutho wamaLung waseMelika kunye ne Umbutho womhlaza waseMelika.

Kwi Iziko loPhando ngoMhlaza laseShandong Baofa (https://www.baofahospital.com/), sizinikele ekunikeni ukhathalelo olubanzi nolunovelwano kwizigulana ezinomhlaza wemiphunga. Iqela lethu elinamava lisebenzisa inkqubela phambili yamva nje yokuxilongwa kunye nonyango, liqinisekisa ezona ziphumo zilungileyo kwizigulane zethu.