unyango unyango ngemitha kumhlaza wemiphunga isigaba 3

Unyango loNyango lwemitha yoMhlaza weMiphunga inqanaba le-3Ukuqonda kunye nokuHamba kwiNqanaba lesi-3 loKhetho loNyango loMhlaza weMiphuphu Eli nqaku libonelela ngolwazi olubanzi ngonyango lwemitha yenqanaba lesi-3 lomhlaza wemiphunga, lichaza iindlela zonyango ezahlukeneyo, iziphumo ebezingalindelekanga, kunye nokuqwalaselwa kwezigulane kunye neentsapho zazo. Iphonononga indima yeradiation ngokubambisana nolunye unyango kwaye igxininisa ukubaluleka kwezicwangciso zonyango lomntu ngamnye.

Ukuqonda iNqanaba lesi-3 loMhlaza weMiphunga

Inqanaba lesi-3 lomhlaza wemiphunga, okwaziwa ngokuba ngumhlaza wemiphunga osele uhambele phambili ekuhlaleni, libonisa ukuba umhlaza usasazeke ngaphaya kwemiphunga ukuya kwi-lymph nodes okanye izicubu ezikufutshane. Eli nqanaba liphinde lihlulwe ngokwezigaba ze-IIA kunye ne-IIIB, ngokusekelwe kubungakanani bokusabalalisa. Unyango unyango lwemitha yomhlaza wemiphunga inqanaba lesi-3 ifuna indlela ebanzi, ehlala idibanisa iindlela ezahlukeneyo zonyango ukufikelela kwiziphumo ezizezona zilungileyo.

Uxilongo kunye neStaging

Ukuxilongwa ngokuchanekileyo kunye nezigaba kubalulekile ekuqinisekiseni eyona nto isebenzayo unyango unyango ngemitha kumhlaza wemiphunga isigaba 3. Oku kubandakanya uphononongo olucokisekileyo, olubandakanya uvavanyo lwemifanekiso (i-CT scans, i-PET scans, njl. njl.), ii-biopsies, kunye nezinye iinkqubo ezinokubakho zokuvavanya ubungakanani bethumba, indawo elikuyo kunye nokusasazeka. Inqanaba elithile lichaphazela isicwangciso sonyango esikhethiweyo.

Iindidi zoNyango lweRadiation kwiNqanaba lesi-3 loMhlaza weMiphunga

Iindidi ezininzi zonyango lwemitha zisetyenziswa kunyango lwenqanaba lesi-3 lomhlaza wemiphunga:

• Unyango lweBeam Radiation yangaphandle (EBRT): Olu lolona hlobo luqhelekileyo, apho imiqadi yemitha ephezulu yamandla ijolise kwithumba elivela ngaphandle komzimba. Iindlela zanamhlanje, ezifana ne-Intensity-Modulated Radiation Therapy (IMRT) kunye neVolumetric Modulated Arc Therapy (VMAT), zivumela ukujoliswa okuchanekileyo kwethumba, ukunciphisa umonakalo kwiithishu eziphilileyo ezingqongileyo.
• Unyango lweRadiation Body Stereotactic (SBRT): I-SBRT inikezela ngeedosi eziphezulu zemitha yemitha kwiiseshini ezichanekileyo ezimbalwa, ezilungele amathumba amancinci. Yindlela ekujoliswe kuyo kakhulu enokuthi ibe neziphumo ebezingalindelekanga ezimbalwa xa kuthelekiswa ne-EBRT yemveli.
• Brachytherapy: Oku kubandakanya ukubeka imithombo ye-radioactive ngqo ngaphakathi okanye kufutshane nethumba, ukuhambisa iidosi eziphezulu zemitha yendawo.

Unyango ngemitha ngokudityaniswa nolunye unyango

Unyango unyango lwemitha yomhlaza wemiphunga inqanaba lesi-3 ayifane isetyenziswe yodwa. Ihlala idityaniswa nolunye unyango, olunje:

Unyango ngamachiza

I-Chemotherapy, ukusebenzisa iziyobisi ukubulala iiseli zomhlaza, isoloko ilawulwa ngaphambi (neoadjuvant), ngexesha (ngaxeshanye), okanye emva (i-adjuvant) unyango lwe-radiation ukuphucula iziphumo zonyango kunye nokunciphisa umngcipheko wokuphindaphinda.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ngokusekwe kubume bazo. Le ndlela inokonyusa ukusebenza konyango ngemitha.

Utyando

Kwezinye iimeko, utyando lunokuba lukhetho ngaphambi okanye emva kwemitha kunye nechemotherapy. Ukufaneleka kotyando kuxhomekeke kwizinto ezifana nendawo yethumba, ubungakanani, kunye nempilo yonke yesigulana.

Iimpembelelo ezinokubakho zoNyango lweRadiation

Unyango lwe-radiation lunokubangela imiphumo emibi, ukuhluka ngobunzima kuxhomekeke kwisicwangciso sonyango kunye nezinto ezizimeleyo. Oku kunokubandakanya:

• Ukudinwa
• Ukusabela kolusu (ubomvu, ukoma, ukuxobuka)
• Ukucaphuka kwemiphunga (ukhohlokhohlo, ukuphefumla nzima)
• I-Esophagitis (ukudumba kommizo)
• Utshintsho kumdla wokutya

Kubalulekile ukuxoxa ngeziphumo ebezingalindelekanga kunye ne-oncologist yakho kwaye ujonge iindlela zokuzilawula.

Ukukhetha iSicwangciso soNyango esiLungileyo

Elona liphezulu unyango unyango ngemitha kumhlaza wemiphunga isigaba 3 igqitywe zizinto ezininzi, eziquka:

• Inqanaba elithile kunye nohlobo lomhlaza wemiphunga
• Impilo yesigulane iyonke kunye nokomelela
• Izinto ezikhethwa sisigulana kunye neenjongo
• Amava kunye nobuchule beqela lezempilo

Indlela yokusebenza yeqela lezinto ezininzi, ebandakanya i-oncologists, i-radiologists, oogqirha botyando, kunye nezinye iingcali, ibalulekile ukuqinisekisa ukhathalelo olungcono kunye nesicwangciso sonyango.

Izibonelelo kunye neNkxaso

Kwizigulana kunye nabo babathandayo, ukuhamba ngobunzima benqanaba lesi-3 lomhlaza wemiphunga kunokuba ngumngeni. Zininzi izixhobo ezikhoyo zokubonelela ngenkxaso nezikhokelo:

• Umbutho weCancer waseMelika: https://www.cancer.org/
• Iziko leSizwe loMhlaza: https://www.cancer.gov/
• Amaqela enkxaso kunye nemibutho exhasa izigulane

Khumbula ukufuna inkxaso kwiqela lakho lezempilo, usapho, kunye nabahlobo kulo lonke uhambo lwakho lonyango.

Ngononophelo oluphezulu kunye nonyango onokukhetha kulo, cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa ukudibana kunye nokhathalelo lomntu.

Uhlobo loNyango	Iingenelo	Iingxaki
Unyango lwangaphandle lweBeam Radiation (EBRT)	Ifumaneka ngokubanzi, inokujolisa kwiindawo ezinkulu	Ingonakalisa inyama ephilileyo
Unyango lweRadiation Body Stereotactic (SBRT)	Ichaneke kakhulu, unyango olumbalwa	Ayifanelekanga kubo bonke ubungakanani bethumba okanye iindawo

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.