unyango isigaba 0 unyango umhlaza wemiphunga

Inqanaba 0 Umhlaza Wemiphunga: IiKhetho Zonyango kunye ne-Ounderstanding Stage 0 Umhlaza Wemiphunga: IsiKhokelo esiBanzi kuNyango kunye nePrognosisInqanaba 0 lomhlaza wemiphunga, okwaziwa ngokuba yi-carcinoma in situ, lelona nqanaba lokuqala lomhlaza wemiphunga. Kubalulekile ukuqonda ukuba ngelixa uthathwa njengomhlaza, awukasasazeka ngaphaya komgca we-bronchus okanye imiphunga. Oku kuthetha ukuba i-prognosis ilungile kakhulu kwaye ifanelekile unyango isigaba 0 unyango umhlaza wemiphunga. Esi sikhokelo sibonelela ngolwazi olubanzi malunga nokuxilongwa, unyango isigaba 0 unyango umhlaza wemiphunga iinketho, kwaye yintoni onokuyilindela ngexesha nasemva konyango.

Ukuxilongwa kweSigaba 0 Umhlaza wemiphunga

Inqanaba lokuchonga 0 Umhlaza wemiphunga

Inqanaba lokufumanisa umhlaza wemiphunga lihlala liqala ngokufumanisa into engaqhelekanga ngexesha lesiqhelo le-X-reyi yesifuba okanye i-CT scan. Uphando olongezelelekileyo, olufana ne-bronchoscopy (inkqubo ebandakanya ityhubhu ebhityileyo, ebhetyebhetye enekhamera yokuhlola iindlela zomoya) okanye i-biopsy (ukususwa kwesampulu yethishu ukuze ihlolwe phantsi kwemakroskopu), iyafuneka ukuze kuqinisekiswe ukuxilongwa nokumisela ubume obuchanekileyo bokungaqhelekanga. Kubalulekile ukukhumbula ukuba ukufunyanwa kwangoko kuphucula kakhulu amathuba onyango oluyimpumelelo.

Ukubaluleka Kokufunyanwa Kwangethuba

Ukufunyaniswa kwangoko ngundoqo kwimpumelelo unyango isigaba 0 unyango umhlaza wemiphunga. Ukuhlolwa rhoqo, ngakumbi kubantu abasengozini enkulu yomhlaza wemiphunga (njengabatshayayo ixesha elide), kubalulekile. Okukhona ufunyaniswa umhlaza kwangethuba, kokukhona unyango olufunekayo luncinane kakhulu kwaye kokukhona amathuba okuba achache ngokupheleleyo.

IiKhetho zoNyango lweSigaba 0 soMhlaza weMiphunga

Ukususwa ngoTyando: Unyango olusisiseko

Eyokuqala unyango isigaba 0 unyango umhlaza wemiphunga Kwinqanaba lesi-0 umhlaza wemiphunga kukususwa ngotyando, ngokuqhelekileyo i-lobectomy (ukususwa kwenwebu yomphunga) okanye ukususwa kwe wedge (ukususwa kwecandelo elincinane lethishu yemiphunga). Ubungakanani botyando buxhomekeke kubungakanani kunye nendawo yethumba. Ubuchwephesha obuncinci, njengotyando lwethoracoscopic oluncediswa yividiyo (i-VATS), luhlala lukhethwa ukunciphisa ixesha lokubuyisela kunye nokulimala. Kwizigulana ezibonwa njengezingafanelekanga utyando ngenxa yezinye iimeko zempilo, olunye unyango lunokuqwalaselwa. Ukubonisana noogqirha abahamba phambili be-thoracic kubalulekile kwizicwangciso zonyango lomntu. Ngolwazi oluthe kratya malunga nobugcisa botyando obuphezulu, unokufuna ukujonga izixhobo ezifumaneka kumaziko ezonyango ahlonelwayo.

Ezinye iindlela zoNyango

Ngelixa utyando lolona luxhaphakileyo unyango isigaba 0 unyango umhlaza wemiphunga, ezinye iindlela zisenokuqwalaselwa kwiimeko ezithile. Ezi ziquka: Unyango lwe-radiation: Oku kunokusetyenziswa ukuba utyando aluyiyo inketho okanye njengonyango lwe-adjuvant emva kokuhlinzwa ukunciphisa umngcipheko wokuphindaphinda. Unyango lwemitha ye-Stereotactic body radiation (SBRT): Uhlobo oluchanekileyo kakhulu lonyango lwemitha olunikezela ngethamo eliphezulu lokusasazeka kwemitha kwithumba ngelixa unciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo. Oku kudla ngokuba yeyona ndlela incinci yokungangeneleli kuqhaqho lwamathumba amancinci, asekuhlaleni. Ukhetho lonyango luya kumiselwa yimiba efana nempilo yesigulana iyonke, ubungakanani kunye nendawo yethumba, kunye nezinto ezikhethwa sisigulana ngokubonisana nooncologist wabo.

Ukhathalelo lwasemva koNyango kunye nokulandelisa

Ukulandela unyango isigaba 0 unyango umhlaza wemiphunga, ukuqeshwa okuthe rhoqo kubalulekile ekubekeni iliso kuzo naziphi na iimpawu zokuphindaphinda. Oku kuqeshwa ngokuqhelekileyo kubandakanya iimvavanyo zomzimba, ii-imaging scans (ezifana ne-CT scans), kunye novavanyo lwegazi. Ukugcina impilo enempilo, kuquka ukuyeka ukutshaya (ukuba kufanelekile), ukutya ukutya okunesondlo, kunye nokuzilolonga rhoqo, kubalulekile kwimpilo yexesha elide kunye nokunciphisa umngcipheko wokuphindaphinda komhlaza.

I-Prognosis kunye neNgcaciso yeNqanaba 0 Umhlaza wemiphunga

Uqikelelo lwenqanaba loku-0 lomhlaza wemiphunga luncomeka ngokubanzi. Ngokususwa ngokupheleleyo kotyando, ithuba lokusinda ixesha elide liphezulu kakhulu. Ukulandelela rhoqo kubalulekile ukuqinisekisa ukufunyanwa kwangethuba nakuphi na ukuvela kwakhona. Kubalulekile ukukhumbula ukuba imeko nganye yodwa, kwaye i-prognosis ethile iya kuxhomekeka kwizinto ezifana nempilo yonke yesigulana kunye neempawu ezichanekileyo zomhlaza wabo.

UKhetho Lonyango	Iingenelo	Iingxaki
Utyando (Lobectomy/Wedge Resection)	Izinga eliphezulu lokunyanga, unyango oluqinisekileyo	Ifuna utyando, iingxaki ezinokubakho
I-SBRT	Ukuhlasela okungaphantsi kunotyando, ukujolisa okuchanekileyo	Isenokungafanelanga onke amathumba, iziphumo ebezingalindelekanga

Ngolwazi oluthe kratya okanye ukwenza ishedyuli yokubonisana, nceda undwendwele IZiko loPhando ngoMhlaza laseShandong Baofa.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.