unyango isigaba 1b unyango umhlaza wemiphunga Izibhedlele

Inqanaba 1B Unyango loMhlaza weMiphunga: Ukufumana iSibhedlele esiLungileyo Eli nqaku libonelela ngesishwankathelo esibanzi sonyango lwenqanaba le-1b lonyango lomhlaza wemiphunga kwizibhedlele, lichaza iindlela ezahlukeneyo zonyango ezifumanekayo, izinto ekufuneka ziqwalaselwe xa ukhetha isibhedlele, kunye nezixhobo zokufumana olona khathalelo lungcono. Inika iinkcukacha ngokubaluleka kokuxilongwa kwangoko kunye nezicwangciso zonyango olulolwakho. Ulwazi malunga nolingo lwezonyango kunye namaqela enkxaso nawo aqukiwe.

Inqanaba 1B Unyango loMhlaza weMiphuphu: Isikhokelo esiBanzi

Inqanaba 1B lomhlaza wemiphunga lifunyaniswa xa ithumba lilincinane ngokwentelekiso (ngaphantsi kwe-3cm) kwaye alisasazeki kwii-lymph nodes ezikufutshane okanye kwamanye amalungu omzimba. Ukufunyaniswa kwangethuba kunye nonyango olufanelekileyo lubalulekile ekuphuculeni amazinga okuphila. Esi sikhokelo sigxile ekujikelezeni ubunzima bokufumana isibhedlele esifanelekileyo sakho unyango isigaba 1b unyango umhlaza wemiphunga Izibhedlele iimfuno.

Ukuqonda iNqanaba loku-1B Umhlaza wemiphunga

Ubungakanani beTumor kunye nendawo

Kwinqanaba loku-1B, ubukhulu bethumba yinto ephambili. Ngelixa ngokubanzi incinci kunezigaba zamva, imilinganiselo echanekileyo ibalulekile ekumiseleni eyona khosi yonyango ingcono. Indawo ethile ngaphakathi emiphungeni ikwachaphazela izigqibo zonyango. Ukwazi iimpawu ezichanekileyo zethumba kubalulekile kucwangciso olusebenzayo lonyango.

Iintlobo zomhlaza wemiphunga

Umhlaza wemiphunga ubandakanya iindidi ezahlukeneyo, kubandakanywa umhlaza wemiphunga weseli ongeyomncinci (NSCLC) kunye nomhlaza wemiphunga omncinci weseli (SCLC). Amaqhinga onyango ahluke kakhulu phakathi kwezi ntlobo. I-NSCLC ixhaphake kakhulu kwaye iphinda icalulwe kwiintlobo ezincinci ezifana ne-adenocarcinoma, i-squamous cell carcinoma, kunye ne-cell carcinoma enkulu. Ukuqonda uhlobo oluthile kubalulekile ekuqinisekiseni okufanelekileyo unyango isigaba 1b unyango umhlaza wemiphunga Izibhedlele.

IiNdlela zoNyango lweNqanaba loku-1B loMhlaza weMiphunga

Uqhaqho loKutyandwa

Utyando luhlala lolona nyango luphambili lweNqanaba loku-1B lomhlaza wemiphunga. Oku kubandakanya ukususa ithumba lomhlaza kunye nomda wethishu esempilweni. Uhlobo lotyando luxhomekeke kwindawo yethumba kunye nobukhulu, ukusuka kwi-lobectomy (ukususwa kwe-lobe ye-lung) ukuya kwi-wedge resection (ukususwa kwecandelo elincinci). Ubuchwephesha obungenabuncinci, njengotyando lwethoracoscopic oluncediswa yividiyo (VATS), bahlala bekhethwa ukunciphisa ixesha lokubuyisela kunye neengxaki. Ukubuyiselwa kwimeko yesiqhelo emva kotyando kubalulekile ukuze umntu achache ngokupheleleyo.

Unyango ngemitha

Unyango ngemitha lusebenzisa imiqadi enamandla kakhulu ukubulala iiseli zomhlaza. Ingasetyenziswa yodwa okanye ngokubambisana notyando, ngakumbi ukuba kukho umngcipheko omkhulu wokuphindaphinda. Unyango lwemitha yemitha ye-stereotactic (SBRT) luhlobo oluchane kakhulu lonyango lwemitha ehlala isetyenziselwa amathumba amancinci. Iziphumo ebezingalindelekanga zonyango ngemitha zinokuhluka ngokuxhomekeke kwidosi kunye nendawo yonyango.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukutshabalalisa iiseli zomhlaza. Ngelixa ingelonyango lodidi lokuqala lweSigaba 1B somhlaza wemiphunga, lunokusetyenziswa kwiimeko ezithile, njengaphambi kotyando (neoadjuvant chemotherapy) ukunciphisa ithumba okanye emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda. Unyango ngamachiza lunokuba neziphumo ebezingalindelekanga ezininzi, kwaye ulawulo olufanelekileyo lubalulekile.

Ukukhetha isibhedlele esiLungileyo kuNyango lwakho

Ukuvunywa kunye namava

Khangela izibhedlele ezinamaziko omhlaza wemiphunga azinikeleyo kunye noogqirha botyando lwethoracic kunye nee-oncologists. Ukuvunywa kwemibutho ehloniphekileyo, njengeKhomishoni eHlangeneyo, kubonisa ukuzibophelela kukhathalelo oluphezulu. Phanda ngamazinga empumelelo yesibhedlele namanqaku okwaneliseka kwezigulana. Qwalasela ubukho betekhnoloji ephezulu kunye neendlela zotyando ezingenelelayo kancinci.

IziCwangciso zoNyango ezenzelwe wena

Isicwangciso sonyango esibanzi kufuneka silungelelaniswe neemfuno zakho kunye neemeko ezithile. Xoxa ngokhetho lwakho kunye neengcali ezininzi ukuze ufumane ukuqonda okunzulu ngeenzuzo ezinokuthi zibe kho kunye nobungozi bendlela yonyango nganye. Ukhetho lwakho lwesibhedlele kufuneka lubonise ukuzibophelela kunyango lobuqu.

Iinkonzo zeNkxaso

Indawo exhasayo ibalulekile ngexesha lonyango lomhlaza. Qinisekisa ukuba isibhedlele sinikezela ngeenkonzo zenkxaso ezibanzi, kubandakanywa iingcebiso, ukubuyisela kwisimo sangaphambili, kunye nokufikelela kumaqela enkxaso. Ukufumaneka kwezi nkonzo kunokuchaphazela kakhulu amava akho kunye nokuphila kakuhle.

Ukufumana iZibonelelo kunye neNkxaso

I Umbutho wamaLung waseMelika kunye ne Umbutho womhlaza waseMelika unikezela ngezibonelelo ezixabisekileyo kunye nenkxaso kubantu abajongene nokuxilongwa komhlaza wemiphunga. Le mibutho inikezela ngolwazi malunga nokhetho lonyango, ulingo lwezonyango, kunye namaqela enkxaso. Ukunxulumana nabanye abaguli nako kunokuba luncedo kakhulu. Kwizigulane zaseTshayina, IZiko loPhando ngoMhlaza laseShandong Baofa liziko elikhokelayo elibonelela ngonyango kunye nenkathalo ekumgangatho ophezulu.

Iimvavanyo zeklinikhi

Ukuthatha inxaxheba kulingo lwezonyango kunokunikezela ngofikelelo kunyango oluqalwayo kunye negalelo kwinkqubela phambili yokhathalelo lomhlaza wemiphunga. Ulingo lwezonyango lubekwe esweni ngononophelo izifundo zophando ezivavanya iindlela zonyango olutsha. I-oncologist yakho inokukunceda ukuba ubone ukuba ukuthatha inxaxheba kulingo lwezonyango lufanelekile kwimeko yakho. I Iwebhusayithi yeZiko lezeMpilo leSizwe (NIH). ibonelela ngesiseko sedatha esibanzi solingo lwezonyango oluqhubekayo.

Ukuzihlangula: Olu lwazi lololwazi jikelele kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nogqirha wakho okanye omnye umboneleli wezempilo oqeqeshiweyo ngayo nayiphi na imibuzo onokuba nayo malunga nemeko yonyango.