
Esi sikhokelo sibanzi sikunceda ukuba uqonde iSigaba 1B somhlaza wemiphunga kwaye ufumane kufanelekile unyango isigaba 1b unyango umhlaza wemiphunga kufutshane nam. Siza kugubungela ukuxilongwa, ukhetho lonyango, kunye nezinto ezibalulekileyo ekufuneka ziqwalaselwe xa ukhetha umboneleli wokhathalelo. Funda indlela yokuhamba ngolu hambo lucelomngeni ngokuzithemba kwaye ufikelele kolona khathalelo lunokwenzeka.
Inqanaba 1B lomhlaza wemiphunga libonisa ukuba umhlaza ubekwe kwindawo ethile emiphungeni, ngokuqhelekileyo ngaphantsi kweesentimitha ezi-3 ububanzi. Ayikasasazeka kwii-lymph nodes ezikufutshane okanye kwezinye iindawo zomzimba. Ukufunyaniswa kwangoko kweli nqanaba kuphucula kakhulu iziphumo zonyango. Umgangatho ochanekileyo ubalulekile ekumiseleni eyona ndlela ilungileyo yokwenza kwimeko yakho ethile.
Ukuxilongwa kubandakanya iimvavanyo ezahlukeneyo ezifana ne-X-ray yesifuba, i-CT scan, i-biopsy (ukuqinisekisa uhlobo lomhlaza kunye nenqanaba), kunye ne-PET scan. Olu vavanyo lunceda ukufumanisa ubungakanani bomhlaza kunye nesicwangciso sonyango lwesikhokelo. Ugqirha wakho uya kuchaza iziphumo ngokucokisekileyo kwaye axoxe ngamanyathelo alandelayo ekunyamekeleni kwakho.
KwiNqanaba loku-1B lomhlaza wemiphunga, utyando luhlala lolona nyango luphambili. Oku kunokubandakanya i-lobectomy (ukususwa kwe-lobe yomphunga) okanye ukususwa kwe-wedge (ukususwa kwecandelo elincinane lemiphunga). Inkqubo yotyando ethile ixhomekeke kwindawo kunye nobukhulu bethumba. Ubuchwephesha obuncinci botyando buhlala busetyenziswa ukunciphisa ixesha lokubuyisela kunye nokuphucula iziphumo zesigulane. Emva kotyando, izigulane zinokufuna unyango olongezelelweyo ngokuxhomekeke kwizinto ezininzi.
Unyango ngemitha lunokusetyenziswa kunye notyando, ngakumbi ukuba kukho inkxalabo malunga neeseli zomhlaza ezisaseleyo. Isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Unyango ngemitha ye-stereotactic body radiation (SBRT) luhlobo oluchanekileyo lonyango ngemitha ehlala isetyenziselwa umhlaza wemiphunga okwinqanaba lakwangoko.
Ngelixa ixhaphake kakhulu njengonyango oluphambili lweSigaba 1B somhlaza wemiphunga, ichemotherapy ingasetyenziswa kwiimeko ezithile, njengangaphambi kotyando (neoadjuvant chemotherapy) ukunciphisa ithumba okanye emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphinda. I-oncologist yakho iya kuvavanya ukuba i-chemotherapy iyafuneka kwimeko yakho.
Xa ukhetha umboneleli wezempilo wakho unyango isigaba 1b unyango umhlaza wemiphunga kufutshane nam, qwalasela oothunywashe abaliqela ababalulekileyo:
Sebenzisa izixhobo ze-intanethi ezifana ne-American Cancer Society (https://www.cancer.org/) kunye neZiko leSizwe loMhlaza (https://www.cancer.gov/) ukuqokelela ulwazi malunga neendlela zonyango lomhlaza wemiphunga kwaye ufumane ababoneleli bezempilo abafanelekileyo. Cinga ngokujonga izibhedlele ezaziwayo kunye namaziko omhlaza kwindawo yakho. Abaninzi banikezela ngezixhobo ze-intanethi kunye nabafumani bagqirha. Kufuneka uhlale ubonisana nogqirha wakho phambi kokuba wenze naziphi na izigqibo malunga nonyango lwakho.
Amachiza onyango ekujoliswe kuwo agxile kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza ezinegalelo ekukhuleni nasekusasazekeni kwazo. Le ndlela inokuba lukhetho ngokuxhomekeke kuhlobo oluthile kunye neempawu zeeseli zomhlaza. I-oncologist yakho iya kugqiba ukufaneleka kwonyango olujoliswe kuyo ngokusekelwe kwimeko yakho ekhethekileyo.
I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. Le ndlela ibandakanya amayeza anceda ukomeleza impendulo yomzimba yokubulala iiseli zomhlaza. Isenokusetyenziswa kwiimeko ezithile, kudityaniswe nolunye unyango. Ugqirha wakho unokuxoxa ngokufaneleka kwe-immunotherapy kwimeko yakho.
Khumbula ukuba olu lwazi lololwazi jikelele kwaye aluyiyo ingcebiso yezonyango. Hlala udibana nogqirha wakho okanye i-oncologist ukuxoxa ngemeko yakho ethile kwaye uphuhlise isicwangciso sonyango lomntu. Ukuxilongwa kwangoko kunye nonyango olukhawulezileyo lubalulekile kwiziphumo ezingcono ezinokubakho ngeSigaba 1B somhlaza wemiphunga.
| UKhetho Lonyango | Inkcazo | Iingenelo | Iingxaki |
|---|---|---|---|
| Utyando | Ukususwa kwezicubu zemiphunga ezinomhlaza. | Izinga eliphezulu lokunyanga umhlaza wemiphunga okwinqanaba lakwangoko. | Okunokwenzeka kwiingxaki, ezifana nosulelo okanye ukopha. |
| Unyango ngemitha | Ukusebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. | Ukujoliswa okuchanekileyo kweeseli zomhlaza. | Ukuba neziphumo ebezingalindelekanga, ezifana nokudinwa kunye nokucaphuka kwesikhumba. |
| Unyango ngamachiza | Ukusetyenziswa kweziyobisi ukubulala iiseli zomhlaza. | Ingasetyenziselwa ukucutha amathumba phambi kotyando. | Iziphumo ebezingalindelekanga zenkqubo, ezifana nesicaphucaphu nokulahleka kweenwele. |
Ngolwazi oluthe vetshe okanye ukwenza ishedyuli yokubonisana, cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa ukuhlola iindlela zonyango ezinokubakho. Khumbula ukuba ungenelelo lwangethuba kunye nesicwangciso sonyango lobuqu esilungiselelwe iimeko zakho ezithile ngundoqo kulawulo olusebenzayo lweNqanaba loku-1B lomhlaza wemiphunga.
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