
Inqanaba 1B Umhlaza Wemiphunga: Iinketho Zonyango kunye neOutlookStage 1B Umhlaza wemiphunga ubonakala ngethumba elingaphantsi kwe-5cm elingakhange linwenwe kwii-lymph nodes okanye kwamanye amalungu omzimba. Unyango lwe isigaba 1b unyango lomhlaza wemiphunga igxile ekususeni izicubu ezinomhlaza kunye nokuthintela ukuphindaphinda. Esi sikhokelo sibanzi siphonononga iindlela ezahlukeneyo zonyango, ukusebenza kwazo, kunye neziphumo ebezingalindelekanga.
Phambi kokuba uphonononge kwiinketho zonyango, kubalulekile ukuqonda iinkcukacha zenqanaba 1B lomhlaza wemiphunga. Eli nqanaba libonisa ithumba lendawo, okuthetha ukuba alisasazeki ngaphaya kwemiphunga. Ubungakanani bethumba yinto ebaluleke kakhulu ekuqinisekiseni eyona ndlela ilungileyo yokwenza. Ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo kubalulekile ekuphuculeni iziphumo.
Kwizigulane ezininzi ezine isigaba 1b unyango lomhlaza wemiphunga, utyando lolona nyango luphambili. Eyona nkqubo ixhaphakileyo yi-lobectomy, ebandakanya ukususa i-lobe echaphazelekayo yomphunga. Kwezinye iimeko, ukususwa kwe-wedge (ukususa icandelo elincinci lezicubu zemiphunga) okanye i-pneumonectomy (ukususa umphunga wonke) kunokuba yimfuneko, ngokuxhomekeke kwindawo kunye nobukhulu bethumba. Ukhetho lwendlela yotyando lumiselwa yimiba efana nobungakanani bethumba, indawo, kunye nempilo yesigulana iyonke. Ubuchwephesha obuncinci, njengotyando lwe-thoracoscopic oluncediswa yividiyo (i-VATS), luhlala lukhethwa ngenxa yokunciphisa ukuhlaselwa kunye nexesha lokubuyisela ngokukhawuleza.
Emva kotyando, unyango lwe-adjuvant lunokucetyiswa ukunciphisa umngcipheko wokuphindaphinda komhlaza. Oku kudla ngokubandakanya ichemotherapy, unyango ngemitha, okanye indibaniselwano yazo zombini. Isigqibo sokusebenzisa unyango lwe-adjuvant lusekelwe kwizinto ezininzi, kuquka iminyaka yesigulane, impilo yonke, kunye neempawu zethumba. Umzekelo, izigulana ezineempawu ezithile ezisemngciphekweni omkhulu zinokuzuza kwi-adjuvant chemotherapy, nokuba utyando lokuqala lulisuse ngempumelelo ithumba.
Kwezinye iimeko, ngakumbi kwizigulana ezingengabo abaviwa botyando ngenxa yeemeko zempilo eziphantsi, unyango lweradiation lunokusetyenziswa njengolona nyango luphambili. isigaba 1b unyango lomhlaza wemiphunga. I-Stereotactic body radiotherapy (SBRT) luhlobo oluchane kakhulu lonyango lwemitha olunikezela ngethamo eliphezulu lokusasazeka kwemitha kwithumba kwiiseshini ezimbalwa, ukunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo. Ngamanye amaxesha le ndlela isetyenziswa njengenye indlela yotyando okanye njengesincedisi sotyando kwiimeko ezithile.
Izinto ezininzi zinefuthe ekukhetheni unyango lwe isigaba 1b unyango lomhlaza wemiphunga. Ezi ziquka:
Ukulandela unyango lwe isigaba 1b unyango lomhlaza wemiphunga, ukuqeshwa rhoqo kokulandelela kubalulekile ukubeka iliso kuzo naziphi na iimpawu zokuphindaphinda. Oku kuqeshwa ngokuqhelekileyo kubandakanya iimvavanyo ze-imaging, ezifana ne-CT scans, ukukhangela nakuphi na ukukhula okutsha. Ukufunyaniswa kwangethuba kokuphindaphinda kubalulekile kulawulo olusebenzayo.
Ukukhetha iqela lezonyango eliqeqeshiweyo nelinamava kubalulekile kwiziphumo ezizezona zilungileyo. Eli qela kufuneka liquke ii-oncologists, oogqirha botyando, iingcali ngemitha, kunye nabanye abantu abanolwazi lokunyanga umhlaza wemiphunga. Nge IZiko loPhando ngoMhlaza laseShandong Baofa, sibonelela ngokhathalelo olubanzi kwaye sisebenzise ubugcisa obuphambili ukuqinisekisa olona nyango lunokwenzeka kwizigulana zethu. Sinikezela ngeendlela ezininzi zokuqinisekisa isicwangciso esilungelelanisiweyo esijongene neemfuno zesigulane ngasinye. Iqela lethu elizinikeleyo lizimisele ukubonelela ngokhathalelo lomntu kulo lonke uhambo lonyango nangaphaya.
Ukuthatha inxaxheba kulingo lwezonyango kunokunikezela ngofikelelo kunyango oluyilayo kunye negalelo ekuqhubeleni phambili ukuqonda kunye nonyango lomhlaza wemiphunga. Izigulane kufuneka zixoxe ngeendlela zolingo lwezonyango kunye nomboneleli wabo wezempilo ukuvavanya ukufaneleka kwazo.
I-Disclaimer: Olu lwazi lujoliswe kwiinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.
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