
Esi sikhokelo sibanzi sikunceda ukuba uqonde iindlela zonyango zomhlaza wemiphunga kwiNqanaba 2B kwaye ufumane izibhedlele ezaziwayo ezinikezela ngononophelo olungcono. Sigubungela iindlela zonyango, izinto eziphembelela ukhetho lwesibhedlele, kunye nezixhobo zokunceda inkqubo yakho yokwenza izigqibo. Funda malunga nenkqubela phambili yamva nje kunye nendlela yokuhamba kolu hambo lucela umngeni.
Inqanaba 2B lomhlaza wemiphunga libonisa ukuba umhlaza usasazeke kwii-lymph nodes ezikufutshane, kodwa hayi kwiindawo ezikude zomzimba. Isebenza unyango isigaba 2b unyango umhlaza wemiphunga kuxhomekeke kwizinto eziliqela, kuquka uhlobo lomhlaza wemiphunga, ubungakanani nendawo yethumba, impilo yesigulana iyonke, kunye nezinto azikhethayo. Iinketho zonyango zibandakanya indibaniselwano yeendlela, ezijolise ekususeni ngokupheleleyo ithumba okanye ukushwabana okubalulekileyo.
Eqhelekileyo unyango isigaba 2b unyango umhlaza wemiphunga iindlela ziquka:
Utyando, oluhlala lusenziwa yi-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela), lolona khetho lungundoqo lonyango lwezigulane ezininzi zomhlaza wemiphunga kwiSigaba 2B. Injongo kukususa ngokupheleleyo izicubu zomhlaza. Impumelelo yotyando ixhomekeke kwizinto ezifana nendawo yethumba kunye nempilo yonke yesigulana.
I-Chemotherapy isebenzisa amayeza anamandla ukubulala iiseli zomhlaza. Isenokusetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukucutha ithumba, emva kotyando (i-adjuvant chemotherapy) ukunciphisa umngcipheko wokuphindaphinda, okanye njengonyango oluphambili ukuba utyando aluyiyo inketho. Amachiza asetyenziswa ngokuqhelekileyo echemotherapy kumhlaza wemiphunga aquka i-cisplatin kunye ne-carboplatin, ehlala idityaniswa nezinye ii-arhente.
Unyango ngemitha isebenzisa imitha ephezulu yamandla ukonakalisa nokubulala iiseli zomhlaza. Ingasetyenziswa phambi kotyando ukucutha amathumba, emva kotyando ukubulala naziphi na iiseli zomhlaza eziseleyo, okanye njengonyango lokuqala ukuba utyando alunakwenzeka. I-Stereotactic body radiotherapy (SBRT) luhlobo oluchane kakhulu lonyango lwemitha olunikezela ngeedosi eziphezulu zokusasazeka kwemitha kwithumba ngelixa unciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo.
Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ukunciphisa ingozi kwiiseli eziphilileyo. Olu nyango lulungelelaniswe kwiinguqu ezithile zofuzo ezifumaneka kwiiseli zomhlaza. Ukusebenza konyango olujoliswe kuyo kuxhomekeke kubukho beempawu ezithile zofuzo ngaphakathi kwethumba.
I-Immunotherapy yongeza amajoni omzimba omzimba ukulwa iiseli zomhlaza. Yindlela yonyango ethembisayo, esoloko isetyenziswa kunye nolunye unyango. Ukukhethwa kwe-immunotherapy kuxhomekeke kwizinto ezifana nohlobo kunye nenqanaba lomhlaza wemiphunga.
Ukukhethela isibhedlele unyango isigaba 2b unyango umhlaza wemiphunga kufuna ukuqwalaselwa ngenyameko. Khangela:
Iqela leengcali ze-oncologists ezinobuchule kunye namava kunye noogqirha botyando lwesifuba lubalulekile. Phanda abasebenzi bezonyango kwesi sibhedlele, iziqinisekiso zabo, kunye namava abo ngonyango lomhlaza wemiphunga.
Qinisekisa ukuba isibhedlele sibonelela ngofikelelo kubuchwepheshe bonyango bamva nje, obufana neendlela eziphucukileyo zonyango lwemitha (i-SBRT), utyando lwerobhothi, kunye nolona nyango lwangoku lwechemotherapy kunye neerejimeni zokugonywa komzimba.
Khangela izibhedlele ezibonelela ngeenkonzo zenkxaso ezibanzi, kubandakanywa ukhathalelo lokuthomalalisa, inkxaso yengqondo, kunye neenkqubo zokubuyisela kwimeko yesiqhelo. Ezi nkonzo zinokuphucula kakhulu umgangatho wobomi ngexesha nasemva konyango.
Ngelixa iziphumo zomntu ngamnye zinokwahluka, phanda ngamazinga empumelelo yesibhedlele kunye neziphumo zesigulana kunyango lomhlaza wemiphunga. Le datha inokunika ulwazi oluxabisekileyo kubuchule besibhedlele.
Izibonelelo ezininzi zinokukunceda ufumane izibhedlele ezifanelekileyo unyango isigaba 2b unyango umhlaza wemiphunga:
Khumbula, ukufumana isibhedlele esifanelekileyo linyathelo elibalulekileyo kuhambo lwakho lonyango. Uphando olucokisekileyo kunye nonxibelelwano oluvulekileyo kunye neqela lakho lezempilo luya kukuxhobisa ukuba wenze izigqibo ezizizo.
Cinga ngokuphonononga ubuchule obukhoyo IZiko loPhando ngoMhlaza laseShandong Baofa kukhathalelo oluphambili lomhlaza wemiphunga. Ukuzibophelela kwabo kunyango olutsha kunye nokhathalelo olugxile kwisigulana kubenza babe sisixhobo esinokubakho sokuhlola iinketho zakho. unyango isigaba 2b unyango umhlaza wemiphunga iimfuno.
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