unyango isigaba 2b unyango umhlaza wemiphunga

Inqanaba 2B Unyango loMhlaza weMiphuphu: Isikhokelo esiBanziUkuqonda iNqanaba le-2B loMhlaza weMiphuphu kunye noKhetho loNyango Eli nqaku libonelela ngesishwankathelo esibanzi isigaba 2b unyango lomhlaza wemiphunga iinketho, echaza iindlela ezahlukeneyo ezisetyenziselwa ukulawula esi sifo sinzima. Siza kuphonononga ungenelelo lotyando, unyango lweradiation, ichemotherapy, kunye nonyango ekujoliswe kulo, sigxile kuphuculo lwamva nje kunye nokuqwalaselwa kwezicwangciso zonyango lomntu ngamnye. Le ngcaciso inikwe apha yeyokufundisa kwaye ayifanelanga kuqwalaselwa njengengcebiso yezonyango. Soloko udibana ne-oncologist yakho ukuze uxoxe ngeyona ndlela ilungileyo yokwenza kwimeko yakho.

Uxilongo kunye neStaging

Ukuxilongwa ngokuchanekileyo linyathelo lokuqala elibalulekileyo isigaba 2b unyango lomhlaza wemiphunga. Oku kubandakanya indibanisela yovavanyo lokujonga umfanekiso (njengeCT scans, iPET scans, neeX-reyi), uhlolisiso lwebhayopsy ukuze kuqinisekiswe ubukho beeseli zomhlaza, novavanyo olungakumbi olunokubakho ukuze kufunyaniswe iimpawu nenqanaba lomhlaza. Inqanaba 2B lomhlaza wemiphunga libonisa ukuba ithumba likhulu kunenqanaba 2A, kodwa alikanwenweli kwiindawo ezikude zomzimba (metastasis). Iikhrayitheriya ezikhethekileyo zenqanaba zinokuhluka kancinci, ngoko ke kubalulekile ukuxoxa ngeenkcukacha zokuxilongwa kwakho nogqirha wakho.

IiKhetho zoNyango lweSigaba 2B soMhlaza weMiphuphu

Iindlela zonyango ezininzi ziqhele ukusetyenziselwa isigaba 2b unyango lomhlaza wemiphunga, ngokufuthi ngokudibeneyo. Eyona ndlela ifanelekileyo ixhomekeke kwizinto ezininzi ezibandakanya ubungakanani bethumba, indawo, uhlobo, kunye nempilo yesigulana iyonke.

Utyando

Utyando luhlala lolona khetho lungundoqo lonyango lomhlaza wemiphunga okwinqanaba lakwangoko, kuqukwa nenqanaba lesi-2B. Ngokuxhomekeke kwindawo yethumba kunye nobukhulu, iindlela ezahlukeneyo zotyando zinokusetyenziswa, kubandakanywa i-lobectomy (ukususwa kwe-lobe yomphunga) okanye i-pneumonectomy (ukususwa komphunga wonke). Ubuchwephesha obuncinci (umzekelo, utyando lwethoracoscopic oluncediswa yividiyo okanye i-VATS) luhlala lukhethwa nanini na xa kunokwenzeka, okukhokelela kumaxesha okubuyisela ngokukhawuleza. Isigqibo sokwenza utyando siya kuxhomekeka kwizinto ezifana nendawo yethumba, ubungakanani, kunye nempilo jikelele yomguli.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Ingasetyenziswa phambi kotyando (neoadjuvant radiation) ukucutha ithumba, ukwenza utyando lube lula kwaye lusebenze ngakumbi. Isenokusetyenziswa emva kotyando (i-adjuvant radiation) ukuphelisa naziphi na iiseli zomhlaza eziseleyo. Kwezinye iimeko, unyango lweradiation lulodwa lusenokusetyenziswa njengonyango oluphambili kwizigulana ezingabafanelanga ukwenza utyando. Unyango lwemitha yemitha yangaphandle lolona hlobo luqhelekileyo olusetyenziswayo.

Unyango ngamachiza

Unyango ngamachiza lubandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Isetyenziswa rhoqo kunye nolunye unyango, olufana notyando okanye unyango ngemitha, ukuphucula amathuba okuphumelela. Iirejimeni ezithile zechemotherapy ziyahluka ngokuxhomekeke kuhlobo lomhlaza wemiphunga kunye nempilo yesigulana iyonke. Imiphumo emibi ye-chemotherapy ingaba yinto ebalulekileyo, kwaye i-oncologist yakho iya kuxubusha oku kunye nawe kwaye usebenze ukuyilawula.

Unyango ekujoliswe kulo

Amachiza onyango ekujoliswe kuwo enzelwe ukuhlasela iimolekyuli ezithile ezibandakanyekayo ekukhuleni nasekusasazekeni kweeseli zomhlaza. Olu nyango luya lubaluleke kakhulu kunyango lomhlaza wemiphunga kwaye luhlala lusetyenziswa kwizigulana ezinotshintsho oluthile lwemfuza kwiiseli zabo zomhlaza. Ukusetyenziswa kweendlela zonyango ezijoliswe kuzo zichongwa ngokuvavanywa kwemolekyuli yeeseli zomhlaza.

Ukukhetha iSicwangciso soNyango esiLungileyo

Isicwangciso sonyango esingcono kakhulu isigaba 2b unyango lomhlaza wemiphunga ixhomekeke kakhulu kumntu ngamnye kwaye ixhomekeke kwizinto ezininzi, kubandakanya impilo yakho iyonke, uhlobo kunye nenqanaba lomhlaza wakho, kunye nezinto ozikhethayo. I-oncologist yakho iya kuthathela ingqalelo ngononophelo zonke ezi zinto kwaye isebenze nawe ukuphuhlisa isicwangciso esandisa amathuba akho onyango oluyimpumelelo ngelixa unciphisa iziphumo ebezingalindelekanga. Oku kudla ngokubandakanya inkqubo yeqela lezinto ezininzi, kubandakanywa ii-oncologists, oogqirha botyando, i-radiation oncologists, kunye nezinye iingcali.

Ukuhlala kunye naNgaphaya kweSigaba 2B Umhlaza wemiphunga

Ukuphila nomhlaza wemiphunga kwaye ufumana unyango kunokuba ngumngeni. Kubalulekile ukuba kubekho inkqubo yenkxaso eyomeleleyo. I-oncologist yakho kunye neqela labo banokukunika isikhokelo kunye nezixhobo zokukunceda ukuba ulawule iziphumo ebezingalindelekanga zonyango kwaye umelane nemiba yeemvakalelo neyengqondo yesigulo sakho. Imibutho eliqela, efana neLung Cancer Alliance, inika inkxaso nolwazi kwizigulane kunye neentsapho zazo. Uhambo emva konyango lukwafuna ukubekwa esweni okuqhubekayo kunye nokhathalelo olulandelelweyo.

Iinketho zonyango oluPhezulu

Kwezinye izigulana ezinomhlaza wemiphunga wenqanaba le-2B, iindlela zonyango eziphucukileyo zinokuqwalaselwa, ezinje ngonyango lokugonyela okanye ukuthatha inxaxheba kulingo lwezonyango. Ezi ziindlela zokusika ezijolise ekuphuculeni ngakumbi iziphumo kwaye zidla ngokuxoxwa kumntu ngamnye. Qhagamshelana ne-oncologist yakho ukujonga ukuba ngaba ezi ndlela zinokufaneleka kwimeko yakho.

UKhetho Lonyango	Inkcazo	Iimpembelelo ezinokuba khona
Utyando	Ukususwa kwethumba kunye nezicubu zemiphunga ezingqongileyo.	Iintlungu, usulelo, ukopha, ubunzima bokuphefumla.
Unyango ngemitha	Isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza.	Ukucaphuka kwesikhumba, ukudinwa, isicaphucaphu, ukuhlanza.
Unyango ngamachiza	Usebenzisa iziyobisi ukubulala iiseli zomhlaza.	Isicaphucaphu, ukuhlanza, ukulahleka kweenwele, ukudinwa, izilonda emlonyeni.
Unyango ekujoliswe kulo	Kujoliswe kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza.	Ukudinwa, irhashalala, isifo sohudo, iingxaki zesibindi.

Khumbula, olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye akufanelekanga ukuba luthathelwe ingqalelo njengengcebiso yezonyango. Ngesikhokelo somntu kwi isigaba 2b unyango lomhlaza wemiphunga, nceda uqhagamshelane ne-oncologist eqeqeshiwe. Nge IZiko loPhando ngoMhlaza laseShandong Baofa, sizinikele ekunikeni ukhathalelo olubanzi nolunovelwano kubantu abajongene nomhlaza wemiphunga.

Ukuziphendulela: Olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo olufanelekileyo ukuze uxilongwe kunye nonyango lwaso nasiphi na isimo sonyango.