unyango isigaba 3 unyango umhlaza wemiphunga

Inqanaba lokuHamba 3 Unyango lomhlaza wemiphunga: Isikhokelo esiBanzi

Inqanaba lesi-3 lomhlaza wemiphunga lifuna indlela eneenkalo ezininzi kunyango. Esi sikhokelo sibonelela ngolwazi oluyimfuneko kwiindlela ezahlukeneyo zonyango ezikhoyo, sikunceda ukuba uqonde ubunzima beli nqanaba kwaye likuxhobise ukuba wenze izigqibo ezinolwazi kunye neqela lakho lezempilo. Siza kuphonononga ukhetho lotyando, unyango lwemitha, ichemotherapy, unyango ekujoliswe kulo, kunye nonyango logonogoso, sigxininisa ukubaluleka kwezicwangciso zonyango ezilungiselelwe iimeko zakho ezithile kunye neprofayile yomhlaza.

Ukuqonda iNqanaba lesi-3 loMhlaza weMiphunga

Ukuchaza iNqanaba lesi-3

Inqanaba lesi-3 lomhlaza wemiphunga, elihlala lihlelwa njengeNqanaba IIIA kunye neSigaba IIIB, libonisa ukuba umhlaza usasazeke ngaphaya kwemiphunga ukuya kwii-lymph nodes ezikufutshane okanye ezinye izakhiwo esifubeni. Iqonga elithile (IIIA vs. IIIB) lixhomekeke kubungakanani bokusasazeka, okuchaphazela ukhetho unyango isigaba 3 unyango umhlaza wemiphunga iinketho. Iqonga elichanekileyo libalulekile ekumiseleni eyona ndlela isebenzayo.

Iinjongo zonyango

Iinjongo eziphambili ze unyango isigaba 3 unyango umhlaza wemiphunga kukulawula ukukhula komhlaza, ukuphucula amazinga okuphila, kunye nokuphucula umgangatho wobomi besigulana. Oku kunokubandakanya ukucutha ithumba, ukunqanda ukusasazeka, okanye ukunciphisa iimpawu.

IiNdlela zoNyango lweNqanaba lesi-3 loMhlaza weMiphunga

Utyando

Utyando, olufana ne-lobectomy (ukususwa kwe-lung lobe) okanye i-pneumonectomy (ukususwa komphunga uphela), kunokuqwalaselwa ukuba ithumba libekwe kwindawo kwaye impilo yesigulana iyonke iyasivumela. Ukuba nokwenzeka kotyando kuxhomekeke kwizinto ezifana nobungakanani bethumba kunye nendawo, kunye nomsebenzi wokuphefumla wesigulane. Ukunyamekela emva kokuhlinzwa, kubandakanywa nokuvuselelwa, kudlala indima ebalulekileyo ekubuyiseleni.

Unyango ngemitha

Unyango lwemitha lusebenzisa imitha yamandla aphezulu ukujolisa kunye nokutshabalalisa iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango olufana nechemotherapy okanye utyando. Unyango lwemitha yangaphandle yemitha luxhaphakile kwinqanaba lesi-3, elijolise ekucutheni amathumba phambi okanye emva kotyando. Ubukhulu kunye nobude bonyango lwemitha luya kwahluka ngokusekelwe kwiimeko zomntu ngamnye. Iziphumo ezibi, ezifana nokukhathala kunye nokucaphuka kwesikhumba, zilawulwa ngononophelo olufanelekileyo.

Unyango ngamachiza

Unyango ngamachiza lubandakanya ukusebenzisa amayeza okubulala iiseli zomhlaza. Ihlala ilawulwa phambi kotyando (i-neoadjuvant chemotherapy) ukunciphisa i-tumor, okwenza kube lula ukuyisusa. Inokunikwa emva kotyando (i-adjuvant chemotherapy) ukuphelisa naziphi na iiseli zomhlaza eziseleyo okanye emva kokusasazeka kwemitha. Kukho iirejimeni ezahlukeneyo zechemotherapy, nganye ilungiselelwe uhlobo oluthile kunye nenqanaba lomhlaza wemiphunga. Ukulawula i-chemotherapy side effects yinkalo ephambili yonyango.

Unyango ekujoliswe kulo

Unyango olujoliswe kuyo lugxile kwiimolekyuli ezithile ezibandakanyekayo ekukhuleni komhlaza. La machiza enzelwe ukuphazamisa ukukhula nokwanda komhlaza. Ziluncedo ngakumbi kwiimeko apho umhlaza unotshintsho oluthile lwemfuza. Ukusebenza konyango olujoliswe kuyo kuhlolwa ngokujongwa rhoqo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukulwa neeseli zomhlaza. Isebenza ngokunyusa impendulo yokuzikhusela komzimba okanye ukuvala imiqondiso evumela iiseli zomhlaza ukuba zibaleke amajoni omzimba. Immunotherapy yindawo eguqukayo ngokukhawuleza unyango isigaba 3 unyango umhlaza wemiphunga, enika iziphumo ezithembisayo kwezinye izigulana. Ukubeka iliso okufutshane kubalulekile ukuvavanya impendulo kunye nokulawula iziphumo ebezingalindelekanga.

Ukukhetha iSicwangciso soNyango esiLungileyo

Iyeza elenzelwe wena

Eyona ilungileyo unyango isigaba 3 unyango umhlaza wemiphunga Isicwangciso sixhomekeke kakhulu kumntu ngamnye, ngokusekwe kwizinto ezininzi ezibandakanya impilo yesigulana iyonke, inqanaba kunye nohlobo lomhlaza wemiphunga, kunye nezinto ezikhethwa sisigulana. Iqela lezinto ezininzi, kubandakanywa ii-oncologists, oogqirha botyando, iingcali ze-radiation oncologists, kunye nezinye iingcali, ziyasebenzisana ukwenza isicwangciso somntu ngamnye. Uvavanyo lwemfuza lunokudlala indima ephambili ekukhokeleni izigqibo zonyango.

Iimvavanyo zeklinikhi

Izigulana zinokuthatha inxaxheba kulingo lwezonyango, olunika ufikelelo kunyango oluqalayo olungekafumaneki ngokubanzi. Ulingo lwezonyango luyilwe ngokungqongqo ukuvavanya ukhuseleko kunye nokusebenza konyango olutsha. Ukuthatha inxaxheba kukuzithandela kwaye kubandakanya ukubeka iliso ngokusondeleyo ngabasebenzi bezonyango. Ngolwazi ngolingo lwezonyango, dibana nogqirha wakho okanye ujonge izixhobo ezifana newebhusayithi yeNational Cancer Institute.

Inkxaso kunye nezibonelelo

Ukujongana nokuxilongwa kwenqanaba lesi-3 lomhlaza wemiphunga kunokuba ngumngeni. Inkqubo yenkxaso eyomeleleyo ibalulekile kulo lonke uhambo lonyango. Izigulane kunye neentsapho zazo kufuneka zifikelele kwimithombo yeemvakalelo, intlalo, kunye nezenzo ezisebenzayo. Amaqela enkxaso, iinkonzo zokucebisa, kunye nemibutho exhasa izigulane zinika uncedo oluxabisekileyo.

Kukhathalelo olubanzi lomhlaza, cinga ngokujonga iinkonzo ezibonelelwa ngu IZiko loPhando ngoMhlaza laseShandong Baofa. Bazinikezele ekuboneleleni ngonyango oluphezulu kunye nenkxaso yovelwano kwabo bachatshazelwe ngumhlaza.

Ukuzihlangula

Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko udibana nengcali yezempilo ukuze uxilongwe kwaye ucwangcise unyango. Iimbono kunye nezimvo ezichazwe kweli nqaku ayizizo ezo zeShandong Baofa Cancer Research Institute.