inqanaba lonyango 3 Unyango lomhlaza wemiphunga olungelulo iseli encinci Izibhedlele

UKhetho loNyango lweNqanaba lesi-3 loMhlaza weMiphunga engeyiyo iSeli encinci (NSCLC)

Inqanaba lesi-3 lomhlaza wemiphunga weseli ongemncinci (NSCLC) luxilongo olunzima, kodwa inkqubela phambili kunyango inika ithemba. Esi sikhokelo sinika amagqabantshintshi akhoyo inqanaba lonyango 3 Unyango lomhlaza wemiphunga olungelulo iseli encinci Izibhedlele kunye neendlela zonyango, egxininisa ukubaluleka kokhathalelo lomntu kunye nokufuna iingcebiso zengcali zonyango. Ukuqonda isicwangciso sakho sonyango kubalulekile ekuhambeni kolu hambo lucela umngeni. Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathe indawo yezikhokelo zezonyango eziqeqeshiweyo.

Ukuqonda iNqanaba lesi-3 le-NSCLC

Inqanaba lesi-3 le-NSCLC lihlelwe kwiNqanaba IIIA kunye ne-IIIB, ebonisa ubungakanani bokusasazeka komhlaza. Inqanaba IIIA libandakanya ukusasazeka komhlaza kwii-lymph nodes ezikufutshane, ngelixa i-Stage IIIB ibandakanya ukubandakanyeka kwe-lymph node kunye / okanye ukusasazeka kwizakhiwo ezikufutshane. Indlela yonyango ethile iya kuxhomekeka kwizinto ezininzi, kubandakanywa nenqanaba elichanekileyo, impilo yonke yesigulana, kunye neempawu zethumba (njengemfuzo kunye neprofayili yemolekyuli).

Iinketho zonyango kwiNqanaba lesi-3 le-NSCLC

Utyando

Kwezinye izigulana ezineNqanaba lesi-3 le-NSCLC, utyando lunokuba lukhetho, olunokuthi lubandakanye ukususwa kwethumba kunye ne-lymph nodes ezingqongileyo. Ukwenzeka kotyando kuxhomekeke kwindawo kunye nobukhulu bethumba kunye nempilo yonke yesigulana. Iinketho zotyando zinokubandakanya i-lobectomy (ukususwa kwe-lobe yomphunga) okanye i-pneumonectomy (ukususwa komphunga wonke). Ukhathalelo lwasemva kotyando lubalulekile ukuze uchache.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukutshabalalisa iiseli zomhlaza. Ihlala isetyenziswa phambi kotyando (neoadjuvant chemotherapy) ukuthoba ithumba, ukwenza utyando lusebenze ngakumbi, okanye emva kotyando (i-adjuvant chemotherapy) ukuphelisa naziphi na iiseli zomhlaza eziseleyo. Iirejimeni ezahlukeneyo zechemotherapy zikhona, ezilungiselelwe iimfuno zesigulana ngasinye. Iziphumo ebezingalindelekanga ziqhelekile kwaye ziyahluka ngokuxhomekeka kumachiza athile asetyenziswayo.

Unyango ngemitha

Unyango ngemitha lusebenzisa imitha yemitha ephezulu ukujolisa kwaye ibulale iiseli zomhlaza. Ingasetyenziswa yodwa okanye idityaniswe nolunye unyango. Unyango lwemitha yemitha yangaphandle idla ngokusetyenziswa, isalathisa imitha ephuma ngaphandle komzimba ukuya kwindawo yethumba. Unyango lwemitha lunokuba nemiphumo emibi, kuquka ukudinwa nokucaphuka kwesikhumba.

Unyango ekujoliswe kulo

Amachiza onyango ekujoliswe kuwo ajolise kwiimolekyuli ezithile ngaphakathi kweeseli zomhlaza, ezithintela ukukhula kwazo kunye nokusasazeka. Olu nyango luhlala lusetyenziswa xa utshintsho oluthile lwemfuzo lukhona kwithumba. Ukusebenza kwonyango olujoliswe kuyo kuxhomekeke kwiprofayili yemfuza yethumba. Ukubekwa esweni rhoqo kuyafuneka ukuhlola ukusebenza konyango kunye nokulawula naziphi na iziphumo ebezingalindelekanga ezinokwenzeka.

Immunotherapy

Immunotherapy inceda amajoni omzimba ukulwa iiseli zomhlaza. Isebenza ngokonyusa amandla amajoni omzimba okuqaphela kunye nokuhlasela iiseli zomhlaza. Amachiza amaninzi e-immunotherapy akhoyo, ngalinye lineendlela ezithile zokwenza. I-Immunotherapy inokuvelisa iimpendulo ezihlala ixesha elide kodwa inokuba neziphumo ebezingalindelekanga ezifuna ukujongwa ngokusondeleyo.

Ukukhetha a Inqanaba lesi-3 loNyango lweZibhedlele ezingezizo iiSeli ezincinci zokuNyanga uMhlaza

Ukukhetha isibhedlele esifanelekileyo kubalulekile. Qwalasela imiba efana namava esibhedlele ekunyangeni umhlaza wemiphunga, ubuchule beengcali ze-oncologist kunye noogqirha botyando, ukufikelela kubugcisa bonyango oluphezulu (njengotyando lwerobhothi okanye ubuchule obuphambili ngemitha), kunye nokufumaneka kweenkonzo zenkxaso ezibanzi. Uphononongo lwezigulane kunye neengcebiso ezivela kwezinye izigulana nazo zingabaluleka.

I IZiko loPhando ngoMhlaza laseShandong Baofa liziko elikhokelayo elizinikele ekuboneleleni ngononophelo lwangoku lomhlaza. Ukuzinikela kwabo kukhathalelo olugxile kwisigulane, kudityaniswa nobuchwepheshe bezonyango obuphambili, kubenza babe sisixhobo esixabisekileyo kubantu abajongene nalo mngeni.

Iingqwalasela ezibalulekileyo

Kubalulekile ukukhumbula ukuba uhambo lomhlaza lomntu ngamnye lwahlukile. Izicwangciso zonyango zilungiselelwe iimeko zomntu ngamnye, kwaye unxibelelwano oluvulekileyo neqela lakho lezempilo lubalulekile. Ungaze uthandabuze ukubuza imibuzo, ukuvakalisa inkxalabo yakho, kwaye uthathe inxaxheba ngokukhutheleyo ekwenzeni izigqibo malunga nonyango lwakho. Amaqela enkxaso kunye neenkonzo zoluleko zinokubonelela ngenkxaso exabiseke kakhulu ngokwasemoyeni nakwizinto eziphathekayo.

I-Disclaimer: Le ngcaciso yenzelwe iinjongo zemfundo kuphela kwaye akufanele ithathwe njengengcebiso yezonyango. Soloko ubonisana nengcali yezempilo ukuxilongwa kunye nonyango lwaso nasiphi na isimo sonyango.