unyango isigaba 3b unyango umhlaza wemiphunga

Inqanaba 3B Unyango lomhlaza wemiphunga: Isikhokelo esiBanziUkuqonda ubunzima benqanaba 3B lonyango lomhlaza wemiphunga lubalulekile kwizigulane kunye neentsapho zazo. Esi sikhokelo sinika inkcazo eneenkcukacha zokhetho olukhoyo lonyango, iziphumo ebezingalindelekanga ezinokwenzeka, kunye nokubaluleka kokufuna iingcebiso zengcali zonyango. Siza kuphonononga iindlela ezahlukeneyo, sikuncede uhambe kolu hambo lucelomngeni.

Ukuqonda iNqanaba 3B Umhlaza wemiphunga

Inqanaba 3B unyango lomhlaza wemiphunga intsonkothile kwaye ifuna indlela yokufundisa ngeendlela ezininzi. Eli nqanaba libonisa ukuba umhlaza unwenwele kwii-lymph nodes ezikufutshane kwaye unokusasazeka kwezinye iindawo zesifuba. Iqonga elichanekileyo libalulekile ekumiseleni eyona ndlela ilungileyo yokwenza. Iimvavanyo ezahlukeneyo zokuxilonga, njengeCT scans, iPET scans, nebronchoscopy, zisetyenziselwa ukuqinisekisa ukuxilongwa nokufumanisa ubungakanani besi sifo. Isicwangciso esithile sonyango siya kuxhomekeka kwizinto ezifana nempilo yesigulane ngokubanzi, uhlobo kunye nendawo yomhlaza, kunye nobukho bazo naziphi na ezinye iimeko zonyango.

Iintlobo zeNqanaba 3B Umhlaza wemiphunga

Inqanaba 3B umhlaza wemiphunga unokuphinda uhlelwe ngokweenxalenye ezahlukeneyo ngokusekwe kuhlobo lweeseli kunye nendawo osasazeke kuyo. Ezi subtypes zinokuchaphazela izicwangciso zonyango. Ukuqonda uhlobo oluthile olusezantsi lubalulekile kucwangciso lonyango lomntu. I-oncologist eqeqeshiwe iya kukwazi ukubonelela ngolu lwazi ngokusekelwe kwiziphumo ze-biopsy.

IiNdlela zoNyango lweSigaba 3B soMhlaza weMiphunga

Unyango lwenqanaba 3B unyango lomhlaza wemiphunga ngokuqhelekileyo kubandakanya indibaniselwano yonyango. Injongo kukutshabalalisa iiseli zomhlaza kangangoko kunokwenzeka ngelixa unciphisa iziphumo ebezingalindelekanga.

Unyango ngamachiza

I-Chemotherapy lunyango lwenkqubo olusebenzisa amayeza ukubulala iiseli zomhlaza kuwo wonke umzimba. Ihlala isetyenziswa ngaphambi okanye emva kotyando okanye unyango lweradiation ukuphucula amathuba esiphumo esiyimpumelelo. Iirejimeni ezahlukeneyo zechemotherapy zikhona, kwaye ukhetho luxhomekeke kwizinto ezifana nohlobo lweeseli zomhlaza kunye nempilo yonke yesigulana. Iiarhente ze-chemotherapeutic ezisetyenziswa ngokuqhelekileyo ziquka i-cisplatin, i-carboplatin, i-paclitaxel, kunye ne-docetaxel. Iziphumo ebezingalindelekanga zinokuhluka kodwa zinokubandakanya isicaphucaphu, ukuhlanza, ukudinwa, ukulahleka kweenwele, kunye nokuncipha kweeseli zegazi.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ingasetyenziselwa ukucutha amathumba phambi kotyando (unyango lwe-neoadjuvant), emva kotyando (unyango lwe-adjuvant), okanye njengonyango lokuqala ukuba utyando aluyiyo inketho. Unyango lwemitha yemitha yangaphandle lolona hlobo luxhaphakileyo, ukuhambisa imitha kumatshini ongaphandle komzimba. Imiphumo emibi inokubandakanya ukucaphuka kwesikhumba, ukukhathala, kunye nobunzima bokugwinya.

Utyando

Utyando lunokuba lukhetho kwezinye izigulane ezinenqanaba lesi-3B unyango lomhlaza wemiphunga, ngakumbi ukuba umhlaza ubekwe kwiindawo ezithile kwaye isigulane sithathwa njengento efanelekileyo kwinkqubo. Oku kunokubandakanya ukususa inxalenye okanye yonke imiphunga echaphazelekayo, kunye nee-lymph nodes ezikufutshane. Ubuchule botyando buqhubela phambili ngokuqhubekayo ukuphucula ukuchaneka kunye nokunciphisa ukuhlasela. Iingxaki zasemva kotyando zinokubandakanya iintlungu, usulelo, kunye neengxaki zokuphefumla. Ugqirha we-thoracic uya kuvavanya ukuba kunokwenzeka kunye neengozi zotyando kwimeko nganye.

Unyango ekujoliswe kulo

Unyango ekujoliswe kulo lusebenzisa amachiza ajolise ngokukodwa kwiiseli zomhlaza, ezishiya iiseli ezisempilweni zingonzakali. Le ndlela iluncedo kakhulu kwizigulana ezinotshintsho oluthile lwemfuza kwiiseli zabo zethumba. Ezi zonyango zinokuphucula iziphumo zonyango kunye nokunciphisa imiphumo emibi xa kuthelekiswa ne-chemotherapy eqhelekileyo. Ukufumaneka konyango olujoliswe kuyo kuxhomekeke kwiziphumo zovavanyo lwemfuzo.

Immunotherapy

I-Immunotherapy idibanisa amajoni omzimba ukuze alwe neeseli zomhlaza. Olu nyango lunceda amajoni omzimba ukuba abone kwaye atshabalalise iiseli zomhlaza ngokufanelekileyo. I-Immunotherapy ingasetyenziswa kwizigaba ezahlukeneyo zomhlaza wemiphunga kwaye ibonisa iziphumo ezithembisayo kulingo lwamva nje lwezonyango. Imiphumo emibi inokuhluka kwaye ihlala ilawulwe ngokufanelekileyo ngononophelo oluxhasayo.

Ukukhetha iSicwangciso soNyango esiLungileyo

Ukukhetha isicwangciso sonyango esilungileyo senqanaba lesi-3B lomhlaza wemiphunga kufuna uqwalaselo ngononophelo lwemiba eyahlukeneyo. Isigqibo kufuneka senziwe ngokubonisana ngokusondeleyo neqela leengcali zezempilo, kubandakanywa i-oncologists, oogqirha botyando, i-radiation oncologists, kunye nabongikazi abakhethekileyo kukhathalelo lomhlaza.

Ukubaluleka kweNdlela yeeNdlela ezininzi

Indlela yokusebenza yeqela lezinto ezininzi ibalulekile kucwangciso nolawulo olululo lonyango. Eli qela libonelela ngokhathalelo olupheleleyo, lingajonganga kuphela imiba yomzimba yomhlaza kodwa kunye nempilo yengqondo neyengqondo yesigulane.

Ukulawula iZiphumo eziPhakamileyo kunye noNonophelo lweNkxaso

Unyango lomhlaza lunokubangela iziphumo ebezingalindelekanga ezahlukeneyo. Ukulawula ezi ziphumo bezingalindelekanga kubalulekile ekuphuculeni umgangatho wobomi besigulane kuyo yonke inkqubo yonyango. Ukunyamekelwa kwenkxaso kunokubandakanya amayeza okulawula intlungu, isicaphucaphu, kunye nokudinwa; iingcebiso ngezondlo; kunye nenkxaso yeemvakalelo nezengqondo.

Uhlobo loNyango	Iimpembelelo ezinokuba khona
Unyango ngamachiza	Isicaphucaphu, ukuhlanza, ukudinwa, ukulahleka kweenwele, ukuncipha kwenani leeseli zegazi
Unyango ngemitha	Ukucaphuka kwesikhumba, ukudinwa, ubunzima bokuginya
Utyando	Iintlungu, usulelo, iingxaki zokuphefumla
Unyango ekujoliswe kulo	Iyahluka ngokuxhomekeke kwiyeza elithile; kunokubandakanya irhashalala, ukudinwa, urhudo
Immunotherapy	Iyahluka ngokuxhomekeke kwiyeza elithile; kunokubandakanya ukudinwa, irhashalala, isifo sohudo, ukudumba

Ulawulo lwexesha elide kunye nokuKhathalela ukuLandelela

Emva kokugqiba okokuqala unyango lomhlaza wemiphunga, ukuqeshwa kokulandelela rhoqo kubalulekile ukubeka iliso nakuphi na ukuphindaphinda okanye ukuphuhliswa kwemiba emitsha yempilo. Oku kuqeshwa kunokubandakanya uvavanyo lwemifanekiso kunye nomsebenzi wegazi. Ukufunyanwa kwangaphambili kwanoma yikuphi ukuphindaphinda kuvumela ukungenelela ngokukhawuleza kunye neziphumo zonyango eziphuculweyo. Ukhathalelo olulandelelweyo lwexesha elide lukwabandakanya nokulawula naziphi na iziphumo ebezingalindelekanga zexesha elide kunyango. Ukufumana inkxaso kunye nolwazi olongezelelweyo, cinga ukufikelela kwimibutho ejongene nenkxaso yomhlaza wemiphunga kunye nophando. I IZiko loPhando ngoMhlaza laseShandong Baofa ibonelela ngokhathalelo olubanzi lomhlaza.I-Disclaimer: Olu lwazi lwenzelwe iinjongo zemfundo kuphela kwaye aluyiyo ingcebiso yezonyango. Soloko udibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho.