inqanaba unyango unyango umhlaza wemiphunga kwizibhedlele

Inqanaba lokuQala loNyango loMhlaza weMiphunga: Izibhedlele kunye noKhetho loNyango

Esi sikhokelo sibanzi siyaphonononga inqanaba lokuqala unyango lomhlaza wemiphunga iinketho kwaye kukunceda uqonde inkqubo yokukhetha esibhedlele. Siza kujonga iindlela ezahlukeneyo zonyango, izinto eziphembelela izigqibo zonyango, kunye nezixhobo zokunceda uhambo lwakho.

Ukuqonda iNqanaba lokuQala loMhlaza weMiphunga

Yintoni inqanaba lokuqala loMhlaza wemiphunga?

Inqanaba lokuqala lomhlaza wemiphunga lithetha ukuba umhlaza ubekwe kwindawo emiphungeni kwaye awusasazekanga kwii-lymph nodes ezikufutshane okanye kwamanye amalungu omzimba. Ukufunyaniswa kwangoko kweli nqanaba kuphucula kakhulu iziphumo zonyango. Isicwangciso sonyango esikhethekileyo siya kuxhomekeka kwizinto ezininzi, kubandakanya ubungakanani kunye nendawo yethumba, impilo yesigulana iyonke, kunye nokhetho lomntu.

Iindidi zeSigaba sokuQala soMhlaza weMiphunga

Umhlaza wemiphunga uhlelwa ngokubanzi ube ziindidi ezimbini eziphambili: umhlaza wemiphunga weseli encinci (SCLC) kunye nomhlaza wemiphunga weseli ongengomncinci (NSCLC). Uninzi lomhlaza wemiphunga yi-NSCLC, ekwahlulwa kwakhona kwiintlobo ezincinci ezifana ne-adenocarcinoma, i-squamous cell carcinoma, kunye ne-cell carcinoma enkulu. Uhlobo lomhlaza wemiphunga luphembelela indlela yonyango. I-oncologist yakho iya kugqiba uhlobo oluthile ngokusebenzisa i-biopsy kunye novavanyo lwe-imaging.

IiKhetho zoNyango lweSigaba sokuQala soMhlaza weMiphunga

Utyando

Kwizigulane ezininzi ezine isigaba sokuqala somhlaza wemiphunga, utyando lolona nyango luphambili. Oku kunokubandakanya ukususwa kwelungu lemiphunga (lobectomy), ukususwa komphunga (ukususwa kwecandelo elincinane lomphunga), okanye ipneumonectomy (ukususwa komphunga uphela). Ubungakanani botyando buxhomekeke kwindawo yethumba kunye nobukhulu. Ubuchwephesha obuncinci bokwenza utyando, njengotyando lwethoracoscopic oluncediswa yividiyo (i-VATS), zihlala zikhethwa ngenxa yokuncipha kwazo kunye namaxesha okubuyisela ngokukhawuleza.

Unyango ngemitha

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Inokusetyenziswa yodwa okanye ngokudibeneyo notyando, ngakumbi ukuba ithumba libekwe kufutshane nezakhiwo ezibalulekileyo okanye ukuba ugqirha wotyando ukholelwa ukuba ukususa lonke ithumba ngotyando kunokuba yingozi kakhulu. I-Stereotactic body radiotherapy (SBRT) luhlobo oluchane kakhulu lonyango lwemitha olunikezela ngeedosi eziphezulu zokusasazeka kwemitha kwithumba kwiiseshini ezimbalwa.

Unyango ngamachiza

I-Chemotherapy isebenzisa amayeza ukutshabalalisa iiseli zomhlaza. Ayisetyenziswa rhoqo njengonyango oluphambili lwenqanaba lokuqala lomhlaza wemiphunga, kodwa inokucetyiswa kwiimeko ezithile, ezinje ngokuba umhlaza unobundlavini okanye ukuba kukho umngcipheko omkhulu wokuphinda ubuyele emva kotyando.

Ukukhetha isibhedlele Inqanaba lokuQala loNyango loMhlaza weMiphunga

Izinto Emaziqwalaselwe

Ukukhetha isibhedlele esifanelekileyo kubalulekile. Qwalasela izinto ezifana namava esibhedlele ngonyango lomhlaza wemiphunga, ubungcali bee-oncologists kunye noogqirha botyando, ukufumaneka kobuchwepheshe bonyango oluphezulu (njenge-SBRT), amazinga okusinda kwezigulana, kunye nomgangatho uwonke wokhathalelo. Uphononongo lwesigulane kunye neengcebiso zinokuba luncedo.

Ukuphanda ngezibhedlele

Qala ngokukhangela kwi-intanethi kwizibhedlele ezijongene nonyango lomhlaza wemiphunga ezikufutshane nawe. Jonga iiwebhusayithi zabo ngolwazi ngeenkonzo zabo, iiprofayili zoogqirha, kunye nobungqina besigulane. Unokujonga kwakhona ukulinganisa kwesibhedlele kunye nophononongo oluvela kwimibutho efana neKhomishini eHlangeneyo. Ungalibazisi ukuqhagamshelana nezibhedlele ngokuthe ngqo ukubuza imibuzo kunye neshedyuli yokubonisana.

Ukufumana iNkxaso kunye neZibonelelo

Ukujongana nokuxilongwa komhlaza kunokuba nzima. Imibutho emininzi inika inkxaso kunye nezibonelelo kwizigulane kunye neentsapho zabo. I-American Cancer Society kunye neNational Cancer Institute ziindawo ezibalaseleyo zokuqalisa ulwazi oluthembekileyo kunye nenkxaso yeemvakalelo. Amaqela enkxaso anokubonelela ngoqhagamshelwano olubalulekileyo nabanye abanamava afanayo.

Khumbula, ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo kubalulekile ukuze uphumelele inqanaba lokuqala unyango lomhlaza wemiphunga. Ngokuqonda iinketho zakho kunye nokwenza izigqibo ezinolwazi, unokuhamba kolu hambo lucelomngeni ngokuzithemba okukhulu. Ukufumana ulwazi oluthe kratya malunga nokhathalelo olubanzi lomhlaza, cinga ngokundwendwela IZiko loPhando ngoMhlaza laseShandong Baofa.