Ukwelashwa komdlavuza wamaphaphu e-China adenocarcinoma

Ukuqonda kanye Nokuzulazula Izinketho Zokwelashwa Kwe-China Adenocarcinoma Umdlavuza Wamaphaphu

Lo mhlahlandlela ophelele uhlola ubunkimbinkimbi be Ukwelashwa komdlavuza wamaphaphu e-China adenocarcinoma, ehlinzeka ngemininingwane ekuxilongweni, izindlela zokwelapha, kanye nezinsiza zokusekela ezitholakala e-China. Sizohlola izindlela zokwelashwa ezahlukahlukene, sigqamisa ukusebenza kwazo, imiphumela engemihle engaba khona, nokufaneleka kwamaphrofayili esiguli ahlukene. Ukuqonda ama-nuances alesi sifo esiyinselele kubalulekile ekwenzeni izinqumo unolwazi futhi uzuze imiphumela engcono kakhulu.

Ukuxilongwa kwe-Adenocarcinoma Lung Cancer eChina

Ukutholwa Kusenesikhathi Nokuhlolwa

Ukutholwa kusenesikhathi kuthuthukisa kakhulu ukubikezela kwe Ukwelashwa komdlavuza wamaphaphu e-China adenocarcinoma. Ukuhlolwa njalo, ikakhulukazi kubantu abasengozini enkulu (labo abanomlando womndeni womdlavuza wamaphaphu noma umlando wokubhema kakhulu), kubalulekile. Izikena zomthamo ophansi we-computed tomography (LDCT) zisetshenziswa kakhulu ukuze zitholakale kusenesikhathi, zinikeza ukuzwela okuphezulu uma kuqhathaniswa ne-X-ray yesifuba evamile. Ukufinyelela ezinhlelweni ezinjalo zokuhlola kuyehluka kulo lonke elaseShayina, futhi abantu kufanele bathintane nomhlinzeki wabo wezokunakekelwa kwempilo mayelana nezincomo ezifanele zokuhlolwa.

Izinqubo zokuxilonga

Uma sekutholakele okusolisayo, uphenyo olwengeziwe luyadingeka ukuze kuqinisekiswe ukuxilongwa kanye nesigaba somdlavuza. Lokhu ngokuvamile kuhilela izinqubo ze-biopsy (i-bronchoscopy, i-mediastinoscopy, noma i-need biopsy) ukuthola amasampula ezicubu zokuhlolwa kwe-pathological. Ukuhlaziywa kwe-pathological kusiza ukunquma uhlobo oluthile lwe-adenocarcinoma, oluthonya amasu okwelapha. Amasu okuthwebula izithombe afana nama-CT scan, ama-PET scan, nama-MRI scan nawo asetshenziswa ukuze kuhlolwe izinga lokusabalala komdlavuza.

Izindlela Zokwelapha I-Adenocarcinoma Umdlavuza Wamaphaphu eChina

Ukususwa Ukuhlinzwa

Okwesigaba sokuqala I-China adenocarcinoma umdlavuza wamaphaphu, ukuhlinza ngokuhlinzwa ngokuvamile kuyindlela yokwelapha ekhethwayo. Izinga lokuhlinzwa lincike endaweni kanye nobukhulu besimila. Amasu ahlasela kancane, njengokuhlinzwa kwe-thoracoscopic (i-VATS) okusizwa ngevidiyo, aya ngokuya esetshenziswa, okuholela ekunciphiseni ukuhlukumezeka kanye nezikhathi zokululama ngokushesha. Ukuba nokwenzeka kokuhlinzwa kokuhlinzwa kunqunywa ngokusekelwe ezicini eziningana, okuhlanganisa impilo yesiguli iyonke kanye nezinga lokusabalala komdlavuza.

I-Chemotherapy

I-Chemotherapy isebenzisa imithi ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziselwa isigaba esithuthukile I-China adenocarcinoma umdlavuza wamaphaphu, ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuqedwe amangqamuzana omdlavuza amancane, noma njengokwelashwa okuyinhloko ezimeni lapho ukuhlinzwa kungeyona inketho. Izinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali ziyatholakala, ngokukhetha okuthile kuye ngezici ezinjengohlobo lomdlavuza, isigaba, nezici zesiguli. Imiphumela engemihle ye-chemotherapy ingasukela komnene kuye kokuqina futhi kufanele kuxoxwe ngayo nodokotela oyi-oncologist.

Ukwelapha Okuhlosiwe

Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondisa ngokukhetha ama-molecule athile abandakanyeka ekukhuleni kwamangqamuzana omdlavuza kanye nokuphila. Ukuhlolwa kwamangqamuzana, okufana ne-EGFR, ALK, ROS1, kanye nokuhlolwa kokuguqulwa kwe-BRAF, kubalulekile ekunqumeni ukufaneleka kokwelashwa okuqondiwe. Lezi zindlela zokwelapha zisebenza kakhulu ezigulini ezinamathumba aphethe ukuguqulwa kofuzo okuthile. I I-Shandong Baofa Cancer Research Institute inikeza ukuhlolwa kofuzo okuphelele ukuze kuqondise izinqumo zokwelashwa.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha. Ukwelashwa ngemisebe yangaphandle kuyindlela evamile, eletha imisebe emshinini ongaphandle komzimba. Ezimweni ezithile, i-brachytherapy (ukufaka imithombo ekhipha imisebe ngokuqondile esimila) ingase icatshangelwe. Imiphumela engemihle yokwelashwa ngemisebe incike esikalini nendawo yokwelashwa futhi iyahlukahluka phakathi kweziguli.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukulwa nomdlavuza. Izidakamizwa ze-Immunotherapy, njenge-checkpoint inhibitors, zisiza amasosha omzimba ukubona futhi abhubhise amangqamuzana omdlavuza. Lezi zindlela zokwelapha zibonise ukusebenza kahle okumangalisayo ezinhlotsheni ezithile zomdlavuza wamaphaphu, ikakhulukazi lezo ezinomthwalo omkhulu wokuguqula isimila. Kodwa-ke, akuzona zonke iziguli ezisabela ku-immunotherapy, futhi imiphumela emibi kufanele iqashwe ngokucophelela.

Ukusekela Nezinsiza Zeziguli Ezinomdlavuza Wamaphaphu eChina

Ukuzulazula a I-China adenocarcinoma umdlavuza wamaphaphu ukuxilongwa kungase kube inselele. Izinsiza eziningi zokwesekwa ziyatholakala e-China ukusiza iziguli nemindeni yazo ukuthi zibhekane nezici ezingokomzwelo, ezingokomzimba, nezokusebenza zalesi sifo. Lezi zinsiza zihlanganisa amaqembu okusekela, izinsizakalo zokweluleka, nezinhlangano zokumela iziguli. I I-Shandong Baofa Cancer Research Institute inikeza izinsiza eziphelele zokusekela iziguli nemindeni yazo.

Ukukhetha Uhlelo Lokwelapha Olulungile

Okulungile Ukwelashwa komdlavuza wamaphaphu e-China adenocarcinoma Uhlelo luqondene nomuntu ngamunye futhi luncike ezicini ezihlukahlukene, okuhlanganisa isigaba somdlavuza, izici zesimila, impilo yesiguli iyonke, kanye nezinto ezithandwa umuntu. Ukubambisana okuseduze phakathi kwesiguli, umndeni waso, kanye nethimba lezinhlaka eziningi lochwepheshe bezokunakekelwa kwempilo, okuhlanganisa nodokotela bezifo ezibangelwa amagciwane, odokotela abahlinzayo, nama-oncologists emisebeni, kubalulekile ekwenzeni isu lokwelapha elifaneleka kakhulu.

Umshwana wokuzihlangula: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuxilongwa kanye nezincomo zokwelashwa.