
Lo mhlahlandlela ophelele uhlinzeka ngesifinyezo sokwelashwa komdlavuza wamaphaphu e-China, okuhlukaniswa ngesiteji. Sihlola izindlela zokwelashwa ezahlukahlukene, sigxile ekuthuthukisweni kwakamuva nezindlela ezitholakala ezibhedlela eziphambili zaseShayina. Ukuqonda isigaba somdlavuza wakho wamaphaphu kubalulekile ekunqumeni uhlelo lokwelapha olusebenza kahle kakhulu.
Umdlavuza wamaphaphu uhlelwa kusetshenziswa isistimu echaza usayizi nendawo yesimila, noma ngabe sesabalale kuma-lymph node aseduze, nokuthi ingabe simetastasized (sabalale) ezingxenyeni ezikude zomzimba. Izigaba zisukela ku-I (ekuqaleni) kuye ku-IV (ezithuthukisiwe). Izinketho zokwelapha kanye ne-prognosis ziyahlukahluka kakhulu kuye ngokuthi isigaba Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji.
Umdlavuza wamaphaphu wesigaba I ngokuvamile welashwa ngokuhlinzwa ukuze kukhishwe isimila kanye nama-lymph nodes aseduze. Kwezinye izimo, i-adjuvant chemotherapy noma ukwelashwa ngemisebe kungase kunconywe ngemva kokuhlinzwa ukuze kuncishiswe ingozi yokuphinda. Izinga lempumelelo ye Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji Ngiphakeme kakhulu.
Ukwelashwa kweSigaba II somdlavuza wamaphaphu kuvame ukubandakanya ukuhlinzwa, okulandelwa yi-adjuvant chemotherapy kanye/noma ukwelashwa ngemisebe. Indlela eqondile izoncika kusayizi nendawo yesimila, kanye nempilo yonke yesiguli. Amasu amaningi okuhlinza athuthukile asetshenziswa ezibhedlela zaseShayina ezihamba phambili Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji II. Ukuze uthole ulwazi olwengeziwe, ungathintana nezinsiza ezivela ezinhlanganweni ezihlonishwayo njengeNational Cancer Institute.
Isigaba III somdlavuza wamaphaphu siyinkimbinkimbi kakhulu futhi singase sifake inhlanganisela yokwelashwa, njengokuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, kanye nokwelashwa okuhlosiwe. Umgomo uwukunciphisa isimila futhi kuthuthukiswe izinga lempilo yesiguli. Izindlela zokwelapha ezintsha nezivivinyo zomtholampilo zivame ukutholakala ezikhungweni zomdlavuza ezihamba phambili zaseChina Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji III.
Isigaba IV somdlavuza wamaphaphu, owaziwa nangokuthi umdlavuza wamaphaphu we-metastatic, ususabalele kwezinye izingxenye zomzimba. Ukwelashwa kugxile ekulawuleni izimpawu, ukuthuthukisa izinga lempilo, nokwelula ukusinda. Izinketho zifaka i-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, nokunakekelwa okusekelayo. Nakuba ukwelapha kungase kungenzeki, intuthuko ephawulekayo phakathi Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji IV ibe nemiphumela ethuthukisiwe.
I-China inikeza izindlela eziningi zokwelapha umdlavuza wamaphaphu, okuhlanganisa:
Ukukhetha uhlelo lokwelapha olungcono kakhulu Ukwelashwa komdlavuza wamaphaphu eShayina ngesiteji kudinga ukucatshangelwa ngokucophelela izici ezihlukahlukene, kuhlanganise nesigaba somdlavuza, impilo yesiguli iyonke, nezinto esizithandayo. Ithimba lochwepheshe bemikhakha eminingi, okuhlanganisa odokotela abahlinzayo, odokotela abahlinzayo, nama-radiologists, ngokuvamile bakha uhlelo lokwelapha. Izingxoxo ezinemininingwane nomhlinzeki wakho wezempilo zibalulekile ekwenzeni izinqumo ezinolwazi. Ukuze uthole ukunakekelwa okuphelele nokomuntu siqu, cabanga ukubonisana nochwepheshe ezibhedlela ezihamba phambili e-China.
Ukuthola ulwazi oluthembekile mayelana nokwelashwa komdlavuza wamaphaphu kubalulekile. Izinhlangano ezihlonishwayo njengeNational Cancer Institute (https://www.cancer.gov/) ukunikeza izinsiza ezibalulekile. Amaqembu asekelayo kanye nezinhlangano ezimelela isiguli zinganikeza nokwesekwa okubalulekile ngokomzwelo nokungokoqobo.
Ngezinketho ezithuthukile neziphelele zokwelashwa komdlavuza e-China, cabanga ukuhlola ubuchwepheshe nezinsiza ezitholakalayo I-Shandong Baofa Cancer Research Institute. Bazinikele ekuhlinzekeni ngentuthuko yakamuva ekunakekelweni komdlavuza.
| Isiteji | Ukwelashwa Okujwayelekile | I-Prognosis (Okuvamile) |
|---|---|---|
| I | Ukuhlinzwa, ngezinye izikhathi kulandelwa ukwelashwa kwe-adjuvant | Ngokuvamile kuhle |
| II | Ukuhlinzwa, i-chemotherapy, ukwelashwa ngemisebe | Kuhle kuya kokulungile |
| III | Ukuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelashwa okuhlosiwe | Kuhle kwabampofu |
| IV | I-Chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, ukunakekelwa okusekelayo | Kumpofu, kodwa ukwelashwa kuhloswe ukuthuthukisa izinga lempilo nokwelula ukuphila |
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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