
Lo mhlahlandlela unikeza umbono obanzi wezinketho ezithuthukisiwe zokwelapha umdlavuza wamaphaphu ezitholakala eShayina, ugxile ekunakekelweni kwekhwalithi ephezulu okuqhathaniswa nalokho okunikezwa izikhungo ezifana neMayo Clinic. Sihlola izibhedlela ezihamba phambili, izindlela zokwelapha ezintsha, kanye nezici ezibalulekile okufanele zicatshangelwe lapho senza izinqumo zokwelashwa. Funda mayelana nentuthuko yakamuva nezinsiza ezitholakalayo ezigulini nemindeni yazo.
Umdlavuza wamaphaphu uyinkinga enkulu yezempilo emhlabeni wonke, kanti neChina injalo. Ukutholakala kwezithuthukisi Ukwelashwa komdlavuza wamaphaphu e-China Mayo Clinic izinketho ziye zaba ngcono kakhulu eminyakeni yamuva. Izibhedlela eziningana ezihamba phambili e-China zinikeza amathuluzi okuxilonga ayinkimbinkimbi nezindlela zokwelapha, okuhlanganisa ukuhlinzwa okungavamisile, izindlela zokwelapha ezihlosiwe, i-immunotherapy, nezindlela ezithuthukisiwe zemisebe. Lezi zindlela zokwelapha zivame ukufaniswa nalezo ezinikezwa ezikhungweni ezihlonishwayo zamazwe ngamazwe njengeMayo Clinic.
Ukukhetha isibhedlela esifanele kubalulekile. Izinto okufanele zicatshangelwe zihlanganisa ubuchwepheshe besibhedlela kumdlavuza wamaphaphu, ukusebenzisa kwaso ubuchwepheshe obusezingeni eliphezulu, ulwazi neziqu zochwepheshe baso bezokwelapha, kanye nokutholakala kwezinsiza zokweseka iziguli nemindeni yazo. Ucwaningo olunzulu kanye nokufuna imibono yesibili kunconywa kakhulu. Nakuba singeke sigunyaze izibhedlela ezithile, ukucwaninga lezo ezinomlando oqinile ku-oncology kubalulekile. I I-Shandong Baofa Cancer Research Institute, isibonelo, yaziwa ngokuzibophezela kwayo ekunakekelweni kwesiguli kanye nezinketho zokwelashwa ezithuthukisiwe.
Ukususwa ngokuhlinzwa kwezicubu ezinomdlavuza kuseyinsika yokwelashwa komdlavuza wamaphaphu. Amasu ahlasela kancane, njengokuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS), anikeza izinzuzo ezinjengobuhlungu obuncishisiwe, ukuhlala isikhathi esifushane esibhedlela, nezikhathi zokululama ngokushesha. Ukukhethwa kwendlela yokuhlinzwa kuzoncika ohlotsheni nesigaba somdlavuza, impilo yesiguli iyonke, nezinye izici.
Izindlela zokwelapha ezihlosiwe ziyimithi eqondise ngokuqondile amangqamuzana omdlavuza, eshiya amangqamuzana anempilo engenamyocu. Lokhu kwelashwa kusebenza ikakhulukazi ezigulini ezinokuguqulwa okuthile kofuzo kumaseli azo omdlavuza wamaphaphu. Ukukhethwa kokwelashwa okuhlosiwe kuncike emiphumeleni yokuhlolwa kofuzo.
I-Immunotherapy ihlanganisa amandla amasosha omzimba esiguli ukulwa namaseli omdlavuza. Lezi zindlela zokwelapha zingasebenza kakhulu ezinhlotsheni ezithile zomdlavuza wamaphaphu, ngokuvamile okuholela ekuxolelweni kwesikhathi eside. Ukukhethwa kwe-immunotherapy kuzoxhomeka ohlotsheni kanye nesiteji somdlavuza, kanye nezinye izici.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Intuthuko kubuchwepheshe bemisebe, efana nokwelashwa ngemisebe ye-intensity-modulated radiation (IMRT) kanye ne-stereotactic body radiation therapy (SBRT), ivumela ukuqondiswa okunembe kakhudlwana kwesimila, kunciphise umonakalo ezicutshini ezinempilo ezizungezile.
Ukufuna umbono wesibili kuyindlela ehlakaniphile. Ochwepheshe be-oncologists abahlukene bangase babe nemibono nezincomo ezehlukene ngokusekelwe emakhono abo nolwazi lwabo. Lokhu kungasiza ukuqinisekisa ukuthi uthola uhlelo lokwelashwa oluphelele futhi olufanele.
Ukuba nesistimu yokusekela eqinile kubalulekile. Lokhu kungase kuhlanganise umndeni, abangani, amaqembu asekelayo, nochwepheshe bezempilo yengqondo. Ukuzulazula ekuxilongweni komdlavuza kungase kube inselele ngokomzwelo, futhi ukufinyelela ekusekelweni kubalulekile ukuze ugcine inhlalakahle ngesikhathi sokwelashwa nokululama.
Ulwazi oluthembekile lubalulekile. Bheka emithonjeni enedumela elihle njengeNational Cancer Institute (NCI) nezinye izinhlangano zezokwelapha ezisunguliwe ukuze uthole ulwazi olunembile ngomdlavuza wamaphaphu nokwelashwa kwawo. Qaphela ulwazi oluvela emithonjeni engaqinisekisiwe.
Izindleko zokwelashwa komdlavuza wamaphaphu zingahluka kakhulu. Kubalulekile ukuxoxa ngezindleko zokwelashwa nabahlinzeki bakho bezempilo futhi uhlole izinketho ezitholakalayo zosizo lwezezimali. Ukuhlinzekwa komshwalense nezinye izinhlelo zosizo lwezezimali zingase zibe khona ukuze zisize ukunciphisa umthwalo wezezimali.
| Uhlobo Lokwelapha | Izinzuzo ezingaba khona | Engase Engase Side Effects |
|---|---|---|
| Ukuhlinzwa | Qedela ukususwa kwesimila | Ubuhlungu, ukutheleleka, izibazi |
| Ukwelapha Okuhlosiwe | Ukubhujiswa kwamangqamuzana omdlavuza okuhlosiwe | Ukukhathala, ukuqubuka kwesikhumba, isicanucanu |
| I-Immunotherapy | Ukukhuthazwa kwamasosha omzimba | Ukukhathala, ukuvuvukala, ukusabela kwe-autoimmune |
| Ukwelapha Ngemisebe | Ukubhujiswa kwamaseli e-tumor | Ukucasuka kwesikhumba, ukukhathala, isicanucanu |
Umshwana wokuzihlangula: Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uthole ukuxilongwa kanye nezincomo zokwelashwa.
Imithombo: (Sicela ungeze izingcaphuno ezifanele lapha ezivela ku-National Cancer Institute (NCI) neminye imithombo ehloniphekile esetshenziswe esihlokweni.)
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