
Le ndatshana ihlinzeka ngesifinyezo sokuthuthuka ekwelashweni komdlavuza wamaphaphu e-China kusukela ngo-2020, igxile ezinkethweni ezifinyeleleka kalula. Sihlola ucwaningo lwakamuva nemithi yokwelapha etholakalayo, ikusiza ukuthi uqonde izinketho zakho futhi uzulazule esimweni sokunakekelwa kwezempilo. Sizoxoxa ngezindlela zokwelashwa ezahlukahlukene futhi sigqamise izici okufanele uzicabangele lapho wenza izinqumo ezinolwazi mayelana nokunakekela kwakho.
Sekwenziwe inqubekelaphambili enkulu ekwelashweni okuhlosiwe komdlavuza wamaphaphu eChina. Lezi zindlela zokwelapha zigxile ekuguqulweni kofuzo oluthile ngaphakathi kwamangqamuzana omdlavuza, okunikeza ukwelashwa okunembe kakhudlwana nangempumelelo uma kuqhathaniswa nokwelashwa ngamakhemikhali okungokwesiko. Ucwaningo olushicilelwe kumajenali amaningana ahlonishwayo (okubhekiselwe ngezansi) imininingwane ngemiphumela ethuthukisiwe ebonwa nalezi zindlela zokwelapha ezihlosiwe, ikakhulukazi ezigulini ezinokuguqulwa okuthile kofuzo njenge-EGFR, ALK, ne-ROS1. Le mpumelelo inyuse amazinga okusinda kanye nezinga lempilo elithuthukisiwe ezigulini eziningi. Izibhedlela eziningi ezihamba phambili emadolobheni amakhulu aseShayina zinikeza ukufinyelela kulezi zindlela zokwelapha ezithuthukisiwe. Ukuze uthole imininingwane eqondile ngokutholakala eduze nawe, uyakhuthazwa ukuthi uthintane nodokotela wakho wezifo zomdlavuza noma uchwepheshe esikhungweni se-oncology esinedumela elihle.
I-Immunotherapy ivele njengenguquko yegeyimu ku Impumelelo entsha yokwelashwa komdlavuza wamaphaphu eChina ngo-2020 eduze kwami. Lokhu kwelashwa kuhlanganisa amandla amasosha omzimba ukuze alwe namaseli omdlavuza. Ama-Checkpoint inhibitors, uhlobo lwe-immunotherapy, abonise impumelelo ephawulekayo ekwelapheni izinhlobo ezithile zomdlavuza wamaphaphu. Nakuba kungelona ikhambi labo bonke, babonise ukuthuthuka okuphawulekayo kumazinga okusinda namazinga okuphendula emaqenjini athile eziguli. Ukufinyelela ku-immunotherapy kuyakhula e-China, njengoba izibhedlela eziningi manje sezinikeza lezi zindlela zokwelapha. Khumbula ukuxoxa ngezinketho ze-immunotherapy nodokotela wakho ukuze uthole ukufaneleka kwecala lakho ngalinye.
Amasu okuhlinza kanye nokwelashwa ngemisebe kuyaqhubeka nokuvela, kuthuthukisa ukunemba nokunciphisa imiphumela engemihle. Ukuhlinzwa okuhlaselayo okuncane, okufana nokuhlinza okusizwa ngerobhothi, kuya kuvame kakhulu, okuvumela ukusika okuncane kanye nezikhathi zokululama ngokushesha. Amasu emisebe athuthukisiwe afana nokwelashwa ngemisebe ye-stereotactic body radiation (SBRT) aletha imithamo yemisebe eqondiswe kakhulu, enciphisa umonakalo ezicutshini ezizungezile ezinempilo. Lokhu kuthuthukiswa kunomthelela emiphumeleni ethuthukisiwe futhi kuthuthukise umuzwa wesiguli sonke.
Ukuthola okungcono kakhulu Impumelelo entsha yokwelashwa komdlavuza wamaphaphu eChina ngo-2020 eduze kwami kudinga ucwaningo olucophelelayo kanye nokubonisana nabasebenzi bezempilo. Qala ngokubonisana nodokotela wakho oyinhloko noma i-pulmonologist. Bangakwazi ukuhlola okokuqala, ba-ode ukuhlolwa okudingekayo, futhi bakudlulisele kochwepheshe, abafana nodokotela be-oncologists kanye nama-radiation oncologists, abangakha uhlelo lokwelapha lomuntu siqu. Izikhungo ezihlonishwayo ze-oncology zivame ukuba namaqembu azinikezele ochwepheshe abanganikeza ukunakekelwa okuphelele kanye nokufinyelela ekwelashweni kwakamuva. Ungacwaninga futhi uqhathanise izibhedlela ezahlukene ngokusekelwe ezikhungweni zazo, ubuchwepheshe, nokubuyekezwa kwesiguli.
Lapho ucwaninga izinketho zokwelapha, cabangela izici ezifana nokugunyazwa kwesibhedlela, ulwazi lwethimba lezokwelapha, ukufinyelela kubuchwepheshe obuthuthukisiwe, nezinsizakalo zosekelo lwesiguli. Kubalulekile futhi ukucabangela izindleko eziphelele zokwelashwa kanye nokutholakala komshwalense. Ukuxhumana okuvulekile nabahlinzeki bakho bezempilo kubalulekile ukuze uqinisekise ukuthi uyaluqonda uhlelo lokwelashwa, imiphumela engemihle engaba khona, kanye nemiphumela elindelekile.
Ukuze uthole ulwazi olwengeziwe mayelana nokwelashwa komdlavuza wamaphaphu kanye nezinsiza zokwesekwa e-China, ungahlola okulandelayo (qaphela: lezi zixhumanisi zihlinzekwe ngezinjongo zolwazi kuphela futhi azihlanganisi ukuvumela):
Khumbula, lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma omunye umhlinzeki wezempilo oqeqeshiwe nganoma imiphi imibuzo ongase ube nayo mayelana nesimo sezokwelapha noma izinketho zokwelashwa. Ukuze uthole ukwesekwa komuntu siqu kanye nokufinyelela ekunakekelweni okuthuthukisiwe komdlavuza e-China, cabanga ukuthintana I-Shandong Baofa Cancer Research Institute.
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