
Lo mhlahlandlela obanzi usiza abantu base-China abafuna ukwelashwa umdlavuza wamaphaphu we-squamous cell ukuthola izinketho ezingcono kakhulu eduze kwabo. Sihlola ukuxilongwa, izindlela zokwelapha, nezinsiza zokusekela uhambo lwakho. Funda ngemithi yokwelapha etholakalayo kanye nokubaluleka kokufuna iseluleko sezokwelapha esingochwepheshe.
Umdlavuza wamaphaphu we-squamous wuhlobo lomdlavuza wamaphaphu ongewona omncane (i-NSCLC) osuka kumaseli axhume i-bronchi (imigudu yomoya) yamaphaphu. Kuvame ukuhlotshaniswa nomlando wokubhema, nakuba abangabhemi nabo bengaba nalo mdlavuza. Ukutholwa kusenesikhathi nokwelashwa ngokushesha kubalulekile ukuze kube nemiphumela engcono. Izimpawu zakuqala zingase zihlanganise ukukhwehlela okungapheli, ukukhwehlela igazi (i-hemoptysis), ubuhlungu besifuba, nokuncipha kwesisindo ngendlela engaqondakali. Ukuxilongwa kuvame ukubandakanya ukuhlolwa kwesithombe (njenge-CT scan noma i-X-ray), i-bronchoscopy, ne-biopsy.
Isiteji esinembile sibalulekile ekunqumeni uhlelo lokwelapha olufaneleka kakhulu. Isiteji sibandakanya ukunquma izinga lokusabalala komdlavuza. Uhlelo lwe-TNM luvame ukusetshenziswa, luhlukanisa izimila ngokusekelwe kusayizi (T), ukubandakanyeka kwe-lymph node (N), kanye ne-distasis metastasis (M). Izigaba ezahlukene zidinga amasu okwelapha ahlukene. Amasu okuthwebula athuthukile, njengama-PET scan, asetshenziselwa ukuthuthukisa ukunemba kokuxilonga kanye nezinqumo eziqondisayo zokwelashwa Ukwelashwa komdlavuza wamaphaphu e-China eduze kwami.
Ngomdlavuza we-squamous cell wamaphaphu wesigaba sokuqala, ukuhlinzwa (okufana ne-lobectomy noma i-pneumonectomy) kungase kube yindlela ephumelelayo yokukhipha izicubu ezinomdlavuza. Indlela yokuhlinzwa ihambisana nendawo ethile kanye nezinga lesimila.
Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nokunye ukwelashwa, okufana nokwelashwa ngamakhemikhali, ngaphambi noma ngemva kokuhlinzwa ukuze kuthuthukiswe ukulawula kwendawo kanye nokunciphisa ingozi yokuphinda yenzeke. Ukwelashwa kwe-radiation ye-beam yangaphandle kuwuhlobo olusetshenziswa kakhulu.
I-Chemotherapy ihlanganisa ukusetshenziswa kwezidakamizwa ukubulala amangqamuzana omdlavuza. Izinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali ziyatholakala, futhi ukukhetha kuncike ezicini ezifana nesigaba somdlavuza kanye nempilo yesiguli iyonke. Lokhu kwelashwa okuhlelekile kungasetshenziswa ngaphambi kokuhlinzwa (i-neoadjuvant) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant) ukuze kuncishiswe ingozi yokuphinda kwenzeke, noma njengokwelashwa okuyinhloko kwesifo esisezingeni eliphezulu.
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise ngokuqondile amangqamuzana omdlavuza anezinguquko ezithile zofuzo noma izici. Le ndlela inembe kakhulu kune-chemotherapy yendabuko futhi ingaba nemiphumela engemihle embalwa. Ukutholakala kokwelashwa okuhlosiwe kwe Ukwelashwa komdlavuza wamaphaphu e-China eduze kwami kuncike kuphrofayili ethile yofuzo yesimila.
I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. I-Checkpoint inhibitors wuhlobo olujwayelekile lomuthi we-immunotherapy osiza amasosha omzimba ukubona futhi ahlasele amangqamuzana omdlavuza ngempumelelo. Ukusebenza kwe-Immunotherapy kumdlavuza we-squamous wamaphaphu kubalulekile, ikakhulukazi uma kuhlanganiswe nezinye izindlela zokwelapha.
Ukuthola ukunakekelwa okufanele Ukwelashwa komdlavuza wamaphaphu e-China eduze kwami kudinga ukucatshangelwa ngokucophelela. Izibhedlela ezihlonishwayo nezikhungo zomdlavuza zinikeza ukunakekelwa okuphelele, okuhlanganisa ochwepheshe be-oncologists, ubuchwepheshe obuthuthukisiwe bokuxilonga, kanye nezinketho ezihlukahlukene zokwelapha. Kubalulekile ezikhungweni zokucwaninga, kucatshangelwa izici ezifana nesipiliyoni ekwelashweni komdlavuza wamaphaphu, amanani empumelelo, kanye nobufakazi besiguli. Xhumana nodokotela wakho ukuze nixoxe ngezinketho zokudlulisela futhi ninqume indlela engcono kakhulu eya phambili.
Uma usesha Ukwelashwa komdlavuza wamaphaphu e-China eduze kwami, cabangela izici ezifana nokugunyazwa, odokotela bomdlavuza abagunyazwe yibhodi, ubuchwepheshe obuthuthukisiwe, kanye nezinsizakalo zosekelo lwesiguli. Ukubuyekezwa okuku-inthanethi nezilinganiso ezivela emithonjeni ethembekile zinganikeza imininingwane eyengeziwe.
Ukuze uthole ukunakekelwa okuphelele komdlavuza e-China, cabanga I-Shandong Baofa Cancer Research Institute. Bahlinzeka ngezinketho zokwelashwa ezithuthukisiwe kanye nezinsiza zeziguli.
Ulwazi olunikezwe lapha ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Kubalulekile ukuxhumana nodokotela we-oncologist oqeqeshiwe ukuze uthole ukuxilongwa komuntu siqu kanye nohlelo lokwelapha. Ukutholwa kusenesikhathi kanye nokuphatha ngendlela efanele kubalulekile ukuze kube nemiphumela eyimpumelelo ekulweni nomdlavuza wamaphaphu we-squamous cell.
I-American Cancer Society: https://www.cancer.org/
I-National Cancer Institute: https://www.cancer.gov/
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