
Lo mhlahlandlela uhlinzeka ngolwazi olujulile ngezinketho zokwelapha umdlavuza wamaphaphu wesigaba 2A eShayina. Sihlanganisa ukuxilongwa, izindlela zokwelashwa ezihlukahlukene, imiphumela engemihle engase ibe khona, nokubaluleka kokufuna izeluleko zezokwelapha ezichwepheshile. Ukuqonda izinketho zakho kanye nokuthola ukunakekelwa okufanele kubalulekile ukuze uzulazule kulolu hambo oluyinselele.
Isigaba 2A somdlavuza wamaphaphu sibonisa ukuthi umdlavuza ususabalele kuma-lymph nodes aseduze, kodwa hhayi ezingxenyeni ezikude zomzimba. Ukutholwa kusenesikhathi nokwelashwa ngokushesha kubalulekile ukuze kuthuthukiswe imiphumela. Uhlelo oluthile lokwelapha luncike ezintweni ezimbalwa, okuhlanganisa uhlobo lomdlavuza wamaphaphu (iseli elincane noma elingelona elincane), ubukhulu nendawo yesimila, kanye nempilo yesiguli iyonke. Ukuxilongwa okunembile kubalulekile, ngokuvamile okubandakanya ukuhlolwa kwesithombe njengama-CT scan nama-biopsies.
Ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko yomdlavuza wamaphaphu wesigaba 2A. Uhlobo lokuhlinzwa luzoncika endaweni kanye nobukhulu besimila. Lokhu kungase kuhlanganise i-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwephaphu lonke), noma ukukhipha inkaba (ukususwa kwengxenye encane yephaphu). Izindlela zokuhlinza ezihlasela kancane ziya ngokuya zivame, okuholela ezikhathini zokululama ngokushesha. I-Shandong Baofa Cancer Research Institute iyisikhungo esinegama elihle esaziwa ngamakhono aso athuthukile okuhlinzwa.
I-Chemotherapy isebenzisa imithi ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kwehliswe ingozi yokuphinda, noma njengokwelashwa okuyinhloko uma ukuhlinzwa kungeyona inketho. Umuthi othile we-chemotherapy uzofanelana nesiguli ngasinye kanye nohlobo lwaso lomdlavuza. Imiphumela engemihle yokwelashwa ngamakhemikhali ingahluka kodwa ngokuvamile ihlanganisa ukukhathala, isicanucanu, nokulahlekelwa izinwele. Ukuqapha ngokucophelela ochwepheshe bezokwelapha kubalulekile.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nokuhlinzwa noma i-chemotherapy. Ukwelashwa ngemisebe yangaphandle kuwuhlobo oluvame kakhulu, oluletha imisebe emshinini ongaphandle komzimba. Imithi yokwelapha ehlosiwe yokukhipha imisebe, efana nokwelapha ngemisebe ye-stereotactic body radiation (SBRT), inikeza ukulethwa kwemisebe okunembayo okungaba nemiphumela engemihle embalwa. Ukukhethwa kokwelashwa ngemisebe kuzoncika endaweni yesimila kanye nempilo yesiguli iyonke.
Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza, okushiya amangqamuzana anempilo engathinteki kakhulu. Lezi zindlela zokwelapha zivame ukusetshenziswa ezimeni lapho umdlavuza unezinguquko ezithile zofuzo. Zingasetshenziswa zodwa noma zihlanganiswe nezinye izindlela zokwelapha. Ukuqapha okuvamile kubalulekile ukuze kuhlolwe ukusebenza kokwelashwa futhi kulungiswe indlela lapho kudingeka.
Ukukhetha isikhungo sokwelapha umdlavuza esinedumela elihle kuyisinyathelo esibalulekile. Bheka izikhungo ezinongoti be-oncologists abanolwazi nodokotela abahlinzayo abasebenza ngomdlavuza wamaphaphu, ubuchwepheshe obuthuthukisiwe, kanye nendlela ebanzi yokunakekelwa kwesiguli. Cabangela izici ezifana namazinga empumelelo yesikhungo, ubufakazi besiguli, nokufinyeleleka. Ukucwaninga izikhungo ezahlukene kanye nokuqhathanisa amakhono azo kubalulekile ngaphambi kokwenza isinqumo. I-Shandong Baofa Cancer Research Institute inikeza indlela ebanzi ehlanganisa ubuchwepheshe obuthuthukisiwe nochwepheshe bezokwelapha abanolwazi.
Ngemva kokwelashwa, ukuqapha okuqhubekayo kubalulekile ukuze kutholakale noma yikuphi ukubuya komdlavuza. Ukuhlolwa njalo, okuhlanganisa nokuhlolwa kwezithombe, kubalulekile. Amaqembu okusekela kanye nokwelulekwa angasiza iziguli ukubhekana nezinselele ezingokomzwelo nezingokwengqondo ezihlobene nokwelashwa komdlavuza. Uhlelo oluqinile lokusekela lubalulekile ukuze ululame ngempumelelo.
Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ulwazi olunikezwe lapha aluphelele futhi lungase lungahlanganisi zonke izici I-China isigaba sesi-2 sokwelashwa komdlavuza wamaphaphu.
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