
Ukuphelelwa umoya (ukuphelelwa umoya) nomdlavuza wamaphaphu kuwuphawu olucindezelayo oludinga ukunakwa ngokushesha. Lo mhlahlandlela ophelele uhlola ukuxilongwa, izinketho zokwelashwa, nokunakekelwa okusekelayo okutholakala e-China ukulawula ukuphefumula okuhlobene nomdlavuza wamaphaphu. Sizohlola izindlela ezahlukahlukene, sigqamisa ukubaluleka kokungenelela kusenesikhathi nokunakekelwa komuntu siqu.
Ukuphelelwa umoya kumdlavuza wamaphaphu kungabangelwa izici eziningana, okuhlanganisa ukukhula kwesimila okuvimbela imigudu yokuphefumula, i-pleural effusions (ukugcwala koketshezi emaphashini), izifo zamaphaphu, nomthelela womdlavuza enhliziyweni nasemaphashini. Ubunzima bokuphelelwa umoya buyahluka kakhulu kuye ngesigaba somdlavuza nempilo yomuntu ngamunye.
Ukuxilongwa okunembile kuqala ngomlando wezokwelapha ophelele, ukuhlolwa ngokomzimba, nokuhlolwa kwezithombe njengama-X-ray esifuba, ama-CT scan, kanye ne-bronchoscopy engenzeka. Lezi zinqubo zisiza ukukhomba imbangela yokuphelelwa umoya kanye nezinga lomdlavuza wamaphaphu.
Ukuphathwa kwezokwelapha kugxile ekubhekaneni nezimbangela zokuphelelwa umoya. Lokhu kungase kuhlanganise imithi efana ne-bronchodilator yokuvula imigudu yokuphefumula, i-diuretics yokunciphisa ukugcwala koketshezi, ukwelapha komoyampilo ukuze kuthuthukiswe amazinga komoyampilo, nokulawulwa kobuhlungu ngenxa yokungakhululeki. Kwezinye izimo, ukwelashwa ngemisebe kungase kusetshenziselwe ukunciphisa izimila ezivimbela imigudu yokuphefumula. I-Shandong Baofa Cancer Research Institute inikeza amasu okuphatha ezokwelapha athuthukisiwe afanelana nezidingo zomuntu ngamunye.
Izinqubo ezihlasela kancane, ezifana ne-thoracentesis (ukudonsa uketshezi olusuka esikhaleni se-pleural) noma ukungenelela kwe-bronchoscopic ukuze kususwe ukuvinjelwa, kunganikeza ukukhululeka okuphumelelayo ekuphefumuleni. Lezi zinqubo zivame ukuba nezikhathi ezimfushane zokululama kunokuhlinzwa okubanzi.
Kwezinye izimo, kungase kudingeke ukuhlinzwa ukuze kukhishwe izimila noma kulungiswe ezinye izinkinga ezibangela ukuphelelwa umoya. Uhlobo lokuhlinzwa luncike endaweni kanye nezinga lomdlavuza.
Ukunakekelwa okusekelayo kudlala indima ebalulekile ekulawuleni ukuphefumula kanye nokwenza ngcono izinga lempilo. Lokhu kuhlanganisa i-physiotherapy yokuphefumula ukusiza ukusula imigudu yokuphefumula, ukusekelwa kwengqondo ukuze ubhekane nokukhathazeka nokucindezeleka okuhambisana nokugula, kanye namasu okulawula ubuhlungu. Ukunakekelwa kwe-Palliative kugxile ekudambiseni izimpawu kanye nokwenza ngcono ukunethezeka kweziguli ezinomdlavuza wamaphaphu othuthukile.
Ukuzulazula ohlelweni lokunakekelwa kwezempilo kungaba inselele. Ukufuna ukunakekelwa ezikhungweni ezihlonishwayo ezinongoti be-oncologists abanolwazi nongoti bokuphefumula kubalulekile ukuze kube nemiphumela emihle. Ubuchwepheshe nezinsiza ezitholakala ezibhedlela ezihamba phambili e-China kuqinisekisa ukuthi iziguli zithola ukunakekelwa okuphelele, okusekelwe ebufakazini bazo Ukwelashwa kwaseShayina kokuphelelwa umoya kumdlavuza wamaphaphu. Cabangela izici ezifana nedumela lesibhedlela, izindlela zokwelapha ezikhethekile ezitholakalayo, nokuhlangenwe nakho kwethimba lezokunakekelwa kwempilo lapho lenza izinqumo. Ukuze uthole ulwazi olwengeziwe mayelana nezinsiza nokusekelwa, kunconywa ukuthi uxhumane nochwepheshe bezokwelapha.
Izimpawu zokuqala zingaba ezicashile futhi ngokuvamile zilingise ezinye izifo zokuphefumula. Ukukhwehlela okungapheli, ukukhwehlela igazi, ubuhlungu besifuba, ukuncipha kwesisindo ngendlela engachazeki, nokukhathala ngezinye zezinkomba ezingaba khona. Kubalulekile ukuthi uthintane nodokotela uma uhlangabezana nezimpawu.
Isiteji sisiza ukunquma izinga lokusabalala komdlavuza futhi siqondise izinqumo zokwelashwa. Uhlelo lwe-TNM (I-Tumor, Node, Metastasis) luvame ukusetshenziswa, luhlukanisa usayizi wesimila, ukubandakanyeka kwe-lymph node, nokuba khona kwe-metastasis.
| Indlela Yokwelapha | Izinzuzo | Engase Engase Side Effects |
|---|---|---|
| Ukwelashwa Ngeoksijini | Amazinga we-oxygen athuthukisiwe, anciphisa ukuphefumula | Ukoma okuncane kwamakhala, ukucasuka kwesikhumba ngezikhathi ezithile |
| Ukwelapha Ngemisebe | Ukuncipha kwesimila, ukuvuleka kwendlela yokuphefumula | Ukukhathala, ukucasuka kwesikhumba, ukulimala okungenzeka kwamaphaphu |
| Imithi (ama-Bronchodilators) | Imigudu yokuphefumula ekhululekile, ukuphefumula okulula | Ukuthuthumela, izinga lokushaya kwenhliziyo elikhulayo (kwezinye izimo) |
Umshwana wokuzihlangula: Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
Imithombo: (Faka ohlwini amajenali ezokwelapha afanelekile kanye nezinhlangano lapha ngokufometha kwengcaphuno efanele, isb., Isikhungo Somdlavuza Kazwelonke, amajenali ezokwelapha ahloniphekile ahlobene nomdlavuza wamaphaphu nokwelashwa kokuphelelwa umoya. Qinisekisa ukuthi usebenzisa imithombo enembile nethembekile.)
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