
Lo mhlahlandlela ophelele usiza abantu ababhekene nokuxilongwa komdlavuza wamaphaphu wokuvilapha ukuthi bahlole izinto eziyinkimbinkimbi zezinketho zokwelapha futhi bathole izibhedlela ezifanele. Sihlola izindlela zokwelashwa ezahlukahlukene, ukucatshangelwa kokukhetha isibhedlela, nezinsiza zokusiza ekuthathweni kwezinqumo. Funda mayelana nentuthuko yakamuva kanye nezici okufanele uzibeke phambili lapho ukhetha umhlinzeki wakho wokunakekelwa kwezempilo ukwelashwa komdlavuza wamaphaphu ngokuvilapha.
Umdlavuza wamaphaphu ongenzi lutho, owaziwa nangokuthi umdlavuza wamaphaphu okhula kancane, uwuhlobo lomdlavuza wamaphaphu obonakala ngokuhamba kancane kwawo. Ngokungafani namafomu anolaka kakhulu, umdlavuza wamaphaphu ongenzi lutho ungase ungabangeli izimpawu ezibonakalayo isikhathi eside. Lesi silinganiso sokukhula esihamba kancane sinomthelela amasu okwelapha, ngokuvamile akhetha indlela yokulinda eqaphile kunokungenelela okunolaka ngokushesha. Ukutholwa kusenesikhathi kubalulekile, nakuba izimpawu zingase zibe zincane. Ukuhlolwa okuvamile, ikakhulukazi kubantu abasengozini enkulu, kuyanconywa.
Ukuxilongwa okunembile kubalulekile ekuphatheni ngempumelelo. Lokhu kubandakanya inhlanganisela yamasu okuthwebula njenge-CT scan nama-PET scan, kanye ne-biopsy ukuze kuqinisekiswe uhlobo lomdlavuza nesiteji. Inqubo yesiteji inquma izinga lokusabalala komdlavuza, okuthonya kakhulu izinqumo zokwelashwa. Ithimba lochwepheshe bemikhakha eminingi, okuhlanganisa odokotela bezifo zokuphefumula, odokotela bamaphaphu, nama-radiologists, ngokuvamile babambisana ekuhlonzweni nasekuhleleni ukwelashwa. ukwelashwa komdlavuza wamaphaphu ngokuvilapha.
Ngomdlavuza wamaphaphu ovilaphayo okhula kancane, ukulinda ukuqapha kungase kube inketho esebenzayo. Lokhu kuhilela ukuqapha ngokucophelela ukukhula kwesimila ngokuthwebula isithombe esivamile nokuhlolwa kwegazi ngaphandle kokungenelela ngokushesha. Le ndlela ivumela ukutholwa kusenesikhathi kwanoma yiziphi izinguquko ezibalulekile, okuvumela ukwelashwa okufika ngesikhathi uma kudingeka. Isinqumo sokuphishekela ukulinda ukuqapha siqondene nomuntu ngamunye, kuncike ezintweni ezifana nempilo yesiguli iyonke kanye nezici zesimila.
Ukukhishwa kabusha kokuhlinzwa kungase kucatshangelwe uma isimila sitholakala endaweni futhi sikhishwa ngokuhlinzwa. Izindlela zokuhlinza ezihlasela kancane zivame ukukhethwa ukuze kuncishiswe isikhathi sokululama kanye nezinkinga. Indlela ethile yokuhlinzwa incike endaweni kanye nosayizi wesimila. Ukuqapha kwangemva kokuhlinzwa kubalulekile ukuze kutholwe noma yikuphi ukuphindeka.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingasetshenziswa yodwa noma ngokuhambisana nezinye izindlela zokwelapha. I-stereotactic body radiation therapy (SBRT) iwuhlobo olunembile lokwelapha ngemisebe evame ukusetshenziselwa izimila ezincane, zasendaweni. Ukukhetha indlela yokwelapha ngemisebe kuncike endaweni yesimila, ubukhulu, nempilo yesiguli iyonke. Imiphumela engemihle iyahlukahluka, kodwa ngokuvamile iyalawuleka.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ngokuvamile kugcinelwe izimo lapho umdlavuza usudlulele khona lapho ukuhlinzwa noma ukushiswa kwemisebe kusebenza kahle. Kunezinhlobo eziningi zemithi yokwelapha ngamakhemikhali, futhi ukukhetha kuncike ezicini ezifana nohlobo lomdlavuza nesigaba, kanye nempilo yomuntu ngamunye yesiguli. Ukwelashwa ngamakhemikhali kuvame ukuba nemiphumela engemihle ephawulekayo, edinga ukuqapha nokuphathwa ngokucophelela.
Ukwelashwa okuhlosiwe kusebenzisa imithi eqondisa ngokukhethekile amangqamuzana omdlavuza, enciphisa ukulimala kwamangqamuzana anempilo. Ukutholakala kwezindlela zokwelapha ezihlosiwe kuncike ekuguquguqukeni kofuzo okuthile okukhona kumaseli omdlavuza. Ukuhlolwa kofuzo kubalulekile ukuze kutholakale abantu abafanelekile ukuze bathole ukwelashwa okuqondiwe. Le ndlela inikeza indlela enembe kakhulu uma iqhathaniswa nokwelashwa ngamakhemikhali okungokwesiko.
Ukukhethela isibhedlela ukwelashwa komdlavuza wamaphaphu ngokuvilapha kuyisinqumo esibucayi. Cabangela lezi zici:
Bheka izibhedlela ezinethimba elizinikele lodokotela be-oncologists, odokotela bamaphaphu, nabanye ochwepheshe abanokuhlangenwe nakho ekulawuleni umdlavuza wamaphaphu ongasebenzi. Inani eliphezulu lamacala alashwayo ngokuvamile libonisa ubuchwepheshe obukhulu.
Qinisekisa ukuthi isibhedlela sinikeza ukufinyelela kubuchwepheshe bakamuva bokwelapha kanye nemithi yokwelapha. Lokhu kungase kuhlanganise izindlela zokuhlinza ezingavamisile, izindlela zokwelapha ezithuthukisiwe zemisebe, kanye nokwelapha okuhlosiwe.
Izinsizakalo eziphelele zokweseka zibalulekile ezigulini nasemindenini yazo. Bheka izibhedlela ezihlinzeka ngokufinyelela ekunakekelweni kwesiguli, ukwelulekwa, namaqembu okusekela.
Izibuyekezo eziku-inthanethi nezilinganiso zesibhedlela zinganikeza imininingwane ebalulekile kokuhlangenwe nakho kwesiguli kanye nekhwalithi yokunakekelwa okunikezwayo. Nokho, khumbula ukuthi ukuzizwisa ngakunye kungahluka.
Ukuze uthole ulwazi oluthembekile ngomdlavuza wamaphaphu, bheka lezi zinsiza:
Ukuzulazula ezinkingeni ze ukwelashwa komdlavuza wamaphaphu ngokuvilapha kudinga ukucatshangelwa nokuhlela ngokucophelela. Khumbula ukuxoxa ngezinketho zokwelapha nomhlinzeki wakho wokunakekelwa kwezempilo futhi wenze izinqumo ezinolwazi ngokusekelwe ezidingweni zakho kanye nezintandokazi zakho. Ulwazi olunikezwe lapha lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.
Kulabo abafuna ukunakekelwa okuthuthukile nokuphelele ngomdlavuza wamaphaphu, cabanga I-Shandong Baofa Cancer Research Institute. Bazinikele ekuhlinzekeni ukunakekelwa okuseqophelweni eliphezulu kanye nokweseka iziguli ezibhekene nesifo somdlavuza. Funda kabanzi mayelana namasevisi abo nobungcweti.
eceleni>