ukwelashwa komdlavuza wamaphaphu ngokuvilapha

Ukwelashwa komdlavuza wamaphaphu ngokuvilapha igxile ekulawuleni umdlavuza wamaphaphu okhula kancane okungenzeka awudingi ukungenelela okunolaka ngokushesha. Izinketho zokwelapha ngokuvamile zihlanganisa ukugada okusebenzayo, okubuye kwaziwe ngokuthi 'ukulinda ukuqapha,' eduze nemithi eqondiwe kanye nezinqubo ezihlasela kancane ukulawula ukukhula kwesimila kanye nokunciphisa izimpawu. Le ndlela ihlose ukugcina izinga lempilo ngesikhathi kubhekwana nokuqhubekela phambili komdlavuza.Ukuqonda Umdlavuza Wamaphaphu OnganakileUyini Umdlavuza Wamaphaphu Onganakekeli?Umdlavuza wamaphaphu ongenzi lutho ibhekisela ezinhlotsheni zomdlavuza wamaphaphu ezikhula kancane kakhulu. Le midlavuza ingase ingabangeli izimpawu ezibonakalayo isikhathi eside futhi ingase itholakale ngengozi ngesikhathi sokuhlolwa kwesithombe kwezinye izimo. Ngenxa yokukhula kwabo kancane, indlela yokuqala yokuya ukwelashwa komdlavuza wamaphaphu ngokuvilapha imvamisa ihluke kuleyo yomdlavuza wamaphaphu onamandla kakhulu.Izinhlobo Zomdlavuza Wamaphaphu OnganakileIzinhlobo ezithile zomdlavuza wamaphaphu zisengozini enkulu yokuba ngamavila. Lokhu kufaka phakathi: I-Adenocarcinoma in situ (AIS), eyayaziwa ngokuthi yi-bronchioloalveolar carcinoma (BAC) Ezinye izimila ze-carcinoid ezikhula kancane Ezinye i-adenocarcinomas yezinga eliphansi umdlavuza wamaphaphu ovilaphayo ngokuvamile kuhlanganisa: Ukuhlolwa Kwezithombe: Ama-X-ray esifuba, ama-CT scan, nama-PET scan angasiza ekuhlonzeni nasekuhloleni amaqhuqhuva noma izimila zamaphaphu. I-Biopsy: I-biopsy, evame ukwenziwa nge-bronchoscopy noma i-CT-guided needle biopsy, ibalulekile ukuze kuqinisekiswe ukuxilongwa kanye nokunquma uhlobo oluthile lomdlavuza wamaphaphu.Ukuqapha OkusebenzayoUkuqapha okusebenzayo, noma 'ukulinda ukuqapha,' kuyisu elivamile lokulawula. umdlavuza wamaphaphu ovilaphayo. Lokhu kubandakanya: Ukuqapha njalo ngokuhlolwa kwezithombe (isb., ama-CT scan) njalo ezinyangeni ezimbalwa. Ukulandela ngokucophelela usayizi wesimila kanye nezinga lokukhula. Ukulibazisa ukwelashwa okusebenzayo kuze kube yilapho kuba khona izimpawu zokuthuthuka okuphawulekayo noma izimpawu ezikhulayo.Umgomo wokubhekwa okusebenzayo ukugwema ukwelashwa okungadingekile kanye nemiphumela yako engemihle engase ibe khona ezigulini umdlavuza wazo ungadali izinkinga. Le ndlela ivame ukuthandwa yizikhungo ezifana neShandong Baofa Cancer Research Institute (thola kabanzi lapha) lapho izinga lempilo libaluleke kakhulu khona.Izinketho Zokwelapha Umdlavuza Wamaphaphu OngasebenziKudingeka Nini Ukwelashwa?Ukwelashwa umdlavuza wamaphaphu ovilaphayo kuba nesidingo lapho: Isimila sibonisa ukukhula okuphawulekayo ekuhlolweni kwezithombe. Isiguli siba nezimpawu ezinjengokukhwehlela, ukuphelelwa umoya, noma ubuhlungu besifuba. Kunobufakazi bokusabalala kuma-lymph nodes aseduze noma kwezinye izingxenye zomzimba.Izindlela Zokwelapha EzitholakalayoIzinketho zokwelashwa eziningi ziyatholakala ukwelashwa komdlavuza wamaphaphu ngokuvilapha, kuye ngohlobo oluthile kanye nesigaba somdlavuza: Ukuhlinzwa: Ukukhishwa kabusha kokuhlinzwa (ukususwa) kwesimila kuvame ukuba inketho ekhethwayo yokwenziwa kwendawo umdlavuza wamaphaphu ovilaphayo. Amasu ahlasela kancane, njengokuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS), anganciphisa isikhathi sokutakula. Ukwelapha ngemisebe: I-Stereotactic body radiation therapy (SBRT) iletha imithamo ephezulu yemisebe esimila kuyilapho isindisa izicubu ezizungezile ezinempilo. Lokhu kungaba inketho enhle ezigulini ezingafuneki ukuhlinzwa. Ukwelapha Okuhlosiwe: Kwezinye izinhlobo ze umdlavuza wamaphaphu ovilaphayo, njenge-adenocarcinomas enezinguquko ezithile zofuzo (isb., EGFR, ALK), izindlela zokwelapha ezihlosiwe zingasebenza kakhulu. Le mithi iqondise kuma-molecule athile abandakanyeka ekukhuleni kwamangqamuzana omdlavuza kanye nokuphila. Ukwelashwa kwe-Ablation: I-Radiofrequency ablation (RFA) noma i-microwave ablation (MWA) isebenzisa ukushisa ukuze iqede isimila. Lezi yizinqubo ezihlasela kancane ezingasetshenziswa ekwelapheni amathumba amancane, asendaweni.Ukuqhathanisa Izinketho ZokwelashwaUkhetho olungcono kakhulu lokwelapha luncike ezicini eziningana, okuhlanganisa uhlobo nesigaba somdlavuza, impilo yesiguli iyonke, kanye nalokho esikukhethayo. Nasi isiqhathaniso esenziwe lula sokujwayelekile ukwelashwa komdlavuza wamaphaphu ngokuvilapha izindlela: Ukwelashwa Okubi Ukuhlinzwa Okujwayelekile Kwabaqokelwe Ukuhlinzwa (VATS) Izinketho ezingase zelaphe, ezingahlasela kancane ziyatholakala Idinga umuntu ozohlinzwa, okungenzeka kube nezinkinga Izimila zasendaweni, impilo enhle iyonke i-SBRT Ayihlaseli, isebenza kahle kumathumba asendaweni Angaba nemiphumela engemihle ehlobene nemisebe Akubona abantu abahlinzwayo, amathumba athile okuguquguqukayo okuguquguqukayo I-chemotherapy Isebenza kuphela kumathumba anezinguquko ezithile, ukumelana kungadala Izimila nge-EGFR, ALK, noma ezinye izinguquko eziqondiwe i-Ablation (RFA/MWA) Ehlasela kancane, ingaphindaphindwa Ifanele kuphela izimila ezincane, ezingase zivele Izimila Ezincane, zasendaweni, hhayi abantu abahlinzayo Abaphila Nomdlavuza Wamaphaphu AngaqinileIkhwalithi Yokucatshangelwa KwempiloNgoba umdlavuza wamaphaphu ovilaphayo ngokuvamile ithuthuka kancane, ukugcina izinga lempilo kuwukukhathazeka okuyinhloko. Ukugada okusebenzayo kanye nokwelashwa okungenalaka kuhlose ukunciphisa imiphumela engemihle futhi kuvumele iziguli ukuthi ziphile ngokujwayelekile ngangokunokwenzeka. Ithimba laseShandong Baofa Cancer Research Institute likholelwa endleleni ebanzi yokunakekelwa komdlavuza. Ungafunda kabanzi ngefilosofi yethu ekhasini lethu mayelana nathi.Ukunakekelwa KokulandelelaUkuqashwa njalo kokulandelela kubalulekile ukuze kuqashwe umdlavuza kanye nokulawula noma yiziphi izimpawu. Lawa ma-aphoyintimenti angabandakanya: Ukuhlolwa kwe-Imaging (CT scans) Izivivinyo zomzimba Ukuhlolwa kwegaziIzinsiza ZokusekelaUkuhlala ne umdlavuza wamaphaphu ovilaphayo kungaba inselele. Iziguli nemindeni yazo zingazuza kulokhu: Amaqembu okusekela Izinsiza Zokwelulekwa Izinsiza zemfundo IsiphethoUkwelashwa komdlavuza wamaphaphu ngokuvilapha kudinga indlela yomuntu siqu elinganisa isidingo sokulawula umdlavuza nesifiso sokugcina izinga lempilo. Ukubhekwa okusebenzayo, ukuhlinzwa, ukwelapha ngemisebe, kanye nokwelapha okuhlosiwe yizo zonke izinketho ezingase zibe khona. Ukusebenza eduze nethimba lochwepheshe bezempilo abanolwazi kubalulekile ekuthuthukiseni uhlelo lokwelapha olungcono kakhulu.