Izinketho zokwelapha umdlavuza wamaphaphu ngezindleko zesiteji

Izinketho zokwelashwa komdlavuza wamaphaphu nge-Stage & CostLung izindlela zokwelapha umdlavuza ziyahlukahluka kuye ngokuthi isigaba somdlavuza kanye nempilo yesiguli iyonke. Ukuqonda lezi zinketho nezindleko ezihambisana nazo kubalulekile ekwenzeni izinqumo ezinolwazi. Lo mhlahlandlela ophelele unikeza ukubuka konke kwezindlela zokwelapha ezigabeni ezehlukene, ukucatshangelwa kwezindleko, kanye nezinsiza zokuthola usizo olwengeziwe.

Izinketho Zokwelapha Umdlavuza Wamaphaphu ngesiteji nangezindleko

Umdlavuza wamaphaphu, okuyimbangela ehamba phambili yokufa okuhlobene nomdlavuza emhlabeni wonke, udinga indlela yokwelapha ehlukahlukene. Uhlelo oluthile lokwelapha luncike kakhulu esigabeni somdlavuza ekuxilongweni kwawo, impilo yesiguli iyonke, nezinye izici zomuntu ngamunye. Lo mhlahlandlela uhlose ukunikeza ukuqonda okucacile kwezinketho ezahlukene zokwelapha ezitholakala esigabeni ngasinye, kanye nezindleko ezihambisanayo. Kubalulekile ukukhumbula ukuthi lolu lwazi ololwazi olujwayelekile futhi akufanele luthathe indawo yokubonisana nodokotela oqeqeshiwe we-oncologist.

Izinketho Zokwelashwa Komdlavuza Wesigaba I

Ukususwa Ukuhlinzwa

Ngomdlavuza wamaphaphu wesigaba sokuqala (Isigaba I), ukuhlinzwa kabusha-ukususwa kwezicubu zamaphaphu ezinomdlavuza-ngokuvamile ukwelapha okuyinhloko. Lokhu kungasukela ku-lobectomy (ukususwa kwe-lobe yephaphu) kuye ku-pneumonectomy (ukususwa kwephaphu lonke), kuye ngendawo yesimila nosayizi. Izindleko zokuhlinzwa ziyahlukahluka kuye ngokuthi isibhedlela, izindleko zikadokotela ohlinzayo, kanye nokuba yinkimbinkimbi kwenqubo. Ungalindela izindleko ezibalulekile ezihlobene nokulaliswa esibhedlela, ukulaliswa kwezinzwa, nokunakekelwa kwangemva kokuhlinzwa.

I-Stereotactic Body Radiation Therapy (SBRT)

I-SBRT iyindlela engangeneleli kangako yomdlavuza wamaphaphu osesigabeni sokuqala, iletha imithamo ephezulu yemisebe esimila ngendlela enembile. Ivamise ukusetshenziselwa izimila ezincane ezingafinyeleleki ngokuhlinzwa. Nakuba ngokuvamile kubiza kancane kunokuhlinzwa, i-SBRT isabandakanya izindleko ezibalulekile ezihlobene namaseshini okwelapha ngemisebe kanye nezindleko zokwelashwa ezihambisanayo.

Isigaba II-IIIA Izinketho Zokwelapha Umdlavuza Wamaphaphu

Ukuhlinzwa + I-Adjuvant Chemotherapy noma Ukwelapha Ngemisebe

Izigaba II kanye ne-III ngokuvamile zihlanganisa inhlanganisela yokuhlinzwa, i-chemotherapy, kanye/noma ukwelapha ngemisebe. Ukuhlinzwa kususa izicubu ezinomdlavuza, kuyilapho ukwelashwa ngamakhemikhali kanye/noma ngemisebe kuqondise noma imaphi amangqamuzana omdlavuza asele. Izindleko zale ndlela ehlanganisiwe ziphakeme kakhulu kunokuhlinzwa kuphela, okuhlanganisa izindleko zokwelapha eziningi nokuhlala isikhathi eside esibhedlela.

I-Chemotherapy kanye ne-Radiation Therapy

Uma ukuhlinzwa kungeyona inketho ngenxa yezinga lomdlavuza noma impilo yesiguli, ukwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe kungase kusetshenziswe kukodwa noma kuhlanganiswe. Ukwelapha ngamakhemikhali kuhilela ukusebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza, kuyilapho ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukulimaza amangqamuzana omdlavuza. Izindleko zalokhu kwelashwa ziyahlukahluka kuye ngemithi ethile esetshenzisiwe, inani lezikhathi zokwelashwa ngemisebe, kanye nobude besikhathi sokwelashwa.

Isigaba IIIB kanye ne-IV Izinketho Zokwelapha Umdlavuza Wamaphaphu

Ukwelashwa Kwesistimu (I-Chemotherapy, Ukwelashwa Okuhlosiwe, I-Immunotherapy)

Ngomdlavuza wamaphaphu osesiteji esithuthukile (IIIB kanye ne-IV), izindlela zokwelapha ezihlelekile ngokuvamile ziwukwelashwa okuyinhloko. Lokhu kuhlanganisa ukwelapha ngamakhemikhali, ukwelapha okuhlosiwe (izidakamizwa eziqondisa amangqamuzana omdlavuza), kanye ne-immunotherapy (izidakamizwa eziqinisa isimiso somzimba sokuzivikela ezifweni ukuze silwe nomdlavuza). Lezi zindlela zokwelapha zingabiza kakhulu, nezindleko eziqhubekayo zemithi kanye nokuvakasha kodokotela. Izindleko eziqondile zingahluka kakhulu kuye ngemithi ethile esetshenzisiwe kanye nokusabela kwesiguli ekwelashweni.

Ukunakekela Okusekelayo

Ukunakekelwa kwe-Palliative, okugxile ekuthuthukiseni izinga lempilo yeziguli ezinomdlavuza osekhulile, nakho kuyisici esibalulekile sokwelashwa ezigabeni zakamuva. Lokhu kungabandakanya ukulawula ubuhlungu, ukulawula izimpawu, nokusekelwa ngokomzwelo. Izindleko ezihlobene nokunakekelwa kwe-palliative zingahluka kuye ngamasevisi adingekayo.

Izindleko Ukucatshangelwa for Izinketho Zokwelapha Umdlavuza Wamaphaphu

Izindleko ze ukwelashwa komdlavuza wamaphaphu zingahluka kakhulu kuye ngezinto ezimbalwa, okuhlanganisa isigaba somdlavuza, uhlobo lokwelashwa olutholiwe, ubude besikhathi sokwelashwa, umhlinzeki wokunakekelwa kwezempilo, kanye nokuhlinzekwa komshwalense. Kubalulekile ukuxoxa ngezilinganiso zezindleko nethimba lakho lezempilo kanye nomhlinzeki womshwalense ngaphambi kwenqubo yokwelashwa.

Izinhlelo zosizo lwezezimali zingase zibe khona ukuze zisize ukunciphisa izindleko eziphakeme zokwelashwa komdlavuza. Izibhedlela eziningi nezikhungo zomdlavuza zinabeluleki bezezimali abangasiza iziguli ukuthi zihambe ngalezi zinketho. I I-American Cancer Society futhi inikeza izinsiza ezigulini ezithwele kanzima ngokwezimali zokwelashwa komdlavuza.

Ukucatshangelwa Okubalulekile

Lolu lwazi ololwazi olujwayelekile kuphela futhi akufanele luthathe indawo yeseluleko somuntu siqu esivela kuchwepheshe wezokwelapha. Xhumana nodokotela wakho we-oncologist ukuze uthole uhlelo olungcono kakhulu lokwelapha esimweni sakho esithile. Ukutholwa kusenesikhathi kanye nokwelashwa ngokushesha kubalulekile ukuze kuthuthukiswe imiphumela yomdlavuza wamaphaphu.

Qaphela: Amabanga wezindleko ayahlawumbisela futhi angahluka kakhulu kuye ngezimo ngazinye. Xhumana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole izilinganiso zezindleko ezinembile.

Ukuze uthole olunye ulwazi noma ukuxoxa ngeyakho Izinketho zokwelapha umdlavuza wamaphaphu, ungase ufise ukubonisana nochwepheshe e I-Shandong Baofa Cancer Research Institute.

Umshwana wokuzihlangula: Lolu lwazi luhloselwe ulwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Kubalulekile ukubonisana nochwepheshe bezempilo abaqeqeshiwe nganoma yikuphi ukukhathazeka ngezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo noma ukwelashwa kwakho.