Ukwelashwa Kwethumba Lamaphaphu Eduze Kwami: Umhlahlandlela OpheleleUkuthola ukwelashwa okufanele kwesimila samaphaphu kungaba nzima. Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile ukukusiza ukuthi uhlole izinketho zakho futhi uthole ukunakekelwa okungcono kakhulu eduze nawe. Ihlanganisa izinhlobo ezahlukene zezimila zamaphaphu, izindlela zokwelashwa, kanye nezici ezibalulekile okufanele zicatshangelwe lapho ukhetha isikhungo sezokwelapha.
Ukuqonda Ama-Lung Tumors
Izinhlobo Zezimila Zamaphaphu
Izimila zamaphaphu zihlukaniswa ngobubanzi zibe izinhlobo ezimbili eziyinhloko: eziyingozi neziyingozi. Izimila ezinhle azinawo umdlavuza futhi azisabalali. Ngakolunye uhlangothi, izimila eziyingozi zinomdlavuza futhi zingasakazeka (sabalala) kwezinye izingxenye zomzimba. Kunezinhlobo ezimbalwa ezingaphansi kwesigaba ngasinye, njenge-adenocarcinomas, i-squamous cell carcinomas, nomdlavuza wamaphaphu wamangqamuzana amancane. Uhlobo oluthile lwe
isimila samaphaphu kuthinta kakhulu amasu okwelapha. Udokotela wakho uzokwenza i-biopsy ukuze anqume uhlobo oluqondile kanye nesiteji sakho
isimila samaphaphu.
Umdlavuza Wamaphaphu
Isiteji sichaza izinga lokusabalala komdlavuza. Kubalulekile ekunqumeni uhlelo olufanele lokwelapha. Izigaba zisukela ku-I (okwenziwe endaweni) kuye ku-IV (i-metastatic), kanti i-IV imele isigaba esithuthuke kakhulu. Inqubo yesiteji ibandakanya ukuhlolwa kwesithombe njengama-CT scan, ama-PET scan, kanye nama-biopsies okungenzeka akhona.
Izinketho Zokwelashwa Kwezimila Zamaphaphu
Izinketho zokwelashwa eziningana ziyatholakala
isimila samaphaphus, kuye ngohlobo, isigaba, kanye nempilo yesiguli iyonke. Lokhu kungafaka:
Ukuhlinzwa
Ukususwa ngokuhlinzwa kwe
isimila samaphaphu iyindlela yokwelapha evamile yomdlavuza wamaphaphu wesigaba sokuqala. Inqubo ethile yokuhlinzwa incike endaweni kanye nobukhulu besimila. Amasu ahlasela kancane, njengokuhlinzwa kwethoracoscopic (i-VATS) okusizwa ngevidiyo, kuvame ukuthandwa ngenxa yokuncipha kwawo kokuhlasela kanye nezikhathi zokululama ngokushesha.
Ukwelapha Ngemisebe
Ukwelashwa ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziselwa ukushwabanisa izimila ngaphambi kokuhlinzwa, ukucekela phansi amangqamuzana omdlavuza asele ngemva kokuhlinzwa, noma njengokwelashwa okuyinhloko komdlavuza wamaphaphu ongasebenzi. Ukwelashwa ngemisebe yangaphandle kuwuhlobo oluvame kakhulu, kodwa i-brachytherapy (imisebe yangaphakathi) ingase futhi ibe inketho kwezinye izimo.
I-Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziselwa ukwelapha umdlavuza wamaphaphu osesigabeni esithuthukile noma ihlanganiswe nezinye izindlela zokwelapha, njengokwelashwa ngemisebe noma ukuhlinzwa. Kunezinhlobo eziningana zemithi ye-chemotherapy ekhona, ehambisana nohlobo oluthile lwe
isimila samaphaphu kanye nempilo yesiguli.
Ukwelapha Okuhlosiwe
Imithi yokwelapha okuhlosiwe igxile kuma-molecule athile ahilelekile ekukhuleni kwamangqamuzana omdlavuza kanye nokuphila. Ziyasebenza ikakhulukazi ezinhlotsheni ezithile ze
isimila samaphaphuanezinguquko ezithile zofuzo.
I-Immunotherapy
I-Immunotherapy isiza amasosha omzimba ukulwa nomdlavuza. Isebenzisa amandla amasosha omzimba ukuze ahlasele futhi abhubhise amangqamuzana omdlavuza. Le ndlela yokwelapha ibaluleke kakhulu ekulawuleni umdlavuza wamaphaphu.
Ukukhetha Isikhungo Sokwelapha Esilungile Eduze Kwakho
Ukukhetha isikhungo sezokwelapha esinedumela elihle kubalulekile ukuze uphumelele
isimila samaphaphu ukwelashwa. Cabangela lezi zici ezilandelayo: Isipiliyoni Nobungcweti: Bheka izikhungo ezinodokotela abanolwazi lwe-oncologist nodokotela abahlinzayo abangochwepheshe bomdlavuza wamaphaphu. Hlola amanani abo empumelelo kanye nobufakazi besineke. Ubuchwepheshe obuthuthukisiwe: Qinisekisa ukuthi isikhungo sisebenzisa ubuchwepheshe besimanje bokuxilonga nokwelashwa, okufana nezindlela zokuhlinza ezingavami kakhulu kanye nemishini ethuthukisiwe yokwelapha ngemisebe. Ukunakekela Okuphelele: Khetha isikhungo esinikeza indlela ephelele, okuhlanganisa ukufinyelela ezinsizeni zokunakekela ezisekelayo njengokunakekelwa kwe-palliative kanye nokuvuselela. Ukubuyekezwa Nezilinganiso Zesiguli: Funda ukubuyekezwa ku-inthanethi futhi uhlole izikolo zokwaneliseka kwesiguli ukuze uthole umbono wekhwalithi yokunakekelwa okunikeziwe.
Ukuthola Izinsiza Zasendaweni
Ukuthola izinsiza ezithembekile ezinikezelayo
isimila samaphaphu Ukwelashwa eduze nawe, ungasebenzisa izinjini zokusesha eziku-inthanethi, uthintane nodokotela wakho oyinhloko, noma uhlole izibhedlela zendawo nezikhungo zomdlavuza. Ungase futhi ufise ukuhlola izikhungo ezihamba phambili njengeShandong Baofa Cancer Research Institute (
https://www.baofahospital.com/) ngezinketho zokwelashwa ezithuthukisiwe.
Ukucatshangelwa Okubalulekile
Khumbula ukuthi lolu lwazi ololwazi olujwayelekile futhi akufanele luthathe indawo yeseluleko sochwepheshe bezokwelapha. Kubalulekile ukubonisana nodokotela we-oncologist ukuze uthole uhlelo olufanele kakhulu lokwelashwa olusekelwe ezimweni zakho ngazinye. Ukutholwa kusenesikhathi kuthuthukisa kakhulu imiphumela, ngakho kunconyelwa kakhulu ukuhlola nokuhlolwa okuvamile.