
Lo mhlahlandlela uhlinzeka ngolwazi olujulile ngokuthola nokukhetha izibhedlela ezikhethekile ekwelapheni umdlavuza wamaphaphu we-neuroendocrine (NELC). Sihlanganisa ukucatshangelwa okubalulekile, izinketho zokwelapha, nezinsiza zokukusiza ukuthi uzulazule kulolu hambo oluyinkimbinkimbi. Funda ngezibhedlela ezihamba phambili kanye nolwazi lwazo ekuxilongeni nasekwelapheni lolu hlobo oluthile lomdlavuza wamaphaphu.
Umdlavuza wamaphaphu we-Neuroendocrine wuhlobo olungavamile lomdlavuza wamaphaphu olusuka kumaseli e-neuroendocrine emaphashini. Lawa maseli akhiqiza amahomoni futhi ahlukile kumaseli abangela izinhlobo ezivame kakhulu zomdlavuza wamaphaphu. I-NELC iphinde ihlukaniswe yaba ama-subtype ambalwa ngokusekelwe ohlotsheni lweseli nezici zokukhula, okunomthelela amasu okwelapha. Ukuxilongwa kusenesikhathi kanye nokwelashwa okufanele kubalulekile ukuze kube nomphumela omuhle kakhulu.
I-NELC ihlanganisa inqwaba yomdlavuza, okuhlanganisa i-carcinoid evamile (ibanga eliphansi), i-atypical carcinoids (ibanga eliphakathi), kanye ne-cell neuroendocrine carcinomas (yezinga eliphezulu). Ibanga lithonya kakhulu indlela yokwelapha. Ukuqonda uhlobo oluthile oluncane lubalulekile ekuhleleni ukwelashwa komuntu siqu.
Ukukhethela isibhedlela ukwelashwa komdlavuza wamaphaphu we-neuroendocrine kudinga ukucatshangelwa ngokucophelela. Izici ezibalulekile zihlanganisa ulwazi lwesibhedlela ekwelapheni i-NELC, ubuchwepheshe bodokotela baso bomdlavuza kanye namaqembu abahlinzayo, ukufinyelela kubuchwepheshe obuthuthukisiwe bokuxilonga (njengokuhlolwa kwe-PET nokuthwebula izithombe okuthuthukisiwe), kanye nokuba khona kwamaqembu okunakekela ahlukahlukene. Ukuba seduze kwesibhedlela ekhaya lakho kanye namanethiwekhi okusekela nawo kufanele kuhlanganiswe.
Bheka izibhedlela ezinezinhlelo ezizinikele ze-thoracic oncology kanye nenani eliphezulu leziguli ze-NELC. Cwaninga ulwazi lwama-oncologists, okushicilelwe, nokubamba iqhaza ezivivinyweni zomtholampilo. Ukuzinikela kwesibhedlela ocwaningweni nasekusunguleni kukhombisa ukuzinikela ekuhlinzekeni ngemithi esezingeni eliphezulu. Hlola izitifiketi kanye nokugunyazwa okuhlobene nokunakekelwa komdlavuza.
Isebenza kahle ukwelashwa komdlavuza wamaphaphu we-neuroendocrine kuvame ukudinga indlela ehlukahlukene ehlanganisa ongoti bezokwelapha, odokotela abahlinzayo, odokotela be-radiation oncologists, odokotela bamaphaphu, izazi zezifo, nochwepheshe bokunakekela abasekelayo. Ithimba lokunakekela elihlanganisiwe liqinisekisa ukwelashwa okuphelele futhi libhekele izici ezihlukahlukene zempilo yesiguli.
Ukuhlinzwa kuyindlela evamile yokwelapha ye-NELC yasendaweni. Izinga lokuhlinzwa lincike ezintweni ezifana nosayizi wesimila nendawo. Amasu ahlasela kancane, njengokuhlinzwa kwethoracoscopic (VATS) okusizwa ngevidiyo, kuvame ukusetshenziselwa ukunciphisa ukuhlasela nokuthuthukisa isikhathi sokutakula.
I-Chemotherapy ingasetshenziswa kanye nokuhlinzwa noma njengokwelashwa okuyinhloko kwe-NELC ethuthukisiwe. Umuthi othile we-chemotherapy uncike ebangeni lesimila kanye nempilo yesiguli iyonke. Izindlela zokwelapha ezihlosiwe nazo ziya ngokuya zifakwa ezinhlelweni zokwelapha.
Ukwelapha ngemisebe, okungaba ugongolo lwangaphandle noma i-brachytherapy, kungasetshenziswa ukukhomba isimila futhi kuncishiswe ubukhulu baso. Ingasetshenziswa yodwa noma ngokuhambisana nezinye izindlela zokwelapha.
Izindlela zokwelapha ezihlosiwe zisebenza ngokukhomba ama-molecule athile ngaphakathi kwamaseli omdlavuza. Izindlela zokwelapha ezimbalwa ezihlosiwe zibonise isithembiso ekwelapheni i-NELC, ikakhulukazi lezo ezinokuguquguquka okuthile kofuzo. Udokotela wakho uzonquma ukuthi le nketho yokwelashwa ifanele yini icala lakho elithile.
Izinsiza eziningana zingasiza ekuhlonzeni izibhedlela ezinobuchwepheshe bokwelapha i-NELC. Lokhu kufaka phakathi izinkomba zezibhedlela eziku-inthanethi, izinhlangano zochwepheshe ezifana ne-American Society of Clinical Oncology (ASCO), kanye nezikhungo zomdlavuza zikazwelonke. Ungase futhi ufune izincomo kudokotela wakho wokunakekelwa okuyinhloko noma abanye ochwepheshe.
Ukuze uthole ukunakekelwa okuphelele nokwelashwa kwe I-Neuroendocrine Lung Cancer, cabangela I-Shandong Baofa Cancer Research Institute. Banikeza amasu okuxilonga athuthukile kanye nendlela yokwelapha ehlukahlukene.
Khumbula, ulwazi olunikezwe lapha ololwazi jikelele futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma uchwepheshe wezempilo oqeqeshiwe ukuze uxilongwe futhi uhlele ukwelashwa. Ukutholwa kusenesikhathi nokwelashwa ngokushesha kubalulekile ukuze kube nemiphumela emihle umdlavuza wamaphaphu we-neuroendocrine.
eceleni>