Ukwelashwa okusha okungeyona okuncane komdlavuza wamaphaphu eduze kwami

Ukuthola Okulungile Ukwelashwa Okusha Okusha Okungekona Okuncane Komdlavuza Wengqamuzana Wamaphaphu Eduze KwamiLesi sihloko sinikeza ukubuka okuphelele kwezinketho zokwelapha zomdlavuza wamaphaphu ongewona omncane (NSCLC), egxile ekusizeni abantu ngabanye ukuthola ukunakekelwa okufanele eduze nendawo yabo. Ihlanganisa izindlela zokwelapha ezihlukahlukene, ukucatshangelwa, kanye nezinsiza zokuzulazula kulolu hambo oluyinselele. Ulwazi lwenzelwe izinjongo zokufundisa futhi akufanele luthathe indawo yeseluleko sochwepheshe bezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuqondiswa komuntu siqu.

Ukuqonda Umdlavuza Ongewona Owomncane Weseli Wamaphaphu (NSCLC)

Yini i-NSCLC?

Umdlavuza wamaphaphu ongewona omncane (NSCLC) uwuhlobo oluvame kakhulu lomdlavuza wamaphaphu, olubalelwa kuma-80-85% azo zonke izifo zomdlavuza wamaphaphu. Kubonakala ngokukhula okungavamile kwamaseli emaphashini, angasakazekela kwezinye izingxenye zomzimba. Ukusheshe kutholakale kubalulekile ukuze uthole ukwelashwa okuphumelelayo.

Isiteji se-NSCLC

Isigaba se-NSCLC sithonya kakhulu ukukhetha kokwelashwa. Isiteji sibandakanya ukunquma izinga lokusabalala komdlavuza. Odokotela basebenzisa ukuhlola kwe-imaging njenge-CT scan kanye ne-PET scans ukuze banqume isiteji, esivame ukuhlukaniswa kusetshenziswa izinombolo zesiRoman (I-IV), kanti IV simelela isigaba esithuthuke kakhulu.

Iyatholakala Ukwelapha Okusha Okungekona Okuncane Komdlavuza Wengqamuzana Wamaphaphu

Ukwelapha Okuhlosiwe

Imithi yokwelapha eqondisiwe isebenza ngokukhomba ukuguqulwa kofuzo okuthile noma amaprotheni ngaphakathi kwamaseli omdlavuza. Izindlela zokwelapha ezimbalwa ezihlosiwe ziyatholakala ku-NSCLC, njenge-EGFR inhibitors (njenge-Gefitinib ne-Erlotinib) kanye ne-ALK inhibitors (njenge-Crizotinib ne-Alectinib). Ukukhethwa kokwelashwa okuhlosiwe kuncike kuphrofayili ethile yofuzo yesimila. I-oncologist yakho izokwenza ukuhlolwa kofuzo ukuze kutholakale ukwelashwa okufanele.

I-Immunotherapy

I-Immunotherapy ihlanganisa amandla amasosha omzimba ukulwa namaseli omdlavuza. Ama-Checkpoint inhibitors, njenge-Pembrolizumab ne-Nivolumab, avame ukusetshenziswa ekwelashweni kwe-NSCLC. Avimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amangqamuzana omdlavuza. I-Immunotherapy ingasetshenziswa njengokwelashwa komugqa wokuqala noma ihlanganiswe nezinye izindlela zokwelapha.

I-Chemotherapy

I-Chemotherapy ihilela ukusebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ama-ejenti ahlukahlukene we-chemotherapeutic ayatholakala ku-NSCLC, ngokuvamile asetshenziswa ngokuhlangana ukuze kukhuliswe ukusebenza kahle. Umuthi othile uncike esigabeni somdlavuza kanye nempilo yonke yesiguli.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingasetshenziselwa ukunciphisa izimila, ukukhulula izimpawu, noma njengengxenye yendlela yokwelapha ehlangene. Ukwelashwa kwe-radiation ye-beam yangaphandle kuwuhlobo oluvame kakhulu.

Ukuhlinzwa

Ukuhlinzwa kungase kube inketho yeziguli ezine-NSCLC yesigaba sokuqala. Uhlobo lokuhlinzwa luncike endaweni kanye nobukhulu besimila. Kungase kuhlanganise ukukhipha ingxenye noma wonke amaphaphu athintekile.

Ukuthola Ukwelashwa Okusha Okusha Okungekona Okuncane Komdlavuza Wengqamuzana Wamaphaphu Eduze Kwami

Ukuthola ukunakekelwa okufanele izindlela ezintsha zokwelapha umdlavuza wamaphaphu wamangqamuzana amancane kudinga ukucatshangelwa ngokucophelela. Qala ngokubonana nodokotela wakho wokunakekela oyinhloko. Bangakudlulisela ku-oncologist, udokotela onguchwepheshe ekwelapheni umdlavuza. Odokotela be-Oncologist bakuhlomele kangcono ukuhlola isimo sakho esithile futhi batuse uhlelo lokwelapha lomuntu siqu. Izibhedlela eziningi nezikhungo zomdlavuza zinikeza izinhlelo ezibanzi zokwelapha ze-NSCLC. Ungasesha ku-inthanethi izikhungo zomdlavuza eduze kwami ​​noma izazi ze-oncologists eduze kwami ​​ukuze uthole izinketho endaweni yangakini. Cabangela izici ezifana nesithunzi sesikhungo, ulwazi nge-NSCLC, kanye nokufinyelela kubuchwepheshe bokwelapha obuthuthukisiwe.

Ukucatshangelwa Okubalulekile

Izinqumo zokwelashwa ziyinkimbinkimbi futhi kufanele zenziwe ngokubonisana eduze nethimba lakho lezokwelapha. Izinto ezifana nempilo yakho iyonke, isigaba somdlavuza wakho, nezinto ozikhethayo zonke zinendima. Kubalulekile ukubuza imibuzo, ukuqonda ubungozi nezinzuzo zenketho ngayinye yokwelashwa, futhi uzizwe ukhululekile ngendlela ekhethiwe. Unganqikazi ukufuna imibono yesibili ukuze uqinisekise ukuthi wenza izinqumo ezinolwazi kakhulu mayelana nokunakekelwa kwakho.

Khumbula, ukuzulazula ekuxilongweni komdlavuza kungaba inselele ngokomzwelo. Amaqembu okusekela kanye nezinsizakalo zokwelulekwa zinganikeza usizo olubalulekile ngalesi sikhathi. Ukuxhumana nabanye ababhekene nezimo ezifanayo kungakhuthaza umuzwa womphakathi nokuqonda.

Izinsiza

Ukuze uthole ulwazi olwengeziwe ngomdlavuza wamaphaphu kanye nezinketho zokwelapha, hlola izinsiza ezivela ezinhlanganweni ezihlonishwayo njenge-American Cancer Society (https://www.cancer.org/) kanye neNational Cancer Institute (https://www.cancer.gov/).

Nakuba lesi sihloko sihlose ukuhlinzeka ngolwazi oluwusizo, kubalulekile ukukhumbula ukuthi lolu lwazi olwezinjongo zokufundisa kuphela futhi aluhlanganisi iseluleko sezokwelapha. Sicela uthinte uchwepheshe wezokunakekelwa kwempilo oqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.