
Lo mhlahlandlela ophelele usiza abantu ababhekene ne-a umdlavuza we-squamous wamaphaphu ukuxilongwa zulazula endaweni eyinkimbinkimbi yezinketho zokwelashwa futhi uthole isibhedlela esingcono kakhulu sezidingo zabo. Sizohlola izindlela zokwelashwa ezihlukene, izici okufanele uzicabangele lapho ukhetha isibhedlela, nezinsiza ezizokusiza ekuthatheni izinqumo. Lolu lwazi ngelezinjongo zokufundisa futhi aluhlanganisi iseluleko sezokwelapha; njalo uthintane nodokotela wakho.
Umdlavuza wamaphaphu we-squamous wuhlobo lomdlavuza wamaphaphu ongewona omncane (NSCLC) osuka kumaseli e-squamous agxile ku-bronchi (imigudu yomoya) yamaphaphu. Kuvame ukuhlotshaniswa nomlando wokubhema futhi kuvame ukukhula kancane kunezinye izinhlobo zomdlavuza wamaphaphu. Ukutholwa kusenesikhathi kuthuthukisa kakhulu imiphumela yokwelashwa.
Isiteji esinembile se umdlavuza we-squamous wamaphaphu kubalulekile ekunqumeni uhlelo lokwelapha olufaneleka kakhulu. Lokhu kuvame ukubandakanya ukuhlolwa kwesithombe njengama-CT scan nama-PET scan, kanye nama-biopsies okuhlaziya amaseli wesimila. Isiteji sikhombisa izinga lokusabalala komdlavuza.
Ukususwa ngokuhlinzwa kwesimila kuyindlela evamile yokwelapha yesigaba sokuqala umdlavuza we-squamous wamaphaphu. Inqubo ethile yokuhlinzwa incike endaweni kanye nobukhulu besimila. Amasu ahlasela kancane, njengokuhlinzwa kwe-thoracoscopic (VATS) okusizwa ngevidiyo, kuvame ukukhethwa ukunciphisa isikhathi sokutakula.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukunciphisa isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kwehliswe ingozi yokuphinda iphinde, noma njengokwelashwa okuyinhloko kwesigaba esithuthukisiwe. umdlavuza we-squamous wamaphaphu. Kunezinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali, eyenzelwe izidingo zesiguli ngasinye.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha. Ukwelashwa ngemisebe ye-beam yangaphandle kuvame ukusetshenziswa, ukuletha imisebe emshinini ongaphandle komzimba. Kwezinye izimo, i-brachytherapy (ukwelashwa ngemisebe yangaphakathi) ingase ibe inketho.
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza ngaphandle kokulimaza amaseli anempilo. Ukuguqulwa okuthile kofuzo ku umdlavuza we-squamous wamaphaphu ingenza iziguli zifanelekele ukwelashwa okuhlosiwe. Ukusebenza kokwelashwa okuqondisiwe kuncike ekubeni khona kwama-biomarker athile.
I-Immunotherapy isiza amasosha omzimba ukulwa nomdlavuza. I-Checkpoint inhibitors wuhlobo lwe-immunotherapy oluvimba amaprotheni avimbela amasosha omzimba ekuhlaseleni amangqamuzana omdlavuza. I-Immunotherapy ibonise imiphumela ethembisayo ekwelapheni umdlavuza we-squamous wamaphaphu, ikakhulukazi ezigabeni ezithuthukile.
Ukukhethela isibhedlela umdlavuza we-squamous wamaphaphu Ukwelashwa kuyisinqumo esibucayi. Cabangela lezi zici:
Bheka izibhedlela ezinama-oncologists anolwazi kanye nodokotela abahlinza isifuba abagxile ekwelashweni komdlavuza wamaphaphu. Cwaninga amanani empumelelo yesibhedlela kanye nemiphumela yesiguli. Hlola odokotela abagunyazwe yibhodi kanye nobuchwepheshe obuphambili.
Uhlelo oluphelele lokwelapha akufanele lufake nje kuphela ubuchwepheshe bezokwelapha kodwa nezinsizakalo zokunakekela ezisekelayo, njengabahlengikazi be-oncology, osonhlalakahle kanye nochwepheshe bokubuyisela esimweni esijwayelekile. Bheka izibhedlela ezihlinzeka ngezindlela eziningi, ezihlanganisa ochwepheshe abahlukahlukene ukuze banikeze ukunakekelwa okuphelele.
Ubuchwepheshe obuseqophelweni eliphezulu budlala indima ebalulekile ekwelashweni okusebenzayo komdlavuza wamaphaphu. Hlola ukuthi isibhedlela siyakwazi yini ukufinyelela kumasu okuthwebula izithombe athuthukile, izinketho zokuhlinza ezingangeneleli kancane, kanye nemishini yesimanje yokwelapha ngemisebe.
Ukubuyekezwa okuku-inthanethi nezilinganiso zesibhedlela zinganikeza imininingwane ebalulekile kulokho okwenziwa yisiguli. Amawebhusayithi afana ne-Healthgrades kanye neCenters for Medicare & Medicaid Services (CMS) anikeza izilinganiso zesibhedlela kanye nezikolo zokwaneliseka kwesiguli.
Ukuthola ulwazi oluthembekile nokusekelwa kubalulekile ngalesi sikhathi esiyinselele. Cabangela lezi zinsiza:
Khumbula, ukutholwa kusenesikhathi kanye nokwelashwa ngokushesha kubalulekile ukuze kuthuthukiswe imiphumela umdlavuza we-squamous wamaphaphu. Ungangabazi ukufuna usizo nokusekelwa eqenjini lakho lezempilo kanye nezinhlangano ezisekelayo.
Okuthuthukisiwe nokuphelele ukwelashwa komdlavuza we-squamous wamaphaphu, cabangela I-Shandong Baofa Cancer Research Institute, isikhungo esihamba phambili esizinikele ekuhlinzekeni ukunakekelwa okukhethekile kanye nezinketho zokwelapha ezisezingeni eliphezulu.
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