ukwelashwa komdlavuza wamaphaphu eduze kwami

Ukuthola Okulungile Ukwelashwa Komdlavuza We-squamous Lung Eduze Kwami

Lo mhlahlandlela ophelele usiza ukuthi uzulazule ezinkingeni zokuthola okusebenzayo ukwelashwa komdlavuza we-squamous wamaphaphu ongakhetha endaweni yangakini. Sihlola izindlela zokwelashwa ezahlukahlukene, izici okufanele zicatshangelwe lapho ukhetha umhlinzeki, nezinsiza zosekelo nolwazi. Ukuqonda izinketho zakho kanye nokuthola ukunakekelwa okufanele kubalulekile ukuze uzulazule kulolu hambo oluyinselele.

Ukuqonda I-Squamous Cell Lung Cancer

Yini I-Squamous Cell Lung Cancer?

Umdlavuza wamaphaphu we-squamous cell wuhlobo lomdlavuza wamaphaphu ongewona omncane (i-NSCLC) osuka kumaseli e-squamous axhume imigudu yomoya emikhulu yamaphaphu. Ibonakala ngendawo yayo nezici ezithile zamaselula. Ukutholwa kusenesikhathi kuyisihluthulelo sokuthuthukisa imiphumela yokwelashwa. Izimpawu zingahluka, kodwa zingase zihlanganise ukukhwehlela okungapheli, ukukhwehlela igazi, ubuhlungu besifuba, ukushaywa umoya, nokuncipha kwesisindo ngendlela engachazeki. Uma uhlangabezana nanoma iyiphi yalezi zimpawu, kubalulekile ukubonana nodokotela ukuze uthole ukuxilongwa okufanele.

Ukuxilongwa kanye Nezigaba

Ukuxilongwa kuvame ukubandakanya ukuhlolwa kwesithombe njengama-CT scan nama-X-ray, kanye ne-biopsy ukuze kuqinisekiswe ukuba khona kwamangqamuzana omdlavuza nokunquma isigaba sesifo. Isiteji sibalulekile ekunqumeni inkambo engcono kakhulu yokwelashwa. Inqubo yesiteji ibheka ubukhulu nendawo yesimila, ukubandakanyeka kwe-lymph node, nokuba khona kwe-metastasis (ukusabalala komdlavuza kwezinye izingxenye zomzimba).

Izinketho Zokwelapha I-Squamous Cell Lung Cancer

Ukuhlinzwa

Ukususwa ngokuhlinzwa kwesimila kungase kube inketho ezigulini ezinesigaba sokuqala umdlavuza we-squamous wamaphaphu. Uhlobo lokuhlinzwa luncike endaweni kanye nobukhulu besimila. Lokhu kungase kuhlanganise i-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwephaphu lonke), noma ukukhishwa kwe-wedge (ukususwa kwengxenye encane yephaphu). Amazinga okuphumelela okuhlinzwa ayahlukahluka kuye ngezinto ezihlukahlukene, okuhlanganisa isigaba somdlavuza kanye nempilo iyonke.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza futhi kushwabane izimila. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha, njenge-chemotherapy noma ukuhlinzwa. Ukwelashwa ngemisebe yangaphandle kuyindlela evamile, lapho imisebe ihanjiswa emshinini ongaphandle komzimba. Izindlela zokwelapha ezihlosiwe zemisebe, njenge-brachytherapy, nazo zingasetshenziswa kwezinye izimo.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingalawulwa ngomjovo noma ngomlomo. Ukwelapha ngamakhemikhali kungase kusetshenziswe ngaphambi kokuhlinzwa ukuze kuncishiswe isimila (ukwelashwa ngamakhemikhali kwe-neoadjuvant), ngemva kokuhlinzwa ukuze kubulawe noma imaphi amangqamuzana omdlavuza asele (i-adjuvant chemotherapy), noma njengokwelashwa okuyinhloko komdlavuza osesiteji. Umuthi othize we-chemotherapy uzoncika ezintweni zomuntu ngamunye kanye nesigaba sesifo. Imiphumela emibi yokwelashwa ngamakhemikhali ingahluka, futhi udokotela wakho uzoxoxa nawe ngalokhu.

Ukwelapha Okuhlosiwe

Izindlela zokwelapha ezihlosiwe ziyizidakamizwa eziqondise ama-molecule athile abandakanyeka ekukhuleni kwamangqamuzana omdlavuza kanye nokuphila. Lezi zindlela zokwelapha zivame ukusetshenziswa ezigulini ezinezinga eliphezulu umdlavuza we-squamous wamaphaphu, ikakhulukazi uma izimila zabo zinezinguquko ezithile zofuzo. Ukusebenza kwezindlela zokwelapha eziqondisiwe kuncike ebukhoneni bezimpawu ezithile zezinto eziphilayo, njenge-EGFR, ALK, noma izinguquko ze-ROS1.

I-Immunotherapy

I-Immunotherapy ihlanganisa amandla amasosha omzimba ukulwa namaseli omdlavuza. Izidakamizwa ze-Immunotherapy, njenge-checkpoint inhibitors, zisiza amasosha omzimba ukubona futhi ahlasele amangqamuzana omdlavuza. Lokhu kwelashwa kubonise isithembiso ezigulini ezithuthuke kakhulu umdlavuza we-squamous wamaphaphu futhi zivame ukusetshenziswa ngokuhambisana nezinye izindlela zokwelapha.

Ukuthola Uchwepheshe Eduze Kwawe

Ukuthola i-oncologist eqeqeshiwe onguchwepheshe ekwelapheni umdlavuza wamaphaphu kubalulekile. Qala ngokucela udokotela wakho oyinhloko ukuthi akudlulisele noma ucwaninge ochwepheshe endaweni yangakini. Bheka ama-oncologists axhumene nezibhedlela ezinkulu noma izikhungo zomdlavuza, njengoba lezi zikhungo zivame ukuthola ukwelashwa nobuchwepheshe bamuva. Izinsiza eziku-inthanethi nezingosi zokubuyekeza isiguli nazo zingaba usizo.

Cabangela izici ezifana nolwazi lwe-oncologist nge umdlavuza we-squamous wamaphaphu, indlela yabo yokwelapha, kanye nendlela yabo yokuxhumana. Ukukhetha umhlinzeki ozizwa ukhululekile futhi uzethemba kuye kubalulekile. Khumbula, uyingxenye ebalulekile yethimba lakho lezempilo, futhi ukuxhumana okuvulekile nodokotela wakho kubalulekile.

Ukusekela Nezinsiza

Ukubhekana nokuxilongwa komdlavuza kungaba nzima kakhulu. Kubalulekile ukusebenzisa izinsiza ezitholakalayo zokusekela. Izinhlangano eziningi, ezihlanganisa i-American Cancer Society kanye ne-Lung Cancer Alliance, zinikeza ulwazi olubalulekile, amaqembu okusekela, nezinhlelo zokusiza ngezezimali. Lezi zinsiza zingakusiza ukuthi ubhekane nezinselele zokwelashwa ezingokomzwelo, ezingokomzimba, nezezezimali.

Ungangabazi ukuxhumana nethimba lakho lezokunakekelwa kwempilo, amaqembu osekelo, noma obathandayo ukuze uthole usizo. Isistimu yokwesekwa eqinile ingaba nomthelela omkhulu enhlalakahleni yakho iyonke phakathi nokwelashwa nangale kwalokho. I-Shandong Baofa Cancer Research Institute izinikele ekuhlinzekeni ukunakekelwa okuphelele komdlavuza.

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.