
Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile mayelana isigaba 1 sokwelashwa komdlavuza wamaphaphu ongakhetha kukho, ukukusiza ukuthi uqonde ukukhetha okukhona futhi wenze izinqumo ezinolwazi. Sizofaka izindlela zokwelashwa ezihlukene, izici ezithonya ukukhethwa kokwelashwa, nezinsiza zokukusekela kulo lonke uhambo lwakho. Ukuthola ukwelashwa okufanele isigaba 1 umdlavuza wamaphaphu eduze kwami kudinga ukucatshangelwa ngokucophelela nokusebenzisana nethimba lezokwelapha elinamakhono.
Isigaba 1Umdlavuza wamaphaphu ukhombisa isimila esincane (esingaphansi kwamasentimitha angu-2) esingakasabaleli kuma-lymph nodes aseduze noma kwezinye izingxenye zomzimba. Ukusheshe kutholakale kubalulekile ekwelapheni okuyimpumelelo. Ukuxilongwa kusenesikhathi kwe isigaba 1 umdlavuza wamaphaphu kuthuthukisa kakhulu amathuba okwelashwa okuphumelelayo nokuphila isikhathi eside.
Ukuxilongwa ngokuvamile kuhilela inhlanganisela yokuhlolwa kwesithombe (njenge-CT scan nama-X-ray), i-bronchoscopy, ne-biopsy. Isiteji esinembile sibalulekile ukuze uthole inkambo engcono kakhulu yokwenza kwakho isigaba 1 sokwelashwa komdlavuza wamaphaphu. Xhumana nodokotela wakho ukuze uthole ukuhlolwa okuphelele futhi uthole izinqubo zokuxilonga ezifanele kakhulu ezimweni zakho ezithile.
Ukuhlinzwa, ngokuvamile i-lobectomy (ukususwa kwe-lung lobe) noma ukukhipha inkaba (ukususwa kwengxenye encane yezicubu zamaphaphu), kuvame ukuyindlela yokwelapha eyinhloko. isigaba 1 umdlavuza wamaphaphu. Izindlela zokuhlinza ezihlasela kancane, njengokuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS), kuvame ukuncanyelwa izimila ezincane ukuze kuncishiswe isibazi nesikhathi sokululama. Izinga lokuphumelela lokususwa kokuhlinzwa kwe isigaba 1 umdlavuza wamaphaphu iphakeme impela, okwenza kube inketho yokwelapha ehamba phambili.
Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingase isetshenziswe iyodwa noma ihlanganiswe nokuhlinzwa, ikakhulukazi uma isimila siseduze nezakhiwo ezibucayi okwenza kube inselele ukususwa okuphelele kokuhlinzwa. I-Stereotactic body radiotherapy (SBRT) iwuhlobo olunembe kakhulu lokwelapha ngemisebe oluletha imithamo ephezulu yemisebe endaweni encane, enciphisa umonakalo ezicutshini ezinempilo ezizungezile. Kwezinye iziguli, ukwelapha ngemisebe kungase kusetshenziswe njengokwelashwa kwe-adjuvant ngemva kokuhlinzwa ukuze kuncishiswe ingozi yokuphinda kwenzeke.
I-Chemotherapy ngokuvamile ihilela ukusebenzisa imithi ukubulala amangqamuzana omdlavuza. Ngoba isigaba 1 umdlavuza wamaphaphu, akuvamile njengokwelashwa okuyinhloko kodwa kungase kucatshangelwe ezimweni ezithile, njengokwelashwa kwe-adjuvant ngemva kokuhlinzwa ukuze kuncishiswe ingozi yokuphinda, noma uma ukuhlinzwa kungeyona inketho. Isinqumo sokusebenzisa i-chemotherapy sizoncika kakhulu ezintweni zesiguli ngasinye kanye nezici zesimila. Hlala uthintana nodokotela wakho we-oncologist ukuze uqonde ukuthi lokhu kuyindlela efanelekile kuwe.
Uhlelo lokwelapha olungcono kakhulu luncike ezicini ezihlukahlukene, okuhlanganisa ubukhulu nendawo yesimila, impilo yakho iyonke, kanye nezinto ozikhethayo. I-oncologist yakho izoxoxa ngazo zonke izinketho futhi ikusize ukhethe indlela efaneleka kakhulu yesimo sakho esithile. Indlela yethimba lezinhlaka eziningi, ebandakanya odokotela abahlinzayo, odokotela be-oncologists, nabanye ochwepheshe, iqinisekisa uhlelo oluphelele nolomuntu siqu isigaba 1 sokwelashwa komdlavuza wamaphaphu.
Ukuthola i-oncologist eqeqeshiwe futhi enolwazi kubalulekile. Izibhedlela eziningi ezihlonishwayo nezikhungo zomdlavuza zinikeza ukunakekelwa okukhethekile komdlavuza wamaphaphu. Izinjini zokusesha eziku-inthanethi zingakusiza ukuthi uthole ochwepheshe endaweni yangakini. Ngokwesibonelo, ungasesha isigaba 1 ukwelapha umdlavuza wamaphaphu eduze kwami noma ongoti bomdlavuza wamaphaphu eduze kwami. Cabangela ukucwaninga ngemininingwane nolwazi lwalabo abangase babe ochwepheshe ngaphambi kokwenza i-aphoyintimenti. Kungumqondo omuhle futhi ukucela ukudluliselwa kudokotela wakho wokunakekela okuyinhloko noma abanye ochwepheshe bezempilo abathembekile.
Izinhlangano eziningi zinikeza izinsiza ezibalulekile kanye nokusekelwa kwabantu ababhekene nokuxilongwa komdlavuza wamaphaphu. Lezi zinsiza zinganikeza ulwazi, ukusekelwa ngokomzwelo, nosizo lokuzulazula ohlelweni lokunakekelwa kwezempilo. I-American Lung Association kanye neNational Cancer Institute ziyimithombo emihle kakhulu yolwazi ngomdlavuza wamaphaphu. Ukwengeza, amaqembu asekela isiguli kanye nemiphakathi eku-inthanethi inganikeza ukwesekwa okubalulekile ngokomzwelo kanye nezeluleko ezisebenzayo ezivela kulabo abanokuhlangenwe nakho okwabiwe.
Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma uchwepheshe wezempilo oqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ukutholwa kusenesikhathi kanye nokwelashwa ngokushesha kubalulekile ekulawuleni ngempumelelo umdlavuza wamaphaphu.
Ukuze uthole ukwelashwa okuthuthukisiwe komdlavuza kanye nocwaningo, cabanga ukuhlola I-Shandong Baofa Cancer Research Institute.
eceleni>