isigaba 1 sokwelashwa komdlavuza wamaphaphu

Isigaba 1A somdlavuza wamaphaphu yisigaba sokuqala sesifo futhi sinikeza ithuba elingcono kakhulu lokwelapha. Izinketho zokwelapha ngokuvamile zihlanganisa ukuhlinzwa ukuze kukhishwe isimila, futhi kwezinye izimo, ukwelashwa ngemisebe. Lo mhlahlandlela unikeza umbono jikelele we isigaba 1 sokwelashwa komdlavuza wamaphaphu izinketho, izici ezinomthelela ezinqumweni zokwelashwa, nokuthi yini ongayilindela ngesikhathi nangemva kokwelashwa.Ukuqonda Isigaba 1A Umdlavuza WamaphaphuIsigaba 1 somdlavuza wamaphaphu kusho ukuthi umdlavuza utholakala endaweni yamaphaphu futhi awukasabaleli kuma-lymph nodes noma kwezinye izingxenye zomzimba. Ikakhulukazi, isho isimila esingamasentimitha angu-3 (cishe amayintshi angu-1.2) noma esincane. Ukuhlonzwa kusenesikhathi kubalulekile, njengoba ukwelashwa kulesi sigaba kuvame ukusebenza ngempumelelo kakhulu.Ukuxilongwa kanye NesitejiIsigaba esinembayo sibalulekile ekunqumeni okungcono kakhulu. isigaba 1 sokwelashwa komdlavuza wamaphaphu sondela. Izinqubo zokuxilonga ngokuvamile zihlanganisa: Ukuhlolwa Kwezithombe: Ama-X-ray esifuba, ama-CT scan, ama-PET scan, nama-MRI scan asiza ukubona isimila ngeso lengqondo futhi akhombe noma yikuphi ukusabalala okungenzeka. I-Biopsy: Isampula yezicubu zamaphaphu iyathathwa futhi ihlolwe ngaphansi kwesibonakhulu ukuze kuqinisekiswe ukuba khona kwamangqamuzana omdlavuza. Lokhu kungenziwa nge-bronchoscopy, i-need biopsy, noma i-biopsy yokuhlinzwa. I-Mediastinoscopy noma i-EBUS: Izinqubo zokuhlola ama-lymph nodes esifubeni ukuhlola ukusabalala komdlavuza.Izinketho Zokwelashwa Zesigaba 1A Umdlavuza WamaphaphuInketho yokuqala yokwelashwa isigaba 1 umdlavuza wamaphaphu ukuhlinzwa. Okunye okukhethwa kukho kungase kucatshangelwe ngokusekelwe ezicini ngazinye ezifana nempilo yonke yesiguli kanye nokusebenza kwamaphaphu.Ukuhlinzwa Ukususwa ngokuhlinzwa kwesimila kunikeza ithuba elingcono kakhulu lokwelapha. Izinqubo zokuhlinzwa ezivamile zihlanganisa: Ukususwa Kwe-Wedge: Ukususwa kwesiqephu sethishu yamaphaphu esincane esimise okomphetho esiqukethe isimila. I-Segmentectomy: Ukususwa kwengxenye enkulu yephaphu kunokukhishwa koweji. I-Lobectomy: Ukususwa kwe-lobe yonke yephaphu. Ngokuvamile lena indlela ekhethwayo isigaba 1 umdlavuza wamaphaphu lapho umsebenzi wamaphaphu uvumela. Ukususwa Kwemikhono: Ukususwa kwengxenye yomzila womoya kanye nesimila bese kuxhunywa kabusha umzila womoya. I-Pneumonectomy: Ukususwa kwephaphu lonke. Lokhu akuvamile ukuba kudingeke esiteji 1A.Izindlela zokuhlinza ezihlasela kancane, njengokuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS) kanye nokuhlinzwa okusizwa ngamarobhothi, kuvame ukusetshenziselwa isigaba 1 umdlavuza wamaphaphu. Lezi zindlela zokwelapha zibandakanya ukusika okuncane, ubuhlungu obuncane, kanye nezikhathi zokululama ngokushesha.Ukwelashwa ngemisebeUkwelashwa ngeRadiation kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa ezimeni ezilandelayo: I-Stereotactic Body Radiation Therapy (SBRT): Indlela enembe kakhulu yokwelapha ngemisebe eletha imithamo ephezulu yemisebe esimila kuyilapho kunciphisa umonakalo esicutshini esinempilo ezungezile. Ivame ukusetshenziselwa iziguli ezingezona izikhandidethi ezinhle zokuhlinzwa. I-Adjuvant Radiation Therapy: Inikezwa ngemva kokuhlinzwa ukubulala amangqamuzana omdlavuza asele. Ayivamisile ukusetshenziselwa isigaba 1A. Okunye Ukucatshangelwa Kokwelashwa Ukwelashwa okuhlosiwe kanye ne-Immunotherapy: Ngokuvamile ayisetshenziselwa iSigaba 1A ngaphandle uma umdlavuza uphinda uvela noma isiguli senqaba ezinye izindlela zokwelapha. Lezi zindlela zokwelapha zingasetshenziswa uma isimila sihlolwa futhi kutholakala ukuthi sinokuguquguquka okuthile, okuvame kakhulu emazingeni omdlavuza. Izilingo Zomtholampilo: Ukubamba iqhaza ezivivinyweni zokwelashwa kungase kunikeze ukufinyelela ekwelashweni okusha nokusha.Izinto Ezithonya Izinqumo ZokwelashwaKucatshangelwa izinto ezimbalwa lapho kunqunywa okungcono kakhulu. isigaba 1 sokwelashwa komdlavuza wamaphaphu uhlelo: Usayizi we-Tumor kanye nendawo: Ubukhulu nendawo yesimila kuthonya ukukhethwa kwenqubo yokuhlinzwa noma ukuba nokwenzeka kwe-SBRT. Sekukonke Impilo: Impilo yesiguli iyonke, okuhlanganisa ukusebenza kwamaphaphu, ukusebenza kwenhliziyo, nezinye izimo zezokwelapha, ihlolwa ngokucophelela ukuze kutholwe ukufaneleka kwazo ukuhlinzwa noma ezinye izindlela zokwelapha. Okuthandwayo Kwesiguli: Okuthandwa yisiguli kanye nezindinganiso kuyingxenye ebalulekile yenqubo yokwenza izinqumo.Okufanele Ukulindele Phakathi Nangemuva KokwelashwaUkuhlangenwe nakho phakathi nangemuva kokwelashwa kuyehluka kuye ngendlela yokwelashwa ekhethiwe.UkuhlinzwaNgemva kokuhlinzwa, iziguli ngokuvamile zichitha izinsuku ezimbalwa esibhedlela. Ukuphathwa kwezinhlungu kuyingxenye ebalulekile yokunakekelwa kwangemva kokuhlinzwa. Ukuvuselelwa kwamaphaphu kungase kunconywe ukuze kuthuthukiswe ukusebenza kwamaphaphu. Izinkinga ezingaba khona zihlanganisa ukutheleleka, ukopha, kanye nokuvuza komoya. Ukwelashwa NgeRadiationRadiation kuvamile ukulethwa ngezingxenyana zansuku zonke emasontweni ambalwa. Imiphumela engemihle ingase ihlanganise ukukhathala, ukucasuka kwesikhumba, nobunzima bokugwinya. Le miphumela engemihle ivamise ukuba eyesikhashana futhi iyalawuleka.Ukunakekelwa KokulandelelaUkuqashwa njalo kokulandelela kubalulekile ngemva kwalokho. isigaba 1 sokwelashwa komdlavuza wamaphaphu ukuqapha ukuvela futhi nokuphatha noma yimiphi imiphumela emibi yesikhathi eside. Ukulandelela ngokuvamile kuhlanganisa: Izivivinyo Zomzimba: Ukuhlolwa njalo nodokotela wakho. Ukuhlolwa Kwezithombe: Ama-X-ray esifuba ngezikhathi ezithile noma ama-CT scan. Ukuhlolwa Komsebenzi Wamaphaphu: Ukuhlola ukusebenza kwamaphaphu.I-prognosis yeSigaba 1A Umdlavuza WamaphaphuThe prognosis for isigaba 1 umdlavuza wamaphaphu inhle kakhulu. Izinga lokusinda leminyaka emi-5 liphezulu, ngokuvamile lidlula ama-80% ngemva kokuhlinzwa. Kodwa-ke, kubalulekile ukukhumbula ukuthi amazinga okusinda angama-avareji futhi imiphumela ngayinye ingahluka. Iqhaza Le-Shandong Baofa Cancer Research Institute. I-Shandong Baofa Cancer Research Institute, sizinikele ekuhlinzekeni ukunakekelwa okuthuthukisiwe komdlavuza kanye nocwaningo. Ithimba lethu lezinhlaka eziningi lihlinzeka ngezinsiza ezibanzi zokuxilonga nezokwelashwa isigaba 1 umdlavuza wamaphaphu kanye neminye imidlavuza. Sizibophezele ekunikezeni iziguli ukunakekelwa komuntu siqu kanye nentuthuko yakamuva ekwelapheni umdlavuza.Izinguquko Zendlela Yokuphila Nokuvimbela Nakuba ukwelashwa kubalulekile, ukwamukela indlela yokuphila enempilo kungasekela ukululama futhi kunciphise ingozi yokuphinda uvele: Yeka Ukubhema: Ukubhema kuyimbangela ehamba phambili yomdlavuza wamaphaphu. Ukuyeka ukubhema kuyisinyathelo esibaluleke kakhulu ongasithatha ukuze uthuthukise impilo yakho. Ukudla Okunempilo: Yidla ukudla okunomsoco okunothe ngezithelo, imifino, nokusanhlamvu. Ukuzivocavoca Okuvamile: Zibandakanye ekuzilolongeni okujwayelekile ukuze uthuthukise impilo yakho yonke kanye nempilo enhle. Gwema Ukuchayeka Kuma-Carcinogens: Nciphisa ukuchayeka kuma-carcinogens aziwayo, njenge-radon ne-asbestos.Imibuzo Okufanele Uyibuze Udokotela WakhoUma kutholwe ukuthi unesifo isigaba 1 umdlavuza wamaphaphu, kubalulekile ukubuza udokotela wakho imibuzo mayelana nezinketho zakho zokwelapha, ukubikezela, kanye nemiphumela engemihle engaba khona. Nansi eminye imibuzo ongase uthande ukuyicabangela: Yiziphi izindlela zokwelashwa ezingcono kakhulu zecala lami elithile? Yiziphi izingozi nezinzuzo zenketho ngayinye yokwelashwa? Uyini umphumela olindelekile wokwelashwa? Yimiphi imiphumela emibi engase ibe khona yokwelashwa? Hlobo luni lokulandelela engizoludinga?IsiphethoIsigaba 1 somdlavuza wamaphaphu yisifo eselapheka kakhulu. Ngokutholwa kusenesikhathi nokwelashwa okufanele, iziguli zingathola imiphumela emihle kakhulu. Kubalulekile ukusebenzisana eduze nethimba lakho lokunakekelwa kwezempilo ukuze wenze uhlelo lokwelapha lomuntu siqu oluhlangabezana nezidingo zakho kanye nezinto ozikhethayo. Khumbula ukugcina impilo enempilo, ukuya esikhathini sokulandelela njalo, futhi ufune ukusekelwa emndenini, abangani, namaqembu okusekela.Isiteji Somdlavuza Wamaphaphu at a Glance Stage Tumor Size Lymph Node Involvement Metastasis Stage 1A ≤ 3 cm None None Isiteji 1B 3-4 cm Asikho Asikho Isiteji 2A 4-5 cm N1 noma Asikho 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.Idatha kanye nezibalo kungenzeka ukuthi kubhekiselwe ku-National Cancer Institute (www.cancer.govkanye ne-American Cancer Society (www.cancer.org). Sicela ubheke lawa mawebhusayithi ukuze uthole ulwazi lwakamuva kakhulu.