
Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile ekutholeni nasekukhetheni isibhedlela esifanele isigaba 2a ukwelashwa komdlavuza wamaphaphu. Sizofaka izinketho zokwelashwa, izici okufanele zicatshangelwe lapho ukhetha isibhedlela, nezinsiza zokusiza inqubo yakho yokuthatha izinqumo. Ukuqonda izinketho zakho kubalulekile ukuze uthole ukwelashwa okusebenzayo kanye nemiphumela ethuthukisiwe.
Isigaba 2A somdlavuza wamaphaphu sibonisa ukuthi umdlavuza ususabalele kuma-lymph nodes aseduze, kodwa hhayi ezingxenyeni ezikude zomzimba. Ukuxilongwa kusenesikhathi kanye nokwelashwa kubalulekile ukuze kuthuthukiswe amazinga okusinda. Izinketho zokwelapha ngokuvamile zihlanganisa inhlanganisela yezindlela eziklanyelwe izidingo nezimo zesiguli ngasinye. Lokhu kuvame ukuhlanganisa ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, noma ukwelashwa okuhlosiwe. Uhlelo oluthile lokwelapha luzoncika ezintweni ezifana nohlobo nosayizi wesimila, impilo yakho iyonke, kanye nezinto ozikhethayo.
Ukukhetha isibhedlela esifanele isigaba 2a ukwelashwa komdlavuza wamaphaphu kuyisinqumo esibucayi. Kufanele kubhekwe izici ezimbalwa ezibalulekile:
Bheka izibhedlela ezinethimba lama-oncologists abanolwazi nabaqeqesheke kakhulu kanye nodokotela abahlinza isifuba abagxile kumdlavuza wamaphaphu. Ubuchwepheshe babo buqinisekisa ukuthi uthola ukwelashwa okuthuthuke kakhulu futhi okusebenzayo. Cwaninga ngemininingwane yodokotela, isipiliyoni, namazinga empumelelo. Amawebhusayithi amaningi ezibhedlela ahlinzeka ngamaphrofayili abasebenzi bawo bezokwelapha.
Ukufinyelela kubuchwepheshe obusezingeni eliphezulu kubalulekile. Cabangela izibhedlela ezihlome ngobuchwepheshe bezithombe obuthuthukisiwe (njengama-CT scan nama-PET scans), amasu okuhlinza ahlasela kancane (njengokuhlinzwa kwesifuba okusizwa ngevidiyo noma i-VATS), kanye nemishini yesimanje yokwelapha ngemisebe. Lobu buchwepheshe bungathuthukisa imiphumela yokwelashwa futhi bunciphise imiphumela engemihle.
Ngaphandle kobuchwepheshe bezokwelapha, bheka izibhedlela ezinikeza izinsiza eziphelele zokweseka. Lokhu kuhlanganisa ukufinyelela kubahlengikazi be-oncology, osonhlalakahle, amaqembu asekelayo, nezinhlelo zokuhlunyeleliswa kwezimilo. Lawa masevisi adlala indima ebalulekile enhlalakahleni yakho yonke kulo lonke uhambo lwakho lokwelashwa.
Hlola ukuthi isibhedlela sigunyaziwe yini izinhlangano ezinedumela elihle, okubonisa ukunamathela ezindinganisweni eziphakeme zokunakekela. Bheka idatha ngemiphumela yesiguli namazinga okusinda, anganikeza imininingwane ebalulekile ekusebenzeni kwesibhedlela. Nakuba imiphumela ngayinye ihluka, lawa mamethrikhi anikeza umbono obanzi.
Ukwelashwa kwe isigaba 2 umdlavuza wamaphaphu ngokuvamile kuhilela inhlanganisela yezindlela. Okuvame kakhulu kufaka phakathi:
Ukuhlinzwa, ngokuvamile okuhlanganisa i-lobectomy (ukususwa kwe-lobe yamaphaphu) noma ukususwa kwe-wedge (ukususwa kwengxenye yamaphaphu), kuyindlela yokwelapha eyinhloko yeziguli eziningi zomdlavuza wamaphaphu weSigaba 2A. Inqubo ethile incike endaweni kanye nobukhulu bethumba.
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuqedwe noma yimaphi amangqamuzana omdlavuza asele, noma njengokwelashwa okuyinhloko uma ukuhlinzwa kungeyona inketho.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha.
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza ngaphandle kokulimaza amaseli anempilo. Le nketho yokwelashwa iya ngokuya idlanga futhi ingasetshenziswa ngokuhambisana nezinye izindlela zokwelapha.
Ukuthola izibhedlela ezihlinzekayo isigaba 2a ukwelashwa komdlavuza wamaphaphu eduze nawe, ungasebenzisa izinjini zokusesha eziku-inthanethi noma uthintane nodokotela wakho wokunakekela oyinhloko. Amawebhusayithi amaningi ezibhedlela anikeza imininingwane enemininingwane ngezinsizakalo zabo ze-oncology kanye nodokotela abahilelekile. Khumbula ukucwaninga ngokucophelela isibhedlela ngasinye ngaphambi kokwenza isinqumo.
Ukuze uthole ulwazi olwengeziwe kanye nezinsiza ngomdlavuza wamaphaphu, sicela uvakashele iwebhusayithi ye-National Cancer Institute.I-National Cancer Institute
| Inketho Yokwelapha | Incazelo |
|---|---|
| Ukuhlinzwa | Ukususwa ngokuhlinzwa kwesimila kanye nezicubu ezingase zisizungezile. |
| I-Chemotherapy | Ukusetshenziswa kwezidakamizwa ukubulala amangqamuzana omdlavuza. |
| Ukwelapha Ngemisebe | Imisebe yamandla aphezulu ukukhomba nokubhubhisa amaseli omdlavuza. |
Khumbula, lolu lwazi ololwazi olujwayelekile futhi akufanele luthathe indawo yeseluleko sezokwelapha esichwepheshile. Hlala uthintana nodokotela wakho noma uchwepheshe wezempilo oqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ukutholwa kusenesikhathi kanye nokwelashwa ngokushesha kuthuthukisa kakhulu ukubikezelwa komdlavuza wamaphaphu.
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