isigaba 3 sokwelashwa komdlavuza wamaphaphu

Isigaba 3 Ukwelashwa Komdlavuza Wamaphaphu: Umhlahlandlela OpheleleUkuqonda kanye Nezinketho Zokuzulazula Zokwelashwa Kwesigaba 3 Somdlavuza WamaphaphuLe ndatshana inikeza umbono obanzi we isigaba 3 sokwelashwa komdlavuza wamaphaphu izinketho, echaza izindlela ezehlukene, ukusebenza kahle kwazo, imiphumela engemihle engaba khona, kanye nokucatshangelwa kweziguli. Sizohlola izigaba ezahlukene zokwelapha, okuhlanganisa ukuhlinzwa, ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelapha okuhlosiwe, kanye nokwelashwa kwamasosha omzimba, futhi sixoxe ngokuthi lezi zindlela zokwelapha zivame ukusetshenziswa kanjani zihlangene. Lo mhlahlandlela uhlose ukunika amandla abantu ababhekene nalokhu kuxilongwa ngolwazi oludingekayo ukuze benze izinqumo ezinolwazi ngokubambisana nethimba labo lezempilo. Khumbula, lolu lwazi ngelezinjongo zokufundisa futhi akufanele luthathe indawo yeseluleko sezokwelapha esichwepheshile. Hlala uthintana nodokotela wakho we-oncologist ukuze uthole izincomo eziqondene nawe.

Ukuqonda Isigaba 3 Umdlavuza Wamaphaphu

Isiteji kanye Nokwehlukanisa

Isigaba 3 somdlavuza wamaphaphu yisigaba esibanzi esihlanganisa izigaba IIIA kanye ne-IIIB, okubonisa izinga lomdlavuza. Isigaba IIIA sibandakanya umdlavuza osusabalele kuma-lymph nodes aseduze, kuyilapho iSigaba IIIB sibonisa ukusabalala okuthuthuke kakhulu. Uhlelo oluthile lokwelapha luncike kakhulu esimeni esiqondile kanye nesimo sempilo yesiguli ngasinye. Isiteji esinembayo sibalulekile ekunqumeni isu lokwelapha elisebenza kahle kakhulu. Udokotela wakho uzosebenzisa izindlela ezihlukahlukene zokuthwebula izithombe, njenge-CT scan kanye ne-PET scans, kanye nama-biopsies, ukuze athole isigaba esinembile nezici zomdlavuza wakho. Lokhu kuhlola okuningiliziwe kubalulekile ekuhlanganiseni okungcono kakhulu isigaba 3 sokwelashwa komdlavuza wamaphaphu sondela kuwe.

Izinhlobo Zomdlavuza Wamaphaphu

Umdlavuza wamaphaphu awusona isifo esisodwa; ihlanganisa izinhlobo eziningana, okuhlanganisa nomdlavuza wamaphaphu ongewona omncane (NSCLC) kanye nomdlavuza omncane wamaphaphu wamangqamuzana (SCLC). Uhlobo lomdlavuza wamaphaphu luba nomthelela omkhulu ezinqumweni zokwelashwa. I-NSCLC ilandisa ngeningi lamacala omdlavuza wamaphaphu futhi ngokuvamile isabela ngendlela ehlukile ekwelashweni kune-SCLC. Ukwazi uhlobo oluthile lomdlavuza wakho wamaphaphu kubalulekile ekunqumeni okungcono kakhulu isigaba 3 sokwelashwa komdlavuza wamaphaphu uhlelo.

Izinketho Zokwelapha ZeSigaba 3 Somdlavuza Wamaphaphu

Ukuhlinzwa

Ukususwa ngokuhlinzwa kwesimila, okungase kuhlanganise ingxenye yamaphaphu noma i-lymph nodes, kungase kube inketho kwezinye iziguli isigaba 3 somdlavuza wamaphaphu, ikakhulukazi labo abasezigabeni zangaphambili zeSigaba IIIA. Ukuba nokwenzeka kokuhlinzwa kuncike ezicini ezihlukahlukene, okuhlanganisa indawo nobukhulu besimila, impilo yesiguli iyonke, nezinga lokubandakanyeka kwe-lymph node. I-oncologist yakho ehlinzayo izohlola ukufaneleka kwakho ukuhlinza futhi ixoxe ngezingozi ezingase zibe khona kanye nezinzuzo.

I-Chemotherapy

I-Chemotherapy, kusetshenziswa izidakamizwa ukucekela phansi amangqamuzana omdlavuza, isetshenziswa kaningi isigaba 3 sokwelashwa komdlavuza wamaphaphu, ngaphambi (kwe-neoadjuvant) noma ngemva kokuhlinzwa (i-adjuvant), noma njengokwelashwa okuyinhloko uma ukuhlinzwa kungeyona inketho. Kunezinhlobo eziningi zemithi yokwelapha ngamakhemikhali, futhi ukukhetha okuqondile kuzoncika ezintweni ezifana nohlobo lomdlavuza wamaphaphu, isigaba sesifo, kanye nempilo yesiguli iyonke. Imiphumela engemihle engaba khona ye-chemotherapy ingaba ephawulekayo futhi ihluke kakhulu phakathi kweziguli.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa yodwa noma ihlanganiswe nezinye izindlela zokwelapha isigaba 3 somdlavuza wamaphaphu. Ukwelashwa ngemisebe ye-beam yangaphandle kuvame ukusetshenziswa, kuqondise imishayo yemisebe evela ngaphandle komzimba ukuze iqondise isimila. Kwezinye izimo, i-brachytherapy, ehilela ukubekwa kwezinto ezikhipha imisebe ngokuqondile ngaphakathi noma eduze kwesimila, ingase icatshangelwe.

Ukwelapha Okuhlosiwe

Izindlela zokwelapha ezihlosiwe zigxila kuma-molecule athile ngaphakathi kwamaseli omdlavuza akhuthaza ukukhula nokuphila kwawo. Lezi zindlela zokwelapha zisebenza kahle kakhulu ekuguqulweni kofuzo okuthile okutholakala kweminye imidlavuza yamaphaphu. Uma ukuhlolwa kofuzo kuveza ukuguqulwa okuthile, izindlela zokwelapha ezihlosiwe zingasebenza ngempumelelo ekwelapheni isigaba 3 somdlavuza wamaphaphu.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe nomdlavuza. Lezi zindlela zokwelapha zingasebenza kahle kakhulu, ikakhulukazi ezinhlotsheni ezithile zomdlavuza wamaphaphu, futhi zivame ukusetshenziswa ngokuhlanganiswa nezinye izindlela zokwelapha. Imiphumela emibi ye-Immunotherapy ingenzeka kodwa ngokuvamile iyalawuleka.

Ukwenza Izinqumo Ezinolwazi

Ukuzulazula isigaba 3 sokwelashwa komdlavuza wamaphaphu kudinga ubudlelwano obuqinile phakathi kwesiguli nethimba laso lokunakekelwa kwezempilo. Ukuxhumana okuvulekile ne-oncologist yakho kubalulekile. Ungangabazi ukubuza imibuzo futhi uveze okukukhathazayo. Ukuqonda uhlelo lokwelapha, imiphumela engemihle engaba khona, kanye nemiphumela yesikhathi eside kubalulekile ekwenzeni izinqumo ezinolwazi ezihambisana nezidingo zakho kanye nezinto ozikhethayo. I I-Shandong Baofa Cancer Research Institute inikeza izinketho zokwelashwa ezithuthukisiwe kanye nendawo esekela iziguli ezibhekene nale nselele.

Ukwelashwa Kwemiphumela Emibi Nokuphathwa

Ukwelashwa kwe isigaba 3 somdlavuza wamaphaphu ngokuvamile kuhilela imiphumela emibi ephawulekayo. Lokhu kungabandakanya ukukhathala, isicanucanu, ukuqothuka kwezinwele, ukushintsha kwesifiso sokudla, nokunye. Ukuphatha le miphumela engemihle kuyingxenye ebalulekile yenqubo yokwelapha. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukunciphisa le miphumela emibi futhi lithuthukise izinga lakho lempilo phakathi nokwelashwa. Ukuxhumana okuvulekile kuyisihluthulelo sokuhlonza kanye nokuxazulula izinkinga ezingase zibe khona ngokushesha. Khumbula, amaqembu okusekela kanye nezinsiza ziyatholakala ukuze zikusize ubhekane nezinselele zokwelashwa komdlavuza.

I-Prognosis kanye ne-Outlook Yesikhathi Eside

I-prognosis ye isigaba 3 somdlavuza wamaphaphu kuyahlukahluka kuye ngezici ezihlukahlukene, okuhlanganisa isigaba esithile, uhlobo lomdlavuza wamaphaphu, impilo yesiguli iyonke, kanye nokusabela ekwelashweni. Intuthuko yokwelashwa iye yaba ngcono kakhulu imiphumela eminyakeni yamuva. Nakuba umbono womuntu ngamunye uhlukile, kugxilwe ekwandiseni amazinga okusinda kanye nezinga lempilo. Ukunakekelwa kokulandelela okuvamile kubalulekile ekuqapheni nasekuphatheni isikhathi eside.

Qaphela: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.