
Lo mhlahlandlela ophelele uyahlola ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela, echaza izigaba zokuxilongwa, izindlela zokwelapha ezitholakalayo, nezici okufanele zicatshangelwe lapho kukhethwa isibhedlela esisebenza ngokukhethekile kulesi sifo esiyinkimbinkimbi. Sizocubungula intuthuko yakamuva nezindlela zokuqinisekisa ukuthi unolwazi oludingekayo ukuze wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho. Lo mhlahlandlela ugxile ekunikezeni ukucaca nokuqonda ukuze uzulazule kulolu hambo oluyinselele.
Ukuchayeka ku-asbestos kwandisa kakhulu ingozi yokuba nezinhlobo eziningana zomdlavuza wamaphaphu, okuhlanganisa i-mesothelioma (umdlavuza ongavamile nonolaka othinta ulwelwesi lwamaphaphu nesisu), i- lung adenocarcinoma, kanye ne-squamous cell carcinoma. Uhlobo lomdlavuza olwenziwayo luncike ezicini eziningana, okuhlanganisa uhlobo lwemicu ye-asbestos ehogeliwe, ubude besikhathi kanye namandla okuchayeka, kanye nokuthambekela kofuzo ngakunye. Ukuxilongwa kusenesikhathi kubalulekile ukuze kuphumelele ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela.
Ukuhlonza umdlavuza wamaphaphu ohlobene ne-asbestos ngokuvamile kuhilela inhlanganisela yokubuyekezwa komlando wezokwelapha (okuhlanganisa nomlando wokuchayeka kwe-asbestos), ukuhlolwa ngokomzimba, ukuhlolwa kwesithombe (i-X-ray yesifuba, ama-CT scan), kanye ne-biopsy. Isiteji sinquma izinga lokusabalala komdlavuza, eziqondisa izinqumo zokwelashwa. Isiteji esinembayo sibalulekile ekunqumeni inkambo engcono kakhulu yokwenza nokubikezela isibikezelo ngaphakathi komongo we ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela.
Izinketho zokuhlinzwa zingabandakanya ukukhipha ingxenye noma wonke amaphaphu athintekile (lobectomy, pneumonectomy) noma izinqubo ezingavamisile kakhulu kuye ngesiteji nendawo yomdlavuza. Ukungenelela ngokuhlinzwa kuvame ukuba yingxenye yohlelo lokwelapha olubanzi.
I-Chemotherapy isebenzisa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza. Ingase isetshenziswe ngaphambi kokuhlinzwa ukuze kunciphe izimila (i-neoadjuvant chemotherapy), ngemva kokuhlinzwa ukuze kuqedwe amangqamuzana omdlavuza asele (i-adjuvant chemotherapy), noma njengokwelashwa okuyinhloko komdlavuza osesiteji esithuthukile.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha ukulawula ukukhula kwesimila kanye nokunciphisa izimpawu. Ukusetshenziswa kokwelashwa ngemisebe kuvame ukulungiselelwa nezimo ezithile kanye nezidingo zesiguli ngendlela enedumela elihle ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela.
Imithi yokwelapha ehlosiwe igxila kuma-molecule athile aqhuba ukukhula komdlavuza, enciphisa ukulimala kwamaseli anempilo. Le ndlela ivame ukusetshenziselwa izinhlobo ezithile zomdlavuza wamaphaphu nasezigabeni zakamuva zesifo. Intuthuko ekwelashweni okuhlosiwe imelela inqubekelaphambili ebalulekile ekulweni nomdlavuza ohlukahlukene kuhlanganise nalawo ahlobene ne-asbestos.
I-Immunotherapy ihlanganisa amasosha omzimba ukulwa nomdlavuza. Le ndlela ebaluleke kakhulu isetshenziselwa ukusiza umzimba ukubona futhi uqede amangqamuzana omdlavuza, ikakhulukazi ezinhlotsheni eziningana zomdlavuza wamaphaphu futhi ngokuvamile ingxenye yomdlavuza wamaphaphu. ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela amasu okwelapha.
Ukukhethela isibhedlela ukwelashwa kwe-asbestos ukwelashwa komdlavuza wamaphaphu Izibhedlela kudinga ukucatshangelwa ngokucophelela. Bheka izibhedlela ezine:
Cwaninga izibhedlela ngokucophelela, ucabangela ukubuyekezwa kwesiguli kanye nedumela eliphelele. Ukukhuluma nezinye iziguli noma imindeni yazo ngokuvamile kunganikeza imininingwane ebalulekile. Isibhedlela esifanele sizodlala indima ebalulekile ohambweni lwakho lokwelashwa kanye nempilo yonke.
Ukuze uthole ulwazi olwengeziwe nokwesekwa, cabangela lezi zinsiza:
Khumbula, ukutholwa kusenesikhathi kanye nokuhlelwa kokwelashwa okuphelele kubalulekile ukuze kuthuthukiswe imiphumela lapho ubhekana nomdlavuza wamaphaphu ohlobene ne-asbestos. Lo mhlahlandlela ngowezinjongo zokwaziswa kuphela futhi akufanele uthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma omunye uchwepheshe wezempilo ukuze uxilongwe futhi welashwe.
Ukuze uthole ukunakekelwa okuphelele kanye nokwelashwa okuthuthukile kumdlavuza wamaphaphu, cabanga I-Shandong Baofa Cancer Research Institute. Ubuchwepheshe babo ku-oncology nokuzibophezela ekunakekelweni okugxilwe esigulini kungakunikeza imiphumela engcono kakhulu.
eceleni>