Ukwelashwa Komdlavuza Wamaphaphu Onganakekeli: Ukuthola Isibhedlela EsifaneleUmdlavuza wamaphaphu ongasebenzi, owaziwa nangokuthi umdlavuza wamaphaphu okhula kancane, udinga indlela yokwelashwa ecophelelayo neqondene nomuntu uqobo. Lo mhlahlandlela unikeza isifinyezo sezinketho zokwelapha kanye nokucatshangelwa ukukusiza ukuthi uzulazule ohambweni lwakho futhi uthole isibhedlela esingcono kakhulu sezidingo zakho ezithile. Ukukhetha isibhedlela esifanele ukwelapha ukuvilapha komdlavuza wamaphaphu Izibhedlela kubalulekile ukuze kube nemiphumela emihle.
Ukuqonda I-Indolent Lung Cancer
Ukuchaza I-Indolent Lung Cancer
Umdlavuza wamaphaphu ongenzi lutho ubonakala ngezinga lawo lokukhula kancane. Ngokungafani nezinhlobo ezinonya kakhulu zomdlavuza wamaphaphu, ungase ungabangeli izimpawu eziphawulekayo iminyaka eminingi, okuholela ekuxilongweni sekwephuzile. Kodwa-ke, ngisho nomdlavuza okhula kancane ungagcina usabalele futhi udinga ukwelashwa. Ukuxilongwa okunembile kanye nesiteji kubalulekile ekunqumeni isu elifanele lokwelapha. Lokhu kuvame ukubandakanya inhlanganisela yezindlela zokuthwebula izithombe, ama-biopsies, nokunye ukuhlola. Uhlobo oluthile lomdlavuza wamaphaphu ongenzi lutho luzoba nomthelela ezinqumweni zokwelashwa.
Isiteji kanye ne-Prognosis
Isiteji yisinyathelo esibalulekile ekunqumeni izinga lomdlavuza kanye nohlelo olufanele lokwelapha. Isigaba somdlavuza wamaphaphu ongenzi lutho sizoba nomthelela ekubikezelweni nasekukhetheni ukwelashwa. Izici ezinjengobukhulu besimila, ukuba khona kokubandakanyeka kwama-lymph node, kanye nokumetastasis ezithweni ezikude konke kunendima ekukhethweni nasekukhetheni ukwelashwa.
Izinketho Zokwelashwa Kwe-Indolent Lung Cancer
Ukugada Okusebenzayo
Ezigulini ezinomdlavuza wamaphaphu ovilaphayo osaqala kakhulu, ukugadwa okusebenzayo kungase kube inketho. Lokhu kuhilela ukuqapha ngokucophelela umdlavuza ngokuthwebula izithombe njalo nokunye ukuhlola ngaphandle kokungenelela ngokushesha. Le ndlela ifaneleka kulabo abanamathumba amancane angeke abangele izinkinga ezinkulu esikhathini esizayo esiseduze. Ukuhlolwa njalo kubalulekile ukuze kutholwe noma yiziphi izinguquko ezingase zidinge ukwelashwa okwengeziwe.
Ukuhlinzwa
Ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko yomdlavuza wamaphaphu ongenzi lutho. Uhlobo lokuhlinzwa luzoncika endaweni kanye nobukhulu besimila. Ukuhlinzwa kabusha kuhloswe ukususa izicubu ezinomdlavuza. Lokhu kungase kuhlanganise i-lobectomy (ukususwa kwe-lung lobe), ukukhishwa kwe-wedges (ukususwa kwengxenye encane yamaphaphu), noma i-pneumonectomy (ukususwa kwephaphu lonke). Izindlela zokuhlinza ezihlasela kancane zivame ukusetshenziswa ukunciphisa isikhathi sokululama kanye nezinkinga.
Ukwelapha Ngemisebe
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa njengokwelashwa okuyinhloko komdlavuza wamaphaphu ongenzi lutho noma ihlanganiswe nokuhlinzwa. I-Stereotactic body radiation therapy (SBRT) iwuhlobo olunembile lokwelapha ngemisebe oluletha umthamo omkhulu wemisebe esimila kuyilapho kunciphisa umonakalo ezicutshini ezinempilo ezizungezile.
I-Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziselwa ukwelapha umdlavuza wamaphaphu ovilaphayo osusabalele kwezinye izingxenye zomzimba (umdlavuza wamaphaphu we-metastatic). Ukukhethwa kwemithi yokwelapha ngamakhemikhali kuncike ohlotsheni lomdlavuza kanye nempilo yesiguli iyonke.
Ukwelapha Okuhlosiwe
Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza, okushiya amaseli anempilo engenamyocu. Kuya ngokuya kubaluleke kakhulu ekwelapheni umdlavuza wamaphaphu ongenzi lutho, ikakhulukazi uma kukhonjwa ukuguqulwa kofuzo okuthile. Lezi zindlela zokwelapha zingathinta kakhulu inkambo yesifo.
Ukukhetha Isibhedlela Esifanele Ukwelashwa Izibhedlela Zokwelapha Umdlavuza Wamaphaphu
Ukukhetha isibhedlela esifanele sakho
ukwelapha ukuvilapha komdlavuza wamaphaphu Izibhedlela kuyisinqumo esibucayi. Cabangela izici ezilandelayo:
| Isici | Ukucatshangelwa |
| Isipiliyoni kanye Nobungcweti | Bheka izibhedlela ezinethimba elizinikele le-thoracic oncology kanye nolwazi olubalulekile lokwelapha umdlavuza wamaphaphu ongasebenzi. Cwaninga ochwepheshe kanye namazinga abo empumelelo. |
| I-Advanced Technology | Qinisekisa ukuthi isibhedlela sisebenzisa ubuchwepheshe bamuva nje bokuxilonga nokwelashwa, okuhlanganisa ukuthwebula izithombe okuthuthukisiwe, izindlela zokuhlinza ezingangeneleli kancane, kanye nokwelashwa kweradiation yesimanjemanje. |
| Ukunakekela Okuphelele | Khetha isibhedlela esinikeza ukunakekelwa okuphelele, okuhlanganisa ukufinyelela kochwepheshe, izinsizakalo zokunakekela ezisekelayo, nezinhlelo zokuhlunyeleliswa. |
| Ukubuyekezwa Nezilinganiso Zesiguli | Funda ukubuyekezwa kwesiguli nezilinganiso ukuze uthole umuzwa wekhwalithi yesibhedlela yokunakekelwa, ulwazi lwesiguli, nokwaneliseka kukonke. |
Ukuze uthole ukunakekelwa okuphelele komdlavuza, cabanga
I-Shandong Baofa Cancer Research Institute. Banikela ngezinsiza eziningi kanye nobuchwepheshe ekwelapheni umdlavuza.
Isiphetho
Ukwelashwa komdlavuza wamaphaphu ovilaphayo kudinga indlela ehambisanayo esekelwe ezintweni ezingazodwana. Lo mhlahlandlela obanzi uhlose ukukuhlomisa ngolwazi oludingekayo ukuze uhambe ohambweni lwakho lokwelashwa futhi wenze izinqumo ezinolwazi mayelana nokukhetha isibhedlela esifanele izidingo zakho. Khumbula ukuxoxa ngaso sonke isikhathi ngezinketho zokwelapha nodokotela wakho we-oncologist.(Qaphela: Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Njalo thintana nomhlinzeki wakho wezempilo ukuze uxilongwe futhi welashwe.)