
Ukwelashwa Komdlavuza Wamaphaphu AvilaphayoUkuqonda Nokulawula Umdlavuza Wamaphaphu Akhula Kancane Lesi sihloko sinikeza umbono obanzi womdlavuza wamaphaphu ovilaphayo, ugxile ezindleleni zokwelashwa namasu okuphatha. Sizohlola izici zalolu hlobo lomdlavuza okhula kancane, sihlole izindlela ezahlukene zokwelapha, futhi sixoxe ngokubaluleka kokuqapha nokunakekela isikhathi eside. Lolu lwazi luhloselwe izinjongo zokufundisa futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuqondiswa komuntu siqu.
Umdlavuza wamaphaphu, owaziwa nangokuthi umdlavuza wamaphaphu okhula kancane noma umdlavuza wamaphaphu ohlasela kancane, uwuhlobo lomdlavuza wamaphaphu obonakala ngezinga lawo elihamba kancane lokukhula nokusabalala. Ngokungafani nezinhlobo ezinonya kakhulu zomdlavuza wamaphaphu, umdlavuza wamaphaphu ongenzi lutho ungase ungabonisi izimpawu ezibalulekile iminyaka eminingi, ngisho namashumi eminyaka. Lesi sici senza ukutholakala kusenesikhathi kube inselele, kodwa futhi kusho ukuthi ukwelashwa kungase kugxile kakhulu ekulawuleni lesi sifo kunokusiqeda ngonya.
Izinhlobo eziningana zomdlavuza wamaphaphu zingabonisa ukuziphatha kokuvilapha. Lokhu kuvame ukuwela ngaphansi kwesigaba somdlavuza wamaphaphu ongewona omncane (NSCLC) futhi kungabandakanya:
I-AIS iwuhlobo lwe-adenocarcinoma olungazange luhlasele izicubu ezizungezile. Ivamise ukutholwa ngengozi phakathi nokuhlolwa kwesithombe ngezinye izizathu.
I-MIA iwuhlobo lwe-adenocarcinoma ebonakala ngosayizi wayo omncane nokuhlasela okulinganiselwe. Imvamisa ikhombisa izinga lokukhula elihamba kancane kanye nengozi ephansi ye-metastasis.
I-LMC iwuhlobo lomdlavuza oluyivelakancane futhi olunolaka olusabalele kuma-meninges (ulwelwesi oluzungeza ubuchopho nomgogodla). Nakuba kungenjalo njalo, ezinye izinhlobo zingase zibe nokuqhubeka kancane kunezinye izinhlobo zesifo se-metastatic.
Ukwelashwa kwe umdlavuza wamaphaphu ovilaphayo kuncike ezicini eziningana, okuhlanganisa uhlobo nesigaba somdlavuza, impilo yesiguli iyonke, nezinto ezithandwa umuntu siqu. Izinketho zingabandakanya:
Okweziguli ezisaqala kakhulu noma ezikhula kancane umdlavuza wamaphaphu ovilaphayo, ukubhekwa okusebenzayo, okubandakanya ukuqapha okuvamile ngokuhlolwa kwezithombe nokunye ukuhlola, kungase kube indlela ekhethwayo. Lokhu kuvumela ukutholwa kusenesikhathi kwanoma yiziphi izinguquko kanye nokungenelela okufika ngesikhathi uma kudingeka.
Ukususwa ngokuhlinzwa kwezicubu ezinomdlavuza kungase kunconywe kwezinye iziguli ezinendawo umdlavuza wamaphaphu ovilaphayo. Inqubo ethile yokuhlinzwa izoncika endaweni kanye nosayizi wesimila.
I-SBRT iwuhlobo olunembile lokwelapha ngemisebe oluletha imithamo ephezulu yemisebe esimila kuyilapho kunciphisa umonakalo ezicutshini ezinempilo ezizungezile. Lokhu kungaba yindlela yokwelapha ephumelelayo ezigulini ezingafanele ukuhlinzwa.
Kwezinye izimo, ezinye izindlela zokwelapha ezifana ne-chemotherapy, ukwelashwa okuhlosiwe, noma i-immunotherapy kungase kucatshangelwe, ikakhulukazi uma umdlavuza uqhubeka noma usakazeka.
Ngisho nangemva kokwelashwa okuyimpumelelo, ukuqapha isikhathi eside kubalulekile ekulawuleni umdlavuza wamaphaphu ovilaphayo. Ukuhlolwa njalo, okuhlanganisa nokuhlolwa kwezithombe, kubalulekile ukuze kutholwe noma yikuphi ukuvela noma ukuqhubeka kwesifo. Indlela ehlanganisa imikhakha eminingi, ehlanganisa odokotela bamaphaphu, i-oncologists, nabanye ochwepheshe, ivame ukutuswa ukuze kuqinisekiswe ukunakekelwa okufanele kwesikhathi eside.
Ukukhetha umhlinzeki wezempilo ofanele kubalulekile lapho ubhekana nanoma yiluphi uhlobo lomdlavuza. E-Shandong Baofa Cancer Research Institute (https://www.baofahospital.com/), sinikeza ukunakekelwa okuphelele futhi komuntu siqu ezigulini ezinomdlavuza wamaphaphu, kuhlanganisa umdlavuza wamaphaphu ovilaphayo. Ithimba lethu lochwepheshe lisebenzisa intuthuko yakamuva ekuxilongeni nasekwelashweni ukuze linikeze imiphumela engcono kakhulu engenzeka ezigulini zethu.
Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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