
Ukwelashwa komdlavuza wamaphaphu kuyehluka kakhulu kuye ngesigaba sesifo. Lo mhlahlandlela unikeza ukubuka konke okuningiliziwe ukwelashwa komdlavuza wamaphaphu ngesiteji, echaza izinketho ezitholakalayo nokucatshangelwa esigabeni ngasinye. Ukuqonda isigaba sakho kubalulekile ukuze wenze izinqumo ezinolwazi nethimba lakho lezempilo.
Isiteji sinquma izinga lokusabalala komdlavuza. Kubalulekile ukunquma okungcono kakhulu ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji. Uhlelo lwesiteji oluvame ukusetshenziswa uhlelo lwe-TNM, oluhlola usayizi wesimila (T), ukubandakanyeka kwe-lymph node (N), kanye ne-distasis metastasis (M). Izigaba zisukela ku-I (ekuqaleni) kuye ku-IV (ezithuthukisiwe).
Uhlelo lwe-TNM luyinkimbinkimbi, futhi udokotela wakho we-oncologist uzochaza isiteji sakho se-TNM. Ngamafuphi:
Lezi zici zihlangana ukunquma isigaba sonke (I-IV).
Izinketho zokwelapha ze ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji ziyahlukahluka kuye ngesigaba somdlavuza, impilo yesiguli iyonke, kanye nalokho esikukhethayo. Hlala uxoxa ngezinhlelo zokwelashwa nodokotela wakho we-oncologist.
| Isiteji | Izinketho Zokwelashwa | Ukucatshangelwa |
|---|---|---|
| Isigaba I & II | Ukuhlinzwa (okuvame ukwelapha), ukwelashwa ngemisebe, i-chemotherapy (ngezinye izikhathi i-adjuvant) | Ukutholwa kusenesikhathi kuvame ukuholela ekwelashweni okusebenza kahle kakhulu. |
| Isigaba III | Ukuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelashwa okuhlosiwe, i-immunotherapy | Izinhloso zokwelashwa zivame ukushintshela ekulawuleni isifo kanye nokwenza ngcono izinga lempilo. |
| Isigaba IV | I-Chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, ukunakekelwa okusekelayo | Ukugxila ekulawuleni izimpawu, ukuthuthukisa izinga lempilo, nokwelula ukusinda. |
Ngomdlavuza wamaphaphu wesigaba sokuqala (Izigaba I & II), ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko. Lokhu kungase kuhlanganise ukukhipha isimila kanye nezicubu ezizungezile (lobectomy, pneumonectomy). Ukwelashwa ngemisebe kanye nokwelashwa ngamakhemikhali kungasetshenziswa ngaphambi noma ngemva kokuhlinzwa ukuze kuncishiswe ingozi yokuphinda kwenzeke.
Isigaba III somdlavuza wamaphaphu siyinkimbinkimbi kakhulu. Ukwelashwa kuvame ukuhlanganisa inhlanganisela yezindlela ezinjengokuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, ukwelapha ngemisebe, kanye nemithi yokwelapha okungenzeka iqondiswe noma i-immunotherapy. Indlela eqondile izoncika endaweni kanye nezinga lomdlavuza.
Isigaba IV somdlavuza wamaphaphu sithathwa njengesithuthukile futhi se-metastatic. Ukwelashwa kugxile ekulawuleni izimpawu, ukuthuthukisa izinga lempilo, kanye nokwelula ukusinda okungenzeka. Ukwelashwa okuvamile kuhlanganisa i-chemotherapy, imishanguzo ehlosiwe, kanye ne-immunotherapy. Ukunakekelwa kwe-Palliative nakho kuyingxenye ebalulekile yokuphatha lesi sigaba.
Ukukhetha isibhedlela esifanele sakho ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji kubalulekile. Bheka izibhedlela ezinongoti be-oncologists abanolwazi olunzulu ngomdlavuza wamaphaphu, ubuchwepheshe bokwelapha obuthuthukisiwe, nendawo yokunakekela esekelayo. Cwaninga futhi uqhathanise izibhedlela ezahlukene ukuze uthole okufanelana nezidingo zakho. Cabangela izici ezifana namazinga empumelelo yokwelashwa, amaphuzu wokwaneliseka kwesiguli, nokutholakala kwezinsizakalo zokweseka.
Ukuze uthole ukunakekelwa okuphelele komdlavuza, cabanga I-Shandong Baofa Cancer Research Institute, isikhungo esihamba phambili esizinikele ekuhlinzekeni ngezinketho zokwelapha ezithuthukisiwe nezinozwela.
Lolu lwazi ololwazi olujwayelekile futhi akufanele luthathe indawo yeseluleko sikachwepheshe wezokwelapha. Hlala uthintana nodokotela wakho noma i-oncologist ukuze nixoxe ngesimo sakho esithile futhi nithuthukise uhlelo lokwelapha lomuntu siqu. Ukutholwa kusenesikhathi nokuhlolwa okuvamile kubalulekile ukuze kuthuthukiswe imiphumela.
Umshwana wokuzihlangula: Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo.
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