Ukwelashwa Komdlavuza Wamaphaphu Ngesigaba: Umhlahlandlela OpheleleUkuthola ukwelashwa okufanele komdlavuza wamaphaphu eduze nawe kungazizwa kukhungathekile. Lo mhlahlandlela uyaphuka ukwelashwa komdlavuza wamaphaphu izinketho ngesiteji, zikusiza ukuthi uqonde izinketho zakho futhi wenze izinqumo ezinolwazi. Sizohlola izindlela zokwelashwa ezihlukene, imiphumela engemihle engaba khona, nezici ezibalulekile okufanele zicatshangelwe lapho ukhetha uhlelo lokunakekela.
Ukuqonda Izigaba Zomdlavuza Wamaphaphu
Umdlavuza wamaphaphu uhlelwa ngokusekelwe kusayizi nendawo yesimila, noma ngabe sesabalale kuma-lymph node aseduze, nokuthi ingabe kukhona ukumetastase okukude. Uhlelo lwesiteji (ngokuvamile olusebenzisa uhlelo lwe-TNM - I-Tumor, Node, Metastasis) lusiza odokotela banqume inkambo engcono kakhulu
ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji. Izigaba zisukela ku-I (ekuqaleni) kuye ku-IV (ezithuthukisiwe). Izinketho zokwelashwa ziyehluka kakhulu kuye ngokuthi umdlavuza wakho usezingeni.
Stage I Lung Cancer
Isiteji I
ukwelashwa komdlavuza wamaphaphu ngokuvamile kuhilela ukuhlinzwa ukuze kukhishwe isimila kanye nezicubu zamaphaphu ezizungezile. Lokhu kungase kube i-lobectomy (ukususwa kwe-lobe) noma i-pneumonectomy (ukususwa kwephaphu lonke). Kwezinye izimo, ukwelapha ngemisebe kungase kusetshenziswe, ikakhulukazi uma ukuhlinzwa kungeyona inketho.
Isigaba II Umdlavuza wamaphaphu
Isigaba II
ukwelashwa komdlavuza wamaphaphu ngokuvamile kuhilela ukuhlinzwa, ngokuvamile okulandelwa i-adjuvant chemotherapy noma ukwelapha ngemisebe ukuze kuncishiswe ingozi yokuphinda. Uhlelo oluthile lokwelapha luncike kusayizi nendawo yesimila kanye nempilo yesiguli iyonke.
Isigaba III Umdlavuza wamaphaphu
Isigaba III
ukwelashwa komdlavuza wamaphaphu iyinkimbinkimbi kakhulu futhi ingase ihlanganise inhlanganisela yezindlela zokwelapha, okuhlanganisa ukuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, nokwelapha ngemisebe. Lesi sigaba sivamise ukudinga indlela yethimba lezinhlaka eziningi nama-oncologists, odokotela abahlinzayo, nabelaphi bemisebe abasebenza ndawonye. Ukwelashwa okuhlosiwe nakho kungase kucatshangelwe.
Isigaba IV Umdlavuza wamaphaphu
Isigaba IV
ukwelashwa komdlavuza wamaphaphu igxile ekulawuleni isifo kanye nokwenza ngcono izinga lempilo. Izinketho zokwelapha zingabandakanya i-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa ngemisebe ukuze kuncishiswe izimila kanye nokunciphisa izimpawu. Ukunakekelwa kwe-Palliative kuvame ukuhlanganiswa ohlelweni lokwelapha.
Izinketho Zokwelapha Umdlavuza Wamaphaphu
Izindlela zokwelashwa eziningana zisetshenziselwa
ukwelashwa komdlavuza wamaphaphu kuye ngesiteji kanye nohlobo lomdlavuza wamaphaphu.
Ukuhlinzwa
Ukususwa ngokuhlinzwa kwesimila kuwukwelashwa okuvamile komdlavuza wamaphaphu osesigabeni sokuqala. Kusetshenziswa izindlela ezihlukene zokuhlinza kuye ngendawo nobukhulu besimila.
I-Chemotherapy
I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ivamise ukusetshenziswa ngaphambi kokuhlinzwa (i-neoadjuvant) ukuze kunciphe izimila, ngemva kokuhlinzwa (i-adjuvant) ukuze kuncishiswe ingozi yokuphinda, noma ukwelapha umdlavuza wamaphaphu osesiteji esithuthukisiwe.
Ukwelapha Ngemisebe
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha. Ukwelashwa kwe-radiation ye-beam yangaphandle kuwuhlobo oluvame kakhulu.
Ukwelapha Okuhlosiwe
Izindlela zokwelapha ezihlosiwe zihlasela amangqamuzana omdlavuza athile, zinciphisa ukulimala kwamaseli anempilo. Lezi zindlela zokwelapha zivame ukusetshenziselwa ukwelapha umdlavuza wamaphaphu osezingeni eliphezulu.
I-Immunotherapy
I-Immunotherapy isiza amasosha omzimba ukulwa namaseli omdlavuza. Ukwelashwa okuthembisayo kwezinhlobo eziningi zomdlavuza wamaphaphu, okuvame ukusetshenziswa ezigabeni ezithuthukile.
Ukuthola Ukwelashwa Komdlavuza Wamaphaphu Eduze Kwami
Ukuthola ukunakekelwa okufanele
ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji eduze kwami kudinga ukucwaninga ngokucophelela. Qala ngokubonana nodokotela wakho oyinhloko ongakudlulisela kudokotela wamaphaphu noma oncologist onguchwepheshe ngomdlavuza wamaphaphu. Ungakwazi futhi ukusesha ku-inthanethi izikhungo zomdlavuza noma izibhedlela endaweni yakini ezinobuchwepheshe bokwelapha umdlavuza wamaphaphu. Izibhedlela eziningi ezihlonishwayo nezikhungo zomdlavuza zinikeza izinhlelo eziphelele zokwelashwa kanye nezinsizakalo ezisekelayo. Cabangela izici ezifana nolwazi, ubuchwepheshe, nokubuyekezwa kwesiguli lapho wenza ukukhetha kwakho. I
I-Shandong Baofa Cancer Research Institute iyisikhungo esihamba phambili esizibophezele ekuhlinzekeni ngezinga eliphezulu
ukwelashwa komdlavuza wamaphaphu.
Ukucatshangelwa Okubalulekile
Ukukhetha a
ukwelashwa umdlavuza wamaphaphu ukwelashwa ngesiteji kudinga ukucatshangelwa ngokucophelela kwezici ezimbalwa: Isigaba somdlavuza: Lesi yisinqumo esiyinhloko sezinketho zokwelapha. Uhlobo lomdlavuza wamaphaphu: Izinhlobo ezahlukene zomdlavuza wamaphaphu zisabela ngendlela ehlukile ekwelashweni. Impilo iyonke: Impilo yakho iyonke izoba nomthelela ezincomo zokwelashwa. Okuncamelayo: Xoxisana ngezinketho zakho kanye nokukukhathazayo nethimba lakho lezempilo.Lolu lwazi luhloselwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma omunye umhlinzeki wezempilo oqeqeshiwe nganoma imiphi imibuzo ongase ube nayo mayelana nesimo sezokwelapha noma ukwelashwa. Ulwazi oluhlinzekwe lapha aluphelele futhi aluthathi indawo yokubonisana nodokotela.
| Isiteji | Izinketho Zokwelashwa Ezivamile |
| I | Ukuhlinzwa, ngezinye izikhathi ukwelashwa ngemisebe |
| II | Ukuhlinzwa, i-adjuvant chemotherapy noma ukwelashwa ngemisebe |
| III | Ukuhlinzwa (uma kungenzeka), ukwelashwa ngamakhemikhali, ukwelashwa ngemisebe, ukwelashwa okuhlosiwe |
| IV | I-Chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, i-radiation therapy, ukunakekelwa kwe-palliative |