
Ukwelashwa Komdlavuza Wamaphaphu Ngesigaba: Umhlahlandlela Ophelele Ukwelashwa komdlavuza wamaphaphu kuncike kakhulu esigabeni somdlavuza lapho uxilongwa. Lo mhlahlandlela uhlinzeka ngemininingwane yezinketho zokwelapha zesigaba ngasinye, ugcizelela ukubaluleka kokutholwa kusenesikhathi nokunakekelwa komuntu siqu. Ukuqonda ukuxilongwa kwakho kubalulekile ukuze wenze izinqumo ezinolwazi nethimba lakho lezempilo.
Umdlavuza wamaphaphu uyisifo esibi kakhulu, kodwa ukuthuthuka ekuxilongeni nasekwelashweni kuye kwaba ngcono kakhulu imiphumela. Impumelelo ye ukwelashwa komdlavuza wamaphaphu ithembele kakhulu esigabeni somdlavuza ngesikhathi sokuxilongwa. Lo mhlahlandlela uchaza okuhlukahlukene ukwelashwa izinketho ezitholakalayo esigabeni ngasinye se umdlavuza wamaphaphu. Khumbula, lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho we-oncologist ukuze uthole izincomo eziqondene nawe.
Isiteji I umdlavuza wamaphaphu ngokuvamile welashwa ngokuhlinzwa ukuze kukhishwe isimila esinomdlavuza kanye nezicubu ezizungezile. Indlela ethile yokuhlinzwa incike endaweni kanye nosayizi wesimila. Kwezinye izimo, amasu angavamisile kancane njengokuhlinzwa kwethoracoscopic okusizwa ngevidiyo (i-VATS) angasetshenziswa. Ngemva kokuhlinzwa, ukuqapha ngokucophelela kubalulekile ukuze kutholwe noma yikuphi ukuphindeka. Ukwelashwa kwe-Adjuvant (ukwelashwa ngemva kokuhlinzwa ukuze kuncishiswe ingozi yokuphinda kwenzeke) kungase kucatshangelwe kuye ngezici ezihlukahlukene ezihlanganisa izici zesimila nempilo yesiguli.
Ukwelashwa kweSigaba II umdlavuza wamaphaphu ngokuvamile kuhilela inhlanganisela yokuhlinzwa kanye nokwelashwa kwe-adjuvant. Ukuhlinzwa kuseyindlela yokwelapha eyinhloko, okuhloswe ngayo ukususa ngokuphelele isimila esinomdlavuza. Ukwelashwa kwe-Adjuvant njenge-chemotherapy kanye/noma ukwelashwa ngemisebe kuvame ukusetshenziswa ngemva kokuhlinzwa ukuze kuqedwe noma yimaphi amangqamuzana omdlavuza asele futhi kwehliswe ingozi yokubuya komdlavuza. Inhlanganisela ethize yezindlela zokwelapha inqunywa ngokusekelwe ezicini ngazinye.
Isigaba III umdlavuza wamaphaphu iyinkimbinkimbi kakhulu futhi ivamise ukudinga indlela ehlanganisa imikhakha eminingi. Ukwelashwa kungase kuhlanganise inhlanganisela yokwelapha ngamakhemikhali, ukwelashwa ngemisebe, nokuhlinzwa (uma kungenzeka). Ukwelashwa okuhlosiwe, okuhlasela amangqamuzana omdlavuza athile, kungase futhi kube inketho kuye ngohlobo lomdlavuza wamaphaphu. Lesi sigaba singaphinde sihlukaniswe sibe yi-IIA, IIIB, ne-IIIC, ngasinye sinezici zaso ezinhlelweni zokwelashwa. Umgomo we ukwelashwa ukulawula ukukhula komdlavuza kanye nokwenza ngcono izinga lempilo yesiguli.
Isigaba IV umdlavuza wamaphaphu, eyaziwa nangokuthi i-metastatic umdlavuza wamaphaphu, kukhombisa ukuthi umdlavuza ususabalele kwezinye izingxenye zomzimba. Ukwelashwa igxile ekulawuleni izimpawu, ukuthuthukisa izinga lempilo, nokwelula ukusinda. Okuvamile ukwelashwa izinketho zihlanganisa i-chemotherapy, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa kwe-radiation, ngokuvamile kuhlangene. Izivivinyo zemitholampilo ngokuvamile ziwukucatshangelwa okubalulekile kubantu abaneSigaba IV umdlavuza wamaphaphu, enikeza ukufinyelela ezindleleni zokwelapha ezisezingeni eliphezulu.
Ziningana izici ezithonya ethize ukwelashwa komdlavuza wamaphaphu uhlelo, okuhlanganisa:
Ukutholwa kusenesikhathi kwe umdlavuza wamaphaphu ibalulekile ekwenzeni ngcono imiphumela. Ukuhlolwa okuvamile, ikakhulukazi kubantu abasengozini enkulu, kuyanconywa. Uma uhlangabezana nezimpawu ezinjengokukhwehlela okungapheli, ubuhlungu besifuba, ukuphelelwa umoya, noma ukuncipha kwesisindo okungachazwanga, thintana nodokotela wakho ngokushesha.
Ukuze uthole ukwaziswa okwengeziwe ukwelashwa komdlavuza wamaphaphu kanye nocwaningo oluhlobene, ungase ufise ukuhlola izinsiza ezivela ezinhlanganweni ezinedumela elihle njenge-American Cancer Society kanye ne-National Cancer Institute. Okokunakekelwa komuntu siqu nokuthuthukile ukwelashwa ongakhetha kukho, cabanga ngokufuna ukubonisana nochwepheshe. I-Shandong Baofa Cancer Research Institute inikezelwe ekuhlinzekeni okuphelele nokusungula izinto ezintsha ukwelashwa komdlavuza wamaphaphu.
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