
Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile kubantu abafunayo ukwelashwa imithi yokwelapha umdlavuza wamaphaphu eduze nendawo yabo. Sizofaka izinketho ezahlukene zokwelapha, imininingwane yemithi, nezisetshenziswa zokukusiza ukuthi uzulazule kulolu hambo oluyinselele. Ukuqonda izinketho zakho kanye nokuthola ukunakekelwa okufanele kubalulekile, futhi lo mhlahlandlela uhlose ukukunika amandla ngolwazi oludingayo.
Umdlavuza wamaphaphu yisifo esiyinkimbinkimbi esinezindlela ezihlukahlukene zokwelashwa ezihambisana nohlobo oluthile kanye nesigaba somdlavuza. Izinketho zokwelapha ngokuvamile zihlanganisa inhlanganisela yezindlela zokuphumelela ngokugcwele. Izindlela zokwelapha ezijwayelekile zihlanganisa ukuhlinzwa, ichemotherapy, ukwelashwa ngemisebe, ukwelashwa okuhlosiwe, kanye ne-immunotherapy. Ukukhetha kwe ukwelashwa imithi yokwelapha umdlavuza wamaphaphu kuncike kakhulu ezintweni ezingazodwana njengempilo yesiguli iyonke, isigaba somdlavuza, kanye nokuba khona kwanoma yiziphi izifo ezihambisana nakho.
I-Chemotherapy isebenzisa izidakamizwa ezinamandla ukubulala amangqamuzana omdlavuza. Imithi eminingana ye-chemotherapy iyatholakala yomdlavuza wamaphaphu, evame ukulawulwa ngemijikelezo. Imithi ejwayelekile yokwelapha ngamakhemikhali ihlanganisa i-cisplatin ne-carboplatin ehlanganiswe nezinye izidakamizwa. Imiphumela engemihle ingahluka kakhulu kuye ngemithi ethile esetshenzisiwe kanye nempendulo yomuntu ngamunye. I-oncologist yakho izoxoxa ngemiphumela emibi engaba khona kanye namasu okuphatha.
Ukwelashwa okuhlosiwe kugxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza, okwenza kucace kakhulu kunokwelapha ngamakhemikhali okungokwesiko. Lezi zindlela zokwelapha ziqondise ekuguquguqukeni kofuzo okukhona kumaseli omdlavuza, okuhlinzeka ngendlela yomuntu siqu ukwelashwa imithi yokwelapha umdlavuza wamaphaphu. Izibonelo zifaka ama-EGFR inhibitors (njenge-Gefitinib ne-Erlotinib) nama-ALK inhibitors (njenge-Crizotinib).
I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. Lezi zindlela zokwelapha zisebenza ngokukhulisa amandla amasosha omzimba okubona nokuhlasela amangqamuzana omdlavuza. Ama-checkpoints inhibitors, njenge-pembrolizumab ne-nivolumab, ayizibonelo zezidakamizwa ze-immunotherapy ezisetshenziswa ekwelapheni umdlavuza wamaphaphu. Zivame ukusetshenziswa njengengxenye yokwelapha okuhlangene.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukulimaza nokucekela phansi amangqamuzana omdlavuza. Ingasetshenziselwa ukushwabanisa amathumba ngaphambi kokuhlinzwa, ukucekela phansi amangqamuzana omdlavuza asele ngemva kokuhlinzwa, noma ukwelapha umdlavuza osusabalele kwezinye izingxenye zomzimba. Imisebe ye-beam yangaphandle iwuhlobo oluvame kakhulu lokwelapha ngemisebe.
Ukuthola indawo efanele ukwelashwa imithi yokwelapha umdlavuza wamaphaphu nokunakekelwa okukhethekile eduze nendawo yakho kubalulekile. Qala ngokubonana nodokotela wakho oyinhloko ongakudlulisela ku-oncologist onguchwepheshe ngomdlavuza wamaphaphu. Ungasebenzisa futhi izinsiza eziku-inthanethi ukucinga ama-oncologists endaweni yangakini. Izibhedlela eziningi nezikhungo zomdlavuza zinikeza izinhlelo ezibanzi zokwelapha umdlavuza wamaphaphu.
Lapho ukhetha isikhungo sokwelashwa, cabangela izici ezilandelayo:
Ukuzulazula ekuxilongweni komdlavuza wamaphaphu kungaba inselele. Izinhlangano eziningi zinikeza izinsiza ezibalulekile nokusekelwa ezigulini nemindeni yazo. I-American Cancer Society kanye neLung Cancer Alliance banikeza ulwazi oluphelele, amaqembu okusekela, nezinhlelo zokusiza ngezezimali. Lezi zinsiza zingasiza kakhulu ekubhekaneni nezinselele ezingokomzwelo nezingokoqobo zokwelashwa komdlavuza.
Khumbula, indlela engcono kakhulu ukwelashwa imithi yokwelapha umdlavuza wamaphaphu ihluke kakhulu. Ingxoxo ephelele nodokotela wakho we-oncologist ibalulekile ukuze wakhe uhlelo lokwelapha oluhambisana nezidingo nezimo zakho ezithile. Ungangabazi ukubuza imibuzo futhi ufune ukucaciselwa nganoma iyiphi ingxenye yohlelo lwakho lokwelapha. Ukusebenza ngokubambisana nethimba lakho lokunakekelwa kwezempilo kuqinisekisa ukuthi uthola ukunakekelwa okusebenzayo nokunozwela. Ngokunakekelwa okuthuthukile nokukhethekile, cabanga ngokufuna imibono yochwepheshe ezikhungweni ezifana ne I-Shandong Baofa Cancer Research Institute.
| Uhlobo Lokwelapha | Incazelo | Engase Engase Side Effects |
|---|---|---|
| I-Chemotherapy | Isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza | Isicanucanu, ukukhathala, ukuqothuka kwezinwele |
| Ukwelapha Okuhlosiwe | Iqondisa ama-molecule athile kumaseli omdlavuza | Ukuqubuka, isifo sohudo, ukukhathala |
| I-Immunotherapy | Ivuselela amasosha omzimba ukulwa nomdlavuza | Ukukhathala, ukusabela kwesikhumba, isifo sohudo |
Umshwana wokuzihlangula: Lolu lwazi lwenzelwe izinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole ukuxilongwa nokwelashwa.
eceleni>