ukwelashwa izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji

Izinketho Zokwelashwa Komdlavuza Wamaphaphu nge-StageIzinketho zokwelashwa zomdlavuza wamaphaphu ziyehluka kakhulu kuye ngesigaba sesifo. Lo mhlahlandlela obanzi uchaza izindlela zokwelapha ezitholakalayo esigabeni ngasinye, unikeza ulwazi olubalulekile ukuze uqonde izinketho zakho futhi wenze izinqumo ezinolwazi.

Ukuqonda Izigaba Zomdlavuza Wamaphaphu

Isigaba somdlavuza wamaphaphu sibalulekile ekunqumeni okufanele ukwelashwa izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji. Uhlelo lwesiteji lusebenzisa izinombolo (I, II, IIIA, IIIB, IV) kanye nezinhlamvu (A, B) ukuchaza izinga lomdlavuza, kucatshangelwa ubukhulu besimila, ukubandakanyeka kwe-lymph node, kanye ne-metastasis (ukusabalala ezithweni ezikude).

Stage I Lung Cancer

Isigaba I umdlavuza wamaphaphu ngokuvamile utholakala endaweni yamaphaphu. Izinketho zokwelapha zalesi sigaba ngokuvamile zihlanganisa: Ukuhlinzwa: Ukususwa ngokuhlinzwa kwesimila kuwukwelashwa okuyinhloko, okungase kuhlanganise i-lobectomy (ukususwa kwe-lung lobe) noma i-pneumonectomy (ukususwa kwephaphu lonke). Isinqumo mayelana nezinga lokuhlinzwa sincike ezicini eziningana, kuhlanganise nobukhulu bethumba nendawo. Isibonelo, isimila esincane singase sidinge kuphela ukususwa koweji (ukususwa kwengxenye encane yezicubu zamaphaphu). Ngemuva kokuhlinzwa, ama-adjuvant therapy ngokuvamile asetshenziswa ukuze kuthuthukiswe amathuba okukhululwa isikhathi eside. I-Stereotactic Body Radiation Therapy (SBRT): Lokhu kwelashwa ngemisebe okuqondiswe kakhulu kuletha imithamo ephezulu yemisebe esimila esinomthelela omncane ezicutshini ezinempilo ezizungezile. Ngokuvamile kuyinketho yeziguli ezingezona izikhandidethi zokuhlinzwa.

Isigaba II Umdlavuza wamaphaphu

Isigaba II somdlavuza wamaphaphu sibonisa isimila esikhudlwana noma ukubandakanyeka kwama-lymph nodes aseduze. Izinketho zokwelapha zingabandakanya: Ukuhlinzwa: Ngokufanayo neSigaba I, ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko, okuhloswe ngayo ukususwa ngokuphelele kwesimila. Indlela ethile yokuhlinzwa izoncika kusayizi wesimila nendawo. Izinketho zokuhlinzwa zingahluka kusuka ku-lobectomy kuya ku-pneumonectomy. I-Chemotherapy: I-Chemotherapy ingasetshenziswa ngaphambi (kwe-neoadjuvant) noma ngemva kokuhlinzwa (i-adjuvant) ukuze kuthuthukiswe imiphumela yokwelashwa. Ukwelapha ngemisebe: Ukwelapha ngemisebe, okuhlanganisa i-SBRT noma ukwelapha okuvamile kwe-radiation yangaphandle, kungasetshenziswa iyodwa noma kuhlanganiswe nokuhlinzwa kanye/noma ukwelapha ngamakhemikhali.

Isigaba IIIA Umdlavuza wamaphaphu

Esigabeni IIIA, umdlavuza ususabalele kuma-lymph nodes aseduze noma unamathumba amakhulu. Ukwelashwa kuhlanganisa: Ukuhlinzwa (uma kungenzeka): Ukuhlinza kabusha kungase kube inketho kwezinye iziguli, kulandelwe i-adjuvant chemotherapy kanye/noma ukwelashwa ngemisebe. I-Chemotherapy: I-Chemotherapy ngokuvamile iyisisekelo sokwelashwa, okuvame ukuhlanganiswa nokwelashwa ngemisebe. Ukwelapha ngemisebe: Ukwelashwa ngamakhemikhali kanyekanye (ukwelashwa ngamakhemikhali kanye nokwelashwa ngemisebe okunikezwa ngesikhathi esisodwa) kuyindlela evamile yomdlavuza wamaphaphu weSigaba IIIA.

Isigaba IIIB Umdlavuza Wamaphaphu

Isigaba IIIB sibandakanya ukubandakanyeka kwe-lymph node kanye/noma izimila ezinkulu. Ukwelashwa kuvame ukugxila kulokhu: I-Chemotherapy: I-Chemotherapy iwukwelashwa okuyinhloko kwalesi sigaba, okuvame ukuhlanganiswa nokwelapha ngemisebe. Ukwelapha ngemisebe: Ukwelapha nge-chemoradiation ngesikhathi esisodwa kuvame ukusetshenziswa. Ukwelapha Okuhlosiwe: Ezigulini ezinokuguqulwa okuthile kofuzo kumaseli azo wesimila, izindlela zokwelapha eziqondiwe zingase zicatshangelwe ngaphezu kwezinye izindlela zokwelapha.

Isigaba IV Umdlavuza wamaphaphu

Isigaba IV somdlavuza wamaphaphu sibonisa ukuthi umdlavuza usumetastasized ezithweni ezikude. Ukwelashwa kuhloswe ukuphatha lesi sifo nokwenza ngcono izinga lempilo. Izinketho zifaka: I-Chemotherapy: I-systemic chemotherapy iyindlela eyinhloko, evame ukuhlanganiswa nezinye izindlela zokwelapha. Ukwelapha Okuhlosiwe: Izindlela zokwelapha ezihlosiwe zivame ukusetshenziselwa iziguli ezinokuguquguquka okuthile kofuzo, okuhloswe ngazo ukuvimbela ukukhula kwamangqamuzana omdlavuza. I-Immunotherapy: I-Immunotherapy isiza amasosha omzimba ukulwa namaseli omdlavuza. Ikhombise impumelelo enkulu kwezinye iziguli ezinomdlavuza wamaphaphu weSigaba IV. Ukwelapha ngemisebe: Ukwelashwa ngemisebe kungase kusetshenziselwe ukwelapha izindawo ezithile ze-metastasis ukuze kudambise izimpawu futhi kuthuthukiswe izinga lokuphila. Ukunakekelwa kwe-palliative kubalulekile ekubhekaneni nezimpawu nokuqinisekisa ukunethezeka kwesiguli.

Ukukhetha Ukwelashwa Okulungile

Okungcono kakhulu ukwelashwa izinketho zokwelashwa komdlavuza wamaphaphu ngesiteji kuncike ezicini eziningana, okuhlanganisa impilo yesiguli iyonke, isigaba kanye nohlobo lomdlavuza wamaphaphu, kanye nalokho umuntu akuthandayo. Kubalulekile ukuba nengxoxo ebanzi nodokotela wakho we-oncologist ukuze wakhe uhlelo lokwelapha lomuntu siqu. Khumbula, izindlela zokwelapha eziningi zingasetshenziswa ngokuhlanganiswa. I-Shandong Baofa Cancer Research Institute https://www.baofahospital.com/ inikeza ububanzi obubanzi bobuchwepheshe kule ndawo.

Inothi elibalulekile:

Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo ukuze uxilongwe futhi welashwe umdlavuza wamaphaphu. Izinhlelo zokwelashwa ngazinye kufanele zihambisane nesimo esiyingqayizivele sesiguli ngasinye.