ukwelashwa kwe-neuroendocrine yomdlavuza wamaphaphu

Ukwelashwa kwe-Neuroendocrine Lung Cancer

Umdlavuza wamaphaphu we-Neuroendocrine wuhlobo olungavamile lomdlavuza wamaphaphu olusuka kumaseli e-neuroendocrine emaphashini. Lo mhlahlandlela ophelele uhlola izindlela zokwelashwa ezahlukahlukene ukwelashwa komdlavuza wamaphaphu we-neuroendocrine, egcizelela ukubaluleka kokunakekelwa komuntu siqu kanye nentuthuko yakamuva emkhakheni. Ukuqonda imininingwane yokuxilongwa kwakho nokusebenzisana eduze ne-oncologist yakho kubalulekile ekwakheni uhlelo lokwelapha olusebenzayo.

Ukuqonda I-Neuroendocrine Lung Cancer

Izinhlobo ze-Neuroendocrine Lung Cancer

Umdlavuza wamaphaphu we-Neuroendocrine uhlukaniswa ngezinhlobo ezahlukene ngokusekelwe ezicini zamangqamuzana awo kanye namaphethini okukhula. Lokhu kufaka phakathi ama-carcinoid ajwayelekile, ama-atypical carcinoids, ama-cell neuroendocrine carcinomas amakhulu, kanye nomdlavuza wamaphaphu wamangqamuzana amancane (SCLC). Uhlobo lwe umdlavuza wamaphaphu we-neuroendocrine kuthinta kakhulu indlela yokwelapha.

I-Staging Neuroendocrine Lung Cancer

Isiteji sibandakanya ukunquma izinga lokusabalala komdlavuza. Lokhu ngokuvamile kwenziwa ngokuhlolwa kwezithombe (CT scans, PET scans) futhi kungase kuhlanganise i-biopsy. Isiteji sibalulekile ekukhetheni okufanele ukwelashwa komdlavuza wamaphaphu we-neuroendocrine nokubikezela isibikezelo.

Izinketho Zokwelashwa Kwe-Neuroendocrine Lung Cancer

Ukuhlinzwa

Ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko yesigaba sokuqala umdlavuza wamaphaphu we-neuroendocrine, ikakhulukazi izimila zendawo. Uhlobo lokuhlinzwa luncike endaweni kanye nobukhulu besimila. Izindlela ezihlasela kancane zivame ukuthandwa uma kungenzeka.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingasetshenziswa yodwa noma ihlanganiswe nezinye izindlela zokwelapha. Umuthi othize we-chemotherapy uncike ohlotsheni kanye nesiteji sesifo umdlavuza wamaphaphu we-neuroendocrine. Ama-ejenti asetshenziswa kakhulu e-chemotherapeutic afaka i-carboplatin ne-etoposide ye-SCLC.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukucekela phansi amangqamuzana omdlavuza. Ingasetshenziselwa ukunciphisa izimila, ukukhulula izimpawu, noma ukuvimbela ukuphindeka komdlavuza. Ukwelapha ngemisebe yangaphandle kuvame ukusetshenziswa, kodwa i-brachytherapy (imisebe yangaphakathi) ingase futhi ibe inketho.

Ukwelapha Okuhlosiwe

Ukwelashwa okuhlosiwe kusebenzisa izidakamizwa eziqondise ama-molecule athile abandakanyeka ekukhuleni kweseli lomdlavuza kanye nokuphila. Lezi zindlela zokwelapha zivame ukusebenza kahle futhi zinemiphumela emibi embalwa kune-chemotherapy yendabuko. Ukutholakala kwezindlela zokwelapha ezihlosiwe ze ukwelashwa komdlavuza wamaphaphu we-neuroendocrine kuncike ohlotsheni oluthile kanye nephrofayili yofuzo yesimila. Izibonelo zifaka ama-inhibitors aqondise i-receptor tyrosine kinases ethile.

I-Immunotherapy

I-Immunotherapy ihlanganisa amandla amasosha omzimba ukulwa nomdlavuza. Isebenza ngokuvuselela amasosha omzimba ukuze abone futhi ahlasele amangqamuzana omdlavuza. Ama-immune checkpoint inhibitors, njenge-pembrolizumab ne-atezolizumab, abonise isithembiso ekwelapheni ezinye izinhlobo zezifo. umdlavuza wamaphaphu we-neuroendocrine.

Ukukhetha Uhlelo Lokwelapha Olulungile

Okulungile ukwelashwa komdlavuza wamaphaphu we-neuroendocrine Uhlelo luncike kakhulu kubantu ngabanye futhi luncike ezicini ezihlukahlukene, okuhlanganisa uhlobo nesigaba somdlavuza, impilo yesiguli iyonke, kanye nezinto esizithandayo. Ukusebenzisana eduze ne-oncologist enolwazi kubalulekile ekuthuthukiseni isu lokwelapha lomuntu siqu. Ngo I-Shandong Baofa Cancer Research Institute, silwela ukunikeza ukunakekelwa okuphelele nokunozwela kuzo zonke iziguli zethu.

Ukubikezela kanye Nokunakekelwa Kokulandelela

I-prognosis ye umdlavuza wamaphaphu we-neuroendocrine kuyahluka kakhulu kuye ngohlobo nesigaba somdlavuza, kanye nempilo yesiguli iyonke. Ukuqokwa kokulandelela njalo kubalulekile ukuze kuqashwe ukusebenza ngempumelelo kokwelashwa kanye nokubona noma yikuphi ukuphindeka. Lawa ma-aphoyintimenti ngokuvamile abandakanya ukuhlolwa kwesithombe nokuhlolwa komzimba.

Ezinye Izinsiza

Ukuze uthole ukwaziswa okwengeziwe mayelana umdlavuza wamaphaphu we-neuroendocrine kanye nokwelashwa kwayo, thintana nodokotela wakho noma ubhekisele emithonjeni enedumela elihle njengeNational Cancer Institute (https://www.cancer.gov/). Ngaso sonke isikhathi beka phambili izingxoxo nomhlinzeki wakho wezempilo ngaphambi kokwenza noma yiziphi izinqumo mayelana nokwelashwa kwakho.