
Lesi sihloko sihlola intuthuko yakamuva ku ukwelashwa okusha komdlavuza wamaphaphu impumelelo ka-2020 eduze kwami, egxile ekwelashweni okutholakalayo manje nezinketho ezivelayo zesikhathi esizayo. Sizohlola izindlela zokwelashwa ezahlukahlukene, sixoxe ngezinto ezithonya izinqumo zokwelashwa, futhi sinikeze isiqondiso ekutholeni ukunakekelwa okufanele.
Umdlavuza wamaphaphu yisifo esiyinkimbinkimbi esinama-subtypes ahlukahlukene, okuhlanganisa nomdlavuza wamaphaphu omncane we-cell (SCLC) kanye nomdlavuza wamaphaphu ongewona omncane (NSCLC). Isigaba somdlavuza, esinqunywa ngokuhlolwa kwezithombe nama-biopsies, sithonya kakhulu ukukhetha kokwelashwa. Umdlavuza wamaphaphu wesigaba sokuqala ungase welashwe ngokuhlinzwa, kuyilapho umdlavuza wesigaba sakamuva uvame ukudinga indlela ehlukahlukene ehlanganisa ukuhlinzwa, ukwelapha ngamakhemikhali, ukwelapha ngemisebe, kanye nokwelapha okuhlosiwe.
Ngokomlando, ukwelashwa komdlavuza wamaphaphu kwakuncike kakhulu ekuhlinzweni, ekwelapheni ngamakhemikhali, nasemisebeni. Nokho, eminyakeni yamuva kuye kwenziwa intuthuko enkulu. Ukwethulwa kwezindlela zokwelapha ezihlosiwe, i-immunotherapy, kanye nenhlanganisela yenoveli yokwelashwa kuye kwaba ngcono kakhulu imiphumela ezigulini eziningi. Le ntuthuko ibalulekile ezigulini ezizifunayo ukwelashwa okusha komdlavuza wamaphaphu impumelelo ka-2020 eduze kwami.
I-Immunotherapy ihlanganisa amandla amasosha omzimba ukulwa namaseli omdlavuza. I-Checkpoint inhibitors, uhlobo lomuthi we-immunotherapy, iguqule ukwelashwa komdlavuza wamaphaphu ngokuvimba amaprotheni avimbela amasosha omzimba ukuthi ahlasele amangqamuzana omdlavuza. Lezi zindlela zokwelapha zibonise impumelelo emangalisayo ekwandiseni ukuphila ezigulini ezinomdlavuza wamaphaphu othuthukile. Intuthuko eminingi kule ndawo ngemuva kuka-2020 iyaqhubeka nokwenza ngcono imiphumela. Funda kabanzi mayelana ne-immunotherapy evela ku-National Cancer Institute.
Izindlela zokwelapha ezihlosiwe zenzelwe ukuhlasela ama-molecule athile ahilelekile ekukhuleni komdlavuza. Lezi zindlela zokwelapha zisebenza kakhulu ezigulini ezinokuguquguquka okuthile kofuzo kumaseli azo omdlavuza wamaphaphu. Ukuhlonzwa kwalezi zinguquko ngokuhlolwa kofuzo kubalulekile ukuze kutholwe ukwelashwa okuqondiwe okufanele. Ukuthuthuka ekuhlonzeni nasekuqondiseni lezi zinguquko kubangele izindlela zokwelapha ezithuthukisiwe.
Ukuhlanganisa izindlela zokwelapha ezihlukene, ezifana ne-immunotherapy kanye ne-chemotherapy noma ukwelashwa okuhlosiwe kanye nemisebe, ngokuvamile kuveza imiphumela engcono kunokwelashwa kwe-ejenti eyodwa. Inhlanganisela efanele iyahlukahluka kuye ngezimo zomuntu ngamunye zesiguli. Ucwaningo luyaqhubeka nokwenza ngcono lezi zinhlanganisela ukuze kwandiswe ukusebenza kahle kwazo futhi kuncishiswe imiphumela engemihle.
Ukuthola ukunakekelwa okungcono kakhulu ukwelashwa okusha komdlavuza wamaphaphu impumelelo ka-2020 eduze kwami kuhilela izinyathelo ezimbalwa. Qala ngokubonisana nodokotela wakho oyinhloko, ongakudlulisela ku-oncologist onguchwepheshe ngomdlavuza wamaphaphu. Ukuhlolwa okuphelele, okuhlanganisa ukuthwebula izithombe, ama-biopsies, nokuhlolwa kofuzo, kubalulekile ekuxilongweni okunembile nokuhlela ukwelashwa. Cabangela ukufuna umbono wesibili ukuze uqinisekise ukuhlolwa okuphelele kwezinketho zakho zokwelapha. Izikhungo zocwaningo nezikhungo zomdlavuza ezizinikele zivame ukuhlinzeka ngemithi yokwelapha esezingeni eliphezulu. Ukuze iziguli esifundazweni Shandong, the I-Shandong Baofa Cancer Research Institute kungase kube insiza ebalulekile.
Khumbula ukuthi izinqumo zokwelashwa zenziwe ngezifiso kakhulu. Izinto ezifana nesigaba somdlavuza, impilo yesiguli iyonke, kanye nokuba khona kwanoma yiziphi izifo ezihambisana nakho kuzothonya indlela yokwelapha ekhethiwe. Ukuxhumana okuvulekile nethimba lakho lezempilo kubalulekile kuyo yonke inqubo yokwelashwa.
Lolu lwazi ololwazi olujwayelekile kanye nezinjongo zolwazi kuphela, futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nochwepheshe bezempilo abaqeqeshiwe nganoma imiphi imibuzo ongase ube nayo mayelana nezimo zezokwelapha noma izinketho zokwelashwa. Ulwazi olunikezwe lapha akufanele lusetshenziselwe ukuzixilonga noma ukuzelapha wena.
eceleni>