
Lo mhlahlandlela unikeza ulwazi oluphelele mayelana nendawo nokuqonda ukwelashwa umdlavuza wamaphaphu wesibili eduze kwami ongakhetha kukho. Sizohlola izindlela zokwelashwa ezahlukahlukene, izici okufanele uzicabangele lapho ukhetha umhlinzeki, nezinsiza zokusiza inqubo yakho yokuthatha izinqumo. Funda ngemithi etholakalayo, imiphumela engemihle engaba khona, kanye nokubaluleka kokunakekelwa komuntu siqu ukuze kube nomphumela ongcono kakhulu ongakhona.
Umdlavuza wamaphaphu wesibili, owaziwa nangokuthi umdlavuza wamaphaphu we-metastatic, kwenzeka lapho amangqamuzana omdlavuza asuka kwenye ingxenye yomzimba esakazekela emaphashini. Umdlavuza wokuqala, obizwa ngokuthi umdlavuza oyinhloko, ungavela ezithweni ezihlukahlukene, njengebele, ikholoni, noma izinso. Indlela yokwelapha ihluke kakhulu kumdlavuza wamaphaphu oyinhloko, okwenza kudingeke uhlelo lomuntu siqu olusekelwe ohlotsheni lomdlavuza oyinhloko kanye nendawo, kanye nezinga lomdlavuza wamaphaphu.
Ukuxilongwa kuvame ukubandakanya ukuhlolwa kwezithombe ezifana ne-CT scan, i-PET scans, nama-biopsies ukuze kuqinisekiswe ukuba khona kwamangqamuzana omdlavuza emaphashini futhi kuhlonzwe indawo yomdlavuza oyinhloko. Umhlinzeki wakho wokunakekelwa kwezempilo uzobuyekeza ngokucophelela umlando wakho wezokwelapha, ahlole umzimba, futhi ahlele izivivinyo ezidingekayo ukuze athole ukuxilongwa okunembile futhi akhe isifo esisebenzayo. ukwelashwa umdlavuza wamaphaphu wesibili eduze kwami isu.
Imithi yokwelapha ehlelekile, efana ne-chemotherapy, ukwelashwa okuhlosiwe, kanye ne-immunotherapy, ihlose ukwelapha amangqamuzana omdlavuza kuwo wonke umzimba. I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza, kuyilapho ukwelashwa okuhlosiwe kugxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza. I-Immunotherapy ithuthukisa amasosha omzimba ukuze alwe namaseli omdlavuza. Ukukhethwa kwe-systemic therapy kuncike kakhulu ohlotsheni lomdlavuza oyinhloko kanye nempilo yesiguli ngasinye.
Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza noma ukubambezela ukukhula kwawo. Ingasetshenziselwa ukunciphisa izimila, ukukhulula ubuhlungu, noma ukuthuthukisa ukuphefumula. Lokhu kungase kube inketho yokwelashwa kwendawo ngokuhlanganyela nemithi yokwelapha ehlelekile yokubhekana nama-metastases athile amaphaphu. Umthamo kanye nendlela yokulethwa kwenzelwe isiguli ngasinye.
Ukususwa ngokuhlinzwa kwezimila zamaphaphu kungase kube inketho ezimweni ezithile zomdlavuza wamaphaphu wesibili, ikakhulukazi uma izimila zitholakala endaweni futhi isiguli sisempilweni enhle iyonke. Izinga lokuhlinzwa lincike kusayizi nendawo yesimila, kanye nempilo yonke yesiguli. Ukuhlolwa kwangaphambi kokuhlinzwa kubalulekile ukuze kutholwe ukuthi kungenzeka yini ukuhlinzwa.
Ukunakekelwa okusekelayo kugxile ekulawuleni izimpawu kanye nokwenza ngcono izinga lempilo yesiguli. Lokhu kungabandakanya ukuphathwa kobuhlungu, ukwesekwa kokudla okunomsoco, nokwelulekwa ngokomzwelo. Indlela yethimba elixube imikhakha eminingi ivamise ukufaka ochwepheshe abafana nodokotela be-oncologists, odokotela abanakekela izinhlungu, nosonhlalakahle ukuze babhekane nezidingo zezokwelapha nezemizwa.
Ukuthola ama-oncologists anolwazi olunzulu ngomdlavuza wamaphaphu kubalulekile ekwelapheni okusebenzayo. Izinsiza ezifana neNational Cancer Institute (https://www.cancer.gov/) kanye nezinhlangano zezokwelapha ezichwepheshile zingakusiza ukuthi uthole ochwepheshe abaqeqeshiwe endaweni yangakini. Cabangela izici ezifana nolwazi lwe-oncologist ngomdlavuza wesibili wamaphaphu, indlela yabo yokunakekelwa kwesiguli, kanye nokuba khona kwezinketho zokwelashwa ezithuthukisiwe esikhungweni sabo.
Lapho ucwaninga ukwelashwa umdlavuza wamaphaphu wesibili eduze kwami ongakhetha kukho, cabangela izici ezingaphezu kokusondelana. Cwaninga okuhlangenwe nakho kwesikhungo ngohlobo lwakho oluthile lomdlavuza, amandla aso obuchwepheshe (njengokufinyelela ekwelashweni okuthuthukisiwe kwemisebe noma ukwelashwa okuhlosiwe), kanye nekhwalithi yezinsizakalo zaso zokunakekela ezisekelayo. Ukubuyekezwa kwesiguli nobufakazi nakho kunganikeza imininingwane ebalulekile.
Izinhlangano eziningi zinikeza ukwesekwa okubalulekile kanye nezinsiza kubantu nemindeni ebhekene nomdlavuza wamaphaphu wesibili. I-American Lung Association (https://www.lung.org/) kanye neNational Cancer Institute (https://www.cancer.gov/) inikeza ulwazi olubanzi ngezinketho zokwelapha, izivivinyo zomtholampilo, kanye nezinsizakalo zokusekela. Ungangabazi ukufuna ukwesekwa kwamaqembu okusekela umdlavuza noma izinsiza zokwelulekwa ukuze ubhekane nezinselele zemizwa ezihlobene nalokhu kuxilongwa.
Khumbula, ukukhetha okufanele ukwelashwa umdlavuza wamaphaphu wesibili eduze kwami kudinga ukuqonda okuphelele kwesimo sakho kanye nokucatshangelwa okucatshangelwe kwazo zonke izindlela zokwelapha ezitholakalayo. Hlala uthintana nodokotela wakho ukuze wenze uhlelo lokwelapha lomuntu siqu.
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