ukwelashwa Ukwelashwa komdlavuza we-squamous wamaphaphu Ezibhedlela

Ukwelashwa Kwe-squamous Cell Lung Cancer: Izibhedlela kanye Nezinketho

Lo mhlahlandlela obanzi uhlola izindlela zokwelapha umdlavuza wamaphaphu we-squamous cell, uhlobo oluthile lomdlavuza wamaphaphu ongewona omncane (NSCLC). Sizofaka ukuxilongwa, izindlela zokwelashwa ezahlukahlukene, nezici ezithonya izinqumo zokwelashwa. Ukuqonda lezi zici kunikeza iziguli amandla nemindeni yazo ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwazo.

Ukuqonda I-Squamous Cell Lung Cancer

Yini I-Squamous Cell Lung Cancer?

Umdlavuza we-squamous wamaphaphu uvela olwelweni lwe-bronchi (imigudu yomoya) emaphashini. Ibonakala ngamaseli e-squamous, uhlobo lwamaseli ayisicaba atholakala olwelweni lwezitho eziningi. Lolu hlobo lomdlavuza wamaphaphu luvame ukuhlotshaniswa nomlando wokubhema, kodwa lungenzeka nakubantu abangabhemi.

Ukuxilongwa Kwe-Squamous Cell Lung Cancer

Ukuxilonga umdlavuza we-squamous wamaphaphu kuhilela izinyathelo ezimbalwa, okuhlanganisa ukuhlolwa ngokomzimba, ukuhlolwa kwesithombe (njenge-CT scan nama-X-ray), kanye ne-biopsy. I-biopsy, lapho kuthathwa khona isampula lethishu ukuze kuhlaziywe elabhorethri, ibalulekile ukuze kuqinisekiswe ukuxilongwa nokunquma isigaba somdlavuza. Ukutholwa kusenesikhathi kuyisihluthulelo sokuphumelela ukwelashwa komdlavuza we-squamous lung.

Izinketho Zokwelapha I-Squamous Cell Lung Cancer

Ukuhlinzwa

Okwesigaba sokuqala umdlavuza we-squamous wamaphaphu, ukuhlinzwa ukuze kukhishwe izicubu ezinomdlavuza kungase kube inketho. Uhlobo lokuhlinzwa luncike endaweni kanye nobukhulu besimila. Lokhu kungase kuhilele i-lobectomy (ukususwa kwe-lobe yamaphaphu), i-pneumonectomy (ukususwa kwephaphu lonke), noma ukukhishwa kwamaphaphu (ukususwa kwengxenye encane yephaphu).

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ingasetshenziswa ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukunciphisa isimila, ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kwehliswe ingozi yokuphinda iphinde, noma njengokwelashwa okuyinhloko kwesigaba esithuthukisiwe. umdlavuza we-squamous wamaphaphu. Kunezinhlobo eziningana zemithi yokwelapha ngamakhemikhali, futhi ukukhetha kuncike ezicini ezithile.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha. Ingaqondiswa endaweni yesimila (ukwelashwa ngemisebe ye-beam yangaphandle) noma ilethwe ngqo kusimila (brachytherapy).

Ukwelapha Okuhlosiwe

Ukwelapha okuhlosiwe kusebenzisa izidakamizwa eziqondise amangqamuzana omdlavuza ngaphandle kokulimaza amaseli anempilo. Izindlela zokwelapha ezimbalwa ezihlosiwe ziyatholakala umdlavuza we-squamous wamaphaphu, ikakhulukazi lezo ezinofuzo oluthile. Udokotela wakho uzonquma ukuthi ingabe lokhu kwelashwa kufanelekile ngokusekelwe ezicini zomdlavuza wakho ngamunye.

I-Immunotherapy

I-Immunotherapy isiza amasosha omzimba wakho ukuthi alwe namaseli omdlavuza. I-Checkpoint inhibitors wuhlobo lwe-immunotherapy olubonise isithembiso ekwelapheni izinga eliphezulu umdlavuza we-squamous wamaphaphu. Le mithi ivimba amaprotheni avimbela amasosha omzimba ukuba ahlasele amangqamuzana omdlavuza.

Ukukhetha Isibhedlela Esifanele Ukwelashwa

Ukukhethela isibhedlela ukwelashwa komdlavuza we-squamous lung kudinga ukucatshangelwa ngokucophelela. Bheka izibhedlela ezinongoti be-oncologists abanolwazi olunzulu ngomdlavuza wamaphaphu, izikhungo ezisezingeni eliphezulu, kanye nerekhodi eliqinile lemiphumela yokwelashwa eyimpumelelo. Cabangela izici ezifana nendawo, ukufinyeleleka, nendlela yesibhedlela yokunakekelwa kwesiguli. Ukuze uthole ukunakekelwa okuphelele komdlavuza, cabanga ngalokhu I-Shandong Baofa Cancer Research Institute. Banikeza ukwelashwa okuthuthukisiwe kanye nendlela egxile esigulini.

I-Prognosis Nokunakekelwa Kwesikhathi Eside

I-prognosis ye umdlavuza we-squamous wamaphaphu kuyahlukahluka kuye ngezici eziningana, okuhlanganisa isigaba somdlavuza ekuxilongweni, impilo yesiguli iyonke, kanye nokusabela ekwelashweni. Ukubonana njalo nodokotela wakho we-oncologist kubalulekile ukuze uqaphe impilo yakho futhi uthole noma yikuphi ukuphindeka. Ukunakekelwa kwesikhathi eside kungase kuhlanganise ukuhlolwa okuvamile, ukuhlolwa kwezithombe, nokuphathwa kwanoma yimiphi imiphumela emibi evela ekwelashweni.

Inothi elibalulekile

Lolu lwazi ngelezinjongo zokufundisa kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma uchwepheshe wezempilo oqeqeshiwe ukuze uxilongwe futhi ulashwe noma yisiphi isimo sezempilo. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kubalulekile ukuze kuthuthukiswe imiphumela umdlavuza we-squamous wamaphaphu.