isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu Izibhedlela

Isigaba 1B Ukwelashwa Komdlavuza Wamaphaphu: Ukuthola Isibhedlela EsifaneleLe ndatshana ihlinzeka ngemininingwane ebanzi yesigaba 1b sokwelashwa komdlavuza wamaphaphu Izibhedlela, ichaza izindlela zokwelapha ezihlukahlukene ezitholakalayo, izici okufanele zicatshangelwe lapho kukhethwa isibhedlela, kanye nezinsiza zokuthola ukunakekelwa okungcono kakhulu. Ichaza ukubaluleka kokuxilongwa kusenesikhathi kanye nezinhlelo zokwelashwa eziqondene nawe. Ulwazi ngezivivinyo zemitholampilo kanye namaqembu okusekela nawo afakiwe.

Isigaba 1B Ukwelashwa Komdlavuza Wamaphaphu: Umhlahlandlela Ophelele

Isigaba 1B somdlavuza wamaphaphu sitholwa lapho isimila sisincane (ngaphansi kuka-3cm) futhi singakasabaleli kuma-lymph nodes aseduze noma kwezinye izingxenye zomzimba. Ukutholwa kusenesikhathi kanye nokwelashwa okufanele kubalulekile ukuze kuthuthukiswe amazinga okusinda. Lo mhlahlandlela ugxile ekuzulazuleni okuyinkimbinkimbi yokuthola isibhedlela esifanele sakho isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu Izibhedlela izidingo.

Ukuqonda Isigaba 1B Umdlavuza Wamaphaphu

Usayizi We-Tumor kanye Nendawo

Esigabeni 1B, usayizi wesimila uyisici esibalulekile. Nakuba ngokuvamile kuncane kunezigaba zakamuva, izilinganiso ezinembile zibalulekile ekunqumeni inkambo yokwelapha engcono kakhulu. Indawo ethile ngaphakathi kwephaphu iphinde ibe nomthelela ezinqumweni zokwelashwa. Ukwazi izici eziqondile zesimila kubalulekile ekuhleleni ukwelashwa okuphumelelayo.

Izinhlobo Zomdlavuza Wamaphaphu

Umdlavuza wamaphaphu uhlanganisa izinhlobo ezahlukene, okuhlanganisa nomdlavuza wamaphaphu ongewona omncane (NSCLC) kanye nomdlavuza omncane wamaphaphu weseli (SCLC). Amasu okwelapha ahluka kakhulu phakathi kwalezi zinhlobo. I-NSCLC ivame kakhulu futhi iphinde ihlukaniswe yaba izinhlobo ezincane ezifana ne-adenocarcinoma, i-squamous cell carcinoma, kanye ne-cell carcinoma enkulu. Ukuqonda uhlobo oluthile kubalulekile ekunqumeni okufanele isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu Izibhedlela.

Izinketho Zokwelapha Zesigaba 1B Umdlavuza Wamaphaphu

Ukususwa Ukuhlinzwa

Ukuhlinzwa kuvame ukuba yindlela yokwelapha eyinhloko yomdlavuza wamaphaphu weSigaba 1B. Lokhu kuhilela ukususa isimila esinomdlavuza kanye nomkhawulo wezicubu ezinempilo. Uhlobo lokuhlinzwa luncike endaweni kanye nosayizi wesimila, kusukela ku-lobectomy (ukususwa kwengxenye yephaphu) kuya ekukhishweni koweji (ukususwa kwengxenye encane). Amasu ahlasela kancane, njengokuhlinzwa kwethoracoscopic (VATS) okusizwa ngevidiyo, kuvame ukukhethwa ukunciphisa isikhathi sokutakula kanye nezinkinga. Ukuvuselelwa ngemuva kokuhlinzwa kubalulekile ukuze ululame ngokugcwele.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imishayo enamandla amakhulu ukubulala amangqamuzana omdlavuza. Ingasetshenziswa yodwa noma ngokuhambisana nokuhlinzwa, ikakhulukazi uma kunobungozi obukhulu bokuphinda kwenzeke. I-stereotactic body radiation therapy (SBRT) iwuhlobo olunembe kakhulu lokwelapha ngemisebe evame ukusetshenziswa ezimila ezincane. Imiphumela engemihle yokwelashwa ngemisebe ingahluka kuye ngokuthi umthamo kanye nendawo yokwelashwa.

I-Chemotherapy

I-Chemotherapy isebenzisa izidakamizwa ukubhubhisa amangqamuzana omdlavuza. Nakuba ngokuvamile kungeyona indlela yokwelapha yomugqa wokuqala yomdlavuza wamaphaphu weSigaba 1B, ingasetshenziswa ezimeni ezithile, njengangaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila noma ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kwehliswe ingozi yokuphinda. I-Chemotherapy ingaba nemiphumela emibi eminingana, futhi ukuphathwa okufanele kubalulekile.

Ukukhetha Isibhedlela Esifanele Ukwelashwa Kwakho

Ukugunyazwa kanye Nokuhlangenwe nakho

Bheka izibhedlela ezinezikhungo zomdlavuza wamaphaphu ezizinikele kanye nodokotela abahlinza ithoracic kanye nama-oncologists abanolwazi. Ukugunyazwa okuvela ezinhlanganweni ezihlonishwayo, njenge-Joint Commission, kubonisa ukuzibophezela ekunakekelweni kwekhwalithi ephezulu. Cwaninga amanani empumelelo yesibhedlela kanye nezikolo zokwaneliseka kwesiguli. Cabangela ukutholakala kobuchwepheshe obuthuthukisiwe nezindlela zokuhlinza ezingavamisile kancane.

Izinhlelo Zokwelapha Eziqondene nawe

Uhlelo oluphelele lokwelashwa kufanele luhambisane nezidingo nezimo zakho ezithile. Xoxa ngezinketho zakho nochwepheshe abaningi ukuze uthole ukuqonda okujulile kwezinzuzo ezingaba khona kanye nezingozi zendlela ngayinye yokwelapha. Ukukhetha kwakho esibhedlela kufanele kubonise ukuzibophezela emithini yomuntu siqu.

Izinsizakalo Zokusekela

Indawo esekelayo ibalulekile ngesikhathi sokwelashwa komdlavuza. Qinisekisa ukuthi isibhedlela sinikeza izinsiza eziphelele zokweseka, okuhlanganisa ukwelulekwa, ukubuyisela esimweni, kanye nokufinyelela emaqenjini okusekela. Ukutholakala kwalawa masevisi kungase kube nomthelela omkhulu ekuzizwiseni kwakho kanye nempilo enhle.

Ukuthola Izinsiza Nokwesekwa

I I-American Lung Association kanye ne I-American Cancer Society ukunikeza izinsiza ezibalulekile kanye nokwesekwa kwabantu ababhekene nokuxilongwa komdlavuza wamaphaphu. Lezi zinhlangano zihlinzeka ngolwazi ngezinketho zokwelashwa, izivivinyo zomtholampilo, namaqembu okusekela. Ukuxhumana nezinye iziguli nakho kungazuzisa ngendlela emangalisayo. Ezigulini zaseChina, I-Shandong Baofa Cancer Research Institute iyisikhungo esihamba phambili esinikeza ukwelashwa nokunakekelwa okuthuthukile.

Izilingo Zomtholampilo

Ukubamba iqhaza ocwaningweni lomtholampilo kungase kunikeze ukufinyelela ekwelashweni okusha futhi kube negalelo ekuthuthukisweni kokunakekelwa komdlavuza wamaphaphu. Izivivinyo zemitholampilo ziqashwe ngokucophelela izifundo zocwaningo ezihlola izindlela ezintsha zokwelapha. I-oncologist yakho ingakusiza ukuthi ubone ukuthi ukuhlanganyela esivivinyweni somtholampilo kusifanele yini isimo sakho. I Iwebhusayithi yeNational Institutes of Health (NIH). inikeza isizindalwazi esiphelele sezivivinyo zomtholampilo eziqhubekayo.

Umshwana wokuzihlangula: Lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma omunye umhlinzeki wezempilo oqeqeshiwe nganoma imiphi imibuzo ongase ube nayo mayelana nesimo sezempilo.