isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu eduze kwami

Isigaba 1B Ukwelashwa Komdlavuza Wamaphaphu Eduze Kwami: Ukuthola Ukunakekelwa Okufanele

Lo mhlahlandlela obanzi ukusiza ukuthi uqonde umdlavuza wamaphaphu weSigaba 1B futhi uthole okufanele isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu eduze kwami. Sizofaka ukuxilongwa, izinketho zokwelashwa, kanye nezici ezibalulekile okufanele zicatshangelwe lapho ukhetha umhlinzeki wokunakekelwa. Funda indlela yokuhamba kulolu hambo oluyinselele ngokuzethemba futhi ufinyelele ukunakekelwa okungcono kakhulu.

Ukuqonda Isigaba 1B Umdlavuza Wamaphaphu

Yini Isigaba 1B Umdlavuza Wamaphaphu?

Isigaba 1B somdlavuza wamaphaphu sibonisa ukuthi umdlavuza utholakala endaweni ethile yephaphu, ngokuvamile engaphansi kwamasentimitha amathathu ububanzi. Ayikasakazeki kuma-lymph nodes aseduze noma kwezinye izingxenye zomzimba. Ukutholwa kusenesikhathi kulesi sigaba kuthuthukisa kakhulu imiphumela yokwelashwa. Isiteji esinembayo sibalulekile ekunqumeni inkambo engcono kakhulu yokwenza isimo sakho esithile.

Ukuxilongwa Nokuhlolwa

Ukuxilongwa kuhilela ukuhlolwa okuhlukahlukene njenge-X-ray yesifuba, i-CT scan, i-biopsy (ukuqinisekisa uhlobo lomdlavuza kanye nesiteji), kanye ne-PET scan. Lezi zivivinyo zisiza ukunquma izinga lomdlavuza kanye nokuhlelwa kokwelashwa komhlahlandlela. Udokotela wakho uzochaza imiphumela kahle futhi axoxe ngezinyathelo ezilandelayo ekunakekelweni kwakho.

Izinketho Zokwelapha Zesigaba 1B Umdlavuza Wamaphaphu

Ukuhlinzwa: Ukwelashwa Okuyinhloko

Esigabeni 1B somdlavuza wamaphaphu, ukuhlinzwa kuvame ukuba wukwelashwa okuyinhloko. Lokhu kungase kuhlanganise i-lobectomy (ukususwa kwe-lobe yephaphu) noma ukukhishwa kwe-wedges (ukususwa kwengxenye encane yephaphu). Inqubo ethile yokuhlinzwa incike endaweni kanye nobukhulu besimila. Izindlela zokuhlinza ezihlasela kancane zivame ukusetshenziswa ukuze kuncishiswe isikhathi sokululama futhi kuthuthukiswe imiphumela yesiguli. Ngemva kokuhlinzwa, iziguli zingase zidinge ukwelashwa okwengeziwe kuye ngezinto ezimbalwa.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kungasetshenziswa kanye nokuhlinzwa, ikakhulukazi uma kukhona ukukhathazeka mayelana namaseli omdlavuza amancane asele. Isebenzisa imisebe enamandla amakhulu ukubulala amangqamuzana omdlavuza. I-Stereotactic body radiation therapy (SBRT) iwuhlobo olunembile lokwelapha ngemisebe evame ukusetshenziselwa umdlavuza wamaphaphu osaqala.

I-Chemotherapy

Nakuba kungavamile kakhulu njengokwelashwa okuyinhloko komdlavuza wamaphaphu weSigaba 1B, ukwelashwa ngamakhemikhali kungasetshenziswa ezimeni ezithile, njengangaphambi kokuhlinzwa (ukwelashwa ngamakhemikhali kwe-neoadjuvant) ukuze kuncishiswe isimila noma ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuncishiswe ingozi yokuphinda. I-oncologist yakho izohlola ukuthi i-chemotherapy iyadingeka yini esimweni sakho.

Ukuthola Isikhungo Sokwelapha Eduze Kwawe

Izinto Okufanele Zicabangele

Lapho ukhetha umhlinzeki wezempilo wakho isigaba sokwelashwa 1b ukwelashwa komdlavuza wamaphaphu eduze kwami, cabangela izici ezimbalwa ezibalulekile:

• Isipiliyoni nobungcweti bamaqembu okuhlinzwa kanye ne-oncology.
• Intuthuko yezobuchwepheshe iyatholakala kulesi sikhungo.
• Ukubuyekezwa kwesiguli kanye nobufakazi.
• Ukufinyeleleka kanye nokuba lula kwendawo.
• Izinsizakalo eziphelele zokweseka ezihlinzekwayo (isb., ukunakekelwa kwe-palliative, ukuvuselela).

Izinsiza Ze-inthanethi Nocwaningo

Sebenzisa izinsiza eziku-inthanethi ezifana ne-American Cancer Society (https://www.cancer.org/) kanye neNational Cancer Institute (https://www.cancer.gov/) ukuqoqa ulwazi mayelana nezinketho zokwelapha umdlavuza wamaphaphu futhi uthole abahlinzeki bezempilo abaqeqeshiwe. Cabangela ukuhlola izibhedlela ezinedumela elihle nezikhungo zomdlavuza endaweni yangakini. Abaningi banikela ngezinsiza eziku-inthanethi kanye nezitholi zodokotela. Kufanele ngaso sonke isikhathi uthintane nodokotela wakho ngaphambi kokwenza noma yiziphi izinqumo mayelana nokwelashwa kwakho.

Izinketho Zokwelashwa Ezithuthukisiwe

Ukwelapha Okuhlosiwe

Imithi yokwelapha ehlosiwe igxila kuma-molecule athile ngaphakathi kwamaseli omdlavuza anomthelela ekukhuleni nasekusakazekeni kwawo. Le ndlela ingase ibe inketho kuye ngohlobo oluthile nezici zamangqamuzana omdlavuza. I-oncologist yakho izonquma ukufaneleka kokwelashwa okuhlosiwe ngokusekelwe esimweni sakho esiyingqayizivele.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. Le ndlela ihlanganisa imithi esiza ukuqinisa amasosha omzimba ukubulala amangqamuzana omdlavuza. Ingasetshenziswa ezimweni ezithile, ihlanganiswe nezinye izindlela zokwelapha. Udokotela wakho angaxoxa ngokufaneleka kwe-immunotherapy ecaleni lakho.

Ukucatshangelwa Okubalulekile

Khumbula ukuthi lolu lwazi ololwazi jikelele futhi aluhlanganisi iseluleko sezokwelapha. Hlala uthintana nodokotela wakho noma i-oncologist ukuze nixoxe ngesimo sakho esithile futhi nithuthukise uhlelo lokwelapha lomuntu siqu. Ukuxilongwa kusenesikhathi kanye nokwelashwa ngokushesha kubalulekile ukuze kube nemiphumela engcono kakhulu yomdlavuza wamaphaphu weSigaba 1B.

Ukuze uthole ulwazi olwengeziwe noma ukuhlela ukubonisana, cabanga ukuthintana I-Shandong Baofa Cancer Research Institute ukuhlola izinketho zokwelashwa ezingaba khona. Khumbula ukuthi ukungenelela kusenesikhathi kanye nohlelo lokwelapha lomuntu siqu olufanelana nezimo zakho ezithile kuwukhiye wokuphatha ngempumelelo umdlavuza wamaphaphu weSigaba 1B.