isigaba sokwelashwa 3 ukwelashwa komdlavuza wamaphaphu

Ukuzulazula Isigaba 3 Ukwelashwa Komdlavuza Wamaphaphu: Umhlahlandlela Ophelele

Isigaba sesi-3 somdlavuza wamaphaphu sidinga indlela ehlukene yokwelashwa. Lo mhlahlandlela uhlinzeka ngolwazi olubalulekile ngezinketho ezahlukene zokwelapha ezitholakalayo, ukukusiza ukuthi uqonde izingqinamba zalesi sigaba futhi ukunika amandla okwenza izinqumo ezinolwazi kanye nethimba lakho lezempilo. Sizohlola izinketho zokuhlinzwa, ukwelapha ngemisebe, ukwelashwa ngamakhemikhali, ukwelashwa okuqondiwe, kanye ne-immunotherapy, sigcizelela ukubaluleka kwezinhlelo zokwelashwa eziqondene nawe eziklanyelwe izimo zakho ezithile kanye nephrofayela yomdlavuza.

Ukuqonda Isigaba 3 Umdlavuza Wamaphaphu

Ukuchaza Isigaba 3

Isigaba sesi-3 somdlavuza wamaphaphu, esivame ukuhlukaniswa njengeSigaba IIIA kanye neSigaba IIIB, sibonisa ukuthi umdlavuza usabalele ngale kwamaphaphu kuma-lymph nodes aseduze noma ezinye izakhiwo esifubeni. Isiteji esithile (IIIA vs. IIIB) sincike ezingeni lokusabalala, okunomthelela ekukhetheni isigaba sokwelashwa 3 ukwelashwa komdlavuza wamaphaphu ongakhetha kukho. Isiteji esinembayo sibalulekile ekunqumeni indlela ephumelela kakhulu.

Imigomo Yokwelapha

Imigomo eyinhloko ye isigaba sokwelashwa 3 ukwelashwa komdlavuza wamaphaphu ezokulawula ukukhula komdlavuza, ukuthuthukisa amazinga okusinda, nokuthuthukisa izinga lempilo yesiguli. Lokhu kungase kuhlanganise ukuncipha kwesimila, ukuvimbela ukusabalala kwaso, noma ukunciphisa izimpawu.

Izinketho Zokwelapha ZeSigaba 3 Somdlavuza Wamaphaphu

Ukuhlinzwa

Ukuhlinzwa, okufana ne-lobectomy (ukususwa kwe-lung lobe) noma i-pneumonectomy (ukususwa kwephaphu lonke), kungase kucatshangelwe uma isimila senziwe sasendaweni futhi impilo yesiguli iyonke ivuma. Ukuba nokwenzeka kokuhlinzwa kuncike ezintweni ezinjengobukhulu bethumba nendawo, kanye nokusebenza kokuphefumula kwesiguli. Ukunakekelwa kwangemva kokuhlinzwa, okuhlanganisa nokuvuselelwa, kudlala indima ebalulekile ekululameni.

Ukwelapha Ngemisebe

Ukwelapha ngemisebe kusebenzisa imisebe enamandla amakhulu ukukhomba nokubhubhisa amangqamuzana omdlavuza. Ingasetshenziswa iyodwa noma ihlanganiswe nezinye izindlela zokwelapha ezifana ne-chemotherapy noma ukuhlinzwa. Ukwelashwa ngemisebe ye-beam yangaphandle kuvamile esiteji sesi-3, okuhloswe ukushwabanisa amathumba ngaphambi noma ngemva kokuhlinzwa. Ukuqina nobude besikhathi sokwelashwa ngemisebe kuzohluka ngokuya ngezimo ngazinye. Imiphumela engemihle, njengokukhathala nokucasuka kwesikhumba, iyalawuleka ngokunakekelwa okufanele.

I-Chemotherapy

I-Chemotherapy ihilela ukusebenzisa izidakamizwa ukubulala amangqamuzana omdlavuza. Ivamise ukunikezwa ngaphambi kokuhlinzwa (i-neoadjuvant chemotherapy) ukuze kuncishiswe isimila, kube lula ukusikhipha. Ingase futhi inikezwe ngemva kokuhlinzwa (i-adjuvant chemotherapy) ukuze kuqedwe noma yimaphi amangqamuzana omdlavuza asele noma ngemva kwemisebe. Kunezinhlobo ezahlukene zemithi yokwelapha ngamakhemikhali, ngayinye iklanyelwe uhlobo oluthile kanye nesigaba somdlavuza wamaphaphu. Ukuphatha imiphumela emibi ye-chemotherapy kuyisici esibalulekile sokwelashwa.

Ukwelapha Okuhlosiwe

Ukwelashwa okuhlosiwe kugxile kuma-molecule athile ahilelekile ekukhuleni komdlavuza. Le mishanguzo yakhelwe ukuthi iphazamise ukukhula nokusabalalisa komdlavuza. Ziwusizo ikakhulukazi ezimeni lapho umdlavuza unokuguquguquka okuthile kofuzo. Ukusebenza kokwelashwa okuhlosiwe kuhlolwa ngokuqapha okuvamile.

I-Immunotherapy

I-Immunotherapy ihlanganisa amasosha omzimba ukuze alwe namaseli omdlavuza. Isebenza ngokwandisa impendulo yokuzivikela komzimba noma ukuvimba izimpawu ezivumela amangqamuzana omdlavuza ukuba agweme amasosha omzimba. I-Immunotherapy iyindawo ethuthuka ngokushesha isigaba sokwelashwa 3 ukwelashwa komdlavuza wamaphaphu, enikeza imiphumela ethembisayo kwezinye iziguli. Ukuqapha ngokucophelela kubalulekile ukuhlola impendulo nokulawula imiphumela engemihle.

Ukukhetha Uhlelo Lokwelapha Olulungile

Umuthi Owenziwe Ngokwakho

Okungcono kakhulu isigaba sokwelashwa 3 ukwelashwa komdlavuza wamaphaphu Uhlelo luqondene nomuntu ngamunye, ngokusekelwe ezicini eziningana ezihlanganisa impilo yesiguli iyonke, isigaba kanye nohlobo lomdlavuza wamaphaphu, kanye nokuthandwa yisiguli. Ithimba lezinhlaka eziningi, okuhlanganisa odokotela be-oncologists, odokotela abahlinzayo, odokotela be-radiation oncologists, nabanye ochwepheshe, bayasebenzisana ukuze benze uhlelo lomuntu siqu. Ukuhlolwa kofuzo kungadlala indima ebalulekile ekuqondiseni izinqumo zokwelashwa.

Izilingo Zomtholampilo

Iziguli zingase zicabange ukubamba iqhaza ezivivinyweni zomtholampilo, ezinikeza ukufinyelela ekwelashweni okusha okungakatholakali kabanzi. Izivivinyo zemitholampilo ziklanywe ngokuqinile ukuhlola ukuphepha nokusebenza kwezindlela zokwelapha ezintsha. Ukubamba iqhaza kuwukuzithandela futhi kuhilela ukuqapha ngokucophelela ochwepheshe bezokwelapha. Ukuze uthole ulwazi ngezivivinyo zomtholampilo, thintana nodokotela wakho noma uhlole izinsiza ezifana newebhusayithi yeNational Cancer Institute.

Ukusekela Nezinsiza

Ukubhekana nokuxilongwa kwesigaba sesi-3 somdlavuza wamaphaphu kungaba yinselele. Uhlelo oluqinile lokusekela lubalulekile kulo lonke uhambo lokwelashwa. Iziguli nemindeni yazo kufanele zifinyelele izinsiza ezingokomzwelo, zezenhlalo, nezingokoqobo. Amaqembu okusekela, izinsizakalo zokwelulekwa, nezinhlangano zokumela iziguli zinikeza usizo olubalulekile.

Ukuze uthole ukunakekelwa okuphelele komdlavuza, cabanga ukuhlola izinsizakalo ezinikezwa yi I-Shandong Baofa Cancer Research Institute. Bazinikele ekuhlinzekeni ukwelashwa okuthuthukisiwe kanye nokwesekwa kozwelo kulabo abahlaselwe umdlavuza.

Umshwana wokuzihlangula

Lolu lwazi luhloselwe izinjongo zemfundo kuphela futhi akufanele luthathwe njengeseluleko sezokwelapha. Hlala uthintana nochwepheshe bakho bezempilo ukuze uxilongwe futhi uhlele ukwelashwa. Imibono nemibono evezwe kulesi sihloko akuyona neze eye-Shandong Baofa Cancer Research Institute.