Inqanaba elincinci leNgcaciso yeNqanaba, iNyango, kunye nePrognosis
Umdlavuza omncinci wesifo somhlaza awuqhelekanga kunomdlavuza ongasetyenzana wesifo samangcwaba, ukubalwa malunga neepesenti ezingama-15 zamanomdlavuza emiphunga. Ihlala ikhuthele, ikhula ngokukhawuleza kwaye isasazeka ngokukhawuleza, kodwa ihlala isabela kakuhle kwi-chemotherapy.
Umdlavuza omncinci wamangqamuzana omnxeba (ngokungafani nomdlavuza wesifo somnxeba ongekho mncinci ), ulwahlula ngamanyathelo amabini kuphela - anqamle kwaye aninzi. Amaphesenti angama-60 ukuya kuma-70 abantu abanesifo esikhulu ngexesha lokuxilongwa.
Sibanzi
Umgudu omncinci wesifo somhlaza wamaphaphu uchazwa njengomhlaza omncinci wamangqamuzana omnxeba osasazekayo ( wenziwe ngamanzi ) kwezinye iindawo zomzimba ezifana nesinye i-lobe yomphunga okanye ingqondo.
Iimpawu
Iimpawu zingabandakanya:
Iimpawu ezinxulumene nomdlavuza kwimiphunga:
- Ukukhwehlela okuqhubekayo
- Ukuhlamba igazi (hemoptysis)
- Ukukhupha ubuso kunye nentamo
- Ukuqhawukelwa ngumphefumlo
- Ukugubha
- Ukuphindaphinda iziqulatho ze-pneumonia okanye i-bronchitis
- Ukuthuka
Iimpawu ngenxa ye- paraneoplastic syndromes , eziyimpawu ezibangelwa ama-hormone ezifihliwe ngumzimba okanye isifo somzimba somzimba kwisifo esixubile kunokuba isisu sinjalo. Ezinye zezi ziquka:
- Ubuthakathaka obuthathaka kwimilenze ephezulu, ukuguquka kombono, nobunzima bokugwinya (Lambert-Eaten myasthenic syndrome)
- Ubuthathaka, ukukhathala, kunye nezinga lezantsi le-sodium egazini (isifo se-hormone ye-hormone esingafanelekanga (SIADH) engalunganga)
- Ukulahlekelwa koqhagamshelwano kunye nobunzima bokuthetha (i-paraneoplastic cerebellar degeneration)
- I-Clubbing (ukujikeleza) kweminwe
Iimpawu ngenxa yokusabalalisa i-tumor kwezinye iindawo zomzimba , umzekelo:
- Ubuhlungu emva, emacaleni, okanye kwiimbambo ukuba i-tumor isasazeke kwithambo
- Ubunzima bokugwinya (i-dysphagia) ngenxa yesifo esivutshane okanye siphepha
- Intloko, ukuguquka kombono, ubuthathaka, okanye ukuxhamla xa isisu sifana nengqondo
Izimpawu eziqhelekileyo ezinxulumene nomhlaza wesifo semitha ezifana:
Unyango
Ukunyanga kwesifo esiphezulu sesifo ngokuqhelekileyo kubandakanya i-chemotherapy elawulwa yodwa. Ngamanye amaxesha i-radiation ingasetyenziselwa ukulawula iimpawu (unyango oluthile) olunxulumene nokusabalaliswa komhlaza, njengentlungu yesifo, ukuphuma kumaphaphu, izikhumba ezivimbela ukuhamba kwomoya kunye nokudala ukuphefumla okufutshane, okanye i-metastase yengqondo ebangela iimpawu ezibalulekileyo, ezifana nentloko okanye ubuthathaka.
Uvavanyo lwezonyango luqhubela phambili kuzo zombini izigaba zomdlavuza omncinci wamangqamuzana, ukuphonononga unyango olutsha kunye neendlela zokwelapha kulo mhlaza.
- Izinyathelo zokwelapha umdlavuza
- Chemotherapy
- Utyando lweyeza
- Ngaba unyango luye lwabe lwenziwa ngeCancel Lung Cancer?
Prognosis
Izinga lokusinda kwintsholongwane yomhlaza wesifo somhlaza sele liphuculwe ukususela kwongezwa kwonyango lwamayeza kunyango kunye nokusetyenziswa kwe-PCI, kodwa uhlale uphantsi. Njengamanje, izinga lokusinda iminyaka emi-5 kwinqanaba lesi-3 elincinci lomdlavuza wamaphaphu ngamaphesenti ayi-8, kwaye kuphela iipesenti ezi-2 kwisigaba se-4. Ngaphandle kokonyango, ixesha lokuphila lobomi kunye nesifo esikhulu liinyanga ezi-2 ukuya kwezi-4, kwaye unyango luyiinyanga ezi-6 ukuya kwezi-12. Ekubeni umhlaza wesifo somhlaza wamaphaphu ukhula ngokukhawuleza, kwaye siye sahamba ixesha elide kunye nezinye umdlavuza ezinokukhula ngokukhawuleza ezifana ne-leukemia, ithemba ukuba unyango olungcono luya kufumaneka kwixesha elizayo.
Ukujamelana
Izifundo zibonisa ukuba ukufunda oko unokukwazi ngomdlavuza wakho wamaphaphu kunokuphucula umgangatho wobomi, mhlawumbi nokuba nesiphumo sakho. Buza imibuzo. Funda malunga novavanyo lweekliniki. Cinga ukujoyina iqela lokuxhasa. Abaninzi bethu banqikaza ukuthetha ngemicimbi yokuphela kwempilo, kodwa ukuxoxa ngale ngagqirha kunye nentsapho yakho-nangona nonke nithemba ukunyanga - ihambelana nemizwa encinci yedwa kunye nomgangatho wobomi obulungileyo . Ungalokothi ulahlekelwe ithemba, nokuba ukhe ukhethe ukungaqhubela phambili unyango. Ithemba lokwenza ixesha elifanelekileyo kunye nabathandekayo, ngokulawula kakuhle iimpawu zakho.
Ithemba ngekamva labathandekayo bakho abaya kuhlala, bekhumbula ngeentliziyo zabo.
- Indlela Yokufumana Iqela Lenkxaso Yengqungquthela Yengculaza
- Iingcebiso zokuPhucula ukuPhumela kweCarcer ye-Lung
Imithombo:
UHann, uC. NoColin Rudin. Ukulawulwa komdlavuza omncinci wamangqamu omnxeba: utshintsho olungakumbi kodwa ithemba ngekamva. I-Oncology (Williston Park) . 2008. 22 (13): 1486-92.
National Cancer Institute. Ukwelashwa kweNcinci yeCatal Lung Cancer (PDQ). 07/07/16. https://www.cancer.gov/types/lung/patient/small-cell-lung-treatment-pdq.
Sorenson, M. et al. Umdlavuza omncinci wamangqamuzana: I-ESMO Iingcebiso zonyango zokuxilongwa, unyango kunye nokulandelelana. Amanqaku e-Oncology . 2009. I-Suppl 4: 71-2.