Inkcazo, iMpawu, kunye noTyango lweCarcinoma kwiimeko eziLungwini
Sibanzi
Isigaba 0 Umhlaza wesifo somhlaza wamangqamuzana ongeyomncinci , owaziwa nangokuthi yi- carcinoma in situ , iyona nqanaba lokuqala apho umdlavuza wamaphaphu unokufumaneka khona. Umdlavuza womlenze awunqabile ukufumaneka kweli nqanaba, kwaye xa kunjalo, ngokuqhelekileyo ukufumanisa okuqhelekileyo xa uvavanyo lwenziwa ngesinye isizathu. Ngokwemfundiso, umhlaza wemiphunga kufuneka uphephe ngokupheleleyo kule nqanaba. Oko kwathiwa, abaninzi abantu abanomdlavuza wamaphaphu okanye isigaba sesi-2, kwaye ukufunda ngokuthintela umdlavuza yingxenye ebalulekileyo yonyango.
Isigaba se-0 esincinci somhlaza wamaphaphu wesifo samaphaphu, ichaza isisu esinokuthi sibekho nje kwiibalo ezimbalwa zeeseli kwaye asikhulanga ngaphaya kwemida yangaphakathi yemiphunga. Isigaba se-0 (i-carcinoma in situ) ithathwa njengento engena-invasive, oku kuchazwa kweli nqanaba akukakwazi ukusabalalisa kwezinye iindawo.
I-Oncologists isebenzisa inkqubo ye-TNM ukucacisa kwakhona izigaba zomdlavuza wamaphaphu, kunye no-T emela ubungakanani be-tumor, N ebonisa ubukho beempawu zengqamuzana ezinomdlavuza wesifo somhlaza, kunye noM o emile ye- metastases (ukusasazeka kwe-tumor ukuya kwezinye iindawo zomphunga okanye ezikude emzimbeni.
Ngokutsho kwenkqubo ye- TNM , umdlavuza we- Step 0 uchazwa ngokuthi:
- I-Tis, i-N0, i-M0-Yithetha ukuba i-tumor ikhona kwindawo (ikhona kuphela kwiiseli apho yaqala kwaye ayizange isasaze kwiimveliso ezikufuphi) kwaye ayizange isakaze nakweyiphi i-lymph nodes okanye kwimimandla ekude yomzimba).
Iimpawu
Isigaba 0 Umhlaza wamaphaphu mncinane kakhulu kwaye kufuneka ube neyona mininzi, ukuba kukho na, iimpawu.
Ekubeni kudla ngokuba "ngengozi," ngexesha lokuvavanya, naziphi na iimpawu ezibangelwa ukuhlolwa kwindawo yokuqala zihlala zikhona. Ezi ziquka ukukhwehlela okuqhubekayo , ukuphefumula okufutshane , intlungu kwisifuba , emva , okanye emagxeni , okanye iimpawu eziqhelekileyo ezifana nokukhathala.
Unyango
Unyango olukhethiweyo kwisigaba se-0 Umdlavuza wamaphaphu utyando .
I-radiation okanye i- chemotherapy ayidla ngokusetyenziswa. Iintlobo ezintathu zokuhlinzwa zivame ukuba zenziwe ngumhlaza wemiphunga, kwaye, ngokuxhomekeka kwindawo yesikhumba, enye yeentlobo ezincinci zokuhlinzwa (umzekelo, ukuthengiswa kwemida ) kungenziwa rhoqo. Izilingo zezonyango ziyaqhubeka zijonge kwiinkqubo ezingaphantsi kwe-invasive zokunyanga isigaba se-0 somhlaza wemiphunga, njengokwelashwa kwe-photodynamic okanye i-brachytherapy.
Prognosis
Ukususela kwinqanaba 0 umhlaza wemiphunga ngenkcazo engeyiyo intshabalala, kufuneka, kwinqanaba, linyango ngokuhlinzwa. Ngelishwa, abaninzi abantu abanomdlavuza wesi-1 wamaphaphu baneengqungquthela zesibini eziphambili , kwaye isalathiso sincike kwisigaba somdlavuza ophezulu. Abantu abanomdlavuza wemiphunga we-stage 0 basengozini yokuvelisa omnye umhlaza wamaphaphu esikhathini esizayo.
Ukujamelana
Uphando lubonisa ukuba ukufunda okuninzi malunga nomhlaza wakho kuphucula umphumo wakho. Buza imibuzo.Tyelela ugqirha wakho malunga nokuvavanywa kweeklinikhi ezifanelekileyo. Cinga ukujoyina iqela lokuxhasa . Cela kwaye uvumele abathandekayo bakho ukuba bancede. Ukuxilongwa komhlaza wamaphaphu kule nqanaba lokuqala kukudala ithuba lokwenza utshintsho olunokukunika ikamva eliphilileyo. Khangela indlela ophila ngayo kwaye ubone ukuba unokwenza ntoni na ukunciphisa umngcipheko wakho wokuphucula umdlavuza wamaphaphu kwakhona:
- Ukuba ubhema, shiya
- Hlola ikhaya lakho nge- radon
- Hlalani naluphi na ulungelelwaniso lwendalo olungabangela ingozi
- Hlola indawo yokusebenzela kuyo nayiphi na indawo emele usebenze ngayo
- Khetha ukutya okunesondlo okunokuthi unciphise umngcipheko womhlaza wamaphaphu
- Ukuzivocavoca
Ukulandelwa kunye nokukhusela
Ukuba uphathwe umhlaza wesifo somdla we-stage 0 wakho ugqirha uya kufuna ukukulandela ngokukhawuleza ubomi bakho bonke. Kwinqaba, isigaba se-0 umhlaza wemiphunga kufuneka sinyangeke ngenxa yokuba singenasiphelo, kodwa isilumkiso sisesekho. Okubaluleke kakhulu, ukuba nomdlavuza wamaphaphu kwindawo yokuqala kuyinto ebalulekileyo yengozi yokuphucula umhlaza wesibili wamaphaphu.
Umdlavuza wesibili oyintloko wamaphaphu ubhekisela kumdlavuza wamaphaphu ohlukeneyo ongahambelani nomhlaza wakho wokuqala. Thetha nogqirha wakho malunga nendlela efanelekileyo kunye nexesha lokulandelelana ukuqinisekisa ukuba umhlaza omtsha wamaphaphu uya kubanjwa ngokukhawuleza.
> Imithombo:
> IKomidi eliManyeneyo yaseMerika kwiCarcer. I-Cancer Stage. I-7 Edition. Fi kelelwa ngo 09/20/14. https://cancerstaging.org/references-tools/quickreferences/Documents/LungMedium.pdf
> INational Cancer Institute. Ukwelashwa kweNtsholongwane yeNtsholongwane yeeLungile (PDQ) - I-Health Professional Version. Ukuhlaziywa 05/11/16. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all