Isigaba I-Cancer Cancer: Inkcazo, unyango, kunye nePrognosis
Ukuba uye wafumanisa ukuba unomhlaza wesifo somhlaza, kufuneka uwazi ntoni? Yintoni enquma ukuba umhlaza wemiphunga uyisigaba sam, ngaba ziphi unyango olukhoyo, kwaye yiyiphi intsingiselo?
Ubume bemiSebenzi ye-Stage I Lung Cancer
Isigaba Umhlaza wamaphaphu ngowona nqanaba lokuqala apho amaninzi omdlavuza wamaphaphu afunyaniswa khona kwaye isigaba apho kuhlala khona ixesha elide lide. Phantse iipesenti ezingama-30 zeekliniki ezingamancinci zamaseli emiphunga afunyanwa xa zisesezingeni lesibini okanye ii-II.
(Kukho umhlaza wesifo somdlavuza wamaphaphu, umhlaza wesifo somdlavuza wesigaba se-0 okanye i-carcinoma-in-situ, nangona umdlavuza wamaphaphu awunqabile ukufumaneka kule nqanaba eliphambili kwaye lingenasiphelo.)
Kukho iintlobo ezimbini ezibalulekileyo zomdlavuza wamaphaphu; Umdlavuza ongasetyenzana wesifo somhlaza ngumdla wesifo somhlaza wamaphaphu, ngokuqhelekileyo ukhula kwaye usasazeka ngokuthe ngcembe kunomdlavuza omncinci wamangqamuzana, kunye neentlobo eziqhelekileyo ezintathu: i-squamous cell carcinoma, i-cell cell carcinoma kunye ne-adenocarcinoma.
Ezinye iintlobo ezingekho phantsi kwe-cell cell emangcwabeni yamaphaphu zi-pleomorphic, i-carcinoid tumor, i-salivary gland carcinoma, kunye ne-carlasoma engabonakaliyo.
Inkcazo
Ukuqonda isigaba somdlavuza wemiphunga kubaluleke kakhulu-kokubili ukukhetha iindlela ezintle zokonyango, kunye nokuba neengcamango zento ezayo kwixesha elizayo. Isigaba Umdlavuza wamaphaphu usekuhlaleni, oko kuthetha ukuba akusasazekanga nakweyiphi i-lymph nodes okanye ezinye izitho.
Isigaba I saphinda siphulwe phantsi:
- Isigaba IA: I-tumor ingaphantsi kwe-3 cm (malunga no-1 ½ intshi)
- Isigaba IB: I-tumor inkulu kune-3 cm kwaye ingaphantsi kwama-7 cm
I-oncologist yakho ingachaza isigaba somhlaza wakho esekelwe kwinto ebizwa ngokuba yi- TNM , apho i-T imela ubukhulu be-tumor, i-N imele iisodes, kwaye iM imele imetastasis (ukusasazeka komhlaza).
Ngokutsho kwenkqubo ye-TNM, isigaba somdlavuza wemiphunga 1 siya kuthiwa:
- ISigaba se-IA (T1N0M0): Sithetha isigxina esingaphantsi kwe-3 cm, kungekho nodes kwaye akukho metastasis
- Isigaba IB (T2N0M0): Kuthetha i-tumor ephezulu kune-3 cm, kodwa ngaphantsi kwe-cm 7, kungekho nodes kwaye akukho metastasis
Iimpawu
Isigaba Umdlavuza wamaphaphu unokuba khona ngaphandle kwempawu kwaye udlalwa rhoqo xa kwenzeka i-x-ray esinye isizathu. Ngamanye amaxesha, umhlaza wam umhlaza wamaphaphu ufunyanwa xa umntu esengozini yomdlavuza wamaphaphu awela kwi- CT yokuhlola umhlaza wemiphunga . Iimpawu eziqhelekileyo xa zikhona ziquka ukukhwehlela okuqhubekayo , ukuphefumula okufutshane okanye iziganeko eziphindaphindiweyo ze-pneumonia okanye i-bronchitis. Ekubeni umhlaza awuzange usasazeke, iimpawu ezinjengokukhathala okukhulu, ukulahlekelwa kwesisindo esingenakuzenzela , okanye iintlungu ezininzi azikho.
Unyango
Ugqirha yonyango olukhethiweyo kumdla wesifo somhlaza wamaphaphu. Kukho iintlobo ezinkulu ezintathu zemisebenzi yomhlaza wamaphaphu eyenziwa ngumhlaza wesifo samaphaphu, nangona ngamanye amaxesha ukuhlinzwa kungenakwenzeka ngenxa yendawo yokutya okanye imeko yakho yempilo jikelele. Iprogram ebizwa ngokuba ngu-tats) i-VATS) eyenziwa ngokuncediswa ngevidiyo-incedisi engaphantsi kwezobugcisa kunye nokunyamezeleka. Ayikho yonke i-cancer yamaphaphu ingasuswa ngolu hlobo, kodwa xa ikhona, ukubuyiswa kukufutshane.
Akubona bonke abagqirha bemiphunga yamaphaphu benza le ndlela. Ukongezelela, kuye kwafunyanwa ukuba abantu abafumana unyango lomdlavuza wamaphaphu kumaziko omhlaza okwenza umthamo omkhulu wezo zonyango zibe neziphumo ezingcono. Ukuba ucinga ukuhlinzwa komhlaza wamaphaphu, kubalulekile ukufumana umbono wesibini . Abantu abaninzi bakhetha ukufumana le ngcamango kwelinye leNational Cancer Institute-amaziko omhlaza okhethwe.
Kwizigulane ezingenakwenzekayo umhlaza wamaphaphu, unyango lwamayeza lukhetho lunokubangela ukunyanga. Indlela entsha ebizwa ngokuthi i- radiotherapy yomzimba (stereotactic body radiotherapy (SBRT) ibonakala iyathembisayo kwabo bangakwazi ukuqhutyelwa ukuhlinzwa ngenxa yesigaba somhlaza wesi-1 somphunga.
Ukwelashwa kwe-proton ye-prory ingaba yinto ekhethekileyo kulabo abanomdlavuza wamaphaphu omdala onzima okanye awunakwenzeka ukususa ngokuhlinzwa. Ngomdlavuza we-IA wamaphaphu, i-chemotherapy okanye unyango lwe-radiation ayisoloko ikhuthazwa. Ngomdlavuza wemiphunga ye-IB, esekelwe kwimimandla enobundlobongela (umzekelo, ubungakanani obukhulu ngaphezu kwe-4 cm) abathile be-oncologists batusa i-acrovant chemotherapy-chemotherapy eqaliswe emva nje kokuhlinzwa ngokuzama ukubulala nayiphi na iseli yomhlaza esisele emva kokuhlinzwa.
Ukuphindaphinda emva kwesigaba I-Cancer Cancer Treatment
Ngaphandle kokuhlinzwa ngokuphumelelayo, isigaba somhlaza wesi-1 somhlaza sibuyela kwiindawo ezikude okanye kwiindawo ezikude malunga nesithathu sezigulane. Ukuba isigaba somdlavuza somphunga we-1 siphinde siphumelele, enye inkqubo yokuhlinzwa inganconywa, okanye unyango olongezelelweyo kunye ne-chemotherapy kunye ne-radiation. Izilingo ezininzi zeklinikhi ziyaqhubeka ukuphonononga iindlela zokonyango emva kokuphindaphinda kwintsholongwane yomhlaza wamaphaphu.
Kwalabo abaye bavutha kwixesha elidlulileyo, kukho umngcipheko wokuphuhlisa isisu sesibini esiphambili esinxulumene nokutshaya, mhlawumbi kwimiphunga okanye kwezinye iindawo zomzimba. Funda kabanzi malunga nokuphindaphinda komhlaza wamaphaphu .
Umlinganiselo Wokusinda kunye neNgcaciso yeSigaba I-Cancer Cancer
Isilinganiso seminyaka emihlanu yokusinda kwisigaba 1 somdlavuza wamaphaphu ngeli xesha ngama-49 ekhulwini kwi-IA kunye ne-45 ekhulwini kwi-IB. Izifundo zakutsha zibonise amazinga okusinda kwi-90 ekhulwini xa isifo somhlaza wamaphaphu sitholakala nge-CT yokuhlola, kwaye sinethemba lokuba iindlela zokuhlola ziya kuphuhliswa kungekudala ukuphucula ukufumanisa kwangaphambili kunye nokuphila ngokubanzi.
Ukujamelana
Izifundo zibonisa ukuba ukufunda okuninzi ngesifo sakho ngokusemandleni kunokuphucula umphumo wakho. Buza imibuzo. Funa inkxaso kubantu abathandekayo kwaye ubandakanyeke kwizigqibo zokunyamekela. Fumana iqela lokuxhasa okanye inkxaso yoluntu. Ukuba awunayo iqela leenkxaso kummandla wakho, kuninzi yoluntu lwenkxaso yoluntu olusebenza kakhulu. Ukuba ukhangele oku, i-hashtag ye-#LCSM imele umdlavuza wesifo somdla woluntu kwaye unokukunceda ufumane abanye abajongene nesimo esifanayo. Funda malunga novavanyo lweekliniki . Kodwa khumbula ukuba izigqibo ozenzayo zingezakho wedwa, kwaye abo abasondeleyo kufuneka bakuxhase ohambweni lwakho.
Ukuba usandul 'ufumane ukuba unokuziva ukhululekile. Thatha isikhashana ukujonga phezu kwamanyathelo okuqala ukuba uthathe xa usanda kutshatyalaliswa ngumhlaza wemiphunga.
Imithombo:
> I-American Cancer Society. I-Cancer Cancer (I-Cell-Non-Small Small.) I-Cell-Non-Small Small Cell Lung Cancer Survival Rates. 02/08/16. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-sall-cell-lung-cancer-survival-rates
> Edge, S. et al (Eds.). Umqulu we-AJCC weScanscer Staging Manual. I-7 Edition. Springer. ENew York, NY. 2010.
> Pennathur, A. et al. I-radiosurgery ye-stereotactic ekwenzeni unyango lwesigaba 1 esingekho encinci yomhlaza wesifo somhlaza kwizilwanyana ezinobungozi. I-Journal ye-Thoracic ne-Cardiovascular Surgery . 2009. 137 (3): 597-604.