Umbuzo oqhelekileyo esibuzwa ngawo xa umntu efunyaniswa nesigaba sesi-2 esingasomncinci wesifo somhlaza wamaphaphu, "Uphi umgangatho wesigxina somdlavuza wemiphunga yomdlavuza ?" Oku akulindelekanga, kunikwa izinga lokusinda ephantsi komdlavuza wamaphaphu. Ngaphambi kokuba uphendule umbuzo, nangona kunjalo kubalulekile ukuthetha encinci malunga nendlela impendulo-impendulo ye-statistical-is derived.
Kwakhona, qiniseka ukuba ufunde phantsi kweli nqaku. Ukuphila komhlaza wesilonda kuphucula.
Iintsholongwane ezichaphazela isigaba sesi-2 seLung Cancer Prognosis
Umlinganiselo wesi-2 somhlaza wemiphunga womdlavuza unokuhluka kakhulu phakathi kwabantu abahlukeneyo. Izibalo zitsho ngokuphathelele "abantu abaphakathi", kodwa akukho mntu uphakathi. Ezinye zezi zixhobo ziquka:
- Uhlobo lomdlavuza wakho lomhlaba kunye nendawo - Umhlaza wesibeleko se-Stage 2 uquka iintlobo ezininzi zomhlaza wesifo somhlaza kwaye zibandakanya iintsholongwane ezincinci kodwa zisasazeka kwii-lymph nodes ezikufutshane , kodwa zingasasazeka kuzo nayiphi na i-lymph nodes.
- Abantu bakho abancinci - Abancinci bahlala bephila ixesha elide kunabantu asebekhulile abanomdlavuza wamaphaphu.
- Ubulili bakho - Ukulindela ubomi kubafazi abanomdlavuza wamaphaphu kuphezulu kwinqanaba ngalinye lomdlavuza wamaphaphu.
- Impilo yakho jikelele ngexesha lokuxilongwa - Ukuba uphila impilo yonke ngexesha lokuxilongwa kuhambelana nokulinda ixesha elide lokuphila, kunye nekhono elikhulu lokunyamekela unyango olunokunyusa ukusinda.
- Indlela osabela ngayo kunyango - Imiphumo emibi yonyango ezifana nokuhlinzwa , i- chemotherapy , unyango olujoliswe kuyo , kunye neyeza zonyango ziyahluka phakathi kwabantu abahlukeneyo kwaye kunokunciphisa amandla akho okunyamezela unyango.
- Ezinye izimo zempilo enokuba nazo - Izimo zempilo ezifana ne- emphysema okanye isifo senhliziyo zinganciphisa isigaba 2 somdlavuza wemiphunga yomdlavuza.
- Iingxaki zomdlavuza wamaphaphu - Iingxaki ezinjengeengcezu zegazi zinganciphisa ubomi .
- Ukubhema - Ukuqhubeka ukutshaya emva kokuxilongwa kwesigaba 2 umhlaza wemiphunga kubonakala kukusinda. Siyanqikaza ukuzisa ukutshaya njengoko injongo yethu kukukrazula umhlaba we- stigma yomdlavuza wamaphaphu (kwaye ngenxa yokuba kubakho abantu abangabonakaliyo ababhemayo abafumene isifo) kodwa ukuba ubhema, kubalulekile ukuyeka. Hlola ezi zizathu ezi- 10 zokuyeka ukutshaya emva kokuxilongwa komhlaza .
Isigaba sesi-2 Isilwanyana sokuPhepha kwesifo somhlaza kunye neCaveat
Inqanaba elipheleleyo lokusinda, elo ipesenti yabantu abalindelwe ukuba baphile iminyaka emi-5 emva kokuxilongwa kwesigaba somhlaza wesi-2 sommangali malunga nama-30 ekhulwini. Kwabantu abaneemvumi ezinkulu ezingakabonakali nakweyiphi i-lymph nodes, izinga lokusinda linokuthi liphezulu.
Siyabelana ngemanani malunga nomdlavuza wamaphaphu kuba abaninzi abantu babuza lo mbuzo, kodwa kukho izinto ezininzi ofuna ukuzenza engqondweni. Izibalo zinamanani afunyanwa ngokujonga emva kwexesha ukuze abone indlela abantu abenza ngayo uhlobo oluthile lomhlaza. Ngamanye amazwi, bahlala bebaneminyaka emininzi ubudala. Ukuqwalasela ukuba unyango olutsha luye lwaphuhliswa kuba loo manani abhalisiwe, amazinga okusinda awasitsheli nantoni na malunga nendlela umntu oya kwenza ngayo ukufumana unyango olutsha esinalo.
Ukugxininisa indlela ebalulekileyo ngayo, qwalasela ukuba kukho iindlela ezintsha zonyango ezivunyiweyo zonyango lomhlaza wamaphaphu ngexesha eliphakathi kuka-2011 no-2015 kunokuba livunyiwe kwiminyaka engama-40 ngaphambi ko-2015.
Ukongezelela kwezi zonyango zonyango, zikhona ezininzi unyango oluvandlakanywayo kwiilingo zeclini , kwaye ezi zilingo zekliniki zinika abanye abantu ithuba lokuba bahlale bephila kangangokuthi bebengayi kuba neyodwa okanye emibini kwiminyaka edlulileyo. Siva ngokuphindaphindiweyo kubantu abathi, ngokuthatha inxaxheba kumacandelo enkxaso yomdlavuza wamaphaphu kunye noluntu kunye nokuba ngummeli wabo kwinkathalo yabo yomhlaza, baye bafumanisa iimvavanyo zeklinikhi ezize zikwazi ukuba noluntu lwazo lwama-oncologists.
Emva koko, ngubani okhuthazwa kakhulu ukuphanda isifo sabo kunomntu ohlala nayo yonke imihla?
Ukusinda komhlaza we-Lung Kuphucula
Kubalulekile ukuba uqaphele ukuba ukusinda komdlavuza wamaphaphu, emva kokutshintsha kancinci kwiminyaka emininzi, kuphucula. Akunjalo nje unyango oluphuculayo.
Ukuba uye wafumanisa ukuba unomdlavuza wamaphaphu, qiniseka ukuba uthetha nodokotela wakho malunga nokuhlaziya iifomula (ukuhlolwa kofuzo) kwesisu sakho . Izigulane ezijoliswe kuzo kubantu abane- EGFR, utshintsho lwe- ROS1 kunye nokulungiswa kwe-ALK kutshintshe ubuso bomdlavuza wamaphaphu. I-Immunotherapy yenza nokwahlula ngamachiza amabini amatsha avunywe ngo-2015, nangenxa yabantu abaneengcingo eziphezulu. Yiba ngummeli wakho. Funda ngesifo sakho. Yiba yinxalenye yomdlavuza woluntu emphakathini. Kwakhona, jonga ezi ngcebiso malunga nokuphucula umdlavuza wamaphaphu ukuze ugqirha wakho angaluthetha.
Imithombo:
American Cancer Society. Imiba kunye neengxelo zeCans 2014 . I-Atlanta: I-American Cancer Society; 2014. http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.
American Cancer Society. I-Cancer Cancer (I-Cell-Non-Small Small.) I-Cell-Non-Small Small Cell Lung Cancer Survival Rates. http://www.cancer.org/cancer/lungcancer-non-smallcell/detailedguide/non-small-cell-lung-cancer-survival-rates.
National Cancer Institute. Ukwelashwa kweNtsholongwane yeNtsholongwane yeeLungile (PDQ) - I-Health Professional Version. https://www.cancer.gov/types/lung/hp/non-small-cell-lung-treatment-pdq#section/all
Iiparsons, A. et al. Impembelelo yokuCima ukuTshaya emva kokuSasaza kweNqanaba lokuQala leNgqungquthela kwi-Lung Cancer kwi-Prognosis: Ukuphononongwa ngokuSingqinisiso kweziPhononongo zokuHlola nge-Meta-Analysis. I-British Medical Journal BMJ2010; 340: b5569. Ipapashwe ngo-21 Januwari 2010.
Wisnivesky, J. et al. Ukugxekwa kweNqanaba II elingenanto elincinci le-Cancer Lung Ngokwe-Tumor ne-Nodal Status kwi-Diagnosis. Cancer Lung . 2005. 49 (2): 181-186.