Ngokwe-Arhente yeHlabathi yoPhando ngoMhlaza woMbutho wezeMpilo weHlabathi, ngo-2020, i-China yayimalunga ne-4.57 yezigidi zezehlo zomhlaza ezitsha, kunye nomhlaza wemiphunga omalunga ne-820,000 yeemeko.NgokweZiko leSizwe loMhlaza laseTshayina "IziKhokelo zokuHlolwa koMhlaza weLung kunye nokuFunyaniswa kwangethuba kunye noNyango e-China," izehlo kunye namazinga okubhubha komhlaza wemiphunga e-China athatha i-37% kunye ne-39.8% yezibalo zehlabathi, ngokulandelelana.La manani awudlula kude umlinganiselo wabemi baseTshayina, abamalunga ne-18% yabemi behlabathi.
Inkcazo kunyeIintlobo ezisezantsiyoMhlaza weLung
Ingcaciso:Umhlaza wemiphunga we-bronchogenic, owaziwa ngokuba ngumhlaza wemiphunga, lelona thumba lixhaphakileyo liphuma kuqhoqhoqho, kwi-bronchial mucosa, ibronchi encinci, okanye amadlala emiphungeni.
Ngokusekelwe kwiimpawu ze-histopathological, umhlaza wemiphunga ungahlelwa ube ngumhlaza wemiphunga weseli ongeyonxalenye encinci (80% -85%) kunye nomhlaza wemiphunga omncinci weseli (15% -20%), oneqondo eliphezulu lobubi.Umhlaza wemiphunga weseli ongewona mncinci ubandakanya i-adenocarcinoma, i-squamous cell carcinoma, kunye ne-cell carcinoma enkulu.
Ngokusekwe kwindawo yesenzeko, umhlaza wemiphunga unokuphinda uhlelwe njengomhlaza wemiphunga ophakathi kunye nomhlaza wemiphunga we-peripheral.
I-Pathological Diagnosis ye-Lung Cancer
Umhlaza wemiphunga kuMbindi:Ibhekisa kumhlaza wemiphunga osuka kwi-bronchi ngaphezulu kwenqanaba lecandelo, elibandakanya ikakhulusquamous cell carcinoma kunye nomhlaza wemiphunga omncinci weseli. Ukuxilongwa kwe-pathological kunokufumaneka nge-fiber bronchoscopy.Uqhaqho loqhaqho lomhlaza osembindini wemiphunga lungumceli mngeni, kwaye kaninzi lupheleliselwe ekupheliseni uqhaqho lomphunga uphela ochaphazelekayo.Izigulane zinokuba nobunzima bokunyamezela inkqubo, kwaye ngenxa yenqanaba eliphezulu, ukuhlasela kwendawo, i-metastasis ye-lymph node ye-mediastinal, kunye nezinye izinto, iziphumo zokuhlinzwa zingenakulungeleka, kunye nomngcipheko ophezulu we-bone metastasis.
Umhlaza wemiphunga yoMda:Ibhekisa kumhlaza wemiphunga owenzeka ngaphantsi kwesegmental bronchi,ngokukodwa kuquka i-adenocarcinoma. Ukuxilongwa kwe-Pathological ngokuqhelekileyo kufumaneka nge-percutaneous transthoracic inaliti biopsy ekhokelwa yi-CT.Kwinkqubo yonyango, umhlaza wemiphunga we-peripheral uhlala ungabonakali kumanqanaba okuqala kwaye uhlala ubonwa ngengozi ngexesha lovavanyo lomzimba.Ukuba lufunyenwe kwangoko, utyando lolona khetho lonyango, lulandelwa yi-adjuvant chemotherapy okanye unyango olujoliswe kuyo.
Kwizigulana ezinomhlaza wemiphunga ezingafanelanga ukwenza utyando, zinoxilongo oluqinisekisiweyo lwe-pathological olufuna unyango olulandelayo, okanye lufuna ukulandelelwa rhoqo okanye unyango emva kotyando,Unyango olusemgangathweni nolufanelekileyo lubaluleke kakhulu.Singathanda ukukwazisaUGqr. An Tongtong, ingcali eyaziwayo kwi-oncology ye-thoracic eneminyaka engaphezu kwe-20 yamava kwi-oncology yonyango kwiSebe le-Thoracic Oncology, kwiSibhedlele soMhlaza seYunivesithi yaseBeijing.
Ingcaphephe edumileyo: UGqr. An Tongtong
UGqirha oyiNtloko, uGqirha wezoNyango.Ngamava ophando MD Anderson Cancer Centre eUnited States, kunye nelungu lekomiti yolutsha Chinese Anti-Cancer Association Lung Cancer Professional Committee.
Iindawo zobuGcisa:I-Chemotherapy kunye nonyango olujoliswe kwimolekyuli yomhlaza wemiphunga, i-thymoma, i-mesothelioma, kunye neenkqubo zokuxilonga kunye nezonyango ezifana ne-bronchoscopy kunye ne-video-assisted thoracic surgery kumayeza angaphakathi.
UGqr. An wenze uphando olunzulu malunga nomgangatho kunye nonyango olubanzi olubanzi lomhlaza wemiphunga wenqanaba eliphezulu,ngakumbi kumxholo wonyango lomntu ngamnye olupheleleyo lomhlaza wemiphunga weseli ongemncinci.UGqr An unobuchule kwimigaqo yakutshanje yokuxilonga kunye neyonyango yamazwe ngamazwe kwi-thoracic tumors.Ngexesha lokubonisana, uDkt An uyayiqonda ngokupheleleyo imbali yonyango yesigulane kwaye ubeka iliso ngokusondeleyo utshintsho kwisifo ngokuhamba kwexesha.Kwakhona ubuza ngononophelo malunga nezicwangciso zokuxilonga kunye nonyango lwangaphambili ukuze aqinisekise ukulungiswa kwangexesha kwesicwangciso sonyango esilungiselelwe umntu ngamnye.Kwizigulane ezisanda kufunyaniswa, iingxelo kunye noviwo olunxulumeneyo zihlala zingagqibekanga.Emva kokufumana ukuqonda okucacileyo kwimbali yonyango, uDkt An uya kuchaza ngokucacileyo isicwangciso sonyango kwimeko yangoku kwisigulane kunye namalungu entsapho yabo.Kwakhona uya kunikela ulwalathiso ngokuphathelele iimvavanyo ezongezelelekileyo ezifunekayo ukuze kuncedwe kuqinisekiswe ukuxilongwa, eqinisekisa ukuba amalungu entsapho aqonda ngokupheleleyo ngaphambi kokuba abavumele kunye nomguli baphume kwigumbi lokubonisana benoxolo lwengqondo.
Amatyala akutsha nje
Umnumzana Wang, oneminyaka engama-59 ubudala, isigulana semiphunga esine-adenocarcinoma ene-multiple metastases yenkqubo, wafuna unyango eBeijing ngexesha lobhubhani ngasekupheleni kuka-2022. Ngenxa yezithintelo zokuhamba ngelo xesha, kwafuneka afumane umjikelo wakhe wokuqala wechemotherapy kwindawo ekufutshane. esibhedlele emva kokuba ukuxilongwa kwe-pathological kuqinisekisiwe.Nangona kunjalo, uMnumzana Wang wafumana ubuthi bekhemotherapy obubalulekileyo kunye nemeko embi emzimbeni ngenxa ye-hypoalbuminemia ehambelanayo.
Xa esondela kumjikelo wakhe wesibini wonyango lwechemotherapy, usapho lwakhe, luxhalabile ngemeko yakhe, lwabuza ngobungcali bukaGqr.Emva kokuhlaziywa kwembali yonyango eneenkcukacha, uDkt An unikeze iingcebiso zonyango.Ngenxa yamanqanaba aphantsi e-albumin kaMnu Wang kunye neempendulo ze-chemotherapy, uDkt An ulungelelanise i-chemotherapy regimen ngokutshintsha i-paclitaxel kunye ne-pemetrexed ngelixa idibanisa i-bisphosphonates ukuvimbela ukutshatyalaliswa kwamathambo.
Emva kokufumana iziphumo zovavanyo lwezofuzo, uDkt An waphinda wahambelana noMnu Wang ngonyango olujoliswe kuyo, i-Osimertinib.Kwiinyanga ezimbini kamva, ngexesha lokutyelela ngokulandelelana, intsapho kaMnu Wang yabika ukuba imeko yakhe yayiphuculwe, kunye neempawu ezincitshisiweyo kunye nokukwazi ukwenza imisebenzi efana nokuhamba, ukunkcenkceshela izityalo, kunye nokutshayela umgangatho ekhaya.Ngokusekelwe kwiziphumo zoviwo olulandelwayo, uDkt An wacebisa uMnu Wang ukuba aqhubeke nesicwangciso sonyango lwangoku kwaye ahlole rhoqo.
Ixesha lokuposa: Aug-31-2023