Umdlavuza Wamaphaphu Ongeyona Emincane

-Delile

• Izimpawu ze-NSCLC
• Yini ebangela i-NSCLC?
• Ixilongwa kanjani i-NSCLC?
• Ukwelashwa kwe-NSCLC
• Umbono we-NSCLC

Umdlavuza wamangqamuzana ongewona omncane

Umdlavuza wenzeka lapho amangqamuzana angajwayelekile ephindaphindeka ngokushesha futhi engayeki ukukhiqiza kabusha. Lesi sifo singakhula noma kuphi emzimbeni. Ukwelashwa kusekelwe endaweni okuyo. Lapho ivela emaphashini, ibizwa ngokuthi umdlavuza wamaphaphu. Kunezinhlobo ezimbili eziyinhloko zomdlavuza wamaphaphu: umdlavuza omncane wamaphaphu wamangqamuzana (SCLC) nomdlavuza wamangqamuzana ongewona omncane (NSCLC).

I-NSCLC uhlobo oluvame kakhulu lomdlavuza wamaphaphu, oqukethe amaphesenti angama-80 kuye kwangama-85 wokuxilongwa komdlavuza wamaphaphu. Akukhuli masinyane njengomdlavuza omncane wamangqamuzana wamaphaphu.

Kunezinhlobo ezintathu eziyinhloko ze-NSCLC:

• adenocarcinomas
• ama-squamous cell carcinomas
• i-cell carcinoma enkulu

Izimpawu ze-NSCLC

Esigabeni sayo sokuqala, i-NSCLC imvamisa ayibangeli zimpawu. Lapho izimpawu ziqala ukukhula, zingafaka:

• ukukhwehlela okuphikelelayo
• ukukhathala
• ubuhlungu besifuba
• ukuncipha kwesisindo okungahlosiwe nokungaqondakali
• izinkinga zokuphefumula
• izinhlungu ezihlangene noma zamathambo
• ubuthakathaka
• ekhwehlela igazi

Yini ebangela i-NSCLC?

Kunezici eziningana ezingakhuphula ingozi yokuba nomdlavuza wamaphaphu. Ukubhema osikilidi noma ukuvezwa intuthu kagwayi kuyimbangela eyinhloko yesifo. Ukuvezwa kwe-asbestos nopende abathile noma amakhemikhali nakho kungakhuphula ubungozi bakho.

Ngenkathi ungeke ukwazi ukuvimbela ngokuphelele i-NSCLC, kunezinyathelo ongazithatha ukunciphisa ubungozi bokuthola lesi sifo. Uma ubhema osikilidi, yeka. Khuluma nodokotela wakho ngamathuluzi angakusiza uyeke ukubhema nangamanye amaqembu okusekela akhona. Gwema noma unciphise ukuvezwa kwakho kwi-radon yamakhemikhali, ngoba inyusa ingozi yesifo. Yenza indlu yakho ihlolwe i-radon futhi yelashwe, uma kunesidingo.

Ixilongwa kanjani i-NSCLC?

Kanye nokuhlolwa komzimba kanye nomlando wezokwelapha, izivivinyo ezahlukahlukene zingasiza udokotela wakho ukuthola umdlavuza wamaphaphu. Ukuhlolwa udokotela wakho angaku-oda kufaka:

• ukuskena amathambo
• ukuhlolwa kwe-imaging njenge-MRI, i-CT scan, kanye ne-PET scan esifubeni
• ukuhlolwa okuncane kwe-sputum (phlegm) ukuhlola amaseli omdlavuza
• i-biopsy yamaphaphu (isiqeshana sezicubu zamaphaphu sisuswa ukuze sihlolwe)

Lapho sekuqinisekisiwe ukutholakala komdlavuza, lo mdlavuza uzobe usubekiwe. Ukubeka isiteji yindlela odokotela abawuhlukanisa ngayo umdlavuza ngokusabalala kwawo emzimbeni. I-NSCLC inezigaba ezinhlanu, kusuka esigabeni 0 kuya esigabeni 4, ngokulandelana kobunzima obukhulayo.

Umbono nokwelashwa kusekelwe esiteji. Umdlavuza wesigaba 4 ujwayelekile awelapheki, ngakho-ke ukwelashwa kuvame ukuhloselwa ukukhulula izimpawu.

Ukwelashwa kwe-NSCLC

Ukwelashwa kwe-NSCLC kungahluka, ngokususelwa esigabeni sesifo, impilo yakho, nezinye izinto. Khuluma nodokotela wakho ngenketho yokwelashwa engcono kakhulu kuwe kanye nemiphumela engemihle engaba khona. Izindlela ezahlukahlukene zokwelashwa zingahlanganiswa ukuletha imiphumela emihle kakhulu.

Izigaba zokuqala ze-NSCLC zingelashwa ngokuhlinzwa. Ukususwa kwe-lobe noma ingxenye enkulu yamaphaphu kungadingeka, futhi kwezinye izimo kukhishwe lonke iphaphu.

I-Chemotherapy isebenzisa imithi yokusiza ukubulala amangqamuzana omdlavuza. Kuthathwa ngomlomo noma kunikezwe ngemithambo (ngomthambo). Lokhu kuvumela ukuthi le mithi ihambe phakathi kwegazi futhi ibulale amangqamuzana omdlavuza emzimbeni wonke.

Ama-radiation asebenzisa imisebe ephezulu yamandla evela emshinini ukubulala amangqamuzana omdlavuza nokunciphisa izinhlungu nezinye izimpawu.

Imithi ehlosiwe yimithi ekhomba izici ezithile zeseli yomdlavuza, njengezici zokukhula noma imithambo yegazi eyondla isimila. Zivame ukusetshenziselwa umdlavuza othuthuke kakhulu futhi kungenzeka zingafaneli wonke umuntu.

Umbono we-NSCLC

Umbono wakho uncike ezicini ezahlukahlukene. Abanye abantu abatholakala ukuthi bane-NSCLC baphathwa ngempumelelo futhi baqhubeka nokuphila impilo ejwayelekile. Ukutholwa nokwelashwa kusenesikhathi kungenye yezindlela ezingcono kakhulu zokululama ku-NSCLC.