Izimpawu Zokulimala Komdlavuza WeLung

-Delile

• Kuyini ukuhlolwa komaka we-tumor cancer?
• Zisetshenziselwani?
• Kungani ngidinga ukuhlolwa komdlavuza womdlavuza wamaphaphu?
• Kwenzekani ngesikhathi sokuhlolwa kwesifo somdlavuza wamaphaphu?
• Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
• Ingabe zikhona izingozi esivivinyweni?
• Isho ukuthini imiphumela?
• Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa komaka wesifo somdlavuza wamaphaphu?
• Izinkomba

Kuyini ukuhlolwa komaka we-tumor cancer?

Izimpawu zesimila somdlavuza wamaphaphu yizinto ezikhiqizwa amaseli wesimila. Amaseli ajwayelekile angaphenduka amangqamuzana e-tumor ngenxa yokuguqulwa kwezakhi zofuzo, ushintsho ekusebenzeni okujwayelekile kwezakhi zofuzo. Izakhi zofuzo yizingxenye eziyisisekelo zofuzo ezedluliswa zivela kumama nobaba wakho.

Okunye ukuguqulwa kwezakhi zofuzo kungazuzwa njengefa kubazali bakho. Abanye batholwa kamuva empilweni ngenxa yezemvelo noma indlela yokuphila. Izinguquko ezidala umdlavuza wamaphaphu zivame ngenxa yokutholwa, okwaziwa nangokuthi ukuguquguquka komzimba. Lezi zinguquko zivame kakhulu, yize kungenzeki njalo ngenxa yomlando wokubhema ugwayi. Ukuguqulwa kwezakhi zofuzo kungadala ukuthi isimila samaphaphu sisakaze futhi sikhule sibe ngumdlavuza.

Kunezinhlobo ezahlukahlukene zokuguquka komzimba ezibangela umdlavuza wamaphaphu. Isivivinyo somaka wesifo somdlavuza wamaphaphu sibheka ukuguqulwa okuthile okungadala umdlavuza wakho. Izimpawu zomdlavuza ezivivinywa kakhulu zifaka phakathi izakhi zofuzo ezilandelayo:

• I-EGFR, eyenza iprotheni ebambe iqhaza ekuhlukaneni kwamaseli
• I-KRAS, esiza ukulawula ukukhula kwezicubu
• I-ALK, ebandakanyeka ekukhuleni kwamaseli

Akuwona wonke umdlavuza wamaphaphu obangelwa ukuguquka kwezakhi zofuzo. Kepha uma umdlavuza wakho ubangelwa ukuguquka kwezakhi zofuzo, ungakwazi ukuthatha umuthi owenzelwe ukuhlasela uhlobo lwakho oluthile lwamangqamuzana omdlavuza aguqukile. Lokhu kubizwa ngokuthi ukwelashwa okuqondisiwe.

Amanye amagama: Iphaneli yofuzo ehlose umdlavuza wamaphaphu

Zisetshenziselwani?

Ukuhlolwa kwezimpawu zomdlavuza wamaphaphu kuvame ukusetshenziselwa ukuthola ukuthi yikuphi, uma kukhona, ukuguqulwa kwezakhi zofuzo okubangela umdlavuza wamaphaphu. Izimpawu zomdlavuza wamaphaphu zingavivinywa ngazinye noma zihlanganiswe ndawonye esivivinyweni esisodwa.

Kungani ngidinga ukuhlolwa komdlavuza womdlavuza wamaphaphu?

Ungadinga ukuhlolwa komdlavuza wesifo somdlavuza wamaphaphu uma utholakale ukuthi unohlobo lomdlavuza wamaphaphu obizwa ngomdlavuza wamangqamuzana ongewona omncane. Lolu hlobo lomdlavuza lunamathuba amaningi okuba nokuguquka kwezakhi zofuzo okuzophendula ekwelashweni okuhlosiwe.

Ukwelashwa okuhlosiwe kuvame ukusebenza ngempumelelo kakhulu futhi kubangele imiphumela emibi embalwa kunekhemotherapy noma imisebe. Kepha kubalulekile ukwazi ukuthi yikuphi ukuguquka onakho. Imithi yokwelashwa ehlosiwe esebenza kumuntu onohlobo olulodwa lokuguquka kwezakhi zofuzo, kungenzeka ingasebenzi noma ingaba yingozi kumuntu onokuguquka okuhlukile noma okungekho nhlobo okuguqukayo.

Kwenzekani ngesikhathi sokuhlolwa kwesifo somdlavuza wamaphaphu?

Umhlinzeki wezokunakekelwa kwempilo uzodinga ukuthatha isampula elincane lesimila enkambisweni ebizwa nge-biopsy. Kungaba enye yezinhlobo ezimbili zama-biopsies:

• I-biopsy enhle yokuphuza inaliti, esebenzisa inaliti ezacile ukususa isampula lamaseli noma uketshezi
• Inaliti eyinhloko ye-biopsy, esebenzisa inaliti enkulu ukukhipha isampula

Isifiso esihle senaliti kanye ne-core biopsies yenaliti ngokuvamile kufaka lezi zinyathelo ezilandelayo:

• Uzolala ngohlangothi lwakho noma uhlale etafuleni lezivivinyo.
• Kusetshenziswa i-x-ray noma enye imishini ukuthola indawo oyifunayo ye-biopsy. Isikhumba sizomakwa.
• Umhlinzeki wezokunakekelwa kwempilo uzohlanza indawo ye-biopsy bese eyijova nge-anesthetic ukuze ungezwa buhlungu ngesikhathi senqubo.
• Lapho indawo isikindiki, umhlinzeki uzokwenza imbobo encane (ukusika) bese efaka inaliti enhle yokufisa noma inaliti ye-biopsy engaphakathi emaphashini. Ngemuva kwalokho uzosusa isampula lezicubu endaweni ye-biopsy.
• Ungazizwa unengcindezi encane lapho inaliti ingena emaphashini.
• Ingcindezi izosetshenziswa esizeni se-biopsy kuze kuphele ukuphuma kwegazi.
• Umhlinzeki wakho uzofaka ibhandishi eliyinyumba kusayithi le-biopsy.

Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?

Ungadinga ukuzila ukudla (ungadli noma uphuze) amahora ambalwa ngaphambi kwenqubo. Khuluma nomhlinzeki wakho wezempilo uma unanoma yimiphi imibuzo mayelana nokulungiselela ukuhlolwa kwakho.

Ingabe zikhona izingozi esivivinyweni?

Ungaba nokulimala okuncane noma ukopha kusayithi le-biopsy. Ungase futhi ube nokungakhululeki okuncane esizeni usuku noma ezimbili.

Isho ukuthini imiphumela?

Uma imiphumela yakho ikhombisa ukuthi unezimpawu zomdlavuza wamaphaphu ezingaphendula kahle ekwelashweni okuhlosiwe, umhlinzeki wakho angakuqala ukwelashwa khona manjalo. Uma imiphumela yakho ikhombisa ukuthi awunayo enye yalezi zimpawu zomdlavuza wamaphaphu, wena nomhlinzeki wakho ningaxoxa ngezinye izindlela zokwelashwa.

Ukuhlolwa kofuzo kuthatha isikhathi eside kunezinye izinhlobo eziningi zokuhlolwa kwebhu. Ungahle ungatholi imiphumela yakho amasonto ambalwa.

Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.

Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.

Ngabe kukhona okunye engidinga ukukwazi mayelana nokuhlolwa komaka wesifo somdlavuza wamaphaphu?

Uma unomdlavuza wamaphaphu, kubalulekile ukubona umhlinzeki wakho wokunakekelwa kwezempilo njalo kulo lonke ukwelashwa kwakho nangemva kwalokho. Umdlavuza wamaphaphu ungaba nzima ukuwelapha, noma ngabe ukwelashwa okuhlosiwe. Vala ukuqapha ngokuhlolwa njalo, kanye nama-x-ray ezikhathini ezithile kanye nokuskena kuyanconywa eminyakeni emihlanu yokuqala ngemuva kokwelashwa, nonyaka impilo yakho yonke.

Izinkomba

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Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.