Isigaba 3 I-Cancer Lung: Ukubikezela, Ukulindela Ukuphila, Ukwelashwa, nokuningi

-Delile

• Izigaba ze-Stage 3
• Isigaba 3A Umdlavuza wamaphaphu: Uhlangothi olulodwa lomzimba
• Isigaba 3B Umdlavuza wamaphaphu: Spread to the opposite side
• Isigaba somdlavuza wamaphaphu wesigaba 3C: Spread esifubeni sonke
• Isigaba 3 izimpawu zomdlavuza wamaphaphu
• Ukwelashwa kwesifo somdlavuza wamaphaphu wesigaba 3
• Isigaba 3 somdlavuza wokuphila isikhathi sokuphila kanye nezinga lokusinda
• Bese ukhumbula
• Q:
• A:

Ukuxilongwa kuvame ukwenzeka esigabeni 3

Umdlavuza wamaphaphu uyimbangela ehamba phambili yokufa komdlavuza e-United States. Kuthatha izimpilo eziningi ukwedlula umdlavuza webele, wendlala, nowekholoni kuhlangene, ngokusho kwe-.

Cishe kubantu abatholakala benomdlavuza wamaphaphu, lesi sifo sesifikile esimeni esithuthukile ngesikhathi sokuxilongwa. Ingxenye eyodwa kwezintathu zalezo sezifinyelele esigabeni 3.

Ngokusho kwe-American Cancer Society, cishe amaphesenti angama-80 kuya kwangu-85 omdlavuza wamaphaphu ngumdlavuza ongewona omncane wamangqamuzana wamaphaphu (NSCLC). Cishe amaphesenti ayi-10 kuye kwayi-15 umdlavuza omncane wamaphaphu wamangqamuzana (SCLC). Lezi zinhlobo ezimbili zomdlavuza wamaphaphu ziphathwa ngendlela ehlukile.

Ngenkathi amazinga okusinda ehlukahluka, umdlavuza wamaphaphu wesigaba 3 uyelapheka. Izinto eziningi zithinta umbono womuntu, kufaka phakathi isigaba somdlavuza, uhlelo lokwelashwa, kanye nempilo yonke.

Funda kabanzi ukuze ufunde mayelana nezimpawu, ukwelashwa, kanye nombono wesigaba 3 somdlavuza wamaphaphu weseli ongasona omncane. Lolu uhlobo oluvame kakhulu lwesifo.

Izigaba ze-Stage 3

Lapho umdlavuza wamaphaphu ufinyelela esigabeni sesi-3, ususabalele kusukela emaphashini uye kwezinye izicubu eziseduze noma ama-lymph node akude. Isigaba esibanzi sesigaba 3 somdlavuza wamaphaphu sihlukaniswe ngamaqembu amabili, isigaba 3A nesigaba 3B.

Zombili izigaba 3A nesigaba 3B sehlukaniswe ngezigaba ngokuya ngosayizi wesimila, indawo, kanye nokubandakanyeka kwe-lymph node.

Isigaba 3A Umdlavuza wamaphaphu: Uhlangothi olulodwa lomzimba

Isigaba 3A Umdlavuza wamaphaphu ubhekwa njengokuthuthuka endaweni. Lokhu kusho ukuthi umdlavuza ususabalele kuma-lymph node ohlangothini olufanayo lwesifuba njengesimila sokuqala samaphaphu. Kepha ayikaze iye ezindaweni ezikude emzimbeni.

I-bronchus eyinhloko, ulwelwesi lwamaphaphu, ulwelwesi lwesifuba, udonga lwesifuba, i-diaphragm, noma ulwelwesi oluzungeze inhliziyo lungabandakanyeka. Kungaba ne-metastasis emithanjeni yegazi yenhliziyo, i-trachea, i-esophagus, i-nerve elawula ibhokisi lezwi, ithambo lesifuba noma umgogodla, noma i-carina, okuyindawo lapho i-trachea ijoyina khona i-bronchi.

Isigaba 3B Umdlavuza wamaphaphu: Spread to the opposite side

Umdlavuza wamaphaphu wesigaba 3B uthuthuke kakhulu. Lesi sifo sesisabalalele kuma-lymph node ngenhla kokhololo noma ezinhlangothini ezingaphesheya kwesifuba kusuka endaweni yesimila sokuqala samaphaphu.

Isigaba somdlavuza wamaphaphu wesigaba 3C: Spread esifubeni sonke

Umdlavuza wamaphaphu we-Stage 3C usabalalele kulo lonke noma engxenyeni yodonga lwesifuba noma ulwelwesi lwangaphakathi, i-phrenic nerve, noma ulwelwesi lwesaka oluzungeze inhliziyo.

Umdlavuza ubuye wafinyelela esigabeni 3C lapho amaqhuqhuva amabili noma ngaphezulu ehlukene wesigaxa ku-lobe efanayo yamaphaphu asakaze kuma-lymph node aseduze. Esigabeni 3C, umdlavuza wamaphaphu awusabalalanga uye ezingxenyeni ezikude zomzimba.

Njengesigaba 3A, umdlavuza wesigaba 3B no-3C kungenzeka ukuthi usabalalele kwezinye izakhiwo zesifuba. Ingxenye noma wonke amaphaphu angavuvukala noma awe.

Isigaba 3 izimpawu zomdlavuza wamaphaphu

Isigaba sokuqala somdlavuza wamaphaphu singaveza izimpawu ezibonakalayo. Kungase kube nezimpawu ezibonakalayo, njengokukhwehlela okusha, okuphikelelayo, okuqhubekayo, noma ushintsho ekukhwehleleni komuntu obhemayo (ngokujula, ngokuvame kakhulu, kukhiqiza amafinyila amaningi noma igazi). Lezi zimpawu zingakhombisa ukuthi umdlavuza usudlulele esigabeni sesi-3.

Ezinye izimpawu zingafaka:

• ukuphefumula kanzima, ukuphefumulwa umoya noma ukuphefumula okuncane
• ubuhlungu endaweni yesifuba
• ukuvutha komsindo lapho uphefumula
• ushintsho lwezwi (i-hoarser)
• ukwehla kwesisindo okungachazeki
• ubuhlungu bamathambo (kungenzeka bube semuva futhi bungazizwa bubi kakhulu ebusuku)
• ikhanda

Ukwelashwa kwesifo somdlavuza wamaphaphu wesigaba 3

Ukwelashwa kwesigaba sesithathu somdlavuza wamaphaphu kuqala ngokuhlinzwa ukuze kususwe isimila esiningi ngangokunokwenzeka, kulandelwe ukwelashwa ngamakhemikhali kanye nemisebe. Ukuhlinzwa kukodwa akuboniswa kusigaba 3B.

Udokotela wakho angancoma imisebe noma i-chemotherapy njengenkambo yokuqala yokwelashwa uma ukuhlinzeka kungenakwenzeka ukususa isimila. Ukwelashwa ngemisebe nangamakhemikhali, kungaba ngasikhathi sinye noma ngokulandelana, kuhlotshaniswa namazinga okusinda esiteji 3B athuthukisiwe uma kuqhathaniswa nokwelashwa ngemisebe kuphela, ngokusho kwe-.

Isigaba 3 somdlavuza wokuphila isikhathi sokuphila kanye nezinga lokusinda

Izinga lokusinda leminyaka emihlanu lisho iphesenti labantu abaphilayo eminyakeni emihlanu ngemuva kokuba betholwe okokuqala. La mazinga okusinda angahlukaniswa yisigaba sohlobo oluthile lomdlavuza ngesikhathi sokuxilongwa.

Ngokuya ngemininingwane ye-American Cancer Society ethathwe ku-database yabantu abatholwe benomdlavuza wamaphaphu phakathi kuka-1999 no-2010, izinga lokusinda leminyaka emihlanu lesigaba 3A NSCLC cishe singamaphesenti angama-36. Esikhathini somdlavuza wesigaba 3B izinga lokusinda cishe ngamaphesenti angama-26. Esigabeni 3C somdlavuza izinga lokusinda cishe liphesenti elilodwa.

Bese ukhumbula

Kubalulekile ukukhumbula ukuthi umdlavuza wamaphaphu wesigaba 3 uyelapheka. Wonke umuntu wehlukile, futhi ayikho indlela eqondile yokubikezela ukuthi umuntu uzophendula kanjani ekwelashweni. Iminyaka yobudala nempilo iyizinto ezibalulekile ekutheni abantu basabela kanjani ekwelashweni komdlavuza wamaphaphu.

Khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho mayelana nokwelashwa. Zizokusiza ukuthi uhlole izinketho ezitholakalayo ngokuya ngesiteji sakho, izimpawu, nezinye izinto zokuphila.

Ukuhlolwa kwemitholampilo yamaphaphu kunganikeza ithuba lokubamba iqhaza ekuphenyweni kokwelapha okusha. Lezi zindlela zokwelashwa ezintsha kungenzeka zinganikeli ikhambi, kepha zinamandla okunciphisa izimpawu nokwelula impilo.

Q:

Ziyini izinzuzo zokuyeka ukubhema, noma ngabe ngemuva kwesigaba 3 sokuxilongwa komdlavuza wamaphaphu?

A:

Ngokuya kocwaningo kwiBritish Medical Journal, ukuyeka ukubhema ngemuva kokutholakala komdlavuza wamaphaphu kusenesikhathi kuthuthukisa imiphumela. Kunobufakazi obukhombisa ukuthi ukuqhubeka nokubhema kungaphazamisa imiphumela yokwelashwa futhi kwandise imiphumela emibi futhi kwandise namathuba akho okuba nomdlavuza noma umdlavuza wesibili. Kuyaziwa ukuthi ukubhema osikilidi kwandisa izinkinga zokuhlinzwa, ngakho-ke uma ukuhlinzwa kuyingxenye yohlelo lwakho lokwelashwa, ukubhema kungaholela ekubambezelekeni kokwelashwa okuhleliwe. Okusemqoka wukuthi akukaze kwephuze kakhulu ukuyeka ukubhema. Izinzuzo zokuyeka ukubhema zishesha futhi zijulile, noma ngabe usuvele unomdlavuza wamaphaphu. Uma ufuna ukuyeka kodwa ukuthola kunzima, cela usizo eqenjini lakho lezokwelapha.