Ngomhla ziyisi-8 kuNovemba, ikholamu ethi “Ingxoxo Nodokotela Abadumile” ye-GANOHERB imeme uSolwazi Huang Cheng, uchwepheshe omkhulu weSibhedlela Somdlavuza saseFujian, ukuthi anilethele ukusakazwa bukhoma kwesine kwesihloko esithi “umdlavuza wamaphaphu”-”Yini ukuhlonzwa okunembile nokwelashwa ngomdlavuza wamaphaphu?”.Ake sikhumbule okuqukethwe okuthakazelisayo kwalolu daba.

Ukuxilongwa Okunembile Nokwelashwa
 
Kuyini “Ukuxilongwa Okunembile”?
 
Ngokuphathelene nalo mbuzo, uProfesa Huang wachaza: “Izimila zihlukaniswe zaba izinhlobo ezintathu: ‘ezakuqala’, ‘maphakathi nenkathi’ kanye ‘nezithuthukile’.Ukuze uhlole isimila, isinyathelo sokuqala siwukuthola ukuthi siyingozi yini noma siyingozi nokuthi singesaluphi uhlobo.Bese wenza ukuhlaziya kwe-pathological ukuthola ukuthi ikuphi uhlobo lwe-pathology.Ekugcineni, kuyadingeka ukuthola ukuthi yisiphi isakhi esibangela isimila.Lona umqondo oyisisekelo wokuxilongwa kwethu okunembile. ”
 
Kuyini “Ukwelashwa Okunembile”?
 
Ngokwesisekelo sokuxilongwa kwe-pathological, ukuxilongwa kwesiteji kanye nokuxilongwa kofuzo, ukwelashwa kwezinhlobo ezahlukene zofuzo kuzuze imiphumela emihle kakhulu yokwelapha yesikhathi eside.Ukwelashwa okufeza lo mgomo kuphela okungabhekwa “njengokwelashwa okunembile”.
 
Wazi kangakanani “ngomdlavuza wamaphaphu”?
 
E-China, umdlavuza wamaphaphu uyithumba eliyingozi elinesibalo esiphezulu sabantu abashonayo.Ngokwezibalo ezikhishwe "Umhlangano Waminyaka Yonke ka-2019 Wegatsha Lokuhlinza Ithoracic le-Chinese Medical Doctor Association", phakathi kwezifo zomdlavuza eziyishumi ezivame kakhulu e-China, umdlavuza wamaphaphu uhamba phambili kwabesilisa kanti okwesibili kwabesifazane.Abanye ochwepheshe baze babikezela engqungqutheleni ye-China Lung Cancer Summit Forum eyayiseBeijing ukuthi iziguli ezinomdlavuza wamaphaphu eChina zizofinyelela esigidini esisodwa ngo-2025, okwenza iChina ibe yizwe elihamba phambili emhlabeni wonke lomdlavuza wamaphaphu.
Lesi sithombe sithathwe ku-PPT kaSolwazi Huang kokuthi “Yini ukuhlonzwa okunembile nokwelashwa komdlavuza wamaphaphu?”
 
Lesi sithombe sithathwe ku-PPT kaSolwazi Huang kokuthi “Yini ukuhlonzwa okunembile nokwelashwa komdlavuza wamaphaphu?”
 
Ukuxilongwa okunembile yisikhali somlingo sokunqoba umdlavuza wamaphaphu!
 
“Ukuxilongwa okunembile kuphela okungabhekwa ‘njengokubikezela inhlanhla okungokwesayensi.’” UProfesa Huang wathi lokho okuthiwa “ukubikezela inhlanhla okungokwesayensi” kumelwe kusekelwe ebufakazini obuhlukahlukene.Phakathi kwabo, ukuxilongwa kubaluleke kakhulu.Kuphela uma isimo sesiguli sitholwa ngokucacile lapho ukwelashwa okujwayelekile kungaqalwa.
 
"Ukuhlolwa kofuzo" ukuze uthole ukuxilongwa okunembile
 
"Ngabe uke wahlolwa ulibofuzo?"Odokotela bavame ukubuza lo mbuzo lapho iziguli eziningi ezinomdlavuza wamaphaphu ziya esibhedlela.
 
“Okwamanje, ngaphezu kwengxenye yezakhi zofuzo zomdlavuza wamaphaphu ziqondwa kahle.Isibonelo, uma izakhi zofuzo ezifana ne-EGFR ne-ALK zixilongwa, ungase ungadingi ukwelashwa ngamakhemikhali inqobo nje uma uthatha umuthi othile.Lokhu kusebenza ngisho nakwezinye iziguli ezithuthukile zomdlavuza wamaphaphu.“Kusho uProfessor Huang.

Lesi sithombe sithathwe ku-PPT kaSolwazi Huang kokuthi “Yini ukuhlonzwa okunembile nokwelashwa komdlavuza wamaphaphu?”
 
Lapho ekhuluma ngokubaluleka kokuhlolwa kofuzo lomdlavuza wamaphaphu, uSolwazi Huang uthe, “Uma imiphumela yokuhlolwa kofuzo yomdlavuza wamaphaphu isiqinisekisiwe, singakwazi ukuguqula eminye imidlavuza yamaphaphu ibe ‘yizifo ezingalapheki’ ngokwelashwa ngofuzo.Ngakho, siyini 'isifo esingamahlalakhona'?Izinga lokusinda kwesiguli esinomdlavuza kuphela elingaphezu kweminyaka emihlanu, isifo esiphethwe yiso esingabizwa ngokuthi “isifo esingamahlalakhona.”Ukusebenza kokwelashwa kofuzo ezigulini kuhle kakhulu.
 
Eminyakeni eyishumi edlule, kwakungekho ukuhlolwa kofuzo.Ngaleso sikhathi, kwakune-chemotherapy kuphela yomdlavuza wamaphaphu othuthukile.Manje sekwehluke ngokuphelele.Ubuchwepheshe buyathuthuka.Ngikholelwa ukuthi eminyakeni eyishumi ezayo, ukwelashwa kwesimila kuzoba nezinguquko ezinkulu nakakhulu.“
 
Ithimba le-multidisciplinary: isiqinisekiso sokuxilongwa okujwayelekile nokwelashwa!
 
Ukuxilongwa okunembile nokwelashwa okunembayo kuyaphelelisana futhi kudingekile.Lapho ekhuluma ngokwelashwa okunembayo, uSolwazi Huang uthe, “Kunezindlela ezimbili zokwelapha izimila: eyodwa iwukwelashwa okujwayelekile kuyilapho enye iyindlela yokwelashwa komuntu ngamunye.Manje sekunemithi emisha enemiphumela emihle kodwa i-immunotherapy ayiqondakali kahle okwamanje, futhi izivivinyo zomtholampilo kufanele zenziwe ukuze kukhethwe ngokukhethekile indlela yokwelapha.Lokhu kudinga udokotela onolwazi kakhulu ukuze akusize ukhethe.Nokho, udokotela akwanele."Manje sekunendlela esemfashinini ebizwa ngokuthi "i-multidisciplinary team diagnosis and treatment", lapho ithimba lizoxilonga isiguli.Ukuhlonzwa komdlavuza wamaphaphu kudinga ukubamba iqhaza kwezinhlaka eziningi ukuze kutholakale ukwelashwa okunembayo.”
 
Izinzuzo zemodeli "yokuxilongwa nokwelashwa kwethimba lemikhakha eminingi":
 
1. Igwema imikhawulo yokuxilongwa nokwelashwa kohlangothi olulodwa emikhakheni ehlukahlukene.
2. Ukuhlinzwa akuzixazululi zonke izinkinga, kodwa ukwelashwa okufanele yikhona okungcono kakhulu.
3. Odokotela bavame ukungayinaki indima yokwelapha nge-radiotherapy kanye nokwelashwa kokungenelela.
4. Ithimba lezinhlaka eziningi lamukela ukuxilongwa nokwelashwa okujwayelekile kanye nesakhiwo esiphusile futhi likhuthaze umqondo wokuphathwa kwenqubo yonke.
5. Iqinisekisa ukuthi ukwelashwa okufanele kakhulu kunikezwa isiguli ngesikhathi esifanele.
Ithimba le-Lung Cancer Hospital le-Fujian Provincial Cancer Hospital
 
Ithimba lemikhakha eminingi yomdlavuza wamaphaphu le-The Affiliated Xiamen Humanity Hospital yase-Fujian Medical University
 
Ukulandela imihlahlandlela egunyaziwe kanye nokuvumelana kochwepheshe, ukubamba iqhaza kwamaqembu ezinhlaka eziningi kulo lonke uhlelo kuyisiqinisekiso sokuxilongwa nokwelashwa okujwayelekile!
Lesi sithombe sithathwe ku-PPT kaSolwazi Huang kokuthi “Yini ukuhlonzwa okunembile nokwelashwa komdlavuza wamaphaphu?”
 
Eminyakeni eyishumi edlule, umdlavuza wamaphaphu wawuselashwa ngokwesintu.Namuhla, i-immunotherapy kanye nokwelashwa okuhlosiwe kwephula isiko futhi manje sekubaluleke kakhulu "izinkemba ezimbili ezibukhali" ekwelapheni umdlavuza wamaphaphu.Izinhlobo eziningi zomdlavuza wamaphaphu ezithuthukile zingaguqulwa zibe “izifo ezingalapheki”, okuletha ithemba elisha ezigulini ezinomdlavuza wamaphaphu.Lena inqubekelaphambili nentuthuko elethwa isayensi nobuchwepheshe.
 
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Uma ufuna ukwazi okwengeziwe mayelana nokusakaza bukhoma, sicela ucindezele futhi ubambe ikhodi ye-QR ngezansi ukuze ubuke isibuyekezo sokusakaza bukhoma.