Igama elisetshenziselwa ukungabikho komdlavuza owutholayo ngemuva kokwelashwa kwakho impendulo ephelele (CR). Ukuphendula okuphelele akusho ukuthi usuphulukisiwe, kodwa yiyona imiphumela engcono kakhulu engabikwa. Kusho ukuthi isisu sesifo somdlavuza sesifikile futhi abukho ubufakazi besifo.
Abanye odokotela basebenzisa nemigomo efana nobufakazi besifo (i-NED), ukuxoxwa okuphelele, noma ukuguqulwa okuphelele uma ubhekisela ekuphenduleni okuphelele ukwelashwa komdlavuza .
Ukuhlola Ukuphendula Okuphelele Ukwelashwa
Uma kuthiwa unomdlavuza, uzokwabiwa kwenkambo yokwelapha. Lokhu kungaba yi- chemotherapy , imisebe , imithi ye- immunotherapy , ukufakelwa kwe-stem cell , nanoma yiziphi izindlela zokwelapha ezintsha ezingakhuliswa. Ngemuva kokuphelelwa ukwelashwa, isikhathi esivunyelwe ukuba sihambe ngakho-ke umphumela omkhulu usuzuzwa, ngokushona kwe-tumor noma amangqamuzana abulalayo efa. Ekupheleni kwaleyo nkathi uma kungekho isifo esinqunyiwe esingabonakala ekuhlolweni komtholampilo udokotela, noma ngama-x-ray kanye nezikrini, noma ngisho nokuhlolwa kwelebhu yesifo noma izimpawu zayo - kubizwa ngokuthi impendulo ephelele (noma ukuqedela okuphelele).
Kusho Ukuthi Uphulukisiwe?
Ukuphendula okuphelele (CR) akusho ukuthi ukwelashwa. Abanye abantu abanempendulo ephelele bangase babe nokubuyela emuva kwe-tumor kamuva. Kodwa nakanjani kuyinto enhle ukuphendula ngokugcwele - kungcono ukuqala kokuthola ukwelashwa.
Kwezinye izinhlobo zegciwane, ukubona impendulo ephelele kuyisibonakaliso esihle semithi.
Kwezinye ukwelapha, izinga lokuphilisa liphansi ngemva kokubona impendulo ephelele. Buza udokotela wakho ukuthi akuchazele ukuthi leli gama lisho ukuthini uma kunomdlavuza ofana nawo. Udokotela wakho uzokwazi ukuthi kungenzeka ukuthi kusho ukuthini iziguli ezinesimo sakho esinesifo esifanayo.
Khumbula ukuthi akukho mdlavuza obonakalayo, kodwa lokho akusho ukuthi yonke iseli yomdlavuza selibhujisiwe.
Ngenxa yalesi sizathu, kungathiwa akukho bufakazi besifo.
Izinhlobo Zokuphendula Okuphelele
Uma ubona impendulo ephelele ebikwe ukuhlolwa kwemitholampilo nokunye ucwaningo, izifundo zingasebenzisa imigomo eyengeziwe.
I-Pathologic Complete Response : Lokhu kusho ukuthi lapho izicubu zihlolwe ebhodini ngumhlengikazi (ngakho-ke igama elithi pathologic) kwakungekho ubufakazi bomdlavuza. Kuvame ukubhekwa endabeni yomdlavuza webele. Ukwelashwa kwangaphambi kokuhlinzwa kuhlolwe ukuphendula okuphelele kwe-pathologic ngokuhlola izicubu zesifuba zisuswe ekuhlinzekeni. Uma kungekho umdlavuza otholakala emzimbeni, isiguli sithi siphendule ngokuphelele.
Impendulo Ephelele Yakhe : Lokhu kufana, kusho ukuthi ukuhlolwa kwakhe ngokwemvelo kwakwenziwe ngezicubu ezivela esakhiweni esasine-tumor, futhi kwakungekho ubufakazi obusele bomdlavuza.
Uzozwa amagama amaningi amasha asetshenziswa yiqembu lakho lokunakekelwa kwezempilo futhi kubalulekile ukuthi ubacele ukuba bakuchazele ngokwemibandela oyiqondayo. Unganqikazi ukubabuza imibuzo ukuze wazi ukuthi kusho ukuthini isimo sakho.
Imithombo:
I-NCI Dictionary ye-Cancer Terms, National Cancer Institute.
von Minckwitz G., et. al. "Incazelo kanye nomthelela we-pathologic impendulo ephelele ngokulandelela emva kwe-neoadjuvant chemotherapy emithonjeni ehlukahlukene yesifo somdlavuza webele we-intrinsic." J Clin Oncol. 2012 Meyi 20; 30 (15): 1796-804. doi: 10.1200 / JCO.2011.38.8595. I-Epub 2012 Apr 16.