Khawufane ucinge ukuba kufunyaniswe ukuba unomhlaza wemiphunga kwaye ithumba lisuswe ngotyando kwangolo suku lunye, ngaloo ndlela likhulisa ithuba lonyango olunolandelelwano olulinganiselweyo-okanye nokunyanga umhlaza. Iqela leengcali ze-pulmonary kunye ne-thoracic kwiSibhedlele seYunivesithi yaseMedStar yaseGeorgetown ngowokuqala kummandla wokudibanisa la manyathelo mabini, ngaloo ndlela igcina ixesha elixabisekileyo kwizigulane ekujonganeni "nerhamncwa lazo zonke i-cancer," ngokutsho kuka-Eric D. Anderson, MD, umlawuli. ye-Inventional Pulmonology kwiSibhedlele seYunivesithi yaseMedStar Georgetown.
“Ukudibanisa oku kuxilongwa kwangoko ngotyando losuku olunye lomhlaza wemiphunga luloyiso kwizigulana,” utshilo uGqr. Anderson. "Ngenxa yempembelelo yomhlaza wemiphunga - oyena nobangela uphambili wokusweleka komhlaza - eli linyathelo eliphambili lokumisa esi sifo kwimizila yaso, okukhokelela kwiziphumo ezingcono kunye nokunika izigulana ithuba eliphuculweyo ebomini."
Kule ndlela intsha - Utyando oluDityanisiweyo lweRobhothi oluNcedisa iThoracic (i-CRATS) - izigulana ezinomhlaza wemiphunga ezisemngciphekweni omkhulu ziqala ngokufumana idosi ephantsi ye-CT scan yemiphunga ukujonga amathumba. Ukuba ithumba lifunyenwe, i-Ion irobhothi yebronchoscope isetyenziselwa ukuxilonga ithumba emiphunga. Ukuba ithumba lemiphunga lifunyenwe-nge-biopsy yexesha langempela-ukuba ngumhlaza, ngoko i-endobronchial ultrasound isetyenziselwa ukufumanisa ukuba umhlaza usasazeke kwii-lymph nodes. Ukuba i-lymph nodes iyinto eqhelekileyo, ngoko isigulane siqhuba utyando ukuze sisuse isahlulo semiphunga kunye ne-tumor enomhlaza kusetyenziswa inkqubo yotyando lwe-thoracic ye-DaVinci yerobhothi ngexesha lenkqubo ye-anesthesia efanayo. Le nkqubo intsha - ukufumanisa umhlaza wemiphunga kunye nokususa i-tumor ngaxeshanye - igcina ixesha elixabisekileyo ngokususa umhlaza ekunene xa ubhaqiwe, ngaloo ndlela unciphisa ithuba lokusasazeka kwezifo kunye nokuvumela ukuqaliswa konyango olongezelelweyo ngokukhawuleza ukuba luyimfuneko. Kwezinye iimeko, le ndlela inokunyanga umhlaza.
Ngaphambili le nkqubo yokuxilongwa kunye nonyango inokuthatha iiveki ezininzi-ixesha elibalulekileyo xa umhlaza unokuqhubeka nokukhula, kwaye izigulana zinokuba namava okwanda kwexhala malunga nempilo yabo kunye ne-prognosis.
UWayne Norris, oneminyaka engama-67, wayenedosi ephantsi yesikrini semiphunga ye-CT ebonisa ithumba. Ngokukhawuleza wacwangciswa inkqubo edibeneyo kwimeko apho i-tumor yayingumhlaza.
INTO ONOKUYITHATHA KWELI NQAKU:
- A team of pulmonary and thoracic experts at MedStar Georgetown University Hospital are the first in the region to combine these two steps, thus saving precious time for patients in addressing the “beast of all cancers,”.
- If the lymph nodes are normal, then the patient undergoes surgery to remove the portion of the lung with the cancerous tumor using the DaVinci robotic video-assisted thoracic surgery system during the same anesthesia procedure.
- If the lung tumor is found – through real-time biopsy – to be cancer, then the endobronchial ultrasound is used to determine if the cancer has spread to lymph nodes.
