Esinye sezifo ezivame kakhulu nesinzima ukuselapha umdlavuza wamaphaphu. Kodwa-ke, kube nokuthuthuka okukhulu ekhonweni laseNingizimu Korea lokwelapha lesi sifo esibulalayo. Njengomphumela wochwepheshe bayo be-oncology abasezingeni lomhlaba, ubuchwepheshe bezokwelapha obusezingeni eliphezulu, kanye nohlelo lokunakekelwa kwezempilo oluqinile, izwe njengamanje liyindawo ephezulu yokwelashwa komdlavuza wamaphaphu.
Ukwelashwa komdlavuza wamaphaphu kunikezwa eSouth Korea kusetshenziswa indlela ephelele nehlukahlukene. Izikhungo zezwe zokunakekelwa kwezempilo zifakwe amathuluzi esimanjemanje kanye nobuchwepheshe besimanje, okusiza ukutholwa kusenesikhathi, ukuxilonga okunembayo, kanye nemithi yokwelashwa yomuntu ngamunye. Odokotela baseNingizimu Korea basebenzisa amathuluzi okuxilonga asesikhathini samanje ukukhomba izinhlobo ezithile zomdlavuza futhi bakhe izinhlelo zokwelashwa eziqondene nomuntu ngamunye. Lawa mathuluzi asukela ezindleleni zokucabanga ezisezingeni eliphezulu ezifana nezikena ze-PET-CT kuye kuphrofayela yamangqamuzana nokuhlolwa kofuzo.
Iziguli ezinomdlavuza wamaphaphu eSouth Korea zinezinhlobonhlobo zezindlela zokwelapha ezitholakala kuzo, okuhlanganisa ukuhlinzwa, ukwelapha ngemisebe, ukwelashwa ngamakhemikhali, ukwelashwa okuhlosiwe, i-immunotherapy, kanye nezivivinyo zomtholampilo ezisezingeni eliphezulu. Odokotela abahlinzayo bezinga eliphezulu esizweni basebenza ngokukhethekile kumasu amancane ahlanganisa ukuhlinzwa kwesifuba okusizwa ngevidiyo (i-VATS) nokuhlinzwa ngerobhothi, okwehlisa izinhlungu, kufinyeze ukuhlala esibhedlela, futhi kusheshise ukululama.
Ngaphezu kwalokho, iNingizimu Korea inendawo yokucwaninga eqinile, namanyuvesi aphezulu abambe iqhaza ocwaningweni oluyisiqalo kanye nezivivinyo zemitholampilo. Iziguli ziyakwazi ukuthola izindlela zokwelapha ezisezingeni eliphezulu kanye nemithi yokwelapha esezingeni eliphezulu engase ithuthukise imiphumela futhi inyuse amazinga okusinda.
Ngokungeziwe ekunikezeni ukunakekelwa kwezokwelapha kwezinga eliphezulu, uhlelo lokunakekelwa kwezempilo lwaseNingizimu Korea lunikeza ulwazi lwesiguli olulula ngokuhlela aphoyintimenti okusebenzayo, izikhathi zokulinda ezifingqiwe, nezinsizakalo zosekelo ezinakekelayo.
Sekukonke, iSouth Korea isiphenduke isikhungo sokwelashwa komdlavuza wamaphaphu ngenxa yemishini yayo yezokwelapha esezingeni eliphezulu, abasebenzi bezokwelapha abaqeqeshiwe, kanye nefilosofi egxile esigulini. Ukuzinikela kwesizwe ekunakekelweni kweziguli kanye nokusungula izinto ezintsha kuyaqhubeka nokubhebhezela intuthuko ekwelapheni umdlavuza wamaphaphu, kunikeza iziguli kanye nemindeni yazo ithemba emhlabeni jikelele.
Isikhungo Somdlavuza Wamaphaphu Nosophageal esibhedlela sase-Asan siyindawo esiyiphakamisa njengendawo eyinhloko ekhethwa kuyo ukwelashwa komdlavuza wamaphaphu eNingizimu Korea . ENingizimu Korea eminyakeni eyishumi edlule, isikhungo siye saqala ukwenza izinqubo zomdlavuza wamaphaphu kakhulu.
I-Cancer Centre iqashe ochwepheshe bezokwelapha abavela eminyangweni ye-pulmonology, haematology, oncology, thoracic surgery, radiation oncology, radiology, pathology, kanye nemithi yenuzi. Bayakwazi ukuthola amazinga okufa aphansi kakhulu e-South Korea ngenxa yalelisu lokwelapha elihlanganisiwe.
Esinye isikhungo sezokwelapha esivelele eSouth Korea sokwelapha umdlavuza wamaphaphu yiSibhedlela sakwaSamsung. Ukwengeza, Isikhungo Somdlavuza Wephaphu sithanda indlela ebanzi yokunakekelwa. Ukuze kuncishiswe imiphumela emibi yokwelapha ngamakhemikhali, kuye kwenziwa umzamo omkhulu wokuthuthukisa ikhwalithi yayo.
I-14% yazo zonke izigameko zomdlavuza ziwumdlavuza wamaphaphu, ngokusho komkhakha we-oncology. Lolu hlobo lomdlavuza lungolwesibili kunawo wonke umdlavuza, ngemuva komdlavuza wendlala yesinye, ovame kakhulu kwabesilisa kunabesifazane. Ngaphezu kwalokho, ingxenye eyodwa kwezine yazo zonke izingozi ezihlobene nomdlavuza zibangelwa umdlavuza wamaphaphu. Umdlavuza wamaphaphu uhlasela owesilisa oyedwa kwabayi-1 noyedwa kwabesifazane abangu-14, naphezu kweqiniso lokuthi ababhemayo basengozini enkulu yokuba nawo.
Umdlavuza wamaphaphu ungaba yizinhlobo ezimbili eziyinhloko. Cishe u-10% kuya ku-15% wezigameko zomdlavuza wamaphaphu umdlavuza wamaphaphu omncane, noma i-SCLC. I-NSCLC, evame ukwaziwa njengomdlavuza wamaphaphu ongewona omncane, iyifomu lesibili. Odokotela bahlukanisa lokhu ngamaqembu amathathu (i-adenocarcinoma, i-squamous cell carcinoma kanye ne-cell carcinoma enkulu). Ibalelwa ku-80-85% wamacala.
Ngokuvamile, amangqamuzana omdlavuza wamaphaphu aqala ukukhula ku-bronchi, bronchioles, ne-alveoli ehambisana namaphaphu (izingxenye zamaphaphu). Amaseli aqala ukukhula ngaphezu kobukhulu bawo obujwayelekile futhi enze isimila esiba sengozini yokumetastasis kwezinye izingxenye zomzimba. Ukutholwa kokugula kusenesikhathi kubalulekile. Ngeshwa, izimo ezimbalwa zinezimpawu ezisobala, okwenza ukuhlonza kube inselele.
Ngaphezu kwalokho, iziguli eziningi zibambezela ukuhlolwa kwezokwelapha ngokwenza iphutha izimpawu zomdlavuza kulezo zezinye izifo zokuphefumula. Kuyelulekwa ukuthi abantu abadala abaneminyaka engu-55 kuya ku-74 abaye babhema amaphakethe kagwayi angaphezu kuka-30 (cishe) eminyakeni engu-15 edlule bathintane nodokotela babo futhi bacabangele ukuhlolelwa udokotela.