I-Nuolai Hospital Rehabilitation Centre yelula isikhathi sokusinda kweziguli ezinomdlavuza, okwenza umdlavuza ungethuki kakhulu.

Kusukela mhla ziyi-15 kuya zingama-21 kuMbasa, 2024, kuzobanjwa Iviki Lama-30 Likazwelonke Lokuqwashisa Ngokuvimbela Nokulawula Umdlavuza. Isiqubulo salo nyaka sithi “Izinyathelo Ezibanzi Zokuvimbela Umdlavuza Wesayensi,” okuhloswe ngaso ukwandisa ukuvikela nokulawula ukufundisa komdlavuza kanye nokuqwashisa umphakathi wonke. UZhang Yongqiang, Udokotela Omkhulu Womnyango We-Oncology esibhedlela saseBeijing, kanye noYang Zhengwu, iNhloko yeNolai Medical Cancer Rehabilitation Center, njengochwepheshe bezimboni, basabela ngentshiseko obizweni. Basabalalisa ngokuphelele ulwazi lwezempilo lokulwa nomdlavuza futhi babelane ngemibono yabo mayelana nokuvinjelwa komdlavuza, ukwelashwa, kanye nokuvuselelwa.

U-Zhang Yongqiang, onguDokotela Omkhulu womnyango we-Oncology esibhedlela saseBeijing, uthe ingqikithi yalo nyaka igcizelela "okuphelele" kanye "nesayensi." Kusukela eminyakeni yokuhlangenwe nakho komtholampilo, kuyabonakala ukuthi ukwelashwa kubanzi futhi akukona ubunye. Esikhathini esidlule, ukwelapha umdlavuza okukhulu kwakuhlanganisa ukuhlinzwa, i-radiotherapy, nokwelashwa ngamakhemikhali. Namuhla, izindlela zokwelapha ziya ngokuya zihlukahluka, kunezindlela eziningi ezintsha ezifana nokwelashwa okuhlosiwe, i-immunotherapy, kanye nokwelashwa kwe-endocrine, konke okuhloswe ngayo ukulawula izimila. Izinqubo zokuhlinza, ezake zaba ziningi, manje seziya ngokuya zilandela. Isibonelo, iziguli ezinomdlavuza webele, phambilini obekumele zenze i-mastectomies ephelele, manje zingagcina amabele azo kanye nama-axillae, zifinyeze ubude besikhathi sokwelashwa. Izidakamizwa ze-Chemotherapy ziye zaba ngcono ekusebenzeni futhi ziye zanciphisa imiphumela emibi.

UDokotela we-Hief u-Zhang Yongqiang uphinde waveza ukuthi indlela ebanzi ayihlanganisi nje intuthuko ezindleleni zokwelashwa kodwa futhi idinga ukusekelwa okuvela emphakathini nosizo lwenqubomgomo phakathi nenqubo yokwelashwa kwesiguli. Ngokwesibonelo, imishwalense yezokwelapha, ukubambisana kweziguli ezinomdlavuza ngamunye, nokunakekelwa okuphelele nosizo oluvela emndenini, abangani, nezisebenzi zezokwelapha. Ngale ndlela ebanzi, izifundo zokwelapha eziklanywe ngokwesayensi zingaqedwa ngempumelelo, okuvumela izinzuzo zenqubekelaphambili yesayensi ukuthi zibonakale esigulini ngasinye.

Mayelana nokuvimbela umdlavuza wesayensi, kubalulekile ukuvimbela nokunciphisa izehlakalo zomdlavuza, ukuwubona kusenesikhathi, futhi welaphe ngokushesha. Lapho ukutholwa kusenesikhathi, kuba ngcono umphumela wokwelashwa futhi kukhuphuka izinga lokwelapha. Isibonelo, iziguli ezinomdlavuza webele ezitholwe esigabeni soku-1 zinezinga lokwelapha elingaphezu kwama-90%.

Ukulwa nomdlavuza ezweni lonke, kubalulekile ukubeka phambili ukuvimbela kuyilapho umela indlela yokuphila enempilo. Ukwengeza, ukusebenzisa izindlela zesayensi nezisebenzayo kanye nobuchwepheshe obuthuthukisiwe kubalulekile ekuzuzeni indlela edidiyelwe yokuvimbela umdlavuza, okuhlanganisa ukuhlolelwa amaqembu asengozini enkulu, ukuxilonga kusenesikhathi, ukwelashwa okujwayelekile, kanye nezinsizakalo zokuhlunyeleliswa kwezimilo.

U-Yang Zhengwu, inhloko ye-Nolai Medical Oncology Rehabilitation Centre, wethule isikhungo esibanzi "Isixazululo Somjikelezo Ogcwele Womdlavuza." Lesi sixazululo esigxile esigulini sigcizelela izimiso zesayensi, eziphelele, nezinengqondo kukho konke ukwelashwa nokuvuselelwa komdlavuza. Isebenzisa ngokugcwele ubuchwepheshe obuthuthukisiwe kanye nezindlela zokusiza iziguli ekufinyeleleni ukuxilongwa kusenesikhathi, ukwelashwa kwesayensi, ukuvuselela umzimba (ukunyamalala kwesimila), ukuvuselelwa kwengqondo, nokuvuselelwa komphakathi (ukubuyela emphakathini).

Ekuvimbeleni umdlavuza, i-NOLAI yehlisa ingozi yomdlavuza ngokuthola futhi ibulale ngempumelelo amagciwane afana namagciwane namagciwane andisa ingozi yomdlavuza.

Esigabeni sokwelashwa komdlavuza, Isazi Esiyinhloko Sokugoma Kwakwa-NOLAI, Isazi Sezemfundo u-Yan Xiaojun, usungule ubuchwepheshe be-SEA-MAP, obuhlinzeka ngemithi yokugomela umdlavuza kanye nemikhiqizo yokugomela yokwelapha yomuntu siqu ngamaseli e-T-DC. Umgomo uwukuthola ama-antigens ezicutshini ezinomdlavuza weziguli zesimila bese usebenzisa ubuchwepheshe be-SEA-MAP ukuze udale imigomo enembile ye-tumor T-DC. Lokhu kusiza ukuqondisa amangqamuzana omzimba omzimba ukuze abulale amaseli wesimila futhi avimbele ukuphindeka.

Ngaphezu kwezinsiza zokuvikela nokwelapha umdlavuza, i-NOLAI iphinde inikeze ngohlelo oluphelele lokwelapha iziguli ezinomdlavuza ezisesibhedlela. Lokhu kuhlanganisa imitholampilo Yemithi Yendabuko YamaShayina, imitholampilo yokulala, imitholampilo yezengqondo, nezikhungo zokudla okunomsoco. Umgomo uwukusiza iziguli ekwakhiweni kabusha kwamasosha omzimba kanye nokulwa nomdlavuza ngokusekelwa kokubili ngokwengqondo nangokomzimba, ukuthuthukisa ngempumelelo izinga lokusinda leminyaka emi-5 kanye nokuthuthukisa ikhwalithi yokuphila iyonke.