
Tsab ntawv xov xwm no tshawb nrhiav cov kev kho hluav taws xob uas muaj txiaj ntsig zoo thiab muaj txiaj ntsig zoo rau kev kho mob ntsws cancer, tshuaj xyuas kev nce qib uas ua rau kev kho mob tau yooj yim dua thaum tswj tau qhov ua tau zoo. Peb mam li delve rau hauv ntau yam txuj ci, lawv cov txiaj ntsig, muaj peev xwm tshwm sim, thiab yam cuam tshuam rau tus nqi. Tshawb nrhiav yuav ua li cas technological kev vam meej yog shaping lub neej yav tom ntej ntawm pheej yig tshiab hluav taws xob kho mob ntsws cancer.
Tus nqi ntawm kev kho mob qog nqaij hlav cancer hauv lub ntsws tuaj yeem sib txawv raws li ntau yam, suav nrog hom kev kho mob, tus neeg mob kev noj qab haus huv tag nrho, lub sijhawm ntawm kev kho mob, thiab lub tsev kho mob. Thaum ib txwm suav tias yog kim, kev nce qib tau ua pheej yig tshiab hluav taws xob kho mob ntsws cancer kev xaiv yooj yim dua muaj.
Ntau yam cuam tshuam rau tag nrho cov nuj nqis: hom kev kho hluav taws xob tshwj xeeb (xws li, 3D conformal radiotherapy, siv xov tooj cua siv hluav taws xob (IMRT), stereotactic body radiotherapy (SBRT)), tus naj npawb ntawm cov kev kho mob uas yuav tsum tau ua, siv cov txheej txheem imaging siab heev rau lub hom phiaj meej, thiab qhov chaw thiab hom chaw kho mob. Kev pov hwm kev pov hwm kuj tseem ua lub luag haujlwm tseem ceeb.
Kev nce qib tsis ntev los no tau coj los ntawm cov txheej txheem hluav taws xob tshiab uas txo cov nqi yam tsis muaj kev cuam tshuam txog kev ua tau zoo. Cov kev nce qib no feem ntau cuam tshuam nrog kev txhim kho lub hom phiaj precision, txo tus naj npawb ntawm cov kev sib tham tsim nyog thiab txo qis cov kev mob tshwm sim.
SBRT muab cov koob tshuaj tiv thaiv kab mob siab heev hauv ob peb zaug, txo cov sij hawm kho mob tag nrho piv rau cov txheej txheem ib txwm muaj. Qhov no tuaj yeem txhais kom txo tus nqi tag nrho. Nws precision minimizes kev puas tsuaj rau ib puag ncig cov ntaub so ntswg noj qab nyob zoo. Qhov no feem ntau suav hais tias yog qhov kev xaiv pheej yig dua rau cov neeg sib tw tsim nyog. Rau cov ncauj lus kom ntxaws txog kev tsim nyog thiab cov phiaj xwm kho mob, nws yog qhov zoo tshaj plaws mus ntsib tus kws kho mob oncologist.
IMRT siv thev naus laus zis thev naus laus zis los tsim cov kab hluav taws xob zoo meej, ua raws li cov qog cov duab. Thaum pib kim, IMRT qhov ua tau zoo tau ua rau muaj ntau dua thiab muaj kev sib tw ntxiv, cuam tshuam rau tag nrho tus nqi. IMRT tso cai rau ntau lub hom phiaj xa hluav taws xob, uas tuaj yeem txo qhov kev xav tau rau ncua sij hawm kho thiab yog li txo cov nqi. Txawm li cas los xij, tus nqi ntawm tus kheej sib txawv raws li cov xwm txheej tau teev tseg ua ntej.
Nkag mus rau qhov zoo thiab pheej yig tshiab hluav taws xob kho mob ntsws cancer tseem yog ib qho kev sib tw tseem ceeb thoob ntiaj teb. Cov phiaj xwm tsom mus rau txo cov nqi kho mob thiab nce kev nkag mus tau yog qhov tseem ceeb. Cov no suav nrog kev tshawb nrhiav tsoomfwv cov nyiaj pab, kev hloov kho kev pov hwm, thiab tsim cov thev naus laus zis zoo dua.
Cov koom haum zoo li cov Shandong Baofa Cancer Research Institute ua lub luag haujlwm tseem ceeb hauv kev tshawb nrhiav thiab tsim cov kev kho mob qog noj ntshav tshiab thiab pheej yig. Lawv cov kev tshawb fawb tsis tu ncua pab txhawb kev txhim kho ob qho tib si kev kho mob thiab kev nkag mus tau yooj yim.
Txawm hais tias tus nqi ntawm kev kho mob qog nqaij hlav cancer hauv lub ntsws tseem muaj kev txhawj xeeb, cov tswv yim tshiab xws li SBRT thiab IMRT tau ua rau kev kho mob zoo dua. Kev tshawb fawb tsis tu ncua thiab cov phiaj xwm tsom mus rau kev them taus yog txuas ntxiv txhim kho thaj chaw ntawm kev kho mob qog noj ntshav, nqa kev cia siab thiab ntau ntxiv pheej yig tshiab hluav taws xob kho mob ntsws cancer kev xaiv rau cov neeg mob thoob ntiaj teb. Nco ntsoov sab laj nrog koj tus kws kho mob kom txiav txim siab txog txoj kev kho mob uas tsim nyog thiab raug nqi zoo tshaj plaws rau koj tus kheej.