imiti mishya ivura kanseri y'ibihaha

Kuvura kanseri y'ibihaha bihora bitera imbere, hamwe imiti mishya ivura kanseri y'ibihaha kugaragara nkuburyo butanga ibyiringiro cyangwa byuzuzanya muburyo gakondo. Iterambere rigamije kuzamura umusaruro, kugabanya ingaruka, no kuzamura imibereho y’abarwayi barwanya iyi ndwara. Iyi ngingo irasesengura bimwe mubyagezweho muri imiti mishya ivura kanseri y'ibihaha. Ubwoko bubiri nyamukuru ni kanseri y'ibihaha ntoya (SCLC) na kanseri y'ibihaha itari nto (NSCLC). NSCLC irasanzwe kandi ikubiyemo insimburangingo nka adenocarcinoma, kanseri y'udukoko twa kanseri, hamwe na kanseri nini ya selile. Nigute ivura imirasire ikora? Ubuvuzi bw'imirasire bukoresha imirasire y'ingufu nyinshi cyangwa ibice byica selile. Yangiza ADN iri mu ngirabuzimafatizo za kanseri, ikabuza gukura no gucamo ibice. Imirasire irashobora gutangwa hanze (kuvura imishwarara yo hanze) cyangwa imbere (brachytherapy) .Iterambere ryimbere ya Beam Imirasire Yumuti Stereotactic Body Radiation Therapy (SBRT) SBRT, izwi kandi nka stereotactique ablative radiotherapi (SABR), ni uburyo bwuzuye bwo kuvura imirasire itanga ibibyimba byinshi byimirasire. Ubu buryo bugabanya kwangirika kwinyama nzima.Inyungu za SBRT: Nibyiza kurwego rwo hambere NSCLC, cyane cyane kubarwayi badashobora kubagwa. Amasomo mugufi yo kuvura ugereranije nubuvuzi busanzwe bwimirasire (mubisanzwe amasomo 3-5). Kunoza igipimo cyo kurwanya ibibyimba. Ubushakashatsi bwasohotse mu kinyamakuru * International Journal of Radiation Oncology, Biology, Physics * bwerekanye akamaro ka SBRT mu kuvura kanseri y'ibihaha hakiri kare hamwe n'ubuzima bwo kubaho ugereranije no kubagwa ku barwayi batoranijwe. InkomokoUbuvuzi bwa Proton Ubuvuzi bwa proton ni ubwoko bwimirasire yo hanze ikoresha proton aho gukoresha X-X. Porotone ishyira ingufu nyinshi mubwimbitse bwihariye, igabanya imishwarara yimitsi irenze ikibyimba.Ibyiza byo kuvura proton: Birashoboka ingaruka nkeya ugereranije nimirasire ya X-cyane cyane mubyimba biri hafi yingingo zikomeye. Kugabanya ibyago byo kurwara kanseri ya kabiri bitewe nimirasire mike ihura nuduce twiza.Shandong Baofa Ikigo Cyubushakashatsi Kanseri yiyemeje gushakisha no gushyira mubikorwa uburyo bwiza bwo kuvura kanseri. Turabyizera imiti mishya ivura kanseri y'ibihaha amahitamo nka proton therapy ifite amasezerano akomeye yo kuzamura umusaruro wabarwayi. Twandikire kugirango umenye byinshi kubyerekeye imiti igezweho dutanga kuri baofahospital.com. IMRT ni Ubuhanga buhanitse bukoresha imashini yihuta ikoreshwa na mudasobwa kugira ngo itange imishwarara y’imishwarara mu kibyimba mu gihe igabanya ingaruka ziterwa n’imitsi ikikije ubuzima. IMRT yemerera abahanga mu kuvura imirasire guhindura imishwarara y’imishwarara kugira ngo ihuze n'imiterere y'ikibyimba.Inyungu za IMRT: Kunoza ibibyimba bigamije. Kugabanya ingaruka zingaruka. Ubushobozi bwo gutanga urugero rwinshi rwimirasire kumubyimba.Volumetric Modulated Arc Therapy (VMAT) VMAT nuburyo bwambere bwa IMRT butanga imirasire muri arc ikomeza umurwayi. Ubu buhanga butuma ibihe byokuvurwa byihuse kandi birashobora kugabanya urugero rwimirasire yumubiri kumubiri wose. Ubuvuzi bwimbere bwimbere (Brachytherapy) Endobronchial BrachytherapyEndobronchial brachytherapy burimo gushyira amasoko yumuriro mumyuka yumuyaga hafi yikibyimba. Ubu buhanga bushobora gukoreshwa mu kuvura ibibyimba bibuza umwuka cyangwa kugenzura amaraso.Ibyiza bya Brachytherapy: Umubare munini wimirasire utangwa mubyimba. Guhura byibura nuduce twiza dukikije. Igihe gito cyo kuvura ugereranije no kuvura imishwarara yo hanze. Guhuza imishwarara yimishwarara hamwe nubundi buvuziChemoradiationChemoradiation ikubiyemo guhuza imiti ivura imirasire hamwe na chimiotherapie. Ubu buryo bukoreshwa kenshi mu kuvura kanseri y'ibihaha yateye imbere. Imiti ya chimiotherapie ituma selile ya kanseri yunvikana nimirasire, byongera imbaraga zokuvura.Immunotherapy na Radiation TherapyEmerging ubushakashatsi bwerekana ko guhuza imiti ivura imirasire hamwe nubudahangarwa bishobora kugira akamaro mukuvura kanseri yibihaha. Imirasire irashobora gukangura ubudahangarwa bw'umubiri kwibasira ingirangingo za kanseri, kandi immunotherapie irashobora kongera iki gisubizo. Gucunga ingaruka zo kuvura imishwarara ivura imishwarara irashobora gutera ingaruka mbi, zitandukanye bitewe n’aho ikibyimba giherereye hamwe n’igipimo cy’imirasire. Ingaruka zisanzwe zirimo umunaniro, kurwara uruhu, no kumira. Ni ngombwa kuganira ku ngaruka zishobora guterwa na oncologue yawe kandi ukanashakisha ingamba zo kubikemura neza.Icyerekezo kizaza mu kuvura imirasire ya kanseri y'ibihahaUbushakashatsi bukomeje kwibanda ku guteza imbere uburyo bunoze kandi bunoze bwo kuvura imirasire ya kanseri y'ibihaha. Ibi birimo: Imiti igabanya ubukana bwa Adaptive, ihindura gahunda yo kuvura ishingiye ku mpinduka z’ubunini bw’ibibyimba n'imiterere mugihe cyo kuvura. Gukoresha nanoparticles kugirango itange imirasire ya selile kanseri. Gutezimbere imiti mishya ishobora kongera imbaraga zo kuvura imirasire. Kugereranya uburyo bwo kuvura imishwarara Imbonerahamwe ikurikira itanga uburyo bworoshye bwo kugereranya uburyo bumwe na bumwe bwo kuvura imirasire ya kanseri y'ibihaha. Uburyo bwo kuvura buterwa nibihe byihariye. Uburyo bwo Gutanga Ubuhanga Uburyo bwo Kuvura Ubusanzwe Igihe Cyambere Gukoresha Imanza Ibyiza SBRT Igiti cyo hanze, ikinini cyinshi kugeza ahantu hato 3-5 amasomo Icyiciro cya mbere NSCLC, ibibyimba bidakwiriye kubagwa Igihe gito cyo kuvura, kugenzura ibibyimba byinshi Proton Therapy Inyuma yo hanze, proton ibika ingufu mubwimbitse bwihariye Ibyumweru byinshi Ibibyimba hafi yingingo zikomeye, Kanseri yibana Kugabanya ingaruka mbi, Imiterere yibibyimba, ibibyimba hafi yingingo zingirakamaro Kugaragaza neza, kugabanya ingaruka mbi Brachytherapy Imbere, amasoko ya radio ashyirwa hafi cyangwa imbere yibibyimba 1-5 amasomo Ibibyimba bibuza inzira zumuyaga, kugenzura amaraso Gukabije cyane kubyimba, guhura cyane nuduce twiza UmwanzuroUbuvuzi bushya bwa kanseri y'ibihaha ihora ihindagurika, itanga abarwayi uburyo bwiza kandi butari uburozi. Iterambere nka SBRT, therapy proton, na IMRT ritezimbere igipimo cyo kurwanya ibibyimba no kugabanya ingaruka. Guhuza imiti ivura imirasire hamwe nubundi buvuzi, nka chimiotherapie na immunotherapie, nabyo birerekana amasezerano. Niba wowe cyangwa uwo ukunda wasuzumwe kanseri y'ibihaha, ni ngombwa kuganira na muganga uburyo bwose bwo kuvura. Ibisobanuro byatanzwe hano bigamije uburezi kandi ntibigomba gusimbuza inama zubuvuzi zumwuga.