
Icyiciro cya 3 Kanseri y'ibihaha: Gusobanukirwa no kuyobora uburyo bwo kuvura imishwarara Iyi ngingo itanga ibisobanuro birambuye kubyerekeye kuvura imirasire ya kanseri y'ibihaha yo mu cyiciro cya 3, harimo uburyo bwo kuvura, ingaruka zishobora kubaho, n'akamaro ko guhitamo ibitaro bikwiye. Tuzashakisha uburyo butandukanye kandi tugufashe kumva icyo ugomba gutegereza mugihe cyose.
Kanseri y'ibihaha, cyane cyane ku cyiciro cya 3, isaba uburyo butandukanye bwo kuvura. Imiti ivura imirasire igira uruhare runini, akenshi ihujwe nubundi buvuzi nka chimiotherapie cyangwa kubagwa, kugirango igabanye neza kanseri ya kanseri no kunoza umusaruro w’abarwayi. Guhitamo ibitaro bikwiye hamwe naba oncologiste babimenyereye hamwe nubuhanga buhanitse bwimirasire nibyingenzi kugirango bigerweho kuvura imishwarara ivura kanseri y'ibihaha icyiciro 3 Ibitaro.
Icyiciro cya 3 kanseri y'ibihaha ishyirwa mu byiciro IIIA na IIIB, byerekana urugero rwa kanseri ikwirakwira. Icyiciro cya IIIA kirimo kanseri ikwirakwira hafi ya lymph node, mugihe icyiciro cya IIIB kirimo uruhare runini rwa lymph node cyangwa rukwirakwira mubice byegeranye. Gahunda yihariye yo kuvura iterwa nimpamvu zitandukanye, zirimo ubuzima bwumurwayi muri rusange, aho ikibyimba giherereye nubunini bwabyo, hamwe nubundi burwayi ubwo aribwo bwose. Gusuzuma neza no kubika ni ngombwa kugirango hamenyekane ingamba nziza zo kuvura.
Imiti ivura imirasire ikoresha imirasire yingufu nyinshi kugirango yice kanseri kandi igabanye ibibyimba. Ubwoko butandukanye bwo kuvura imirasire burashobora gukoreshwa kuvura imishwarara ivura kanseri y'ibihaha icyiciro 3 Ibitaro, harimo:
EBRT nubwoko busanzwe bwo kuvura imirasire. Itanga imirasire ivuye mumashini hanze yumubiri, mubyukuri yibasira ikibyimba no kugabanya kwangirika kwinyama nzima. Ubuhanga bugezweho nkubuvuzi bwimbaraga za radiyoyasi (IMRT) hamwe nubuvuzi bwa volcetric modulée arc ivura (VMAT) butuma habaho gutanga imirasire yuzuye.
SBRT, izwi kandi nka radiosurgie ya stereotactique, itanga urugero rwinshi rwimirase mumasomo make. Ubu ni tekinike isobanutse neza ibereye ibibyimba bito, byaho. Igabanya imishwarara yibice byubuzima bwiza, biganisha ku ngaruka nke.
Muri brachytherapy, imbuto zikoresha radio cyangwa ziterwa zishyirwa mubibyimba cyangwa hafi yacyo. Ibi bituma urugero rwinshi rwimirasire rushyikirizwa kanseri ya kanseri mugihe urinze ingirabuzimafatizo. Ubu buryo ntibukoreshwa cyane kuri kanseri yo mu cyiciro cya 3 ugereranije na EBRT na SBRT.
Guhitamo ibitaro bizwi hamwe na oncologiste b'inararibonye hamwe n'ikoranabuhanga rikoresha imirasire ni ngombwa kugirango bigerweho kuvura imishwarara ivura kanseri y'ibihaha icyiciro 3 Ibitaro. Ibintu ugomba gusuzuma birimo:
Imiti ivura imirasire irashobora gutera ingaruka, nubwo zitandukanye bitewe nubwoko bwimiti ivura imirasire ikoreshwa, igipimo, nubuzima rusange bwumuntu. Ingaruka zisanzwe zirimo umunaniro, reaction zuruhu (umutuku, gukama, gukuramo), ningorane zo guhumeka. Izi ngaruka mubisanzwe ni iyigihe gito kandi irashobora gucungwa no kwitabwaho. Itsinda ryanyu ryubuvuzi rizaganira ku ngaruka zishobora guterwa ningamba zo kubikemura.
Icyemezo kijyanye nibyiza kuvura imishwarara ivura kanseri y'ibihaha icyiciro 3 Ibitaro ni umuntu ku giti cye, birimo gusuzuma witonze ibintu bitandukanye. Kugisha inama hamwe na oncologue wujuje ibyangombwa ni ngombwa kugirango utegure gahunda yo kuvura yihariye ikemura ibibazo byawe bwite. Barashobora kukuyobora muburyo bwo guhitamo no kugufasha guhitamo ingamba zikwiye zo kuvura.
Ukeneye ibisobanuro birambuye kubyerekeye uburyo bwo kuvura kanseri y'ibihaha no gushaka umuganga wa oncologue ubishoboye, urashobora gushakisha ibikoresho nk'ikigo cy'igihugu gishinzwe kanseri (https://www.cancer.gov/). Tekereza kuvugana Shandong Baofa Ikigo Cyubushakashatsi Kanseri kumenya byinshi kuri gahunda zabo zita kuri kanseri. Wibuke, gutahura hakiri kare no kuvurwa byihuse ni urufunguzo rwo kunoza ibisubizo bya kanseri y'ibihaha.