unyango ngemitha kwisigaba 3 somhlaza wemiphunga

Unyango lwemitha yomhlaza wemiphunga inqanaba lesi-3 yindlela eqhelekileyo nesebenzayo yokulawula isifo. Ihlala ibandakanya ukujolisa kwiiseli ezinomhlaza ezinemitha ephezulu yamandla, ejolise ekunciphiseni amathumba kunye nokuthintela ukukhula okuqhubekayo. Olu nyango lunokusetyenziswa lodwa okanye ludityaniswe nolunye unyango olufana nechemotherapy kunye notyando. Apha, siza kugocagoca kwiinkcukacha zolu nyango lonyango, sijonge iindlela zalo, iziphumo ebezingalindelekanga, kunye nokuba yintoni enokulindelwa ngabaguli ngexesha nasemva konyango. Unyango ngemitha kuMhlaza weMiphunga inqanaba lesi-3?Unyango lwemitha yomhlaza wemiphunga inqanaba lesi-3 lunyango lomhlaza olusebenzisa iidosi eziphezulu zemitha yokubulala iiseli zomhlaza kunye nokushwabana kwamathumba. Kwinqanaba lesi-3 lomhlaza wemiphunga, umhlaza usasazeke kwii-lymph nodes ezikufutshane, nto leyo eyenza ukuba unyango lube nzima ngakumbi. Unyango lweradiation lujolise ekujoliseni le mimandla ngelixa ukunciphisa umonakalo kwizicubu eziphilileyo ezijikelezileyo. Ukusebenza konyango kuxhomekeke kwizinto ezininzi, kubandakanywa uhlobo kunye nendawo yomhlaza, impilo yesigulana ngokubanzi, kunye nolunye unyango abanokuthi balufumana. Unyango ngemithaIindidi ezininzi ze unyango ngemitha ziyafumaneka ukuze isigaba 3 somhlaza wemiphunga, nganye ineengenelo zayo kunye neengqwalasela: Umtha wangaphandle Unyango ngemitha (EBRT): Olu lolona hlobo luqhelekileyo lonyango ngemitha. Ihambisa imitha kumatshini ongaphandle komzimba. I-EBRT inokucokiswa ngakumbi ngobuchule obunje: 3D-Conformal Unyango ngemitha (3D-CRT): Isebenzisa isoftware ekhethekileyo yekhompyuter ukubumba ngokuchanekileyo imiqadi yemitha ukuze itshatise ukumila kwethumba, ukunciphisa umonakalo kwizihlunu ezingqongileyo. Amandla-Modulated Unyango ngemitha (IMRT): Indlela ehambele phambili ye-3D-CRT ephinda imodareyitha ubunzulu bemitha yemitha, ivumela ukujolisa okuchane ngakumbi kunye nokunciphisa iziphumo ebezingalindelekanga. I-IMRT ngumgangatho wokhathalelo kumaziko afana IZiko loPhando ngoMhlaza laseShandong Baofa. Umzimba weStereotactic Unyango ngemitha (SBRT): Ihambisa iidosi eziphezulu zemitha yemitha kwithumba elincinci, elichazwe kakuhle kunyango olumbalwa. Iluncedo kakhulu kwizigulana ezingakwaziyo ukwenza utyando okanye ukuba namathumba amancinci. Unyango lweProton: Isebenzisa iiproton endaweni yeX-reyi. Iiprotons zinokujoliswa ngokuthe ngqo ngakumbi, ezinokunciphisa ukuvezwa kwemitha kwizicubu ezisempilweni. Brachytherapy (Ngaphakathi Unyango ngemitha): Ibandakanya ukubeka imithombo ye-radioactive ngqo okanye kufuphi nethumba. Obu buchule busetyenziswa kancinane kumhlaza wemiphunga kune-EBRT, kodwa isenokuba yindlela yokhetho kwiimeko ezithile Unyango ngemitha Inkqubo ye Inqanaba 3 Umhlaza wemiphungaInkqubo ngokuqhelekileyo ibandakanya amanyathelo amaninzi angundoqo: Uthethwano noCwangciso: Isigulana sidibana ne-radiation oncologist ephonononga imbali yaso yezonyango, yenza uvavanyo lomzimba, kwaye ixoxe ngesicwangciso sonyango. Ukulinganisa: I-CT scan okanye enye i-imaging yenziwa ukuze imephu ngokuchanekileyo indawo ye-tumor kunye nezitho ezizungezile. Oku kunceda ukwenza isicwangciso sonyango lomntu siqu. Isicwangciso soNyango: I-radiation oncologist, kunye neqela le-dosimetrists kunye ne-physicists, benza isicwangciso esicacileyo esichaza idosi yemitha, i-engile ye-beam, kunye nezinye iiparameters. Unyango ngemitha Ukuhanjiswa: Isigulana sifumana unyango lwemitha kwisiseko sesigulane esingaphandle, ngokwesiqhelo iintsuku ezintlanu ngeveki iiveki ezininzi. Iseshoni yonyango nganye ihlala phakathi kwe-15 kunye ne-30 imizuzu. Ukulandelela: Ukuqeshwa rhoqo kokulandelela kubalulekile ukujonga impendulo yesigulane kunyango kunye nokulawula nayiphi na imiphumo emibi. Unyango ngemithaNjengalo naluphi na unyango lomhlaza, unyango ngemitha kunokubangela iziphumo ebezingalindelekanga. Iziphumo ezithile ebezingalindelekanga ezifunyanwa sisigulana ziya kwahluka ngokuxhomekeke kwithamo lemitha, indawo enyangwayo, kunye nempilo yesigulana iyonke. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka: Ukudinwa: Ukuziva udiniwe okanye uswele amandla kuyinto eqhelekileyo. Iintshukumo zolusu: Ulusu kwindawo enyangwayo lunokubabomvu, lome, okanye lurhawuzelelwe (ngokufana nokutshiswa lilanga). I-Esophagitis: Ukudumba komqala, kubangela ubunzima bokuginya kunye neentlungu zesifuba. Inyumoniya: Ukudumba kwemiphunga, okukhokelela ekukhohleleni nasekuphefumleni. Isicaphucaphu kunye nokugabha: Nangona ixhaphake kakhulu kune-chemotherapy, ezinye izigulana zinokuba nesicaphucaphu.Kubalulekile ukuxoxa ngazo naziphi na iziphumo ebezingalindelekanga kunye neqela lakho lezempilo, njengoko linokubonelela ngeendlela zokulawula nokuzinciphisa. Iziphumo ebezingalindelekanga ezininzi zezokwexeshana kwaye zisonjululwe emva kokuba unyango lugqityiwe.Ukudibanisa Unyango ngemitha kunye nolunye unyangoUnyango lwemitha yenqanaba lesi-3 lomhlaza wemiphunga idla ngokusetyenziswa kunye nolunye unyango, olufana nechemotherapy kunye notyando. Le ndlela yokwenza izinto ezininzi inokuphucula iziphumo kwizigulane ezininzi. Indibaniselwano ethile yonyango iya kuxhomekeka kwiimeko zesigulana ngasinye kunye neempawu zomhlaza wabo. I IZiko loPhando loMhlaza laseShandong Baofa indlela ebanzi idla ngokubandakanya imidibaniso enjalo.Ngokomzekelo, i-chemoradiation (edibanisa ichemotherapy kunye neradiation therapy) ingasetyenziswa phambi kotyando ukucutha ithumba kwaye kube lula ukulisusa. Kungenjalo, inokusetyenziswa emva kotyando ukubulala naziphi na iiseli zomhlaza eziseleyo. Kwezinye iimeko, unyango ngemitha inokuba lolona khetho luphambili lonyango kwizigulana ezingakulungelanga utyando. Unyango ngemitha IziphumoImiba emininzi inokuphembelela ukusebenza kwe unyango ngemitha ngenxa isigaba 3 somhlaza wemiphunga: Ubungakanani beTumor kunye nendawo: Amathumba amancinci kwiindawo ezifikeleleka ngokulula adla ngokusabela ngcono kunyango lwemitha. Uhlobo loMhlaza: Iindidi ezahlukeneyo zomhlaza wemiphunga (umzekelo, umhlaza wemiphunga weseli encinci vs. Umhlaza wemiphunga weseli ongeyonxalenye encinci) unokuphendula ngokwahlukileyo kunyango lwemitha. Impilo yesigulana iyonke: Izigulana ezisempilweni jikelele ziyakwazi ukunyamezela iziphumo ebezingalindelekanga zonyango lweradiation kwaye zinokuba neziphumo ezihle. Isicwangciso soNyango: Isicwangciso sonyango esenziwe kakuhle esijolise ngokuchanekileyo kwi-tumor ngelixa ukunciphisa umonakalo kwizicubu ezijikelezileyo kubalulekile kwiziphumo ezifanelekileyo. Unyango ngemithaEmva kokugqiba unyango ngemitha, izigulane ziya kuqhubeka nokuqeshwa ngokulandelelana rhoqo ukujonga inkqubela yabo kunye nokulawula nayiphi na imiphumo emibi yexesha elide. Oku kuqeshwa kunokubandakanya iimviwo zomzimba, imifanekiso yokujonga umfanekiso, kunye novavanyo lwegazi. Kubalulekile ukugcina indlela yokuphila esempilweni emva konyango, kuquka ukutya ukutya okunesondlo, ukwenza umthambo rhoqo, kunye nokuphepha ukutshaya. Iinkqubo zokubuyisela kwisimo sangaphambili zinokunceda izigulane zilawule naziphi na iziphumo ebezingalindelekanga ezingapheliyo kwaye ziphucule umgangatho wobomi bazo. Unyango ngemitha kuMhlaza weLungUnyango ngemitha iteknoloji ihlala iguquka. Inkqubela phambili yamva nje, efana nale: I-Adaptive Unyango ngemitha: Ivumela uhlengahlengiso kwisicwangciso sonyango olusekwe kutshintsho kwisayizi yethumba kunye nokumila ngexesha lonyango. UKhokelo-Mfanekiso Unyango ngemitha (IGRT): Isebenzisa umfanekiso wexesha lokwenyani ukujolisa ngokuchanekileyo ithumba ngexesha leseshoni yonyango nganye. IFLESHI Unyango ngemitha: Ihambisa ngemitha kwimilinganiselo yedosi ephezulu, enokuthi yehlise iziphumo ebezingalindelekanga. (Kusephantsi kophando).Ezi nkqubela phambili zinceda ekuphuculeni ukusebenza nokhuseleko lwe unyango ngemitha ngenxa isigaba 3 somhlaza wemiphunga. Thetha nogqirha wakho ukuba zeziphi iitekhnoloji ezifanele iimfuno zakho ezithile.Itheyibhile: Ukuthelekisa okwahlukileyo Unyango ngemitha Iindidi Uhlobo Lonyango Inkcazelo Ukusetyenziswa Okuqhelekileyo Okuluncedo I-EBRT (iBeam yaNgaphandle) Imitha ephuma kumatshini ongaphandle komzimba. Uninzi lomhlaza wemiphunga; esebenza ngokubanzi. Ayina-invasive; izinto ezininzi. I-IMRT (Ubungakanani-Modulated) EBRT enobunzulu obumodareyithiweyo ukujolisa okuchanekileyo. Iimilo zethumba ezintsonkothileyo; ukunciphisa iziphumo ebezingalindelekanga. Ichaneke kakhulu; kunciphisa umonakalo kwizicubu eziphilileyo. I-SBRT (i-Stereotactic Body) Idosi ephezulu yokusasazeka ngemitha kwiiseshini ezimbalwa. Amathumba amancinci, achazwe kakuhle; izigulane ezingakwaziyo ukwenza utyando. Ubude bexesha elifutshane lonyango; ukuchaneka okuphezulu. Brachytherapy imithombo Radioactive ibekwe ngqo / kufuphi nethumba. Ixhaphake kancinci kumhlaza wemiphunga; iimeko ezithile kuphela. Imitha ethe ngqo kwithumba; kunciphisa ukuvezwa kwezicubu ezijikelezileyo. I-Disclaimer: Olu lwazi lwenzelwe iinjongo zolwazi ngokubanzi kuphela kwaye aluquki iingcebiso zonyango. Qhagamshelana nengcali yezempilo eqeqeshiweyo ngayo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo okanye unyango lwakho. Ngalo lonke ixesha ufune iingcebiso kugqirha wakho okanye omnye umboneleli wezempilo oqeqeshiweyo ngayo nayiphi na imibuzo onokuba nayo malunga nemeko yonyango.