unyango ngemitha kumhlaza wemiphunga

Unyango lwemitha yomhlaza wemiphunga isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza. Ihlala isetyenziswa ngokudibeneyo nolunye unyango olunjengotyando kunye nechemotherapy. Esi sikhokelo siphonononga iintlobo zonyango ngemitha, lusebenza njani, yintoni onokuyilindela ngexesha lonyango, kunye neziphumo ebezingalindelekanga ezinokubakho, ukubonelela ngoshwankathelo olubanzi lwezigulane kunye neentsapho zazo.Ukuqonda uMhlaza weMiphuphu kunye noNyango lweRadiationYintoni uMhlaza weMiphunga?Umhlaza wemiphunga sisifo apho iiseli zemiphunga zikhula ngaphandle kolawulo. Zimbini iindidi eziphambili: umhlaza wemiphunga weseli encinci (SCLC) kunye nomhlaza wemiphunga weseli ongeyonxalenye encinci (NSCLC). I-NSCLC ixhaphake kakhulu. Zombini ezi ntlobo zinokusasazeka kwamanye amalungu omzimba.Yintoni Unyango ngemitha kuMhlaza wemiphunga?Unyango lwemitha yomhlaza wemiphunga isebenzisa imitha ephezulu yamandla, njenge-X-reyi okanye iiprotons, ukonakalisa okanye ukutshabalalisa iiseli zomhlaza. Ingasetyenziselwa ukunyanga umhlaza wemiphunga kulo naliphi na inqanaba, ngokuxhomekeke kuhlobo, indawo, kunye nobungakanani bomhlaza, kunye nempilo yonke yesigulana. KwiZiko loPhando loMhlaza laseShandong Baofa, sigxininise ekudibaniseni iziphumo zophando zamva nje kwizicwangciso zonyango lomntu ngamnye, ezinokubandakanya unyango ngemitha kumhlaza wemiphunga xa kufanelekile. Iqela lethu leengcaphephe lizinikezele ekuboneleleni ngononophelo olunokwenzeka.Iintlobo ze Unyango ngemitha kuMhlaza wemiphungaUmtha wangaphandle Unyango ngemitha kuMhlaza wemiphunga (EBRT)EBRT lolona hlobo luqhelekileyo lwe unyango ngemitha kumhlaza wemiphunga. Ihambisa imitha kumatshini ongaphandle komzimba ukuya kwithumba. Iindlela zangoku ze-EBRT zijolise ngqo kumhlaza ngelixa zinciphisa umonakalo kwizihlunu eziphilileyo ezingqongileyo.Iintlobo ze-EBRT: 3D ngokusesikweni Unyango ngemitha kuMhlaza wemiphunga (3D-CRT): Isebenzisa umfanekiso wekhompyuter ukubumba imiqadi yemitha ukuze itshatise ukumila kwethumba. Amandla-Modulated Unyango ngemitha kuMhlaza wemiphunga (IMRT): Ihambisa iidosi ezahlukeneyo zemitha kwiindawo ezahlukeneyo zethumba. Oku kuvumela iidosi eziphezulu kumhlaza ngelixa ugcina izicubu ezisempilweni. IVolumetric Modulated Arc Therapy (VMAT): Uhlobo lwe-IMRT oluhambisa ngemitha ngokuqhubekayo njengoko umatshini ujikeleza isigulana. Oku kunokunciphisa amaxesha onyango. Umzimba weStereotactic Unyango ngemitha kuMhlaza wemiphunga (SBRT) / Stereotactic Ablative Radiotherapy (SABR): Ihambisa iidosi eziphezulu zemitha yemitha kwithumba elincinci, elichazwe kakuhle kunyango olumbalwa. Ngokuqhelekileyo isetyenziselwa umhlaza wemiphunga wesigaba sokuqala okanye i-metastases. Unyango lweProton: Isebenzisa iiproton endaweni yeX-reyi. Iiprotoni zinokujoliswa ngokuthe ngqo, ezinokuthi zinciphise iziphumo ebezingalindelekanga.Ngaphakathi Unyango ngemitha kuMhlaza wemiphunga (Brachytherapy)I-Brachytherapy ibandakanya ukubeka imithombo ye-radioactive ngqo ngaphakathi okanye kufutshane nethumba. Oku kuvumela idosi ephezulu yemitha ukuba iziswe kumhlaza ngelixa kulondolozwa inyama esempilweni. I-Brachytherapy ayiqhelekanga ukusetyenziselwa umhlaza wemiphunga kune-EBRT kodwa isenokuba yindlela yokhetho kwiimeko ezithile.Njani Unyango ngemitha kuMhlaza wemiphunga IyasebenzaUnyango lwemitha yomhlaza wemiphunga yonakalisa i-DNA yeeseli zomhlaza, zithintele ekukhuleni nasekuhlukaneni. Ngokuhamba kwexesha, iiseli ezonakalisiweyo ziyafa, kwaye i-tumor iyancipha. I-radiation inokonakalisa iiseli eziphilileyo, yiyo loo nto imiphumo emibi ingenzeka. Nangona kunjalo, iiseli eziphilileyo ziyakwazi ukuzilungisa ngakumbi kuneeseli zomhlaza.Yintoni omele uyilindele ngexesha Unyango ngemitha kuMhlaza wemiphungaPhambi koNyangoPhambi kokuba uqalise unyango ngemitha kumhlaza wemiphunga, uya kudibana ne-radiation oncologist, ugqirha oyingcali kunyango lweradiation. Ugqirha weradiation oncologist uya kuphonononga imbali yakho yezonyango, enze uvavanyo lomzimba, kwaye axoxe nawe ngesicwangciso sonyango. Uya kuphinda wenze ukulinganisa, inkqubo enceda iqela lonyango ngemitha ukuba licwangcise unyango lwakho. Ngexesha lokulinganisa, uya kulala etafileni ngelixa umatshini wonyango lweradiation ubekwe ecaleni kwakho. Iqela liya kuthatha imilinganiselo kwaye liphawule indawo yonyango eluswini lwakho.Ngexesha LonyangoUnyango lwemitha yomhlaza wemiphunga idla ngokunikwa ngamaqhezu emihla ngemihla (iidosi ezincinci) kwiiveki ezininzi. Oku kuvumela iiseli ezisempilweni ukuba zibuyele phakathi konyango. Iseshoni yonyango nganye idla ngokuthatha imizuzu eyi-15 ukuya kwengama-30. Ngexesha lonyango, uya kulala etafileni ngelixa umatshini wokunyanga ngemitha uhambisa imitha. Awuyi kuva ukusasazeka kwemitha, kodwa ungeva izandi ezincwinayo okanye ezicofayo.Emva koNyangoEmva unyango ngemitha kumhlaza wemiphunga, uya kuba needinga zokulandela kunye ne-oncologist yakho yokubeka iliso kwinkqubela phambili yakho kwaye ulawule naziphi na iziphumo ebezingalindelekanga. Unyango ngemitha kuMhlaza wemiphungaIziphumo ebezingalindelekanga ze unyango ngemitha kumhlaza wemiphunga kuxhomekeke kuhlobo kunye nethamo lemitha, kunye nendawo yethumba. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka: Ukudinwa Ukucaphuka kwesikhumba Ubunzima bokuginya (esophagitis) Ukhohlokhohlo Ukuphefumla nzima Inyumoniya (ukudumba kwemiphunga)Iziphumo ebezingalindelekanga ezininzi zezokwexeshana kwaye zisonjululwa emva kokuba unyango luphelile. Nangona kunjalo, ezinye iziphumo ebezingalindelekanga zinokuthatha ixesha elide okanye zisisigxina. Ugqirha wakho we-radiation oncologist uya kuxoxa nawe ngeziphumo ebezingalindelekanga ezinokwenzeka phambi kokuba unyango luqale. unyango ngemitha kumhlaza wemiphunga, kubandakanywa: Amayeza Utshintsho lokutya Umthambo Amaqela eNkxasoKubalulekile ukuthetha ne-radiation oncologist yakho malunga nazo naziphi na iziphumo ebezingalindelekanga ozifumanayo ukuze zikuncede uzilawule ngokufanelekileyo.Unyango ngemitha kuMhlaza wemiphunga: UkuphumelelaUkusebenza kwe unyango ngemitha kumhlaza wemiphunga kuxhomekeke kwizinto eziliqela, kuquka inqanaba lomhlaza, uhlobo lwemitha, kunye nempilo yonke yomguli. Ukusasazeka kwemitha kunokusebenza kakhulu ekulawuleni okanye ekupheliseni amathumba, ngakumbi xa kudityaniswa nolunye unyango. Uphando kumaziko afana neShandong Baofa Cancer Research Institute gqolo ukuzama ukuphucula ezi ziphumo ngokusebenzisa iindlela ezintsha zonyango.Unyango ngemitha kuMhlaza wemiphunga: IindlekoIxabiso le unyango ngemitha kumhlaza wemiphunga inokwahluka ngokubanzi ngokuxhomekeke kuhlobo lwemitha, ubude bonyango, kunye nendawo efunyanwa kuyo. Kubalulekile ukuxoxa ngeendleko kunye ne-inshurensi kunye nomboneleli wakho wezempilo kunye nenkampani yeinshurensi phambi kokuba uqalise unyango. Unyango ngemitha kuMhlaza wemiphungaInkqubela phambili yetekhnoloji kunye nobuchule ihlala iphucula ukusebenza kunye nokhuseleko lwe unyango ngemitha kumhlaza wemiphunga. Ezi nkqubela zibandakanya: Iindlela eziphuculweyo zokufanekisa: Imifanekiso echanekileyo ngakumbi ivumela ukujoliswa okungcono kwe-tumor kunye nokunciphisa umonakalo kwizicubu eziphilileyo ezijikelezileyo. Unyango lweProton: Njengoko bekutshiwo ngaphambili, unyango lwe-proton lubonelela ngokuchaneka ngakumbi kwemitha yemitha xa kuthelekiswa nemitha ye-X-ray yesiko. I-Adaptive Unyango ngemitha kuMhlaza wemiphunga: Le ndlela uhlengahlengisa isicwangciso radiation esekelwe utshintsho ubungakanani ithumba kunye nokumila ngexesha unyango.Shandong Baofa Cancer Research Institute ithatha inxaxheba ngokukhutheleyo kwiimvavanyo zonyango ukuvavanya iindlela ezintsha kunye ezithembisayo zonyango ngemitha, ukunika izigulane zethu ukufikelela ukusika-edge unyango ongakhetha.Imibuzo ukuba Buza ugqirha wakhoUkuba ucinga unyango ngemitha kumhlaza wemiphunga, kubalulekile ukubuza ugqirha wakho imibuzo malunga: Uhlobo lwe unyango ngemitha kumhlaza wemiphunga oko kucetyiswa kuwe. Iinzuzo ezinokubakho kunye neengozi zonyango. Iziphumo ebezingalindelekanga onokuthi ube nazo. Uza kulawulwa njani unyango. Yintoni onokuyenza ukulungiselela unyango. Yintoni omawuyilindele ngexesha nasemva konyango.IsipheloUnyango lwemitha yomhlaza wemiphunga sisixhobo esixabisekileyo kumlo ochasene nesi sifo. Ngokuqonda iintlobo ezahlukeneyo zonyango lweradiation, yintoni onokuyilindela ngexesha lonyango, kunye neziphumo ebezingalindelekanga ezinokwenzeka, izigulana zinokwenza izigqibo ezinolwazi malunga nokhathalelo lwabo. Ukuba ufunyaniswe ukuba unomhlaza wemiphunga, thetha nogqirha wakho malunga nokuba unyango ngemitha lukulungele na.Ukuziphendulela: Olu lwazi lujoliswe kulwazi ngokubanzi kunye neenjongo zolwazi kuphela, kwaye alubandakanyi iingcebiso zonyango. Kubalulekile ukudibana nengcali yokhathalelo lwempilo kuyo nayiphi na inkxalabo yezempilo okanye ngaphambi kokuba wenze naziphi na izigqibo ezinxulumene nempilo yakho okanye unyango.Ngolwazi oluthe vetshe, nceda undwendwele IZiko loPhando ngoMhlaza laseShandong Baofa.Idatha kunye nolwazi oluchazwe apha lusekwe kulwazi lwangoku lwezonyango kwaye lubhekiselele kwimithombo ethembekileyo. Iziphumo zonyango ezithile zinokuhluka.