unyango unyango ngemitha yomhlaza wemiphunga isigaba 3 Izibhedlele

Inqanaba lesi-3 Umhlaza wemiphunga: Ukuqonda kunye nokuHamba kwiiKhetho zoNyango lweRadiation Eli nqaku libonelela ngolwazi olubanzi ngonyango lwemitha yenqanaba lesi-3 lomhlaza wemiphunga, kubandakanywa iindlela zonyango, iziphumo ebezingalindelekanga, kunye nokubaluleka kokukhetha isibhedlele esifanelekileyo. Siza kuphonononga iindlela ezahlukeneyo kwaye sikuncede uqonde omawukulindele kuyo yonke le nkqubo.

Inqanaba lesi-3 Umhlaza wemiphunga: Iinketho zoNyango lweRadiation kunye noKhetho lweSibhedlele

Umhlaza wemiphunga, ngakumbi kwinqanaba lesi-3, ufuna indlela yonyango ebandakanya izinto ezininzi. Unyango ngemitha ludlala indima ebalulekileyo, ehlala idityaniswa nolunye unyango olufana nechemotherapy okanye utyando, ukujolisa ngempumelelo kwiiseli ezinomhlaza kunye nokuphucula iziphumo zesigulana. Ukukhetha isibhedlele esifanelekileyo kunye neengcali ze-oncologists ezinamava kunye netekhnoloji yeradiation ephezulu kubaluleke kakhulu ukuze uphumelele unyango unyango ngemitha yomhlaza wemiphunga isigaba 3 Izibhedlele.

Ukuqonda iNqanaba lesi-3 loMhlaza weMiphunga

Inqanaba lesi-3 lomhlaza wemiphunga lihlelwe ngokwezigaba ze-IIA kunye ne-IIIB, ebonisa ubungakanani bokusasazeka komhlaza. Inqanaba IIIA libandakanya ukusasazeka komhlaza kwii-lymph nodes ezikufutshane, ngelixa inqanaba IIIB libandakanya ukubandakanyeka kwe-lymph node okanye ukusasazeka kumalungu akufutshane. Isicwangciso esithile sonyango sixhomekeke kwizinto ezahlukeneyo, kubandakanywa impilo yonke yesigulane, indawo kunye nobukhulu bethumba, kunye nobukho bezinye iimeko zonyango. Ukuxilongwa ngokuchanekileyo kunye nesiteji kubalulekile ekumiseleni isicwangciso sonyango esisiso.

Unyango ngemitha kwiNqanaba lesi-3 lomhlaza wemiphunga

Unyango ngemitha isebenzisa imitha ephezulu yamandla ukubulala iiseli zomhlaza kunye nokuncipha kwamathumba. Iindidi ezininzi zonyango lwemitha zinokusetyenziselwa unyango unyango ngemitha yomhlaza wemiphunga isigaba 3 Izibhedlele, kuquka:

Unyango lwangaphandle lweBeam Radiation (EBRT)

I-EBRT lolona hlobo luqhelekileyo lonyango ngemitha. Ihambisa imitha kumatshini ongaphandle komzimba, ijolise ngokuchanekileyo kwithumba kunye nokunciphisa umonakalo kwizihlunu ezisempilweni ezingqongileyo. Iindlela zale mihla ezifana nonyango lwemitha ye-intensity-modulated radiation (IMRT) kunye nevolumetric modulated arc therapy (VMAT) zivumela unikezelo lwemitha oluchane ngakumbi.

Unyango lweRadiation Body Stereotactic (SBRT)

I-SBRT, ekwaziwa ngokuba yi-stereotactic radiosurgery, inikezela ngeedosi eziphezulu zokusasazeka kwemitha kwiiseshini ezimbalwa. Obu bubuchule obuchaneke kakhulu bufanele amathumba amancinci, asekuhlaleni. Inciphisa ukuvezwa kwemitha kwizihlunu ezisempilweni, okukhokelela kwiziphumo ebezingalindelekanga ezimbalwa.

Brachytherapy

Kwi-brachytherapy, imbewu ye-radioactive okanye implants ifakwe ngqo okanye kufuphi nethumba. Oku kuvumela idosi ephezulu yemitha ukuba isiwe kwiiseli zomhlaza ngelixa kugcinwa izihlunu ezisempilweni. Le ndlela ayisetyenziswa rhoqo kwisigaba sesi-3 somhlaza wemiphunga xa kuthelekiswa ne-EBRT kunye ne-SBRT.

Ukukhetha isibhedlele esiLungileyo kuNyango lwakho

Ukukhetha isibhedlele esinegama elihle elineengcali ze-oncologists kunye netekhnoloji ye-radiation ephucukileyo kubalulekile ukuze uphumelele unyango unyango ngemitha yomhlaza wemiphunga isigaba 3 Izibhedlele. Izinto ekufuneka ziqwalaselwe ziquka:

• Amava kunye nobuGcisa: Jonga izibhedlele ezineoncologists ezigxile kumhlaza wemiphunga kunye nomthamo omkhulu wezigulana ezifumana unyango lweradiation yomhlaza wemiphunga.
• Ubuchwephesha obukwinqanaba eliphezulu: Ukuqinisekisa ukuba isibhedlele sisebenzisa izixhobo zangoku zeradiation, ezifana ne-IMRT kunye ne-VMAT, ukuqinisekisa unikezelo lonyango oluchanekileyo nolusebenzayo.
• Ukhathalelo oluBanzi: Khetha isibhedlele esibonelela ngeendlela ezininzi kukhathalelo lomhlaza, ukudibanisa unyango lweradiation kunye nezinye iindlela zonyango ezifana nechemotherapy kunye notyando, njengoko kufuneka.
• Iinkonzo zeNkxaso: Cinga ngokufumaneka kweenkonzo zokunakekelwa kwenkxaso ezifana nokulawulwa kweentlungu, iingcebiso, kunye neenkqubo zokubuyisela.

Iimpembelelo ezinokubakho zoNyango lweRadiation

Unyango ngemitha lunokubangela iziphumo ebezingalindelekanga, nangona ezi ziyohluka ngokuxhomekeke kuhlobo lonyango lwemitha olusetyenziswayo, ithamo, kunye nempilo yomntu wonke. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka ukudinwa, ukusabela kolusu (ubomvu, ukoma, ukuxobuka), kunye nobunzima bokuphefumla. Ezi ziphumo bezingalindelekanga zidla ngokuba zezokwexeshana kwaye zilawuleka ngononophelo oluxhasayo. Iqela lakho lezonyango liya kuxoxa ngeziphumo ebezingalindelekanga kunye nezicwangciso zokuzilawula.

Ukukufunela olona Nyango luLulo kuwe

Isigqibo malunga neyona nto ingcono unyango unyango ngemitha yomhlaza wemiphunga isigaba 3 Izibhedlele yeyobuqu, ebandakanya ukuqwalasela ngenyameko iinkalo ezahlukahlukeneyo. Ukubonisana ne-oncologist eqeqeshiweyo kubalulekile ukuphuhlisa isicwangciso sonyango esijongene neemfuno kunye neemeko zakho. Banokukukhokela kwiinketho kwaye bakuncede ukhethe isicwangciso esifanelekileyo sonyango.

Ukufumana ulwazi oluthe kratya malunga nokhetho lonyango lomhlaza wemiphunga kunye nokufumana i-oncologist eqeqeshiweyo, unokukhangela izixhobo ezifana neZiko loMhlaza weSizwe (https://www.cancer.gov/). Cinga ngokuqhagamshelana IZiko loPhando ngoMhlaza laseShandong Baofa ukufunda ngakumbi malunga neenkqubo zabo zokhathalelo lomhlaza. Khumbula, ukufunyaniswa kwangoko kunye nonyango olukhawulezileyo ngundoqo ekuphuculeni iziphumo zomhlaza wemiphunga.