Kodi ndondomeko yeniyeni ya proton ndi khansa ya m'mapapo ? Kodi mtundu uwu wa mankhwala ukugwiritsidwa ntchito, ndi ubwino wanji ndi ubwino wofanana ndi mankhwala ena, ndipo zotsatira zake zingakhale zotani?
Kodi Proton Beam Therapy N'chiyani?
Pafupifupi theka la anthu omwe ali ndi kansa ya m'mapapo ali ndi mtundu wina wa mankhwala omwe amawathandiza kukhala ngati mankhwala a proton paulendo wawo. Njira yowonjezera mazira imathandiza pogwiritsa ntchito mphamvu yamphamvu x-ray ku chotupa. Mosiyanitsa, chithandizo cha proton chomera ndi njira yomwe imapereka mphamvu monga ma proton (ma particles okonzedwa bwino) kumalo a minofu kuti awonongeke.
Mtundu wotchedwa accelerator umagwiritsidwa ntchito kukweza mphamvu zowonjezera kutulutsa ma protoni. Chifukwa cha mtengo ndi malo oyenera a particle accelerator, malo ochepa chabe a khansa amapereka chithandizo ichi ku United States ndi kuzungulira dziko lonse lapansi.
Kodi Proton Beam Therapy Amagwira Ntchito Bwanji?
Monga tanenera kale, mankhwala a proton owombera ntchito amagwira ntchito mwa kubwezera chotupa ndi zinthu zabwino zomwe zimatchedwa proton. Mavitoniwa amachititsa kuti majeremusi a khansa asokonezeke, ndipo zimenezi zimapangitsa kufa kwa maselo a khansa.
Njira yatsopano ya mankhwala a proton, omwe amadziwika ngati kusinthana kwa penti pencil, amagwiritsa ntchito kanthani kuti atumize mitsinje ya proton mmbuyo ndi mtsogolo kudzera mu chotupa.
Kodi Proton Beam Therapy Amasiyana Bwanji ndi Ma ARV Omwe Amagwiritsidwa Ntchito?
Njira ziwiri zothandizira mazira ndi mankhwala a proton zimatchulidwa ndipo zimagwiritsidwa ntchito ndi a radiation oncologist, katswiri wa khansa yemwe amayang'ana pa chithandizo cha khansa ndi ma radiation.
Mosiyana ndi mankhwala ochiritsira ochizira, mankhwala a proton owombera amayang'ana malo enieni a minofu. Izi zimapangitsa kuti mavitamini ambiri asagwiritsidwe ntchito koma zimangowonjezera mazira osakhala ndi khansa. Kuwonongeka kwa ziwalo zathanzi pafupi ndi chotupa kumabweretsa mavuto ambiri, kuphatikizapo zotsatira zina za nthawi yaitali monga chitukuko cha khansa yachiwiri (khansa yomwe imayambitsidwa ndi khansa yapadera).
Chimodzi mwa ubwino waukulu kwambiri wa mankhwala a pulotoni ndikumatha kuchigwiritsa ntchito pamatenda omwe ali pafupi ndi nyumba zovuta, zomwe zingapangitse opaleshoni kukhala yovuta kapena yosatheka. Thandizo la pulotoni likhoza kugwiritsidwanso ntchito kwa omwe angapindule ndi chithandizo cha ma radiation koma adalandira kale miyezi yowonongeka.
Kodi Proton Beam Therapy Amagwiritsidwa Ntchito Yanji kwa Khansa Yam'mimba?
Pali zifukwa zingapo zomwe zimathandizira kuti anthu omwe ali ndi kansa ya m'mapapo ayambe kupatsidwa mankhwala othandizira. Ndi khansa ya m'mapapo ya mapapo , yomwe siingakhoze kuchiritsidwa ndi opaleshoni ya khansa yamapapo , mankhwala a proton beam akhoza kusankha.
Matenda a m'mapapo sangathe kugwira ntchito chifukwa cha malo a khansara pafupi ndi zofunikira, kapena chifukwa cha matenda omwe opaleshoni imakhala yoopsa kwambiri. Pachifukwa ichi, njira ina yodziwika kuti stereotactic body radiotherapy (SBRT) ingagwiritsidwe ntchito. Njira ziwirizi zimapereka mankhwala ochuluka kwambiri ku malo ochepa komanso omwe amapezeka m'thupi. Mankhwala onse a proton ndi SBRT angagwiritsidwe ntchito ndi cholinga chochizira.
Thandizo la pulotoni likhoza kukhala mwayi kwa anthu omwe ali ndi kansa ya m'mapapo yowonjezereka koma ayamba kale ndi mankhwala.
Mankhwala a Proton ovomerezeka kawirikawiri sakulimbikitsidwa kwa anthu omwe ali ndi khansara yamapapu yakuya , monga siteji 3B ndi ziwalo 4 zapakati. Mofanana ndi opaleshoni, khansa yapakhungu yamapapu nthawi zambiri imachiritsidwa bwino ndi mankhwala ena monga chemotherapy, mankhwala ochiritsira, kapena immunotherapy .
Zotsatira Zotheka ndi Zovuta
Mofanana ndi khansa iliyonse yothandizira, zotsatira zake zingachitike. Zotsatira zake zambiri zimakhala zofanana ndi zotsatira za mankhwala ochizira omwe amaphatikizapo mankhwalawa ndi monga:
- Kufiira khungu la chifuwa (radiation dermatitis.)
- Kutopa.
- Mazira a pneumonitis: Mazira a pneumonitis amatanthauza kutupa kwa mapapo okhudzana ndi chithandizo. Ndizochiritsidwa kwambiri (kawirikawiri ndi steroids) koma ndizofunikira kulankhula ndi dokotala wanu za kutsokomola kulikonse, kusintha kwa kupuma kwanu, kapena kupuma pang'ono kuti mayesero athe kuchitika.
- Kutaya tsitsi kosatha pa chifuwa.
Zotsatira za nthawi yayitali ndi zovuta za mankhwala a proton zotsitsimutsa siziri zomveka bwino ngati mankhwalawa ndi atsopano poyerekeza ndi mitundu ina ya mankhwala opangira ma radiation. Zotsatira za nthawi yayitali za mankhwala odzoza mazira pa chifuwachi zingaphatikizepo pulmonary fibrosis (kupweteka kwa mapapo omwe amayamba ngati mazira a pneumonitis omwe satsatiridwa), khansa yachiwiri (khansa yowonongeka ndi majeremusi m'maselo abwino). Matenda a mtima (kuphatikizapo matenda a valve, matenda a mitsempha ya m'mimba, matenda a mtima, ndi mtima wosadziwika) pamene dzuwa limaperekedwa kumbali yakumanzere ya chifuwa. Mwachidziwitso, zotsatirazi ziyenera kukhala zosazolowereka kusiyana ndi mankhwala ochizira omwe amayamba kuwonongeka chifukwa cha kuchepa kwa zinyama zachibadwa, koma mwamsanga kuti mudziwe zedi.
Ndi mankhwala akuluakulu a khansa ya khansa ya m'mapapo, kusuta fodya kungachititse kuti mankhwala asapitirire komanso kuonjezera zotsatira zowononga. Thandizo la pulotoni likhoza kuthandizidwa ndi kusuta. Ngati mumasuta, onetsetsani kuti muphunzire za zifukwa zomwe zimasiyiratu kusuta fodya mukamayesa matenda a khansa .
Kukhala ndi Proton Beam Therapy-Kukonzekera, Nthawi, ndi Kutsata
Thandizo la pulotoni limaperekedwa tsiku lililonse pamasiku a sabata kwa maulendo pafupifupi 30. Chiwerengero cha maulendo angakhale achidule kapena achidule malinga ndi khansara yanu.
Pulojekiti isanayambe kuyambitsidwa, mudzakhala ndi msonkhano wokonzekera ndi ma radiation oncologists. Miyeso imapangidwa kudzera pamakono monga CT scan kuti afotokoze bwinobwino malo omwe ayenera kutenthedwa.
Muyenera kukonzekera kwa ola limodzi paulendo uliwonse, ngakhale kuti mankhwalawa amatenga kanthawi kochepa chabe. Mudzafunsidwa kuti muzitha kuponderezedwa ndipo mudzakonzedwa ndi chida chosayendetsa pachifuwa chanu pa ulendo uliwonse. Chipangizochi chidzapangidwa panthawi yanu yoyamba kukonzekera.
Mutatha kumaliza mankhwala anu onse, mudzatsata ndi odwala oncologist. Kuwunika kutsatila panthaŵiyo kudzachitika kuti chithandizo cha proton chikhale bwino. Mapepala angaperekedwe pamene mukulandira chithandizo ngati muli ndi zizindikiro zowonjezereka.
Mafunso Ofunsani Omwe Amagwiritsa Ntchito Mafuta Oncologist
Pofuna kumvetsetsa bwino mankhwala a proton ndi kusankha ngati kuli koyenera kwa inu, ndizothandiza kuti mukhale ndi mndandanda wa mafunso ndi momwe mukufunsira ndi ma radiation oncologists. Izi zikuphatikizapo:
- Nchifukwa chiyani mukuvomereza chithandizochi?
- Kodi pali mankhwala ena omwe angakhale othandiza?
- Kodi mtengo wa mankhwala ndi wotani? Kodi inshuwalansi idzaphimba chithandizo changa kapena ndizidzachotsa mthumba?
- Ndi mankhwala angati omwe ndikufunikira kuti ndikhale nawo palimodzi? Chifukwa chiyani?
- Ngati mukuyenera kupita kuchipatala, funsani namwino wanu wa oncology kapena katswiri wina pa khansara yanu zomwe mungapeze malo ogona. Malo ena a khansa, monga Mayo Clinic ku Rochester, Minnesota, amakhala ndi malo otsika kapena ochepa.
- Kodi zotsatira zake ndi zotani?
- Kodi odwala anu ena adanenanji za mankhwala awo?
- Kodi ndi anthu angati omwe mwawachitira ndi mankhwala a proton owombera?
- Mwinanso mutha kufunsa odwala anu a zachipatala kuti ndi chithandizo chotani chomwe chingafunike kuti chichitike ngati chithandizo cha proton chitha kukhala chopanda ntchito.
Mawu Ochokera
Thandizo la pulotoni ndi njira yatsopano yothetsera yomwe ingagwiritsidwe ntchito kwa anthu ena omwe ali ndi khansa ya m'mapapo. Kawirikawiri amagwiritsidwa ntchito pa khansa ya m'mapapo yopanda maselo, yomwe ndi yotheka kuchiza, koma yomwe ili pa malo ovuta kuti ifike mosamala ndi opaleshoni kapena ngati munthu ali ndi matenda omwe amachititsa opaleshoni.
Zotsatira zofala kwambiri ndizokutopa, koma zimamveka kuti zotsatira zake zikhoza kukhala zolekerera kusiyana ndi mankhwala ochizira, makamaka ndi mitundu yatsopano ya mankhwala a pulotoni monga kupyolera penti penisiti.
Popeza pali malo ochepa omwe njirayi ingatheke, zingakhale zovuta kwa anthu ena omwe amakhala kutali ndi malowa, makamaka ngati mankhwala akufunika tsiku ndi tsiku kwa milungu ingapo.
Pakalipano, pali kutsutsana pa phindu lenileni la mankhwala a proton oyenera kupatsidwa. Thandizo la pulotoni la Proton likhoza kuwonjezereka kawiri kawiri ngati mankhwala ochiritsira, komanso ndalama zogwirira ntchito, maulendo, ndi nthawi kuti anthu omwe amayenera kuyenda azikhala okwera. Ganizirani mbali zonse za chithandizo musanasankhe zomwe ziri zoyenera kwa inu.
> Zotsatira:
> Diwangi, T., Mohindra, P., Vyfhuis, M. et al. Kupititsa patsogolo pa njira za Radiotherapy Njira ndi Kutumizidwa kwa Khansa Yopanda Kulimbitsa Khansa: Mapindu a Njira Yothandizira Mazira, Proton Therapy, ndi Stereotactic Body Radiation. Kafukufuku Wofufuza za Khansa Yamasulidwe . 2017. 6 (2): 131-147.
> Mohan, R., ndi D. Grosshans. Thandizo la Proton- Lero ndi Tsogolo. Kupititsa patsogolo Kugwiritsa Ntchito Mankhwala Osokoneza Bongo 2017. 109: 26-44.