Zisonyezo ndi zotsatira zoyipa za PCI kwa Anthu Amene Ali ndi Khansa Yam'mimba
Ngati dokotala wanu akulangiza prophylactic iraniation profilactic, izi zikutanthauza chiyani? Nchifukwa chiyani izi zikuchitidwa ndipo zingakhale zotheka bwanji? Kodi ndi zotsatira zotani zomwe zimagwiritsidwa ntchito m'malo mwake?
Tanthauzo: Prophylactic Cranial Irradiation (PCI)
Kachilombo koyambitsa matenda opatsirana pogonana (PCI) kwa anthu omwe ali ndi kansa ya m'mapapo ndi mankhwala olepheretsa ma ARV kumutu kuti aphe maselo omwe angafalikire kale koma sangathe kuwonanso pomwepo.
PCI imagwiritsidwa ntchito kwambiri ndi khansa yaing'ono yamapapo ya m'mapapo yomwe yatengerapo kuchipatala choyamba ndi mankhwala a chemotherapy ndi mankhwala opatsirana pogwiritsa ntchito mankhwala .
Nchifukwa chiyani PCI?
Khansara ya m'mapapo ya m'mapapo ali ndi chizoloŵezi cholimba cha kufalikira ku ubongo, ndipo nthawi zina zizindikiro zoyambirira za khansa ya m'mapapo ya m'mapapo zimagwirizana ndi kufalikira. Zapezeka kuti mankhwala opatsirana pogwiritsira ntchito mankhwalawa amaperekedwa kumutu musanatsimikizire kuti kufalitsa kulikonse kungachepe kwambiri. Pamene ma radiation amagwiritsidwa ntchito motere, kuperekedwa kwa dzuwa kumakhala kochepa kwambiri kusiyana ndi ngati mankhwala akugwiritsidwa ntchito pochizira ubongo wa kansa kuchokera ku khansa ya m'mapapo .
Anthu omwe ali ndi khansa yaing'ono yamapapu imapindula kwambiri, makamaka poyamba, ku chemotherapy. Pachikhalidwe ichi, akatswiri a zacologist amanena za ubongo kukhala "dera lalitali." Cholinga ndikuteteza ubongo wa ubongo kuyambira ubongo metastases kuchepa kwambiri moyo wa anthu omwe ali ndi kansa ya m'mapapo chifukwa cha zizindikiro monga matenda.
Kodi Prophylactic Cranial Irradiation (PCI) ikugwiritsidwa ntchito liti?
PCI imagwiritsidwa ntchito pamene wina ali ndi khansa yaing'ono yamapapu ya m'mapapo alibe umboni wa kufalikira ku ubongo pa maphunziro a kujambula, koma pali mwayi wokwanira kuti khansayo idzafalikira m'nthawi. Amagwiritsidwa ntchito kawirikawiri kwa anthu omwe ali ndi kansa ya m'mapapo ya khansa yaing'ono , koma angagwiritsidwe ntchito kwa anthu okhala ndi siteji yambiri ya khansa yamapapu ya m'mapapo .
Zapatsidwa bwanji?
PCI imaperekedwa ngati miyendo yamtundu wakunja pamene mukugona patebulo. Zimangotenga mphindi zowerengeka zothandizira komanso si zopweteka. Kawirikawiri anthu amakhala ndi dzuwa tsiku lililonse, masiku asanu pa sabata kwa milungu itatu.
Zotsatira Zowonongeka za Prophylactic Cranial Irradiation (PCI)
Ndikofunika kudziwa zotsatira zowopsa za PCI musanapange mankhwalawa. Kwa anthu ena zotsatira zake zimakhala zochepa, zofooka zochepa komanso mwina kuchepetsa kuchepa. Kwa ena, zotsatira zake zimakhala zokhumudwitsa kwambiri ...
Zotsatira za ma radiation mpaka ubongo zingaphatikizepo:
- Kutayika tsitsi - Mosiyana ndi kutaya tsitsi kwa mankhwala a chemotherapy, kupweteka kwa tsitsi kuchokera ku ma radiation mpaka mutu kumakhala kosatha.
- Kutopa - Kutopa ndi njira yowopsa kwambiri ya mankhwala a radiation ndipo kumawonjezereka panthawi ya chithandizo.
- Kufiira - Kuthamanga ngati kutentha kwa dzuwa kungawonekere pamaso pako ndi khungu.
- Kusintha kwa chidziwitso - Zina mwa zizindikiro zowopsya zowonjezereka pamutu kumaphatikizapo kukumbukira kukumbukira, kusokonezeka, ndi kupweteka mutu.
- Nsowa ndi kusanza.
- Kutaya njala.
- Kutaya thupi.
Zotsatira Zakale za Prophylactic Cranial Irradiation (PCI)
Zapezeka m'zaka zaposachedwapa kuti PCI ikhoza kuyambitsa mavuto osokonezeka (ubongo) kwa anthu omwe amatha kuchipatala makamaka makamaka omwe ali ndi mankhwalawa pamodzi ndi mankhwala a platinum omwe amagwiritsa ntchito mankhwala monga Platinol (cisplatin). Mphamvu ya metastases ya ubongo yokhala ndi kansa yaing'ono ya m'mapapo ya mitsempha, izi zimakhala zochepa poyeza kuopsa kwa phindu lomwe munthu aliyense akulingalira.
Mudzadziwa bwanji ngati PCI ikugwira ntchito?
Pali njira zingapo zomwe mungadziwire ngati PCI yagwira ntchito. Chowonekera kwambiri ndikuti ndizochepa kuti mutha kukhala ndi zizindikiro za metastases za ubongo kuposa ngati simunakhale ndi PCI. Njira yina ndiyo kupyolera mazithunzi kuti ayang'ane umboni wa metastases. Izi zimakonzedwa nthawi zosiyanasiyana kwa anthu osiyanasiyana malinga ndi zinthu zosiyanasiyana.
Kodi Pali Njira Zina Zopangira PCI?
nthawi zina mpaka 25 zilonda
Mfundo Yofunika Kwambiri pa Kugonjetsedwa kwa Magetsi?
Kutchulidwa: pro-ful-ak-tik kray-ne-ul ir-fay-dee-ay-shun
Komanso: PCI
Zitsanzo: Sam anapatsidwa mankhwala opatsirana pogonana kuti aphe maselo ena a kansa yamapapo omwe angafalikire ku ubongo wake, koma anali ochepa kwambiri kuti asawoneke mu ubongo wake CT.
> Zotsatira:
> Simo, M., Vaquero, L, Ropolles, P. et al. Kuwonongeka kwa ubongo pambuyo poyerekeza ndi mankhwala opatsirana pogwiritsa ntchito mankhwala opatsirana pogonana. Kujambula kwa ubongo ndi khalidwe . 2015 May 17. (Epub patsogolo pa kusindikiza).
> Takahashi, T., Yamanaka, T., Seto, T. et al. Kachilombo ka Kranial Irradiation Versus Observation kwa Odwala Amene Ali Ndi Matenda Owonjezera Matenda aang'ono a Cell Lung: A Multicentre, Randomized, Open-Label, Phase 3 Trial. Lancet Oncology . 2017. 18 (5): 663-671.