Kunzwisisa Mafaro uye Njodzi dzeProteton Beam Therapy
Kana chiremba wako akakurudzira chirwere cheproton chinorwara chekenza yako, unogona kunge uchizvidya mwoyo uye uchinetseka. Kusiyana nemamwe mishonga yekenza, chirongwa cheprotoni bhiza chinenge chiri chitsva pachiitiko uye ruzivo rudiki ruwanika. Ngatitarisei kuti kunyatsoratidzwa kwechirwere ichi chinoshanda sei, zvakanakira uye kukanganisa kune mamwe marapirwo emishonga, pamwe nemigumisiro inogona kuitika inogona kuitika.
Kunyange zvazvo chirongwa cheproton chinyorwa chichangobva "kubviswa" nemashoma mashomanana ezvivako izvo zvinopa basa iri, iyo nzira yaive iri kune dzimwe mishonga muUnited States kubva muna 1990.
Proton Inonzi Therapy Inoshanda Sei?
Tsanangudzo shomanana yekuti chirongwa cheproton chinoridzika sei chinoshanda-icho chakafanana nehutachiona hwemazuva ano-inoshandisa simba kukuvadza kana kuparadza masero ekenza.
Kune avo vanoda kunzwisiswa nzira yekurapa iyi mukudzika zvakanyanya, proton beam therapy inoshanda nekukurumidza kufambisa proton (positive particles) kune imwe simba yehurumende kuburikidza nehutachiona chekuwedzera. Iyi simba rezvemamiriro ezvinhu rinobvumira mapurotoni kuti aende kuburikidza nematehwe zvakananga kumarara; zvichikonzera bombardment yakawanda kwazvo yepisitoni pamarara.
MaPurosponi anonyatsopomerwa mhosva uye naizvozvo anokwezva mhosva dzisina kunaka. Apo proton inotanga pedyo pedo molecule yakadai seDNA, nzvimbo dzakashata dzinopomerwa dzema molecule dzichakwevedzwa purotoni, nokudaro zvinopindira nemamolekoro aya anowanzoita uye basa.
Chigumisiro chekuita uku ndiko pakupedzisira rufu rwekenza masero.
Kusiyanisa pakati pe "Kazhinji" Radiation Therapy uye Proton Therapy
Proton therapy uye therapy radiation therapy zvose zvinorondedzerwa nehutachiona hweascologists. Chimwe chezvinhu zvakasiyana-siyana zvakajeka ndezvokugara kwekurapa. Proton therapy inonyatsoronga nzvimbo chaiyo, iyo inogona kukonzera kusanyanya kudzvinyirira kumatomu akaipoteredza.
Chirwere chemazuva ano chinowanzosarudzwa, uye mamwe masero "akaenzana" munzvimbo yechipfuva angangokuvara.
Proton beam therapy haisi imwe yerudzi rwekurapa, asi pane kune marudzi akasiyana uye nzira. Mitsva itsva yeproton british therapy yakadai sepencil beam scanning inofungidzirwa kuita kuti chirwere ichi chirambe chichireruka.
Ndeipi Cancers Inobatwa NeProton Beam Therapy?
Proton beam therapy inowanzoshandiswa kumakumbo (nzvimbo ye1, II, kana III) uye inoshandiswa nguva isati yasvika kumakumbo emakumbo 4 (matumbu akapararira kune dzimwe nzvimbo dzomuviri). Dzimwe mhando dzekenza umo chirongwa cheproton chinyorwa chingashandiswa chinosanganisira:
- Kenza yemaperembudzi: Nemukenza wemapapu, chirwere cheproton chinogona kushandiswa pamusana wepamupa yemapapu risingagoni kurapwa nekuvhiyiwa, kana kuti kudzokorora apo chirwere chemazuva ano chinowanzopiwa.
- Kenza yehupombwe: Nzvimbo chaiyo yekugovera inopiwa neprotonton british therapy inogona kubatsira pamakumbo europi umo kunyange zvidiki zviduku zvinogona kuve nemigumisiro yakaipa.
- Child Cancers: Proton beam therapy, sezvakakurukurwa pasi apa, zvingaita zvishoma kukuvadza kumasukirwo akange ari pedyo. Sezvo DNA inokanganisa masero anowanzogona kutungamirira kumakondomu echipiri, inofungidzirwa kuti kurapwa uku kungave kuri nani pane dzimwe nguva nokuda kwevana.
- Musoro nemutsipa makondombera
- Chirwere cheropa
- Gallbladder kanzera
- Esophageal cancer
- Gastric cancer
- Chirwere cheprostate
Kubatsirwa uye Kukanganisika kweProton Beam Therapy
Kune mishonga mitsva yakawanda yekenza iyo yakatanga mumakumi emakumi apfuura, uye izvi zvinoshamisa. Panguva imwe chete, zvisinei, kana pane zvakasiyana-siyana zvekurapa, iwe uye wako oncologist unoda kuita sarudzo pamusoro pemishonga ipi yakakunakira iwe somunhu.
Vamwe vanhu vanorondedzera zvinogona kurapwa uye voyera zvingasarudzwa zvichienderana nekubudirira kwezvinoitwa nemishonga pamwe chete nemigumisiro inogona kuitika (uye mimwe migumisiro yavanofunga kuti inonyanya kushungurudza).
Kunyora maitiro nehutano hwehutano hweproton kungabatsira nehutano.
Zvimwe zvehutachiona hweproton zvinosanganisira:
Proton beam therapy inounza kukanganisa kune nzvimbo chaiyo yezviviri. Izvi zvinogona kunge zvakanyanya kunaka kune mishonga inenge iri pedyo nehutano hunokosha, dzakadai semakumbo emakumbo , kana mapumumumu emapapu ari pedyo nemwoyo. Musoro nemutsipa makondombera, kunyanya izvo zvakabatana nepapillomavirus yevanhu (HPV), vane huwandu hwekupona kupfuura hutachiona hweHIV, hunoreva kuti vanhu vanowanzofanira kurarama nemigumisiro yakareba kwenguva refu kwemakore mazhinji. Mune mamiriro ezvinhu, chirongwa cheproton bhabheri chinogona kuve chakanaka kune magetsi anowanikwa.
Pamusana pekushandiswa kwema proton, mazhenje emvura anowanzokwanisa kuendeswa kumarara ane proton beam therapy.
Nzvimbo chaiyo yehutachiona hutachiona neproton british therapy inogona kuita kuti zviduku zviparadzwe kumatende akakomberedza. Izvi hazvisi izvo chete zvinogona kuderedza migumisiro yemigumisiro (nekuda kwekusava nekuvhiringidza kwemaitiro akaenzana ane utano) asi zvinogonawo kuderedza mikana yekudzidzira kenza yechipiri (kanzira inokonzerwa nekenza mishonga yakadai sedhiation therapy uye chemotherapy ). Zvinofungidzirwa kuti njodzi yekondombera yechipiri ichave yakaderera neproton british therapy pane yaiwanzoita maharavirai, zvichiita kuti ikurukure kunyanya kune vechidiki vane kenza.
Zvigadzirwa zveproton zvinonyoresa kutora kudarika mavara emagetsi. Uyezve, kana danda rasvika padumbu, rinomira, pane kungoita kuti kupararira uye kupinda mukati.
Proton beam therapy inowanzochengetedzwa zvakanaka nezvidimbu zvisingabatsiri kupfuura chirwere chemahara.
Proton therapy (uye stereotactic body radiotherapy kana SBRT) inogona kushandiswa kutanga kwekenza kuti inory inofanira kushandiswa, asi inoratidzika isingagoni kushandiswa nekuda kwekugara pedyo nezvinhu zvakakosha kana munhu haasi mukana wakanaka wekuvhiyiwa.
Nyaya yerapa yeproton ingasanganisira:
Nokuda kwenzvimbo chaiyo yehutachiona hutachiona, chirwere cheproton chinogona kukanganisa nzvimbo shomanana dzemasero ekenza uye zvirwere zvinenge zviri pedyo asi kunze kwenharaunda.
Penguva ino, proton bhiza remapiritsi inodhura kaviri inodhura seyonguva yakareba yehutachiona hwehutano zvichienderana nepamusoro pemari (chirongwa cheproton chinodikanwa kuti chikwata chikuru chinowedzera). Ikozvino inodhura madhora anodarika mazana maviri emadhora ekuvaka nzvimbo.
Zvinetso zvinosanganisira kutungamira kufamba uye kuchinja mumatomu anoitika kare uye panguva yekurapa.
Sezvo zvishomanana zvishoma kana zveproton zvakagadziriswa zvirongwa zvinowanikwa muUnited States, vanhu vanogona kunge vachida kufamba rwendo rukuru kuti vagamuchire kurapwa uku.
Zvimwe zvinogona kuwanikwa naProton Beam Therapy
Kunyange zvazvo chirwere chemaawa chinowanzogadziriswa chinowanzosanyanya kudarika uye chinosanganisira zvakawanda "kuparadzira" kupfuura chirongwa chinonzi proton british, maitiro emitsva anowanikwa matsva ari kupawo zvakanyanya kujekeswa kwemazuva ano.
Mumwe muenzaniso ndeye stereotactic body radiotherapy (SBRT). NeSBRT, madhigirii epamusoro ezuva rinoendeswa kunzvimbo chaiyo. SBRT inogona kushandiswa nechinangwa chokurapa chemakumbo asingakwanisi kuvhiyiwa nokuda kwekugara kwawo, kana kuti kurapa "oligometastases" (isina kana mashoma masastases kuuropi, chiropa, kana mapapu kubva mumakumbo akaoma).
Muna 2017 kudzokorora kwezvidzidzo kuenzanidza neprotoni bhiza remapurisa neSBRT, vatsvakurudzi havana kuwana kuwirirana kunokonzerwa nekubudirira kwezvinhu zviviri izvi zvekurapa kemukati kadiri isina kenza yemapapu.
Zvinogona Kuitika Pasi PeProton Beam Therapy
Kufanana nemishonga yakawanda yekenza, proton bheya remishonga inogona kukanganisa migumisiro zvakare. Kunyange zvazvo chirongwa cheproton chinoridzirwa chinopihwa panzvimbo chaiyo, kukanganisa kumasero akajairika pedyo nechomuviri kunogona kuitika. Zvakawanda zvemigumisiro yakafanana yakafanana nemigumisiro yemishonga inokonzerwa nehutachiona, asi nekuda kwekutsvaga kwakakwana kwekukuvara, inogona kunge isiri yakanyanya.
Zvimwe zvinowanzovhiringidza zvinosanganisira:
- Kuneta: Sokurapa kwechirwere chemazuva ano, kuneta ndechimwe chezvinowanzoonekwa zviratidzo zvekurapa. Uku kuneta kunowanzova kwakaoma zvakanyanya pamwe chete mukurapa uri.
- Girazi redness (radiation dermatitis): Kazhinji, kuputika uye kuputika kweganda kunogona kuitika neproton brit therapy.
- Kusuruvara kwebvudzi: Bvudzi rinogona kurasikirwa munharaunda iyo inonzi proton bhechirapi inopihwa, somuenzaniso musoro iyo inoshandiswa mukenza hwepfungwa kana chepfu painoshandiswa mumukenza wemapapu. Kusiyana nekurasikirwa kwebvudzi kunosanganisira chemotherapy, kusuruvara kwebvudzi kwakabatana neprotoni bhuku rinogona kugara risingaperi.
- Kuvhiringidza kwemapapu: Kuputika kwemapuranga kunonzi radiation pneumonitis inogona kuitika apo chirongwa cheproton chinoridzirwa chinoshandiswa pachifuva. Kukosha kwemazuva ano pneumonitis ndeyekuti inofanira kuonekwa uye kubatwa kuitira kuti kuderedze njodzi yekuvandudza pulmonary fibrosis (kupera kwemapapu).
Ndepapi Proton Beam Therapy Inowanikwa?
Icho chichiri nhamba shoma yekenza nzvimbo muUnited States uye pasi rose iyo inopa sarudzo yeproton british therapy. Mepu yeproton therapy nzvimbo inogona kukuratidza kana mushonga uyu unowanikwa pedyo nenzvimbo yako.
Kugadzirira Proton Beam Therapy
Usati watanga kurapwa neprotonton british therapy, iwe uchasangana ne- radiation oncologist uyo achakurukurirana zvaunogona kutarisira, uye zvinobatsira pamwe nematambudziko eitiro. Iwe uchange uine CT scan yakaitwa kuti ipe mapeji kunze kwenharaunda yemuviri wako kuti inotarisirwa uye ichagadzirirwa nechigadzirwa chisina kukwana (sechirwere chechirwere). Ichi chiumbwa chichaiswa pamusoro penhengo yemuviri wako unogamuchira mashizha panguva imwe neimwe yekurapa.
Saizvozvowo kumagetsi anowanzoitika, zvirongwa zveprotoni bhabheri remishonga zvinowanzoitwa zuva rega rega muvhiki kwemajeri makumi maviri kusvika ku40. Nepo iyo chaiyo yeratiation chikamu chekushanya inotora miniti kana maviri, kusarudzwa kwevakawanda kuchagara kwemaminitsi makumi matatu nemakumi mashanu nemashanu.
Proton therapy haina marwadzo, uye hapana anesthesia inodiwa (kunze kwevana vanogona kutora sedation kuti varambe vachirapa).
Shoko Rinobva
Proton beam therapy inopa imwezve nzira yekurapa kenza. Pamusana pekukwanisa kwayo kutsvaga zvakajeka mazairo pamusana wekenza, zvakakosha zvikuru hazvirevi kubvisa kenza asi kuderedza dambudziko remigumisiro ine chokuita nemishonga. Sezvo zvakadaro, zvinogona kuva sarudzo yakanaka yezviremara zviri pedo nezvivako zvakakosha uye kuvanhu vaduku vanogona kuva nehuwandu hwehutachiwana hwekenza neprotoni bhiza rerapi zvichienderana nemirairo yakawanda.
Inogonawo kushandiswa pamakumbo aimbove aporerwa nemirairo yakawanda asi akadzokorora. Nzvimbo chaiyo yekurapa inogonawo kubvumira kupisa kwemhepo kunopiwa pamwero wakakwirira kudarika mahara.
Ikozvino pane mhirizhonga pamusoro pekugadziriswa nekukurumidza kwezvipatara zvinopa zvirongwa izvi sezvinenge pane dzimwe nguva zvizere zvemazuva kana nzira yakadai seSBRT inogona kunge yakakosha asi inodhura. Sezvo chirongwa cheproton chinoridzika chichiri chitsva, isu hatina zvidzidzo zvekare zvekuti titsigire zvakakwana zvidzidzo zvedzidzo zveproton yeproton kune dzimwe mishonga. Kurukura izvi nenzira yako nemupi wako kuti aone kana zvakakunakira iwe.
> Sources:
> Diwangi, T., Mohindra, P., Vyfhuis, M. et al. Kufambira mberi muRadiotherapy Techniques nekuendeswa kweChina Isina-Small Cell Lung Cancer: Makomborero eUnited-Modulated Radiation Therapy, Proton Therapy, uye Stereotactic Body Radiation. Kushandura Kwemafungiro Emaronda Ongororo . 2017. 6 (2): 131-147.
> Mohan, R., na D. Grosshans. Proton Therapy- Nhasi uye Ramangwana. Kuwedzerwa Kwezvinodhaka Kuendesa Kuongorora . 2017. 109: 26-44.