Kuwedzererwa kwechiedza kwekenza yebonde kunonzwika sezvinoitwa -a "zvishoma" mazai emvura anopiwa mushure mokunge zvirongwa zvemazuva ose zvakapera. Ngationgororei nzira iyi murapa yekenza yepamuviri, kusanganisira tsvakurudzo shure kwekubudirira kwayo, pamwe chete nemigumisiro yaro yemigumisiro.
Tsanangudzo yeRadioation Boost
Kanzera yepabonde inowanzorapwa nekuvhiyiwa, zvichida lumpectomy kana mastectomy .
Kunze kwekuvhiyiwa, mamwe marapirwo angapiwa, semishonga inonzi radiation , iyo inorapwa ne-high-energy rays kana zvikamu zvinouraya masero emukenza. Rudzi rwakawanda kwazvo rwemishonga inonzi radiation yakapiwa mushure me lumpectomy (inonzi chibereko chekuchengetedza chirwere) chiri kunze kwechiedza chemuti wechipfuva chose (chinonzi chizere chemazamu irradiation).
Mushure mokunge mazamu ako ose emishonga ekurapa akazara, kuwedzera kwemhepo kunowanikwa, senzira yekudzivirira kudzokorora (kenza yemvere inodzoka).
Kunyanya kunyanya, kukura kwemazizi kunosanganisira imwe kana kuti mamwe maitiro ekuwedzera anongororwa pamubhedha wechipfuva, iyo inzvimbo shoma yemazamu mazamu apo kenza yekutanga yakabviswa. Mubhedha wechipfuva unotarirwa nokuti ndiyo inonyanya kuona iyo kenza yepamu inogona kudzoka zvakare.
Ichi chinowanikwa chinowedzera simba, inoshandisa mhepo imwechete iyo iyo inoshandiswa kupisa mazamu ose, asi kushandisa mashoma mashoma emirairo.
Zvakakosha kutaura kuti mubhedha wechipfuva unonyanya kuzivikanwa panguva yechipectomy yemukadzi. Ichi ndicho chikonzero chirongwa chekuvhiya chinogona kuiswa panguva yekuvhiyiwa, sezvo idzi zvikamu zvinobatsira majekiti enyu emagetsi ekutengesa maziso ekuisa mahara.
Migumisiro yeRadioation Kuwedzera paKana Chirwere Chekudzoka nekuPona
Kutsvakurudza kwakaratidza kuti vakadzi vanowedzera kuwedzererwa kwemazivo vane zvishomanana zvepabonde rekenza zvekare, kana vachienzaniswa nevakadzi vasina kukurudzirwa.
Uyezve, kuderedzwa kwekudzoka kunowanikwa kune vakadzi vane makore makumi mashanu kana makumi mashanu vanoonekwa kuti vane ductal carcinoma in situ (DCIS).
Izvozvo zvakataura, kunyange zvazvo kuwedzera kwemazuva ano kunoderedza dambudziko rekudzoka kwekenza yemazamu (inonzi kubatsirwa munharaunda yekutonga), haifaniri kuva nemigumisiro pane zvakanyanya kupona (kusvika makore makumi maviri pashure pekurapa).
Migumisiro Yechirwere yeRadioation Boost-Short Term and Long Term
Kuwedzera kwemazuva ano kazhinji kunoregererwa zvakanaka, kutakura mimwe migumisiro yakafanana neyese yemazamu, kufanana, kuputika kwechifuva, uye ganda rinoshanduka, kufanana nekutsvaira, kuputika, uye kusviba, uye kusviba kweganda.
Izvozvo zvakati, maererano nezvenguva refu, zvinonzi radiation fibrosis yezamu inogona kuitika. Ichokwadi, chimwe chidzidzo chakawana kuti kana ichienzaniswa nevakadzi vasina kuwedzererwa kwemazizi, avo vaiita vakanga vari mungozi yakawedzerwa yekukudziridza kuenzanisa kusvika kune zvakanyanya seferesi inonzi fibrosis.
Chinokosha apa ndechekuti maitiro ehudziro angave akaipa zvikuru kune vakadzi vanowedzera kukurudzirwa kwemhepo kune avo vasingatendi-kunyange, tsvakurudzo inotsigira izvi zvisingagone.
Shoko Rinobva
Mukupfupisa, kuvakadzi vari kurwara nekuchengetedzwa kwechifuva vanoteverwa ne-breast-irradiation yose, kuwedzera kwezuva kunogadzirirwa kuchengetedza kenza yepamusoro yepamusoro panzvimbo yekutura.
Iko kukura kwechirwere zvinoreva kuti mamwe mazamu emagetsi anowanikwa pamusoro pekutanga kwechirwere chinzvimbo, apo microscopic (isingaoneki kune yakashama) masero ekenza angave akavanza.
Kunyange zvazvo kuwedzera kwemazizi kusina kuwanika kuvandudza hupenyu hwevakadzikadzi vane kenza yemazamu, inoderedza dambudziko rekudzokorora, pamwe nekubatsirwa kwakakura kunowanikwa kuvakadzi vaduku.
> Sources:
> Bartelink H et al. Yese-mazamu emiridzo ane kana kusina kusimbisa varwere vanobatwa nekuvhiyiwa nekuchengetedza kwekenza kwekenza yepamberi yekutanga: makore makumi maviri ekutevera kwechikamu chechitatu chekuedza. Lancet Oncol . 2015 Jan; 16 (1): 47-56.
> Franco, P., Cante, D., Sciacero, P. et al. Tumor Bed Boost Integration panguva yose Yese Breast Radiotherapy: Kuongorora kwehuchapupu huripo. Breast Care . 2015. 10 (1): 44-9.
> Mitsitsi I, Laenen A, Depuydt T, Weltens C, Mushonga wekubata bhedha radiotherapy yevakadzi mushure mekuchengetedza mazamu. Cochrane Databse Syst Rev. 2017 Nov 6; 11: CD011987.
> Moran, M., Schnitt, S., Giuliano, A. et al. Society of Surgical Oncology-American Society for Radiation Oncology consensus guideline pamiganhu yekuyamwisa-kuchengetedza chirwere chekudzivirira-mazamu akazara muzvikamu I uye II zvinokonzera kenza yemazamu, Annals of Oncology yokuvhiya . 2014. 21 (3): 704-16.
> Vrieling C et al. Zviratidzo zvekuchengetedzwa kwemukati mune kenza yemazamu pashure penguva refu yekutevera muEORTC Boost vs No Boost Trial: A Randomized Clinical Trial. JAMA Oncol . 2017 Jan 1; 3 (1): 42-48.