SBRT yeChitrus Cancer Cancer uye Oligometastase
SBRT (stereotactic body radiotherapy) ndiyo nzira itsva yokurapa mhapamu yemapapu inoshandisa kuwanda kwemaawa anoiswa kune zvakananga. Nokushandisa nzvimbo yakakosha uye kuiswa mucherechedzo mumuviri, radiologists inokwanisa kukwanisa kuwandisa muzinga wakawanda wemirairo kusvika kune kenza kupfuura utachiona hwemazuva ano , paunenge uine hutano hwakanaka.
Zvishandiso zvevanhu vane chirwere chemarumbo
Panguva ino, pane zvikonzero zvitatu zvinoita kuti SBRT ishandiswe nemukenza wemapapu.
- Nemukenza wemapapu, SBRT inowanzoshandiswa kutanga kwepakati, kanzira duku dzekenza dzemapapu (kwete-duku kemukirini yemapapu emapapu) vasingakwanisi kuvhiyiwa nechimwe chikonzero. Mukenza wemapapu unogona kufungidzirwa kuti haikwanisi kanzera yemapapu nekuda kwekugara kwechirwere, kana zvimwe zvirwere zvingaita kuti chirwere chepenza mapapu chine ngozi.
- Kune vakura vakwegura vanogona kutarisirwa kuita zvisina kunaka nekuvhiyiwa kana kuti vane zvirwere zvinogona kukonzera ngozi yekuvhiyiwa zvinetso.
- Kune imwe kana nzvimbo shomanana yekupararira kwemukenza wemapapu kana metastasis (oligometastase.)
Nzira
Sterootactic body radiotherapy inoshandisa dutu rakakura remirasi yakapiwa kunzvimbo chaiyo yezviviri. Izvi zvinopesana nehutachiona hwehutano hwemapapu emapapu hunoshandisa diki shoma shoma yemirairo yakapiwa nguva.
Radiologist mapi inoratidzira kurongeka mumakiromita mana kujekesa zvakakwana nzvimbo inobatwa.
SBRT yeChitamende yeLung Cancer
SBRT dzimwe nguva inogona kushanda zvakajeka sekuvhiyiwa kwevamwe vanhu vane madiki evanhu vasati vashoma mapepa emapapu emapapu ayo asingakwanisi kushanda, kana kune varwere vane zvirwere zvinogona kuita kuti chirwere chinotyisa.
SBRT yakaguma mukudzora chirwere ichichienzaniswa nekuvhiyiwa, uye kupona kwenguva refu kwave kuripo kune vanhu vakanyatsosarudzwa kuti vaite. Mishonga inofanira kuva duku, kazhinji isingapfuuri masendimita mashanu (2-3 masendimita) muhupamhi, uye isingave iri pedyo nemhepo kana mumoyo.
SBRT yeOligometastases
Munguva yakapfuura, kuvapo kwemasastasine zvishoma nzira dzokurapa kumakemikrasi, uye kupona kudarika gore kwaive kutonga. Kune vanhu vane imwe chete kana mashomanana emapapu emapapu emapapu (kupararira) kushandiswa kweSBRT kwakashandura zvakadaro. Zvakawanikwa kuti kune vanhu vane oligometastase (oligo zvinoreva kuti "vashomanana") kurapa metastases neSBRT yakawedzera miviri yehupenyu hwepakati uye kune vamwe vanhu vakapona kwenguva refu nekuda kwekurapa.
Kanzera yemaperembudzi kazhinji inopararira kune uropi, mapfupa, chiropa, uye adrenal glands, neSBRT inowanzoshandiswa kuvanhu vane chiropa chemasastases uye maitiro europi nekuda kwekenza yemapapu. Pamusana pokufambira mberi mukurapa kweiligometastases - yakadai seSBRT - yakave yakakwanisa kune vamwe vanhu vane kenza yemapapu kuti vawane nguva yakareba yekusarura kusina zvirwere nehuwandu hwakanaka hwehupenyu kupfuura zvaizoita.
Zvinokonzera Matambudziko
Pane zvakawanda zvinogona kuita zvinetso zveSBRT yemukenza wemapapu, yakafanana nemigumisiro yemagadzirirwo emagetsi anokonzerwa nehutano hwakadai sekuneta uye kupiswa kwepneumonitis . Zvimwe zvinetso zvakajairika zveSBRT zvinoshandiswa pamukenza wemapapu zvinosanganisira:
- Brachial plexopathy - Mazai anokwanisa kukuvadza mitsipa munzvimbo inonzi brachial plexus . Izvi zvinogona kuguma nokurwadziwa muhuni kana mufudzi, uine utera uye ipapo kushaya simba kwechigadziko uye chiuno.
- Chifuva rusvingo rwomukati kana kusagadzikana - Kana bundu iri riri pedo neganda rechipfuva, ruvara rwechivara runogona kukonzera kurwadziwa nekudzivirira.
Ramangwana
Migumisiro yepakutanga inoratidza zviitiko neSBRT inofananidzwa nekuvhiyiwa kwemapapu emapapu kunopa tariro yokuti, kune vamwe vanhu zvisinei, SBRT inogona kushandiswa sechinhu chisingaitiki chinoparadzaniswa nekuvhiyiwa kwekenza yemapapu munguva yemberi.
Zvinogonawo kuti, nekurapa kwakanakisisa kwekenza yemapapu ikozvino kugamuchirwa uye mumakiriniki ekuedzwa, uye nemigumisiro yekutanga inowanikwa ne metastases, kuti SBRT inogona kushandiswa zvakare kubvisa masero ekutupisa mutezo.
Uyewo Anozivikanwa Se: stereotactic radiotherapy, stereotactic radiosurgery, stereotactic radiation therapy
Sources:
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Griffoen, G., Toquri, D., Dahele, M. et al. Kuwedzeredza kurapwa kwechikwereti chinonzi oligometastatic kwete-duku mapapu carcinoma (NSCLC): zviitiko zvevarwere uye zvinokurudzira. Lung Cancer . 2013. 82 (1): 95-102.
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