Zviratidzo nemigumisiro yechipfuva yePCI yevanhu vane chirwere chemukoko
Kana chiremba wako akakurudzira prophylactic cranial irradiation, izvi zvinorevei? Sei izvi zvichiitwa uye kuti zvingave zvakanaka sei? Ndezvipi zvinowanzoguma nemigumisiro uye ndeapi mamwe maitiro angashandiswa pane kudaro?
Tsanangudzo: Prophylactic Cranial Irradiation (PCI)
Prophylactic cranial irradiation (PCI) yevanhu vane kenza yemapapu ndeyekudzivirira marapiritsi emishonga kumusoro kuti vauraye masero angangodaro akapararira ipapo asi asingakwanisi kuonekwa zvakare neanoona.
PCI inonyanya kushandiswa nekamudiki kemukari mapapu emakemikari ayo akabvuma kutanga kurapwa nechemotherapy uye rayation therapy .
Nei PCI?
Mukomana muduku wemukenza wemapapu une tsika yakasimba yekupararira kune uropi, uye dzimwe nguva zviratidzo zvekutanga zvekenza yemapapu emapapu zvakabatana nekupararira. Zvave zvichiwanikwa kuti marapiritsi emishonga anounzwa kumusoro asati upi zvake humwe uchapupu hwekupararira hunogona kuderedza zvakanyanya kudzvinyirira uku. Kana majekiseni ari kushandiswa nenzira iyi, chiyero chemajenya chemashizha chinopiwa kunze kwekuti kana mashizha ari kushandiswa kubata utachiona hwemashupu kubva mumukenza wemapapu .
Vanhu vane kenza yemukirini yemapapu kazhinji vanoita zvakanaka chaizvo, pakutanga, chemotherapy. Mumamiriro ezvinhu aya, oncologist inotaura nezveuropi se "nzvimbo yakakwirira yebhadharo." Chinangwa ndechekudzivirira hutano hwemashumo kubva huropi hutachiona hwehutachiona hunoita kuti hupenyu hwevanhu vane kenza yemapapu huvepo nekuda kwezviratidzo zvakadai sekugumburwa.
Apo Prophylactic Cranial Irradiation (PCI) Inoshandiswa rini?
PCI inoshandiswa apo mumwe munhu ane kenza yemukirini yemapapu asina uchapupu hwekupararira kuuropi pakuongorora zvidhori, asi kune mukana unonzwisisika kuti kenza ichapararira munguva. Inonyanya kushandiswa kune vanhu vane kamukira kadiki kadiki kemukirini yemapapu memapapu , asi inogona kushandiswawo kune vanhu vane chirwere chakakura chekenza yemapapu emapapu .
Inopiwa Sei?
PCI inopiwa semirairo yekunze kwechando paunorara patafura. Zvinongotora maminetsi mashomanana ekurapa uye hazvina kurwadza. Vanhu kazhinji vane mazairo ezuva nezuva, mazuva mashanu pavhiki kwemavhiki matatu.
Maitiro Akafanana Maitiro eProphylactic Cranial Irradiation (PCI)
Zvakakosha kuti uzive zvinokonzerwa nemigumisiro yePCI usati wawana kurapwa uku. Kune vamwe vanhu migumisiro yechirwere ishoma, nekuneta kuneta chete uye zvichida kuderera kusakanganiswa. Kune vamwe, migumisiro yemigumisiro inogumbura zvikuru uye ...
Chikamu chinokonzerwa nemirasiyo kusvika kuuropi inogona kusanganisira:
- Kusuruvara kwevhudzi - Kusiyana nekurasikirwa kwebvudzi kubva chemotherapy, kusuruvara kwebvudzi kubva pamishonga inonzi radiation kusvika kumusoro kunogona kusingaperi.
- Kuneta - Kuneta ndechimwe chinhu chinowanzosvibisa chikamu chemishonga inonzi radiation uye chinowedzera kuipa kupfuura nguva yekurapa.
- Rurefu - Kushisa kwezuva-kunogona kuonekwa pachiso chenyu uye chikafu.
- Kugadziriswa kwemafungiro - Zvimwe zvinoshungurudza zviratidzo zveprophylactic miviri kune musoro zvinosanganisira kurasikirwa mupfungwa, kuvhiringidzika, uye musoro.
- Nausea uye kurutsa.
- Kufirwa kwechido.
- Kuonda.
Nguva Yakareba Migumisiro yeProphylactic Cranial Irradiation (PCI)
Yakawanikwa mumakore achangobva kupfuura kuti PCI inogona kukonzera matambudziko ekugadzirisa kwehutano (brain damage) kune vanhu vanofamba kuburikidza nekurapa uku, kunyanya kune avo vane kurapa uku pamwe chete neplatinum-based chemotherapy madhirairo sePlatinol (cisplatin). mukana wehutachiona hwemakumbo nekamudiki kenza yemapapu emapapu, izvi zvinowanzowedzera pakuyera zvipingamupinyi uye zvinobatsira kune mumwe nomumwe anofunga nezvekuita.
Unozoziva Sei kana PCI Yashanda?
Pane nzira shomanana dzauchazoziva kana PCI yakashanda. Zvinonyanya kujeka ndezvokuti hazvisi nyore kuti iwe uve nehukudziridza zviratidzo zvehutano hwemashupusi kupfuura iwe kana usina PCI. Imwe nzira ndeyokufungidzira maitiro ekutsvaga humwe uchapupu hwemasimba. Izvi zvinorongwa panguva dzakasiyana kune vanhu vakasiyana zvichienderana nehuwandu hwezvinhu zvakasiyana.
Pane Pane Zvimwe Zvipi zvePCI?
dzimwe nguva kusvika 25 masonda
Pasi Payo Pamusoro Pechirwere Chinonzi Irradiation?
Kutumidzwa: pro-ful-ak-tik kray-ne-ul ir-fay-dee-ay-shun
Uyewo Anozivikanwa Se: PCI
Mienzaniso: Sam akapiwa prophylactic iraniation kuti auraye mapepa emukenza emapapu angave akapararira muhuropi hwake, asi akanga asingakwanise kuonekwa muuropi CT scan.
> Sources:
> Simo, M., Vaquero, L, Ropolles, P. et al. Kuora kwehupombwe kunotevera prophylactic iraniation inopera muvanorwara. Kufananidza Ubongo uye Maitiro . 2015 May 17. (Epub mberi kwekudhinda).
> Takahashi, T., Yamanaka, T., Seto, T. et al. Prophylactic Cranial Irradiation Versus Observation in Patient With Extensive-Disease Small-Cell Cancer Lung: A Multiticentre, Randomized, Open-Label, Phase 3 Trial. Lancet Oncology . 2017. 18 (5): 663-671.