Mhando dzeRadioation Therapy uye Uses With Lung Cancer
Radiation therapy ndiyo nzira yezvehutano inoshandiswa kuendesa kwema-ray-ray akawanda kuti iuraye masero ekenza uye inokonzera matumbo.
Chinoshanda sei?
Izvo-masikati makuru emvura anoparadza DNA mumasero, zvichiita kuti vafe kana kuti varege kugovana. Sezvo kenza yemasera inoparadzanisa kakawanda pane masero ezuva ose, inowanzosvibiswa. Masero anopa utano anogona kukanganisawo asi anokwanisa kugadzirisa kukanganisa.
Rinoshandiswa Rini?
Zvose zviduku-masero uye zvisiri zviduku zvekenza mapapu emapapu zvinowanzobatwa nehutachiona hwehutachiona, iyo inowanzobatanidzwa ne chemotherapy , kuvhiyiwa kana kuti zvose. Vanopfuura hafu yevaya vanoongororwa vane musana muduku musero wemapapu mumapapu vachawana kurapwa kwemaawa pane imwe nguva panguva yekurapa kwavo. Zvichienderana nemhando uye chikamu chemupenza wemapapu ako , chirwere chemaawa chinogona kushandiswa:
- Mushure mekuvhiyiwa - Kurapa chero masero emukenza angaramba ari munzvimbo mushure mekuvhiyiwa.
- Usati wambovhiyiwa - Kuti udzikise uswa hwechirwere uye uite kuti chirwere chibudirire.
- Kuchengetedza kenza - Nezviremara zviduku, uye kune varwere vasingakwanisi kuvhiyiwa nekuda kwezera, nzvimbo yechirwere kana mamwe marapirwo, hutachiona hwemaawa dzimwe nguva hunopa mukana wekurapa.
- Kuchengetedza mutsara wemapapu - Zvose munharaunda, zvakadai semakirini emakiromita ari pedyo, uye kune dzimwe nhengo dzomuviri, dzakadai seuropi.
- Kuchengetedza zviratidzo (palliative radiation therapy) - Kana bundu rinokonzera zviratidzo zvakadai sokupererwa kwepfungwa uye kurwadziwa, dzimwe nguva kurapa kwemaawa kunoshandiswa kuderedza chiremara chechimiro kuderedza zviratidzo.
- Kurapa mutapu wemapapu mumasipasi - SBRT (ona pasi apa) dzimwe nguva ingashandiswa kurapa imwe chete kana kuti mashomanana mashomanana emakumbo kana chiropa chechiropa kubva pamukenza wemapapu.
- Nokudzivirira - Mukenza mutsva-masero emapapu, chirwere chemazuva ano kuuropi dzimwe nguva chinopiwa kuuraya chero masero akapararira kuuropi asi haawanikwe nezvikwangwani. Izvi zvinonzi Prophylactic Cranial Irradiation (PCI) .
Inopiwa Sei?
Kurapa kwemurapa wemukenza wemapapu kunowanzopiwa zuva nezuva, Muvhuro kusvika Chishanu, kwemavhiki matanhatu. Pamberi pemishonga inotanga, iwe uchapiwa imwe kana kupfuura "mavara," zvisikwa zvachose zvinyorwa pamusoro pehukuru hwehutachiona huri pamusoro pechirwere mumapapu ako. Kufananidzirwa kunoitwa ipapo. Munguva iyi, iwe unoda kureva nhema zvikuru patafura apo rayation oncologist inotarisa kuti inotungamira rini. Irotiation oncologist ichazoverenga chiro chemazuva ano (inotaridzwa muGy, inonzi grays ) iyo ichaendeswa pane nguva yehutano hwako.
Aina
Chirwere chinonzi radiation chinogona kupiwa kunze kana mukati kuitira kurapa kenza yemapapu. Nzira dzinowanzoshandiswa dzinosanganisira:
Dhiyabhorosi iripo kunze kwemahara - Izvi zvinoshandiswa kakawanda uye zvinosanganisira kushandiswa kwemichina yakasununguka iyo inopa mizinga yakakwirira. Nzira dzakasiyana-siyana dzekunze chirwere ndezvekuti:
- Chipatara (maviri-dimensional) therapy.
- 3D conformational radiation therapy - Ichi chirapa chinowedzera pane chirwere chinowanzoshandiswa kuburikidza nokushandisa computed tomography (CT) -kurapwa kunobatsira kutarisa tumarara mumatatu matatu. Chinangwa chacho ndechokutungamirira mazairo zvakanyanya kunyanya kumarara uye kusachengetedza mishonga yakapoteredza.
- Kuwedzera Modulated Radiation Therapy (IMTR) - Izvi zvinopa huwandu hukuru hwehutachiona hwakasiyana-siyana. Dzidzo dzave dzichiwana kuti kare uye yakakwirira madhigiriyo emishonga inonzi rayation anopiwa kwenguva shomanana inogona kuwedzera kuponeswa kwehutano asi inobatanidzwawo nekuwedzera kuora, kunyanya kuvhiringidzwa kweiyo (rayation esophagitis.)
Mazairo emukati - Dzimwe nguva miviri inopiwa mukati memukenza wemapapu. Mazairo emukati anozivikanwawo se brachytherapy . Munguva iyi, chironga chepurasitiki chinopinza chinowanikwa munguva yebronchoscopy . Chinhu chiduku chezvinhu zvinokonzerwa nemavheyesheni zvinobva zvayambuka mukati me tube, zvichibvumira kuti kurapwa kuendeswe kunzvimbo chaiyo.
Iyo tube inobviswa mushure mekurapa.
Sterotiactic body radiotherapy (SBRT) - Stereotactic body radiotherapy kana SBRT yemukenza wemapapu inzira inoshandiswa nehuwandu hwemazuva ano kuendeswa kune imwe nzvimbo shoma muchiedza kubvisa muviri wekenza. Kusiyana nemamwe marudzi emishonga inonzi radiation, SBRT dzimwe nguva inoshandiswa nechinangwa chokurapa nekenza yemapapu. Kune vamwe vanhu vane kenza yemapapu yekutanga iyo inonzi haigoni kushanda, SBRT inogona kupa mhinduro yakafanana nekuvhiyiwa. SBRT inogonawo kushandiswa, dzimwe nguva, yemukenza wemapapu yakapararira . Apo maitiro mashomanana chete emukenza wemapapu aripo muuropi kana chiropa, SBRT pane dzimwe nguva yakaguma mukurarama kwenguva refu kwechirwere.
Ichandibata Sei?
Vanhu vazhinji vanogona kuita mabasa ezuva nezuva panguva yekurapa, kunyange zvazvo kuneta kunowanzoitika uye kunowedzera kuipa munguva yekurapa. Uine ruzivo rwomukati bwenyama, iwe haufaniri kuve nehanya kuti mazai ezuva achachinja avo vakakupoteredza, sekune dzimwe nzira dzokurapa dzinoshandiswa kune dzimwe kenza.
Migumisiro Yechiri
Kushatirwa kweganda, kusanganisira redness uye kufungidzira, kazhinji kunotanga mukati pevhiki yekutanga kana maviri ekurapwa. Your oncologist inogona kukupa kirimu iwe uye kunyatsocherechedza kugadzirwa kweganda kunokosha. Kuneta kwakanyanya kwazvo uye kunogona kupfuurira kwevhiki dzinoverengeka mberi kwekurapa. Dambudziko kana kunetseka nekumedza (esophagitis) kunogona kuitika uye kune zvikonzero zvekutaurirana yako oncologist. Zviratidzo zvenguva refu zvakadai semarayire-induced in lungimusi inogona kuitika, asi mumagariro akawanda, zvibereko zverapi zvinopfuura zvakanyanya kune ngozi dzezvinetso izvi.
Zvakakosha kuti uzive nemigumisiro yemigumisiro yehutachiona hwehutachiona usati wagamuchira marapa aya. Zvimwe zvinokanganisa zvakadai sedairation pneumonitis - kuputika kwemapapu nemhaka yemahara emishonga - inoporesa, asi inogona kuita kuti pulmonary fibrosis - kupera zvachose - kana isingawaniki uye ikarapwa nokukurumidza.
Sezvo kuponeswa kwemitambo yemapapu emapapu kuvandudzika, zvinokosha zvakare kuziva zvimwe zvemazuva emigumisiro yenguva refu yemishonga inonzi radiation iyo inogona kutanga uye inopfuurira mwedzi kana gore mushure mekurapwa kwemishonga inopiwa.
Kutevera-shure Mushure mekurapa
Radiation therapy inogona kutora nguva shoma kuti itange kushanda asi inoramba ichishanda kwenguva yakati mushure mokunge kurapwa kwapera. Mazairo enyu oncologist achakuzivisai kana kutsvaga kwekuedza kunofanirwa kuitwa kuti tione nezvekufambira mberi kwako.
Sources:
De Ruysscher, D., Lueza, B., Le Pechoux, C. et al. Migumisiro yeTraracic Radiotherapy Nguva Dzakakosha-Chikamu Chechidiki Chemaini Chirwere Chechirwere: Kushandiswa kweMunhu Mumwe Chete Zvirwere Meta-analysis. Annals of Oncology . 2016 Jul 19. (Epub mberi kwechinyorwa).
Giaj-Levra, N., Ricchetti, F., uye F. Alongi. Chii Chinoshandiswa muRadiotherapy nokuda kweUrapa hweZvenzvimbo Dzepamusoro Dzechiremba Muchengeterwa Mucherechedzo Yevarwere? A Review. Cancer Investigation . 2016. 34 (2): 80-93.
Maquilan, G., naRim Timerman. Stereotactic Mumuviri Wemvura Mushonga Wekutanga-Stage Lung Cancer. Cancer Journal . 2016. 22 (4): 274-9.
Stevens, R., Macbeth, F., Toy, E., Coles, B., uye J. Lester. Palliative Radiotherapy Inoshandiswa nevarwere vane hutachiona zviratidzo kubva kune vasina-Small Cell Lung Cancer. Cochrane Database yekuongorora kwakarongeka . 2015. 1: CD002143.
Zheng, M., Sun, H., Xu, J. et al. Kubatanidza Whole-Brain Radiotherapy neGefitinib / Erlotinib yeBongo Metastases kubva kune-Non-Small-Cell Lung Cancer: A Meta-Analysis. BioMed Research International . 2016. 2016: 5807346.