Ndeipi chaiyo mushonga weproton wekenza yemukenza yemapapu ? Rudzi urwu rwemishonga runoshandiswa rini, ndezvipi zvinobatsira uye zvinobatsira kune mamwe marapirwo, uye ndezvipi zvinogona kuitika?
Chii Chinonzi Proton Beam Therapy?
Vanopfuura hafu yevanhu vaiva nemukenza wemapapu vane rumwe rudzi rwehutachiona hwehutachiona hwakadai soutrotori bhiza reproton panguva yavo. Chirwere chemazuva ano chinoshandiswa kuburikidza nekupa simba guru x-rays kumarara. Kusiyana neizvi, proton bhuku remishonga inzira inopa simba nenzira yemaprotoni (positively charged particles) kune imwe nzvimbo yemaviri kuti iparadzwe.
A particle accelerator inoshandiswa kusimudza simba rinodiwa kuti ribudise ma proton aya. Pamusana pekutengesa uye nzvimbo inoda kudiwa kwechidimbu chekuwedzera, zvikamu zvishomanana zvekenza zvinopa kurapwa uku muUnited States uye pasi rose.
Proton Inonzi Therapy Inoshanda Sei?
Sezvakataurwa pamusoro apa, proton bheya remishonga inoshanda kuburikidza nekuputira chiremera nemakumbo anokonzerwa nemaitiro anonzi proton. Izvozvo zvinokonzera kukanganisa kuhutachiona hwekenza masero mumatumbo, zvichiita kuti kufa kwekenza masero.
Ikozvino maitiro eproton anoporesa chirwere, anozivikanwa sepencilisa kubwinya kwekutsvaga, anoshandisa kupenya kwemavara kuitira kutumira nzizi dzemaprotoni kumashure nemuviri.
Proton Inonzi Therapy Inoparadzaniswa Sei Nezvechirwere Chirwere Chirwere?
Zvose zvinokonzera mahara rayation uye proton beam therapy zvinorayirwa uye zvinotungamirirwa neyeroation oncologist, nyanzvi yekenza inotarisa mukurapa kenza ine mazaisai.
Kusiyana nehutachiona hwehutachiona hwemahara, chirongwa cheproton bhabheri chinotarisa pane zvakanyatsonaka nzvimbo yezviviri. Izvi zvinongotarisa zvinongobvumira huwandu hwemhepo inoshandiswa kuti hushandiswe asi hunoita kuti zvishoma zvikuvadze kune zvisiri izvo zvinenge zvisingakonzerisi. Kukuvadza kwehutano hwakagadzikana pedyo nechirwere kunokonzera dzakawanda zvemigumisiro yakaipa, kusanganisira zvimwe zvemashure emigumisiro yakareba yakadai sekuvandudzwa kwekenza yepamusoro (kanzira inokonzerwa nekambani yekurapa kenza).
Chimwe chezvinhu zvakanakisisa zveproton british therapy chiri kukwanisa kuishandisa kumamota ari pedo nezvivako zvakakosha, izvo zvingaita kuti kuvhiyiwa kuve kwakaoma kana kusabvira. Proton beam therapy inogonawo kushandiswa kune avo vanogona kubatsirwa nehutachiona hwemishonga asi vakatove vawana magetsi anowanikwa.
Ndeipi Apo Proton Beam Therapy Inoshandiswa Kurapa Kanonzi?
Pane zvikonzero zvishoma zvakasiyana nei chiproton chinorapa chirwere chinogona kukurudzirwa kune avo vane kenza yemapapu. Nekenza yemukomana yemapapu ekutanga , iyo isingagoni kurapwa nemapirisa emapapu emapapu, chirongwa cheproton bhitamu chinogona kuva chakanaka.
Chirwere chemapapu chinogona kusakundikana nekuda kweropa rekenza pedyo nehutano hunokosha, kana nekuda kwehutano hunoita kuti kuvhiyiwa kuve kwakaipa. Mune mamiriro ezvinhu aya, imwe nzira inoshandiswa seyo stereotactic body radiotherapy (SBRT) inogona kushandiswa zvakare. Zvose izvi izvi zvinopa huwandu hwakawanda hwemazuva ano kusvika kune imwe nzvimbo uye nzvimbo inowanikwa munzvimbo. Izvo zvose zvinonzi proton british therapy uye SBRT inogona kushandiswa nechinangwa chokurapa.
Proton beam therapy inogona kuvawo sarudzo yevanhu vane chirwere chekare chemapapu asi vakatova nehutachiona hwemaawa.
Proton beam therapy haigoni kukurudzirwa kuvanhu vane cancer yakapfupa yemapapu , yakadai sesiteji 3B uye chikwata chezvikamu 4. Sezvakaitwa nekuvhiya, hutachiona hwemapapu hwakanyanya kazhinji huri nani kurapwa nedzimwe nzira dzokurapa dzakadai sedhemotherapy, zvinotarisirwa kurapwa, kana kuti immunotherapy .
Migumisiro Inogona Kuitika Uye Matambudziko
Sezvakaita chero kurapwa kwekenza, migumisiro inogona kuitika. Zvakawanda zvemigumisiro yakafanana yakafanana nemigumisiro yemagadzirirwo emagetsi anowanzoitwa uye inosanganisira:
- Rufu rweganda rechifuva (radiation dermatitis.)
- Kuneta.
- Radiation pneumonitis: Mhepo inopisa pneumonitis inoreva kuvhiringidza kwemapapu ane chokuita nemishonga. Iyo inoporesa zvikuru (inowanzo ine steroids) asi zvakakosha kutaura nachiremba wako pamusoro pekukanganiswa kupi zvako, kuchinja mukufema kwako, kana kufema kwepfufu kuitira kuti kuedza kuitwe.
- Kurasikirwa kwese kwebvudzi pachipfuva.
Mirefu yenguva yakareba uye zvinetso zveproton british therapy hazvisi zvachose zvakajeka sezvo kurapwa kwacho kuri kuve kwakatsananidzwa nemamwe marudzi emishonga inonzi radiation. Nguva yakareba migumisiro yemishonga inonzi radiation kuchipfuva inogona kusanganisira pulmonary fibrosis (kupora kwemapapu inotanga semirairo inonzi pneumonitis inosara isingateereri), kenza yechipfuva (kenza inokonzerwa nekuvhiringidzwa kwezvinhu zvakasikwa mumasero matsva kurapwa), uye chirwere chepfungwa (kusanganisira chirwere chevhavha, chirwere chetachiona, chirwere chemoyo, uye mafungiro asina kunaka) apo miviri inopiwa kune rumwe rutivi rworuboshwe rwechifuva. Mukufungidzira, izvi zvinokonzerwa nemigumisiro hazvifaniri kunge zvisingasvikiki kudarika nehutachiona hwehutachiona hwehutachiona hunokonzerwa nekuderedza kuipa kwezvinhu zvakasvibirira, asi zvinokurumidza kuziva zvakajeka.
Neyero yakawanda yehutachiona hwemapapu emapapu, kusvuta kunogona kuita kuti kurapwa kusanyanya kushanda uye kuwedzera migwagwa inogona kuitika. Proton beam therapy inogona kuchinjwa nekuputa pamwe chete. Kana iwe utsi, iva nechokwadi chekudzidza pamusoro pezvikonzero nei kurega kusvuta kunokosha mushure mekuongororwa kwekenza .
Kuva neProteton Beam Therapy-Kugadzirira, Nguva, uye Kutevera
Proton beam therapy inopiwa zuva rega rega pamasikati ehuwandu hwekutenderera makumi matatu nemasere. Nhamba yekushanyira inogona kuva yakareba kana shoma zvichienderana nekenza yako.
Pamberi peproton bhitamu remishonga inotanga, iwe uchava nekugadziriswa kwekugadzirisa newadhiro oncologists. Mienzaniso inoshandiswa kuburikidza nemarangi akadai seT CT scan kuti ajekese zvakananga nzvimbo inofanira kujekeswa.
Iwe unofanirwa kuronga kusvika kusvika paawa yekushanyira imwe neimwe, kunyange zvazvo chirwere chemaawa chinotora nguva pfupi chete. Iwe uchakumbirwa kuti uite pasi pasi uye uchagadzirirwa nedhizimusi risina kukwana pachifuva chako chekushanyira kwega. Chigadzirwa chacho chichaitwa munguva yekugadzirira kwako kutanga.
Mushure mekunge mazadza zvose zvamunorapa, iwe uchazotevera pamwe newachiremba wezvechirwere. Kutevera kutevedza panguva iyoyo kuchaitwa kuti uone kuti chirongwa cheproton chakashanda zvakadini. Zviratidzo zvinogonawo kuitika apo uri kugamuchira kurapa kwako kana uine zvirwere zvinowedzera.
Mibvunzo yekubvunza Radiation Oncologist
Kuti unzwisise zvakanakisisa chirongwa cheproton uye kuti uone kana zvakakunakira iwe, zvinobatsira kuva nemhando yemibvunzo pamwe chete kana iwe uchitarisana nemirairo yako ye-oncologists. Izvi zvinosanganisira:
- Sei uchirumbidza mushonga uyu?
- Pane kune dzimwe nzira dzokurapa dzinogona kunge dzakangoshanda here?
- Ndeipi mari yekurapa? Inishuwarenzi ichavhara kurapwa kwangu here kana kuti ini ndichava kunze kwehomwe mari?
- Ndezvipi zvirwere zvandinoda kuti ndive nazvo zvachose? Sei?
- Kana iwe uchifanira kuenda kune zvekurapa kwako, bvunza mukoti wako wei oncology kana imwe nyanzvi pane kenza yako pane zvingasarudzwa zvekugara zviripo. Mimwe mishonga yemukenza, yakadai seMayo Clinic muRochester, Minnesota, inogara paine mari shoma kana kunyange pasina.
- Ndeipi migumisiro yandinogona kutarisira?
- Ndezvipi vamwe varwere venyu vakataura pamusoro pemishonga yavo?
- Iwe vanhu vangani wawakabata neproton brit therapy?
- Iwe unogonawo kuda kubvunza chiremba wako oncologist mishonga ipi inogona kukurudzirwa inotevera kana chirongwa cheproton chinyorwa chisingaiti.
Shoko Rinobva
Proton beam therapy inzira itsva yekurapa inogona kushandiswa kune vamwe vanhu vane kenza yemapapu. Iyo inowanzoshandiswa pamusana pekutanga kwete-duku chekenza yemapapu emapapu, iyo inogona kuporeswa, asi iyo iri munzvimbo yakaoma yekuwana zvakachengeteka nekuvhiya kana kana munhu ane utano huri kukonzera ngozi yekuvhiyiwa.
Nzira inowanzovhiringidza nayo inokonzerwa nekuneta, asi inofungidzira kuti migumisiro yacho ingangove yakanyanya kushivirira kupfuura inoratidzirwa remishonga inonzi radiation, kunyanya nemaitiro matsva eproton bhitamu remapiritsi yakafanana nepencil bend scanning.
Sezvo kune nhamba shoma yezvinhu izvo izvi zvinogona kuitwa, zvinogona kunge zvakaoma kune vamwe vanhu vanogara kure nematunhu aya, kunyanya kana kurapwa kuchidiwa zuva nezuva kwemavhiki mashoma.
Parizvino, pane mhirizhonga pamusoro pechibatsiro chechokwadi cheproton bhabhapiro remitengo yakapiwa mari. Proton beam therapy inogona kudhura kaviri zvakaenzana nokurapa kwemazuva ano, uye mari yekutora, kufamba, uye nguva kubasa kune avo vanofanira kufamba vanogona kunge vakakwirira. Funga nezvezvinhu zvose zvehutano usati wasarudza imwe yakakodzera 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.