Ukwelashwa kwemisebe yesigaba se-LUP RABANGCE 3

Ukwelashwa kwemisebe yesigaba se-LUP RABANGCE 3 yindlela ejwayelekile futhi ephumelelayo yokuphatha isifo. Imvamisa ifaka ukubhekisa amaseli womdlavuza ngemisebe yamandla aphezulu, okuhlose ukuncipha ama-tumors futhi kuvikele ukukhula okuthe xaxa. Lokhu kwelashwa kungasetshenziswa wedwa noma ngokuhlanganiswa nezinye izindlela zokwelapha ezinjenge-chemotherapy nokuhlinzwa. Lapha, sizokwelulela ekucacisweni kwalolu hlobo lokwelashwa, ukuhlola amasu alo, imiphumela emibi, nokuthi yiziphi iziguli ezingalindela ngesikhathi sokwelashwa .Yini Ukwelashwa kwemisebe yesigaba se-LUP RABANGCE 3?Ukwelashwa kwemisebe yesigaba se-LUP RABANGCE 3 Ingabe ukwelashwa komdlavuza okusebenzisa imithamo ephezulu yemisebe ukubulala amaseli womdlavuza nokuncipha kwamathumbu. E-Stage 3 umdlavuza wamaphaphu, umdlavuza usakazekele kwizindawo eziseduzane ze-lymph node, wenza ukwelashwa kube nzima kakhulu. Ukwelashwa kwemisebe kuhlose ukuqondisa lezi zindawo ngenkathi kunciphisa ukulimala kwezicubu ezinempilo ezizungezile. Ukusebenza kwelashwa kuncike ezicini eziningana, kufaka phakathi uhlobo nendawo yomdlavuza, impilo yesiguli ephelele, nezinye izindlela zokwelapha zingase zithola.Thezu kwe- Ukwelashwa kwemisebeIzinhlobo eziningana ze ukwelashwa kwemisebe bayatholakala Isigaba 3 umdlavuza wamaphaphu, ngamunye unezinzuzo nokucatshangelwa kwawo: Ugongolo lwangaphandle Ukwelashwa kwemisebe (Ebret): Lolu uhlobo oluvame kakhulu lokwelashwa kwemisebe. Iletha imisebe emshinini ngaphandle komzimba. I-EBRT ingahle iphindwane ngamasu afana nalokhu: 3D-i-conformal Ukwelashwa kwemisebe (3d-CRT): Isebenzisa isoftware ekhethekile yekhompyutha ukumisa kahle imicibisholo yemisebe ukufanisa ukwakheka kwesimila, ukunciphisa ukulimala kwezicubu ezizungezile. Ukuqina okulungiselelwe Ukwelashwa kwemisebe (IMRT): Uhlobo oluthuthukile lwe-3D-CRT oluqhubekela phambili ngokuqina kwemisebe yemisebe, okuvumela ukuqondiswa okuqondile ngokwengeziwe nokunciphisa imiphumela emibi. I-IMRT iyindinganiso yokunakekelwa ezindaweni ezifana I-Shandong Baafa Cancer Research Institute. Umzimba we-stereotactic Ukwelashwa kwemisebe (SBT): Ihambisa imithamo ephezulu yemisebe ibe yisimila esincane, esichazwe kahle ekwelashweni okumbalwa. Kuwusizo ikakhulukazi ezigulini ezingeke zihlinzwe noma zibe nemikhuba emincane. I-Proton Therapy: Isebenzisa ama-proton esikhundleni se-x-ray. Amaphrotholi angaba ngqo ngqo, anciphise ukuvezwa kwezicubu ezinempilo. IBrachytherapy (yangaphakathi Ukwelashwa kwemisebe): Kubandakanya ukubeka imithombo enemisebe ngqo noma eduze kwesimila. Le ndlela ayisetshenziselwa umdlavuza wamaphaphu kune-EBRT, kepha kungenzeka kube yinketho ezimweni ezithile.I Ukwelashwa kwemisebe Inqubo ye Isigaba 3 umdlavuza wamaphaphuInqubo imvamisa ifaka izinyathelo ezimbalwa ezibalulekile: Ukubonisana nokuhlela: Isiguli sihlangana ne-radiation oncologist ebuyekeza umlando wabo wezokwelapha, yenza ukuhlolwa ngokomzimba, futhi kuxoxisane ngohlelo lokwelashwa. Ukumbumbuluzwa: Ukuskena kwe-CT noma okunye ukucabanga kwenziwa kumephu ngokunembile indawo indawo yesimila kanye nezitho ezizungezile. Lokhu kusiza ukudala uhlelo lokwelashwa oluqondene nomuntu uqobo. Ukuhlelwa Kwezokwelapha: Isazi se-radiation Oncologist, kanye nethimba le-dosimetrists kanye nodokotela wezesayensi, bathuthukisa uhlelo olunemininingwane ecacisa umthamo wemisebe, ama-beam anger, namanye amapharamitha. Ukwelashwa kwemisebe Ukulethwa: Isiguli sithola ukwelashwa kwemisebe ngokuzikhandla, ngokuvamile izinsuku ezinhlanu ngesonto amasonto ambalwa. Isikhathi ngasinye sokwelashwa sivame ukuhlala phakathi kwemizuzu eyi-15 no-30. Landelela: Ukuqokwa okujwayelekile kokulandela ukubheka ukubheka ukuphendula kwesiguli ekwelashweni nasekuphatheni noma yimiphi imiphumela emibi.Imiphumela emibi ye Ukwelashwa kwemisebeNjenganoma yikuphi ukwelashwa komdlavuza, ukwelashwa kwemisebe kungadala imiphumela emibi. Imiphumela emincane emibi etholwa yisiguli izohluka ngokuya ngomthamo wemisebe, indawo ephathwayo, kanye nempilo yesiguli ephelele. Imiphumela emibi ejwayelekile ifaka: Ukukhathala: Ukuzizwa ukhathele noma ukuntula amandla kuvame kakhulu. Ukusabela kwesikhumba: Isikhumba esendaweni ephethwe sibe somvu, somile, noma sibekiwe (esifana nokushiswa yilanga). Esophagitis: Ukuvuvukala kwe-esophagus, okubangela ubunzima bokugwinya nobuhlungu besifuba. Pneumonitis: Ukuvuvukala kwamaphaphu, okuholela ekukhweneni nasekushiseni komoya. Isicanucanu nokuhlanza: Yize evame ukwedlula nge-chemotherapy, ezinye iziguli zingathola ukucaca kwe-nausea.it ukudingida noma yimiphi imiphumela emibi nethimba lakho lezokunakekelwa kwempilo, ngoba linganikeza amasu okuphatha futhi awasebenzise. Imiphumela emibi eminingi ingeyesikhashana futhi ixazulule ngemuva kokwelashwa sekuqediwe.Bing Ukwelashwa kwemisebe nezinye izindlela zokwelaphaUkwelashwa kwemisebe yesigaba 3 umdlavuza wamaphaphu Isetshenziswa kaningi ngokuhlanganiswa nezinye izindlela zokwelapha, njengokuthi i-chemotherapy nokuhlinzwa. Le ndlela ye-multidisciplinary ingathuthukisa imiphumela yeziguli eziningi. Inhlanganisela ethile yokwelashwa izoncika ezimweni zesiguli ngasinye kanye nezimpawu zomdlavuza wazo. Le khasi I-Shandong Baafa Cancer Research Institute Indlela ephelele ivame ukubandakanya ukuhlanganiswa okunjalo.Isibonelo, i-chemoradiation (ukuhlanganisa i-chemotherapy kanye nokwelashwa kwemisebe) kungahle kusetshenziswe ngaphambi kokuhlinzwa ukuncipha kwesimila futhi kwenze kube lula ukususa. Ngenye indlela, ingasetshenziswa ngemuva kokuhlinzwa ukubulala noma yimaphi amaseli omdlavuza asele. Kwezinye izimo, ukwelashwa kwemisebe kungaba inketho yokwelashwa eyinhloko yeziguli ezingafanele ukuhlinzwa .Faka Ukwelashwa kwemisebe Izici eziphuma ngaphandle zingathonya ukusebenza kwe ukwelashwa kwemisebe ingomane Isigaba 3 umdlavuza wamaphaphu: Usayizi we-tumor nendawo: Ama-tumors amancane ezindaweni ezifinyeleleka kalula avame ukuphendula kangcono ukwelashwa kwemisebe. Uhlobo lomdlavuza: Izinhlobo ezahlukahlukene zomdlavuza wamaphaphu (isb. Impilo Yesiguli: Iziguli ezisempilweni ezinhle kakhulu zikwazi kangcono ukubekezelela imiphumela emibi yokwelashwa kwemisebe futhi kungenzeka kube nomphumela omuhle. Uhlelo Lokwelashwa: Uhlelo lokwelashwa oluklanywe kahle oluhlose kahle isimila ngenkathi ukunciphisa ukulimala kwezicubu ezizungezile kubalulekile ukuze kube nemiphumela efanelekile .Yini ukulindela ngemuva Ukwelashwa kwemisebeNgemuva kokuphothula ukwelashwa kwemisebe, iziguli zizoqhubeka nokulandela okujwayelekile kokulandela ukuqapha inqubekela phambili yazo futhi ziphathe noma yimiphi imiphumela emibi yesikhathi eside. Lokhu kuqokwa kungafaka izivivinyo zomzimba, ukuskena kokucabanga, kanye nokuhlolwa kwegazi.ikubalulekile ukuze kugcinwe indlela yokuphila enempilo ngemuva kokwelashwa, kufaka phakathi ukudla okulinganiselayo, ukuzivivinya njalo, nokugwema ukubhema. Izinhlelo zokuvuselela umzimba zingasiza iziguli ukuphatha noma yimiphi imiphumela emibi ehlala njalo futhi athuthukise ikhwalithi yempilo yempilo.Latest in Ukwelashwa kwemisebe Okomdlavuza wamaphaphuUkwelashwa kwemisebe Ubuchwepheshe buhlala buvela. Intuthuko yakamuva, efana: Vele uguqule Ukwelashwa kwemisebe: Ivumela ukulungiswa ohlelweni lokwelashwa kususelwa kuzinguquko ngosayizi kanye nokwakheka ngesikhathi sokwelashwa. Kuqondiswa isithombe Ukwelashwa kwemisebe (Igrart): Kusebenzisa ukucabanga kwesikhathi sangempela ukuze kuthathwe ngokunembile isimila ngesikhathi sokwelashwa ngakunye. Unyampu Ukwelashwa kwemisebe: Ihambisa imisebe ezindaweni eziphakeme ze-Dose ye-Ultra-high, ngokunciphisa imiphumela emibi. (Kusaqhubeka nokucwaninga) .Kuthuthuka kusiza ukuthuthukisa ukusebenza kahle nokuphepha kwe ukwelashwa kwemisebe ingomane Isigaba 3 umdlavuza wamaphaphu. Xoxa nodokotela wakho ukuthi ubuchwepheshe bufanele kanjani izidingo zakho ezithile.Table: ukuqhathanisa okuhlukile Ukwelashwa kwemisebe Izinhlobo Izinhlobo zokwelashwa Incazelo ejwayelekile isebenzisa izinzuzo Ebrt (Beam yangaphandle) Imisebe ihanjiswa emshinini ngaphandle komzimba. Iningi lamaphaphu amaphaphu; kusebenza kakhulu. Okungahlaseli; eziguquguqukayo. I-IMRT (ukuqina okulungiselelwe) i-EBRT ngokuqina okulungiselelwe ukuqondiswa okuqondile. Amagagasi ayinkimbinkimbi we-tumor; ukunciphisa imiphumela emibi. Okuqondile kakhulu; kunciphisa ukulimala kwezicubu ezinempilo. I-SBTT (umzimba weStereotactic) imisebe ephezulu kakhulu emisebeni embalwa. Ama-tumors amancane, achazwe kahle; iziguli azikwazi ukuhlinzwa. Isikhathi sokwelashwa esifushane; Ukunemba okuphezulu. Imithombo yemithombo ye-Brachytherapy ebekwe ngaphakathi / eduze kwesimila. Okuvamile emdlavuza wamaphaphu; amacala athile kuphela. Ukuqondisa imisebe kuya esimindeni; inciphisa ukuvezwa kwezicubu ezizungezile. Ukuzikhulula: Lolu lwazi lungenxa yezinhloso zolwazi olujwayelekile kuphela futhi alwenzi izeluleko zezokwelapha. Thintana nochwepheshe wezempilo ofanelekayo nganoma yiziphi izinkathazo zezempilo noma ngaphambi kokwenza noma yiziphi izinqumo ezihlobene nempilo yakho noma yokwelashwa. Njalo funa izeluleko zodokotela wakho noma omunye umhlinzeki wezempilo ofanelekayo nganoma yimiphi imibuzo ongaba nayo mayelana nesimo sezokwelapha.