Ukwelashwa okusha kwemisebe yokwelashwa komdlavuza wamaphaphu eduze kwami

Ukuthola okulungile Ukwelashwa okusha kwemisebe yokwelashwa komdlavuza wamaphaphu eduze kwami kubalulekile ukwenza ngcono imiphumela kanye nekhwalithi yempilo. Lo mhlahlandlela uhlinzeka ngesibukezo esibanzi samasu wakamuva wezokwelapha ama-radiation, izici okufanele ucabangele lapho ukhetha isikhungo sokwelashwa, kanye nezinsizakusebenza zokuthola ochwepheshe endaweni yangakini. Sizohlola intuthuko njengokwelashwa kwemisebe yemisebe ye-stereotactic (SBT) kanye nokwelashwa kwe-proton, usiza ukuthi uqonde umdlavuza wakho onolwazi futhi umdlavuza wamaphaphu ungumdlavuza wamaphaphu? Lezi zinhlobo ezimbili eziphambili zingabantu abancane be-cell luleng umdlavuza (NSCLC) kanye nomdlavuza omncane we-cell luleng (SCLC). I-NSCLC ivame kakhulu futhi ifaka phakathi ama-subtypes afana ne-adenocarcinoma kanye ne-squamous cell carcinoma.How ukwelashwa kwemisebe kusebenzisa imisebe ye-high namandla? Isebenza ngokulimaza i-DNA ngaphakathi kwalawa maseli, ibavimbele ekukhuleni nasekwahlukaniseni. Ngenkathi ngokuyinhloko kuhlose amaseli womdlavuza, kungathinta futhi amaseli anempilo aseduze, okuholela emiphumeleni emibi.Yo Ukwelashwa kwemisebe entsha yomdlavuza wamaphaphuI-Exter Langaphandle Radiation Therapy (Ebrt) EBRT uhlobo oluvame kakhulu lokwelashwa kwemisebe. Umshini ongaphandle komzimba uqondisa imishayo yemisebe ibe yisimila. Amasu anjengokwelashwa kwemisebe ye-3D (3D-CRT) kanye nokwelashwa kwemisebe ye-radity okumisiwe (i-IMRT) kanye nokunciphisa ukulimala kwezicubu ezizungezile, ukwelashwa kwemisebe yokwelashwa okuphezulu (STRT) I-Radiation Therapy (SBRT) STBT ihambisa imithamo emihle yendawo encane, echazwe kahle ekwelashweni okumbalwa. Isebenza ngokukhethekile kumdlavuza wamaphaphu wokuqala lapho ukuhlinzwa akuyona inketho. I-SBTT idinga ukuhlela okuqondile kokucabanga kanye nokwelashwa ukuqinisekisa ukulethwa okunembile kwe-radiosurgery (SRS) ngenkathi kusetshenziswa ama-radiosurgery wezobuchwepheshe, kepha kungasetshenziselwa amaphaphu ama-tumors asondele ezinhlakeni eziphakathi nendawo, i-SRS ihambisa umthamo owodwa, ophezulu wemisebe. Kufana kakhulu ne-SBBT kodwa ngokuvamile esetshenziselwa ama-tumors amancane noma izindawo.Proton Therapyproton Therapy isebenzisa ama-proton esikhundleni sama-X-ray. Izimpawu zifaka amanani amandla awo amaningi ekujuleni okuthile, ngokunciphisa ukuvezwa kwemisebe izicubu ezinempilo. Kodwa-ke, ukwelashwa kwe-proton akutholakali kuzo zonke izikhungo zomdlavuza. I-MD Anderson Cancer Center Inikeza ukwelashwa kwe-proton njengomunye wemisebe yazo ye-radiation ye-radiation.Brachytherapy (I-Radiation Yangaphakathi Yokwelapha) iBrachytherapy ifaka ukubeka imithombo yemisakazo ngqo ngaphakathi noma eduze kwesimila. Kuvame ukusetshenziswa umdlavuza wamaphaphu uma kuqhathaniswa nezinye izinhlobo zokwelashwa kwemisebe, kepha kungaba yindlela ezimweni ezithile.Fuma a Ukwelashwa okusha kwemisebe yokwelashwa komdlavuza wamaphaphu eduze kwamiUkucatshangelwa Okusemqoka Lapho ukhetha izici ezisemaphakathi nendawo kufanele zithonye ukukhetha kwakho isikhungo sokwelapha semisebe: Isipiliyoni: Funa isikhungo esinolwazi olunzulu ekwelapheni umdlavuza wamaphaphu. Ubuchwepheshe: Qinisekisa ukuthi isikhungo sinikeza amasu wezokwelapha athuthukile afana ne-SBTT ne-Proton Therapy. Iqembu le-Multidisciplinary: Iqembu le-radiation oncologists, izazi ze-oncologists, odokotela abahlinzayo, kanye nabanye ochwepheshe kubalulekile. Ukugunyazwa: Qinisekisa ukuthi lesi sikhungo sigunyazwe izinhlangano ezifana ne-American College of Radiology. Izilingo Zomtholampilo: Ukubamba iqhaza ezivivinyweni zemitholampilo kunganikeza ukufinyelela kokwelashwa okunqenqemeni kwe-cutting. Ezinye izinsiza eziwusizo zifaka: National Cancer Institute (NCI): I-NCI ihlinzeka ngemininingwane mayelana nezikhungo zomdlavuza kanye nezilingo zomtholampilo. I-American Society ye-Radiation Oncology (Astro): Iwebhusayithi ye-Astro ikuvumela ukuthi useshe i-radiation oncologists endaweni yangakini. Izikhungo zomdlavuza eziphelele: Funa izikhungo zomdlavuza ze-NCI eziqokiwe, ezinikela ngezindlela eziningi zokwelapha umdlavuza kanye nocwaningo. Bangakusiza futhi ukuthi ahlole izinzuzo nezinzuzo zezinketho ezahlukene zokwelashwa. Ukuthini ongakulindela ngesikhathi Ukwelashwa kwemisebe yomdlavuza wamaphaphuIsenzo sokuhlela sokwelashwa ngaphambi kokuqala ukwelashwa kwemisebe, uzothola inqubo enemininingwane yokuhlela yokwelashwa. Lokhu kufaka phakathi: Ukumbumbuluzwa: Iseshini yokulingisa ifaka ukubeka wena etafuleni lokwelashwa nokuthatha ukuskena kokuzenzakalela (i-CT, MRI, pet) ukuthola indawo ngqo yesimila nezicubu ezizungezile. I-Dosimetry: Ama-dosimetrist asebenza nemisebe ye-radiation oncologists ukubala umthamo ofanele we-radiation dose kanye necebo lokulethwa. Ukuqinisekiswa Kokwelashwa: Ngaphambi kokwelashwa kokuqala, uhlelo luqinisekisiwe ukuqinisekisa ukulethwa okunembile.I-Treatment Servings's Therapy ngokuvamile kuhanjiswa ngesisekelo esingemuva, okusho ukuthi ungaya ekhaya ngemuva kweseshini ngayinye. Izikhathi zokwelashwa zivame ukuqhubeka imizuzu eyi-15-30, kufaka phakathi isikhathi sokusetha. Inani lamaseshini liyahlukahluka ngokuya ngohlobo lokwelashwa kwemisebe kanye nesigaba sokwelashwa komdlavuza wakho we-Cancer.Potentialct Meeffeectradiation kungadala imiphumela emibi, ehlukahlukene yemisebe. Imiphumela emibi evamile yokwelashwa kwemisebe yomdlavuza wamaphaphu ifaka phakathi: Ukukhathala kwesikhumba ukucasuka kube nobunzima bokugwinya i-Breassour Spoint ye-Acology Team izokunikeza imininingwane mayelana nemiphumela emibi nezindlela ezingaba khona. Imiphumela emibi eminingi ingeyesikhashana futhi ixazulule ngemuva kokuqedwa kokwelashwa I-Shandong Baafa Cancer Research Institute, sizibophezele ekuhlinzekeni izinketho zokwelashwa komdlavuza ezithuthukile, kufaka phakathi ukwelashwa kwemisebe yombuso. Ithimba lethu elinolwazi le-Oncologists kanye nochwepheshe basebenzisana ukuthuthukisa amasu wezokwelapha elenzelwe isiguli ngasinye. Sinikeza ngezinsizakalo ezahlukahlukene, kusuka ekunakekelweni kokwelashwa nokunakekelwa kokusekela, konke kungakapheli izidakamizwa ezinozwela nezokusekelwa ezifuyweni zomdlavuza womdlavuza womzimba zisiza futhi ahlasele amaseli omdlavuza. I-ImmunoSatherapy ingasetshenziswa yedwa noma ihlanganiswe nemisebe yezokwelapha ye-radiation therapy.targeged therapytargeged therapy izidakamizwa ihlose ama-molecule athile noma izindlela ezibandakanyeka ekukhuleni kweseli yomdlavuza kanye nokusinda. Zingasetshenziselwa ukwelapha amaphaphu umdlavuza ngokuguqulwa okuthile kwezakhi zofuzo.climonical izilingo zokuvivinya izifundo zokucwaninga izifundo ezicwaningayo ezihlola ukwelashwa okusha komdlavuza. Ukubamba iqhaza esivivinyweni somtholampilo kungakunika ukufinyelela kwezindlela ezintsha zokwelapha ezingatholakali kabanzi. Udokotela wakho angakusiza ekuboneni ukuthi isivivinyo somtholampilo silungile yini kini. ngokwazi izinqumo ezinolwazi Ukwelashwa okusha kwemisebe yokwelashwa komdlavuza wamaphaphu inqubo eyinkimbinkimbi. Kubalulekile ukuqoqa imininingwane eminingi ngangokunokwenzeka, buza imibuzo, bese uxoxa ngezinketho zakho nethimba lakho lezokunakekelwa kwempilo. Ngolwazi olufanele nokusekelwa, ungenza izinqumo ezinolwazi ezilungele izidingo zakho ngazinye.Table: Ukuqhathanisa izindlela zokwelapha zemisebe yezokwelapha zezinzuzo ze-EbRT zangaphandle zemisebe eqondiswe esimisweni. Kutholakala kakhulu, kungahlaseli. Kungathinta izicubu ezinempilo ezizungezile. Imisebe ye-SBT High-Dose ihanjiswe ngezikhathi ezimbalwa. Izikhathi ezimbalwa zokwelashwa, ukuqondiswa okuqondile. Kudinga ukucabanga okuqondile, kungenzeka kungalungele wonke ama-tumors. I-SRS i-dose eyodwa, ephezulu yemisebe ibe yilitshe elincane. Izikhathi ezimbalwa zokwelashwa, ukuqondiswa okuqondile. Kudinga ukucabanga okuqondile, kungenzeka kungalungele wonke ama-tumors. I-Proton Therapy isebenzisa ama-proten ukuletha imisebe. Imisebe engase ibe ngaphansi kwezicubu ezinempilo. Ukutholakala okulinganiselwe, izindleko eziphakeme.