Lo lus "kev siv hluav taws xob" tej zaum yuav ua rau koj ntshai me ntsis. Tshwj xeeb tshaj yog thaum nws los txog rau kev kho mob qog noj ntshav, qhov kev ntshai ntawd tuaj yeem loj dua. Tab sis thev naus laus zis tau nce qib ntau heev niaj hnub no. Tsis zoo li yav dhau los, cov kev kho mob no tam sim no tuaj yeem ua tau raws nraim thiab ceev faj. Yog li hnub no peb tab tom tham txog kev kho mob qog noj ntshav feem ntau, Kev Kho Mob Hluav Taws Xob Sab Nraud, lossis luv luv EBRT.
Hais yooj yim xwb, EBRT yog dab tsi?
Xav txog koj pw tsaug zog zoo saum txaj. Tsis txhob kov koj lub cev, lub tshuab loj nyob deb ntawm qhov deb tab tom tua cov teeb ci uas tsim tau zoo heev, tsom mus rau qhov mob qog hauv koj lub cev xwb. Qhov ntawd yog qhov peb hu ua EBRT.
Qhov no suav nrog kev siv cov hluav taws xob muaj zog heev los tua cov hlwb qog noj ntshav. Lub hom phiaj tseem ceeb yog kom txo qhov kev puas tsuaj rau cov hlwb noj qab haus huv nyob ib puag ncig lawv thaum rhuav tshem cov hlwb qog noj ntshav. Qhov no yog kev kho mob sab nraud, yog li tsis muaj dab tsi muab tso rau hauv koj lub cev.
Hauv kev kho mob no, lub tshuab hluav taws xob yeej tsis kov koj lub cev. Hloov chaw, pab pawg kho mob teeb tsa lub tshuab kom tsuas yog tsom mus rau cov hlwb qog nqaij hlav ntawm qhov deb, thiab rhuav tshem lawv.
Qhov txawv ntawm kev kho mob hluav taws xob sab nraud thiab sab hauv yog dab tsi?
Kev kho mob hluav taws xob muaj ob hom tseem ceeb.
1. Kev Kho Mob Hluav Taws Xob Sab Nraud (EBRT): Nov yog txoj kev uas peb tab tom tham txog. Nws cuam tshuam nrog kev xa hluav taws xob los ntawm lub tshuab sab nraud lub cev.
2. Kev Kho Mob Hluav Taws Xob Sab Hauv: Qhov no suav nrog kev phais muab ib lub cuab yeej hluav taws xob me me tso rau hauv lossis ze ntawm qhov mob qog.
Txawm hais tias ob txoj kev no rhuav tshem cov hlwb qog noj ntshav, txoj kev uas lawv ua nws txawv.
Cov hom hluav taws xob twg siv rau kev kho mob no?
Kev siv hluav taws xob yog ib lub zog uas muaj cov khoom me me uas raug them ntau dhau. Cov khoom me me no muaj lub zog los rhuav tshem cov hlwb qog noj ntshav. Qhov kev sib tw tseem ceeb ntawm kev kho mob no yog rhuav tshem tsuas yog cov hlwb qog noj ntshav yam tsis ua rau cov hlwb noj qab nyob zoo puas tsuaj. Ntau hom khoom me me siv rau qhov no.
- Cov duab hluav taws xob (X-rays thiab gamma rays): Cov no yog cov uas siv ntau tshaj plaws hauv kev kho mob EBRT. Lawv zoo li cov duab hluav taws xob X-rays muaj zog heev. Lawv tuaj yeem nkag mus tob rau hauv koj cov nqaij thiab tua cov hlwb qog noj ntshav.
- Cov protons:Cov no yog cov khoom me me uas muaj lub zog zoo. Kev kho mob siv cov no hu ua '(Proton Therapy)'. Qhov no yog ib qho thev naus laus zis tshiab. Qhov tshwj xeeb ntawm no yog tias tom qab lub teeb proton ntaus lub qog nqaij hlav, nws nres yam tsis mus dhau nws. Yog li ntawd, kev puas tsuaj rau cov nqaij noj qab haus huv nyob ib sab ntawm lub qog nqaij hlav yog qhov tsawg heev. Txawm li cas los xij, txoj kev kho mob no tseem tsis tshua muaj nyob hauv ntiaj teb.
- Cov hluav taws xob: Cov no yog cov khoom me me uas muaj nqi tsis zoo. Lawv tsis tuaj yeem mus tob npaum li cov photons lossis protons. Yog li ntawd, lawv feem ntau yog siv los kho cov qog nqaij hlav ntawm qhov chaw ntawm lub cev, xws li mob qog nqaij hlav ntawm daim tawv nqaij.
Rau feem ntau ntawm kev kho mob EBRT, lub tshuab hu ua "Linear Accelerator" (LINAC) yog siv los ua kom cov khoom me me no sai dua thiab xa mus rau cov hlwb qog noj ntshav.
Puas muaj ntau hom kev kho mob EBRT sib txawv?
Yog lawm, nrog rau kev nce qib ntawm thev naus laus zis, tam sim no muaj ntau txoj kev kho mob sib txawv thiab hom kev kho mob EBRT. Nyob ntawm seb koj tus mob qog nqaij hlav zoo li cas thiab nyob qhov twg, koj tus kws kho mob yuav xaiv txoj kev uas haum rau koj tshaj plaws.
| Hom Kev Kho Mob | Hais yooj yim xwb... (Piav qhia yooj yim) |
|---|---|
| Kev Kho Mob Hluav Taws Xob Conformal 3D | Siv cov khoom xws li CT scans, ib daim qauv peb-seem (3D) ntawm tus mob qog noj ntshav raug tsim thiab cov teeb hluav taws xob raug tsom rau nws los ntawm ntau lub kaum sab xis kom phim nws. |
| Kev Kho Mob Hluav Taws Xob Uas Muaj Kev Hloov Kho Qhov Hnyav (IMRT) | Qhov no yog ib txoj kev 3D siab heev. Ntawm no, tsis yog tsuas yog cov duab ntawm lub qog tuaj yeem raug tsom mus rau xwb, tab sis kuj tseem tuaj yeem tsom mus rau thaj chaw uas muaj ntau lub hlwb qog noj ntshav ntau dua , thiab thaj chaw uas muaj cov hlwb qog noj ntshav tsawg dua tuaj yeem raug tsom mus rau nrog lub zog qis dua . |
| Kev Kho Mob Hluav Taws Xob Uas Siv Duab Qhia (IGRT) | Ua ntej txhua zaus kho mob, yuav muaj kev thaij duab (xws li CT scan) kom paub meej tias qhov chaw mob qog noj ntshav nyob qhov twg thiab tom qab ntawd mam li muab hluav taws xob rau. Qhov no ua rau qhov tseeb yog qhov tseeb heev. |
| Kev phais mob Stereotactic Radiosurgery (piv txwv li Gamma Knife) | Qhov no tsis yog phais mob, txawm hais tias nws hu ua "phais mob." Nws yog ib txoj kev xa cov tshuaj tua hluav taws xob ntau heev rau cov qog me me hauv lub hlwb, tsis hais hauv ib zaug lossis ntau zaus, hauv txoj kev meej heev. |
| Kev Kho Mob Hluav Taws Xob Stereotactic Lub Cev (SBRT) | Qhov no yog tib txoj kev li saum toj no, tab sis siv rau cov mob qog noj ntshav nyob sab nraum lub hlwb, tshwj xeeb tshaj yog nyob rau hauv cov chaw xws li lub ntsws, siab, thiab tus txha nqaj qaum. |
| Kev Siv Hluav Taws Xob Thaum Ua Haujlwm (IORT) | Qhov no ua thaum lub sijhawm phais kom tshem tawm cov qog nqaij hlav. Kev siv hluav taws xob tib lub sijhawm rau cov qhov ntawm cov qog nqaij hlav uas tsis tuaj yeem tshem tawm tag nrho los ntawm kev phais. |
Kev kho mob EBRT siv rau cov rooj plaub twg?
Kev kho mob no siv rau ntau lub hom phiaj tseem ceeb.
- Txhawm rau rhuav tshem cov hlwb qog noj ntshav: EBRT yog siv ua kev kho mob tseem ceeb rau ntau hom qog noj ntshav.
- Txhawm rau txhawb nqa lwm yam kev kho mob: Nws yog siv los ua kom lub qog nqaij hlav me me ua ntej phais (neo-adjuvant therapy) lossis los rhuav tshem cov hlwb qog nqaij hlav uas xav tias tseem tshuav tom qab phais thiab tiv thaiv kom tus mob qog nqaij hlav tsis txhob rov qab los (adjuvant therapy).
- Txhawm rau txo cov tsos mob: Txawm hais tias qee zaum tus mob qog noj ntshav tsis tuaj yeem kho tau tag nrho, kev kho mob no pab tswj cov tsos mob xws li qhov mob los ntawm cov qog nqaij hlav thiab tswj tus neeg mob lub neej zoo.
Cov hom mob qog noj ntshav uas kho nrog EBRT
EBRT yog ib txoj kev kho mob tseem ceeb rau ntau hom mob qog noj ntshav hauv zos, xws li:
- Mob qog noj ntshav hauv lub mis
- Mob qog nqaij hlav plab
- Mob qog nqaij hlav ntsws
- Mob qog nqaij hlav prostate
- Mob qog nqaij hlav hauv tsev menyuam
- Mob qog noj ntshav hauv taub hau thiab caj dab
- Cov mob qog ntshav xws li leukemia thiab lymphoma
Ua ntej kev kho mob yuav muaj dab tsi tshwm sim? (Theem npaj)
Theem kev npaj no, tseem hu ua "kev ua qauv qhia", yog ib feem tseem ceeb ntawm kev ua tiav ntawm kev kho mob EBRT. Nws suav nrog kev npaj txhua yam rau koj thawj zaug kev kho mob.
1. Kev Tso Chaw:Koj yuav raug tso rau ntawm lub txaj rau hnub npaj no, ib yam li koj tau ua thaum lub sijhawm kho mob.
2. Kev Ntsuas: Tom qab ntawd, yuav ua ib qho kev ntsuas CT, MRI, lossis PET kom tau cov duab tseeb ntawm koj tus mob qog noj ntshav thiab cov kab mob ib puag ncig uas noj qab nyob zoo. Qhov no yog qhov pab txiav txim siab qhov loj me, cov duab, thiab qhov chaw ntawm tus mob qog noj ntshav.
3. Kev Cim: Tom ntej no, yuav siv cwj mem kos ob peb lub cim me me zoo li lub teeb rau ntawm koj daim tawv nqaij kom paub qhov chaw uas yuav kho. Cov no yuav tsum khaws cia rau hauv qhov chaw kom txog thaum kawg ntawm lub sijhawm kho mob.
4. Ua pwm/Lub ntsej muag npog: Yuav kom pab koj nyob twj ywm thaum lub sijhawm kho mob, yuav muaj pwm tshwj xeeb lossis lub ntsej muag npog kom haum rau koj lub cev.
Siv cov ntaub ntawv no, koj pab neeg kho mob yuav siv sijhawm ob peb hnub los tsim ib txoj kev npaj kho mob uas tshwj xeeb rau koj.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Koj yuav tsis hnov mob thaum lub sijhawm kho mob.
Koj yuav raug tso rau tib qho chaw li koj tau nyob thaum lub sijhawm simulation. Yog tias tsim nyog, koj yuav tau txais ib lub npog ntsej muag tshwj xeeb lossis daim ntaub qhwv caj dab. Tom qab ntawd tus kws kho mob hluav taws xob yuav tawm hauv chav thiab qhib lub tshuab. Txawm li cas los xij , lawv yuav saib koj ntawm lub monitor thiab tham nrog koj ntawm lub intercom .
Lub tshuab tig ib ncig ntawm koj, ua suab sib txawv, thiab tsom cov hluav taws xob rau qee qhov chaw. Txhua yam koj yuav tsum ua yog nyob twj ywm, ntsiag to, thiab ua pa li qub. Tag nrho kev kho mob tuaj yeem siv sijhawm li 15-30 feeb. Txawm li cas los xij, qhov tseeb, cov hluav taws xob tsuas yog siv rau ob peb feeb xwb.
Cov kev mob tshwm sim feem ntau yog dab tsi?
Txawm tias peb sim txo qhov kev puas tsuaj rau cov hlwb noj qab haus huv ntau li ntau tau los xij, nws nyuaj rau tiv thaiv qee qhov kev puas tsuaj. Nws yog qhov kev puas tsuaj rau cov hlwb noj qab haus huv no uas ua rau muaj kev phiv.
Qhov tseem ceeb, cov kev mob tshwm sim no tsis zoo ib yam rau txhua tus . Lawv kuj nyob ntawm seb qhov twg ntawm lub cev raug kho nrog hluav taws xob. Piv txwv li, ib tus neeg uas tau txais kev kho mob rau lub taub hau yuav muaj plaub hau poob, tab sis ib tus neeg uas tau txais kev kho mob rau lub plab yuav tsis poob.
Qee qhov kev mob tshwm sim uas pom tau yog:
- Xav tias nkees heev (Qaug zog): Qhov no yog qhov tshwm sim feem ntau.
- Xeev siab thiab ntuav
- Kev ntshaw noj mov
- Liab, qhuav, lossis khaus ntawm daim tawv nqaij hauv thaj chaw kho mob
- Kev poob plaub hau hauv thaj chaw kho mob
- Nyuaj nqos yog tias kho qhov ncauj thiab caj pas
- Mob taub hau
Feem ntau ntawm cov kev mob tshwm sim no maj mam ploj mus li ob peb lub lis piam tom qab kev kho mob xaus. Tham nrog koj tus kws kho mob txog cov kev mob tshwm sim tshwj xeeb uas koj yuav ntsib thiab yuav ua li cas tswj lawv.Yog tias muaj tej yam tshwm sim tsis zoo los yog koj xav tias muaj dab tsi txawv txawv, qhia rau koj tus kws kho mob lossis chaw kho mob tam sim ntawd. Yog tias mob hnyav heev, nws yog ib qho tseem ceeb uas yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm tsev kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- EBRT yog ib txoj kev kho mob uas siv ntau heev, tsis mob, thiab tsom mus rau qhov mob qog noj ntshav niaj hnub no.
- Qhov no yog ua los ntawm ib pab kws kho mob tshwj xeeb. Lub hom phiaj tseem ceeb yog rhuav tshem cov hlwb qog nqaij hlav xwb thaum tseem tiv thaiv cov hlwb noj qab nyob zoo.
- Cov kev mob tshwm sim feem ntau yog ib ntus xwb. Hom kev mob tshwm sim uas tshwm sim nyob ntawm thaj chaw ntawm lub cev uas raug kho.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob yam qhib siab thiab ncaj ncees txog kev kho mob, cov kev mob tshwm sim, lossis txhua yam kev ntshai lossis kev txhawj xeeb uas koj muaj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus