Lo lus "kev kho mob hluav taws xob" tej zaum yuav zoo li ntshai me ntsis rau koj. Tab sis nws yog ib qho kev kho mob tseem ceeb thiab muaj zog heev thaum tawm tsam mob qog noj ntshav. Hnub no peb yuav tham txog ib qho kev kho mob hluav taws xob tshiab, zoo tshaj plaws thiab muaj kev nyab xeeb tshaj plaws. Ntawd yog VMAT. Cia peb saib nws yog dab tsi, nws ua haujlwm li cas, thiab nws cov txiaj ntsig yog dab tsi.
Hais yooj yim xwb, VMAT no yog dab tsi?
VMAT txhais tau tias Volumetric Modulated Arc Therapy . Qhov no yog kev kho mob uas siv hluav taws xob los ntawm sab nraud lub cev los tua cov hlwb qog noj ntshav. Hauv kev kho mob, peb hu qhov no ua Kev Kho Mob Hluav Taws Xob Sab Nraud (EBRT).
Xav txog seb, koj xav rhuav tshem ib lub qog nqaij hlav hauv koj lub cev, tab sis tsis ua rau muaj kev puas tsuaj rau cov kab mob zoo thiab noj qab nyob zoo nyob ib puag ncig nws. Thaum ntawd cov thev naus laus zis VMAT thiaj li tseem ceeb heev.
Nov yog qhov tshwm sim hauv kev kho mob no:
Thaum koj pw saum txaj kho mob, lub tshuab loj uas tso tawm cov hluav taws xob tig ib ncig ntawm koj ua ib lossis ntau lub voj voog. Lub tshuab no tsis ntaus koj. Tab sis thaum nws tig, nws tsom mus rau qhov mob qog noj ntshav thiab tso tawm cov hluav taws xob ntau npaum li cas.
Qhov tseem ceeb tshaj plaws yog tsis muaj cov khoom siv radioactive raug muab tso rau hauv koj lub cev thaum lub sijhawm kho mob no. Yog li ntawd , tsis tas yuav txhawj txog koj lub cev yuav muaj radioactive thaum lub sijhawm lossis tom qab kho mob.
VMAT yog ib qho kev kho mob siab heev ntawm IMRT (Intensity-Modulated Radiation Therapy) uas twb siv lawm. Es tsis txhob siv ib lub teeb loj ntawm cov hluav taws xob, IMRT siv ntau lub teeb me me los xa cov hluav taws xob mus rau qhov mob qog. Hauv VMAT, cov txheej txheem no raug ua thaum lub tshuab tig tas li (ua ib lub arc), yog li lub sijhawm kho mob luv heev.
Kev kho mob VMAT siv rau hom mob qog noj ntshav twg?
Vim yog qhov tseeb ntawm VMAT thev naus laus zis, nws yog ib qho kev daws teeb meem zoo tshaj plaws rau kev kho cov qog nqaij hlav uas muaj cov duab txawv txawv, lossis cov qog nqaij hlav uas nyob ze rau cov kabmob rhiab heev xws li lub hlwb, lub plawv, lossis tus txha caj qaum. Xav txog ib qho qog nqaij hlav uas tau loj hlob nyob ib puag ncig ib qho kabmob tseem ceeb. Hauv qhov xwm txheej zoo li no, VMAT tsuas yog kho tau tus kabmob yam tsis ua rau lub cev noj qab haus huv puas tsuaj.
Hauv qab no yog qee hom mob qog noj ntshav uas feem ntau siv rau txoj kev kho mob no.
| Hom mob qog noj ntshav | Cov khoom ntawm lub cev uas feem ntau kho |
|---|---|
| Mob qog noj ntshav hauv taub hau thiab caj dab | Tom qab lub qhov ntswg (Nasopharyngeal), caj pas (Oropharyngeal) |
| Mob qog noj ntshav hauv lub mis | Mob qog nqaij hlav ntsws, mob qog nqaij hlav mis, mob qog nqaij hlav txoj hlab pas |
| Mob qog nqaij hlav hauv plab thiab lub duav | Mob qog nqaij hlav prostate, mob qog nqaij hlav ntawm lub tsev menyuam, mob qog nqaij hlav ntawm qhov quav, mob qog nqaij hlav ntawm txoj hnyuv loj |
| Lub paj hlwb nruab nrab | Mob qog nqaij hlav hauv hlwb |
Lub tshuab VMAT no ua haujlwm li cas?
Lub hom phiaj tseem ceeb ntawm txoj kev no yog xa cov tshuaj tua kab mob mus rau qhov mob qog nqaij hlav thaum txo qhov kev puas tsuaj rau cov nqaij noj qab haus huv.
Thaum lub tshuab "Medical Linear Accelerator - LINAC" tig ib ncig ntawm koj, nws hloov pauv cov duab thiab lub zog ntawm lub teeb hluav taws xob uas nws tso tawm. Qhov no tshwm sim raws nraim li peb-seem (3D) duab ntawm tus mob qog noj ntshav. Cov tshuaj hluav taws xob muaj zog no ua rau puas tsuaj rau DNA ntawm cov hlwb qog noj ntshav, tua lawv. Tib lub sijhawm, lub tshuab no ua tib zoo saib xyuas kom cov hlwb noj qab haus huv ib puag ncig tau txais hluav taws xob tsawg heev.
Ua ntej kev kho mob pib muaj dab tsi tshwm sim? (Theem npaj)
Qhov tseem ceeb tshaj plaws ntawm kev vam meej ntawm kev kho mob VMAT yog theem npaj no. Nws zoo li kos ib daim ntawv qhia ua ntej mus rau hauv kev sib ntaus sib tua thiab cim qhov chaw uas tus yeeb ncuab nyob.
Koj tus kws kho mob oncologist thiab pab pawg kho mob yuav siv sijhawm ob peb hnub rau qhov no.
1. Duab 3D: Ua ntej, yuav tsum tau thaij CT scan, MRI, lossis PET scan kom tau cov duab 3D meej heev ntawm thaj chaw ntawm koj lub cev uas muaj mob qog noj ntshav. Cov duab no qhia qhov loj me, cov duab, thiab qhov chaw ntawm lub qog. Lawv kuj txheeb xyuas cov kab mob noj qab haus huv uas xav tau kev tiv thaiv los ntawm kev siv hluav taws xob.
2. Kev Teeb Tsa (Kev Ua Qauv):Tom ntej no, koj yuav raug coj mus rau ib qho kev sib tham tshwj xeeb hu ua "Simulation." Ntawm no, koj yuav raug muab tso rau ntawm lub txaj kho mob thiab qhov chaw raug yuav tsum nyob thaum lub sijhawm kho mob yuav raug txiav txim siab.
3. Kev Cim thiab Kev Txhawb Nqa: Vim tias koj yuav tsum nyob twj ywm tib qho chaw thaum lub sijhawm kho mob, qee zaum yuav muaj cov cim ib ntus rau ntawm koj daim tawv nqaij, xws li siv cwj mem. Qee zaum yuav muaj cov cim me me, ruaj khov, xws li daim duab kos rau ntawm daim tawv nqaij. Tsis tas li ntawd, vim tias koj yuav tsis tuaj yeem txav mus los thaum lub sijhawm kho mob, kev txhawb nqa, xws li pwm ua tshwj xeeb rau koj lub cev lossis lub npog ntsej muag uas hnav rau ntawm koj lub ntsej muag, yuav raug siv.
4. Kev npaj cov teeb hluav taws xob: Pawg neeg kho mob mam li npaj cov teeb hluav taws xob kom raug xa mus rau lub qog nrog kev pab los ntawm software hauv computer.
Xav txog seb, cov thev naus laus zis no tuaj yeem tswj cov teeb ci mus rau thaj chaw me me li lub hau cwj mem, uas yog, 2.5 x 5 millimeters. Nws yog qhov tseeb heev.
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Thaum koj tuaj txog hnub uas koj kho mob, tus kws kho mob hluav taws xob yuav muab koj tso rau ntawm lub txaj raws li tau npaj tseg. Tom qab ntawd nws yuav siv lub tshuab los ntawm ib chav sib cais. Txawm li cas los xij, koj yuav muaj peev xwm tham nrog nws los ntawm lub microphone.
Lub tshuab maj mam tig ib ncig ntawm koj. Thaum nws tig, cov teeb hluav taws xob ntawm ntau yam duab thiab lub zog sib txawv raug tsom mus rau qhov mob qog nqaij hlav. Koj yuav tsis hnov cov teeb hluav taws xob no. Tus kws kho mob hluav taws xob saib tag nrho cov txheej txheem nyob rau ntawm lub vijtsam computer. Yog li lawv tuaj yeem ua kom paub tseeb tias cov koob tshuaj raug xa mus rau qhov chaw zoo.
Kev kho mob yuav siv sijhawm ntev npaum li cas?
Tag nrho kev kho mob yuav siv sijhawm li 20 feeb . Tab sis feem ntau ntawm lub sijhawm no yog siv rau kev tso koj kom raug. Cov txheej txheem tiag tiag ntawm lub tshuab tig thiab xa cov hluav taws xob siv sijhawm luv luv heev, li ob feeb.
Nyob ntawm seb koj tus mob qog noj ntshav hom twg thiab theem twg, tej zaum koj yuav tau tuaj koom cov kev kho mob no txhua hnub rau ob peb lub lis piam. Koj tus kws kho mob yuav piav qhia koj lub sijhawm. Koj tuaj yeem mus tsev li qub tom qab kho mob tas.
Cov txiaj ntsig ntawm kev kho mob VMAT yog dab tsi?
Ob qhov zoo tshaj plaws ntawm VMAT thev naus laus zis yog qhov tseeb thiab ceev .
| Qhov zoo | Kev piav qhia |
|---|---|
| Kev Ntsuas Tseeb | Los ntawm kev tsom mus rau qhov mob qog nqaij hlav xwb, kev siv hluav taws xob yuav tiv thaiv tau kom tsis txhob mus txog cov nqaij thiab cov kabmob uas nyob ib puag ncig. Qhov no txo tau qhov kev pheej hmoo ntawm cov kev mob tshwm sim. |
| Ceev | Ib zaug kho mob tiav sai heev, kav li ob feeb. Kev kho mob sai dua, koj yuav siv sijhawm tsawg dua nyob hauv ib qho chaw. Tsis tas li ntawd, nws siv sijhawm tsawg dua ntawm koj hnub. |
Puas muaj tej yam tshwm sim tsis zoo?
Vim tias thev naus laus zis VMAT ua rau muaj kev puas tsuaj me ntsis rau cov hlwb noj qab haus huv, qhov kev pheej hmoo ntawm cov kev mob tshwm sim tsawg heev. Txawm li cas los xij, qee qib kev puas tsuaj ntawm cov hlwb yuav tsis tuaj yeem tiv thaiv tau.
Cov kev mob tshwm sim feem ntau nyob ntawm thaj chaw ntawm lub cev uas tau kho. Cov no feem ntau yog ib ntus xwb.
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Kev qaug zog | Qhov no yog qhov tshwm sim feem ntau pom. |
| Kev hloov pauv ntawm daim tawv nqaij | Liab, qhuav, khaus, o, lossis tev tawv nqaij ntawm thaj chaw kho mob. |
| Kev poob plaub hau | Cov plaub hau poob ib ntus tsuas yog tshwm sim hauv thaj chaw kho mob xwb. |
| Teeb meem ntawm lub plab zom mov | Thaum kho thaj tsam plab, xeev siab, ntuav, thiab raws plab yuav tshwm sim. |
| Mob taub hau | Nws tuaj yeem tshwm sim thaum kho cov cheeb tsam uas muaj feem cuam tshuam nrog lub hlwb. |
Kev kho mob thiab kev pab tswv yim tom qab kev kho mob
Txhua tus neeg txoj kev kho mob thiab lub sijhawm kho mob txawv. Ib txhia neeg yuav zoo dua tam sim ntawd tom qab kho mob, thaum lwm tus yuav siv sijhawm ntau lub hlis kom zoo tag nrho.
Qhov tseem ceeb tshaj plaws yog xyuas kom tseeb tias koj mus ntsib koj tus kws kho mob raws sijhawm. Cov sijhawm no yog los xyuas seb koj txoj kev kho mob ua haujlwm zoo li cas. Tsis tas li ntawd, qhib siab nrog koj tus kws kho mob txog txhua yam tsos mob lossis cov kev mob tshwm sim uas koj tab tom ntsib. Nov yog lub sijhawm zoo los nug txhua yam lus nug uas koj muaj.
Qhov txawv ntawm VMAT thiab IMRT yog dab tsi?
Raws li tau hais ua ntej lawm, VMAT yog ib qho kev kho mob siab heev ntawm IMRT. Ob qho tib si lub hom phiaj yog rhuav tshem cov hlwb qog noj ntshav thaum tseem cawm cov hlwb noj qab nyob zoo.
Qhov txawv tseem ceeb yog tias hauv IMRT, lub tshuab nres ntawm ntau lub kaum sab xis thiab tso tawm cov teeb ci ntsa iab. Hauv VMAT, lub tshuab tig ib puag ncig koj tas li, xa cov kev kho mob. Qhov no ua rau kev kho mob VMAT sai dua li IMRT.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- VMAT yog ib txoj kev kho mob qog noj ntshav uas siv hluav taws xob zoo heev, meej heev, thiab sai heev.
- Qhov zoo tshaj plaws ntawm qhov no yog tias nws tsuas yog tsom mus rau qhov mob qog nqaij hlav thiab txo qhov kev puas tsuaj rau cov kab mob noj qab haus huv ib puag ncig.
- Kev kho mob siv sijhawm luv luv heev (kwv yees li 2 feeb), yog li koj yuav tsis hnov mob ntau.
- Piv rau lwm yam kev kho mob hluav taws xob, qhov kev pheej hmoo ntawm cov kev mob tshwm sim tsawg heev. Cov kev mob tshwm sim uas tshwm sim feem ntau yog ib ntus xwb.
- Xav tias dawb tham nrog koj tus kws kho mob txog koj txoj kev npaj kho mob, tej yam tshwm sim tsis zoo, thiab txhua yam 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