Thaum koj pom tias koj lossis ib tus neeg koj hlub muaj mob qog noj ntshav, nws nyuaj rau piav qhia ua lus. Thiab thaum koj hnov txog kev kho mob, koj yuav ntshai ntxiv thaum koj hnov txog "kev kho mob hluav taws xob." Tab sis kev tshawb fawb kho mob zoo zuj zus txhua hnub. Hnub no peb yuav tham txog ib txoj kev kho mob ceev heev uas tsom mus rau cov hlwb qog noj ntshav xwb thiab txo qhov kev puas tsuaj rau cov hlwb noj qab haus huv. Qhov no hu ua VMAT.
Yog li, VMAT no yog dab tsi?
Hais yooj yim xwb, VMAT yog ib lo lus luv rau 'Vulumetric Modulated Arc Therapy'. Qhov no yog kev kho mob hluav taws xob uas siv los tua cov qog nqaij hlav. Yog hais kom meej, nws yog ib hom Kev Kho Mob Hluav Taws Xob Sab Nraud (EBRT). Qhov no txhais tau tias tsis muaj cov khoom siv hluav taws xob raug txhaj rau hauv koj lub cev. Yog li ntawd, tsis tas yuav txhawj txog cov hluav taws xob tawm ntawm koj lub cev thaum lub sijhawm lossis tom qab kev kho mob.
Xav txog seb, thaum koj pw hauv txaj, muaj ib lub tshuab loj maj mam tig ib ncig ntawm koj, tsom mus rau cov teeb ci ntsa iab, tsuas tsom mus rau thaj chaw uas muaj mob qog noj ntshav xwb. Qhov ntawd yog qhov tshwm sim nrog VMAT technology.
Qhov no yog ib qho version siab heev ntawm lwm txoj kev kho mob hluav taws xob, IMRT (Intensity-Modulated Radiation Therapy). Hauv IMRT, es tsis txhob siv ib lub teeb hluav taws xob loj, ntau lub teeb hluav taws xob me me ntawm ntau qhov sib txawv raug xa mus rau lub qog. Qhov no txo qhov kev puas tsuaj rau cov nqaij noj qab haus huv nyob ib puag ncig lub qog. Hauv VMAT, cov txheej txheem no tshwm sim thaum lub tshuab tig tas li, yog li kev kho mob tuaj yeem ua tiav tau meej heev thiab sai .
Kev kho mob VMAT siv rau hom mob qog noj ntshav twg?
Vim yog qhov tseeb ntawm cov thev naus laus zis VMAT, nws yog ib qho kev daws teeb meem zoo rau kev kho cov qog nqaij hlav uas muaj cov duab txawv txawv lossis nyob ze rau cov kab mob tseem ceeb hauv peb lub cev. Piv txwv li, koj tus kws kho mob qog nqaij hlav yuav pom zoo txoj kev no los kho cov qog nqaij hlav uas tau loj hlob nyob ib puag ncig ib lub cev.
Kev kho mob VMAT feem ntau yog siv rau cov hom mob qog noj ntshav hauv qab no.
| Cov hom mob qog noj ntshav uas feem ntau siv kev kho mob VMAT | |
|---|---|
| Mob qog nqaij hlav prostate | Mob qog noj ntshav hauv lub mis |
| Mob qog noj ntshav hauv taub hau thiab caj dab | Mob qog nqaij hlav ntawm lub tsev menyuam |
| Mob qog nqaij hlav ntsws | Mob qog nqaij hlav ntawm txoj hnyuv |
| Mob qog nqaij hlav ntawm qhov quav | Mob qog nqaij hlav ntawm txoj hlab pas |
| Mob qog nqaij hlav hauv hlwb | Mob qog nqaij hlav ntawm lub qhov ncauj thiab lub qhov ntswg/nasopharyngeal |
Qhov no ua haujlwm li cas? Muaj dab tsi tshwm sim ua ntej kev kho mob?
Kev kho mob VMAT yog ib qho txheej txheem uas tau npaj tseg zoo heev. Nws muaj ntau kauj ruam tseem ceeb.
1. Kev Npaj Kho Mob (Kev Npaj & Kev Ua Qauv)
Qhov no yog kauj ruam tseem ceeb tshaj plaws. Koj pab neeg kho mob yuav xub thaij duab peb-seem (3D) ntawm koj lub cev. Qhov no feem ntau ua tiav los ntawm kev siv CT scan, tab sis qee zaum MRI lossis PET scan. Cov duab no yuav pab lawv txiav txim siab qhov twg mob qog noj ntshav nyob, nws qhov loj me, cov duab, thiab cov kab mob noj qab haus huv nyob ib puag ncig nws uas xav tau kev tiv thaiv los ntawm kev siv hluav taws xob.
Tom qab ntawd muaj ib lub rooj sib tham npaj hu ua "kev ua qauv qhia". Ntawm no,
- Koj yuav raug muab tso rau hauv qhov chaw raug ntawm lub rooj zaum kho mob thiab lub teeb hluav taws xob yuav raug tso rau hauv qhov chaw kom nws ntaus rau ntawm qog nqaij hlav raws nraim.
- Koj siv tau ib lub cim cim ib ntus los yog ib lub cim cim tas mus li, xws li ib daim duab kos me me, rau ntawm koj daim tawv nqaij los cim qhov chaw tseeb ntawm tus mob qog noj ntshav.
- Koj kuj tseem siv tau pwm lossis daim npog ntsej muag uas ua tshwj xeeb rau koj lub cev kom koj nyob rau tib qho chaw yam tsis txav thaum lub sijhawm kho mob.
Cov txheej txheem npaj no yuav siv sijhawm ib hnub lossis ob peb hnub, vim tias kev kho mob yuav tsum tau kho kom haum rau koj tus mob qog noj ntshav, siv cov teeb ci me me li lub hau cwj mem (2.5 x 5 millimeters).
2. Thaum lub sijhawm VMAT
Tus kws kho mob hluav taws xob yuav muab koj tso rau ntawm lub txaj kho mob tib qho chaw uas koj tau nyob thaum lub sijhawm npaj. Tom qab ntawd nws yuav tswj lub tshuab uas xa cov hluav taws xob, hu ua "LINAC - Linear Accelerator", los ntawm ib chav sib cais. Koj yuav muaj peev xwm tham nrog nws los ntawm lub microphone.
Thaum kev kho mob pib, lub tshuab LINAC 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. Koj yuav tsis hnov cov teeb hluav taws xob no, thiab koj yuav tsis hnov mob dab tsi. Tus kws kho mob hluav taws xob yuav saib xyuas txhua yam kom zoo zoo ntawm lub vijtsam computer.
Txawm hais tias tag nrho kev kho mob siv sijhawm li 20 feeb los xij, qhov tseeb, cov tshuaj tua kab mob tsuas yog siv sijhawm luv luv xwb, li ob feeb. Lub sijhawm seem yog siv rau kev tso koj tus kheej kom raug.
3. Tom qab kev kho mob (Tom qab VMAT)
Thaum kev kho mob tiav lawm, koj tuaj yeem mus tsev thiab rov ua koj tej dej num niaj hnub li qub.
Cov txiaj ntsig ntawm kev kho mob VMAT yog dab tsi?
Muaj ob qhov zoo ntawm kev kho mob VMAT: qhov tseeb thiab qhov ceev.
Kev Tseeb: Vim tias thev naus laus zis VMAT tsom mus rau qhov mob qog thiab xa hluav taws xob, kev puas tsuaj rau cov nqaij noj qab haus huv ib puag ncig yog tsawg heev. Qhov no yog qhov zoo tshaj plaws.
Kev Ceev: Ib zaug kho mob tuaj yeem ua tiav hauv ob peb feeb xwb. Kev kho mob sai dua, lub sijhawm tsawg dua uas koj yuav tsum nyob hauv tib qho chaw. Thiab kev kho mob raug dua.
Puas muaj tej yam tshwm sim tsis zoo?
Vim tias kev kho mob VMAT ua rau muaj kev puas tsuaj tsawg dua rau cov nqaij noj qab haus huv, qhov kev pheej hmoo ntawm cov kev mob tshwm sim kuj tsawg. Txawm li cas los xij, qee qhov kev puas tsuaj rau cov hlwb noj qab haus huv tsis tuaj yeem tiv thaiv tau. Txawm hais tias cov kev mob tshwm sim lossis tsis tshwm sim, thiab lawv yog dab tsi, sib txawv nyob ntawm thaj chaw ntawm lub cev uas tau kho .
| Cov teebmeem sab nraud | Kev piav qhia |
|---|---|
| Kev qaug zog | Qhov no yog qhov tshwm sim feem ntau. |
| Xeev siab thiab ntuav | Qhov no tuaj yeem tshwm sim tshwj xeeb tshaj yog thaum kho thaj tsam plab. |
| Mob raws plab | Tej zaum yuav tshwm sim thaum kho lub plab lossis thaj chaw pelvic. |
| Kev poob plaub hau | Thaum kho lub taub hau lossis caj dab, nws tsuas yog tshwm sim hauv thaj chaw ntawd xwb. |
| Kev hloov pauv ntawm daim tawv nqaij | Daim tawv nqaij liab, qhuav, khaus, lossis o ntawm thaj chaw kho mob. |
Txhua tus neeg txoj kev paub txawv. Ib txhia neeg yuav zoo dua tam sim ntawd tom qab kho mob. Lwm tus yuav siv sijhawm ntau lub hlis kom rov zoo tag nrho. Nug koj tus kws kho mob seb yuav xav li cas raws li koj tus mob.
Koj yuav tau teem caij ntsib kws kho mob tom qab koj kho mob tas. Nco ntsoov mus ntsib txhua lub sijhawm teem tseg no. Tham nrog koj tus kws kho mob txog tej tsos mob lossis tej yam tshwm sim uas koj muaj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- VMAT yog ib txoj kev kho mob hluav taws xob uas zoo heev thiab raug heev uas tsuas yog tsom rau cov hlwb qog noj ntshav xwb thiab txo qhov kev puas tsuaj rau cov nqaij noj qab haus huv.
- Cov kev kho mob no ua sai heev. Tsuas yog siv ob peb feeb xwb los xa cov hluav taws xob.
- Vim yog qhov tseeb dua, muaj tsawg dua qhov muaj cov kev mob tshwm sim dua li kev kho mob hluav taws xob ib txwm muaj.
- Tsis muaj mob thaum lub sijhawm kho mob, thiab koj tuaj yeem mus tsev li qub tom qab kho mob tas.
- Tham nrog koj tus kws kho mob qog nqaij hlav txog seb qhov kev kho mob no puas yog rau koj thiab qhov tshwm sim thiab cov kev mob tshwm sim yuav tshwm sim li cas.
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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