Chithandizo chatsopano cha khansa ya m'mawere: Tiyeni tiphunzire za Proton Therapy

Ngati dokotala wanu wanena kuti muli ndi khansa ya m'mawere , mungapatsidwe chithandizo cha radiation ngati gawo la dongosolo lanu la chithandizo. Chithandizochi nthawi zambiri chimalimbikitsidwa, makamaka ngati mwachitidwa opaleshoni ya mastectomy , ngati khansayo ndi yayikulu, kapena ngati khansayo yafalikira ku ma lymph nodes m'khwapa mwanu kapena m'malo ena. Zingathandizenso kupewa khansayo kuti isabwererenso mutachita opaleshoni yosamalira mawere.

Kodi Proton Therapy ndi chiyani?

Mtundu wodziwika bwino wa chithandizo cha radiation chomwe chimagwiritsidwa ntchito pa khansa ya m'mawere ndi external beam radiation. Mtundu wapadera komanso wapamwamba wa izi umatchedwa proton therapy . Nthawi zina umatchedwa intensity modulated proton therapy, kapena IMPT.

Ubwino wa chithandizochi ndi wakuti kuwala kwa radiation kumayang'ana mwachindunji pa chotupa cha khansa. Chifukwa chake, kuwonongeka kwa minofu yathanzi yozungulira khansa, ndiko kuti, ziwalo, ndi kochepa kwambiri. Taganizirani izi, mabere athu ali pafupi kwambiri ndi mtima ndi mapapo. Chifukwa chake madokotala amati njira iyi yothandizira ma proton ikhoza kuchiritsa khansa pomwe imachepetsa kuwonongeka komwe kuwala kungayambitse ku ziwalo zamtengo wapatalizo.

Kodi izi zikusiyana bwanji ndi chithandizo cha radiation cha nthawi zonse?

Mwachidule, chithandizo cha proton ndi chithandizo cha radiation chachikhalidwe chimawononga DNA mkati mwa maselo a khansa ndi kuwapha. Koma momwe amachitira izi ndi zosiyana.

Tiyeni timvetse kusiyana kumeneku momveka bwino.

Kodi izi zimapindulitsa bwanji akazi omwe ali ndi khansa ya m'mawere?

Azimayi omwe ali ndi khansa ya m'mawere ya kumanzere omwe amalandira chithandizo cha radiation (X-ray) ali pachiwopsezo chachikulu chokhala ndi mavuto akuluakulu a mtima, monga matenda a mtima, omwe amayamba chifukwa cha kuchepa kwa mitsempha yamagazi mumtima. Kafukufuku wa 2017 adapeza kuti chiopsezochi chikhoza kuyamba mkati mwa zaka 10 zoyambirira za chithandizo.

Choncho chithandizo cha proton ndi chothandiza kwambiri popewa mavuto otere.

Ubwino wina wa chithandizochi ndi:

• Palibe ululu: Ichi si chithandizo chopweteka.
• Palibe opaleshoni: Palibe chifukwa chodula kapena kudula kulikonse pa thupi (osavulaza).
• Zingachitike ndi mankhwala ena: Izi zitha kuchitika ndi mankhwala ena omwe mukulandira chifukwa cha khansa (monga chemotherapy).
• Kuika Mabere Pachifuwa Si Vuto: Chithandizochi chingachitike ngakhale mutaikapo mabere pa chifuwa.

Monga momwe zimakhalira ndi mankhwala onse, pali zotsatirapo zina zazing'ono. Zofala kwambiri ndi kutopa, kufiira , kutayika kwa tsitsi, komanso kufooka kwa khungu pamalo ochizira . Komabe, izi sizichitika kawirikawiri poyerekeza ndi chithandizo cha radiation.

Ndi mitundu iti ya khansa ya m'mawere yomwe ingachiritsidwe ndi chithandizo cha proton?

Iyi ndi mfundo yofunika kwambiri. Muyenera kulankhula ndi dokotala wanu ngati chithandizochi chili choyenera kwa inu, mtundu wanu komanso gawo lanu la khansa.

Pali zochitika zingapo zomwe chithandizochi chingaganizidwe:

• Ngati muli ndi khansa ya m'mawere ya gawo 1, 2, kapena 3 (Gawo I, II, kapena III).
• Ngati khansa yafalikira mpaka pakhoma la pachifuwa, pakhungu, kapena m'khwapa, koma sinafalikire ku ziwalo zina zakutali, imatchedwa 'khansa ya m'mawere yopita patsogolo m'deralo'.
• Ngati pali maselo a khansa m'maselo a lymph node, imatchedwa ``khansa ya m'mawere yokhala ndi ma node``.

Komanso, khansa yanu ingakhale yoyenera kugwiritsa ntchito mankhwalawa ngakhale itakhala imodzi mwa mitundu iyi:

• Cholandira cha Estrogen (ER) chabwino kapena choipa.
• Cholandira cha progesterone (PR) chabwino kapena choipa.
• HER2/neu zabwino kapena zoipa.
• Kupezeka ndi zotsatira zabwino zitatu: Kukhala ndi zotsatira zabwino pa zonse zitatu izi: ER, PR, ndi HER2.
• Katatu koipa: Koipa pa zonse zitatu izi: ER, PR, ndi HER2.

Kafukufuku pa izi akupitirirabe, kotero njira yabwino yopezera zambiri zaposachedwa ndikulankhula ndi dokotala wanu.

Kodi chithandizochi chimagwira ntchito bwanji?

Madokotala anu a radiology ndi madokotala amagwira ntchito limodzi kuti apange dongosolo la chithandizo lomwe likugwirizana ndi inu.

1. Gawo Loyeserera: Masiku angapo musanalandire chithandizo choyamba, mudzatengedwera ku gawoli. Apa, gulu la akatswiri owunikira za radiation lidzalemba malo enieni pa thupi lanu komwe chithandizocho chidzaperekedwe. Izi zitha kuchitika pojambula mizere ndi chizindikiro chokhazikika kapena popaka madontho ang'onoang'ono, ofanana ndi ma tattoo.

2. Pa nthawi ya chithandizo: Muyenera kugona pabedi nthawi ya chithandizo. Ngati mutasuntha, kuwala kwa radiation kungaphonye khansa. Mutha kuyikidwa mu chimango chapadera kuti mukhale chete. Chithandizo chingatenge mphindi pafupifupi 30.

3. Nthawi ya chithandizo: Magawo angapo a chithandizo chotere ayenera kuchitika kwa nthawi ya masabata pafupifupi 6.

Kodi chithandizochi chikupezeka ku Sri Lanka?

Chithandizo cha proton chimafuna makina akuluakulu, apadera, komanso okwera mtengo otchedwa cyclotrons kapena synchrotrons. Chifukwa chake, si mayiko kapena zipatala zonse padziko lapansi zomwe zili ndi malo ochitira izi.

Chifukwa iyi ndi ukadaulo wapamwamba kwambiri komanso watsopano,Chithandizochi sichikupezeka kwambiri ku Sri Lanka pakadali pano. Komabe, pamene ukadaulo ukupita patsogolo, malowa adzafika m'dziko lathu mtsogolomu. Njira yabwino kwambiri yopezera chidziwitso cholondola komanso chaposachedwa chokhudza izi ndikulankhula ndi dokotala wanu wa khansa, makamaka wochokera kuchipatala chachikulu cha khansa monga Apeksha Hospital.

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