Ukuba ugqirha wakho uthi unomhlaza webele , unganikwa unyango lwemitha njengenxalenye yesicwangciso sakho sonyango. Olu nyango ludla ngokucetyiswa, ingakumbi ukuba ukhe wanqunyulwa ibele , ukuba umhlaza mkhulu, okanye ukuba umhlaza usasazeke kwi- lymph nodes ekhwapheni lakho okanye kwezinye iindawo. Lunokunceda ukuthintela umhlaza ukuba ungabuyi emva kotyando lokulondoloza amabele.
Yintoni iProton Therapy?
Uhlobo oluqhelekileyo lonyango lwemitha olusetyenziswa kumhlaza webele yimitha yangaphandle. Uhlobo olukhethekileyo noluphucukileyo loku lubizwa ngokuba yi -proton therapy . Ngamanye amaxesha lubizwa ngokuba yi-intensity modulated proton therapy, okanye i-IMPT.
Ingcali yolu nyango kukuba umsebe wemitha ujoliswe ngqo kwithumba lomhlaza. Ke ngoko, umonakalo kwizicubu eziphilileyo ezijikeleze umhlaza, oko kukuthi, amalungu omzimba, mncinane kakhulu. Cinga ngayo, amabele ethu akufutshane kakhulu nentliziyo nemiphunga. Ngoko ke oogqirha bathi le ndlela yonyango lweproton inokunyanga umhlaza ngelixa inciphisa umonakalo onokwenziwa yimitha kuloo malungu axabisekileyo.
Oku kwahluke njani kunyango oluqhelekileyo lwemitha?
Ngamafutshane, unyango lweproton kunye nonyango lweradiation lwendabuko zonakalisa i-DNA engaphakathi kwiiseli zomhlaza kwaye ziyazibulala. Kodwa indlela abazenza ngayo yahlukile.
Cinga ngonyango oluqhelekileyo lwemitha njengebhotile yamanzi. Xa uyitshiza, amanzi asasazeka kuyo yonke indawo. Ngokufanayo, unyango lweproton lufana nesibhamu samanzi esidlalayo. Lunokudubula amanzi ngqo kwindawo ekujoliswe kuyo.
Masiwuqonde kakuhle lo mahluko.
| Uphawu | Unyango oluqhelekileyo lwemitha (i-X-ray) | Unyango lweProton |
|---|---|---|
| Amasuntswana asetyenzisiweyo | Kusetyenziswa imisebe yamandla aphezulu (ii-X-ray) ezibizwa ngokuba zii-photon. | Kusetyenziswa imiqadi yamasuntswana atshajiweyo abizwa ngokuba ziiproton. |
| Ukudlula emzimbeni | Le mitha ingena emzimbeni, idlule kumhlaza, ize ihambe ijikeleze wona. Oku kuthetha ukuba imitha ifikelela nakwizicwili eziphilileyo ngaphaya komhlaza. | Umqadi weproton uyayeka xa ufika kumhlaza, oko kuthetha ukuba izicwili eziphilileyo ngaphaya komhlaza azichaphazeleki ngokupheleleyo yimitha. |
| Ukonakala kwezicubu ezisempilweni | Kukho umngcipheko omkhulu wokonakala kwezicubu ezisempilweni ezijikeleze umhlaza (umz. intliziyo, imiphunga). | Umngcipheko wokonakala kwezicwili eziphilileyo uphantsi kakhulu . |
Zeziphi iingenelo eziziswa koku kubafazi abanomhlaza webele?
Abafazi abanomhlaza webele okwicala lasekhohlo abafumana unyango lwe-radiation oluqhelekileyo (ii-X-ray) basengozini enkulu yokuba neengxaki ezinkulu zentliziyo, ezifana nesifo sentliziyo esibangelwa kukuncipha kwemithambo yegazi entliziyweni. Uphononongo luka-2017 lufumanise ukuba le ngozi inokuqala kwiminyaka eli-10 yokuqala yonyango.
Ngoko ke unyango lweproton luluncedo olukhulu ekuphepheni iingxaki ezinjalo.
Ezinye iingenelo zale nyango zezi:
- Akukho ntlungu: Olu ayilonyango lubuhlungu.
- Akukho tyando: Akukho mfuneko yokusika okanye yokusika naphi na emzimbeni (ayingenisi ntsholongwane).
- Ingenziwa ngezinye iindlela zonyango: Oku kungenziwa ngezinye iindlela zonyango olufumanayo lomhlaza (umz. i-chemotherapy).
- Ukufakelwa Kwee-Breast Akuyongxaki: Olu nyango lungenziwa nokuba sele ufakwe i-breast implant.
Njengakwezinye iindlela zonyango, kukho iziphumo ebezingalindelekanga ezincinci. Ezona zixhaphakileyo kukudinwa, ukuba bomvu , ukulahleka kweenwele, kunye nokungaziva kakuhle kwesikhumba kwindawo yonyango . Nangona kunjalo, ezi azixhaphakanga kangako kunezo zonyango oluqhelekileyo lwemitha.
Zeziphi iintlobo zomhlaza webele ezinokunyangwa ngonyango lweproton?
Eli linqaku elibaluleke kakhulu. Ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho malunga nokuba olu nyango lukulungele na, uhlobo lwakho kunye nenqanaba lomhlaza.
Kukho iimeko ezininzi eziqhelekileyo apho olu nyango lunokuqwalaselwa khona:
- Ukuba unesigaba 1, 2, okanye 3 somhlaza webele (Isigaba I, II, okanye III).
- Ukuba umhlaza usasazeke eludongeni lwesifuba, eluswini, okanye kumadlala ekhwapheni, kodwa awusasazekanga nakwamanye amalungu akude, ubizwa ngokuba 'ngumhlaza webele oqhubele phambili kwindawo ethile'.
- Ukuba kukho iiseli zomhlaza kwi-lymph nodes, ibizwa ngokuba yi-"node-positive breast cancer".
Kwakhona, umhlaza wakho ungafaneleka kolu nyango nokuba lolunye lweentlobo ezilandelayo:
- I-estrogen receptor (ER) ilungile okanye ayilunganga.
- I-Progesterone receptor (PR) ilungile okanye ayilunganga.
- I-HER2/neu ilungile okanye ayilunganga.
- Ubungqina obuthathu obuqinisekileyo: Ukuba nethemba kuzo zontathu ezi zinto zilandelayo: ER, PR, kunye neHER2.
- I-Triple negative: I-Negative kuzo zontathu ezi zilandelayo: i-ER, i-PR, kunye ne-HER2.
Uphando ngale nto lusaqhubeka, ngoko ke eyona ndlela ilungileyo yokufumana ulwazi lwamva nje kukuthetha nogqirha wakho.
Lusebenza njani unyango?
Iingcali zakho ze-radiology kunye noogqirha basebenzisana ukwenza isicwangciso sonyango esifanelekileyo kuwe.
1. Iseshoni yokulinganisa: Kwiintsuku ezimbalwa ngaphambi konyango lwakho lokuqala, uza kusiwa kule seshoni. Apha, iqela le-radiation liza kuphawula indawo echanekileyo emzimbeni wakho apho unyango luza kunikwa khona. Oku kungenziwa ngokuzoba imigca ngophawu olusisigxina okanye ngokufaka amachaphaza amancinci, afana neetattoo.
2. Ngexesha lonyango: Kuya kufuneka ulale ungashukumi ebhedini ngexesha lonyango. Ukuba uyashukuma, umsebe wemitha ungawuboni umhlaza. Ungabekwa kwifreyimu ekhethekileyo ukuze uhlale ungashukumi. Iseshoni yonyango ingathabatha malunga nemizuzu engama-30.
3. Ixesha lonyango: Iiseshoni zonyango ezinjalo ezininzi kuya kufuneka zenziwe kwixesha elimalunga neeveki ezi-6.
Ingaba olu nyango lufumaneka eSri Lanka?
Unyango lweProton lufuna oomatshini abakhulu kakhulu, abakhethekileyo, nababiza kakhulu ababizwa ngokuba yicyclotrons okanye ii-synchrotrons. Ke ngoko, ayizizo zonke iintlanga okanye izibhedlele ehlabathini ezinale ndawo.
Ngenxa yokuba le yiteknoloji entsha nephucukileyo kakhulu,Olu nyango lusenokungafumaneki ngokubanzi eSri Lanka okwangoku. Nangona kunjalo, njengoko ubuchwepheshe buqhubela phambili, esi sikhungo siza kuza kwilizwe lethu kwixesha elizayo. Eyona ndlela ilungileyo yokufumana ulwazi oluchanekileyo noluhlaziyiweyo malunga noku kukuthetha nogqirha wakho we-oncologist, ingakumbi ovela kwisibhedlele esikhulu somhlaza esifana ne-Apeksha Hospital.
Umyalezo Wokuya Ekhaya
- Unyango lweProton yindlela yonyango ephucukileyo enika imitha ejolise kakhulu esetyenziselwa umhlaza webele.
- Eyona nzuzo iphambili yoku kukuba umonakalo wemitha kwizitho ezisempilweni ezikufutshane nomhlaza, njengentliziyo nemiphunga, awukho mkhulu.
- Olu nyango alufanelekanga kuzo zonke iintlobo zomhlaza webele okanye kuwo wonke umguli.
- Eyona ndlela ilungileyo neyona ilungileyo yokwazi ukuba olu nyango lukulungele na kukuxoxa ngalo nogqirha wakho we-oncologist.
- Ekubeni le yiteknoloji entsha engekafumaneki lula eSri Lanka, buza ugqirha wakho malunga namandla ayo.
Umhlaza webele, unyango lweproton, unyango lweradiation, unyango lomhlaza, impilo yabasetyhini, umhlaza webele iSinhala , unyango lweproton eSri Lanka
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