Uma udokotela wakho ethi unomdlavuza webele , ungase unikezwe ukwelashwa ngemisebe njengengxenye yohlelo lwakho lokwelashwa. Lokhu kwelashwa kuvame ukunconywa, ikakhulukazi uma uke wahlinzwa i- mastectomy , uma umdlavuza mkhulu, noma uma umdlavuza ususakazekele kuma -lymph node ekhwapheni lakho noma kwezinye izindawo. Kungasiza futhi ekuvimbeleni umdlavuza ukuthi ungabuyi ngemva kokuhlinzwa kokulondoloza amabele.
Kuyini Ukwelashwa Nge-Proton?
Uhlobo oluvame kakhulu lokwelashwa ngemisebe olusetshenziswa umdlavuza webele yi-external beam radiation. Uhlobo olukhethekile noluthuthukile lwalokhu lubizwa ngokuthi i-proton therapy . Ngezinye izikhathi lubizwa ngokuthi i-intensity modulated proton therapy, noma i-IMPT.
Ubuchwepheshe balokhu kwelashwa ukuthi umsebe wemisebe uqondiswe ngqo esimila somdlavuza. Ngakho-ke, umonakalo ezicutshini ezinempilo ezizungeze umdlavuza, okungukuthi, izitho zomzimba, mncane kakhulu. Cabanga ngakho, amabele ethu aseduze kakhulu nenhliziyo namaphaphu. Ngakho odokotela bathi le ndlela yokwelapha nge-proton ingayelapha umdlavuza ngenkathi inciphisa umonakalo ongabangwa yimisebe kulezo zitho eziyigugu.
Lokhu kuhluke kanjani ekwelashweni ngemisebe okuvamile?
Kalula nje, kokubili ukwelashwa nge-proton kanye nokwelashwa ngemisebe yendabuko kulimaza i-DNA engaphakathi kwamangqamuzana omdlavuza futhi kuyawabulala. Kodwa indlela abakwenza ngayo ihlukile.
Cabanga ngokwelashwa ngemisebe okuvamile njengebhodlela lamanzi elifuthwayo. Uma ulifutha, amanzi asakazeka yonke indawo. Ngokufanayo, ukwelashwa nge-proton kufana nesibhamu samanzi esithoyizi. Kungadubula amanzi ngqo endaweni okuhlosiwe kuyo.
Ake siwuqonde kahle lo mehluko.
| Isici | Ukwelashwa ngemisebe okuvamile (i-X-ray) | Ukwelashwa kweProton |
|---|---|---|
| Izinhlayiya ezisetshenzisiwe | Kusetshenziswa imisebe enamandla aphezulu (ama-X-ray) abizwa ngokuthi ama-photon. | Kusetshenziswa imisebe yezinhlayiya ezishajiwe ezibizwa ngokuthi ama-proton. |
| Ukudlula emzimbeni | Le misebe ingena emzimbeni, idlule kumdlavuza, bese ihambahamba kuwo. Lokhu kusho ukuthi imisebe ifinyelela nasezicutshini ezinempilo ngale komdlavuza. | Ukukhanya kweproton kuyama lapho kufika umdlavuza, okusho ukuthi izicubu eziphilile ngale komdlavuza cishe azithinteki nhlobo ngemisebe. |
| Ukulimala kwezicubu ezinempilo | Kukhona ingozi enkulu yokulimala kwezicubu ezinempilo ezizungeze umdlavuza (isib. inhliziyo, amaphaphu). | Ingozi yokulimala kwezicubu ezinempilo iphansi kakhulu . |
Yiziphi izinzuzo lokhu okuziletha kwabesifazane abanomdlavuza webele?
Abesifazane abanomdlavuza webele ohlangothini lwesobunxele abathola ukwelashwa ngemisebe okuvamile (ama-X-ray) basengozini enkulu yokuthola izinkinga ezinkulu zenhliziyo, njengesifo senhliziyo esibangelwa ukuncipha kwemithambo yegazi enhliziyweni. Ucwaningo lwango-2017 luthole ukuthi le ngozi ingaqala phakathi neminyaka eyi-10 yokuqala yokwelashwa.
Ngakho-ke ukwelashwa nge-proton kuwusizo olukhulu ekugwemeni izinkinga ezinjalo.
Ezinye izinzuzo zalolu hlobo lokwelashwa yilezi:
- Akukho buhlungu: Lokhu akuyona indlela yokwelapha ebuhlungu.
- Akukho ukuhlinzwa: Asikho isidingo sokusika noma ukusika noma kuphi emzimbeni (okungahlaseli).
- Kungenziwa ngezinye izindlela zokwelapha: Lokhu kungenziwa ngezinye izindlela zokwelapha ozitholayo zomdlavuza (isib. i-chemotherapy).
- Ukufakelwa Kwebele Akuyona Inkinga: Lokhu kwelashwa kungenziwa noma ngabe uke wafakelwa ibele.
Njengakuzo zonke izindlela zokwelapha, kunemiphumela emibi emincane. Evame kakhulu ukukhathala, ukubomvu , ukulahleka kwezinwele, kanye nokuzwela kwesikhumba endaweni yokwelashwa . Kodwa-ke, lokhu akuvamile kakhulu kunangemithi yokwelapha ngemisebe ejwayelekile.
Yiziphi izinhlobo zomdlavuza webele ezingelashwa ngokwelashwa nge-proton?
Leli iphuzu elibaluleke kakhulu. Kufanele nakanjani ukhulume nodokotela wakho mayelana nokuthi lokhu kwelashwa kulungile yini kuwe, ngohlobo lwakho kanye nesigaba somdlavuza.
Kunezimo eziningana ezivamile lapho lokhu kwelashwa kungacatshangelwa khona:
- Uma unesigaba 1, 2, noma 3 somdlavuza webele (Isigaba I, II, noma III).
- Uma umdlavuza ususakazekele odongeni lwesifuba, esikhumbeni, noma emakhwapheni, kodwa ungasakazekelanga kwezinye izitho ezikude, ubizwa ngokuthi 'umdlavuza webele othuthuke kakhulu endaweni'.
- Uma kukhona amangqamuzana omdlavuza kuma-lymph node, kubizwa ngokuthi "umdlavuza webele one-node-positive".
Futhi, umdlavuza wakho ungase ufanelekele lolu hlobo lokwelashwa noma ngabe ungolunye lwalezi zinhlobo ezilandelayo:
- I-estrogen receptor (ER) inhle noma imbi.
- I-progesterone receptor (PR) inhle noma imbi.
- I-HER2/neu enhle noma engemihle.
- Umphumela omuhle kathathu: Ukuba nomthelela omuhle kuzo zonke ezintathu ezilandelayo: i-ER, i-PR, kanye ne-HER2.
- Okubi kathathu: Okubi kuzo zonke ezintathu ezilandelayo: i-ER, i-PR, kanye ne-HER2.
Ucwaningo ngalokhu lusaqhubeka, ngakho-ke indlela engcono kakhulu yokuthola ulwazi lwakamuva ukukhuluma nodokotela wakho.
Ukwelashwa kusebenza kanjani?
Odokotela bakho be-X-ray kanye nodokotela basebenzisana ukudala uhlelo lokwelashwa olufanele wena.
1. Iseshini Yokulingisa: Ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho kokuqala, uzoyiswa kulesi seshini. Lapha, ithimba lemisebe lizomaka indawo eqondile emzimbeni wakho lapho ukwelashwa kuzonikezwa khona. Lokhu kungenziwa ngokudweba imigqa ngophawu oluhlala njalo noma ngokufaka amachashazi amancane, afana nama-tattoo.
2. Ngesikhathi sokwelashwa: Kuzodingeka ulale unganyakazi embhedeni ngesikhathi sokwelashwa. Uma unyakazi, umsebe wemisebe ungase ungawuboni umdlavuza. Ungabekwa ohlakeni olukhethekile ukuze uhlale unganyakazi. Isikhathi sokwelashwa singase sithathe imizuzu engaba ngu-30.
3. Isikhathi sokwelashwa: Kuzodingeka kwenziwe izikhathi eziningana zokwelashwa esikhathini esingamaviki ayisithupha.
Ingabe lolu hlobo lokwelashwa luyatholakala eSri Lanka?
Ukwelashwa nge-proton kudinga imishini emikhulu kakhulu, ekhethekile, futhi ebizayo ebizwa ngokuthi ama-cyclotron noma ama-synchrotron. Ngakho-ke, akuwona wonke amazwe noma izibhedlela emhlabeni onalesi sikhungo.
Ngenxa yokuthi lobu ubuchwepheshe obuthuthuke kakhulu futhi obusha,Lokhu kwelashwa kungenzeka kungatholakali kabanzi eSri Lanka okwamanje. Kodwa-ke, njengoba ubuchwepheshe buthuthuka, lesi sikhungo sizofika ezweni lethu esikhathini esizayo. Indlela engcono kakhulu yokuthola ulwazi olunembile nolusesikhathini ngalokhu ukukhuluma nodokotela wakho womdlavuza, ikakhulukazi ovela esibhedlela esikhulu somdlavuza njenge-Apeksha Hospital.
Umlayezo Wokuya Nawe Ekhaya
- Ukwelashwa nge-proton kuyindlela yokwelapha ethuthukisiwe enikeza imisebe eqondiswe kakhulu esetshenziselwa umdlavuza webele.
- Inzuzo enkulu yalokhu ukuthi umonakalo wemisebe ezithweni ezinempilo eziseduze nomdlavuza, njengenhliziyo namaphaphu, mncane kakhulu.
- Lokhu kwelashwa akufaneleki kuzo zonke izinhlobo zomdlavuza webele noma kuzo zonke iziguli.
- Indlela kuphela nengcono kakhulu yokwazi ukuthi lokhu kwelashwa kulungile yini kuwe ukuxoxa ngakho nodokotela wakho wezifo zomdlavuza.
- Njengoba lobu ubuchwepheshe obusha obungakatholakali kabanzi eSri Lanka, buza udokotela wakho ngamakhono abo.
Umdlavuza webele, ukwelashwa nge-proton, ukwelashwa ngemisebe, ukwelashwa komdlavuza, impilo yabesifazane, umdlavuza webele i-sinhala , ukwelashwa nge-proton eSri Lanka
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