Iri iri-iri da kuma amfani da cutar kwari
Magungunan radiation ita ce hanyar kiwon lafiya wadda take amfani da isar da radiation mai karfi don kashe kwayoyin cutar kanjamau da kuma rage ciwon sukari.
Ta yaya Yayi aiki?
Rashin hasken wutar lantarki lalata DNA a cikin sel, haifar da su mutu ko dakatar da rarraba. Tun da ciwon daji ke rarraba akai-akai fiye da kwayoyin halitta, sun fi sauƙi ga lalacewa. Kwayoyin lafiya suna iya shafar kuma sun fi iya gyara lalacewar.
Yaushe Ana Amfani?
Dukkanin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin sel da marasa kananan kwayoyin suna ana bi da su tare da maganin radiation, wanda ake haɗawa da chemotherapy , tiyata ko duka biyu. Fiye da rabin wadanda aka gano tare da marasa ciwon huhu na kwayar cutar za su karbi maganin radiation a wani lokaci a yayin da suke kulawa. Dangane da irin da mataki na ciwon huhu na huhu , za'a iya amfani da farfadowa na radiation:
- Bayan an tiyata - Don magance kowane ciwon daji wanda zai iya zama a yankin bayan an tilastawa.
- Kafin aikin tiyata - Don rage yawan ƙwayar ciwon sukari kuma yin aikin tiyata ya fi tasiri.
- Don warkar da ciwon daji - Tare da ƙananan ciwace-ciwacen daji, da kuma marasa lafiya da basu iya yin tiyata saboda shekarunsu, wuri na tumbo ko wasu yanayi na kiwon lafiya, maganin radiation na iya ba da zarafi don magani.
- Don magance ciwon huhu na huhu - Dukansu a gida, irin su ƙwayoyin lymph a kusa, da sauran sassa na jiki, irin su kwakwalwa.
- Don magance cututtuka (farfadowa na radiation) - Lokacin da ciwon sukari yana haifar da bayyanar cututtuka irin su rashin ƙarfi na numfashi da zafi, wani lokaci ana amfani da farfadowa radiation don rage yawan tumo don rage yawan alamun bayyanar.
- Don magance ƙwayar cutar ciwon huhu na huhu - SBRT (duba a kasa) na iya amfani da su a wasu lokuta don bi da ƙwayar ɗaya ko kawai ƙwararrun ƙwayoyin cuta ko ƙwayar ƙwayar ƙwayar ƙwayar cutar ciwon huhu.
- Don rigakafin - A cikin ƙwayar cutar ciwon ƙananan ƙwayoyin cuta, anada saurin radiation zuwa kwakwalwa don kashe dukkan kwayoyin da suka yada kwakwalwar amma ba a gano su ba. Wannan ana kiran shi Cradial Cranial Irradiation (PCI) .
Yaya aka ba da ita?
Magungunan radiation don ciwon huhu na mahaifa sau da yawa ana bawa kowace rana, Litinin zuwa Jumma'a, tsawon makonni shida. Kafin a fara fara magani, za a ba ka daya ko fiye da "tattoos," dindindin alamar inkatu game da girman ƙwayar cuta da ke cike da ciwon daji a jikin ka. Ana yin simfuri. A lokacin wannan hanya, kuna buƙatar kwance har yanzu a kan tebur yayin da masu binciken ilimin likitancin sun gano inda za su yi amfani da radiation. Bayanan likitancin zai sake lissafin nauyin radiation (wanda aka auna a Gy, ya furta grays ) wanda za'a ba shi a kan tsawon lokacin farfadowa.
Iri
Za a iya ba da maganin radiation a waje ko a ciki don magance cutar kanjamau. Hanyar da aka saba amfani dasu sun hada da:
Harkokin radiyo na waje - Anyi amfani da shi mafi yawan kuma ya haɗa da amfani da na'ura ta waje wanda ke ba da radiation mai tsanani. Mafi yawan al'amuran na waje shine:
- Tsarin yanayi na radiation (na biyu).
- Shafin Farfesa na 3D - Wannan farfadowa ya fadada akan farfadowa ta al'ada ta amfani da rubutun da aka lissafta (CT) - ci gaba da farfadowa don duba magungunan cikin uku. Makasudin shine ya jagorancin radiation mafi mahimmanci ga ƙwayar ƙwayar cuta da kayan yaduwa.
- Tsarin Interaction Radiation Far (IMTR) - Wannan farfadowa yana samar da mafi girma kashi na radiation daga kusurwoyi daban-daban. Nazarin sun gano cewa a baya da kuma mafi girma na maganin radiation wanda aka tsĩrar da shi a kan ɗan gajeren lokaci zai iya inganta yawan rayuwa amma kuma suna hade da ƙara yawan guba, musamman ƙin ƙoshin kwayar (esophagit radiation).
Rawan ciki na ciki - Wani lokaci ana ba da radiation cikin ƙwayar cutar ciwon huhu. Hakanan ma an lalata radiation na ciki a matsayin brachytherapy . A lokacin wannan hanya, an saka motsi na filastik na lantarki a lokacin da yake da ƙwaya . Ƙananan adadin kayan aikin rediyo ne to an wuce ta cikin bututu, yana barin izini don a kai shi zuwa wani yanki daidai.
An cire bututu bayan magani.
Stereotactic body radiotherapy (SBRT) - Stereotactic body radiotherapy ko SBRT don ciwon daji na huhu shi ne wata hanyar da za a yi amfani da wani babban kashi na radiation zuwa wani karamin yanki na nama a cikin ƙoƙarin kawar da jiki na ciwon daji. Ya bambanta da sauran nau'in radiation, SBRT ana amfani dashi a wasu lokuta tare da ciwon zuciya da cutar ciwon huhu. Ga wasu mutanen da ke fama da cutar kanjamau wanda aka yi la'akari da rashin amfani, SBRT na iya samar da sakamakon kama da aikin. SBRT za'a iya amfani da shi, a wasu lokuta, don cutar ciwon huhu da ya yada . Lokacin da kawai ƙananan metastases daga ciwon huhu na huhu ba su a cikin kwakwalwa ko hanta, SBRT ya haifar da wani lokaci don kare lafiyar cutar.
Ta Yaya Yayi Shafan Ni?
Mutane da yawa suna iya gudanar da ayyukan yau da kullum a lokacin farfadowa, ko da yake gajiya yana da yawa kuma yana ci gaba da tsananta a lokacin gwajin. Tare da farfadowa na waje, ba buƙatar ku damu cewa radiation zai shafi wadanda ke kewaye da ku, kamar yadda wasu hanyoyin shan magani suka yi amfani da wasu cututtuka.
Hanyoyin Gaba
Cutar fata, ciki har da redness da peeling, yakan fara ne a cikin makon farko ko biyu na jiyya. Kwararren likitancinku zai iya bada kirkirar kirki a gare ku kuma kulawa ta musamman ga kulawa fata yana da mahimmanci. Rashin gajiya yana da yawa kuma yana iya ci gaba da tsawon makonni bayan magani. Pain ko wahala tare da haɗiye (esophagitis) zai iya faruwa kuma wasu dalilai ne don tuntuɓar likitan ka. Lurarrun cututtuka irin su lalacewar cutar huhu ya iya faruwa, amma a mafi yawan lokuta, farfadowa na farfadowa ba zai iya wuce hadarin wadannan matsalolin ba.
Yana da mahimmanci mu san sababbin cututtuka na radiation kafin samun waɗannan jiyya. Sakamakon lalacewa irin su radiation pneumonitis - ciwon huhu daga cikin huhu saboda radiation far - suna da kyau, amma zai iya haifar da fibrosis na huhu - dindindin tsabta - idan ba a bincikarsa ba kuma a bi da shi sosai.
Yayinda yawan ciwon daji na ciwon huhu ya inganta, yana da mahimmanci a san wasu daga cikin cututtuka na tsawon lokaci na radiation farfesa wanda zai iya farawa da kuma cigaba da wata ko shekara bayan an bayar da maganin radiation.
Follow-up Bayan Radiation Jiyya
Tsarin radiation zai iya ɗaukar wani lokaci don fara aiki amma ya cigaba da yin aiki na dan lokaci bayan an kammala maganin. Your radiation mai ilimin likita a hankali zai sanar da kai lokacin da gwaje-gwaje ya kamata a yi don bincika ci gaba.
Sources:
De Ruysscher, D., Lueza, B., Le Pechoux, C. et al. Imfani da Radiotrarapy na Thoracic Lokacin da ke cikin ƙwayar ƙwayar ƙwayar ƙwayar ƙananan ƙananan ƙwayoyin cuta: Amfani da Meter-Meter-Analysis Data Individual Patient. Annals na Oncology . 2016 Jul 19. (Epub gaba da bugu).
Giaj-Levra, N., Ricchetti, F., da F. Alongi. Mene ne Canji a Radiotherapy don Kula da Cibiyar Kwayoyin Cutar Kwayar Wuta ta Cibiyar Kwayoyin Wuta ta Ciki? A Review. Cibiyar Cancer . 2016 34 (2): 80-93.
Maquilan, G., da R. Timmerman. Tsarin Jirgin Lafiya na Stereotactic for Early-Stage Tsunguma Ciwon Cutar. Cancer Journal . 2016 22 (4): 274-9.
Stevens, R., Macbeth, F., Toy, E., Coles, B., da J. Lester. Tsarin Harkokin Rediyo na Pildiative Tsarin Magunguna tare da Dabbobin Dabbobi Thoracic daga Ciwon Kwayar Ciwon Kwayoyin Ƙwayar Cikin Kwayoyin Cutar. Cochrane Database of Manyan Labarai . 2015. 1: CD002143.
Zheng, M., Sun, H., Xu, J. et al. Hada dukkanin kwakwalwa tare da Gefitinib / Erlotinib don ƙwararrun ƙwayoyin cuta daga marasa ciwon ƙwayar cutar kanjamau: Meta-Analysis. BioMed Research International . 2016. 2016: 5807346.