SBRT don ƙwayar cutar kututtukan tumatir da Oligometastases
SBRT (stereotactic body radiotherapy) wani sabon tsari ne na magance ciwon huhu na huhu wanda yayi amfani da isasshen radiation da aka ba shi manufa ta musamman. Ta amfani da matsayi na musamman da kuma alamar da aka sanya a cikin jiki, masu tasirin rediyo suna iya samar da radiation da yawa daga radiation zuwa ciwon daji fiye da farfadowa na gargajiya, yayin da kare lafiyar lafiya.
Yana amfani da mutanen da ke fama da ciwon huhu
A wannan lokaci, akwai dalilai guda uku da suka sa SBRT za a iya amfani dashi tare da ciwon huhu na huhu.
- Tare da ciwon huhu na huhu, SBRT an yi amfani dashi da wuri, ƙwayar ƙwayar cutar kututtukan ƙwayoyin cuta (marasa ciwon mahaifa) wanda basu iya yin tiyata saboda wani dalili. Za a iya ganin ciwon daji na huhu da cutar rashin ciwon huhu da ba tare da yuwuwa ba saboda yanayin da ake ciki, ko wasu yanayin kiwon lafiyar da zai iya haifar da tiyata ta hanyar kwakwalwa .
- Ga tsofaffi marasa lafiya waɗanda za a iya sa ran su yi mummunan aiki tare da tiyata ko kuma suna da yanayin kiwon lafiya wanda zai iya haifar da hadarin matsalolin tiyata.
- Ga ɗaya ko wasu wurare na yada cutar kanjamau ko metastasis (oligometastases.)
Hanyar
Stereotactic body radiotherapy yana amfani da wani babban kashi na radiation kawo zuwa wani yanki na musamman na jiki. Wannan ya bambanta da maganin radiation na al'ada don ciwon daji na huhu wanda yayi amfani da ƙananan ƙwayar radiation da aka ba da lokaci.
Masu watsa labaran duniya sun tsara taswira a cikin girman girman 4 don ƙayyade wurin da za a bi da su.
SBRT don cutar kututtukan ƙwayar cuta
SBRT zai iya yin aiki kamar yadda ake yi wa wasu mutane tare da ƙananan ciwon daji marasa ƙananan kwayoyin cutar da ba su da ikon yin aiki, ko kuma marasa lafiya wadanda ke da yanayin kiwon lafiya wanda zai iya yin tiyata mai hatsari.
SBRT ta haifar da kariya daga cutar kamar aikin tiyata, kuma rayuwa mai tsawo na iya kasancewa a cikin mutane da zaɓaɓɓun zaɓaɓɓu don hanya. Tumors yana bukatar ƙananan, yawanci kasa da 5 cm (2-3 inci) a diamita, kuma kada ku kasance kusa da hanyoyi na hanyoyi ko zuciya.
SBRT ga Oligometastases
A baya, kasancewar metastases sunada iyakacin maganin maganin cutar shan magani, kuma rayuwa ba kasa da shekara daya shine mulkin. Ga mutanen da ke da guda ɗaya ko wasu yankuna na ƙwayar cutar kanjamau (yada) yin amfani da SBRT ya canza cewa da ɗan. An gano cewa ga mutane tare da oligometastases (oligo na nufin 'yan' '' '' '' ') yin ziyartar masanan da aka samu tare da SBRT ya karu da yawan rayuka na median kuma akwai wasu mutanen da suka tsira daga dogon lokaci saboda wannan magani.
Kwayar huhu ta fi yawan kwakwalwa ga kwakwalwa, kasusuwa, hanta, da ƙyamar jiki, tare da SBRT sunyi amfani da mafi yawan lokuta ga mutanen da ke da hanta metastases da kwakwalwar ƙwayar cuta saboda cutar kanjamau. Saboda ci gaba a lura da oligometastases - irin su SBRT - ya zama mai yiwuwa ga wasu mutanen da ciwon huhu na huhu su fuskanci lokaci mai tsawo na rayuwa ba tare da cututtuka ba tare da ingancin rayuwa fiye da yadda zai yiwu.
Matsaloli na yiwuwa
Akwai matsaloli mai yawa na SBRT don ciwon huhu na huhu, kamar maganganun da ke tattare da maganin radiation na al'ada irin su gajiya da radiation pneumonitis . Biyu daga cikin matsalolin da SBRT mafi amfani da su ke amfani dashi sun hada da:
- Gyaran ƙwaƙwalwa na iska - Radiation na iya lalata jijiyoyi a wani wuri da ake kira plexus brachial . Wannan na iya haifar da ciwo a cikin hannu ko kafada, tare da rauni sannan sannan numbness na hannu da wuyan hannu.
- Tashin bango na bango ko dysfunction - Idan kututtukan yana kusa da bangon kirji, ƙwayar cuta zai iya haifar da ciwo da ƙuntatawa.
Future
Sakamakon farko da ke nuna sakamakon da SBRT da aka kwatanta da aikin tiyata na ciwon huhu yana sa ran cewa, ga wasu mutane, SBRT za a iya amfani dasu a matsayin mai sauƙi ga maye gurbin cutar kanjamau a nan gaba.
Haka ma, da mafi kyau jiyya na ciwon daji yanzu an yarda da kuma a gwaji na gwaji, kuma tare da sakamakon farko da aka samu tare da metastases, cewa SBRT kuma za a iya amfani da ƙarin don cire shafuka na tumatir metastatic.
Har ila yau Known As: stereotactic radiotherapy, stereotactic radiosurgery, stereotactic radiation far
Sources:
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Ashword, A., Senan, S., Palma, R. et al. Mutum mai haƙuri yana bayani game da sakamakon da kuma bayanan da aka gano bayan jiyya na ciwon daji na kwayar cutar tarin kwayoyin oligometastatic. Clinic Lung Cancer . 2014. 15 (5): 346-55.
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