Sabbin sababbin hanyoyin samar da farfadowa da rani mafi daidai
Magungunan radiation yana da mahimmanci a magance iri daban-daban na ciwon daji. Ana amfani da nau'i daban-daban na radiation don kokarin magance mummunan kwayoyin da kyallen takalma. Yawancin lokaci, ana amfani da photons (radiyoyin x) a cikin wata fasaha da ake kira farfadowa ta waje, ko EBRT.
Har ila yau, akwai wasu sababbin hanyoyin fasahar radiation, kuma wasu daga cikinsu sun nuna alƙawari a cikin yadda ya dace da nau'in kwayar cutar yayin da yakantar da hanyoyi.
Ka'idodin sababbin sun hada da hanyoyin Proton da kuma 4D Simulation
- PBT tana nufin proton katako farfadowa.
- Shafukan EBRT na 3D suna nufin haɗawa da ƙwaƙwalwar ƙwaƙwalwa ta kwamfuta don tsara yadda za a ba da iskar radiation fiye da shi.
- IMRT tana nufin tsinkayar radiation mai tsanani, kuma wannan wata hanya ce wadda aka tsara don halakar nama mai cike da ƙwayar cuta amma ya adana kayan da ke kewaye.
- IGRT tana tsaye ne don hanyar maganin radiation mai shiryarwa, kuma ya haɗa da yin amfani da ladabi a yayin da ake kulawa da radiation, don jagorancin radiation zuwa hadewar haɓakawa na ainihi wanda aka samo a yayin lokacin tsara yanayin maganin radiation.
- RMM tana nufin tsarin gyaran motsi na numfashi a cikin hanyoyin rediyo wanda ke kula da motsi na katako, ƙwayar kamala, da sauran kayan da ke motsawa lokacin numfashi don haka radiation har yanzu ta kai ga dama daidai ko da yake filin yana da motsi.
- 4D CUS kwaikwayo yana amfani da wannan ka'ida kamar yadda yake a cikin RMM a cikin cewa an samo wannan samfurin yayin da mai yin numfashi yana numfashi, kuma ƙudurin da aka ƙaddara ya la'akari da kowane matsayi na tsangwama a lokacin binciken nazarin, a tsawon lokaci.
Menene Tsarin Farko na Proton?
Wasu cibiyoyin ciwon daji sun fara yin amfani da na'urorin radiation wanda ke ba da launi na proton maimakon photons, ko haskoki x.
Faɗakarwar faɗakarwa shine rafi na ƙwayoyin maganganun da ya dace waɗanda ke ba da makamashi a cikin ɗan gajeren nesa. A ka'idar, protons zai iya kai ciwace-ciwa mai zurfi a cikin jiki ba tare da wata mummunar cutar ga kayan da ke kusa ba.
Ƙungiyoyi irin su Ƙungiyar Ciwon Kankara ta kasa, ko NCCN, sun fara haɗawa da farfadowa na proton, ko PBT, a cikin jagororin da shawarwari. Alal misali, game da wasu lokuta na kwayar T-cell lymphomas, tsarin rediyon rediyo na NCCN ya hada da nunawa ga protons da sauran sababbin hanyoyin da za su "... cimma burin kashi na musamman wanda ke da mahimmanci ga marasa lafiya marasa lafiya da tsawon rai. " A wasu kalmomi, akwai tsammanin kawowa radiation zuwa wani wuri mai tsabta da kuma yalwata abin da ke kewaye da shi zai haifar da kyakkyawan sakamako da kuma rashin rikitarwa na tsawon lokaci.
Wadanne Dabbobi Masu Amfani da Dabbobi Kamar PBT Offer?
Ya zuwa yanzu, ba a yi amfani da PBT na yau da kullum ba don maganin lymphoma. Ga marasa lafiya da lymphoma, duk da haka, ana iya amfani da wata fasaha irin su proton farfadowa zuwa photons a wasu lokuta da kuma dalilai daban-daban. Kodayake tasiri, chemotherapy da ake amfani da su don bi da lymphomas na iya samun ciwo ga zuciya da huhu.
Yayin da ake kara radiation zuwa chemotherapy, ƙananan haɗari zuwa gabobin lafiya zai iya karuwa, tun da yatsun da ke cikin haɗari suna da damuwa da illa da kwayar cutar shan magani da radiation.
Anyi amfani da shi tare da koduriyoyo da radiation, amma ana gudanar da su daban, kuma sau da yawa, ɗayan zai biyo baya a cikin maganin lymphoma. An tsara farfajiyar Proton don rage ɗaukar hotuna zuwa kyallen lafiya wanda zai iya faruwa a cikin makircin malignancy. Mutane da yawa marasa lafiya da lymphoma su ne ƙananan lokacin da aka bincikar su da kuma rayuwa tsawon rayuwarsu bayan magani, don haka suna cikin hatsari don marigayi sun fito, halayen haɗari na tsawon lokacin da suka shafi kwakwalwa.
Bisa ga abin da aka sani game da farfadowa na proton, mutane da yawa sun yarda za a rage halayen haɓaka idan aka kwatanta da al'ada. Doctors da kuma masu bincike suna aiki a kan ɓangaren ƙwayoyin cuta na chemotherapy, suna nazarin yin amfani da sababbin jami'ai tare da ragowar illa masu yawa, suna ganin duk wani tasiri akan sakamako mai tsawo da kuma ƙarshen sakamako.
Magunguna da lymphoma na Hodgkin , musamman, suna da magani mai mahimmanci, amma kuma suna ci gaba da haifar da sakamako daga cututtuka daga chemotherapy da radiation. A gaskiya ma, 'yan tseren lymphoma' ya'yan Hodgkin 'yan tsira ne daya daga cikin kungiyoyi a mafi yawan haɗari ga mummunar haɗari ko rayuwa mai hadarin yanayin lafiya, kamar su na biyu ko ciwon zuciya . Wadannan ƙara yawan haɗari sunyi imani saboda akalla a cikin wani ɓangare na ƙarshen cututtukan chemotherapy kuma daga radiotherapy.
Domin an tsara tsarin farfadowa domin ya fi dacewa wajen watsa radiation, fata shine cewa rashin cututtukan zuciya da ƙananan cancers na biyu zasu ci gaba. A halin yanzu, a cikin binciken daya, sakamakon cutar daji na biyu a tsakanin wadanda aka bi da su tare da radiyo na proton da photon sun kasance kama, amma bayanai sun iyakance kuma ana bukatar karin bincike.
Kalma Daga
Masu binciken ilimin likitanci waɗanda suka goyi bayan amfani da maganin proton na lymphoma na Hodgkin sun bayyana wani aikin da aka yi, tsakanin sake koma baya saboda rashin dacewar maganin a daya hannun da kuma mummunan cututtuka daga mummunan magani a daya.
Wadansu suna cewa idan ka ƙara yawan cutar shan magani don ƙaddara saboda rashin ciwon radiation, ba za ka iya yin wani abu ba dangane da cututtuka na dadewa. Bugu da ƙari, sun ba da shawara cewa 'yanci daga sake komawa na lymphoma abu ne mai mahimmanci don ci gaba da shafuka, kamar yadda masu bincike a nan gaba suka yi kokarin warware matsalolin da sababbin sababbin hanyoyin.
Bisa ga binciken da Hoppe da abokan aiki suka yi, proton farfesa ya samar da ƙananan maganin radiation zuwa zuciya, huhu, ƙirjinta, esophagus, da kuma sauran sassa don yawancin masu karatu da Hodgkin lymphoma. Lokaci kawai zai iya fada idan farfadowa na proton zai ƙara zama na yau da kullum.
> Sources:
> Chung CS, Yock TI, Nelson K, Xu Y, Kewayawa NL, Tashin NAS. Yanayin rashin lafiya na biyu a tsakanin marasa lafiya da ake bi da su tare da proton a cikin kyamarar photon. Int J Radiat Oncol Biol Phys. 2013; 87 (1): 46-52.
> Hoppe BS, Flampouri S, Su Z, et al. Rawancin kashi mai kyau a tsarin gwiwar zuciya ta amfani da protons idan aka kwatanta da 3DCRT da IMRT a lymphoma Hodgkin. Int J Radiat Oncol Biol Phys 2012; 84: 449-455.
> NCCN Radiation Far Compendium. 2017.