Radiation mushonga mu oncology. Migumisiro nemwaranzi mishonga

Radiation mushonga mu oncology - nzira Mabatirwo bundu zvirwere pamwe ionizing nemwaranzi. Migumisiro yacho duku zvikuru pane kubatsirwa kunoita kurwisa bundu. Izvi mhando kurapa inoshandiswa kurapa hafu kenza varwere.

Radiation kurapa (radiotherapy) rinoreva nzira kurapwa, sezvamakaropafadzwa ionized nemwaranzi rikashandiswa rukova. Zvinogona kuva wegamma mwaranzi, Beta mwaranzi kana X-ray. Mhando idzi yemwaranzi vanokwanisa vanoshingaira itibatsire kenza, zvichitungamirira nokuvhiringidzirwa nechivako dzavo kunotouraya uye, pakupedzisira, rufu. Kunyange zvazvo matambudziko ionizing mwaranzi zvinokuvadza muzvitokisi utano, susceptibility kwavo nemwaranzi iri shoma, achivabvumira kurarama pasinei chokupfeka. In oncology, nemwaranzi kurapa kwakakanganisa kunokanganisa pakuwedzera bundu pezvakaitwa uye kuchititadzisa ikure nyanyisa anomera. Oncology pashure nemwaranzi ARV kuva zvishoma dambudziko kubva kuvandudzika murwere ari kuchengetwa kakawanda.

Pamwe kuvhiyiwa uye mishonga, radiotherapy runoita kuti vabudirire zvizere kuzoita varwere. Kunyange zvazvo nemwaranzi ARV dzimwe nguva rinoshandiswa sezvo chete kurapwa nzira, kazhinji zviri ikashandiswa pamwe nedzimwe nzira hondo nekenza. Radiation mushonga mu oncology (inofambiswa kazhinji varwere zvakanaka) aiva mazuva ano munhu utano mirayiridzo.

Mhando nemwaranzi mishonga

Kure kurapa - rudzi kurapwa umo nemwaranzi tsime riri kunze muviri murwere, kure. Rakaitika teletherapy anogona computed tomography, zvinopa mukana kuumba-dimensional matatu kuronga uye vatevedzere pokuvhiyiwa, izvo rinobvumira kunyatsoenderana basa iri kupenya pakati njodzi tishu bundu.

Brachytherapy - nzira nemwaranzi mishonga umo nemwaranzi bhuku iri mu yepakarepo pedyo bundu kana nyama dzawo. It anganzi zvinoderedza akaipa migumisiro nemwaranzi pamusoro utano munyama Pakati zvakanakira unyanzvi ichi. Uyezve, nepo acupressure zvinobvira kuwedzera nemwaranzi dose.

Nokuti migumisiro yakanakisisa, zvinodiwa dose nemwaranzi dzokuteerera vari dzaona uye kurongwa pakugadzirira nemwaranzi mishonga.

nemishonga

Radiation mushonga mu oncology, migumisiro yacho iyo munhu anonzwa refu, achiri kukwanisa kuponesa upenyu.

Mumwe munhu apindura nemwaranzi mishonga iri nomumwe. Saka, zvose kurutivi zvinoitika kuitika, zvakaoma chaizvo kufembera. We nyora rakajairika zviratidzo ndiwo:

• Nzara kurasikirwa. Vazhinji varwere vachinyunyuta varombo kudya. Zvakakosha kuti mudye shoma, asi kazhinji. Nutrition pasina havi anogona kukurukura nachiremba wako. Muviri unopfuura radiotherapy, zvinoda simba uye zvinovaka muviri.
• Svoto. Chimwe chikuru zvikonzero kuderera kuti havi - svoto. Kakawanda, chiratidzo ichi chinogona kuwanikwa varwere vanosangana nemwaranzi kurapa kune abdominal nzvimbo. Unogona kugamuchira uye kurutsa. On ezvinhu pakarepo inofanira kuziviswa nachiremba. Zvichida murwere zvinoda kugadzwa antiemetics.
• Manyoka. Manyoka rinowanzoberekera somugumisiro utsinye radiotherapy. Kana manyoka apere napo zvinwiwa kudzivirira kupera mvura mumuviri. chiratidzo ichi anofanira kutaurira chiremba wako.
• Kuneta. Panguva nemwaranzi mushonga, varwere yekudyidzana akaderedza basa ravo, kutambudzwa vasingakendengi uye utano hwakanaka. With ezvinhu anotarisana nevanhu zvinenge varwere vose ndavhiyiwa nemwaranzi mishonga. Kwakandiomera vari varwere vari muchipatara kushanyirwa, izvo nguva nenguva vanoda kuita. Nguva iyi hakufaniri akaronga kuita, unoparadza mumuviri uye mupfungwa simba, vanofanira kusiya kunonyanyisa nguva kuti zororo.
• Skin matambudziko. Pashure pevhiki 1-2 pashure ratanga radiotherapy ganda, vaiva munzvimbo nemwaranzi dzokupisa, rwunotanga redden uye svuura. Dzimwe nguva varwere vanotsutsumwa yakafunuka uye kurwadziwa. Muchiitiko chino, unofanira kushandisa mafuta (by radiologist dzokurumbidza) mwaya "Panthenol" mumakenduru uye lotions rokuchengeta ganda vana, kurega zvizoro. Varikwizire ganda ashatirwa iri zvachose wairambidza. Mugove muviri apo ganda kutsamwa chakaitika, asi vanofanira kusukwa nemvura inotonhora, chakamboti achisiya kugamuchira dzokugezera. Zvakakodzera kubvisa ganda kubva zvinokonzerwa zvakananga chezuva uye akapfeka mbatya micheka zvakasikwa. Zviito izvi zvichakubatsira kubvisa ganda uye kuderedza marwadzo.

Neb nemishonga

Mushure nzira radiotherapy chiremba achapa vanorumbidza sei kuzvibata pamba, kufungisisa zvinhu chiitiko wako kuti kuderedza marwadzo.

Ani naani anoziva nemwaranzi kurapa iri oncology, zvinokonzerwa kurapwa ichi Zvakanakawo ndomene. varwere Vaya kubatwa nemwaranzi kurapa zvirwere bundu vanofanira kuomerera chiremba audzwa, zvikaita kuti pave vanobudirira kurapwa uye kuedza kuvandudza utano hwavo.

Key mazano:

• Nenguva yakawanda yokuzorora uye hope. Treatment kunoda zvokuwedzera simba, uye iwe unogona kukurumidza kuneta. State of vakawanda simba dzimwe nguva inogara kwemamwe mavhiki 4-6 pashure kurapwa yakapera.
• Idya zvakanaka, kuedza kudzivirira uremu.
• Regai vanopfeka zvakasimba zvipfeko pamwe zvakasimba uketani kana mabhandi muzvinhu vachibatwa nemwaranzi. Zviri nani kuti usada masutu yekare, umo iwe wakasununguka.
• Iva nechokwadi kunoudza chiremba wako pamusoro zvose mishonga yamuri kutora, saka anogona ngaafunge izvi vari kurapwa.

Radiotherapy

The chikuru pokutungamirira nemwaranzi mishonga ndiko maximize matambudziko pamusoro bundu inotungamirwa, zvishoma bata dzimwe nzvimbo dzomuviri. Kuti uite izvi, unofanira kuva chiremba kuziva apo bundu kwacho, kuti nhungamiro nokudzika danda kubudirira pazvinangwa zvaro. Nzvimbo iyi inonzi irradiation munda. Kana irradiation unoitwa kure, chaiyo rinoshandisirwa ganda, inomiririra nzvimbo nemwaranzi chokupfeka. All yakavakidzana nharaunda uye dzimwe nhengo dzomuviri vanodzivirirwa sefa mutobvu. Purogiramu panguva iyo irradiation yakaitwa, anoramba kwemaminitsi anoverengeka, uye uwandu yezvirongwa akatsunga nemwaranzi dose, izvo zvinozoita kunoenderana hunhu bundu uye mhando bundu masero. Munguva chapera, murwere haasi dzichitambudzwa kusanzwa. Panguva womuchato nzira, murwere ari muimba oga. Chiremba monitors kufamba nzira Via rinokosha hwindo kana mavhidhiyo kamera, apo mune rimwe kamuri.

Maererano nemaonero ane neoplasm kana mwaranzi kurapa rinoshandiswa sezvo yakazvimirira nzira yokurapa, kana chikamu kurapa pamwe pakuvhiya kana mishonga. Radiation kurapa rinoshandiswa munharaunda nechinangwa nokufumura nomumwe nhengo dzomuviri. Kazhinji, kunosimudzirawo anyatsoona zvinoderedza bundu kukura, kana kunotungamirira kuti mushonga wakakwana.

chinguva

Nguva iyo vakaverenga kosi nemwaranzi kurapa, pakutsvaga chaizvo chirwere, mishonga uye chokupfeka nzira yaishandiswa. Wegamma kurapa kazhinji kwazvinogumira mavhiki 6-8. Panguva ino murwere ane nguva kutora 30-40 maitirwe ezvinhu. Kakawanda, nemwaranzi kurapa hakurevi murwere makamuri muchipatara uye zvakanaka kuregerera. Vamwe zvairatidza zvinoda nemwaranzi kurapa muchipatara.

Ya kurapwa uye dose nemwaranzi vari zvakananga novimba Chirwere uye kukura kwakaita chirongwa hanya. Duration kurapwa pamwe intracavitary irradiation rinovapo zvakati zvishoma. Inogona kuva nzira vashoma uye kashoma kwazvinogumira mazuva anopfuura mana.

zvairatidza

Radiation kurapa rinoshandiswa oncology nokuda kurapwa anomera chero etiology.

Pakati pavo:

• kenza uropi;
• kenza yemazamu;
• gomarara;
• laryngeal kenza;
• kenza yemapapu;
• pancreatic kenza;
• kenza yeprostate;
• kenza muzongoza;
• kenza ganda;
• nyoro tishu sarcoma;
• kenza dumbu.

Irradiation inoshandiswa mukurapa rwekenza yelymphoma uye neleukemia.

Dzimwe nguva nemwaranzi mushonga anogona kuitwa kuti chokudzivirira zvinangwa pasina uchapupu kenza. nzira iri kushandiswa kudzivirira kukura kenza.

ekisiposha dose

Radiation dose anonzi bhuku ionizing mwaranzi yokuita zvinoitwa munyama muviri. Munguva yapfuura, chairema nokuyerwa nemwaranzi dose vakashumira akafara. Zvino chinangwa ichi ndicho Gray. 1 Gray vakaenzana 100 Radama.

A siyana micheka vanowanzotevedzera kukurira mishonga yakasiyana nemwaranzi. Saka, chiropa anokwanisa kumira zvinenge kaviri kupfuura nemwaranzi pane neitsvo. Kana nhamba dose iri muzvikamu uye irradiate kuti sei nhengo, zuva nezuva, izvi kuchawedzera kukuvadza kenza masero uye kuderedza utano tishu.

kuronga kurapwa

Modern oncologist anoziva zvose pamusoro radiotherapy mu oncology.

At chiremba zvombo, pane mhando dzakawanda nemwaranzi uye irradiation nzira. Saka, zvakanaka vakaronga kurapwa ndiyo musimboti apore.

In kwokunze danda nemwaranzi kurapa, kuti oncologist kuwana irradiation munda zvinoshanda simulation. Panguva simulation, murwere riri patafura, uye chiremba kunotema mumwe kana kupfuura irradiation zvengarava. Panguva simulation kunogona kuita CT kana mamwe nzira chirwere kuziva nemwaranzi negwara.

ekisiposha munyika dzine anozivikanwa chaizvo zvezvinangwa kuti anoratidza kutungamirirwa nemwaranzi.

Maererano mhando nemwaranzi mishonga vakasarudzwa, murwere anogona kunakirwa chaiyo kufamba ndakaisa simbi mumakumbo kubatsira kuwana dzakasiyana-siyana dzomuviri, kubvisa kufamba kwavo panguva ndima nzira. Dzimwe nguva kushandisa anokosha filters kubatsira kudzivirira yakapoteredza tishu.

Maererano nokuda simulation nenyanzvi munyaya nemwaranzi kurapa, Uchasarudza anodiwa nemwaranzi dose, pakukurukura nzira, uye uwandu yezvirongwa.

dhayeti

Mazano ari kudya zvinovaka muviri kuchakubatsira kuti vadzivise migumisiro inokonzerwa kurapwa kana kuderedza kukuvadza yavo. Izvi zvinonyanya kukosha nemwaranzi kurapa pamusoro chiuno uye dumbu. Radiotherapy uye Oncology panguva kudya vane wandei zvinhu.

Zvakakosha kunwa zvinwiwa zvakawanda, kusvikira magirazi 12 pazuva. Kana mushonga mukuru shuga kugutsikana, zvinofanira rakasanganiswa nemvura.

Kudya fractional, 5-6 kanomwe pazuva iri mishonga zviduku. Food inofanira nyore kutombozivikanwa muchiKristu: kuti asava zvokudya zvine kwakafumuka faibha, lactose uye mafuta. Kudya akadaro chinodiwa kuchengeta mumwe 2 weeks pashure mushonga. Zvadaro unogona zvishoma nezvishoma kusuma zvokudya pamwe faibha: mupunga, mabhanana, nomuapuri muto, puree.

vapore

Kushandiswa nemwaranzi mishonga kunokanganisa zvose kenza uye masero utano. Kunyanya zviri kukuvadza masero kuti vagovere nokukurumidza (mucous Kamudzira, ganda, mwongo). The irradiation zvinowanisa vakasununguka radicals mumuviri anogona kukuvadza kuti muviri.

Tiri kushanda kuwana nzira kuti mwaranzi kurapa zvimwe sighting kuti anoita chete bundu masero. Kugadzwa wegamma banga, iyo inoshanda kuti kurapwa anomera kwemitsipa uye musoro. Rinotibatsira nomazvo chaizvo nezvainoita diki kukura bundu.

Pasinei neizvi, anenge vose vakagamuchira nemwaranzi kurapa, kuti kunosiyana madhigirii, vanotambura nemwaranzi kurwara. Marwadzo, kuzvimba, kuda kurutsa, kurutsa, kudonha vhudzi, kupererwa neropa - zviratidzo zvakadai somugumisiro zvinokonzera mwaranzi mishonga iri oncology. Treatment uye kunaya varwere pashure nemwaranzi Purogiramu idambudziko guru.

Nokuti rokuchinjwa varwere vanoda kuzorora, hope, mhepo yakachena, yakanaka kunovaka muviri, kushandiswa muviri ari zvirwere, detoxification zvinoreva.

Kuwedzera zvoutano, izvo wakadenha chirwere chakakomba, uye ake yakaoma kurapwa, varwere kuona kuora mwoyo. The Zvinoumba rokuchinjwa mabasa kazhinji zvinoda kuti zvinosanganisira namazvikokota wepfungwa. nezviyero zvose izvi kuchabatsira kukunda matambudziko anokonzerwa nemwaranzi marapirwo mu oncology. Anodzokorora varwere pashure mararamiro nzira, kutaura pamusoro undoubted kubatsirwa nzira pasinei marwadzo.