Hais txog PROTON THErapy

Kev kho Proton yog kev kho hluav taws xob uas siv cov khoom me me hu ua protons. Protons yog cov tshuaj tua kab mob zoo heev, tab sis vim yog txoj kev protons xa lawv lub zog, kev kho proton tsis ua rau cov nqaij noj qab haus huv ntau npaum li kev kho photon. Yog li ntawd, kev siv hluav taws xob ntau dua tuaj yeem raug tsom rau ntawm cov qog tsis cuam tshuam rau ntau lub cev noj qab haus huv.

Ua si yees duab  

Kev kho Proton tuaj yeem ua tau zoo hauv kev kho mob ntau hom qog, nrog rau cov qog ntawm lub hlwb, lub taub hau thiab caj dab, hauv nruab nrab lub paj hlwb, lub ntsws, prostate thiab gastrointestinal system. Kev kho Proton feem ntau yog qhov kev xaiv zoo tshaj plaws rau kev kho cov qog nqaij hlav hauv cov menyuam yaus vim tias cov protons tuaj yeem tswj tau qhov tseeb yog li tsis muaj hluav taws xob tsawg ntawm cov ntaub so ntswg, pab tiv thaiv cov teeb meem loj thiab txo txoj hauv kev ntawm cov qog ntshav. Proton beam therapy yog tus qauv nyiam rau ntau cov qog, suav nrog:

• Cov qog nqaij hlav, suav nrog intraocular melanomas
• Cov qog uas mus los yog nyob ntawm lub hauv paus ntawm pob txha taub hau xws li Chordoma thiab Chondrosarcomas
• Cov qog nqaij hlav - thawj lossis metastatic
• Hepatocellular mob cancer
• Pediatric solid hlav - thawj los yog benign qog nyob rau hauv cov me nyuam
• Cov qog nqaij hlav hlwb thiab txha caj qaum - Malignant thiab benign
• Advanced thiab/los yog unrespectable taub hau thiab caj dab mob qog noj ntshav xws li Mob qog noj ntshav ntawm paranasal sinuses thiab lwm yam khoom siv sinuses; xws li adenoid cystic carcinoma, Advanced Nasopharyngeal cancerthiab Advanced mob cancer ntawm lub buccal mucosa
• Retroperitoneal sarcomas
• Re-irradiation case- qhov twg cov hluav taws xob raug txiav txim siab zaum ob lossis thib peb rau tib qhov chaw

Cov chaw saum toj no muaj pov thawj txaus muaj tam sim no, tias muaj txiaj ntsig zoo hauv kev siv cov tshuaj proton. Txawm li cas los xij, ntau lwm cov qog nqaij hlav kuj tseem yuav muaj txiaj ntsig thaum siv cov tshuaj proton, tshwj xeeb tshaj yog thaum piv rau kev kho X-ray. Cov no suav nrog:

• Cov qog nqaij hlav oesophageal
• mis Cancer
• Oropharynx Cancer
• Salivary Gland cancers
• Mob ntsws Cancer
• Prostate Cancer
• Sarcomas
• Cov qog nqaij hlav hauv lub hauv paus ntawm pob txha taub hau

Kev kho Proton rau kev kho mob ntsws cancer yog ib qho ntawm ntau qhov kev txhim kho zoo siab hauv kev ua haujlwm. Txawm hais tias muaj kev txhim kho zoo tshaj plaws nrog kev kho photon xws li IMRT, IGRT, Cyberknife, Helical tomotherapy, cov koob tshuaj tau txais los ntawm lub plawv thiab lub ntsws qee zaum tseem txwv. Txawm hais tias qhov koob tshuaj nyob rau hauv qhov chaw pib, muaj qhov cuam tshuam loj ntawm cov hlab plawv uas ua rau muaj kev mob hnyav (txog 80%) thiab kev tuag (txog 5%). Kev kho Proton vim tias nws lub cev tshwj xeeb thiab cov khoom siv roj ntsha tuaj yeem xa cov tshuaj qis dua rau cov qauv tseem ceeb xws li lub ntsws noj qab haus huv thiab lub plawv yog li txwv qhov kev puas tsuaj.

Proton therapy yog ib hom kev kho mob zoo tshaj plaws rau kev mob qog noj ntshav prostate. Kev kho Proton tuaj yeem siv los ua kev kho mob nkaus xwb lossis tuaj yeem ua ke nrog kev kho tshuaj hormonal lossis tom qab lwm yam kev kho mob, xws li kev phais, tswj kev mob qog noj ntshav los yog muaj kev pheej hmoo rov tshwm sim dua.

Vim tias nws cuam tshuam tsawg dua hluav taws xob cuam tshuam rau cov ntaub so ntswg ib txwm muaj, kev kho proton txo qis kev pheej hmoo ntawm cov kev mob tshwm sim thiab cov qog nqaij hlav thib ob. Kev kho Proton muaj cov ntaub ntawv zoo tshaj plaws ntawm kev ua tiav, muab kev tswj xyuas kab mob mus ntev thiab muaj sia nyob tus nqi sib npaug rau lwm yam kev kho mob, suav nrog kev phais.

Txoj kev kho Proton tsawg kawg yog ua tau zoo raws li kev kho hluav taws xob zoo li qub, tab sis muaj kev phiv tsawg dua. Qee zaum, kev kho proton tsis yog tsuas yog qhov zoo tshaj plaws xwb tab sis kuj yog qhov kev xaiv nkaus xwb. Nws tau raug pov thawj tias ua tau zoo hauv kev kho lossis tswj ntau cov qog nqaij hlav thaum siv kom tsim nyog. Kev vam meej tom qab kev kho hluav taws xob yog nyob ntawm hom thiab theem ntawm kev kho mob qog noj ntshav. Hauv qee cov qog nqaij hlav xws li chordomas, qog nqaij hlav hauv hlwb lossis mob qog nqaij hlav hauv siab, tswj tus nqi nrog kev kho proton tuaj yeem siab txog 85-90%.

Proton beam therapy (PBT) yog ib hom kev kho hluav taws xob zoo tshaj plaws, nrog rau kev kho hluav taws xob xa tawm los ntawm cov kab hluav taws xob nrawm dua li X-rays. Cov kab hluav taws xob proton xa qee cov hluav taws xob rau cov nqaij mos noj qab haus huv hauv kev ncav cuag cov qog tab sis cov hluav taws xob tsawg heev dhau ntawm ntug ntawm cov qog raug kho. Qhov no txhais tau tias PBT tuaj yeem kho cov qog nqaij hlav kom zoo tab sis xa hluav taws xob tsawg dua rau lwm qhov chaw noj qab haus huv ntawm lub cev uas nyob ib puag ncig cov qog.

Txoj hauv kev zoo tshaj plaws kom nkag siab txog qhov kev kho mob proton ua haujlwm li cas yog saib xyuas lub cev thiab kev tsim vaj tsev nyob rau hauv lub proton accelerator, lossis cyclotron / synchrotron, thiab cov kab xa tawm.

• Lub proton pib nws txoj kev taug ntawm qhov chaw ion. Nyob rau hauv ib feem ntawm ib tug thib ob, hydrogen atoms raug muab cais mus rau hauv negatively charged electrons thiab zoo them protons.
• Cov protons raug txhaj ntawm lub tshuab nqus tsev mus rau hauv cov kab accelerator thiab tsuas yog ob peb microseconds, cov protons lub zog ncav cuag 7 lab electron volts.
• Proton beams nyob rau hauv lub tshuab nqus tsev raj thaum lawv nkag mus rau hauv cyclotron / synchrotron, qhov twg acceleration tsub kom lawv lub zog mus rau tag nrho ntawm 70 lab mus rau 250 lab electron volts, txaus los tso rau hauv txhua qhov tob hauv tus neeg mob lub cev.
• Tom qab tawm hauv lub synchrotron, cov protons txav mus los ntawm cov kab hluav taws xob thauj mus los uas muaj cov hlau nplaum uas zoo li, ua kom pom tseeb thiab coj cov kab hluav taws xob proton mus rau chav kho mob uas tsim nyog.
• Txhawm rau kom ntseeg tau tias txhua tus neeg mob tau txais kev kho mob raws li txoj cai thiab ua tau zoo, lub tsev kho mob tau tswj hwm los ntawm lub network ntawm cov khoos phis tawj thiab cov tshuab kev nyab xeeb.
• Lub gantry tuaj yeem tig 360 degrees, tso cai rau cov nqaj xa mus rau txhua lub kaum sab xis.
• Raws li protons los ntawm lub nozzle, ib tug system ntawm electromagnets muab tso rau perpendicular mus rau ib leeg khoov txhua beam kom lawv mus txog rau lub hom phiaj txoj hauj lwm nyob rau hauv qhov tob ntawm lub qog. Qhov no yog hu ua mem hluav-beam scanning (PBS).
• Ntawm Apollo Proton Cancer Center, peb muaj PBS thev naus laus zis tshiab uas ua rau peb xa cov kev kho mob siab rau txhua qhov qog, thiab txhua lub qog tau kho nrog cov protons, qhov chaw ntawm qhov chaw thiab txheej txheej.
• Thaum lub zog siab tshaj plaws, lub nqaj proton mus ncig 125,000 mais ib ob, uas yog sib npaug rau ob feem peb ntawm qhov ceev ntawm lub teeb. Los ntawm qhov chaw ion mus rau tus neeg mob, ib qho proton feem ntau mus ncig 313,000 mais.
• Thaum cov proton nkag mus rau hauv lub cev, nws maj mam nce lub zog tso rau hauv cov ntaub so ntswg kom txog thaum nws mus txog qhov tob uas nws tso yuav luag tag nrho nws lub zog thiab tuaj yeem nres. Cov nyhuv no yog hu ua Bragg's Peak Effect. Yog li,
  Tsis zoo li lub X-ray beam uas hla tag nrho lub cev, lub proton beam yeej nres ntawm ib qho tob hauv cov qog. Los ntawm kev tswj hwm lub zog ntawm cov kab hluav taws xob proton thiab txoj hauj lwm ntawm qhov chaw, cov qog tau kho nrog cov hluav taws xob ntau thaum cov ntaub so ntswg uas nyob ib puag ncig yog tsis muaj tshuaj tiv thaiv hluav taws xob.

Kev nce qib ntawm proton thev naus laus zis raws li kev xaiv kho mob qog noj ntshav tau pib hauv xyoo 1940s. Lub tswv yim ntawm kev siv protons hauv kev kho mob tau pom thawj zaug hauv xyoo 1946 los ntawm physicist Robert R. Wilson, Ph.D. Thawj qhov kev sim siv hluav taws xob proton los kho cov neeg mob tau pib thaum xyoo 1950 hauv cov chaw tshawb fawb txog kev siv hluav taws xob nuclear, tab sis cov ntawv thov raug txwv rau qee qhov chaw ntawm lub cev. Nyob rau xyoo 1970s, kev txhim kho kev yees duab ua ke nrog kev txhim kho ntawm cov khoos phis tawj zoo nkauj thiab txhim kho lub nrawm nrawm thiab kev kho cov thev naus laus zis tau ua rau cov kev kho mob proton siv tau ntau dua rau cov ntawv kho mob niaj hnub, xws li kev kho mob qog noj ntshav.

Tsuas yog nyob rau xyoo tas los no nws tau dhau los ua cov chaw tsim khoom siv hluav taws xob ua ke nrog cov chaw kho mob tsim. Thaum xub thawj, cov tshuab kho proton tau tsim los kom lub nqaj nqaim ntawm cov protons uas tshwm sim los ntawm lub nozzle tau nthuav dav (sib cais) thiab zoo li tus qauv kom haum raws li cov qog nqaij hlav, los ntawm kev tsim cov khoom siv (collimators thiab compensators) uas yuav tsum tau ua. mounted ntawm lub nozzle. Qhov no yog hu ua passively scattered proton therapy (PSPT). Cov tshuab ua ntej kuj tseem muaj X-rays tso rau ib leeg los muab cov duab taw qhia thiab yog li ntawd tsuas yog lub cev nqaij daim tawv tuaj yeem kuaj xyuas tiag tiag.

Tsis tas li ntawd, feem ntau ntawm cov tshuab qub tau kho thiab tus neeg mob yuav tsum tau tig los yog qhov chaw sib txawv kom cov nqaj tuaj yeem raug coj mus rau cov qog los ntawm ntau lub kaum ntse ntse. Txawm li cas los xij, tam sim no tau muab txoj hauv kev rau Pencil Beam Scanning proton therapy (PBSPT) uas muaj ntau yam ntxiv thiab zam cov khoom siv ua haujlwm nyuaj thiab siv zog ntau uas yuav tsum tau xa cov kev kho mob. Tsis tas li ntawd, kev siv cov duab taw qhia ntawm onboard thiab kev sib hloov gantries tau ua rau kev xa cov tshuaj proton ntau dua thiab xis rau tus neeg mob thiab tus kws kho mob. Qhov no tau ua rau txoj kev kho proton nkag mus rau ntau tus neeg thoob ntiaj teb.

Pencil beam scanning technology thiab IMPT yog cov thev naus laus zis tshiab hauv kev kho proton. Nrog rau cov kab hluav taws xob proton tsuas yog millimeters dav, cov ntaub ntawv kho mob siab heev ntawm kev kho proton muab cov kev ua tau zoo thiab kev ua tau zoo, muab lub peev xwm tsis sib xws los kho tus neeg mob cov qog thiab txo qis rau tus neeg mob lub neej zoo - thaum thiab tom qab kho. Lawv vam khom cov txheej txheem kev kho mob nyuaj thiab muaj cov hlau nplaum sib txawv los txhawm rau txhawm rau nqaim proton nqaj thiab qhov tseem ceeb "xim" cov txheej txheem hluav taws xob los ntawm txheej.

Pencil beam muaj txiaj ntsig zoo hauv kev kho cov qog nqaij hlav ntau tshaj plaws, zoo li cov hauv prostate, hlwb, qhov muag, thiab qog nqaij hlav hauv cov menyuam yaus, thaum tawm hauv cov nqaij mos thiab lwm qhov chaw tseem ceeb tsis raug mob. IMPT yog qhov zoo tshaj plaws siv los xa cov koob tshuaj muaj zog thiab meej ntawm cov protons rau cov qog nqaij hlav los yog concave-zoo li cov qog uas nyob ib sab ntawm tus txha caj qaum los yog kos lub taub hau thiab caj dab lossis pob txha taub hau, nrog rau qhov ntswg thiab qhov ntswg kab noj hniav, qhov ncauj kab noj hniav, caj pas qaub ncaug, tus nplaig. , tonsils, thiab larynx.

Thaum koj ntsib nrog koj pab neeg saib xyuas mob qog noj ntshav, koj tus kws kho mob oncologist yuav muab cov kev xaiv uas yuav zoo tshaj plaws los kho koj hom mob qog noj ntshav. Ua ke nrog koj pab neeg saib xyuas mob qog noj ntshav, koj tuaj yeem txiav txim siab txog kev kho mob uas tsim nyog rau koj. Proton therapy yuav muaj txiaj ntsig zoo tshaj plaws rau:

• Cov neeg mob menyuam yaus
• Cov uas nws cov qog yog ze heev rau cov qauv tseem ceeb
• Cov uas tau txais hluav taws xob zaum thib ob lossis thib peb
• Cov neeg uas muaj lub neej ntev ntev tom qab hluav taws xob thiab muaj kev pheej hmoo rau mob qog noj ntshav thib ob los txhim kho thaum lawv lub neej.
• Cov neeg uas muaj cov xwm txheej uas ua rau lawv muaj kev toxicity ntau dhau los yog muaj kev pheej hmoo siab dua ntawm qhov mob thib ob tom qab hluav taws xob.

Txawm li cas los xij, cov no tsis yog tib cov neeg mob uas tuaj yeem tau txais txiaj ntsig los ntawm kev kho proton. Koj tus kws kho mob hluav taws xob hluav taws xob yuav tham nrog koj kom ntxaws txog cov txiaj ntsig ntawm kev kho proton rau koj hom mob qog noj ntshav tshwj xeeb thiab qhov chaw.

Proton Therapy muaj ntau yam zoo xws li:

• Targets qog nqaij hlav thiab qog nqaij hlav cancer nrog precision thiab tsawg kawg nkaus tawm koob.
• Txo toxicity tag nrho.
• Txo qhov tshwm sim thiab / lossis qhov mob hnyav ntawm cov kev mob tshwm sim luv luv thiab ntev ntawm cov ntaub so ntswg thiab cov kabmob uas nyob ib puag ncig (xws li txo qhov yuav tshwm sim ntawm cov qog hlav thib ob los ntawm kev kho).
• Precisely xa cov koob tshuaj zoo tshaj plaws rau cov qog.
• Nws tuaj yeem siv los kho cov qog nqaij hlav, txawm tias cov neeg mob uas twb tau txais hluav taws xob lawm.
• Txhim kho lub neej zoo thaum lub sijhawm thiab tom qab kho.
• Ua kom lub sij hawm ntev, kev loj hlob tsis muaj sia nyob rau qee hom qog.

Cov kev mob tshwm sim feem ntau ntawm kev kho proton muaj xws li:

• nkees nkees
• Qhov ncauj, noj mov thiab digestive teeb meem
• mob taub hau
• Cov plaub hau poob ib ncig ntawm koj lub cev raug kho
• Cov tawv nqaij liab nyob ib ncig ntawm koj lub cev raug kho
• Mob ib ncig ntawm koj lub cev raug kho

Kev kho Proton muab cov kev kho hluav taws xob ncaj qha thaum rhuav tshem cov qog nqaij hlav cancer thiab txo qis kev puas tsuaj rau cov nqaij mos noj qab haus huv. Qhov no txo ​​cov kev mob tshwm sim thiab txo qhov kev pheej hmoo ntawm kev tsim teeb meem los ntawm kev kho mob hauv lub neej tom ntej. Peb ntawm APCC tau kho cov neeg mob uas muaj hnub nyoog qis dua ib xyoos txog rau 85 xyoo, ua tiav thiab tsis muaj kev kho mob tshwm sim. Yog li kev kho proton yog qhov zoo dua vim nws yog kev kho kom zoo.

Tsis yog tiag. Cov neeg mob feem ntau tsis hnov ​​​​mob hluav taws xob thaum lub tshuab xa cov kev kho mob txhua hnub. Nyob rau tib lub sijhawm, daim tawv nqaij ntawm qhov chaw kho mob yuav maj mam qhuav, mob, khaus, lossis kub hnyiab. Cov kev xav no tuaj yeem ua rau tsis xis nyob, tab sis feem ntau tsis txaus rau tus neeg kom nres lossis cuam tshuam nws txoj kev kho.

Kev kho Proton rhuav tshem cov qog nqaij hlav qog noj ntshav thiab txo qis kev puas tsuaj rau cov hlwb noj qab haus huv los ntawm kev xa cov punch muaj zog ntawm hluav taws xob mus rau qhov chaw qog. Vim hais tias proton beam hluav taws xob tuaj yeem tswj tau ntau dua, cov kws kho mob tuaj yeem sau ntau dua ntawm cov hluav taws xob uas tsis tshua muaj kev cuam tshuam rau kev noj qab haus huv ntawm cov ntaub so ntswg. Nyob rau hauv sib piv rau cov X-rays feem ntau siv nyob rau hauv cov pa hluav taws xob, protons nkag mus rau hauv lub cev ntawm ib tug tsawg zog theem thiab tso tawm feem ntau ntawm lawv lub zog raws li muaj feem xyuam rau cov qog, yog li tsis muaj "tawm" koob tshuaj rau cov ntaub so ntswg noj qab nyob zoo. Qhov no ua rau muaj qhov tshwm sim tsawg ntawm cov kev mob tshwm sim thiab, tshwj xeeb tshaj yog rau cov menyuam yaus, muaj kev cuam tshuam rau lub sijhawm ntev.

Nyob ntawm lawv tus mob, tus neeg mob tau txais kev kho mob proton txog 5 zaug hauv ib lub lis piam nyob rau ob peb lub lis piam. Tag nrho cov kev kho mob yuav siv sij hawm li ntawm 30 min mus rau 45 min, tab sis qhov tseeb proton kho tsuas yog siv li ib feeb xwb.

Nws tuaj yeem nyuaj kom paub yuav ua li cas npaj, tab sis muaj ntau yam teeb meem uas tsim nyog xav txog ua ntej.

• Npaj
  chaw nyob: Tham nrog peb tus kws saib xyuas kev noj qab haus huv uas yuav zoo siab los muab cov kev xaiv rau kev pab rau koj, ob qho tib si sab hauv thiab sab nraum lub tsev kho mob.
• Npaj thauj: Tham nrog peb tus kws saib xyuas kev noj qab haus huv lossis lub rooj txais tos txog kev npaj chaw nres tsheb vim feem ntau yuav muaj cov chaw tso tseg rau cov neeg mob hluav taws xob.
• Hais txog Metal Implants: Qhia rau koj pab neeg kho mob paub yog tias koj muaj cov cuab yeej kho mob hauv koj lub cev, xws li pacemaker, cochlear implant lossis lwm yam hlau cog. Kev kho hluav taws xob tuaj yeem cuam tshuam cov cuab yeej no.
• Txiav Luam Yeeb: Yog tias koj haus luam yeeb, sim txiav tawm lossis txiav ua ntej kev kho hluav taws xob pib, vim tias kev haus luam yeeb yuav ua rau kev kho mob tsis zoo thiab muaj kev phiv tsis zoo.
• Cov duab yav dhau los: Nco ntsoov nqa feem ntau (yog tias tsis yog tag nrho) ntawm koj cov ntawv tshaj tawm yav dhau los (thiab cov yeeb yaj kiab / CD yog tias muaj) rau koj thawj zaug kev sab laj kom koj tus kws kho mob tuaj yeem muaj tag nrho cov ntaub ntawv muaj los txiav txim siab txog txoj kev kho zoo tshaj plaws.
• Xav txog Fertility: Qee hom kev kho hluav taws xob tuaj yeem cuam tshuam koj txoj kev xeeb tub. Yog tias koj xav tias tej zaum koj yuav xav muaj menyuam yav tom ntej, tham nrog koj pab neeg kho mob txog koj cov kev xaiv ua ntej kev kho hluav taws xob
  pib. Yog tias koj xav tias koj yuav xeeb tub, hais qhov no ua ntej kev npaj kho hluav taws xob / simulation tiav.
• Shaving / trimming lub ntsej muag plaub hau: Yog tias koj tau txais kev kho hluav taws xob rau koj lub ntsej muag / caj dab, tej zaum koj yuav xav txiav txim siab txiav koj cov hwj txwv / hneev taw lossis shaving ua ntej pib kho hluav taws xob, raws li koj yuav tsum zam cov no thaum kho.
• Suab paj nruag: Yog tias koj muaj cov suab paj nruag tshwj xeeb uas tuaj yeem pab koj so lossis qhov koj nyiam, thov koj xav hais qhia rau peb cov kws kho mob. Raws li koj yuav tau siv qee lub sijhawm hauv chav kho mob, peb sim ua kom koj qhov kev sib tham kom so kom txaus.

Ntxiv rau cov kev ntsuas tau hais tseg rau kev npaj ua ntej kev kho proton, yuav tsum muaj kev siv zog tshwj xeeb rau cov menyuam yaus uas tau txais kev kho mob proton beam, suav nrog kev sedation los pab txhawb kev kho mob thiab simulation. Thaum koj ntsib nrog koj pab neeg saib xyuas mob qog noj ntshav, koj tus kws kho mob oncologist yuav tuaj yeem muab cov kev xaiv uas yuav ua tau zoo tshaj plaws hauv kev kho koj tus menyuam uas siv cov tshuaj proton beam. Peb muaj ib pab neeg ntawm cov kws kho mob tshwj xeeb hauv cov tshuaj loog rau menyuam yaus uas muaj kev paub txog kev muab tshuaj sedation rau kev kho mob proton. Tsis tas li ntawd, peb twb tau kho cov menyuam yaus hnub nyoog qis dua 16 lub hlis. Txawm hais tias koj muaj kev ywj pheej nqa koj tus menyuam cov khoom ua si nyiam los pab kom lawv nyob ntsiag to, peb kuj muaj chav ua si, uas cov menyuam yaus tuaj yeem so kom txog thaum lawv lub sijhawm kho.

Kev kho Proton yog xa los ntawm ib lub cuab yeej hu ua cyclotron, uas xa cov kab hluav taws xob siab ntawm protons los ntawm daim tawv nqaij mus rau cov qog. Thawj kauj ruam yog CT lossis MRI scan kom pom cov qog hauv peb qhov ntev. Tom qab ntawd peb cov kws kho mob hluav taws xob hluav taws xob, hauv kev sib koom tes nrog cov kws kho mob physicists, siv cov khoos phis tawj los xam seb yuav xa cov kev kho mob li cas ntawm cov koob tshuaj thiab qhov chaw. Cov neeg mob tau txais kev kho proton hauv chav kho mob tshwj xeeb, qhov chaw uas lawv tau muab tso rau ntawm lub rooj kho mob. Ib qho khoom siv immobilization ua kom lawv nyob hauv qhov tseeb ntawm lub rooj. Lub rooj nws tus kheej yog lub rooj zaum tshwj xeeb neeg hlau uas ua kom ntseeg tau tias txawm tias lub sijhawm hloov pauv hauv txoj haujlwm ntawm tus neeg mob tuaj yeem raug kho kom coj cov qog raws nraim hauv txoj haujlwm xav tau rau kev kho mob.
Cov txheej txheem tshwj xeeb ntawm kev taw qhia saum npoo (VisionRT ™) yog siv los tso tus neeg mob kom raug ntawm lub rooj zaum thiab saib xyuas lawv txoj kev txav thaum kho. Ua ntej txhua qhov kev kho mob, txoj hauj lwm ntawm tus neeg mob tau txheeb xyuas ntxiv los ntawm kev siv CT scanners ntawm lub tshuab kho mob, hu ua cone-beam CT (CBCT). Thaum lub luag haujlwm ntawm tus neeg mob raug txheeb xyuas, txhua qhov kev kho uas xav tau tuaj yeem siv tau los ntawm kev siv cov neeg mob tshwj xeeb qhov chaw tso tus neeg mob uas muaj 6 qib kev ywj pheej thiab yog li kho tus neeg mob txoj hauj lwm kom raug. Tom qab ntawd lub nqaj raug qhib thiab kev kho proton raug xa mus rau tus neeg mob.

Kev lees paub zoo ntawm Pencil Beam Scanning Proton Therapy yog ua tau zoo heev ntawm Apollo Proton Cancer Center. Qhov kev pab cuam QA txhua hnub yog ua tiav txhawm rau txhawm rau txheeb xyuas cov yam ntxwv tseem ceeb ntawm lub nqaj kom paub tseeb tias kev ua haujlwm ntawm cov txheej txheem kho mob thiab cov neeg mob kev nyab xeeb. Qhov kev pab cuam QA txhua hnub tsuas siv 20-30 feeb xwb. Nyob rau tib lub sijhawm, cov kev kuaj xyuas ua raws li kev qhia dav dav los npog txhua yam ntawm cov nqaj xa khoom thiab kho cov cuab yeej kho mob thiab ua rau kom muaj cov kab mob hauv chaw kho mob. Ua ntej txhua tus neeg mob pib kho mob, tus neeg mob tshwj xeeb QA tseem ua rau ntawm lub tshuab kom ntseeg tau tias kev kho mob zoo tshaj plaws tau xa tuaj txhua lub sijhawm.

Nyob ntawm lawv tus mob, tus neeg mob tau txais kev kho proton li 5 zaug hauv ib lub lis piam nyob rau ob peb lub lis piam mus rau lub hlis. Tag nrho cov kev kho mob yuav siv sij hawm li ntawm 30 min mus rau 45 min, tab sis qhov tseeb proton kho tsuas yog siv li ib feeb xwb. Feem ntau ntawm lub sijhawm yog siv qhov chaw tus neeg mob kom zoo thiab kho cov khoom siv hauv chav kho mob. Kev kho mob tsis muaj kev cuam tshuam, yog li cov neeg mob feem ntau tuaj yeem txuas ntxiv nrog lawv cov haujlwm txhua hnub.

Lub tshuab kho proton ntawm APCC hu ua Proteus Plus thiab tau teeb tsa thiab tswj hwm los ntawm IBA (Ion Beam Applications), Belgium-based ua lag luam tus thawj coj hauv kev kho cov kab mob proton. IBA yog tus thawj coj hauv ntiaj teb hauv kev kho cov kab mob proton thiab tau ua qhov tseem ceeb hauv kev siv lub zeem muag ntawm peb tus Thawj Coj, Dr.Prathap C. Reddy, coj cov kev kho proton rau Is Nrias teb. Ib pab neeg ua haujlwm ua tiav nyob rau ntawm qhov chaw nyob hauv tsev kho mob ib puag ncig-teev-teev kom ntseeg tau tias kev saib xyuas tsis tu ncua thiab cov kev kho mob xa mus tas li yog qhov zoo tshaj plaws.

Kev sib xyaw ua ke ntawm cov thev naus laus zis zoo tshaj plaws - xaum beam scanning proton beam therapy, kev siv zog-modulated proton kho, robotic neeg mob positioning system, cov duab taw qhia nrog on-board cone beam CT, kev tswj cov lus tsa suab nrog kev taw qhia saum npoo siv VisionRT platform; thiab pab pawg kho mob zoo tshaj plaws- nrog rau pab pawg neeg paub txog cov kws kho mob tshwj xeeb thiab cov kws kho mob tshwj xeeb, ua haujlwm ua ke ua Pab Pawg Tswj Xyuas Kho Mob (CMT), xyuas kom meej tias tsuas yog kev saib xyuas zoo tshaj plaws yog xa mus rau txhua tus neeg mob. Qhov no yog vim li cas peb thiaj li tau txais kev lees paub los ntawm Joint Commission International (JCI) thiab txaus siab los ua ib lub chaw kho mob qog noj ntshav hauv Is Nrias teb tau txais kev qhuas li ntawd.

Tom qab kev sab laj thawj zaug nrog peb tus kws kho mob hluav taws xob hluav taws xob, cov neeg mob koom nrog hauv kev simulation. Kev simulation suav nrog kev sau cov ntaub ntawv los pab txheeb xyuas qhov loj me, cov duab thiab qhov chaw ntawm cov qog lossis qhov txhab thiab ib puag ncig cov qauv tseem ceeb uas siv cov kev ntsuas qib siab xws li magnetic resonance imaging (MRI), CT (computed tomography) scanning thiab / lossis PET (positron emission tomography) duab. Siv cov duab thiab cov ntaub ntawv sau los ntawm kev simulation, cov pwm hloov kho thiab lwm yam khoom siv yuav raug tsim los tso tus neeg mob thaum kho, yog li kev kho proton tuaj yeem xa mus rau cov qog nqaij hlav txhua lub sijhawm. Nws feem ntau yuav siv li ib lub lis piam los tsim ib qho kev npaj tsim nyog proton tom qab qhov kev kho mob tuaj yeem pib. Thaum cov kev kho mob pib, lawv feem ntau muaj ib zaug ib hnub thiab tsib zaug hauv ib lub lis piam, nrog rau so rau hnub so.

Cov kev mob tshwm sim cuam tshuam nrog kev kho proton yog tsawg dua cov uas tuaj ntawm cov hluav taws xob ib txwm muaj. Qhov no yog vim txoj kev kho proton lub peev xwm los xa cov tshuaj tua hluav taws xob zoo rau qhov chaw kho mob thaum ua kev puas tsuaj tsawg rau cov nqaij mos noj qab haus huv nyob ib puag ncig cov qog. Thaum koj ntsib nrog koj pab neeg saib xyuas mob qog noj ntshav, koj tus kws kho mob oncologist yuav tuaj yeem piav qhia meej txog txhua yam kev mob tshwm sim uas koj yuav dhau mus.

Nyob ntawm qhov chaw ntawm Kev Kho Hluav Taws Xob, tuaj yeem poob ntawm cov plaub hau hauv qhov chaw kho mob. Cov plaub hau poob yuav tshwm sim li ob lub lis piam tom qab kev kho mob pib. Tej zaum nws yuav yog ib ntus lossis mus tas li. Cov plaub hau feem ntau yuav pib loj hlob dua 2 mus rau 3 lub hlis tom qab kev kho mob tas lawm. Qee cov neeg mob yuav pom tau tias cov plaub hau tshiab tshiab yog nyias lossis nyias dua li ua ntej thiab qhov kev ntxhib los mos lossis xim yuav hloov.

Tus nqi ntawm kev kho proton nyob ntawm seb hom mob qog noj ntshav. Thaum koj tau muab cov ntsiab lus ntawm rooj plaub, koj tus kws kho mob hluav taws xob hluav taws xob yuav txiav txim siab txog txoj kev kho mob thiab cov txheej txheem. Cov pob kho mob kuj yuav piav qhia.

Kev kho hluav taws xob feem ntau tsis muaj txiaj ntsig tam sim ntawd, thiab nws tuaj yeem siv sijhawm ntau hnub, lis piam, lossis hli kom pom kev hloov pauv hauv kev mob qog noj ntshav. Cov qog nqaij hlav cancer tuaj yeem tuag rau lub lis piam lossis hli tom qab kev kho mob tas mus li. Tej zaum nws yuav yog qee lub sij hawm ua ntej koj paub tias kev kho hluav taws xob puas tswj tau mob qog noj ntshav. Lub neej tom qab kev kho mob qog noj ntshav tuaj yeem nthuav qhia nws tus kheej cov nyom. Tej zaum koj yuav muaj kev xav sib xyaw thaum kev kho mob xaus, thiab txhawj xeeb tias txhua qhov mob thiab qhov mob txhais tau tias mob qog noj ntshav rov qab los. Qee tus neeg hais tias lawv xav tias lawv xav rov qab mus rau "lub neej qub". Nws yog ib qho tseem ceeb kom tso cai rau koj tus kheej lub sijhawm los hloov kho lub cev thiab lub siab lub ntsws thiab tsim ib txoj haujlwm tshiab txhua hnub ntawm koj tus kheej. Koj tsev neeg thiab cov phooj ywg kuj yuav xav tau sijhawm los kho.