Hais txog PROTON THErapy

Kev kho hluav taws xob yog ib hom kev kho mob qog noj ntshav uas cov qog nqaij hlav cancer raug rhuav tshem siv lub zog X-rays lossis cov khoom xws li protons. Nws yog kev kho mob hauv zos uas tsis mob thiab tsis muaj kev cuam tshuam uas ua rau DNA ntawm cov qog nqaij hlav cancer thiab ua rau tuag ntawm cov qog nqaij hlav hauv cheeb tsam irradiated. Nws feem ntau yog muab los ntawm lub tshuab sab nraum lub cev (hu ua sab nraud-beam hluav taws xob kho). Nws yog ib qho ntawm cov ncej ntawm kev kho mob qog noj ntshav (lwm tus yog kev phais, kws khomob, kev kho mob oncology, immunotherapy) uas tau siv ntau tshaj ib puas xyoo.

High-zog X-rays / hais yog tsom siv precision tshuab thiab tshuab mus rau cov qog. Cov hluav taws xob no ua rau cov DNA ntawm cov qog nqaij hlav cancer thiab tiv thaiv lawv los ntawm kev sib npaug. Lub cev tom qab ntawd tshem tawm cov qog nqaij hlav tuag los ntawm ntau yam txheej txheem.

Kev kho hluav taws xob tuaj yeem rhuav tshem cov qog los ntawm kev tua cov hlwb ncaj qha thiab los ntawm kev puas tsuaj DNA ntawm cov qog nqaij hlav cancer los ntawm kev tsim cov dawb radicals thiab / lossis tiv thaiv kom tsis txhob rov qab los. Nws tuaj yeem siv los ntawm nws tus kheej li kev kho mob nkaus xwb lossis ua ke nrog kev phais, kev kho mob (xws li kws khomob, kev kho mob thiab kev tiv thaiv kab mob), lossis ob qho tib si. Qee lub sij hawm hluav taws xob yog siv los txo cov qog ua ntej kev phais (kev kho neoadjuvant) los yog muab tom qab kev phais kom nres kev loj hlob ntawm cov qog nqaij hlav cancer (adjuvant therapy). Radiation kuj tseem tuaj yeem ua ke nrog kev siv tshuaj khomob (xws li chemoradiation) los rhuav tshem cov qog nqaij hlav cancer.

Nws tau raug pov thawj tias muaj kev vam meej 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. Qee hom qog nqaij hlav cancer yog qhov nkag siab heev rau hluav taws xob thiab hluav taws xob ib leeg tuaj yeem siv los kho cov qog nqaij hlav. Hauv qee qhov mob qog noj ntshav thaum ntxov (xws li mob qog noj ntshav hauv tsev menyuam, lymphomas, mob qog noj ntshav prostate), kev kho hluav taws xob ib leeg feem ntau tuaj yeem siv nrog kev siv tshuaj kho mob kom kho tus nqi kwv yees li 90%. Hauv lwm cov qog nqaij hlav, thaum siv nrog rau kev siv tshuaj khomob lossis phais mob, kev kho hluav taws xob ua rau muaj kev kho mob ntawm cov qog nqaij hlav no (xws li mob qog noj ntshav, qee lub taub hau thiab caj dab, mob qog noj ntshav esophageal).

Kev siv hluav taws xob siv hluav taws xob tuaj yeem siv rau txhua theem ntawm kev mob qog noj ntshav - txij thaum pib ntawm kev mob qog noj ntshav mus rau theem siab (txawm tias tom qab kis tau lawm).

Nws tuaj yeem siv rau:

• Sim kho tus mob qog noj ntshav kom tiav, ib leeg lossis ua ke nrog kev kho mob (kwv yees kom paub tseeb)
• Ua lwm yam kev kho mob zoo dua - piv txwv li, nws tuaj yeem ua ke nrog kev kho mob lossis siv ua ntej kev phais (neo-adjuvant radiotherapy)
• Txo qhov kev pheej hmoo ntawm mob qog noj ntshav rov qab los tom qab phais (adjuvant radiotherapy)
• Txo cov tsos mob yog tias kho tsis tau (palliative radiotherapy)

Tshuaj kho mob thiab hluav taws xob yog ob hom kev kho mob khees xaws tshaj plaws. Txawm hais tias koj tau txais chemo lossis hluav taws xob yuav nyob ntawm hom thiab qhov chaw ntawm koj tus mob qog noj ntshav, nrog rau koj qhov kev noj qab haus huv tag nrho. Tus nqi ntawm txoj kev kho kuj nyob ntawm seb qhov kev kho mob twg feem ntau siv hauv koj txoj kev kho mob. Tus nqi ntawm txhua txoj kev kho yuav nyob ntawm seb hom tshuaj khomob lossis cov txheej txheem ntawm kev kho hluav taws xob siv thiab tus lej ntawm cov feem lossis cov voj voog uas tau teem tseg.

Nws tau raug pov thawj tias muaj kev vam meej 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. Qee hom qog nqaij hlav cancer yog qhov nkag siab heev rau hluav taws xob thiab hluav taws xob ib leeg tuaj yeem siv los kho cov qog nqaij hlav. Hauv qee qhov mob qog noj ntshav thaum ntxov (xws li mob qog noj ntshav hauv tsev menyuam, lymphomas, mob qog noj ntshav prostate), kev kho hluav taws xob ib leeg feem ntau tuaj yeem siv nrog kev siv tshuaj kho mob kom kho tus nqi kwv yees li 90%. Hauv lwm cov qog nqaij hlav, thaum siv nrog rau kev kho mob los yog phais, kev kho hluav taws xob ua rau muaj kev kho mob ntawm cov qog nqaij hlav no (xws li mob qog noj ntshav, qee lub taub hau thiab caj dab, mob qog noj ntshav).

Radiotherapy yog ib qho kev kho mob uas siv hluav taws xob tua cov qog nqaij hlav cancer.

Kev kho hluav taws xob yog ib qho kev kho mob uas muaj tseeb, tsom kom raug thiab ncaj qha ntawm tus mob qog noj ntshav nyob qhov twg nws yuav nyob hauv lub cev. Qhov no tso cai rau cov qog nqaij hlav cancer raug tua lossis txo tus lej thaum tiv thaiv feem ntau ntawm lwm cov kabmob thiab cov ntaub so ntswg hauv lub cev. Kev kho hluav taws xob pab txhawb rau 50% ntawm tag nrho cov mob qog noj ntshav thoob ntiaj teb thiab txo cov tsos mob, xws li mob, thiab txhim kho lub neej zoo rau ntau lwm tus. Kev mob tshwm sim ntawm hluav taws xob feem ntau tsuas yog nyob rau thaj chaw kho. Qee qhov xwm txheej, kev siv hluav taws xob kho hluav taws xob piv rau kev phais yuav ua rau muaj kev puas tsuaj tsawg dua thiab ib feem ntawm lub cev koom nrog yuav ua haujlwm ntau dua li qhov nws yuav tsum tau ua tom qab kho.

Nyob ntawm seb hom mob qog noj ntshav, ib qho ntawm cov kev kho mob no tuaj yeem ua tau zoo dua li lwm yam hauv kev kho mob qog noj ntshav tshwj xeeb. Lwm lub sij hawm, chemo thiab hluav taws xob tuaj yeem ua tiav ib leeg thiab muab ua ke. 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.

Hom hluav taws xob cuam tshuam uas koj yuav muaj nyob ntawm cov tshuaj thiab lub sijhawm teem tseg. Feem ntau cov kev mob tshwm sim ploj mus nyob rau hauv ob peb lub hlis ntawm kev kho mob. Qee qhov kev mob tshwm sim tuaj yeem txuas ntxiv tom qab kev kho mob xaus vim nws yuav siv sij hawm rau cov hlwb noj qab haus huv kom rov zoo los ntawm hluav taws xob. Kev npaj kho mob kom zoo thiab kev siv tshuab ua haujlwm siab tuaj yeem pab kom tsis txhob muaj kev phiv ntev ntev. Nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob hluav taws xob hluav taws xob txog kev pheej hmoo ntawm cov kev mob tshwm sim ntev.

Kev kho hluav taws xob tuaj yeem cuam tshuam rau koj lub cev tiv thaiv kab mob, tshwj xeeb tshaj yog tias cov pob txha pob txha tseem ceeb tau raug irradiated vim nws lub luag haujlwm hauv kev tsim cov qe ntshav dawb. Txawm li cas los xij, qhov no feem ntau tsis ua rau lub cev tiv thaiv kab mob txaus kom ua rau koj kis tau ntau dua.

Tsis yog tiag. Cov neeg mob feem ntau tsis hnov ​​​​mob hluav taws xob thaum lub tshuab xa cov kev kho mob txhua hnub. Ob peb tus neeg mob qhia txog qhov ua kom sov me ntsis lossis tingling nyob rau hauv qhov chaw thaum lub tshuab hluav taws xob nyob rau. Nyob rau tib lub sijhawm, daim tawv nqaij ntawm qhov chaw raug kho 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 mob.

Qhov tsis zoo ntawm kev kho hluav taws xob tuaj yeem suav nrog kev puas tsuaj rau cov ntaub so ntswg nyob ib puag ncig (xws li lub ntsws, lub plawv), nyob ntawm seb qhov chaw txaus siab nyob ze rau cov qog, tsis muaj peev xwm tua tau tag nrho cov qog nqaij hlav cancer hauv cov qog (qhov no muaj tseeb tshwj xeeb rau cov qog loj. ), qhov tshwm sim ntau ntxiv hauv qhov txhab mob thiab kho tsis zoo (xws li yog siv phais mob tom qab hluav taws xob; lossis hauv qhov chaw uas tsis muaj kev sib raug zoo), kev siv hluav taws xob tsis yooj yim (xws li qee zaum nws yuav tsum tau xa tawm. txhua hnub, 5 hnub hauv ib lub lis piam, rau 1-2 lub hlis) thiab contraindications rau kev kho hluav taws xob (xws li hluav taws xob ua ntej; qee yam kev mob nkeeg)

Nws yog ib qho zoo tshaj plaws los tham nrog koj tus kws kho mob hluav taws xob hluav taws xob txog kev ceev faj thaum siv hluav taws xob kho. Txawm li cas los xij, muaj qee yam kev ceev faj uas ib tus yuav tsum tau noj thaum lub sijhawm kho hluav taws xob suav nrog:

• Tsis txhob siv xab npum hnyav thiab dej kub los ntxuav qhov chaw uas tau txais hluav taws xob.
• Tsis txhob rub, theej pat lub cheeb tsam kom qhuav thaum twg xav tau.
• Tsis txhob ncua lub hnub ci ncaj qha rau ntawm qhov chaw kho mob.
• Tsis txhob tshem tus cwj mem tshwj tsis yog koj tus kws kho hluav taws xob hais tias nws tsis zoo.
• Tsis txhob siv cov kub kub, saunas, cua sov pads, lossis cov pob dej khov, tshwj tsis yog koj tus kws kho mob hluav taws xob tau pom zoo.
• Tsis txhob hnav khaub ncaws nruj uas ua rau muaj kev sib txhuam lossis txhuam ntawm daim tawv nqaij.
• Tsis txhob chais koj cov hwj txwv / nas yog tias koj tab tom kho hluav taws xob ntawm lub taub hau thiab caj dab cheeb tsam.
• Tsis txhob ntsim zaub mov hauv kev noj haus.
• Tej zaum koj yuav raug nug kom zam qee yam khoom noj hauv koj cov zaub mov kom tsis txhob muaj roj ntau dhau, raws li cov txheej txheem tshwj xeeb hauv qee yam kev kho mob (piv txwv li, zaub paj, zaub qhwv, lentils, thiab lwm yam).
• Tej zaum koj yuav raug hais kom ua raws li cov txheej txheem tshwj xeeb thaum lub sijhawm npaj thiab kho, xws li cov txheej txheem zais zis, cov txheej txheem ua pa hauv plab nrog rau cov txheej txheem ua pa. Cov no yog cov lus qhia tshwj xeeb rau tus neeg mob thiab cov ncauj lus kom ntxaws uas yuav muab rau koj tus kheej- thov xyuas kom koj ua raws li cov lus qhia no, vim tias lawv yog qhov tseem ceeb los xyuas kom meej qhov zoo tshaj plaws ntawm kev kho hluav taws xob.

Ua ntej koj pib kho hluav taws xob, koj pab neeg kho hluav taws xob ua tib zoo npaj koj txoj kev kho mob hauv cov txheej txheem hu ua hluav taws xob simulation. Kev npaj kho mob feem ntau yog muab tso rau hauv koj lub cev, ua cov cim ntawm koj daim tawv nqaij thiab kev soj ntsuam cov duab.

Koj pawg kws kho mob hluav taws xob txiav txim siab seb koj puas yuav pw ntawm koj nraub qaum, plab lossis sab thaum kho. Nws yog ib qho tseem ceeb kom nrhiav tau ib txoj hauj lwm uas ua kom koj txoj kev kho mob zoo, tab sis nws yooj yim txaus los tuav 15 mus rau 45 feeb.

Ntau yam immobilizers yuav raug siv los xyuas kom meej tias koj yuav nyob hauv tib txoj haujlwm rau txhua txoj kev kho hluav taws xob. Feem ntau, lub cushion pwm los yog lub npog ntsej muag yuav ua rau koj immobilization.

Pab pawg kws kho hluav taws xob siv hluav taws xob sib xyaw ua ke ntawm lub teeb laser thiab cov cim ntawm koj lub cev. Qhov no ua kom ntseeg tau tias koj lub cev raug kho kom raug thiab ua kom zoo rau txhua qhov kev kho mob. Hom cim twg koj tau txais nyob ntawm koj tus mob qog noj ntshav thiab koj txoj kev kho mob. Qee qhov xwm txheej, cov cim tau kos rau ntawm koj daim tawv nqaij nrog lub cim thiab siv daim nplaum nplaum kom paub tseeb tias cov cim no tsis ntxuav tawm. Thov tsis txhob tshem cov ntawv nplaum no kom txog thaum koj kho tiav. Koj tuaj yeem ntxuav cov cim no tawm thaum koj qhov kev kho zaum kawg tiav.

Thaum koj nyob hauv qhov chaw kom raug, pab pawg kws kho hluav taws xob yuav siv computerized tomography (CT) cov duab ntawm thaj tsam ntawm koj lub cev los kho. Qhov no pab koj tus kws kho mob hluav taws xob hluav taws xob txiav txim siab txog thaj chaw uas yuav tsom mus rau kev kho mob. Ib qho MRI scan lossis PET scan kuj tseem raug coj los pab koj tus kws kho mob hluav taws xob hluav taws xob hauv lub hom phiaj delineation.

Koj cov duab raug xa mus rau qhov kev npaj kho mob (TPS) qhov twg koj tus kws kho mob hluav taws xob hluav taws xob qhia txog cov qog nqaij hlav thiab qhov ntim ntawm cov ntaub so ntswg los kho nrog hluav taws xob kho. Tom qab ntawd pab pawg physics npaj koj cov kev kho mob kom xa tuaj rau ntawm lub tshuab zoo tshaj plaws rau cov koob tshuaj uas tau muab los ntawm koj tus kws kho mob hluav taws xob hluav taws xob.

Tom qab tsim cov phiaj xwm, nws raug txheeb xyuas los ntawm qhov kev ntsuam xyuas zoo ntawm lub tshuab kho mob ua ntej xa mus rau tus neeg mob. Qhov no yog kom paub meej tias yam uas tau npaj los ntawm TPS yog qhov kawg uas xa tuaj rau koj.

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 neeg saib xyuas 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.
• Txiav Luam Yeeb
  Yog tias koj haus luam yeeb, sim txiav 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.
• 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.
• 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 / CDs 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.
• Muaj / trimming 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.

Kev kho hluav taws xob tuaj yeem muab rau hauv 3 txoj hauv kev:

• Sab nraud hluav taws xob (lossis sab nraud hluav taws xob hluav taws xob)
  Siv lub tshuab uas coj cov hluav taws xob siab los ntawm sab nraud lub cev mus rau hauv cov qog. Nws ua tiav thaum tus neeg mob sab nraud mus ntsib tsev kho mob lossis chaw kho mob. Nws feem ntau muab ntau lub lis piam thiab qee zaum yuav muab ob zaug ib hnub rau ob peb lub lis piam. Tus neeg tau txais hluav taws xob sab nraud tsis yog xov tooj cua thiab tsis tas yuav ua raws li kev ceev faj tshwj xeeb hauv tsev.
• Sab hauv hluav taws xob
  Sab hauv hluav taws xob tseem hu ua brachytherapy. Ib qho xov tooj cua yog muab tso rau hauv lub cev mus rau hauv los yog ze ntawm cov qog. Nrog qee hom kev kho mob brachytherapy, hluav taws xob yuav raug muab tso rau hauv lub cev ua haujlwm.
  Qee lub sij hawm nws muab tso rau hauv lub cev rau lub sijhawm thiab tom qab ntawd tshem tawm. Qhov no yog txiav txim siab raws li hom mob qog noj ntshav. Kev ceev faj tshwj xeeb yog xav tau rau hom hluav taws xob no rau ib lub sijhawm.Tab sis nws yog ib qho tseem ceeb uas yuav tsum paub yog tias cov hluav taws xob sab hauv yog sab laug hauv lub cev, tom qab ib ntus nws thiaj li tsis muaj hluav taws xob ntxiv lawm.
• Systemic hluav taws xob
  Cov tshuaj radioactive uas muab los ntawm qhov ncauj los yog muab tso rau hauv cov hlab ntsha yog siv los kho qee yam mob qog noj ntshav. Cov tshuaj no mam li mus thoob plaws lub cev.Koj yuav tau ua raws li kev ceev faj tshwj xeeb hauv tsev rau lub sijhawm tom qab muab cov tshuaj no.
• Hom hluav taws xob koj yuav tau txais nyob ntawm seb hom mob qog noj ntshav koj muaj thiab qhov twg nws nyob. Qee zaum, siv ntau tshaj ib hom. Koj pab neeg saib xyuas mob qog noj ntshav tuaj yeem teb cov lus nug tshwj xeeb txog hom hluav taws xob uas tau muab rau koj, nws cuam tshuam rau koj lub cev li cas, thiab txhua yam kev ceev faj uas yuav xav tau.

Kev kho hluav taws xob tau ua lub luag haujlwm tseem ceeb hauv kev kho mob qog noj ntshav rau ntau tshaj ib puas xyoo. Lub hom phiaj ntawm kev kho hluav taws xob ib txwm yog txhawm rau tshem tawm tus neeg mob tus mob qog noj ntshav los ntawm kev xa cov hluav taws xob ntau rau cov qog thaum xa cov tshuaj tsawg kawg rau cov kab mob ib puag ncig.

Kev nce qib hauv kev siv thev naus laus zis thiab kev tsim vaj tsev tau txhim kho kev xa tawm hluav taws xob kom ua tau zoo dua, thiab cov kws kho hluav taws xob hluav taws xob tam sim no muaj peev xwm xa cov hluav taws xob ntau dua kom nyab xeeb dua.

Tsis zoo li cov tshuab telecobalt thaum ntxov uas siv hluav taws xob xoo hluav taws xob tsawg nrog qhov tshwm sim ntau dua rau ntawm daim tawv nqaij thiab ib puag ncig cov ntaub so ntswg, niaj hnub no, hluav taws xob oncologists siv lub zog loj, megavoltage X-rays xa tawm siv cov kab nrawm uas tuaj yeem nkag mus tob dua thiab txo qis irradiation. ntawm daim tawv nqaij. Kev tshwm sim ntawm ntau yam kev txhim kho engineering, xws li khoos phis tawj kev npaj kho mob, ntau nplooj collimators (MLC's) thiab cone beam xam tomography imaging panels mounted ntawm cov chav kho mob, tso cai rau cov kev kho mob kom zoo dua rau cov qog thiab yog li tshem tawm cov kev mob tshwm sim vim rau irradiation ntawm cov ntaub so ntswg nyob ze. Cov kev nce qib kuj tau dhau los ua tus neeg mob ntau dua los ntawm kev txo lub sijhawm siv lub tshuab.

Cov theem tom ntej ntawm kev siv thev naus laus zis uas tau dhau los ua ntau dua yog kev kho proton, cov ntawv tshaj tawm ntawm hluav taws xob muaj. Tsis zoo li lub zog X-rays uas dhau los ntawm lub cev ntawm tus neeg mob nrog kev siv zog zuj zus zuj zus, cov kab hluav taws xob proton tuaj yeem nres ntawm qhov tob hauv tus neeg mob (nyob ntawm lub zog ntawm lub nqaj). Yog li ntawd, cov kab hluav taws xob proton yog qhov tseeb ntau dua li lub zog X-rays. Pencil beam scanning, tseem hu ua qhov chaw scanning, muaj peev xwm kho cov qog nqaij hlav nyuaj thaum tsis txhob muaj cov ntaub so ntswg noj qab haus huv thiab cov txheej txheem tseem ceeb yog li txhim kho tus neeg mob lub neej zoo yam tsis muaj kev cuam tshuam rau tus neeg mob cov txiaj ntsig.

Txog TomoTherapy

TomoTherapy System yog tsim los kom muaj kev nyab xeeb thiab niaj hnub xa cov duab qhia, siv hluav taws xob hloov kho hluav taws xob (IG-IMRT) rau kev kho mob qog noj ntshav thiab lwm yam kab mob. Dab tsi tau ua rau TomoTherapy System sawv tawm thaum piv rau cov pa hluav taws xob ua ke yog kev sib koom ua ke ntawm kev suav tomography (CT) scanner los ua cov duab txhua hnub ua ntej txhua qhov kev kho mob. Lub peev xwm ntsuas txhua hnub ua rau cov kws kho mob tuaj yeem txheeb xyuas thiab kho rau txhua qhov kev hloov pauv ntawm tus neeg mob qhov chaw, kev hloov pauv hauv cov qog, lossis lwm yam, xws li qhov hnyav nce lossis poob, kom ntseeg tau tias qhov txuas ntxiv meej thiab nyab xeeb ntawm cov tshuaj tiv thaiv hluav taws xob rau lub cev. lub hom phiaj. Vim tias TomoTherapy System qhov tseeb txo qis qhov cuam tshuam ntawm hluav taws xob rau ib puag ncig cov ntaub so ntswg noj qab haus huv, ntau tus kws kho mob tau tshaj tawm tias lawv
Cov neeg mob raug kev txom nyem los ntawm cov kev mob tshwm sim tsawg dua piv rau cov neeg mob tau txais cov qauv kev kho hluav taws xob. Qhov tseeb yuav ua rau TomoTherapy System siv los kho cov neeg mob uas tau kho hluav taws xob ua ntej yog tias lawv cov qog nqaij hlav rov qab los siv cov kev kho mob rov qab ua haujlwm.

Vim li cas Precision tseem ceeb?

Kev txhim kho thev naus laus zis tau ua rau cov chaw tsim khoom ntawm cov khoom siv hluav taws xob sab nraud los txhim kho qhov tseeb ntawm lawv cov khoom xa tuaj.
Feem ntau:
1. Lub teeb hluav taws xob yuav tsum nkag mus thiab tawm hauv lub cev
2. Tus qauv tsim khoom txwv tsis pub cov kab hluav taws xob tuaj yeem raug coj mus rau hauv lub cev
3. Lub cuab yeej tuaj yeem xa qee cov hluav taws xob mus rau cov ntaub so ntswg uas nyob ib puag ncig cov qog vim yog qog nqaij hlav thaum kho
Tomotherapy muab kev xa hluav taws xob tas li los ntawm 360 degrees nyob ib puag ncig tus neeg mob, lossis xa los ntawm cov kws kho mob tshwj xeeb cov kab teeb. Cov yam ntxwv tshwj xeeb no, ua ke nrog kev taw qhia 3D duab txhua hnub, pab cov kws kho mob kom xa cov kev faib tawm ntawm tus kheej kom raug, uas ua raws li tus neeg mob cov qog thaum txo cov koob tshuaj rau ib txwm, cov ntaub so ntswg noj qab haus huv, ua rau muaj kev phiv tsawg dua rau cov neeg mob. Lub kaw lus pab kho txhua tus qauv kev kho hluav taws xob qhia suav nrog lub mis, prostate, ntsws, thiab mob qog noj ntshav taub hau thiab caj dab, ntxiv rau cov kev kho mob nyuaj, xws li tag nrho cov pob txha irradiation.

cov kev pab cuam

Cov neeg mob tau txais txiaj ntsig zoo los ntawm tiam tshiab ntawm TomoTherapy.

• Txhua hnub
  imaging pab tus kws kho mob pom lawv cov qog shrinkage txhua hnub, pab lawv txwv cov koob tshuaj rau cov qog / mob qog noj ntshav thiab tsis yog cov ntaub so ntswg noj qab haus huv uas ua rau muaj teeb meem tsawg dua thiab los ntawm kev tswj cov qog noj ntshav.
• Tsawg CT imaging koob tshuaj nrog Iterative imaging txawm pab cov neeg mob uas muaj hlau implants xws li hniav hniav, ib tug pacemaker los yog orthopedic implants kom tau txais kev kho mob yog heev npaum li cas cov duab yuav ua tau yam tsis muaj artifacts.
• Siab hauv zos tswj cov qog
• Tsawg kawg nkaus rau cov nqaij mos noj qab haus huv thiab cov kab mob anatomical xws li ob lub qhov muag, lub ntsws, lub plawv, lub raum, cov qog parotid thiab lwm yam kabmob uas ua tiav cov haujlwm tseem ceeb hauv lub cev thiab lwm yam.
• Kev muaj sia nyob siab - Cov teeb meem tsawg tshaj plaws lossis kev mob tshwm sim ntawm kev kho hluav taws xob
• Siab hauv zos tswj cov qog
• Tsawg kawg nkaus rau cov nqaij mos noj qab haus huv thiab cov kab mob anatomical xws li lub qhov muag, lub ntsws, lub plawv, ob lub raum, cov qog parotid thiab lwm yam kabmob uas ua tiav cov haujlwm tseem ceeb hauv lub cev thiab lwm yam.
• Siab ciaj sia taus
• Yam tsawg kawg nkaus los yog kev mob tshwm sim ntawm kev kho hluav taws xob
• Cov phiaj xwm kev kho mob dhau los ua qhov tseeb
• Kev txhaj tshuaj yog txwv rau lub hom phiaj lossis lub qog
• Cov kev kho mob nyuaj thiab cov menyuam yaus tuaj yeem kho nrog kev ntseeg siab

Kev kho thaj tsam loj

Kev mob qog noj ntshav loj yog tshwm sim hauv thaj teb vim qhov kev kuaj mob lig thiab nws feem ntau yog tus neeg mob xaus nrog lub qog loj / mob qog noj ntshav lossis ntawm ntau qhov chaw:

• Yog tsis muaj kev sib txuas txhais tau tias tsis muaj qhov sib tshooj thiab yog li ua rau muaj kev kho mob zoo heev thiab muaj teeb meem tsawg kawg nkaus thiab cov kev mob tshwm sim vim yog koob tshuaj ntau rau cov nqaij mos noj qab haus huv lossis cov kab mob hauv nruab nrog cev hauv qhov xwm txheej ntawm linac raws li kev kho mob.
• Cov kev kho mob nyuaj tshaj plaws yog ncaj nraim mus rau pem hauv ntej thiab muaj kev ua haujlwm yooj yim lub ntsiab lus siab rau tus neeg mob kev nplij siab thiab cov txiaj ntsig zoo tshaj plaws

Qhov no yog ib qho tseem ceeb yuav tsum tau muaj nyob rau hauv cheeb tsam raws li feem ntau ntawm cov neeg mob nyob rau hauv lub cheeb tsam raws li ib daim ntawv ceeb toom yuav tsum tau kev kho mob loj nyob rau hauv lub cheeb tsam vim yog cov nram qab no yam:

• Lub cheeb tsam muaj qhov kuaj pom tsis zoo nrog tsuas yog 20-30% ntawm kev kuaj mob qog noj ntshav hauv Theem 1 & 2
• Thaj av ntawd
  muaj qhov tshwm sim ntau dua ntawm Prostate, lub taub hau thiab caj dab, ntsws, lub mis & GI qog noj ntshav ua rau 80-90% ntawm cov qog nqaij hlav hauv cheeb tsam thiab qhov ntawd yog qhov uas TomoTherapy muaj txiaj ntsig zoo tshaj plaws.

Ntau yam ntawm Indications npog

• Mob qog nqaij hlav hlwb thiab benign hlwb hlav
• Lub taub hau, caj dab thiab qhov ncauj
• Cov qog nqaij hlav hauv lub mis, nrog rau cov kab mob ntawm lub mis mob (ob leeg Unilateral & Bilateral)
• Mob ntsws cancer thiab mob ntsws
• Cov qog nqaij hlav tawv nqaij
• Prostate cancer, los ntawm theem pib mus rau cov kab mob siab
• Oesophageal thiab Upper gastrointestinal qog nqaij hlav
• Cervical, zes qe menyuam, uterine, vaginal thiab vulva cancer
• Cov qog nqaij hlav hauv plab, plab, qhov quav thiab qhov quav
• Mob qog noj ntshav thiab pancreatic
• Cov qog nqaij hlav uas tau metastasized rau ntau qhov chaw
• Kev kho mob ua ntej rau cov kab mob ntshav, xws li leukemia

TSEV KAWM NTAWV

Kev kho hluav taws xob feem ntau tsis muaj qhov cuam tshuam tam sim ntawd, thiab nws tuaj yeem siv sijhawm ntau hnub, lis piam lossis hli kom pom kev hloov pauv ntawm tus kabmob. 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 seb txoj kev kho hluav taws xob puas tswj tau tus 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.

Thaum cov hlwb puas tuag nrog hluav taws xob, lawv tau tawg thiab tshem tawm los ntawm lub cev. Kev kho hluav taws xob tsis tua cov qog nqaij hlav tam sim ntawd.

Nws yuav siv sij hawm ntau hnub lossis ntau lub lis piam ntawm kev kho mob ua ntej DNA puas txaus rau cov qog nqaij hlav tuag. Tom qab ntawd, cov qog nqaij hlav cancer tseem tuag rau lub lis piam lossis hli tom qab kev kho hluav taws xob xaus.

Qee zaum mob qog noj ntshav tuaj yeem tiv taus kev kho mob. Cov qog nqaij hlav loj hlob los ntawm cov hlwb qub uas tau hloov lossis hloov mus ua qog noj ntshav. Kev hloov pauv tshwm sim hauv cov noob ntawm lub cell. Cov noob hloov pauv no ua rau lub cev coj txawv txawv mus rau lub cev ib txwm muaj. Cov qog nqaij hlav cancer tuaj yeem hloov mus ntxiv kom lawv ua ntau dua thiab txawv txav.

Qee qhov kev hloov pauv tuaj yeem ua rau cov hlwb tiv taus cov tshuaj mob qog noj ntshav xws li kws khomob, tshuaj kho mob qog noj ntshav, tshuaj hormone therapy lossis Radiation Therapy. Tej zaum koj tuaj yeem muaj lwm hom kev kho mob yog tias qhov no tshwm sim.