"Kubva kuBedforshire, UK kuenda kuChennai, India kune imwe yeanonyatso rapwa cancer, Proton Beam Therapy. Pamusoro payo kudziya, rudo & rukudzo zvinopenya kumativi ese."
Claire Young
Akakunda Kenza Yezamu • United Kingdom
Chirwere chegomarara imhando yegomarara rinobata nzvimbo yechipfuva, kusanganisira mapapu, thymic, kana tracheal. Gomarara remapapu rinodaidzwa nezvaro segomarara remuchipfuva rinonyanyozivikanwa pasi rose. Ndiyo kenza yechipiri yakajairika mune vese varume nevakadzi muUS. Kunyange 10 kusvika ku15% yekenza yemapapu idiki kenza yemapapu emapapu, asiri madiki ekenza yemapapu emapapu ane ruzhinji rwe80 kusvika 85%. Gomarara remapapu rinonyanya kuonekwa muvanhu vane makore ari pamusoro pemakore makumi matanhatu nemashanu uye hariwanzoitiki kuvanhu vari pasi pemakore makumi mana nemashanu. Kunzwisisa nuances emhando dzekenza yemapapu, uye kutarisa kune zvinoonekwa uye zvisingaoneki zviratidzo uye zviratidzo zvakakosha.
Kenza yeThoracic kana kenza yemapapu inowanzoiswa muIsiri-diki cell kenza yemapapu (NSCLC) uye kenza diki yemapapu emapapu (SCLC).
Asiri madiki cell emapapu cancer anogona kuiswa zvakare muzvikamu:
Adenocarcinoma: Rudzi urwu rwekenza runowanzo kuwanikwa muzvikamu zvekunze zvemapapu, uye mumasero anoburitsa madzihwa. Kusiyana nedzimwe mhando dzekenza dzemapapu dzinowanikwa zvakanyanya muvarume nevaya vane tsika yekusvuta, kenza iyi inowanikwa muvakadzi nevechidiki.
Squamous Cell Carcinoma: Magomarara aya anowanzo tanga mumasero e squamous ari mukati menzira dzekufema mumapapu uye anowanzo kuwanikwa pedyo nebronchus. Magomarara aya anowanzo batanidzwa netsika dzekusvuta nguva dzose uye dzakaoma.
Kansa yemasero makuru: Kansa idzi dzinogona kukura chero pachikamu chipi zvacho chemapapu uye dzinopararira nekukurumidza. Kurapa rudzi urwu rwekenza yechipfuva kwakaoma zvikuru.
Adenosquamous Carcinoma uye Sarcomatoid Carcinoma ndiwo mamwe maitiro asingawanzo kuitika eNSCLCs.
Diki Cell Lung Cancers, kunyangwe ichingoverengera 10-15% yemutoro wekenza yemapapu, inopararira nekukurumidza kupfuura NSCLCs. Varwere vanoonekwa vaine SCLCs vanogona kupindura zvirinani kune chemotherapy, radiation therapy uye proton therapy uye mukana wekudzoka wakanyanya kukwirira.
Vanhu vakasiyana vane zviratidzo zvakasiyana zvegomarara remudumbu. Nepo vamwe vanhu vangave nezviratidzo zvakanangana nemapapu, vamwe vanogona kunge vaine chaiyo kune dzimwe nhengo. Zviratidzo zvinogona kusanganisira:
Zviratidzo izvi zvinogona kuitika nekuda kwezvimwe zvirwere zvakare. Saka zvinokurudzirwa kuonana nachiremba kana paine akatarisana nezviratidzo izvi
Zvimwe zvezvikonzero zvinowanzoitika zvegomarara re thoracic (kenza yemapapu) zvinosanganisira:
Kuongororwa kwegomarara rechipfuva inzira yakawanda-nhanho. Zvinoda kuti murwere ashanyire mupi wehutano kuti vakurukure nezvezviratidzo uye kuita ongororo yemuviri. Sezvo zviratidzo zvegomarara remuchipfuva zvingafanana nezvimwe zvirwere zvinowanzoitika, chiremba anogona kuenderera mberi nekupa kuongororwa ropa, chipfuva X-rays, uye bvunzo dzekufungidzira. Chiremba anogonawo kukumbira PET/CT kuti aone kuti gomarara rapararira zvakadii.
Kurapwa kwegomarara remuchipfuva kunoenderana nerudzi rwegomarara uye kuti rapararira kusvika papi. Dzimwe nzira dzekurapa dzinozivikanwa ndeidzi:
Kurapa neproton tekinoroji iri kubuda inobatsira kuvandudza kurapwa kwevarwere vane kenza yechipfuva. Mumakumi emakore apfuura, tekinoroji yekurapa neproton yafambira mberi nekukurumidza. Kurapa neproton kurapa nekenza yechipfuva tekinoroji inoratidza mwenje wakanangana nenzvimbo yakakanganiswa. Yakanyatsokodzera kenza yechipfuva nekuti nhengo dzinonzwa dzakakomberedza nzvimbo yakakanganiswa.
Nekuda kwekukurumidza nhanho dzetekinoroji, maonero evarwere vegomarara rechipfuva akavandudza zvakanyanya. Nhasi kune nzira dziri nani dzekurapa murwere asi zvisiri kukanganisa hutano hwese uye hupenyu hwehupenyu. Proton therapy ndeyemazuva ano epamusoro kurapa iyo inotora yakakwira-simba zvidimbu uye inoisa radiation pabundu.
Kunyange zvazvo nzira dzechinyakare dzichiburitsa simba risati rasvika uye mushure mekukuvadzwa, kurapwa kweproton yemabundu echipfuva kunoburitsa simba chete panguva yemwaranzi.
Kurapa neproton kuri kuvandudzika nekukurumidza zuva rega rega sezvo vaongorori vakawanda vachitarisa mabhenefiti ayo. Chinhu chikuru chinobatsira pakurapa neproton pane kurapwa kwakajairika ndechekuti inoburitsa mwaranzi yakananga kunzvimbo yakakanganiswa uye masero ane hutano akapoteredza haakanganisike. Kurapa neproton yekenza yechipfuva kunobatsira kuderedza matambudziko uye kunatsiridza hupenyu hwemurwere.
Uyezve, ine mashoma mhedzisiro ichienzaniswa neyechinyakare radiotherapy nzira. Mamwe emabhenefiti akakosha ekurapa anoratidzwa pazasi:
Mushure mekurapa kenza yechipfuva kuburikidza neproton therapy, murwere haavi nemigumisiro yakawanda. Mimwe yemigumisiro inowanzo sanganisira kuneta uye matambudziko ane chekuita neganda. Uyezve, murwere anogona kusangana nezvimwe zvinetso zvakajairika zvakaita sekutsvuka, kuzvimba, kuoma, uye matumbu.
Ongororo dzakaratidza kuti kurapwa neproton yebundu repachipfuva kune mwero mudiki wemigumisiro yakaipa. Zvakakoshawo kuziva kuti mamiriro emurwere pamwe nemamwe matambudziko ehutano zvinofanira kugara zvichitariswa kana uchifunga nezvemigumisiro yakaipa.
Pamberi pekurapa, murwere anotora simulation kana chirongwa chekuronga. Inonyanya kutarisa pakutsvaga nzvimbo yakarurama yekuti murwere awane kurapwa. Nzvimbo yemurwere yakakosha sezvo mwaranzi inofanirwa kusvika panzvimbo yakatarwa pasina mhinganidzo. Uyezve, murwere anofanirawo kunzwa akasununguka panguva yekuita. Zvinowanzotora mazuva gumi ekuronga uye kuongororwa kwemhando yekurapa kusati kwatanga.
Kurapa neproton yegomarara rechipfuva kunowanzo rongwa kwemazuva mashanu pasvondo. Varwere vazhinji vane gomarara rechipfuva vanorapwa nemwaranzi kwemavhiki mashanu kusvika matanhatu. Uyezve, kurapwa neproton kunogona kusanganiswa nedzimwe nzira dzekurapa kuti pave nemhedzisiro iri nani. Kurapa kwacho hakurwadzi uye kunokurumidza. Kunyange hazvo maitiro acho achingotora maminetsi mashoma chete, nguva yese inogona kutora maminetsi angangoita makumi matatu.
Sezvakajekeswa, pamberi pekurapa chaiko, murwere anoenda nekufananidza uye kumwe bvunzo dzekufungidzira kuti ive nechokwadi chekuti proton inosvika panzvimbo chaiyo. Ndichiri kuronga kurapwa kweproton yegomarara re thoracic, pazasi pane zvinhu zvishoma zvinogona kubatsira kugadzirira.
Proton kurapwa inogona kuve yakanakisa sarudzo kune thoracic cancer varwere vane chirwere chepamusoro munharaunda. Yakanakira vanhu vane kenza isina kupararira kune nhengo dzakasiyana dzemuviri. Zvakare, yakanakira varwere uko kusingaite kuvhiyiwa kana avo vari kudzokororwa gomarara remuchipfuva.
Iwe unofanirwa kucherechedza kuti nzira yekurapa cancer yechipfuva inoenderana nezvakawanda zvinhu, uye sarudzo inoenderana nekuongororwa nenyanzvi dzekenza. Zvinhu zvakaita sedanho regomarara, nzvimbo, hutano hwemurwere, uye zvido zvemurwere zvinotariswa pamwe chete nemabhenefiti uye njodzi dzenzira dzakasiyana dzekurapa.
Zvinokurudzirwa kuonana nechikwata chako chekuchengeta cancer kuti unzwisise zvakawanda nezve kurapwa uye mabhenefiti nenjodzi.
Mutengo wekurapa unoenderana nezvinhu zvakasiyana zvakapoteredza nyaya yacho. Somuenzaniso, zvinoenderana nerudzi rwegomarara, nzvimbo chaiyo, uye utano hwomurwere. Kana murwere angopa zvese zvese kune oncologist, fungidziro chaiyo inogona kutorwa.
Gomarara remuchipfuva imhando yegomarara rinobata dunhu rechipfuva uye nhengo dziri munzvimbo yechipfuva kusanganisira mapapu, mhepo, nezvimwe.
Zvimwe zvinowanzoitika panjodzi dzegomarara remuchipfuva inhoroondo yekuputa, nhoroondo yemhuri yegomarara rechipfuva, zera, mamiriro ekurapa akasiyana, kana kusangana nemakemikari anokuvadza.
Proton therapy inzira yakanangwa neradiation therapy nzira inoshandisa danda rakasimba remaproton kuendesa yakakwira radiation dosi kune dzakananga nzvimbo dzemuviri wemurwere. Inogona kuva nzira yekurapa inoshanda kune varwere vekenza dzakasiyana kusanganisira thoracic cancer.
Proton kurapwa kwegomarara re thoracic inogona kushandiswa nenzira dzakasiyana zvichienderana nekuongororwa uye mamiriro emurwere. Vanachiremba vanogona kusarudza kuishandisa sekurapa kwakazvimirira kana kuti vanogonawo kuisanganisa nedzimwe nzira dzechivanhu dzekurapa. Uyezve, kurapwa kunoenderera mberi kwemavhiki e4-5 nezvikamu zvishanu pavhiki
Iko hakuna humbowo hwechokwadi hunoratidza kuti kurapa kweproton kunoshanda kupfuura dzimwe nzira dzechinyakare dzegomarara re thoracic. Nepo zvimwe zvidzidzo zvichiratidza kuti proton therapy inoshanda zvakanyanya, vamwe vanoratidza kuti hapana musiyano wakakosha pakati pekurapa kwakasiyana. Nekufamba kwenguva uye nekutsvagisa kwakawanda kushanda kwehukama hweproton kurapa uchipokana nemaitiro echinyakare nzira dzekurapa kuchave kujeka.
Murwere ari kurapwa proton anowana mashoma mhedzisiro pane yakajairika kurapwa. Izvi zvinodaro nekuda kweiyo yakasarudzika proton danda inobata zvakananga bundu. Migumisiro yakabatana neproton therapy inowanzogara kwemavhiki mashoma. Chikwata cheoncologists chinotsanangura mhedzisiro uye nguva inotorwa yekupora kuzere mushure mekurapwa.
Mwaranzi inobuda mukurapa uku ine hupenyu hupfupi. Inopinda mumuviri wemurwere uye inokanganisa matishu egomarara nemhedzisiro shoma pane dzimwe nhengo dzakatenderedza. Mushure mechikamu, hapana njodzi yekuratidzwa kune radiation kune vaunoda.
Hapana marwadzo panguva yemusangano, uye nzira yacho inongotora maminetsi mashomanana. Nekudaro, vanhu vane mamwe mamiriro kana kuremadzwa kwemuviri vanogona kunzwa kusagadzikana panguva yechirongwa nekuda kwekurara vasina basa munzvimbo imwechete.
Iyo radiation inongobata maseru egomarara kwenguva pfupi panguva yekurapa. Hapana chechipiri radiation nemurwere inogona kuvakanganisa kana vamwe vanogara navo. Iko hakuna njodzi yekusangana nemwaranzi kune vamwe. Chero mhando yepedyo yemuviri, kusanganisira bonde, yakachengeteka.
Kurapa neproton yegomarara rechipfuva kunokurudzirwa kuvana nekuti kunobatsira zvikuru. Vana vane miviri inokura, saka hazvidikanwi kuti vasakuvadze dzimwe nhengo dzine hutano nemwaranzi. Saka, kurapwa neproton kwakanakira ivo sezvo kusingasvibiswe munzvimbo dzakapoteredza.
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