Sibanzi
I-radiation pneumonitis ukuvuvukala kwemiphunga ngenxa yonyango lomzimba okanye i-radiotherapy yomzimba we-stereotactic ( SBRT ) yomhlaza. Le mpembelelo yecala ye-radiation yonyango iyenzeka malunga neyesine yabantu abahamba ngonyango lwe-radiation yomhlaza wamaphaphu kodwa nako kubangelwa yimisebe ukuya kwisifuba somhlaza wesifuba , i-lymphomas, okanye ezinye i-cancer
Iimpawu ziqheleke kakhulu phakathi kweyodwa kunye neenyanga ezintandathu emva kokuzalisa unyango lwamayeza. Ngonyango (kwaye oku kubalulekile), abaninzi abantu bafumana ngaphandle kwemiphumo engapheliyo.
Iimpawu
Kubalulekile ukuba uqaphele i-pneumonitis ye-radiation, kuba iimpawu zifana nezo zibangelwa ngumhlaza wemiphunga kuphela, okanye unokuphosakela ngosulelo olunjenge-pneumonia. Abantu abaninzi banokunyamezela le mpawu njengoko kulindelwe, kodwa i-radiation pneumonitis iyisikhumbuzo esihle sokuba kufuneka uxoxe ne-oncologist yakho malunga naziphi na izimpawu oziphawulayo: Izimpawu eziqhelekileyo ziquka:
- Ukuphefumula okuqhelekileyo okuphawulekayo ngokuzivocavoca.
- Intlungu yesifuba, ingakumbi intlungu yesifuba eyona nto ibuhlungu ngokuphefumla ( intlungu yesifuba somlomo .)
- Isiqhamo esinokumisa okanye ukuvelisa i-mucus. Ekubeni abantu abaninzi abanomdlavuza wamaphaphu banomkhuhlane ngamanye amaxesha, kubalulekile ukuphawula nayiphi na utshintsho ekukhwehleleni kwakho, ingaba kudla ngokuphindaphindiweyo, ngokugqithiseleyo, okanye ngaphezulu.
- Umkhuhlane ophantsi.
Kwezinye iimeko, akukho zibonakaliso ezikhoyo, kwaye ukuxilongwa kwenziwa ngokubonakala kwesibindi kwi-x-ray kuphela.
Ngubani Osemngciphekweni?
Abanye abantu basengozini kunabanye bokuphuhlisa i-radiation pneumonitis. Imiqathango enyusa ingozi iquka:
- Ngokufanayo (intsingiselo ngexesha elifanayo) unyango lwe-radiation kunye ne-chemotherapy. I-radiation pneumonitis (i-RP) ixhaphake kakhulu kubantu abafumana i-radiation efanayo kunye ne- chemotherapy kunezo ezifumana ukulandelelana (ngamaxesha ahlukeneyo) nge-radiation kunye ne-chemotherapy. Ukuba oku kuphazamisayo kubalulekile ukujonga ezinye izinto ngaphandle kwalolu daba. Kuphononongo luka-2009, abaphandi bafumene ukuba abantu abanomdlavuza wamaphaphu wamagqabantshana abafumana i-radiation efanayo kunye ne-chemotherapy baye baphinda kabini ukusinda emva kweminyaka emi-5. Ezinye izifundo ziye zaphakamisa nokuphila okuphuculweyo xa unyango lusetyenziswa kunye.
- Abantu abanezinye izifo zemiphunga, ezifana neCOPD, basengozini yokwanda.
- Izigulane ezindala ziyakwazi ukuphuhlisa i-radiation pneumonitis kunezigulane ezincinci.
- Isixa samathambo aphathwe. Umngcipheko we-radiation pneumonitis ukwanda kunye nommandla wesifuba esiphathwe. Kuqheleke ngakumbi xa i-lobes ephakathi kunye nephantsi ephapheni iphathwa ngaphandle kweyonyango le-cancer ye-lobe yamaphaphu.
- Abantu abafumana iziyobisi ze-chemotherapy iParaplatin (carboplatin) kunye ne-Taxol (paclitaxel.)
Isizathu
I-radiation ibangela ukuba imiphunga ivelise ubuncinci bezinto ezinobungozi. I-Surfactant isebenza ukuze kugcinwe imiphunga xa siphucula kwaye sandisa indawo yompompo etholakalayo ukutshintshiselana kwe-oxygen ne-carbon dioxide. Kungabikho koqhagamshelwano olusetyenzana olusakhulayo oluvame ukuphumela ekubandezelekeni kokuphefumula.
Ukuxilongwa
Iimvavanyo zeebhanki zingabonisa iimpawu zokuvuvukala, njengokwanda kweeseli zegazi ezimhlophe. Iziphumo zolu vavanyo olujonge ukuvuvukala, olubizwa ngokuba yi-sed-rate, lunokubonisa ukuphakama okungabalulekanga ngaphezu kweqhelekileyo. I-x-ray yesifuba ingabonisa ukubonakala kwimiba ye-radiation pneumonitis kwaye ingakhombisa ukuba kufuneka uphathwe, nangona ungenayo impawu.
Unyango
Utyando lujoliswe ekunciphiseni ukuvutha. I-Corticosteroids, efana ne-prednisone, inikelwa de ukuvuvukala kuncedise kwaye kwancipha ngokukhawuleza kwexesha. Ezinye iindlela zonyango zingasetyenziswa kuxhomekeke kwindawo. Ngokomzekelo, nge-radiophagitis, imithi enjengeproton pump inhibitors , utshintsho ekudleni, kunye ne-anesthetics yendawo ekuncedeni ngentlungu inokusetyenziswa.
Prognosis
I-radiation pneumonitis isoloko isombulula ngonyango kwaye ayifumaneki kakhulu. Ukuba ihamba ingaphenduliwe okanye iphikelela, ingakhokelela kwi- pulmonary fibrosis (ukunqanda imiphunga), enye yeempembelelo ezide zangexesha elide zonyango lolwabiwo .
Thintelo
Uphando luqhubeka lufuna iindlela zokunciphisa umngcipheko we-radiation pneumonitis phakathi kwabantu abahamba ngemisebe yomhlaza wemiphunga. Ngaloo ndlela kubonakala ukuba ukungena kwe-soy isoflavone (ukutya ukutya okunokwakheka kwe-soy efana ne-tofu) kunokunciphisa umngcipheko we-radiation pneumonitis. Indlela oku kwenzeka ngayo kukunciphisa ukuvutha, ngoko akunakwenzeka ukuba ukutya kwe-soy-based kungaphazamisa injongo yonyango-ukuphelisa iiseli zomhlaza-kodwa kubalulekile ukuthetha nomsindo wakho we-oncologist ngale nto, kunye naziphi na ezinye iingcebiso unokufumana ukunciphisa umngcipheko wakho.
Okukwintsusa
I-radiation pneumonitis ixhaphake kakhulu kubantu abaphathwa unyango lweengcingo ezifana nomhlaza wemiphunga kunye nomhlaza wesifuba. Ngombulelo, ngonyango, imeko ihlala isombulula ngaphandle kokubangela i-radiation fibrosis. Into ebalulekileyo ongayenza kukuba uqaphele iimpawu ezinokwenzeka, kwaye uthethe ugqirha ukuba unamava. Njengengxelo yokugqibela, ezininzi iimpawu zingase zenzeke ngeempawu zomhlaza wakho okanye iziphumo zonyango kwezinye iindlela. Soloko uthetha nogqirha wakho malunga nayiphi na impawu kwaye ube ngummeli wakho kumnonophelo wakho womhlaza . Awunayo i-whiner okanye ingxaki yesigulane ukuzisa ezi nkxalabo, kwaye ugqirha wakho uya kuqonda, endaweni yoko, ukuba usebenza kwaye uthatha inxaxheba ekukhathaleleni kwakho.
> Imithombo:
> Abernathy, L. et al. I-Soy Isoflavones Ukukhuthaza i-Radioprotection ye-Normal Lung Tissue ngo-Inhibition of Radiation-Ukuphunyezwa kwe-Macrophages ne-Neutrophils. Umbhalo we-Thoracic Oncology . 2015. 10 (12): 1703-12.
> Hillman, G. et al. Ukusetyenziswa kwee-ravioprotection yamathisipi emiphunga ngama-soy isoflavones. Umbhalo we-Thoracic Oncology . 2013. 8 (11): 1356-64.
> Kong, F. et al. Umhlaza wesifo somhlaza wesifo somhlaza wesifo somhlaza wesifo se-pulmonary toxicity: ukuhlaziywa kwe-radiation pneumonitis kunye ne-pulmonary fibrosis. Iintlanganiso kwi-Oncology . 2005. 32 (2 iSiza 3): S42-54.
> Okubo, M., Itonaga, T., Saito, T. et al. Ukuqikelela ubungqina beengozi ye-Radiation Pneumonitis emva kwe-Stereotactic Body Body Radiation Treatment kwi-Primary or Metastatic Lung Tumors. I-British Journal ye-Radiology . 2017 Feb 14. (Epub ngaphambi kokuprinta).
> Palma, D. et al. Ukuqikelela ukutshatyalaliswa kwesifo emva kwesimo se-chemoradiation yesifo somhlaza wesifo samangqamuzana esingekho encinci: umgca-matic-patient analysis. I-International Journal ye-Radiation Oncology, Biology, kunye neFizikiki . 2013. 87 (4): 690-6.
> Palma, D. et al. Ukubikezela i-radiation pneumonitis emva kokuba unyango lwe-chemoradiation yomdlavuza wamaphaphu: i-meta-analysis analysis. I-International Journal ye-Radiation Oncology, Biology, kunye neFizikiki . 2013. 85 (2): 444-50.
> Yazbeck, V. et al. Ukulawulwa kwesifo sobutyha obuqhelekileyo esihambelana ne-chemoradiation (isikhumba esiphambili, isisu kunye nemiphunga). I-Journal Journal (iSouthbury, iMisa) . 2013. 19 (3): 231-7.