Iimpawu kunye neempembelelo zecandelo le-PCI kubantu abane-Cancer Cancer
Ukuba ugqirha wakho ucebise iprophylactic iraniation irradiation, ukuthini oku kuthetha ntoni? Kutheni le nto yenziwe kwaye ingenzeka njani Ziziphi iimpembelelo eziqhelekileyo kwaye zeziphi ezinye iindlela ezingasetyenziswa endaweni yoko?
Inkcazo: Iprophylactic Cranial Irradiation (PCI)
I-prophylactic irradiation irradiation (PCI) yabantu abanomdlavuza wamaphaphu yindlela yokuthintela i-radiation yonyango entloko ukubulala amaseli asele sele asasazeka khona kodwa akakwazi ukubonwa okwangoku.
I-PCI isetyenziswe ngokuqhelekileyo ngamancinci amancinci omnxeba wamaphaphu aphendule kwonyango lokuqala kunye ne- chemotherapy kunye neyeza zonyango .
Kutheni i-PCI?
Umdlavuza omncinci wesifo somhlaza unomdla onamandla wokusasazeka kwingqondo, kwaye ngamanye amaxesha iimpawu zokuqala zomhlaza wesifo somnxeba ezincinci zihlobene nokusabalala. Kufunyenwe ukuba unyango lwamayeza luziswa entloko phambi kokuba naluphi na ubungqina bokusasazeka lunokunciphisa kakhulu le ngxaki. Xa i-radiation isetyenziswe ngale ndlela, i-dose ephantsi yeemitha-mpahla inikezelwa kunokuba i-radiation isetyenziselwa ukuphatha i- brainast metastases kumdlavuza wamaphaphu .
Abantu abanomdlavuza omncinci wamangqamuzana wamaphaphu bahlala bephendula kakuhle, ubuncinane ekuqaleni, kwi-chemotherapy. Kule ndlela, i-oncologists ixoxa malunga nengqondo ibe "isithili esiphezulu serenti." Injongo kukuthintela i-brainast metastase ukususela ngobuchopho be-metastase buncipha kakhulu umgangatho wobomi kubantu abanomdlavuza wamaphaphu ngenxa yeempawu ezifana nokutshatyalaliswa.
Uphi iprophylactic Cranial Irradiation (PCI)?
I-PCI isetyenziswe xa umntu onomdlavuza omncinci wesifo samangcwaba engenayo ubungqina bokusasazeka kwingqondo kwiingcamango zokucinga, kodwa kukho ithuba elifanelekileyo lokuba umhlaza uza kufakelwa ngexesha. Kuqhelekileyo isetyenziselwa abantu abanomdla omncinci wesifo somhlaza wamaphaphu , kodwa unokusetyenziswa kwakhona kubantu abaneganga elibanzi lomhlaza wesifo somnxeba .
Inikwa njani?
I-PCI inikwe i-radiation yangaphandle yombane ngenkathi ulala etafileni. Kuthatha nje imizuzu embalwa yonyango kwaye ayibuhlungu. Abantu bahlala benemizi ngemihla, iintsuku ezi-5 ngeveki ukuya kwiiveki ezi-3.
Iimpembelelo eziqhelekileyo zeProphylactic Cranial Irradiation (PCI)
Kubalulekile ukuba uqaphele iziphumo ezichaphazelekayo ze-PCI phambi kokuba ufumane ezi zonyango. Kwabanye abantu iziphumo ezibi ziphantsi, zinekhathala kuphela kwaye mhlawumbi i-memory memory. Kwabanye, iziphumo ezibi ziyakucasula kwaye ...
Isiphumo esisecaleni somlingo kwi-ingqondo ingaquka:
- Ukulahleka kweenwele - Ngokungafani nokulahleka kweenwele kwi-chemotherapy, ukulahleka kweenwele kwi-radiation unyango kuya kwinqanaba.
- Ukukhathala - Ukukhathala yimiba echaphazelekayo yonyango ye-radiation kwaye ithambe ngakumbi ekugqibeleni kwinkqubo yokonyango.
- UkuBomvu - Ukugqithisa ukutshiswa kwelanga kunokubonakala kubuso bakho kunye ne-scalp.
- Izinguqu ezinokwenkcazo - Ezinye zeempawu ezinomsindo zomsakazo weprophylactic entloko ziquka ukulahleka kwememori, ukudideka, kunye neentloko.
- Isihlunu kunye nokuhlanza.
- Ukuphelelwa kwesidlo.
- Ukuhla ukusinda.
Iziphumo ezide ezide zeProphylactic Cranial Irradiation (PCI)
Kufunyenwe kwiminyaka yamuva nje ukuba i-PCI inokubangela iingxaki ezisisigxina (ingozi yengqondo) kubantu abaye bangena kulolu unyango, ingakumbi kulabo baneli nyango kunye ne-platinum-based based chemotherapy drugs ezifana nePlatinol (cisplatin.) Ngenxa yokuphakama Ubunzima bobuchopho besifo sengqondo kunye nomdlavuza omncinci wamangqamuzana, ngoko ke oko kudla ngokuya kuqikelela ubuncipheko kunye neenzuzo ngamnye kumntu oqwalasela inkqubo.
Uyakwazi njani ukuba i-PCI isebenze?
Kukho iindlela ezimbalwa ozakuya wazi ukuba i-PCI isebenzile. Eyona nto ibonakalayo kukuba akunakwenzeka ukuba uhlakulele iimpawu zobuchopho be-metastases kunokuba ungenayo i-PCI. Enye indlela ngukuzama ukujonga ubungqina beemetastases. Ezi zicwangciswe ngamaxesha ahlukeneyo kubantu abahlukeneyo kuxhomekeke kwimibandela eyahlukileyo.
Ngaba kukho naziphi na ezinye iindlela zePCI?
maxa wambi ukuya kwii-25 zilonda
Ngaphantsi kwe-Prophylatic Cranial Irradiation?
Ukubizwa: i-pro-ful-ak-tik kray-ne-ul ir-fay-dee-ay-shun
Eyaziwayo njenge: PCI
Umzekelo: Sam wanikezelwa i-prophylactic iraniation irradiation ukuba abulale nayiphi na iseli yomhlaza wamaphaphu onokusasazeka kwingqondo yakhe, kodwa yayincinci ukuba ibonakale engqondweni yakhe.
> Imithombo:
> Simo, M., Vaquero, L, Ropolles, P. et al. Umonakalo wobunongo emva kwe-prophylactic irradiation kwi-survival survivors. Ubungqina beBongo kunye nokuziphatha . 2015 Meyi 17. (Epub phambi kokuprinta).
> Takahashi, T., Yamanaka, T., Seto, T. et al. Iprophylactic Cranial Irradiation Versus Observation in Patients With Extensive-Diseases I-Small-Cell Lung Cancer: I-Multicentre, i-Randomized, I-Label-Open, i-Phase 3 Trial. Lancet Oncology . 2017. 18 (5): 663-671.