I-SBRT yeCarry Lung Cancer kunye ne-Oligometastases
I-SBRT (i-stereotactic body body radiotherapy) yinkqubo entsha yokuphatha umhlaza wemiphunga osebenzisa imilinganiselo ephakamileyo yemijelo ejoliswe kwiinjongo ezichanekileyo. Ngokusebenzisa izikhundla ezizodwa kunye namagqabantshintshi afakelwe emzimbeni, izaziso ze-radiologists ziyakwazi ukuhambisa umlinganiselo ophezulu ophezulu wemitha kumhlaza kunomhlaza wendabuko, ngelixa ubeka izicubu ezinempilo.
Ukusebenzisa abantu abane-Cancer Cancer
Ngeli xesha, kukho izizathu ezi-3 eziphambili zokuba kungani i-SBRT ingasetyenziselwa ngomhlaza wemiphunga.
- Ngomdlavuza wamaphaphu, i-SBRT isetyenziselwa isigaba sokuqala, amancinci amancinci emaphaphu (umhlaza ongasetyenzana wesifo somhlaza) ongakwazi ukuhlinzwa ngenxa yesizathu esithile. Umdlavuza wemiphunga ungathatyathwa njengomhlaza ongaphawulekiyo ngumhlaza ngenxa yemeko yesifo, okanye ezinye iimeko zezempilo ezingenza ukuba utyando lomhlaza wamaphaphu lube yingozi.
- Izigulane ezisebekhulile ezinokulindeleka ukuba zenze kakubi ngokuhlinzwa okanye zibe neemeko zonyango ezinokuphakamisa umngcipheko weengxaki zokuhlinzwa.
- Kwiindawo enye okanye ezimbalwa zokusasazeka komhlaza wamaphaphu okanye i-metastasis (i-oligometastase.)
Inkqubo
Umzimba we-stereotactic radiotherapy usebenzisa umthamo ophezulu weemitha ezithunyelwa kwingingqi echanekileyo yeethambo. Oku kuhambelani neyonyango ye-radiation yesifo somhlaza wamaphaphu esebenzisa umthamo omncinci wezaziso ezinikwe ixesha elide.
Izaziso ze-Radiologists zibala iikholeji ezi-4 ubukhulu ukuze zichaze ngokuchanekileyo indawo ekufuneka iphathwe ngayo.
I-SBRT yeCarry Lung Cancer
I-SBRT ngezinye iinkqubo isebenza ngokuphumelelayo njengokuhlinzwa kwabanye abantu abanomdlavuza omncinci wamancinci amancinci angenakusebenza, okanye kwizigulane ezineemeko zonyango ezingenza ukuba utyando luyingozi.
I-SBRT ibangele ukulawulwa kwesi sifo kufana nokuhlinzwa, kwaye ukuhlala ixesha elide kunokwenzeka kubantu abakhethwe ngokufanelekileyo kwinkqubo. Izidumbu zifuna ukuba zincinci, ngokuqhelekileyo zingaphantsi kwama-5 cm (2-3 intshi) ububanzi, kwaye zingabi zifuphi kakhulu ne-airways okanye intliziyo.
I-SBRT ye-Oligometastases
Kwixesha elidlulileyo, ubukho beemastastas ezikhethiweyo zonyango kwi-chemotherapy, kunye nokuphila okungaphantsi konyaka kwaba ngumthetho. Kubantu abanomnye kuphela okanye iindawo ezimbalwa zomhlaza wesifo somdlavuza (ukusasazeka) ukusetyenziswa kwe-SBRT kuye kwatshintsha oko. Kufunyenwe ukuba kubantu abane-oligometastases (i-oligo ithetha ngokuthi "bambalwa") ukuphatha i-metastase ne-SBRT inyuse izinga lokusinda komphakathi kwaye kuye kwabakho abantu abaye basinda kwixesha elide ngenxa yonyango.
Umdlavuza womlenze udla ngokubanzi kwiingqondo, amathambo, isibindi, kunye neengqungquthela ze-adrenal, kunye ne-SBRT esetyenziselwa kakhulu abantu abanesibindi sokuhlaselwa kwesibindi kunye neengqondo zesifo sengqondo ngenxa yomhlaza wemiphunga. Ngenxa yokuqhubela phambili kwonyango lwe-oligometastases - njenge-SBRT-ibe yinto enokwenzeka ukuba abanye abantu abanomdlavuza wamaphaphu bafumane ixesha elongezelelweyo lokusindiswa kwempilo kunye nomgangatho wobomi obungcono kunokuba kunokwenzeka.
Iingxaki ezinokwenzeka
Kukho iingxaki ezininzi ze-SBRT yomdlavuza wamaphaphu, ofanayo nemiphumo emibi yonyango oluqhelekileyo njengokhathala kunye ne- radiation pneumonitis . Iingxaki ezimbini eziqhelekileyo ze-SBRT ezisetyenziselwa umhlaza wemiphunga ziquka:
- I-Brachial plexopathy - I-radiation ingonakalisa iimbulunga kwindawo ebizwa ngokuba yi- plexus brachial . Oku kunokubangela intlungu entengeni okanye emagxeni, ngobuthathaka kwaye emva koko unobunzima besandla nesandla.
- Intlungu yesifuba okanye ukungasebenzi - Ukuba i-tumor isondele kwindonga yesifuba, izicubu ezibomvu zingabangela intlungu kunye nokuthintela.
Ngelixa elizayo
Iziphumo zokuqala ezibonisa iziphumo nge-SBRT efana nokuhlinzwa komhlaza wesifo somphunga kuphakamisa ithemba lokuba, kwabanye abantu nantoni na, i-SBRT ingasetyenziselwa ukuba yindlela engaphantsi yongena kumdlavuza wemiphunga ngexesha lomso.
Kwakhona kungenzeka ukuba, unyango olungcono lomhlaza womphunga ngoku luvunyiwe kwaye kwiimvavanyo zeclini, kunye neziphumo zokuqala ezifunyenwe kunye ne-metastase, ukuba i-SBRT ingasetyenziselwa kwakhona ukususa isayithi se-tumast tumor.
Eyaziwayo Njengaye: i- radiotherapy ye-stereotactic, i-stereotactic radiosurgery, i-stereotactic radiation therapy
Imithombo:
Ashworth, A., Rodriques, G., Boldt, G., noDalma. Ngaba kukho i-oligometastatic state kwisifo somhlaza esingekho encinci yomhlaza? Ukuphononongwa ngokufanelekileyo kweencwadi. Cancer Lung . 2013. 82 (2): 197-203.
I-Ashword, A., iSenan, S., uPalma, R. et al. Idatha ye-patient metaanalysis yeziphumo kunye neziganeko zokuxela emva kwonyango lwe-oligometastatic non-small-cell cell cancer. Cancer Lung Cancer . 2014. 15 (5): 346-55.
Griffoen, G., Toquri, D., Dahele, M. et al. Ukunyangwa ngokugqithiseleyo kwe-oligometastatic esincinci ye-cell lung carcinoma (NSCLC): iziphumo zesigulane kunye neziganeko zokuxela. Cancer Lung . 2013. 82 (1): 95-102.
Guerrero, E., noMnu Ahmed. Indima ye-stereotactic radiational ablative (SBRT) ekulawuleni i-oligometastatic engekho encinci yesifo somhlaza wamaphaphu. Cancer Lung . 2015. (Epub 2015 Dec 2).
Ricardi, U., Badellino, S., no-A. Filippi. Umzimba we-stereotactic radiotherapy kwintsholongwane yomdlavuza wamaphaphu: Inxaxheba yomlando kunye nokuhlaziywa. Cancer Lung . 2015. 90 (3): 388-96.
USalama, J., no-S. Schild. Ulwaphulo lwe-radiation kwi-oligometastatic engekho encinci yomhlaza wamaphaphu wamaphaphu. Ukuhlaziywa kweCarter Metastasis . 2015. 34 (2): 183-93.