I -rapy-radiation field (IFRT) echaphazelekayo yintetho esetyenziselwa ukuhambisa i- radiation kuphela kwezo ndawo zomzimba ezibandakanya i- lymphoma .
Umzekelo, ukuba i-lymphoma ithintela ecaleni lesobunxele entanyeni, i-IFRT iya kunika i-radiation kulo lonke icala lasekhohlo entanyeni. Ukuba i-lymphoma ithintela imimandla emibini enjengentamo kunye neempembelo, imirhumo iya kuhanjiswa kulezi ziza ezimbini kuphela.
Ukusetyenziswa kunye neNzuzo
I-IFRT isetyenziswe xa kuthelekiswa nokunyangwa kwe-radiation kwandiswa kwintsimi , eyenza i-radiation kwiindawo ezininzi zomzimba, kuquka imimandla engabandakanyeka ngokukhawuleza nge-lymphoma.
Ulwaphulo lwamayeza olwandisiweyo lwentsimi lusetyenziswa iminyaka emininzi ye-lymphoma. Nangona iqondo elifanelekileyo lokusindiswa kwimeko ethile yafezekiswa, ezinye izigulane ziza kuba neekliniki zesibini okanye ziwonakalise kwezinye izitho ezibucayi ngenxa yokuba imirhumo ichaphazela nakwiindawo ezikufutshane kunye namalungu. Izigulane ezithatha i-EFRT zinamazinga aphakamileyo somhlaza wesiqhelo kwinxalenye yomzimba ovelelekileyo, ingakumbi umdlavuza wesifuba kubafazi kunye nomdlavuza wamaphaphu kumadoda.
Uphando lufumene ukusebenza okufanayo ukukhawuleza kuphela intsimi ebandakanyekayo kunokuba yindawo ebanzi. Izigulane ezifundwayo zinezinga elifanayo lokuphendula ngokupheleleyo, ukuqhubela phambili, ukuphindaphinda, nokufa. Kodwa nabo babenemiphumo emibini engxamisekileyo efana nokubala okuphantsi kwegazi, isicupunu, kunye nokutshintshwa kwendlela.
Ngenxa yezi nzuzo, kwakukho ukwamkelwa kwe-IRFT ngokubanzi kwonyango lwamayeza eHodgkin kunye ne-Non-Hodgkin lymphoma.
Nazi ezinye iimeko apho i-IFRT isetyenziswa khona:
- Ukwelashwa kwe-Hodgkin lymphoma - emva kwemijikelezo engu-4 ukuya kwe-8 ye-chemotherapy kwisigaba se-I nesibini.
- Unyango olungapheliyo lwe-Hodgkin lymphoma unyango - emva khemotherapy kwisigaba se-I nesibini
- Unyango lwe-lymphoma yenkoliso - njengonyango kuphela kwimeko yesifo.
- Kulo naluphi na uhlobo lwe-lymphoma xa kukho ubunzima obuncitshisiweyo emva kwe-chemotherapy okanye indawo encinci yokubuyela emva kwexesha lokuxolelwa kunye ne-chemotherapy.
Uninzi lwonyango olubandakanya ukusetyenziswa kwimizila yelanga lugqityiwe kwiiveki ezi-4 ukuya kwezi-5. Ubude bonyango buxhomekeke kwidaysi ekhoyo. Njengoko i-IFRT idla ngokuphindaphindiweyo emva kwe-chemotherapy, i-dose isoloko isekelwe kwisifo esingakanani emva kwe-chemotherapy.
I-Radiyoation Radiation Treatment kunye ne-Nodal Radiation Treatment
Nangona iindawo ezincinci zemizila yezaziso ziba yinkqubo ephezulu kunye neyeza ezibandakanyekayo zonyango, ezijoliswe kuphela kwii-lymph node ezazingenaso isifo seHodgkin. Oku kufaka i-IFRT yesifo seHodgkin kwezinye izikhokelo kunye namaziko eeklinikhi.
Kukho ukubandakanya i-radial therapy (i-INRT). Nangona i-IFRT i-irradiates indawo ye-lymph nodes, i-INRT igxile kuphela kwiimpawu ezandisiwe emva kwe-chemotherapy. Ithelekisa ngokufanelekileyo kwiimvavanyo kunye nensimi eyongeziweyo kunye nokubandakanya inkunkuma yonyango.
Unyango olukhethiweyo
Unyango olukhethiweyo luya kuqhubeka luguquka ukuze kubekho umonakalo omncinci kumathishini anempilo ngelixa lisebenza ngokumalunga ne-lymphomas.
Injongo kukubulala kuphela iiseli ze-lymphoma ngaphandle kokubonisa ezinye iindawo kwiimitha kunye nemiphumo.
Xoxa ngonyango lomzimba kunye nogqirha wakho ukuze uqonde indlela kunye nokuba kutheni na iintlobo ezahlukeneyo zonyango zingasetyenziselwa ityala lakho.
Imithombo
UMagdalena Witkowska, * uAgata Majchrzak, kunye noPiotr Smolewski. "Indima ye-Radiotherapy e-Hodgkin's Lymphoma: Yintoni eye yaphumelela kwiminyaka eyi-50 edluleyo?" I-Resom Res Int. 2015: 485071.
Ulwaphulo lwe-radiation kwisifo seHodgkin, i-American Cancer Society.