Izinkomba kanye nemiphumela emibi ye-PCI kubantu abane-Cancer Lung
Uma udokotela wakho ekhuthaze ukuxiliswa kwe-prophylactic cranial, kusho ukuthini lokhu? Kungani lokhu kwenziwa futhi ukuthi kungenzeka kanjani? Yimiphi imiphumela emibi ejwayelekile futhi yiziphi ezinye izindlela ezingasetshenziswa esikhundleni salokho?
Incazelo: I-Prophylactic Cranial Irradiation (PCI)
I-prophylactic irradiation cranial (PCI) yabantu abanomdlavuza wamaphaphu kuyindlela yokwelapha yemisebe yokuvimbela ekhanda ukubulala amaseli okungenzeka asevele asakaze khona kodwa akakwazi ukubonwa okwamanje.
I-PCI isetshenziselwa kakhulu kancane ngamangqamuzana omzimba wamaphaphu aphelile ekwelapheni kokuqala nge- chemotherapy kanye nokwelashwa kwemisebe .
Kungani i-PCI?
Umdlavuza wamaphaphu omncane unomkhuba oqinile wokusabalalisa ebuchosheni, futhi ngezinye izikhathi izimpawu zokuqala zomdlavuza omncane wamaphaphu zihlobene nokusabalalisa. Kutholakale ukuthi imithi yokwelashwa ihanjiswe ekhanda ngaphambi kokuba noma yibuphi ubufakazi bokusakazeka kungancipha kakhulu le nkinga. Uma imishanguzo isetshenziswa ngale ndlela, kunikezwa umthamo ophansi wokushisa imisebe kunokuba ngabe imisebe isetshenziselwa ukwelapha ama- metastase ebuchosheni emdlavuza wamaphaphu .
Abantu abanomdlavuza omncane wamangqamuzana omzimba ngokuvamile baphendula kahle, okungenani okokuqala, ekomotherapy. Kulesi silungiselelo, ama-oncologists akhuluma ngobuchopho ngokuthi "isifunda sokuqashisa esiphakeme." Umgomo ukuvimbela i-metastase ebuchosheni kusukela ku-metastases yobuchopho kunciphisa kakhulu izinga lokuphila kubantu abanomdlavuza wamaphaphu ngenxa yezimpawu ezifana nokuqothulwa.
Iyini i-Prophylactic Cranial Irradiation (PCI)?
I-PCI isetshenziswa uma umuntu onomdlavuza omncane we-cell wamaphaphu engekho ubufakazi bokusabalalisa ebuchosheni ekufundiseni izithombe, kodwa kunethuba elihle lokuthi umdlavuza uzosakazeka ngesikhathi. Ijwayele ukusetshenziselwa abantu abanomdlavuza wamangqamuzana wamaphaphu amancane , kanti futhi ingasetshenziswa kubantu abanesifo somdlavuza omncane wamangqamuzana omzimba wamaphaphu .
Kunika kanjani?
I-PCI inikezwa njengemisebe yangaphandle ye-beam ngenkathi ulele etafuleni. Kuthatha nje imizuzu embalwa yokwelapha futhi akubuhlungu. Abantu ngokuvamile banemisebe yansuku zonke, izinsuku ezingu-5 ngesonto kuze kube amasonto amathathu.
Imiphumela Ejwayelekile Ye-Prophylactic Cranial Irradiation (PCI)
Kubalulekile ukuba uqaphele imiphumela emibi ye-PCI ngaphambi kokuba uthole lezi zelashwa. Kwabanye abantu imiphumela emibi ayifanele, enokukhathala okuncane futhi mhlawumbe okuncane okuyizinkumbulo ezingasebenzi. Kwabanye, imiphumela emibi iyacasula futhi ...
Umphumela wangaphakathi wemisebe ebuchosheni ungafaka:
- Ukulahleka kwezinwele - Ngokungafani nokulahlekelwa kwezinwele kusuka kumakhemikhali, ukulahlekelwa izinwele kusuka ekwelashweni kwe-radiation kuya enhloko kungase kube unomphela.
- Ukukhathala - Ukukhathala kuyindlela ejwayelekile kakhulu yokwelapha imishanguzo futhi kuhloswe ukuba kubi nakakhulu endleleni yokwelashwa.
- Ubomvu - Ukushisa okushisa ukushiswa kwesibindi kungabonakala ebusweni nasekhanda.
- Izinguquko ezingqondweni - Ezinye zezimpawu ezicasulayo zomsakazo we-prophylactic kuya ekhanda zihlanganisa ukulahleka kwenkumbulo, ukudideka nokukhanda ikhanda.
- I-nausea nokuhlanza.
- Ukulahlekelwa kwesifiso.
- Ukulahlekelwa kwesisindo.
Imithelela Yesikhathi Eside I-Prophylactic Cranial Irradiation (PCI)
Kutholakale eminyakeni yamuva ukuthi i-PCI ingabangela izinkinga ezingenangqondo ezingapheli (ukulimala komqondo) kubantu abahamba ngale ndlela yokwelashwa, ikakhulukazi kulabo abanokwelashwa okuhlangene nezidakamizwa ezisekelwe e-platinum ebizwa ngokuthi i-Platinol (cisplatin.) Ngenxa yezinga eliphezulu amathuba okuba ne-metastase yobuchopho enomdlavuza omncane wamangqamuzana wamaphaphu, ngakho-ke lokhu kuvame ukwehla ekuhloleni izingozi nezinzuzo zomuntu ngamunye ocabangela inqubo.
Uzokwazi kanjani uma i-PCI isebenza?
Kunezindlela ezimbalwa ozolwazi uma i-PCI isebenzile. Okusobala ukuthi akuncane kakhulu ukuthi uzokuthuthukisa izimpawu ze-metastase yobuchopho kunokuba ungenayo i-PCI. Enye indlela iwukuzama ukuhlolwa kwe-imaging ukuze ubuke ubufakazi be-metastases. Lezi zihlelwe ngezikhathi ezahlukene kubantu abahlukene kuye ngokuthi kunezici ezihlukahlukene.
Ingabe Zikhona Izindlela Ezingavunyelwe I-PCI?
ngezinye izikhathi kuze kube yizilonda ezingu-25
Ngaphansi kwe-Prophylatic Cranial Irradiation?
Igama lokubiza: i- pro-ful-ak-tik kray-ne-ul ir-fay-dee-ay-shun
Futhi eyaziwa ngokuthi: i- PCI
Izibonelo: Sam unikezwe i-prophylactic irradiation eklashini ukubulala nanoma yimaphi amangqamuzana omdlavuza wamaphaphu angase asakaze ebuchosheni bakhe, kodwa ayemncane kakhulu ukuthi angabonwa ebuchosheni bakhe be-CT.
> Imithombo:
> Simo, M., Vaquero, L, Ropolles, P. et al. Ukulimala kwebhongo kulandela i-prophylactic irradiation cranial emasindeni omdlavuza. Ukucabanga kokuBongo nokuziphatha . 2015 Meyi 17. (Epub ngaphambi kokuphrinta).
> Takahashi, T., Yamanaka, T., Seto, T. et al. I-prophylactic Cranial Irradiation Versus Observation kwiziguli ezinezifo ezithe xaxa I-Cancer-Cell Cell Lung Cancer: A Multiticentre, Randomized, Label-Open, Isigaba 3 Isivivinyo. I-Lancet Oncology . 2017. 18 (5): 663-671.