Mankhwala othandiza khansa ya prostate: zotsatira ndi mphamvu

Matendawa sagwira aliyense, khansa ndi imodzi mwazovuta kwambiri. Ngati simukupita kwa dokotala nthawi, mukhoza kukhala ndi mavuto aakulu. Ndiye mankhwala okha sangakhoze kuperekedwa ndi. Tidzakhala ndi zochitika za cardinal, zomwe zimaphatikizapo chithandizo cha radiation. Mu kansa ya prostate, zotsatira zake sizidziwika. Tsopano tikulankhula za izi, koma choyamba ...

Kodi mankhwala a radiation ndi otani?

Ichi ndi chithandizo choyenera komanso choyenera cha matenda opatsirana, omwe ali ndi kansa ya prostate. Zimachokera ku maizoni a ionic, amachititsa mwachangu, amawononga maselo okhawo, maselo amoyo sangathe kuwonekera.

Njira yogwirira ntchito:

• Kutentha kwa dzuwa kumayendetsedwa kumene ma molekyulu okhala ndi madzi ndi maselo a zotupa ali.
• Pambuyo pa dothilo, hydrogen peroxide ndi zowonongeka mwaulere zimawonekera mwa iwo.
• Zogulitsa zinapeza ntchito ya maselo odwala, kukula kwawo ndi kubereka.

Chithandizo cha kansa ya prostate ndi mankhwala opatsirana pogwiritsa ntchito mpweya amawonanso kuti chochita cha radicals ndi hydrogen peroxide chimadalira mphamvu ya metabolism. Chokwera kwambiri, chotupa chimadyetsa kwambiri mwakhama, chomwechonso chimayambitsa kuwonjezeka kwa zotsatira zovulaza za dzuwa.

Njira iyi ya mankhwala imagwiritsidwa ntchito pa magawo onse a chitukuko cha matenda, mosasamala kanthu za chiwonongeko cha thupi ndi kufalikira kwa metastases. Kuonjezera apo, mankhwala opatsirana pogwiritsa ntchito mankhwalawa amagwiritsidwa ntchito bwino atachotsedwa kansalu ya prostate monga chithandizo chochizira komanso chithandizo.

Mafunde okhudza maselo a kansa amagawidwa m'magulu awiri:

• Mafunde - pogwiritsa ntchito ma radima ndi X-ray;
• Njira yogwiritsira ntchito mankhwala ndi mankhwala a proton, omwe amaphatikizapo: miyezi ya electron, alpha ndi beta particles, neutron ndi proton radiation.

Pali njira zitatu zomwe zingakhudzire mankhwala a radiation pa chotupa chachikulu:

• Kutali;
• Lumikizanani;
• Makhalidwe.

Mitundu ya ndondomeko

Pakalipano, matembenuzidwe angapo ali ndi mankhwala a khungu la kansa ya prostate, zotsatira ndi mphamvu za chithandizo zimadalira mtundu wa matendawa:

1. Kusintha. Zomwe zimagwiritsidwa ntchito ngati pakufunika kusowa kwina ndi kofananitsa kwa chifuwa choyambitsa matenda. Chithunzi cha 3D cha mapangidwe chimapangidwa. Izi zimaganizira ziphuphu zonse ndi ziwalo zomwe ziri pafupi. Mankhwalawa amakhudza khungu la khansa yokha, ziwalo zosawonongeka komanso ziphuphu zimakhalabe zolimba.
2. Ndili ndi mphamvu zambiri. Ray womwe umapita ku chotupawu umagawidwa muzing'ono zingapo. Mphamvu ya radial fluxes iliyonse imakonzedwa. Pankhani imeneyi, malo abwino a prostate amalandira mlingo wochepa wa mazira, pamene maselo a tizilombo ndi ofunika kwambiri.
3. Proton. Akatswiri amakhulupirira kuti njira imeneyi imakhala yothandiza kwambiri pa khansa ya prostate. Mavitoni amakhudza maselo okha, koma osati ndi mitundu yonse ya khansa.
4. Neutron. Anagwiritsidwa ntchito pochitika kuti njira zina sizinathandize.

Kutsekemera kwa kutali

Zodabwitsa za mtundu uwu wa zitsulo zimaphatikizapo kuti panthawi ya phunziroli, zotsatira zowonongeka sizongogwiritsidwa ntchito pa maselo odwala, koma komanso pa thanzi labwino. Pogwiritsa ntchito njirayi, zimagwiritsa ntchito zipangizo zapadera, zomwe zimathandiza kuchepetsa kuchepa kwa dzuŵa pamalo abwino.

Zipangizozi ndi zolondola kwambiri, ndipo katswiri yekha yemwe waphunzitsidwa akhoza kugwira naye ntchito. Ngati chipangizocho chikugwiritsidwa ntchito molakwika, wodwalayo sangasinthe vuto lake, koma, mosiyana ndi zimenezo, akuipiraipira.

Choyamba, kafukufuku amachitika, pambuyo pake makonzedwe ammimba amamangidwa, ndipo dokotala amayesera kuwatsogolera mafunde a wailesi.

Thandizo la ma radiation kutalika kwa khansa ya prostate imachitika tsiku ndi tsiku kapena malinga ndi ndondomeko yolembedwa ndi dokotala yemwe akupezekapo kwa masabata asanu ndi awiri kapena asanu ndi atatu.

Njira ya kutalika, imagawidwa mu mitundu iwiri: yosasinthika ndi yamtundu.

Njira yoyamba ndi yotsatira:

• Wodwala amaikidwa pamalo amodzi.
• Chitsimikizo cha ma radiation chimayendetsedwa pa izo (chimakhalanso chokhazikika).

Mtundu wachiwiri, mafoni:

• Chotsani chitsimikizo cha mpweya.
• Amayendetsa ku chotupa cha prostate, chida chimayendayenda ndi wodwalayo ndipo zimayambitsa maselo a khansa kumbali zonse.

Nthawi zina, mukamagwiritsira ntchito njirayi, pang "ono kochepa kathandila.

Njira yamakono (brachytherapy)

Njira yabwino yothandizira khansa ndi brachytherapy. Njira yopambana kwambiri njira iyi ili, ngati chotupa chiri mu prostate gland. Chofunika cha izo ndi izi: mothandizidwa ndi singano yapadera, mankhwala othandizira mavitamini amayamba mu chotupacho. Thunthu ndi ayodini- ¹²⁵ . Njirayi imayendetsedwa ndi ultrasound.

Malinga ndi momwe makapulisi okhala ndi mankhwala owonetsetsa amakhalapo, brachytherapy yagawanika:

• Kukonda;
• Chiwonetsero;
• Zovuta.

Pambuyo pa njirayi, wodwalayo ali m'chipatala kwa maola 24. Mpumulo umabwera masiku angapo. Mankhwala owononga mphamvu amawonongeka m'thupi kwa miyezi iwiri. Panthawi imeneyi, maselo a khansa amafa.

Chithandizo chachikulu cha brachytherapy - kutentha kwa mavitamini kumakhudza maselo owonongeka okha, thanzi labwino limakhala losasinthika. Ichi ndi chifukwa chake izi zitachitika pang'onopang'ono zovuta zimayamba kusiyana ndi kutalika kwa ulusi.

Njira ya Proton ndi mankhwala adjuvant

Ichi ndi chimodzi mwa mitundu yosavuta ya mankhwala omwe imathandiza kuthetsa khansa ya prostate. Njirayi imachokera ku zotsatira zenizeni za ma radiation pa tizilombo toyambitsa matenda. Chifukwa chakuti mlingowu umaperekedwa molondola, mitundu yonse ya khansara imachiritsidwa. Palibe zotsatira.

Njira yotsatira ndi mankhwala a adjuvant kwa khansa ya prostate. Amagwiritsidwa ntchito monga:

• Kupewa;
• Njira zothandizira;
• Chida chimene chimamaliza kukakamiza opaleshoni.

Cholinga cha mankhwalawa ndi chiwonongeko cha chotupa chachiwiri.

Njira imeneyi imakhudza kufala kwa maselo a khansa ndi kukula kwawo. Mphamvu ya ma radiation amphamvu ikhoza kupha maselo omwe alibe atatha. Izi zimapangitsa mphamvu ya chithandizo. Malingana ndi cholinga chofunika, ma radiation mkati kapena kunja amagwiritsidwa ntchito. Amatumizidwa kumalo a mapangidwe otupa, chiopsezo cha kubwereza kwazilombo m'dera lino kuchepetsedwa.

Thandizo Labwino Kwambiri

Kawirikawiri, mankhwalawa amagwiritsidwa ntchito pa khansa ya prostate. Zotsatira za matendawa pakadutsa gawo lachinayi. Malingaliro opatsirana ndi cholinga chochepetsa mkhalidwe wa wodwalayo. Thandizo la ma radiation kunja limathandiza kuchepetsa chotupa ndi ululu ndipo zimakhudza ntchito zotsatirazi:

• Kuchotsa zizindikiro za matenda, opaleshoni yothandizira, transurethral resection ya prostate. Chifukwa cha mankhwala opatsirana, ndizotheka kuchepetsa kukula kwa matendawa.
• Mtundu uwu wa radiotherapy umaperekedwa motsatizana ndi mankhwala a mahomoni pamapeto otsiriza a khansara ya prostate. Ntchitoyi imachepetsa matenda a ululu, imathetsa zotsatira za zotsatira za maselo a kansa.
• Ngati kansa ya prostate yapamtunda ikupezeka, njira yowonjezeramo njira ya ultrasound, yomwe imagwiritsidwanso ntchito pa mankhwala opatsirana, imagwiritsidwa ntchito. Zimathandiza kuthetsa zotsatira za matendawa.

Zotsatira za mankhwala opangira ma radiation

Ngakhale kuyambitsidwa kwa njira zatsopano kungachepetse malingaliro oipa pambuyo pa ndondomekoyi, komabe ndi mankhwala opangira ma radiation. Mu kansa ya prostate, zotsatira zake zikadalipobe:

• Pali mavuto ndi rectum. Pakhoza kukhala kutsekula m'mimba komanso matenda opweteka. Patapita nthawi, mavutowa amatha.
• Pali mafunso okhudzana ndi ntchito ya chikhodzodzo ndi kukodza. Wodwala amatha kukodza nthawi zambiri, kuyaka mkati mwake ndi kukhalapo kwa magazi mu mkodzo. Mavutowa amatha patapita kanthawi.
• Kupititsa patsogolo mphamvu zopanda mphamvu komanso kuwonongeka kwa erectile. Zotsatira za mavutowa ndizofanana ndi pambuyo pa opaleshoni. Koma pali kusiyana: patatha opaleshoni, kutaya mphamvu kumayambira pomwepo, ndipo atatha kuyera - pang'onopang'ono, mkati mwa chaka.
• Pambuyo pogwiritsa ntchito radiotherapy ya kansa ya prostate (ndemanga za odwala omwe adutsata njirayi, zitsimikizirani izi), poyamba mumamva kutopa ndi kutopa. Dzikoli likupitirizabe kwa miyezi ingapo.
• Kutuluka kwa minofu kumasokonezeka. Ichi ndicho chifukwa cha edema wa kumapeto kwenikweni.
• Kuphweka kwa urethra. Nthawi zina mitsempha yawonongeka, kutuluka kwa mkodzo kumasokonezeka.

Mmene mungakhalire nthawi ya chithandizo

Anthu ambiri akuda nkhaŵa ndi funsoli: Kodi ndiyang'anireni chiyani pambuyo poti radiotherapy yapangidwa mu kansa ya prostate? Kuchita kwake kumadalira malamulo awa:

• Panthawiyi, chakudya sichingakhale kokha-calorie, komanso chimadzaza. Zakudyazi ziyenera kukhala ndi mavitamini onse ndi kufufuza zinthu. Onetsetsani kuti muyang'ane mphamvu ya kumwa (mpaka malita atatu a madzi patsiku).
• Pewani kusuta ndi kumwa mowa.
• Zovala ziyenera kumasuka, zopangidwa ndi nsalu zachilengedwe. Ndibwino kuti malo otsekemera ayambe kutseguka. Pamene akulowa mumsewu, ayenera kutetezedwa ku dzuwa.
• Musagwiritse ntchito sopo ndi zodzoladzola zina. Pamene mukusamba, kumbukirani zizindikiro pa thupi.
• Ngati kupweteka, kuyabwa, kutuluka thukuta kumachitika, funsani dokotala wanu.
• Nthawi zonse amayenda mu mpweya watsopano, ntchito yoyenera yogwira ntchito, yamphamvu ndi yogona mokwanira - ichi ndi sitepe imodzi yowononga matendawa.

Moyo pambuyo pa mankhwala a ma radiation

Kubwezeretsa kumayamba pokhapokha mapeto a magawo olimbitsa thupi. Zimaphatikizapo nthawi ngati izi:

• Kupumula masana;
• Maloto apamwamba;
• Kupereka malamulo;
• Chikumbumtima;
• Lolani ndi zakudya zokwanira;
• Kukana zizolowezi zonse zoipa.

Panthawi imeneyi, nkofunika kwambiri kuthandizira dokotala, komanso anthu ammudzi.

Popeza chithandizochi sichinathe, muyenera kupita ku kachitidwe ndi kafukufuku, zomwe zimapangitsa kuti maganizo awo asinthe. Chinthu chachikulu mu nthawi ino sikuti mutseke nokha, kuyankhulana ndi anzanu ndi achibale anu. Yesani kusunga mwambo wa moyo, musasiye ntchito zapakhomo. Ngati muli wotopa pang'ono, mugone pansi ndikupumula.

Ngati mumagwira ntchito, funsani otsogolera kuti azikutengerani kanthawi kochepa. Ndi bwino kuti tipeze tchuthi nthawi yowonzanso.

Ngati malingaliro onse a dokotala akutsatiridwa, nthawi yobwezeretsa idzatha mwaukhondo, mwamsanga komanso mosavuta.

Kugwiritsa ntchito njirayi

Pazigawo zosiyana, zotsatira zimasiyanasiyana:

• Kutsekemera mu gawo loyambalo kungalowetseretu opaleshoni, ziwalo zathanzi ndi ziphuphu sizikhala zolimba.
• Pambuyo pa prostatectomy radiotherapy amagwiritsidwa ntchito pa khansa ya prostate. Zotsatira zotsatira za opaleshoniyi sizikhala zochepa, chifukwa maselo a tizilombo amawonongeka.
• Pakapita nthawi, matendawa amachepetsa matenda opweteka.

Thanzi lanu liri m'manja mwanu. Yesetsani kukaonana ndi dokotala nthawi zonse. Adzawunika momwe matendawa akuyendera ndipo, pang'onopang'ono, adzapereka chithandizo.