Kev siv hluav taws xob

Kev siv hluav taws xob tua hluav taws xob siv hluav taws xob ntau xoo hluav taws xob, xaj xaim, lossis cov noob hluav taws xob kom tua cov qog noj ntshav.

Kab mob khees xaws mob ntau dua sai dua cov qe ntshav hauv lub cev. Vim tias cov xaim hluav taws xob muaj kev phom sij tshaj plaws rau cov kab mob loj hlob sai, kev kho hluav taws xob ua rau cov kab mob qog ua cancer ntau dua cov qe ntshav txawv. Qhov no tiv thaiv cov qog nqaij hlav cancer kom tsis txhob loj hlob thiab faib tawm, thiab ua rau cov cell tuag.

Kev siv hluav taws xob yog siv los tua ntau hom mob qog nqaij hlav. Qee zaum, hluav taws xob yog tib txoj kev kho mob xwb. Nws kuj tseem siv nrog lwm cov kev kho mob xws li phais mob lossis kho mob rau:

• Txo cov qog ua kom ntau li ntau tau ua ntej kev phais mob
• Pab tiv thaiv tus kabmob kheesxaws rov qab los tom qab kev phais mob lossis tshuaj khomob
• Txo cov tsos mob tshwm sim los ntawm cov qog, xws li mob, siab lossis los ntshav
• Kho cov qog nqaij hlav uas tsis tuaj yeem raug tshem tawm nrog kev phais mob
• Kho cov qog noj ntshav dua siv kev phais mob

HOM KHEES RADIATION THERAPY

Txawv sib txawv ntawm txoj kev kho hluav taws xob suav nrog sab nraud, sab hauv thiab sab hauv.

RADIATION THAWJ TXHUA TUS

Hluav taws xob sab nraud yog daim qauv tshaj plaws. Txoj hau kev no ua tib zoo tsom tawm hluav taws xob xaim hluav taws xob lossis cov ncaj qha rau ntawm cov qog los ntawm sab nraud ntawm lub cev. Cov txheej txheem tshiab muab cov kev kho mob zoo dua nrog cov ntaub so ntswg tsawg. Cov no suav nrog:

• Kev siv tshuaj tua hluav taws xob ntau (IMRT)
• Duab los qhia duab hluav taws xob (IGRT)
• Stereotactic radiotherapy (radiosurgery)

Proton kev kho mob yog lwm txoj kev siv hluav taws xob siv los kho mob cancer. Ntau dua li siv xoo hluav taws xob los tua cov qog nqaij hlav cancer, kev kho mob sab nrauv siv cov nqaj ntawm cov tshwj xeeb hu ua protons. Vim tias nws ua rau kev puas tsuaj tsawg dua cov ntaub so ntswg noj qab haus huv, kev kho proton feem ntau siv rau cov qog nqaij hlav uas nyob ze rau qhov tseem ceeb ntawm lub cev. Nws tsuas yog siv rau qee yam mob qog noj ntshav.

KEV THEM NYIAJ YEEM HLOOV

Hluav taws xob sab hauv hluav taws xob tso rau hauv koj lub cev.

• Ib txoj kev siv cov xaim hluav taws xob rau cov noob uas tau muab tso ncaj qha mus rau lossis ze ntawm cov qog. Txoj hau kev no hu ua brachytherapy, thiab siv los kho kev mob qog nqaij hlav cancer. Nws siv tsawg dua los kho mob mis, ncauj tsev menyuam, mob ntsws, thiab lwm yam mob qog nqaij hlav.
• Lwm txoj kev koom nrog txais hluav taws xob los ntawm kev haus nws, nqos ib ntsiav tshuaj, lossis dhau ntawm IV. Cov kua hluav taws xob ncig thoob plaws koj lub cev, nrhiav thiab tua cov qog nqaij hlav cancer. Mob qog noj ntshav yuav kho tau txoj hau kev no.

KEV TXHAWJ XEEB TXUJ CI INTRAOPERTIVE (CUA)

Qhov hluav taws xob no feem ntau yog siv thaum phais mob txhawm rau tshem tawm cov qog. Yog tom qab lub qog tshem tawm thiab ua ntej cov kws phais mob kaw qhov phais, hluav taws xob xa mus rau qhov chaw uas lub qog siv los ua. IORT feem ntau siv rau cov qog hlav uas tsis kis tau thiab cov qog hlwb me me yuav nyob twj ywm tom qab tshem cov qog loj dua.

Piv nrog hluav taws xob sab nraud, qhov zoo ntawm IORT yuav suav nrog:

• Tsuas yog cov qog ntawm thaj chaw tau raug tsom kom muaj tsawg dua kev phom sij rau cov nqaij mos noj qab haus huv
• Tsuas muab cov tshuaj hluav taws xob ib zaug nkaus xwb
• Xa ib qho tshuaj me me rau cov hluav taws xob

SAB EFFECTS NTAWM RADIATION THERAPY

Kev siv hluav taws xob tua kuj tseem tuaj yeem ua kom puas lossis tua cov hlwb noj qab haus huv. Kev tuag ntawm cov hlwb noj qab haus huv tuaj yeem ua rau phiv phiv.

Cov kev mob tshwm sim no yog nyob ntawm qhov ntsuas cov hluav taws xob ntau npaum li cas, thiab pes tsawg zaus koj tau txais kev kho mob. Cov nplaim hluav taws xob sab nraud tuaj yeem ua rau tawv nqaij hloov, xws li cov plaub hau hle, liab lossis hlawv cov tawv nqaij, ua rau daim tawv nqaij nyias nyias, lossis txawm tawm los ntawm daim tawv nqaij txheej sab nraud.

Lwm cov kev phiv nyob ntawm qhov ntawm lub cev txais hluav taws xob:

• Plab
• Lub Hlwb
• Lub mis
• Hauv siab
• Ncauj thiab caj dab
• Pelvic (nruab nrab ntawm lub duav)
• Cem plab

Kev Kho Hluav Taws Xob; Khees Xaws - kev siv tshuaj hluav taws xob; Kev siv tshuaj tua hluav taws xob - cov noob ua kua; Siv tshuaj kho hluav taws xob ntau (IMRT); Kev yees duab los ntawm kev kho mob hlwb (IGRT); Kev siv hluav taws xob-hluav taws xob; Stereotactic radiotherapy (SRT) -raws rau txoj kev kho; Stereotactic lub cev radiotherapy (SBRT) -raws rau txoj kev kho; Kev kuaj mob hauv qhov dej txhaws; Proton radiotherapy-tawg kev kho mob

• Stereotactic radiosurgery - tso tawm

• Kev siv hluav taws xob

Czito BG, Calvo FA, Haddock MG, Blitzlau R, Willett CG. Kev khoob qhov tsis muaj zog. Hauv: Gunderson LL, Tepper JE, eds. Gunderson thiab Tepper Cov Kev Tshawb Xyuas Kev Rho Tawm OncologyCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2021: chap 22.

Doroshow JH. Mus rau tus neeg mob uas muaj mob qog noj ntshav. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 169.

Lub koom haum Cancer National website. Hlawv roj los kho mob cancer. www.cancer.gov/about-cancer/treatment/types/radiation-therapy. Hloov kho Lub Ib Hlis 8, 2019. Nkag mus rau Lub Yim Hli 5, 2020.

Zeman EM, Schreiber EC, Tepper JE. Cov hauv paus ntawm kev siv hluav taws xob. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 27.