Kab mob tsis muaj leej twg, mob qog noj ntshav yog ib qho mob hnyav tshaj plaws. Yog tias koj tsis mus ntsib kws kho mob hauv lub sijhawm, cov teeb meem loj tuaj yeem tshwm sim. Tom qab ntawd tsuas yog cov tshuaj tsis txaus lawm. Peb yuav tsum tau mus rau kev ua haujlwm cardinal, uas suav nrog kev kho hluav taws xob. Nrog rau mob qog noj ntshav prostate, nws cov txiaj ntsig tsis tuaj yeem kwv yees. Nov yog qhov peb tab tom tham txog tam sim no tab sis ua ntej…
xov tooj cua yog dab tsi
Qhov no yog kev kho mob zoo thiab tsim nyog rau cov kab mob oncological, uas suav nrog mob qog noj ntshav prostate. Nws yog raws li ionizing hluav taws xob, ua lub hom phiaj, rhuav tshem cov kab mob nkaus xwb, cov neeg noj qab haus huv tsis cuam tshuam.
Mechanism of action:
- Ion hluav taws xob yog qhia rau qhov chaw molecules uas muaj dej thiab qog hlwb nyob.
- Tom qab tsoo cov nqaj, hydrogen peroxide thiab dawb radicals tshwm nyob rau hauv lawv.
- Cov khoom lag luam tau thaiv kev ua haujlwm ntawm cov kab mob, lawv txoj kev loj hlob thiab kev loj hlob.
Kev kho mob qog noj ntshav prostate nrog kev kho hluav taws xob kuj yog raws li qhov tseeb tias cov haujlwm ntawm radicals thiab hydrogen peroxide nyob ntawm cov metabolism. Qhov siab dua, qhov ntau dua cov qog noj, uas, dhau los, ua rau muaj kev cuam tshuam loj heev ntawm hluav taws xob rau nws.
Txoj kev kho mob no yog siv rau txhua theem ntawm kev txhim kho tus kab mob, tsis hais thaj tsam ntawm lub cev puas tsuaj thiab kis tau tus kab mob metastases. Tsis tas li ntawd, kev kho hluav taws xob tau siv tau zoo tom qab tshem tawm cov qog nqaij hlav prostate los ua kev tiv thaiv thiab kho tus neeg sawv cev.
Cov hluav taws xob xa mus rau cov qog nqaij hlav cancer tau muab faib ua ob hom:
- wave - raws li gamma hluav taws xob thiab X-rays;
- particle method yog txoj kev kho proton, uas suav nrog: hluav taws xob hluav taws xob, alpha thiab beta hais, neutron thiab proton hluav taws xob.
Muaj peb txoj kev kho hluav taws xob cuam tshuam rau mob qog noj ntshav:
- remote;
- contact;
- interstitial.
Ntau yam txheej txheem
Tam sim no, muaj ntau ntau yam kev kho hluav taws xob rau kev mob qog noj ntshav prostate, qhov tshwm sim thiab kev ua tau zoo ntawm kev kho mob nyob ntawm tus kab mob:
- Kev sib haum xeeb. Nws yog siv nyob rau hauv cov kev tshwm sim uas yuav tsum tau ua kom tiav thiab uniform irradiation ntawm ib tug kab mob-ua qog. Tsim ib daim duab 3Dkev kawm. Hauv qhov no, tag nrho cov ntaub so ntswg thiab cov kabmob uas nyob ze tau muab rau hauv tus account. Cov hluav taws xob hluav taws xob cuam tshuam tsuas yog cov qog nqaij hlav cancer xwb, cov kab mob tsis zoo thiab cov ntaub so ntswg nyob tsis zoo.
- Kev siv zog hloov pauv. Lub nqaj uas raug coj mus rau cov qog tau muab faib ua ob peb lub me me. Lub zog ntawm txhua qhov ntawm cov kab kwj deg yog programmable. Hauv qhov no, thaj chaw noj qab haus huv ntawm prostate tau txais ib koob me me ntawm cov hluav taws xob, thaum cov kab mob ua rau cov hlwb yog cov txiaj ntsig tseem ceeb.
- YProton. Cov kws tshaj lij ntseeg tias txoj kev no yog qhov zoo tshaj plaws rau kev mob qog noj ntshav prostate. Protons cuam tshuam rau cov kab mob nkaus xwb, tab sis tsis yog txhua hom mob qog noj ntshav tau sau tseg txoj haujlwm no.
- Neutron. Siv thaum lwm txoj kev ua tsis tiav.
chaw taws teeb kis
Cov yam ntxwv ntawm hom irradiation no yog tias thaum lub sijhawm sib tham muaj kev cuam tshuam tsis yog rau cov kab mob xwb, tab sis kuj rau cov neeg noj qab haus huv. Ib lub cuab yeej tshwj xeeb yog siv rau cov txheej txheem, nws pab tswj lub wavelength, uas ua rau kom txo tau qhov siab tshaj plaws nyob rau hauv cov nyhuv ntawm rays ntawm ib tug noj qab nyob zoo cheeb tsam.
Cov cuab yeej no yog qhov siab thiab yuav tsum tsuas yog ua los ntawm tus kws tshaj lij kev cob qhia. Yog tias cov cuab yeej siv tsis raug, tus neeg mob yuav tsis txhim kho nws tus mob, tab sis, ntawm qhov tsis sib xws, ua rau nws hnyav dua.
Ua ntej, kev tshuaj xyuas yog ua tiav, tom qab ntawd qhov chaw ntim ntawm cov qog tau tsim, thiab tom qab ntawd tus kws kho mob sim xa xov tooj cua ncaj qha rau ntawm nws.
Sab nrauv kab hluav taws xob kho mob qog noj ntshav prostate tau muab txhua hnub lossis raws li lub sijhawm teem tseg los ntawm tus kws kho mob tuaj koom rau xya mus rau yim lub lis piam.
Kev kho thaj chaw deb, dhau los, muab faib ua ob hom: tsau thiab txawb.
thawj saib yog raws li nram no:
- Tus neeg mob tau muab tso rau hauv ib txoj haujlwm tshwj xeeb.
- Lawv xa hluav taws xob los ntawm nws (nws tseem nyob ruaj ruaj).
thib ob saib, mobile:
- Txhob qhov chaw hluav taws xob.
- Lawv taw tes rau ntawm cov qog prostate, lub cuab yeej txav mus ncig ntawm tus neeg mob thiab ua rau cov qog nqaij hlav cancer ntawm txhua sab.
Qee zaum thaum siv txoj kev no, yuav tsum tau so luv luv hauv kev kho mob.
Interstitial method (brachytherapy)
Kev kho mob qog noj ntshav zoo yog kev kho mob brachytherapy. Txoj kev no yog qhov ua tau zoo tshaj plaws yog cov qog nyob hauv lub caj pas prostate. Nws cov ntsiab lus yog raws li nram no: nrog kev pab los ntawm ib tug tshwj xeeb koob, ib tug radioactive tshuaj yog txhaj rau hauv cov qog. Iodine-125 yog siv los ua ib yam khoom. Cov txheej txheem yog nyob rau hauv kev tswj hwm ultrasound.
Nyob ntawm seb cov tshuaj ntsiav uas muaj cov tshuaj radioactive nyob li cas, brachytherapy muab faib ua:
- intracavitary;
- interstitial;
- Yintravascular.
Tom qab cov txheej txheem, tus neeg mob nyob hauv tsev kho mob ib hnub. Kev nyem los ntawm ob peb hnub. Cov khoom siv hluav taws xob tawg mus rau hauvlub cev rau ob lub hlis. Lub sijhawm no, cov qog nqaij hlav cancer tuag.
Qhov tseem ceeb ntawm kev kho mob brachytherapy yog qhov hluav taws xob cuam tshuam tsuas yog cov hlwb puas, cov neeg noj qab haus huv nyob tsis zoo. Tias yog vim li cas tom qab cov txheej txheem no, muaj teeb meem tsawg dua tom qab irradiation tej thaj chaw deb.
Proton method and adjuvant therapy
Nov yog ib yam uas tsis muaj kev cuam tshuam ntawm kev kho hluav taws xob uas pab tshem cov qog nqaij hlav prostate. Txoj kev no yog ua raws li qhov tseeb tshaj plaws ntawm cov hluav taws xob hluav taws xob ntawm qhov chaw pathogenic tsim nyob rau hauv lub caj pas. Vim tias qhov koob tshuaj tau muab faib kom raug, txhua hom mob qog noj ntshav tau kho kom zoo. Tsis muaj kev phiv.
Qhov kev xaiv tom ntej yog kev kho mob hluav taws xob ntxiv rau kev mob qog noj ntshav prostate. Siv raws li:
- kev tiv thaiv;
- auxiliary;
- ua tiav rau kev phais.
Lub hom phiaj ntawm txoj kev kho no yog txhawm rau rhuav tshem cov qog ntshav thib ob.
Txoj kev no cuam tshuam rau kev sib kis ntawm cov qog nqaij hlav cancer thiab lawv txoj kev loj hlob. Lub zog ntawm cov hluav taws xob muaj zog muaj peev xwm tua cov kab mob uas nyob twj ywm tom qab ua haujlwm. Nyob rau hauv txoj kev no, kev ua tau zoo ntawm kev kho mob yog nce. Nyob ntawm seb lub hom phiaj xav tau, siv hluav taws xob sab hauv lossis sab nraud. Nws raug coj mus rau qhov chaw ntawm cov qog tsim, txo qhov kev pheej hmoo ntawm kev rov tshwm sim ntawm oncology hauv cheeb tsam no.
Palliative radiotherapy
Txoj kev kho hluav taws xob no feem ntau siv rau kev mob qog noj ntshav prostate. Qhov tshwm sim ntawm tus kab mob nyob rau hauv cov ntaub ntawv no mus txog rau theem plaub. Kev pom palliative yog tsom rau kev txo tus neeg mob tus mob. Kev kho hluav taws xob sab nraud pab txo qhov o thiab mob thiab koom nrog cov haujlwm hauv qab no:
- Txhawm rau tshem tawm cov tsos mob ntawm tus kab mob, kev phais kev phais yog ua, transurethral resection ntawm prostate. Palliative care tuaj yeem txo qhov kev kis tus kab mob.
- hom kev kho hluav taws xob no tau muab tshuaj ua ke nrog cov tshuaj hormonal nyob rau theem kawg ntawm kev mob qog noj ntshav prostate. Qhov kev tshwm sim no txo qhov mob, tshem tawm cov kev mob tshwm sim ntawm cov qog nqaij hlav cancer.
- Thaum kuaj pom mob qog noj ntshav hauv zos mob qog noj ntshav, siv cov txheej txheem ultrasound ablation, uas kuj yog rau kev kho mob palliative. Nws pab tshem tawm cov kev mob tshwm sim ntawm tus kab mob.
Kev cuam tshuam ntawm radiotherapy
Txawm hais tias kev qhia txog cov tswv yim tshiab tuaj yeem txo cov kev xav tsis zoo tom qab cov txheej txheem, nws tseem yog kev kho hluav taws xob. Nrog mob qog noj ntshav prostate, qhov tshwm sim tom qab nws tseem muaj nyob:
- Muaj teeb meem nrog lub qhov quav. Mob plab thiab khaus plob tsis so tswj yuav tshwm sim. Thaum lub sij hawm, cov teeb meem no ploj mus.
- Muaj lus nug ntsig txog kev ua haujlwm ntawm lub zais zis thiab tso zis. Tus neeg mob raug kev tso zis ntau zaus, kub hnyiab thaum nws thiab muaj cov ntshav nyob hauv cov zis. Cov teeb meem no dhau mus ib ntus.
- Txhim kho impotence thiab erectile kawg. Qhov tshwm sim ntawm cov teeb meem no yog tib yam li tom qab kev phais.kev cuam tshuam. Tab sis muaj qhov sib txawv: tom qab ua haujlwm, impotence sai sai, thiab tom qab irradiation - maj mam, dhau ib xyoos.
- Tom qab kev kho hluav taws xob tau siv rau kev mob qog noj ntshav prostate (kev tshuaj xyuas ntawm cov neeg mob uas tau ua tiav cov txheej txheem no tau lees paub qhov no), thaum xub thawj, qhov ua rau qaug zog thiab qaug zog. Lub xeev no tseem nyob tau ob peb hlis.
- Cov qog ntshav tawm tau cuam tshuam. Qhov no yog qhov ua rau o ntawm sab qis.
- Nyob ntawm cov urethra. Qee lub sij hawm lub urethra puas lawm, cov zis tawm ntawm cov zis cuam tshuam.
Yuav coj li cas thaum kho
Ntau tus neeg txhawj xeeb txog cov lus nug: yuav ua li cas tom qab hluav taws xob kho mob qog noj ntshav prostate? Nws cov txiaj ntsig yog nyob ntawm kev ua raws li cov cai hauv qab no:
- Thaum tus txheej txheem, khoom noj khoom haus yuav tsum tsis yog cov calorie ntau ntau, tab sis kuj ua tiav. Kev noj haus yuav tsum muaj tag nrho cov vitamins thiab minerals. Nco ntsoov soj ntsuam kev haus dej haus cawv (txog peb litres dej ib hnub twg).
- Cia li haus cawv thiab haus cawv.
- Khaub ncaws yuav tsum xoob, lub teeb, ua los ntawm cov ntaub ntuj tsim. Nws yog ntshaw kom qhib qhov chaw tawg. Thaum mus sab nraud, lawv yuav tsum tiv thaiv lub hnub.
- Tsis txhob siv xab npum thiab lwm yam tshuaj pleev ib ce. Nco ntsoov cov cim lub cev thaum da dej.
- Yog koj muaj qhov liab, khaus, tawm hws hnyav, nco ntsoov nrog koj tus kws kho mob tham.
- Ntawmtaug kev sab nraum zoov, ua kom lub cev tsim nyog, suab nrov thiab pw tsaug zog zoo - qhov no yog lwm kauj ruam ntawm kev tshem tus kab mob.
Lub neej tom qab siv hluav taws xob
Kev rov qab pib tam sim tom qab qhov kawg ntawm irradiation zaug. Nws suav nrog cov ntsiab lus hauv qab no:
- so thaum nruab hnub;
- zoo pw;
- mob siab;
- kev xav;
- khoom noj kom zoo thiab khoom noj khoom haus;
- muab txhua tus cwj pwm phem.
Lub sijhawm no, kev pabcuam tsis yog kws kho mob nkaus xwb, tabsis cov txheeb ze tseem ceeb heev.
Vim tias kev kho mob tseem tsis tau tiav, koj yuav tau mus rau cov txheej txheem thiab kev kawm, lub siab lub ntsws feem ntau hloov ntawm qhov no. Qhov tseem ceeb tshaj plaws nyob rau lub sijhawm no yog tsis txhob thim mus rau hauv tus kheej, sib txuas lus nrog cov phooj ywg thiab cov txheeb ze. Sim ua kom lub neej zoo li qub, tsis txhob tso tseg txoj haujlwm hauv tsev. Yog koj nkees me ntsis, pw thiab so.
Yog tias koj ua haujlwm, nug cov thawj coj kom tso koj ua haujlwm yooj yim tsawg kawg ib ntus. Nws yog qhov zoo tshaj plaws, tau so so thaum lub sijhawm kho dua tshiab.
Yog tias tag nrho cov kws kho mob cov lus pom zoo ua raws, lub sijhawm kho kom rov zoo yuav dhau mus ntsiag to, sai thiab yooj yim.
Kev ua haujlwm ntawm kev ua haujlwm
Cov txiaj ntsig sib txawv ntawm ntau theem:
- Irradiation hauv thawj theem tuaj yeem hloov pauv kev phais, cov neeg noj qab haus huv tseem nyob tsis zoolub cev thiab cov ntaub so ntswg.
- Tom qab prostatectomy, kev kho hluav taws xob yog siv rau kev mob qog noj ntshav prostate. Cov txiaj ntsig tom qab kev ua haujlwm hauv qhov no dhau los ua tsawg, vim tias cov kab mob pathogenic raug rhuav tshem.
- Nyob rau theem tom qab ntawm tus kab mob, hluav taws xob txo qhov mob.
Koj txoj kev noj qab haus huv nyob hauv koj txhais tes. Sim mus ntsib koj tus kws kho mob tsis tu ncua. Nws yuav saib xyuas tus kab mob no thiab, ntawm qhov tsis zoo me ntsis, muab tshuaj kho.
