Majinyata mai shekaru 89 da ke fama da ciwon daji na esophageal kuma ba za a iya yin aiki da shi ba ko kuma ba a ba su ilimin chemotherapy gabaɗaya bayan maganin proton. Karanta cikakken nazarin shari'ar anan.
Ciwon kansa
Ciwon kanjamau shine yawan ciwan hanji, wanda ya kai sama da kashi 90% na ciwan maciji, wanda ke matsayi na biyu kacal ga cutar kansa ta ciki a cikin binciken da ake yi na duk wata mummunar cutar ta mace.
Alamar alama ta ciwon sankara na ci gaba dysphagia. Da farko, yana da wuya a hadiye busasshen abinci, sannan abinci mai ruwa-ruwa, kuma daga karshe ba za a iya hadiye ruwa da miyau ba.
Maganin gargajiya na ciwon daji na esophageal shine cirewa tumo ta hanyar tiyata. Duk da haka, saboda girman ci gaban raunuka, rikitarwa, da shekaru, maganin radiation ya zama babban hanyar magani.
Halin cutar kansa ta hanji
Mista Li, mai shekaru 89, an gano shi da ciwon daji na squamous cell carcinoma na babban esophagus a cikin Janairu 2014. PET / CT ya nuna metastasis na lymphatic a kusa da esophagus amma ba a yi nisa ba. Matsayin ciwon daji shine T3T1M0.
Ko da yake yana da kyau a jiki, la'akari da cewa ya tsufa, ba ya yin tiyata ko chemotherapy. Bayan tuntuba da tuntubar kwararru. proton far daga karshe aka zaba.
A watan Mayu 2014, aka fara jinya a Niger Proton Therapy Center a Jamus. An gudanar da ciwace-ciwacen daji da ƙananan ƙananan ƙananan ƙwayoyin cuta 25 2.3 57.5Gy (RBE) sau ɗaya a mako don jimlar kashi XNUMXGy (RBE);
25 × 2.0Gy (RBE) an gudanar dashi a cikin nesa mai lafiya na ƙari da tsotse Yankin kusa da kashin wuyan, sau ɗaya a mako, huta a ranar Asabar da Lahadi, jimlar kashi 50.0Gy (RBE).
Kafin magani, sakamakon binciken CT ya nuna cewa esophagus ya zama ya ragu sosai saboda toshewar kumburi.
Dukkanin hanyoyin maganin proton sun tafi lami lafiya kuma Mista Li bashi da wata mummunar illa. Kawai a makon da ya gabata na jiyya, muryata ta yi rauni, ɓataccen ɓawon maniyin jikina ya karu, kuma matsalolin haɗiya na ba su canzawa ba, amma na sami damar cin abinci ba tare da buƙatar bututun ciki ba. Na yi asarar kilogram hudu na nauyi a cikin makonni biyar na jiyya.
Sakamakon CT watanni 11 bayan kammala magani, babu ragowar kumburi da raunin da ke faruwa
Bayan shekara guda da jinya, an yi esophagoscopy, kuma ba a sami ciwace ciwace ko sake dawowa ba. Kodayake babban ɓangaren esophagus yana da ɗan kaɗan saboda dangantakar da ke tsakanin radiotherapy, har yanzu akwai sauran ɗaki da za a wuce, kuma ana iya yin aikin faɗaɗa faɗakarwa don inganta rayuwar.
Tsufa cututtukan hanji ba za a iya bi da su tare da chemotherapy ba, an fi son maganin proton.
Marasa lafiya tsofaffi tare da cutar sankarar hanji
Tsofaffi na esophageal masu ciwon daji na iya samun ƙarin zuciya da huhu matsaloli bayan jiyya, da kuma bayan karbar chemotherapy na farko da aka haɗa tare da maganin radiation, suna da haɗarin mutuwa bayan tiyata idan aka kwatanta da ƙananan marasa lafiya. Nazarin ya gano cewa marasa lafiya da ke jurewa proton beam therapy suna da ƙananan matsalolin matsalolin zuciya kamar matsananciyar wahala ta numfashi da mutuwa.
Maganin gargajiyar gargajiyar gargajiyar gargajiyar ita ce tiyata, amma yana da wahala ga tsofaffi marasa lafiya ko marasa lafiya da ke da rikitarwa su jure wa aikin tiyata, kuma ga marasa lafiya da ke fama da cutar hanji da ke cikin hanji tare da maganin metastasis mai nisa a tsaka-tsaki da matakan ci gaba, ba za ta iya sake isa matsayin magani ba; Bude thoracotomy don aikin tiyatar sankarau yana da lahani sosai kuma rikitarwa na bayan fage ba bakon abu bane. Kuma rabin majinyatan da ake yiwa tiyata zasu sake dawowa. Bayanai na ƙasashen waje sun nuna cewa maganin radiation zai iya cimma cikakkiyar sakamako na warkewa kamar tiyata, kuma maganin proton a hankali ya zama babban hanyar maganin kansar hanji.
Proton therapy ya rage illolin cututtukan hanji - Mayo Clinic Study
Maganin Proton yana rage illolin cutar sanƙarar hanji kuma yana tabbatar da ingancin rayuwa!
Wani binciken da Mayo Clinic masu bincike suka jagoranta ya gano cewa maganin proton hade da chemotherapy kafin tiyata na iya zama kyakkyawan magani ga tsofaffi masu fama da cutar kansar fiye da na gargajiya da ake hadawa da chemotherapy.
Masu binciken sun bi marasa lafiya 571 wadanda suka yi aikin fida da jiyyar cutar sankara a Mayo Cancer Center, MD Anderson Cancer Center, ko Jami'ar Cancer Center tsakanin 2007 da 2013, kuma daga baya aka yi musu tiyata, wanda 35% marasa lafiya ne masu shekaru 65 ko sama da haka lokacin ganewar asali kuma an sanya shi tsofaffi a cikin wannan binciken.
43% na tsofaffi marasa lafiya sun sami 3D na maganin radiation mai daidaituwa, 36% na marasa lafiya sun sami ƙarfin maganin radiation, kuma 21% na marasa lafiya sun sami maganin katako. Masu binciken sun binciko tasirin maganin raɗaɗɗu daban-daban kuma sun gwada su.
Sun gano cewa tsofaffin marasa lafiya waɗanda suka sami maganin fitilar katako suna da ƙananan matsalolin zuciya da huhu bayan tiyata, kuma mutuwar su ta baya baya ƙasa da waɗanda suka karɓi fasaha ta al'ada. Babu wani daga cikin marasa lafiyar da ya sami maganin katako wanda ya mutu bayan aikin, wanda masu binciken suka yi imanin yana da nasaba da gaskiyar cewa maganin proton na iya rage yawan kwayoyin halittar da ke kusa da esophagus, kamar zuciya da huhu.
Dokta Lester ya ce: "Shekaru da kan su ba wani shinge ne ga maganin cutar kansa mai karfi ba, amma ya kamata a rage illar magani musamman ga tsofaffi marasa lafiya."
"Wannan binciken ya nuna cewa fasaha mai ci gaba ta zamani, musamman maganin fitila mai haske, na iya taimakawa inganta sakamakon jiyya na wannan rukunin kuma ba da dama ga marasa lafiya da ke fama da cutar sankara sama da 65 su sami kulawa mai aiki."
Kira + 91 96 1588 1588 ko aika rahotanni zuwa WhatsApp don cikakkun bayanai game da maganin warkar da Proton a Indiya da ƙasashen waje.
