Murwere ane makore 89 ekuzvarwa anorwara negomarara resophageal uye asingakwanise kuvhiyiwa kana kupihwa chemotherapy akapora zvizere mushure mekurapa kweproton. Verenga nyaya yakazara pamusoro apa.
Kenza yesophageal
Esophageal kenza yakajairika gastrointestinal bundu, inoverengera anopfuura makumi mapfumbamwe muzana muzana emota yesophageal, inoteedzera wechipiri chete kune gastric kenza mune yekudzokororazve ongororo yeanonyangadza bundu kufa.
Chiratidzo chekenza yesophageal chiri kufambira mberi dysphagia. Kutanga, zvinonetsa kumedza chikafu chakaoma, kozoti semi-mvura chikafu, uye pakupedzisira mvura nemate hazvigone kumedzwa.
Kurapa kwegomarara regurokuro kuchivanhu ndiko kubvisa tumarara nokuvhiyiwa. Nekudaro, nekuda kwechiyero chekukura kweronda, matambudziko, uye zera, radiation therapy yave nzira huru yekurapa.
Nyaya yekenza yesophageal
VaLi, vane makore 89, vakaonekwa vaine squamous cell carcinoma yegurokuro yepamusoro muna Ndira 2014. PET/CT yakaratidza lymphatic metastasis pedyo negurokuro asi pasina metastasis iri kure. Nhanho yegomarara yaive T3T1M0.
Kunyange zvazvo aine utano hwakanaka, tichifunga kuti achembera, haavhiyiwe kana kuti chemotherapy. Mushure mekubvunzurudza kwakatevedzana uye kubvunzana kwenyanzvi, proton therapy yakazosarudzwa.
Muna Chivabvu 2014, kurapwa kwakatangwa kuNiger Proton Therapy Center mu Jerimani. Esophageal tumors uye peripheral lymphatic metastases yakapihwa 25 × 2.3Gy (RBE) kamwe pasvondo kune yakazara muyero we57.5Gy (RBE);
25 × 2.0Gy (RBE) yakapihwa mukati mechubhu nzvimbo yakachengeteka uye iyo lymph nzvimbo yakatenderedza collarbone, kamwe chete pasvondo, zorora Mugovera neSvondo, iyo yakazara dose yaive 50.0Gy (RBE).
Asati arapwa, CT ongororo mhedzisiro yakaratidza kuti esophagus yakave yakamanikana zvakanyanya nekuda kwekuremara kwechiremera.
Maitiro ese ekurapa kweproton akafamba mushe uye VaL Li havana kuita zvakashata zvakakomba. Just muvhiki rekupedzisira rekurapwa, izwi rangu rakanga rakashoshoma, kubuda kwangu kwechiputi kwakawedzera, uye matambudziko angu ekumedza akaramba asina kuchinja, asi ndakakwanisa kudya pasina kudikanwa kwechubhu yemudumbu. Ndakarasikirwa nemakirogiramu mana ekurema mukati memavhiki mashanu ekurapwa.
CT inoguma 11 mwedzi mushure mekupedzwa kwekurapa, hapana bundu remarara uye zvinodzokororwa maronda
Mushure megore rimwe rekurapwa, esophagoscopy yakaitwa, uye hapana bundu rekusara kana kudzokazve kwakawanikwa. Kunyangwe iyo yekumusoro chikamu cheyophagus iri yakatetepa nekuda kwehukama pakati peiyo radiotherapy, kuchine nzvimbo yekupfuura, uye kuferefeta mbichana kuwedzera kunogona kuitwa kusimudzira hupenyu hwehupenyu.
Chembere kenza yegurokuro haigone kurapwa nechemotherapy, proton therapy inosarudzwa.
Vakwegura varwere vane kenza yesophagus
Cheguro guso varwere vegomarara vanogona kuwedzera moyo nemapapu matambudziko mushure mekurapwa, uye mushure mekugamuchira preoperative chemotherapy yakasanganiswa neradiation therapy, vane njodzi huru yekufa kwepashure kana vachienzaniswa nevarwere vadiki. Zvidzidzo zvakaona kuti varwere vari kurapwa neproton beam therapy vane mwero wakaderera wematambudziko emwoyo senge acute respecial restress syndrome uye kufa.
Kurapa kwechinyakare kwekenza yesophageal kuvhiyiwa, asi zvinonetsa kuvarwere vakura kana varwere vane matambudziko ekutsungirira kuvhiyiwa, uye kune varwere vane gomarara rekusophageal vane metastasis iri kure nepakati uye nhanho dzepamberi, haichakwanise kusvika padanho rekurapa; Vhura thoracotomy yekenza esophageal kenza kuvhiya kwakanyanya uye kusagadzikana kwemashure mekuvhiya hazvishamise. Uye hafu yevarwere vari kuitiswa resection ichadzoka zvakare. Dzekunze data inoratidza kuti radiation radiation inogona kuzadzikisa imwecheteyo yekurapa maitiro sekuvhiya, uye proton kurapa zvishoma nezvishoma yave nzira huru yekurapa yekenza yesophageal.
Proton therapy inoderedza mhedzisiro yemakenza esophageal - Mayo Clinic Study
Proton kurapwa inoderedza iyo mhedzisiro mhedzisiro yekenza yesophageal uye inovimbisa hupenyu hwehupenyu!
Chidzidzo chakatungamirwa neMayo Clinic vaongorori vakawana kuti proton kurapa pamwe chete nekemotherapy kurapwa kusati kwave kurapwa kuri nani kune vakwegura esophageal cancer varwere kupfuura echinyakare radiation kurapwa pamwe nekemotherapy.
Vatsvaguriri vakatevera varwere mazana mashanu nemakumi manomwe nevashanu vakawana kurapwa nemwaranzi uye chemotherapy kurapwa paMayo Cancer Center, MD Anderson Cancer Center, kana iyo University of Maryland Cancer Center pakati pa571 na2007, uye ndokuzoitwa oparesheni, iyo 2013% yaive varwere veZera 35 kana kupfuura pa iyo nguva yekuongororwa uye yakaverengerwa sevakuru muchidzidzo ichi.
43% yevarwere vakura vakagamuchira 3D conformal radiation kurapwa, 36% yevarwere vakagashira kwakasimba modulated radiation kurapwa, uye 21% yevarwere vakagamuchira proton beam kurapwa Vatsvagurudzo vakaongorora zvinokonzereswa nemarapirwo akasiyana-siyana emwaranzi uye ndokuzvienzanisa.
Vakaona kuti varwere vakura vakagamuchira kurapwa kweproton beam vaive nemitengo yakaderera yezvinetso zvemwoyo nemapapu mushure mekuvhiyiwa, uye kufa kwavo kwapashure pekuvhiya kwakaderera pane avo vakagamuchira tekinoroji yakajairika. Hapana mumwe wevarwere vakagamuchira kurapwa kweproton beam akafa mushure mekuvhiyiwa, uko vanotsvaga vanofunga kuti kune hukama nenyaya yekuti kurapwa kweproton kunogona kudzikisira muyero wezvinyama zvakakosha padhuze nesophagus, senge moyo nemapapu.
Dr. Lester vakati: "Zera pacharo harisi chipingaidzo pakurapa kenza yakasimba, asi mhedzisiro yekurapwa inofanirwa kudzikiswa kunyanya kuvarwere vakwegura."
"Chidzidzo ichi chinoratidza kuti tekinoroji yemhando yepamusoro, kunyanya proton beam therapy, inogona kubatsira kuvandudza marapirwo eboka iri uye kubvumidza varwere vazhinji vane gomarara rekusophageal vanopfuura makumi matanhatu nemashanu kuti vagamuchire kurapwa."
Fonera + 91 96 1588 1588 kana kutumira mishumo kuWhatsApp kuti uwane ruzivo nezveProton therapy kurapwa muIndia nekune dzimwe nyika.
