Isiguli esineminyaka engama-89 esinomdlavuza we-esophageal futhi esingakwazi ukuhlinzwa noma ukunikezwa i-chemotherapy sesilulame ngokuphelele ngemuva kokwelashwa kwe-proton. Funda udaba oluphelele lapha.
Umdlavuza we-Esophageal
Umdlavuza we-Esophageal uyisigaxa esivamile samathumbu, esibala ngaphezu kwezingu-90% zezicubu zomzimba, zibeka indawo yesibili ngemuva komdlavuza wesisu ekuhloleni okubuyisa emuva konke ukufa kwesimila esibi.
Uphawu olujwayelekile lomdlavuza we-esophageal luyaqhubeka dysphagia. Okokuqala, kunzima ukugwinya ukudla okomile, bese kuthi ukudla okune-semi-liquid, ekugcineni amanzi namathe kungagwinywa.
The traditional treatment of esophageal cancer is to remove the isisu by surgery. However, due to the degree of lesion development, complications, and age, radiation therapy has become the main treatment method.
Icala lomdlavuza wokuqopha
UMnu. Li, oneminyaka engu-89 ubudala, kwatholakala ukuthi une-squamous cell carcinoma yomphimbo ongaphezulu ngoJanuwari 2014. I-PET / CT ibonise i-lymphatic metastasis eduze kommizo kodwa ayikho i-metastasis ekude. Isigaba somdlavuza kwakuyi-T3T1M0.
Although he is in good physical condition, considering that he is old, he does not take surgery or chemotherapy. After a series of consultations and expert consultations, ukwelashwa kweproton was finally selected.
NgoMeyi 2014, kwaqalwa ukwelashwa eNiger Proton Therapy Center e Germany. Izicubu ze-Esophageal kanye ne-peripheral lymphatic metastases zanikezwa i-25 × 2.3Gy (RBE) kanye ngesonto ngomthamo ophelele we-57.5Gy (RBE);
I-25 × 2.0Gy (RBE) yanikezwa ngaphakathi kwebanga eliphephile le-tumor kanye ne i-lymph indawo ezungeze ukhololo, kanye ngesonto, ukuphumula ngoMgqibelo nangeSonto, inani eliphelele lalingu-50.0Gy (RBE).
Ngaphambi kokwelashwa, imiphumela yokuhlolwa kwe-CT ikhombise ukuthi i-esophagus yancipha kakhulu ngenxa yokuvinjelwa isimila.
Yonke inqubo yokwelashwa kwe-proton ihambe kahle futhi noMnu uLi akazange abe nemiphumela emibi kakhulu. Kuthe nje esontweni lokugcina lokwelashwa, izwi lami lahoshozela, imfihlo yami yesikhwehlela yanda, nobunzima bami bokugwinya abuzange bushintshe, kepha ngakwazi ukudla ngaphandle kwesidingo sepayipi lesisu. Ngehlile isisindo samakhilogremu amane kungakapheli amasonto amahlanu ngilashwa.
Imiphumela ye-CT izinyanga eziyi-11 ngemuva kokuphela kokwelashwa, azikho izinsalela zesimila nezilonda eziphindaphindayo
Ngemuva konyaka owodwa welashwa, kwenziwa i-esophagoscopy, futhi asitholakali isimila esisele noma ukuphindeka. Yize ingxenye engenhla yesimungulu incane ngenxa yobudlelwano obuphakathi kwe-radiotherapy, kusekhona indawo yokudlula, futhi uphenyo lokukhulisa imicu lungenziwa ukuthuthukisa ikhwalithi yempilo.
Ukuguga umdlavuza we-esophageal cannot be treated with chemotherapy, proton therapy is preferred.
Iziguli ezindala ezinomdlavuza we-esophagus
Elderly esophageal cancer patients may experience more heart and lung problems after treatment, and after receiving preoperative chemotherapy combined with radiation therapy, they have a higher risk of postoperative death compared to younger patients. Studies have found that patients undergoing proton beam therapy have lower rates of cardiopulmonary problems such as acute respiratory distress syndrome and death.
Ukwelashwa kwendabuko komdlavuza wokuqunjelwa kungukuhlinzwa, kepha kunzima kwiziguli esezigugile noma ezigulini ezinezinkinga ukubekezelela ukuhlinzwa, kanye neziguli ezinomdlavuza wokuqopha onemetastasis ekude phakathi nezigaba ezithuthukile, ngeke isakwazi ukufinyelela ezingeni lokwelashwa; I-thoracotomy evulekile yokuhlinzwa komdlavuza we-esophageal iyingozi kakhulu futhi izinkinga zangemva kokuhlinzwa azijwayelekile. Futhi isigamu seziguli ezenziwa kabusha sizobuyela emuva. Imininingwane yakwamanye amazwe ikhombisa ukuthi ukwelashwa ngemisebe kungafinyelela ngokuphelele kumphumela wokwelapha ofanayo njengokuhlinzwa, kanti ukwelashwa kwe-proton kuye kwaba kancane kancane indlela eyinhloko yokwelashwa komdlavuza we-esophageal.
Ukwelashwa kwe-Proton kunciphisa imiphumela emibi yomdlavuza we-esophageal - Isifundo seMayo Clinic
Ukwelashwa kwe-Proton kunciphisa imiphumela emibi yomdlavuza wokuqopha futhi kuqinisekise ikhwalithi yempilo!
Ucwaningo oluholwa abacwaningi beMayo Clinic luthole ukuthi ukwelashwa kwe-proton kuhlanganiswe nokwelashwa ngamakhemikhali ngaphambi kokuhlinzwa kungaba yindlela engcono yokwelashwa kweziguli ezinomdlavuza osekhulile kunokwelashwa ngemisebe yendabuko okuhlanganiswe nekhemotherapy.
Abaphenyi balandela iziguli ezingama-571 ezathola ukwelashwa ngemisebe nokwelashwa ngamakhemikhali eMayo Cancer Center, MD Anderson Cancer Center, noma e-University of Maryland Cancer Center phakathi kuka-2007 no-2013, kwathi ngemuva kwalokho kwahlinzwa, okwaba ngama-35% kwabaguli abaneminyaka engama-65 noma ngaphezulu isikhathi sokuxilongwa futhi kwahlukaniswa njengabantu abadala kulolu cwaningo.
Iziguli ezingama-43% esezikhulile zathola ukwelashwa ngemisebe okufana ne-3D, iziguli ezingama-36% zathola ukwelashwa ngemisebe okunamandla, kwathi ezingama-21% zeziguli zathola ukwelashwa ngogongolo lweproton. Abaphenyi bahlaziye imiphumela yezindlela ezahlukahlukene zokwelashwa ngemisebe bayiqhathanisa.
Bathola ukuthi iziguli esezikhulile ezazithola ukwelashwa kwe-proton beam zazinezinkinga eziphansi zenhliziyo namaphaphu ngemuva kokuhlinzwa, kanti nokufa kwazo ngemuva kokuhlinzwa kwakungaphansi kwalabo abathola ubuchwepheshe obujwayelekile. Azikho kulezi ziguli ezathola ukwelashwa ngogongolo lwe-proton ezafa ngemuva kokuhlinzwa, abacwaningi abakholelwa ukuthi kuhlobene neqiniso lokuthi ukwelashwa kwe-proton kunganciphisa umthamo wezicubu ezibalulekile eduze komphimbo, njengenhliziyo namaphaphu.
UDkt Lester uthe: “Iminyaka ngokwako ayisona isithiyo ekwelashweni ngamandla komdlavuza okunamandla, kodwa imiphumela engemihle yokwelashwa kufanele incishiswe ikakhulukazi ezigulini esezikhulile.”
"Lolu cwaningo lukhombisa ukuthi ubuchwepheshe obudlulele bemisebe, ikakhulukazi ukwelashwa kwe-proton beam, kungasiza ekuthuthukiseni imiphumela yokwelashwa yaleli qembu futhi kuvumele iziguli eziningi ezinomdlavuza wokuqopha ngaphezu kweminyaka engama-65 ukuthi zithole ukwelashwa okusebenzayo."
Shayela ku- + 91 96 1588 1588 noma uthumele imibiko kuWhatsApp ngemininingwane yokwelashwa kwe- Proton therapy eNdiya nakwamanye amazwe.
