Phekolo ea radiation

Phekolo ea radiation e sebelisa li-x-ray tse nang le matla a phahameng, likaroloana, kapa peo e nang le mahlaseli a kotsi ho bolaea lisele tsa mofetše.

Lisele tsa mofetše li ikatisa ka potlako ho feta lisele tse tloaelehileng 'meleng. Hobane radiation e kotsi haholo ho lisele tse hola ka potlako, kalafo ea radiation e senya lisele tsa mofetše ho feta lisele tse tloaelehileng. Sena se thibela lisele tsa mofets'e ho hola le ho ikarola, mme se lebisa lefung la sele.

Phekolo ea radiation e sebelisoa ho loants'a mefuta e mengata ea mofets'e. Ka linako tse ling, radiation ke eona feela kalafo e hlokahalang. E kanna ea sebelisoa hammoho le liphekolo tse ling tse kang ho buuoa kapa chemotherapy ho:

• Fokotsa hlahala ka hohle kamoo ho ka khonehang pele o etsoa opereishene
• Thusa ho thibela mofetše ho khutla kamora ho buuoa kapa chemotherapy
• Fokotsa matšoao a bakoang ke hlahala, joalo ka bohloko, khatello kapa ho tsoa mali
• Phekola kankere e ke keng ea tlosoa ka ho buuoa
• Phekola kankere ho fapana le ho sebelisa opereishene

Mefuta ea Phekolo ea mahlaseli

Mefuta e fapaneng ea kalafo ea radiation e kenyelletsa kantle, kahare le ts'ebetsong.

Phekolo ea mahlaseli a kantle

Mahlaseli a kantle ke mofuta o tloaelehileng haholo. Mokhoa ona ka hloko o shebile x-ray kapa li-particle tse nang le matla a maholo ka kotloloho hlahala e tsoang kantle ho 'mele. Mekhoa e mecha e fana ka kalafo e sebetsang haholoanyane ka tšenyo e nyane ea lisele. Tsena li kenyelletsa:

• Intotherapy-modulated radiotherapy (IMRT)
• Radiotherapy e tataisoang ke setšoantšo (IGRT)
• Stereotactic radiotherapy (mahlaseli a kotsi)

Phekolo ea Proton ke mofuta o mong oa radiation e sebelisoang ho alafa mofetše. Ho e-na le ho sebelisa x-ray ho senya lisele tsa mofetše, phekolo ea proton e sebelisa molamu oa likaroloana tse khethehileng tse bitsoang li-proton. Hobane e baka tšenyo e nyane ho lisele tse phetseng hantle, kalafo ea proton e sebelisoa khafetsa bakeng sa mofetše o haufi haholo le likarolo tsa bohlokoahali tsa 'mele. E sebelisoa feela bakeng sa mefuta e itseng ea mofets'e.

PHEKO EA MAHAPA

Mahlaseli a ka hare a kenngoa ka har'a 'mele oa hau.

• Mokhoa o mong o sebelisa peo e ntšang mahlaseli a kotsi e behiloeng ka ho toba ka har'a hlahala kapa haufi. Mokhoa ona o bitsoa brachytherapy, 'me o sebelisetsoa ho alafa mofetše oa senya. E sebelisoa hanyane ka hanyane ho alafa matsoele, popelo, matšoafo le mefuta e meng ea mofetše.
• Mokhoa o mong o kenyelletsa ho amohela radiation ka ho e noa, ho metsa pilisi, kapa ka IV. Mahlaseli a metsi a tsamaea 'meleng oa hau, a batla le ho bolaea lisele tsa mofetše. Kankere ea qoqotho e ka phekoloa ka tsela ena.

Phekolo ea mahlaseli a kotsi (IORT)

Mofuta ona oa radiation o sebelisoa hangata nakong ea ts'ebetso ea opereishene ho tlosa hlahala. Hang feela kamora hore hlahala e tlosoe le pele ngaka e buoang e koala lesoba, mahlaseli a kotsi a isoa sebakeng seo hlahala e neng e le ho sona. IORT hangata e sebelisoa bakeng sa lihlahala tse sa jalang mme lisele tse nyenyane tsa hlahala li ka sala kamora hore hlahala e kholo e tlosoe.

Ha e bapisoa le mahlaseli a kantle, melemo ea IORT e ka kenyelletsa:

• Ke sebaka sa hlahala feela se shebiloeng kahoo ho na le kotsi e fokolang ho lisele tse phetseng hantle
• Ke feela tekanyetso e le 'ngoe ea radiation e fanoang
• E fana ka tekanyo e nyane ea radiation

LIPHELLO TSA MAFUA A KHANYA

Phekolo ea radiation e ka senya kapa ea bolaea lisele tse phetseng hantle. Lefu la lisele tse phetseng hantle le ka lebisa litlamorao.

Litla-morao tsena li ipapisitse le tekanyo ea radiation, le hore na o na le kalafo hangata hakae. Mahlaseli a marang-rang a ka ntle a ka baka liphetoho tsa letlalo, joalo ka tahlehelo ea moriri, letlalo le lefubelu kapa le tukang, ho kaba ha lisele tsa letlalo, kapa esita le ho tšoloha ha letlalo le kantle.

Litla-morao tse ling li latela karolo ea 'mele e amohelang mahlaseli:

• Mpa
• Boko
• Letswele
• Sefubeng
• Molomo le molala
• Pelvic (pakeng tsa letheka)
• Tšoelesa ea senya

Radiotherapy; Kankere - kalafo ea radiation; Phekolo ea radiation - lipeo tse nang le mahlaseli a kotsi; Radiotherapy e matlafatsang matla (IMRT); Radiotherapy e tataisoang ke setšoantšo (IGRT); Phekolo ea radiosurgery-radiation; Stereotactic radiotherapy (SRT) - kalafo ea radiation; Phekolo ea radiotherapy ea 'mele ea stereotactic (SBRT) - kalafo ea radiation; Phekolo ea meriana e kenang tšebetsong; Phekolo ea proton radiotherapy-radiation

• Stereotactic radiosurgery - ho tsoa

• Phekolo ea radiation

Czito BG, Calvo FA, Haddock MG, Blitzlau R, Willett CG. Metsi a kenang tšebetsong. E ngotsoe ke: Gunderson LL, Tepper JE, eds. Gunderson le Tepper's Clinical Mahlaseli a Oncology. La 5th. Philadelphia, PA: Elsevier; 2021: khaolo ea 22.

Doroshow JH. Atamela mokuli ea nang le mofetše. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 169.

Webosaete ea National Cancer Institute. Kalafo ya radiation ho alafa mofetshe. www.cancer.gov/about-cancer/treatment/types/radiation-therapy. E ntlafalitsoe ka la 8 Pherekhong 2019. E fihlile ka Phato 5, 2020.

Zeman EM, Schreiber EC, Tepper JE. Metheo ea kalafo ea radiation. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 27.