Ongakulindela ku-Proton Therapy for Prostate Cancer

-Delile

• Ubani umuntu ofanelekela ukhetho kule nqubo?
• Ukwelashwa kweProton kuqhathaniswa nezinye izindlela zokwelapha
• Ukwelashwa ngemisebe
• Ukuhlinzwa
• Ukwelashwa kweHormone
• Ukwelashwa ngamakhemikhali
• Ngikulungiselela kanjani ukwelashwa kwe-proton?
• Injani inqubo?
• Ingabe ikhona imiphumela engemihle?
• Ukululama ekwelashweni komdlavuza wesinye
• Ukudla okudlela endlini

Kuyini ukwelashwa kwe-proton?

Ukwelashwa kwe-Proton uhlobo lokwelashwa ngemisebe. Ukwelashwa ngemisebe kusetshenziselwa ukwelapha izinhlobo eziningi zomdlavuza, kufaka phakathi umdlavuza wendlala yabesilisa. Ingasetshenziswa njengokwelashwa okuyinhloko, kepha ivame ukuhlanganiswa nezinye izindlela zokwelapha.

Kumisebe ejwayelekile, ama-X-ray anamandla amakhulu asetshenziselwa ukukhomba nokubhubhisa amangqamuzana omdlavuza endleleni. Kodwa njengoba ama-X-ray edlula emzimbeni wakho, angalimaza izicubu ezinempilo. Lokhu kungabeka izitho eziseduze, njengesinye kanye ne-rectum, ezinkingeni. Kodwa-ke, izindawo eziningi zesimanjemanje zinikela ngohlobo oluhlanjululwe ngokwengeziwe lwemithi ejwayelekile yemisebe ebizwa nge-intension modulated radiation therapy (IMRT), eyenzelwe ukudala umonakalo omncane ezicutshini ezizungezile.

Ekwelashweni kwe-proton, imisebe ihanjiswa ngemishayo ye-proton. Umehluko omkhulu ukuthi imishayo yama-proton iyama uma sebethumele amandla abo kulitshe. Lokhu kuvumela ukukhomba okuqondile kwamangqamuzana omdlavuza ngenkathi iletha imisebe engaphansi ezicutshini ezinempilo.

Ubani umuntu ofanelekela ukhetho kule nqubo?

Noma ngubani ongathola ukwelashwa ngemisebe angaba nokwelashwa kwe-proton. Ingasetshenziswa njengokwelashwa okuyisisekelo komdlavuza wesibeletho osekuqaleni noma njengengxenye yohlelo lokwelashwa oluphelele lomdlavuza wendlala yabesilisa.

Ukwelashwa kweProton kuqhathaniswa nezinye izindlela zokwelapha

Yikuphi ukwelashwa okufanele ube nakho akulula njengokuqhathanisa ukwelashwa kweproton nokwelashwa ngamakhemikhali, ukuhlinzwa, noma ukwelashwa kwamahomoni. Ngayinye isebenza ngenhloso ethile.

Ukwelashwa kwakho kuzoxhomeka, ngokuyinhloko, ekutheni umdlavuza unolaka kangakanani kanye nesigaba saso lapho uxilongwa. Okunye ukucatshangelwa ukwelashwa kwangaphambilini, ubudala, nezinye izimo zempilo ezingenza ukwelashwa okuthile kungabekezeleleki. Ukwelashwa kweProton nakho kubiza kakhulu, kungenzeka kungambozwa umshwalense, akutholakali kabanzi, futhi akukakafundwa ezivivinyweni ezinkulu uma kuqhathaniswa nezinye izinhlobo zemisebe. Udokotela wakho uzobheka isithombe esiphelele lapho encoma ukwelashwa.

Ukwelashwa ngemisebe

Ukwelashwa kweProton kuyasebenza njengokwelashwa kwemisebe okuvamile. Mancane amathuba okuthi alimaze ezinye izitho futhi akhiqize imiphumela emibi embalwa. Futhi kubangela imiphumela emibi embalwa kunekhemotherapy noma i-hormone therapy. Ingasetshenziswa njengokwelashwa komugqa wokuqala noma ngokuhlangana nezinye izindlela zokwelapha.

Ukuhlinzwa

Uma umdlavuza ungazange usabalale ngaphandle kwendlala yesinye, ukuhlinzwa kuyindlela ejwayelekile ngoba kungahle kuwelaphe umdlavuza. Lokhu kuhlinzwa kungenziwa esiswini, nge-laparoscopic, noma nge-perinea.

Imisebenzi ejwayelekile ingaqalwa ngaphakathi kwamasonto ambalwa. Imiphumela emibi ingafaka ukungabambeki komchamo nokungasebenzi kahle kwezocansi.

Ukwelashwa kweHormone

Ukwelashwa kweHormone kunganciphisa ama-hormone wesilisa abangela umdlavuza wendlala yabesilisa. Kuvame ukusetshenziswa lapho umdlavuza usabalele ngaphandle kwendlala noma lapho umdlavuza wendlala yesinye ubuya ngemuva kokuba uthole ezinye izindlela zokwelapha. Kuyindlela futhi uma usengozini enkulu yokuphindeka noma ukunciphisa isimila ngaphambi kwemisebe.

Imiphumela emibi yokwelashwa kwehomoni ifaka ukungasebenzi ngocansi, ukuncipha kwamasende nepipi, kanye nokulahleka kwesisindo semisipha.

Ukwelashwa ngamakhemikhali

I-Chemotherapy akuyona indlela ejwayelekile yokwelashwa komdlavuza wendlala yesinye. Kungaba inketho uma umdlavuza usabalale ngaphandle kwendlala yesinye futhi ukwelashwa kwamahomoni kungasebenzi. Akunakwenzeka ukuthi welaphe umdlavuza wendlala yabesilisa, kodwa kungasiza ukuqhubeka kancane. Phakathi kwemiphumela emibi engaba khona ukukhathala, isicanucanu, nokulahleka kwezinwele.

Ngikulungiselela kanjani ukwelashwa kwe-proton?

Izikhungo zokwelashwa kweProton zikhula ngenani, kepha ukwelashwa akukatholakali yonke indawo. Udokotela wakho angakwazisa uma kunesikhungo sokwelapha i-proton eduze kwakho. Uma kukhona, kunezinto ezimbalwa ongacabanga ngazo ngaphambi kwesikhathi.

Ukwelashwa ngokuvamile kusho ukuhamba ngezinsuku ezinhlanu ngesonto amasonto amane kuya kwayisishiyagalombili, ngakho-ke uzofuna ukusula ikhalenda lakho. Yize ukwelashwa kwangempela kuthatha imizuzu embalwa, kufanele uvimbe imizuzu engama-45 kuya ehoreni lenqubo yonke.

Ngaphambi kokuba uqale ukwelashwa, uzoba nokubonisana kokuqala ukuze ithimba lemisebe likwazi ukusethelwa ukuvakashelwa okuzayo. Kusetshenziswa uchungechunge lwezithombe nenye idatha, bazonquma kahle ukuthi uzodinga ukubekwa kanjani ngesikhathi sokwelapha. Kungabandakanya ukusetshenziswa kwamadivayisi we-immobilization ngokwezifiso. Lokhu kungaba inqubo ebandakanyekayo, kepha kuyadingeka ukuqinisekisa ukuthi ama-proton alethwa ngokunembile ukuthuthukisa umbono wakho.

Akukho okunye ukulungiselela okudingekayo.

Injani inqubo?

Njengoba ukuletha ama-proton kumaseli womdlavuza kuyinjongo yokwelashwa, isikhathi esiningi sichithwa ekubekeni umzimba wakho nokulungisa imishini ngaphambi kweseshini ngayinye.

Kuzofanele uhlale unganyakazi ngokuphelele ngenkathi kuhanjiswa ugongolo lweproton, kodwa kuzothatha umzuzu owodwa kuya kwemithathu noma ngaphezulu. Akuhlaseli futhi ngeke uzwe lutho. Uzokwazi ukuhamba khona manje uphinde uqalise ngemisebenzi yakho ejwayelekile.

Ingabe ikhona imiphumela engemihle?

Imvamisa kunemiphumela emibi embalwa evela ekwelashweni kwe-proton kunaleyo evela ekwelashweni ngemisebe okuvamile. Lokho kungenxa yokuthi kukhona ukulimala okuncane kwezicubu ezinempilo ezungeze isimila.

Imiphumela emibi ingafaka ukukhathala nokubomvu kwesikhumba noma ukuba buhlungu endaweni yokwelashwa. Ungaba nezinkinga ngokungavumelani noma ngemiphumela emibi yamathumbu. Ukungasebenzi kahle kwe-Erectile kungenye ingozi yokwelashwa ngemisebe. Kodwa-ke, cishe amaphesenti angama-94 wamadoda asebenzise ukwelashwa kwe-proton ukwelapha umdlavuza wendlala yabesilisa abika ukuthi basasebenza ocansini ngemuva kokwelashwa.

Iningi labantu likubekezelela kahle ukwelashwa kwe-proton, ngaphandle kwesikhathi sokuthola kabusha.

Ukululama ekwelashweni komdlavuza wesinye

Uma udlule ekwelashweni kolayini wokuqala, kepha usenomdlavuza, udokotela wakho uzokulungisa ukwelashwa kwakho ngokufanele.

Ngemuva kokuhlinzwa, imisebe, noma i-chemotherapy, ungatshelwa ukuthi awunomdlavuza. Kodwa usazodinga ukuqashwa ukuze uphinde uvele. Uma ngabe ubelashwa i-hormone, kungadingeka ukuthi uqhubeke nokwenza kanjalo.

Ukuhlolwa kwe-PSA ngezikhathi ezithile kungasiza ukulinganisa ukusebenza kahle kokwelashwa kwamahomoni. Iphethini yamazinga we-PSA angasiza futhi ukuqapha ukuphindeka.

Inqubo yokululama yehlukile kuwo wonke umuntu. Okuningi kuncike esigabeni sokuxilongwa kanye nobukhulu bokwelashwa. Iminyaka yakho nempilo ejwayelekile nayo ibambe iqhaza. Udokotela wakho uzothatha zonke lezi zinto azicabangele ukukunikeza umbono wokuthi yini ongayilindela, kufaka phakathi:

• uhlelo lwezivivinyo nokuhlolwa okulandelwayo
• indlela yokubhekana nemiphumela emibi yesikhashana nesikhathi eside
• ukudla nezinye izincomo zendlela yokuphila
• izimpawu nezimpawu zokuphindeka

Ukudla okudlela endlini

Ukwelashwa kweProton ukwelashwa okusha komdlavuza wendlala yesinye okunemiphumela engemihle engaba khona embalwa, kodwa kuyabiza kakhulu futhi akutholakali kalula. Buza udokotela wakho ukuthi ukwelashwa kwe-proton kuyindlela enhle kuwe.