Lapaʻau hoʻomākala

Hoʻohana ka radiation radiation i nā kukuna x kiʻekiʻe, nā huna ʻili, a i ʻole nā ​​hua lekiō e pepehi i nā hunaola maʻi ʻaʻai.

Hoʻonui ka wikiwiki o nā kinikini ma mua o nā hunaola maʻamau i ke kino. No ka mea weliweli loa ka pāhawewe i nā pūnaewele ulu koke, hōʻino ka radiation radiation i nā hunaola maʻi ʻoi aku ma mua o nā hunaola maʻamau. Pale kēia i nā hunaola maʻi ʻaʻai mai ka ulu ʻana a me ka hoʻokaʻawale ʻana, a hiki i ka make ʻana o ka cell.

Hoʻohana ʻia ka radiation radiation e hakakā i nā ʻano maʻi ʻaʻai. I kekahi manawa, ʻo ka radiation wale nō ka lāʻau e pono ai. Hiki ke hoʻohana ʻia i ka hui pū me nā lāʻau ʻē aʻe e like me ke ʻoki ʻana a i ʻole chemotherapy iā:

• E hoʻoliʻiliʻi i kahi tumo ma mua o ka hiki ʻana
• Kōkua i ka pale ʻana i ka maʻi ʻaʻai mai ka hoʻi ʻana ma hope o ke kaha ʻana a i ʻole chemotherapy
• Hōʻoluʻolu i nā ʻōuli i hoʻokumu ʻia e kahi tumo, e like me ka ʻeha, kaomi, a i ʻole ke kahe ʻana
• Hana i nā maʻi ʻaʻai ʻaʻole hiki ke hemo me ke ʻoki
• Hana i nā maʻi ʻaʻai ma kahi o ka hoʻohana ʻana i ke ʻoki

NĀ ʻano o ka hoʻomaʻamaʻa THERAPY

ʻO nā ʻano ʻokoʻa o ka radiation radiation e laʻa me waho, kūloko, a me intraoperative.

KAHUWAI RADIATION Waho

ʻO ka pāhawewe kūwaho ka ʻano maʻamau. Hoʻopaʻa pono kēia hana i nā kukuna x kiʻekiʻe a i ʻole nā ​​ʻāpana kikoʻī ma ka hikoko mai waho o ke kino. Hāʻawi nā ʻano hana hou i nā lāʻau hou aʻe me ka hōʻemi ʻana o nā ʻaʻa. Pākuʻi ʻia kēia mau mea:

• Hoʻolālā radiotherapy ikaika (IMRT)
• Radiotherapy alakaʻi-kiʻi (IGRT)
• ʻO radiotherapy Stereotactic (radiosurgery)

ʻO Proton therapy kekahi ʻano radiation i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai. Ma mua o ka hoʻohana ʻana i nā kukuna x e luku ai i nā hunaola maʻi ʻaʻai, hoʻohana ka proton therapy i kahi kukuna o nā ʻāpana kūikawā i kapa ʻia protons. Ma muli o ke kumu o ka hōʻemi ʻana i nā mea olakino, hoʻohana pinepine ʻia ka proton therapy no nā maʻi ʻaʻai e pili kokoke ana i nā ʻāpana koʻikoʻi o ke kino. Hoʻohana wale ʻia ia no kekahi ʻano maʻi ʻaʻai.

KAHIWAHI RADIATION INTERNAL

Hoʻokomo ʻia ka radiation radiation i loko o kou kino.

• Hoʻohana kekahi hana i nā ʻano lekiō i hoʻonoho pololei ʻia i loko a kokoke paha i ka tumo. Kapa ʻia kēia hana he brachytherapy, a hoʻohana ʻia e mālama i ka maʻi ʻaʻai prostate. Hoʻohana pinepine ʻia ia e mālama i ka umauma, ka maʻi ʻōpū, ka hāhā, a me nā maʻi ʻino ʻē aʻe.
• ʻO kekahi ʻano hana e pili ana i ka loaʻa ʻana o ka pāhawewe ma ka inu ʻana iā ia, ale ʻana i ka lāʻau, a i ʻole ma o ka IV. Hele ʻo radiation radiation i loko o kou kino, e ʻimi ana a make i nā hunaola maʻi ʻaʻai. Hiki ke mālama ʻia i kēia maʻi kanesa thyroid.

INTRAOPERTIVE RADIATION THERAPY (IORT)

Hoʻohana pinepine ʻia kēia ʻano radiation i ka wā o ke ʻoki e wehe i kahi tumo. Ma hope pono o ka hemo ʻana o ka tumo a ma mua o ka pani ʻana o ka lōkōkō i ka ʻokiʻoki, hāʻawi ʻia ka radiation i ka pūnaewele kahi o ka tumo i noho ai. Hoʻohana mau ʻia ʻo IORT no nā tumors ʻaʻole pālahalaha ʻia a e noho mau nā pūnaewele tumo microscopic ma hope o ka hemo ʻana o ka tumo nui.

Hoʻohālikelike ʻia me ka pāhawewe o waho, pono pū paha nā mea maikaʻi o IORT:

• Hoʻolālā wale ʻia ka ʻāpana tumo no laila ʻoi aku ka liʻiliʻi o ka pōʻino i nāʻiʻo olakino
• Hāʻawi wale ʻia kahi mahele lāʻau o radiation
• Hāʻawi i kahi lāʻau liʻiliʻi o ka pāhawewe

Nā ʻaoʻao ʻaoʻao o ka radiation radiation

Hiki i ka radiation radiation ke hōʻino a pepehi hoʻi i nā hunaola olakino. Hiki i ka make ʻana o nā hunaola olakino ke alakaʻi i nā hopena ʻaoʻao.

Pili kēia mau hopena i ka hopena o ka pāhawewe, a me ka pinepine o kāu loaʻa ʻana o ka lāʻau. Hiki i ka radiation radiation kūwaho ke hoʻololi i ka ʻili, e like me ka nalo ʻana o ka lauoho, ʻulaʻula a ʻili ʻili paha, lahilahi o ka ʻili, a i ʻole ka hoʻokahe ʻia ʻana o ka ʻili waho o ka ʻili.

Pili nā hopena ʻē aʻe i ka ʻāpana o ke kino e loaʻa ana i ka radiation:

• Kapu
• Lolo
• Umauma
• Umauma
• Ka waha a me ka ʻāʻī
• Pelvic (ma waena o nā pūhaka)
• Moekolohe

Radiotherapy; Kanesa - radiation radiation; Hoʻoulu uila - nā hua lekiō; Hoʻololi i ka radiotherapy (IMRT); Radiotherapy alakaʻi-kiʻi (IGRT); Radiosurgery-radiation therapy; ʻO ka radiotherapy Stereotactic (SRT) ʻO ka radiotherapy o ke kino Stereotactic (SBRT) Intraoperative radiotherapy; Proton radiotherapy-radiation therapy

• ʻO radiosurgery Stereotactic - hoʻokuʻu

• Lapaʻau hoʻomākala

ʻO Czito BG, Calvo FA, Haddock MG, Blitzlau R, Willett CG. Hoʻonā intraoperative. I: Gunderson LL, Tepper JE, eds. ʻO Gunderson lāua ʻo Tepper's Clinical Radiation Oncology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 22.

ʻO Doroshow JH. Hele i ka mea maʻi me ka maʻi ʻaʻai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 169.

Pūnaewele ʻo National Cancer Institute. ʻO ka radiation radiation e mālama ai i ka maʻi ʻaʻai. www.cancer.gov/about-cancer/treatment/types/radiation-therapy. Hoʻohou i Ianuali 8, 2019. Loaʻa iā ʻAukake 5, 2020.

Zeman EM, Schreiber EC, Tepper JE. Nā kumu o ka radiation radiation. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 27.