Daaweynta shucaaca

Daaweynta shucaaca waxay isticmaashaa raajooyin awood badan leh, qurubyo, ama iniin shucaac ah si loo dilo unugyada kansarka.

Unugyada kansarku waxay u tarmayaan si ka dhakhso badan unugyada caadiga ah ee jirka ku jira. Sababtoo ah shucaaca ayaa ugu waxyeello badan unugyada si dhakhso ah u kora, daaweynta shucaaca waxay dhaawacdaa unugyada kansarka in ka badan unugyada caadiga ah. Tani waxay ka hortageysaa unugyada kansarku inay koraan oo kala baxaan, waxayna u horseedaa dhimashada unugyada.

Daaweynta shucaaca waxaa loo isticmaalaa in lagula dagaallamo noocyo badan oo kansar ah. Mararka qaarkood, shucaaca ayaa ah daaweynta kaliya ee loo baahan yahay. Waxaa sidoo kale loo isticmaali karaa iyada oo lagu daweynayo daaweyn kale sida qalliin ama daaweynta kiimikada:

• Iska yaree buro sida ugu macquulsan qalliinka ka hor
• Caawinaad kahortaga kansarka inuu soo noqdo qalliinka ka dib ama daaweynta kiimikada
• Yaree calaamadaha ay keento buro, sida xanuun, cadaadis, ama dhiig bax
• Ku daawee kansarrada aan qalliin lagaga saari karin
• Daawee kansarka halkii aad ka isticmaali lahayd qalliin

NOOCYADA DAWAYNTA FUDUD

Noocyada kala duwan ee daaweynta shucaaca waxaa ka mid ah dibedda, gudaha, iyo gudaha.

DHAQAALAHA SADDEXA DIBAD

Shucaaca dibedda ayaa ah nooca ugu caansan. Habkani wuxuu si taxaddar leh ujeeddadiisu tahay raajada xoogga leh ama walxaha si toos ah burada uga timaadda jirka dibadiisa. Hababka cusubi waxay bixiyaan daaweyn waxtar badan oo leh dhaawac unug yar. Kuwaas waxaa ka mid ah:

• Daaweynta shucaaca ku-habboon ee dhexdhexaadka ah (IMRT)
• Raajo-shucaac sawir leh (IGRT)
• Daweynta shucaaca ee istaatijiyad (shucaaca qalliinka)

Daaweynta Proton waa nooc kale oo shucaac ah oo loo isticmaalo daaweynta kansarka. Halkii loo isticmaali lahaa raajada si loo burburiyo unugyada kansarka, daaweynta proton waxay isticmaashaa dogob ka mid ah walxaha gaarka loo yaqaan proton. Sababtoo ah waxay u keentaa dhaawac yar unugyada caafimaadka qaba, daaweynta proton badanaa waxaa loo isticmaalaa kansarrada aadka ugu dhow qaybaha muhiimka ah ee jirka. Waxaa kaliya loo isticmaalaa noocyada kansarka qaarkood.

QAADASHADA SHAQADA GUDAHA

Shucaaca iftiinka gudaha ayaa la dhigayaa gudaha jirkaaga.

• Hal dariiqo ayaa loo isticmaalaa miraha shucaaca leh ee toos loo galiyo ama u dhow buro. Habkan waxaa loo yaqaan 'brachytherapy', waxaana loo isticmaalaa in lagu daaweeyo kansarka qanjirka 'prostate'. Waxaa badanaa loo isticmaalaa in lagu daaweeyo naasaha, afka ilmo-galeenka, sambabka, iyo kansarrada kale.
• Qaab kale wuxuu ku lug leeyahay shucaaca adoo cabaya, kaniin liqaya, ama IV. Shucaaca dareeraha ahi wuxuu ku wareegayaa jirkaaga oo dhan, isagoo raadinaya oo dila unugyada kansarka. Kansarka qanjirka 'thyroid' waa loo daaweyn karaa sidan.

DHAQAALAHA shucaac shucaac ah (IORT)

Nooca shucaaca waxaa badanaa la isticmaalaa inta lagu jiro qalliinka si looga saaro buro. Isla marka la soo saaro burada iyo ka hor inta uusan dhakhtarka qalliinka xirmin meesha la qalay, shucaac ayaa la geynayaa meeshii buro ay ahaan jirtay. IORT guud ahaan waxaa loo isticmaalaa burooyinka aan faafin oo unugyada burooyinka ee yar-yar ayaa sii jiri kara ka dib marka la saaro burada weyn.

Marka la barbardhigo shucaaca dibedda, faa'iidooyinka IORT waxaa ka mid noqon kara:

• Kaliya aagga burada ayaa la bartilmaameedsadaa sidaa darteed waxyeello yar ayaa u leh unugyada caafimaadka qaba
• Kaliya hal qiyaas oo shucaac ah ayaa la siiyaa
• Waxay keentaa qiyaas yar oo shucaac ah

SAAMAYNTA DHARKA EE DAWAYNTA FARSAMADA

Daaweynta shucaaca sidoo kale waxay dhaawici kartaa ama dili kartaa unugyada caafimaadka qaba. Dhimashada unugyada caafimaadka qaba waxay u horseedi kartaa waxyeelo.

Dhibaatooyinkan soo raaca waxay kuxiran yihiin qiyaasta shucaaca, iyo inta jeer ee aad daawaynta u leedahay. Shucaaca iftiinka dibedda wuxuu sababi karaa isbeddelada maqaarka, sida timo luminta, maqaarka oo guduudan ama gubanaya, khafiifinta unugyada maqaarka, ama xitaa daadinta lakabka sare ee maqaarka.

Waxyeelooyinka kale waxay kuxiranyihiin qaybta jirka shucaaca kaqaata:

• Caloosha
• Maskaxda
• Naaska
• Laab
• Af iyo luqun
• Miskaha (miskaha dhexdooda)
• Prostate

Daaweynta shucaaca; Kansarka - daaweynta shucaaca; Daaweynta shucaaca - abuurka shucaaca; Daaweynta shucaaca ee qaabdhismeed-dhexdhexaad ah (IMRT); Raajo shucaac sawir leh (IGRT); Daaweynta shucaaca-shucaaca; Daaweynta shucaaca Stereotactic (SRT) - daaweynta shucaaca; Daaweynta shucaaca jirka ee Stereotactic (SBRT) - shucaaca shucaaca; Daaweynta shucaaca ee gudaha; Daaweynta shucaaca-shucaaca ee Proton

• Qalliinka shucaaca qalliinka - dheecaan

• Daaweynta shucaaca

Czito BG, Calvo FA, Haddock MG, Blitzlau R, Willett CG. Cirbaddaynta dhexdeeda. Gudaha: Gunderson LL, Macallinka JE, eds. Gunderson iyo Tepper’s Clinical Radiation Oncology. 5aad. Philadelphia, PA: Elsevier; 2021: cutubka 22.

Doroshow JH. U dhowaanshaha bukaanka qaba kansarka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 169.

Websaydhka Machadka Kansarka Qaranka. Daaweynta shucaaca ee lagu daaweeyo kansarka. www.cancer.gov/about-cancer/treatment/types/radiation-rapy La cusbooneysiiyay Janaayo 8, 2019. Waxaa la helay Ogosto 5, 2020.

Zeman EM, Schreiber EC, Macallinka JE. Aasaaska daaweynta shucaaca. Gudaha: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6aad ed. Philadelphia, PA: Elsevier; 2020: cutubka 27.