Thandizo la Photodynamic la khansa

Photodynamic therapy (PDT) imagwiritsa ntchito mankhwala limodzi ndi mtundu wina wowala wakupha ma cell a khansa.

Choyamba, adokotala amalowetsa mankhwala omwe amalowetsedwa m'maselo mthupi lonse. Mankhwalawa amakhala m'maselo a khansa nthawi yayitali kuposa momwe amakhalira m'maselo abwinobwino, athanzi.

Pakatha masiku 1 mpaka 3, mankhwalawa achoka m'maselo athanzi, koma amakhalabe m'maselo a khansa. Kenako, adokotala amatsogolera kuunika kwama cell a khansa pogwiritsa ntchito laser kapena magetsi ena. Kuwala kumayambitsa mankhwala kuti apange mtundu wa mpweya womwe umachiza khansa ndi:

• Kupha maselo a khansa
• Kuwononga maselo amwazi pachotupa
• Kuthandiza njira yolimbana ndi matenda mthupi kumenya chotupacho

Kuwala kumatha kubwera kuchokera ku laser kapena gwero lina. Kuwalako nthawi zambiri kumagwiritsidwa ntchito kudzera mu chubu chowonda, chowunikira chomwe chimayikidwa mkati mwa thupi. Zingwe zazing'ono kumapeto kwa chubu zimawunikira kuwala kwamaselo a khansa. PDT imachiza khansa mu:

• Mapapu, pogwiritsa ntchito bronchoscope
• Minyewa, pogwiritsa ntchito endoscopy wapamwamba

Madokotala amagwiritsa ntchito ma diode otulutsa kuwala (ma LED) pochiza khansa yapakhungu. Mankhwala amayikidwa pakhungu, ndipo kuwala kumawala pakhungu.

Mtundu wina wa PDT umagwiritsa ntchito makina kuti asonkhanitse magazi a munthu, omwe amathandizidwa ndi mankhwala ndikuwunika. Kenako, magaziwo amabwezera munthuyo. Izi zimagwiritsidwa ntchito pochiza matenda amtundu wina wa lymphoma.

PDT ili ndi maubwino angapo. Mwachitsanzo,

• Amangoyang'ana maselo a khansa okha, osati maselo abwinobwino
• Itha kubwerezedwa kangapo m'dera lomwelo, mosiyana ndi mankhwala a radiation
• Ndizowopsa pang'ono kuposa opaleshoni
• Zimatenga nthawi yocheperako ndipo zimawononga ndalama zochepa kuposa mankhwala ena ambiri a khansa

Koma PDT ilinso ndi zovuta zina. Ikhoza kuthandizira kokha malo omwe kuwala kumatha kufikira. Izi zikutanthauza kuti atha kugwiritsidwa ntchito pochiza khansa mkati kapena pansi pa khungu, kapena muzolumikizira ziwalo zina. Komanso, singagwiritsidwe ntchito kwa anthu omwe ali ndi matenda ena amwazi.

Pali zovuta ziwiri zoyipa za PDT. Chimodzi mwazomwe zimachitika chifukwa cha kuwala komwe kumapangitsa khungu kutupa, kuwotcha ndi dzuwa, kapena kuphulika litatentha pakangotha ​​mphindi zochepa padzuwa kapena pafupi ndi magetsi owala. Izi zimatha kukhala miyezi itatu mutalandira chithandizo. Kupewa:

• Tsekani zotchinga ndi zenera pazenera ndi zowala mnyumba kwanu musanalandire chithandizo.
• Bweretsani magalasi amdima, magolovesi, chipewa chachikulu, ndipo muvale zovala zomwe zimakwirira khungu lanu lonse momwe mungathere.
• Osachepera mwezi umodzi mutalandira chithandizo, khalani mkati momwe mungathere, makamaka pakati pa 10 koloko mpaka 4 koloko masana.
• Phimbani khungu lanu mukamatuluka panja, ngakhale kukuchita mitambo komanso pagalimoto. MUSADALILE zoteteza ku dzuwa, siziteteza kuchitapo kanthu.
• Musagwiritse ntchito nyali zowerengera ndikupewa nyali zoyeserera, monga mtundu womwe dokotala amagwiritsa ntchito.
• OGWIRITSA ntchito zowumitsa tsitsi zonga chisoti ngati zomwe zili m'malo okonzera tsitsi. Gwiritsani ntchito kokha kutentha kochepa mukamagwiritsa ntchito chowumitsira tsitsi.

Chotsatira china chachikulu ndikutupa, komwe kumatha kupweteka kapena kupuma movutikira kapena kumeza. Izi zimadalira dera lomwe amathandizidwa. Zotsatira zake zimakhala zakanthawi.

Kujambula; Photochemotherapy; Chithandizo cha kujambula; Khansa ya kum'mero ​​- photodynamic; Khansa esophageal - photodynamic; Khansa ya m'mapapo - photodynamic

Tsamba la American Cancer Society. Kupeza chithandizo cha photodynamic. www.cancer.org/treatment/treatments-and-side-effects/treatment-types/radiation/photodynamic-therapy.html. Idasinthidwa pa Disembala 27, 2019. Idapezeka pa Marichi 20, 2020.

Lui H, Richer V. Chithandizo cha Photodynamic. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 135.

Tsamba la National Cancer Institute. Thandizo la Photodynamic la khansa. www.cancer.gov/about-cancer/treatment/types/surgery/photodynamic-fact-sheet. Idasinthidwa pa Seputembara 6, 2011. Idapezeka Novembala 11, 2019.

• Khansa