Video: Nkag Siab Txog Kev Siv Tshuaj Thiab Txoj Cai Ntawm Cov Kws Tshwj Xeeb
2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09
Siv tshuaj tua hluav taws xob thiab kho hluav taws xob yog cov ncauj lus tsis meej. Thaum cov ntsiab lus nyuaj ua ke nrog kev ntxhov siab ntsig txog kev kuaj mob qog noj ntshav, nws yooj yim nkag siab tias yam ua plooj li cas. Cov teeb meem txuas ntxiv mus yog cov kws kho tsiaj uas hla tshwj xeeb. Yuav ua li cas tus tswv tsev yuav tsum ua kom nws ncaj?
Kev siv tshuaj kho mob txhais tau tias yog kev siv tshuaj lom neeg los kho tus kab mob. Conventionally, peb xav txog ntawm cov tshuaj kho mob in relation to kho mob cancer. Kev siv tshuaj kho mob tuaj yeem siv tau ntawm qhov ncauj, tso ntshav (los ntawm txoj hlab ntshav), qhov ntsiab lus (ntawm daim tawv nqaij), subcutaneously (hauv qab ntawm daim tawv nqaij), intramuscularly (mus rau hauv cov leeg), intratumorally (txhaj ncaj qha rau cov qog), lossis intracavitary (muab ncaj qha rau hauv kev tiv thaiv lub cev).
Tshuaj Kho Mob Raug Mob yog tshuaj tom qab lub qog tshem tawm thiab peb cia siab tias yuav kho txhua yam tshuaj tua kab mob me me uas yuav kis tawm los ntawm cov qog ua ntej kev phais mob. Ib qho piv txwv ntawm kev siv tshuaj tua kab mob yog kho tus dev nrog osteosarcoma nrog rau cov tshuaj xws li carboplatin tom qab txiav tu ntawm qhov ceg tawv.
Neoadjuvant kws khomob zuaj yog siv ua ntej kev phais mob tawm lub qog lossis kho nrog hluav taws xob kho. Lub hom phiaj yog los txo qhov mob qog, ua rau tus neeg mob tsis tshua nyuaj "cov kauj ruam tom ntej." Neoadjuvant cov tshuaj kho mob tau ua lub luag haujlwm tseem ceeb rau ntau tus tib neeg mob qog nqaij hlav, tab sis hmoov tsis muaj txoj haujlwm tseem ceeb hauv kev kho tsiaj. Neoadjuvant cov tshuaj tua kab mob yuav pab tau rau kev kho mob thiab txo qhov luaj li cas ntawm cov leeg mob ntawm cov leeg hlav ua ke, thiaj ua rau lawv "zoo" rau kev phais mob.
Induction kws khomob siv los ua kom tshem tawm tus kab mob. Qhov no yog cov kev kho mob rau kev xaiv rau kev qog ntshav mob qog nqaij hlav cancer ntshav xws li mob qog ua ntshav lossis mob rwj ntshav. Induction tshuaj kho yog feem ntau ua ke nrog kev sib txuas ua ke thiab / lossis kev kho cov tshuaj kho mob kom muaj lub zog ntev ntev.
Txawm hais tias nws siv li cas, kev kho tshuaj kho mob yog suav hais tias yog thawj kab thaum lub txiaj ntsig ntawm cov tshuaj (s) tau raug pov thawj thaum lub sij hawm kho mob dhau los thiab yog txoj kev kho mob zoo tshaj plaws uas paub rau tus kab mob tshwj xeeb hauv cov lus nug.
Kab ob kev siv tshuaj kho mob (tsis raug hu ua "Cawm" lossis “Khaws cia" kev siv tshuaj kho mob) raug xaj thaum thawj kab kev kho mob tsis muaj txiaj ntsig, lossis rov qab muaj mob ntxiv yog kuaj pom tom qab kho thawj zaug.
Kev ntsuas hluav taws xob nrog kev siv hluav taws xob ionizing los kho qog. Kev ntsuas hluav taws xob feem ntau yog xa los ntawm lub tshuab sab nraud lub cev (sab nraud hluav taws xob hluav taws xob), tab sis kuj tuaj yeem tswj hwm los ntawm cov khoom siv sab nraud ze ze rau lub cev (Strontium-90), los ntawm cov khoom siv hluav taws xob tsis zoo (kev kho mob hlwb), lossis txawm tias lub kaw lus., qhov chaw cov pa tshuaj nyob hauv cov hlab ntshav (piv txwv li, 131Kuv [Iodine-131] kho tus mob feline hyperthyroidism).
Kev siv hluav taws xob tua kuj tseem siv tau hauv qhov chaw txuas los yog thau neoadjuvant. Ua ntej pib txoj kev kho mob hluav taws xob, cov neeg mob feem ntau tau kuaj mob CT scan ntawm thaj chaw muaj kev puas tsuaj. Cov duab uas tau txais los ntawm kev thaij duab tau siv los npaj tus naj npawb thiab thaj chaw tshwj xeeb ntawm kev tswj hwm ntawm kev siv hluav taws xob, nrog rau txiav tawm ib qho kev mob tshwm sim uas xav pom.
Cov neeg mob yuav tsum muab tso rau qhov zoo ib yam rau txhua qhov kev kho mob, uas txhais tau tias cov tsiaj nyob hauv tsev yuav tsum ua kom tsaug zog txhua lub sijhawm lawv tau txais hluav taws xob. Ntau yam pwm, "cov khoom tom," lossis lwm yam khoom siv tuaj yeem tsim ua haujlwm los pab txhawb qhov chaw saib xyuas tus neeg mob kom raug. Kev cim yuav ua raws daim tawv nqaij thiab thaj chaw ntawm pluab kuj yuav tawm los thiab.
Kev siv tshuaj tua kab mob tuaj yeem muab txoj haujlwm ib txhij nrog kev kho hluav taws xob hauv dab tsi uas paub tias yog radiosensitizing kev cai. Lub hom phiaj ntawm hom kev kho mob no yog txhawm rau ua kom tau qhov txiaj ntsig ntawm txoj kev kho tus mob rau hluav taws xob ntau. Cov neeg mob tau saib xyuas kom zoo, vim tias cov kev mob tshwm sim tuaj yeem tawm suab ntau dua.
Lub rooj tsav xwm kws kho mob kws kho mob tau kawm paub txog kev nyab xeeb kev siv, kev siv, thiab kev siv tshuaj kho mob, nrog rau kev kho cov neeg mob nrog tshuaj kho mob. Kws kho mob oncologists siv sijhawm kawm cov ntsiab cai ntawm hluav taws xob oncology thiab muaj peev xwm tswj hwm cov teeb meem hluav taws xob, tab sis lawv tsis suav tias yog pawg tswj hwm kev lees paub hluav taws xob oncologist. Hauv Teb Chaws Asmeskas, cov kws kho tsiaj tau txais daim ntawv pov thawj pom zoo los ntawm cov rooj sib tham uas yuav tsum tau ua los ntawm American College of Veterinary Internal Medicine.
Kev siv hluav taws xob oncologists muaj kev qhia tshwj xeeb hauv kev tawm dag zog thiab biology ntawm ionizing hluav taws xob thiab kev kho mob rau cov neeg mob qog noj ntshav nrog kev kho hluav taws xob. Lawv tshwj xeeb hauv kev kos duab thiab science ntawm kev kho mob hluav taws xob. Hluav taws xob oncologist siv sijhawm kawm kev mob oncology thaum lawv kawm, tab sis tsis suav hais tias yog pawg thawj coj lees paub hauv kev kho mob oncology. Yuav kom ua tiav daim ntawv pov thawj hauv kev lees paub txog hluav taws xob oncology hauv Asmeskas, cov kws kho tsiaj yuav tsum ua tiav cov cai yuav tsum tau muab los ntawm American College ntawm Veterinary Radiology.
Nws yog ib qho muaj rau cov kws kho mob muab tshuaj tua hluav taws xob rau cov neeg mob txawm tias thaum tsis muaj hluav taws xob oncologist nyob ntawm qhov chaw uas cov kev kho mob tau siv. Cov chaw ntawd feem ntau siv cov chaw kho mob chaw taws teeb, qhov twg los ntawm kws kho tsiaj kho pob kws kho tsiaj los yog tib neeg dosimetrist (uas tsis yog kws kho tsiaj) tau txais cov duab tsim los ntawm kev kho mob ua ntej CT scan thiab tsim cov nroj tsuag kho. Cov phiaj xwm raug xa mus rau kws kho mob oncologist, uas saib xyuas kev kho mob.
Zoo li no, qee qhov hluav taws xob oncologists xaiv los tswj kev kho mob lossis tshuaj tiv thaiv kev kho mob, nrog nrog lossis tsis muaj kev kho mob oncologist ntawm cov neeg ua haujlwm.
Hauv lub ntiaj teb zoo meej, cov tsiaj yug tsiaj yuav tsum tau kho los ntawm kws kho tsiaj tshwj xeeb kom muaj kev cob qhia tshwj xeeb tshaj plaws rau lawv cov kab mob. Qhov no tsis yog ib txwm ua tau nyob ntawm thaj chaw, nyiaj txiag, lossis lwm yam xwm txheej tsis tau pom. Txawm li cas los xij, nyob deb dhau lawm ntau zaus cov tsiaj tsis muaj qhov kev kho mob zoo vim tias tsis muaj kev sib txuas lus thiab kev kawm. Qhov no tuaj yeem tshwm sim thaum tus tswv lossis thawj tus kws kho tsiaj tu tsis paub lossis tsis paub txog cov kev tsim nyog ntawm tus kws kho tsiaj tshwj xeeb lossis txawm tias muaj qhov tsis lees paub dab tsi ntawm lub chaw tu neeg muaj (piv txwv li, tshwj xeeb lossis thawj tsev kho mob tsis muaj tshuaj kho mob lossis hluav taws xob oncologist ntawm cov neeg ua haujlwm muaj “oncology” uas yog kev pabcuam).
Cov tswv yuav tsum tsis txhob ntshai nug txog qhov peev xwm ntawm tus kws kho mob saib xyuas lawv tus tsiaj, thiab cov kws tshaj lij yuav tsum ua txoj haujlwm zoo dua ntawm kev qhia cov pej xeem txog qhov zoo thiab kev pom zoo thaum lawv ua nyob sab nraum lawv "pawg tswj hwm lees paub" lub luag haujlwm. Thiab cov kws kho tsiaj ua thawj yuav tsum tau ncaj ncees nrog cov tswv tsev txog lawv cov kev txwv thaum nws los txog kev ua cov tshuaj tshwj xeeb.
Peb muaj lub luag haujlwm los ua kom tus tswv paub meej qhov peb tuaj yeem ua thiab tsis tuaj yeem ua, thiab qhia lawv thaum leej twg tuaj yeem ua nws tau zoo dua.
Dr. Joanne Intile
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