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Cov Lus Nug


Tau cov lus teb rau cov lus nquag nug txog cov khoom kho proton ntawm ProCure.

General Cov Lus Nug

Proton kev kho mob yog ib hom kev kho hluav taws xob uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib tawm thiab loj hlob zuj zus - ib yam li kev xoo hluav taws xob xoo hluav taws xob. Txawm li cas los xij, kev kho mob proton siv cov protons - zoo raug them piv rau ib qho me me ais - tsis txhob siv cov duab xoo uas siv hauv xoo hluav taws xob. Tsis zoo li kev xoo hluav taws xob, tiv thaiv cov xoos tuaj yeem tso tawm ntau ntawm lawv lub zog ncaj qha rau cov qog, txo kev puas tsuaj rau cov nqaij mos noj qab nyob zoo.1 Raws li qhov tshwm sim, cov neeg mob feem ntau tuaj yeem tau txais cov koob tshuaj ntau dua thiab muaj feem tshwm sim tsawg dua los ntawm kev kho.

Cov tshuaj tiv thaiv tso tawm lawv lub zog ntawm qhov tob tob, qhia qhov ntau ntawm lawv lub zog ntawm qhov nqaij hlav. Vim tias lawv paub meej, lawv muaj peev xwm tsom cov qog hlav qog nqaij hlav ze rau daim tawv nqaij lossis tob hauv lub cev. Qhov siab tshaj plaws ntawm qhov koob tshuaj tiv thaiv no - hu ua Bragg Peak - yog tsim kom nws tso tawm hluav taws xob thaum nws tsoo lub qog. Tam sim ntawd tom qab kis ntawd, koob tshuaj poob rau yuav luag xoom. Qhov no txhais tau tias tsawg hluav taws xob ncav mus rau cov nqaij mos zoo ua ntej qog, thiab yuav luag tsis tau mus txog cov nqaij noj qab nyob zoo tom qab cov qog, ua rau cov nqaij mos tsis muaj mob.1 Cov neeg mob feem ntau ntsib cov kev phiv luv luv thiab ntev li ntev uas feem ntau sib xws nrog xoo hluav taws xob xoo hluav taws xob.1-7 Thiab vim tias ntau lub zog muaj peev xwm muab tso ncaj qha rau hauv qog qog, qhov siab dua tuaj yeem xa tawm, ua rau muaj kev kho mob zoo dua qub.1

Cov Protons puas ua rau cov qog noj qab haus huv ua rau lawv tsis tuaj yeem faib lossis loj hlob tsis tau Thaum cov protons mus txog lub nucleus (lossis chaw nruab nrab) ntawm cov qog nqaij hlav cancer, lawv hloov lub zog mus rau cov xaim hluav taws xob ua rau cov xaim hluav taws xob ua rau cov kev sib txuam, lossis ionizing cov xwm txheej, uas ua rau cov DNA ntawm cov qog nqaij hlav mob cancer.

Kev kho cov Proton tsis yog sim; qhov tseeb, nws tau pom zoo rau xyoo 1988 los ntawm Asmeskas Food and Drug Administration los kho cov neeg mob qog noj ntshav. Nws tau siv los ua kev kho mob qog nqaij hlav vim nws thawj daim ntawv thov kho mob hauv nruab nrab xyoo 1950; Medicare thiab Medicaid tau pib them cov txheej txheem hauv xyoo 2000. Txog niaj hnub no, ntau dua 180,000 tus neeg thoob ntiaj teb tau txais kev kho mob proton ntawm cov chaw mob qog nqaij hlav hauv Tebchaws Europe, Asia, thiab Asmeskas.8.

Xyoo 1946, tus kws kho mob Robert Wilson thawj zaug tau hais tias cov tshuaj protons tuaj yeem siv los xa cov tshuaj hluav taws xob ntau ntxiv rau cov qog nqaij hlav cancer thaum lub sijhawm txo qis kev cuam tshuam los ntawm cov nqaij mos noj qab nyob zoo rau hluav taws xob. Los ntawm xyoo 1950, thawj qhov kev tshawb nrhiav tau sim rau cov neeg mob hauv Asmeskas thiab Europe. Cov txiaj ntsig tau cog lus, tab sis qhov tsis muaj peev xwm ntawm kev thev naus laus zis kom pom tseeb "pom" lossis nrhiav ntau lub qog thiab qhov tsis tuaj yeem ua ncaj ncaj rau cov chaw mus rau hauv qhov tob hauv lub cev txhais tau tias tsuas muaj qee tus neeg mob thiaj li tsim nyog los kho. Cov kev nce qib hauv kev thaij duab, suav nrog xam tomography (CT), cov duab sib nqus resonance (MRI), thiab positron emission tomography (PET), tam sim no tso cai rau cov kws kho mob "pom" tob hauv lub cev thiab qhia meej qhov chaw, qhov loj me, thiab cov duab ntawm cov qog. Qhov peev xwm no, nrog rau kev txhim kho hauv proton thev naus laus zis, coj los txog niaj hnub no txoj kev txaus siab rau kev kho proton uas yog qhov kev xaiv tseem ceeb rau kev kho mob qog ntshav. Thawj lub chaw kho mob hauv tsev kho mob hauv tebchaws United States tsim tsa thaum xyoo 1990 ntawm Loma Linda University Medical Center hauv California. Raws li Lub Cuaj Hlis 2019, 28 lub chaw haujlwm tau ua haujlwm nyob hauv Tebchaws Meskas, nrog 4 lub sijhawm npaj ntau dua yav tom ntej.9

Proton kev kho mob thawj zaug tau siv los kho cov neeg mob hauv Berkeley, California, xyoo 1955 hauv qhov chaw tshawb nrhiav. Thaum cov tshuaj tua kab mob ua tau zoo, nws tsis yog txog thaum kev nce qib hauv kev tsim thev naus laus zis, xws li CT, MRI, thiab PET, tias cov kws kho mob tuaj yeem pom "pom" qhov chaw, qhov loj me, thiab cov duab ntawm cov qog mob qog. Kev pom tseeb qog cov qog ua rau nws ua tau leverage qhov tseeb ntawm cov protons. Thawj qhov chaw kho mob cov khoom nruab ntug hauv Tebchaws Meskas tau qhib hauv Loma Linda University Medical Center thaum 1990.

Txij li thaum thawj lub chaw kho mob hauv tsev kho mob lub tsev kho mob qhib hauv California hauv xyoo 1990, ze li 35,000 tus neeg tau txais kev kho mob proton nyob hauv Tebchaws Meskas, thiab ntau dua 180,000 tus neeg thoob ntiaj teb.10 Cov kws tshaj lij txhawm rau kwv yees tias kwv yees li 250,000 tus neeg mob qog nqaij hlav hauv Tebchaws Meskas tuaj yeem tau txais txiaj ntsig los ntawm kev kho cov tshuaj proton.

Cov kws tshawb nrhiav thoob plaws ntiaj teb tau kawm txog qhov txiaj ntsig ntawm kev kho proton. Ntau zuj zus ntawm cov kev tshawb fawb qhia txog qhov ua tau ntawm kev kho proton thiab nws cov txiaj ntsig piv rau lwm cov kev kho mob qog noj ntshav. Qhov ntau ntawm cov kev tshawb fawb tau ua rau ntawm kev kho proton yog sai sai raws li ntau qhov chaw kho mob proton qhib thiab ntau tus neeg mob kev paub tau muaj.

Studies kev siv tau cov txiaj ntsig ntawm kev tiv thaiv kab mob tuaj yeem pom hauv Kev tshawb fawb.

Proton kev kho mob tuaj yeem siv ua ke nrog kev siv tshuaj kho mob, raws li kev kho mob rov qab rau kev phais mob, thiab ua ke nrog kev kho hluav taws xob X-ray hluav taws xob kev kho mob. ProCure Proton Therapy Center tau koom nrog ntau lub tsev kho mob los muab cov neeg mob qog ntshav pab ntxiv.

Cov kev mob tshwm sim thaum lub sijhawm lossis tom qab cov tshuaj tiv thaiv kev kho mob feem ntau yog qhov me, tsis tshua pom tshwm, thiab tsawg dua li cov xoo hluav taws xob kho. Qhov no feem ntau vim tias cov nqaij mos zoo dua yog raug rau hluav taws xob hauv txoj kev kho mob. Ua raws li qhov chaw ntawm koj cov qog, cov kev mob tshwm sim tuaj yeem suav nrog daim tawv nqaij ua pa ncaj qha nyob rau hauv txoj kev ncaj qha ntawm cov tshuaj tiv thaiv proton radiation, nkees nkees thiab plaub hau hauv thaj chaw tau kho. Cov neeg mob yuav tsum tsis txhob hnov ​​mob los sis tsis xis nyob thaum cov kev kho mob. Koj tus kws kho mob yuav nrog koj tham txog cov kev mob tshwm sim raws li koj lub hom phiaj kho.

Lub zej zog kho mob tseem niaj hnub ua cov kev tshawb fawb txog kev kho proton. Cov tsev kawm tseem ceeb xws li MD Anderson Cancer Center thiab Massachusetts General Tsev Kho Mob muaj ntau yam kev kho mob txuas ntxiv los pab nrhiav kev txhim kho hauv kev kho mob qog noj ntshav nrog kev kho mob. Raws li cov kws muab kev saib xyuas ntawm kev kho mob proton, ProCure Proton Therapy Center yog tam sim no koom nrog hauv ntau qhov kev sim kho mob. Yog xav paub ntxiv nyob rau ntawm cov kev sim no, thov mus saib peb soj ntsuam hlw kom qis nplooj.

Qee hom mob qog nqaij hlav yog tsim nyog rau kev kho proton dua li lwm tus. Thaum kev tshawb fawb tseem txhawb nqa siv protons rau ntau hom qog hlav hlav, lawv siv feem ntau los kho:

Yog tias koj tus mob tsis muaj npe, koj kuj tseem tau txais txiaj ntsig los ntawm kev kho proton. Thov ncav tes rau lub chaw pabcuam los npaj kev sab laj thiab sib tham yog tias kev kho cov tshuaj proton yog txoj kev kho tsim nyog rau koj.

Kev kho cov Proton tsis tsim nyog rau txhua hom mob qog nqaij hlav lossis txhua tus neeg mob. Cov tshuaj Proton pab tau zoo tshaj plaws los kho cov qog tawv uas tau txhais tau zoo thiab pom zoo hauv ib cheeb tsam - cov uas tsis kis mus rau lwm qhov ntawm lub cev. Yog tias cov qog tau kis (metastasized), kev tiv thaiv kab mob kuj tseem tuaj yeem kho kev kho mob, nyob ntawm qhov ntau ntawm metastasis thiab lwm yam. Tsuas yog cov kws saib xyuas kev noj qab haus huv thiaj li txiav txim siab rau txoj hauv kev zoo tshaj plaws rau tus neeg mob tus mob tshwj xeeb.

Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij hluav taws xob oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho qog ntshav ntxiv rau kev tiv thaiv kab mob, yog li lawv yuav muab cov lus qhia kho mob uas zoo tshaj rau koj.

Proton kev kho mob yog qhov tshwj xeeb tshaj yog rau cov menyuam yaus uas xav tau kev kho mob hluav taws xob thiab yog suav tias yog txoj kev zoo tshaj plaws los xa hluav taws xob hauv cov menyuam yaus. Cov kev tshawb fawb soj ntsuam qhia tau hais tias kev kho proton txo cov kev pheej hmoo ntawm txoj kev loj hlob thiab teeb meem thiab ntawm cov qog theem nrab, uas tuaj yeem tshwm sim ntau xyoo tom qab.3,5,10 Vim tias tus menyuam lub cev tseem tab tom loj hlob thiab loj hlob, qhov kev puas tsuaj rau cov nqaij thiab noj qab haus huv nyob ze ze los ntawm xoo hluav taws xob xoo hluav taws xob tuaj yeem tsim kev puas tsuaj. Qhov kev puas tsuaj no tuaj yeem ua rau kev loj hlob tsis meej, txo qis rau ntawm IQ, thiab lwm yam teeb meem.11 Cov hlav tshiab kuj tuaj yeem tsim tom qab ntawm tus menyuam lub neej. Lub cev loj hlob ntawm kev tshawb fawb yog lees tias qhov zoo ntawm kev siv proton kev kho rau menyuam yaus. Xav paub ntau ntxiv txog kho mob qog noj ntshav nrog rau kev kho proton.

Proton kho tuaj yeem siv los kho mob qog nqaij hlav cancer uas xoo hluav taws xob tua hluav taws xob tsis zoo. Cov neeg mob yuav tsum sib tham txog kev kho cov tshuaj tiv thaiv kab mob nrog rau cov kws tshaj tawm kws ntsuas hluav taws xob los txiav txim seb nws puas muaj txiaj ntsig zoo. Proton kev kho mob kuj tuaj yeem yog txoj kev kho mob yog tias koj twb tau kawm xoo hluav taws xob lawm thiab tsis muaj peev xwm txais tau ntau dua.

Proton therapy thiab xoo hluav taws xob kho ob leeg kho mob cancer los ntawm tua cov mob qog nqaij hlav cancer thaum lawv sim faib thiab hlav ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Vim tias X-ray hluav taws xob tso nws cov tshuaj tiv thaiv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso cov hluav taws xob tawm thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nws nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob tsis zoo, uas yuav ua kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv ntau dua li cov proton. kev kho. Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Nrog rau cov tshuaj proton kho, ntau tsawg tshaj li hluav taws xob raug xa mus rau cov nqaij noj qab haus huv piv rau kev siv hluav taws xob xoo hluav taws xob.

Cov duab xoo thiab cov xoo hluav taws xob muaj peev xwm muaj txiaj ntsig zoo ntawm kev rhuav tshem cov qog hlav qog noj ntshav. Qhov sib txawv yog tias xoo hluav taws xob kev kho mob ua rau cov nqaij noj qab haus huv ntau dua hauv cov txheej txheem. Xoo hluav taws xob tso lawv cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij, muaj peev xwm ua rau cov nqaij mos thiab cov plab hnyuv siab raum nyob rau lawv txoj kev tawm mus rau cov qog thiab ntau ntxiv thaum lawv dhau los ntawm lub cev dhau ntawm nws. Cov Protons tuaj yeem hais meej kom tso ntau lub zog tsuas yog thaum lawv mus txog ntawm cov qog. Vim tias muaj ntau qhov tsawg dua yuav tsum cuam tshuam nrog cov nqaij noj qab nyob zoo nrog cov tshuaj tiv thaiv, ntau dua qhov tuaj yeem nqa tuaj, uas ua rau muaj kev kho mob qog noj ntshav zoo dua.1

Vim tias proton nqaj tau khaws ntau ntawm lawv lub zog ncaj qha rau cov qog, cov hluav taws xob tsawg mus txog cov nqaij noj qab nyob zoo uas nyob ib puag ncig nws.1 Qhov no txo ​​txoj kev pheej hmoo ntawm cov tshwm sim luv luv- thiab ntev mus. Ib qho ntxiv, vim hais tias ntau cov pa hluav taws xob tuaj yeem tso ncaj qha rau cov qog, ntau dua qhov tuaj yeem xa tuaj thaum kho qee cov qog nrog cov tshuaj tiv thaiv, uas ua rau kev kho kom zoo dua qub.1

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Lub chaw muaj cov kws pab tswvyim txog nyiaj txiag uas mob siab rau coj koj txoj kev pov hwm thiab yuav ua haujlwm nrog koj los xyuas cov txiaj ntsig (xws li sib koom them, rho tawm, cov nqi ntawm hnab nyiaj) muab los ntawm koj lub tuam txhab kev pov hwm. Yog tias koj muaj lus nug txog kev tiv thaiv, thov hu rau peb thiab muaj koj txoj kev npaj tuav pov hwm, tus lej pab pawg, thiab tus tswvcuab ID npaj txhij. Thaum muab nkag rau hauv lub chaw, ib qho ntawm peb cov neeg tau txais kev pab yuav tiv tauj cov kev pab cuam los ntawm koj lub tuam txhab kev pov hwm.

Peb ua qhov zoo tshaj plaws kom koj tuaj cuag peb qhov chaw thiab tham nrog kws kho mob sai li sai tau. Yuav luag txhua tus neeg mob tuaj yeem teem sijhawm sab laj li ntawm ib lub lim tiam ntawm kev tiv tauj peb.

Tej Yam Yuav Tau Kho Cov Lus Nug


Nrhiav cov lus teb rau cov lus nquag nug rau cov xwm txheej kho ntawm ProCure.

Prostate Cancer Cov Lus Nug

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo duab hluav taws xob. Nrog rau kev kho cov tshuaj tiv thaiv, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm ib puag ncig, cov nqaij zoo. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Feem ntau, kev kho mob raug muab rau tsib hnub hauv ib lub lis piam mus txog yim lub lis piam, nyob ntawm theem ntawm koj li prostate cancer thiab lwm yam muaj mob. Cov kev qhia luv luv ntawm kev kho, pib los ntawm ib lub lis piam mus rau tsib lub lis piam, muaj rau xaiv pawg ntawm cov neeg mob. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho.

Yog lawm. Proton kev kho mob tuaj yeem siv nrog ntau lwm yam kev kho mob cancer, suav nrog kev kho qog, kho kab mob ntshav, thiab / lossis ua raws li kev phais mob.

Cov neeg mob feem ntau tsis hnov ​​mob los sis tsis xis nyob thaum kho. Yuav luag txhua lub sijhawm tus neeg mob siv hauv chav kho mob suav nrog kev teeb tsa kho.

Koj cov neeg siv hluav taws xob yuav npaj txhua yam rau koj ua ntej kev kho mob pib. Koj yuav raug muab txav mus rau hauv txoj haujlwm ua ntej txhua qhov kev kho mob siv FDA-kev pom zoo ib qho chaw tso rau neeg hlau. Yuav kom koj mus pw ntawm lub txaj kho thaum koj cov kws kho mob kho kom haum. Tom qab koj nyob rau hauv txoj haujlwm, proton nqaj tau xa thiab nyob rau li ib feeb. Koj yuav tsis hnov ​​lossis pom tus nplaim ntoo. Koj tuaj yeem hnov ​​qee qhov nias ntawm cov khoom siv puag ncig koj, tab sis feem ntau, tom qab ob peb zaug kev kho mob, lub suab tsis nrov. Lub sijhawm kho mob tiag tiag, koj tus kws kho mob yuav tawm hauv chav thiab saib xyuas koj kev kho mob los ntawm chav tswj kav sab nraum chav kho mob. Txawm hais tias lawv tsis nyob hauv tib chav li koj, lawv tuaj yeem pom thiab hnov ​​koj los ntawm lub tsom kwm saib. Lawv nyob ze thiab koj tuaj yeem yooj yim tham nrog lawv yog tias koj xav tau dab tsi.

Tsis tas yuav tsum tau pw hauv tsev kho mob lossis nyob hauv qhov chaw tom qab koj kho tas. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho.

Tsis zoo li kev kho hluav taws xob sib txawv uas ua rau cov nqaj nkag mus rau txhua qhov los ntawm cov qog ntshav mus rau hauv cov ntaub so ntswg ib txwm nyob tom qab mob qog nqaij hlav, proton beams xa lawv cov koob tshuaj mus rau cov qog tsis muaj cov koob ncav mus tob dua cov ntaub so ntswg. Mem hluav nqaj kab khub niam txiv no cov cuab yeej tshwj xeeb ntawm cov nqaj hlau uas muaj cov cuab yeej siv hluav taws xob thaij cov khoom tawg yooj yim thiab ntse txav cov nqaj ntawm cov mem tes taw qhia kom meej rov qab los thoob plaws txhua txheej ntawm cov qog qhov tuab. Qhov no “xim” lub qog nrog rau hluav taws xob nyob rau peb qhov ntev thiab tshem tawm cov koob tshuaj mus rau cov ntaub so ntswg uas zoo nyob rau sab nraud ntawm cov kabmob. Qhov tseeb ntawm kev txiav txim siab ntawm mem hluav nqaj hlau ua rau nws yog ib qho kev kho mob zoo tshaj plaws rau kev mob qog nqaij hlav raws li cov xoo hluav taws xob rau lub qhov quav thiab zais zis tsawg kawg. Xav paub ntau ntxiv.

Tshav Ntuj® Hydrogel yog cov tshuaj tiv thaiv ib ntus uas tiv thaiv lub qhov quav rau cov txiv neej kev kho hluav taws xob rau kev mob qog nqaij hlav prostate, txo qhov ntxim nyiam ntawm cov kev mob tshwm sim. Qhov chaw SpaceOAR txo cov kev raug mob ntawm lub qhov taub los ntawm kev ua lub hauv paus - thawb lub qhov quav kom deb ntawm lub qog ntshav thiab tawm ntawm thaj tsam hluav taws xob ntau.

Lub pas dej hydrogel spacer tau txhaj thaum qhov txheej txheem tsawg dua thiab ib zaug nyob hauv qhov chaw, cov neeg mob feem ntau tsis tuaj yeem hnov ​​nws. Lub hydrogel muaj kev nyab xeeb thiab zoo ib yam li lwm yam khoom siv hauv kev kho mob hauv lub hlwb, kev kho plawv thiab ophthalmology. Nws tseem nyob hauv qhov chaw rau peb lub hlis thaum kho hluav taws xob thiab tom qab ntawd nqus thiab tawm hauv lub cev hauv tus neeg mob cov zis - tsis tshuav dab tsi nyob tom qab. Lub chaw SpaceOAR tau muaj pov thawj kho mob thiab tau kawm hauv Asmeskas Chaw Kuaj Mob thiab FDA tau muab coj mus muag hauv Asmeskas. Cov kws kho mob ntawm ProCure yog qee cov kws kho mob tho kev kom siv tau cov txiaj ntsig ntawm hydrogel.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Txhua lub chaw ProCure muaj cov kws pab tswv yim txog nyiaj txiag uas mob siab rau coj koj txoj hauv kev tuav pov hwm. Thov hu rau peb yog tias koj muaj lus nug txog kev duav tau.

Proton kho thiab xoo hluav taws xob kho ob leeg kho tus mob prostate los ntawm tua cov mob qog nqaij hlav cancer thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Vim tias X-ray hluav taws xob tso nws cov tshuaj tiv thaiv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nws nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob tsis zoo, uas yuav tsim kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv ntau dua li cov proton. kev kho. Cov tshuaj tiv thaiv Proton muab cov hluav taws xob ntau dhau ntawm qhov nqaij hlav thiab tom qab ntawd tsum. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob txhawm rau txhawm rau mob qog thaum txo kev puas tsuaj rau lwm cov nqaij noj qab haus huv.3

Rau ntawm prostate cancer, qhov no txhais tau tias tsawg hluav taws xob xa mus rau lub zais zis thiab lub qhov quav. Hauv txoj kev tshawb nrhiav nyob rau University of Florida Proton Therapy Institute, kev kho cov kab mob hauv lub cev yog kwv yees li ntawm 35 feem pua ​​tsawg hluav taws xob rau lub zais zis thiab 59 feem pua ​​tsawg hluav taws xob rau lub qhov quav piv nrog kev kho hluav taws xob.4

Yog lawm. Raws li kev tshawb fawb los ntawm University of Florida Health Proton Therapy Institute, 99 feem pua ​​ntawm cov txiv neej muaj mob qog nqaij hlav prostate thaum ntxov thiab nruab nrab thiab 76 feem pua ​​ntawm cov txiv neej muaj mob qog nqaij hlav qog nqaij hlav cancer yog tsis muaj mob cancer tsib xyoos tom qab kev kho mob.6 Cov txiaj ntsig no piv rau qhov zoo tshaj plaws rau cov txiaj ntsig tau nrog kev phais lossis lwm yam hluav taws xob.

Hauv Massachusetts General Tsev Kho Mob Theem III kawm txog 393 cov neeg mob thaum ntxov, nruab nrab, thiab theem siab ntawm kev mob qog nqaij hlav prostate (txhua qhov kev pheej hmoo), 91.3 feem pua ​​ntawm cov neeg mob qog noj ntshav tsis pub dhau tsib xyoos thaum kho cov tshuaj tiv thaiv loj.6,7

Proton kev kho muaj cov feem tswj qog noj ntshav ntau.7 Hauv ib txoj kev tshawb nrhiav, 91.3 feem pua ​​ntawm cov txiv neej nyob rau hauv tag nrho cov kev pheej hmoo yog mob qog noj ntshav (tsis muaj nce hauv prostate tshwj xeeb antigen (PSA)) ntawm tsib xyoos tom qab kev kho mob.6 Cov neeg mob hauv cov neeg mob qog ntshav siab kuj tseem raug khaws cia rau cov neeg mob hauv cov pab pawg tsawg kawg ntawm kev soj ntsuam thaum muaj 10 xyoo. Piv txwv li, 92.9 feem pua ​​ntawm cov txiv neej nyob hauv pawg muaj kab mob tsawg yog mob cancer tsis muaj 10 xyoo tom qab tau txais kev kho mob proton.7

Proton therapy qhia txog kev kho kom zoo nrog rau lwm cov kev kho mob qog noj ntshav, suav nrog kev kho mob hlwb thiab IMRT. Qhov txawv yog kev kho mob xoo hluav taws xob xws li IMRT xa hluav taws xob ntau dua rau cov ntaub so ntswg ib puag ncig cov prostate.8 Nrog rau txoj kev kho mob, tiv thaiv hluav taws xob rau cov kev teeb tsa tseem ceeb, suav nrog lub qhov quav thiab lub zais zis, nws txo qis, uas ua rau muaj qhov tsawg ntawm qhov quav thiab genitourinary cov kev mob tshwm sim.6,10,11,12 Lub teb chaws sim coj los ntawm cov neeg tshawb xyuas hauv Harvard Cancer Center tseem niaj hnub txiav txim siab seb puas yuav txo qis kev kis mob rau cov nqaij mos noj qab haus huv tuaj yeem txhim kho lub neej ntev mus ntev rau cov neeg mob tom qab kho proton. Cov kev tshawb fawb pom tias yuav txo qis cov qog mob cancer hluav taws xob nrog cov protons.

Cov neeg mob feem ntau tsis hnov ​​mob thaum lub sij hawm kho cov tshuaj proton. Yog tias muaj cov kev mob tshwm sim, xws li mob me me thiab tso zis ntau zaus, lawv feem ntau yog qhov me thiab tswj tau. Hais txog cov kev mob tshwm sim mus ntev, vim tias kev kho proton yog qhov tseeb heev, nws tsis muaj peev xwm ua teeb meem tso zis lossis mob plab hnyuv. Tsis tas li ntawd, kev kho cov tshuaj tiv thaiv proton muaj qhov pheej hmoo tsawg los ntawm kev cuam tshuam zoo xws li kev tswj tsis tau thiab tsis muaj zog, uas feem ntau cuam tshuam nrog kev xaiv kev kho mob xws li kev phais mob.

Feem coob ntawm cov txiv neej mob qog nqaij hlav cancer yog cov neeg zoo rau kev kho proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog hluav taws xob oncologist ntawm ProCure. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav ua haujlwm nrog koj los txiav txim siab seb koj puas yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv txhua hom hluav taws xob los kho tus mob qog nqaij hlav prostate, yog li lawv yuav muab cov lus qhia kho tsis zoo uas zoo tshaj rau koj.

Tam sim no tau sim ua rau tus mob prostate cancer ntawm ProCure, suav nrog:

  • Kev tshawb nrhiav los txiav txim siab yog tias cov neeg mob qog nqaij hlav cancer kho nrog kev kho raws li piv nrog cov kev siv tshuaj hluav taws xob kho kom zoo dua (IMRT) kev ua kom zoo dua Lub Neej Zoo (QOL).
  • Kev tshawb nrhiav rau cov txiv neej uas tau tshawb pom tias muaj Theem 1 lossis 2 prostate cancer uas piv rau ob hom kev kho hluav taws xob: kev siv hluav taws xob ntau siv (IMRT) thiab cov kev tiv thaiv kab mob proton nqaj (PBT). Nws nrhiav kev txiav txim siab yog tias kev kho cov tshuaj proton ua rau muaj kev cuam tshuam tsawg dua rau txoj hnyuv, tso zis thiab ua haujlwm zoo. Qhov kev tshawb fawb no tau coj los ntawm cov neeg tshawb xyuas hauv Harvard Cancer Center thiab tau txais kev txhawb nqa los ntawm National Cancer Institute.
  • Kev cuv npe uas yuav teev npe cov txiv neej uas tsim nyog tab sis tsis rau npe nkag thiab randomization nyob rau hauv kev sim dhau los saum toj no. Lub hom phiaj tag nrho ntawm Kev Teev Npe yog los ntsuas cov neeg sawv cev thiab qhov dav dav ntawm kev soj ntsuam kev tshawb nrhiav pom dav dav rau cov neeg mob uas tsim nyog.

thov mus saib soj ntsuam hlw kom qis rau cov lus qhia ntxiv.

Lub Hlwb Lub Pob Lus Nug Txog Cov Lus Nug

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo duab hluav taws xob. Nrog rau kev kho cov tshuaj tiv thaiv, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm ib puag ncig, cov nqaij zoo. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Ua raws li koj lub qog ntshav kuaj mob, kev kho mob feem ntau yog muab 5 hnub ib lim piam rau lub sijhawm 4-7 lub lis piam. Txhua ntu kev kho mob tuaj yeem yog ntev li 15-60 feeb, tab sis qhov tseeb xa tawm ntawm lub cev tsuas yog ntev li 60 lij.

Cov neeg mob feem ntau tsis hnov ​​mob los sis tsis xis nyob thaum kho. Yuav luag txhua lub sijhawm tus neeg mob siv hauv chav kho mob suav nrog kev teeb tsa kho.

Koj cov neeg siv hluav taws xob yuav npaj txhua yam rau koj ua ntej kev kho mob pib. Koj yuav raug muab txav mus rau hauv txoj haujlwm ua ntej txhua qhov kev kho mob siv FDA-kev pom zoo ib qho chaw tso rau neeg hlau. Yuav kom koj mus pw ntawm lub txaj kho thaum koj cov kws kho mob kho kom haum. Tom qab koj nyob rau hauv txoj haujlwm, proton nqaj tau xa thiab nyob rau li ib feeb. Koj yuav tsis hnov ​​lossis pom tus nplaim ntoo. Koj tuaj yeem hnov ​​qee qhov nias ntawm cov khoom siv puag ncig koj, tab sis feem ntau, tom qab ob peb zaug kev kho mob, lub suab tsis nrov. Lub sijhawm kho mob tiag tiag, koj tus kws kho mob yuav tawm hauv chav thiab saib xyuas koj kev kho mob los ntawm chav tswj kav sab nraum chav kho mob. Txawm hais tias lawv tsis nyob hauv tib chav li koj, lawv tuaj yeem pom thiab hnov ​​koj los ntawm lub tsom kwm saib. Lawv nyob ze thiab koj tuaj yeem yooj yim tham nrog lawv yog tias koj xav tau dab tsi.

Tsis tas yuav tsum tau pw hauv tsev kho mob lossis nyob hauv qhov chaw tom qab koj kho tas. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho.

Yog lawm. Proton kev kho mob tuaj yeem siv ua ke nrog kev ntsuas hluav taws xob, kev siv tshuaj kho mob, kev kho tshuaj hormones thiab / lossis ua raws li kev soj qab taug qab.

Lub qog hlav hlwb uas tsim nyog tshaj plaws rau kev kho proton suav nrog:4

  • Gliomas (astrocytomas)
  • Ependymomas
  • Medulloblastomas
  • Pineoblastomas
  • Kev Txhawb Siab PNET
  • Cov qog cell
  • Cov qog Pituitary hlav
  • Kev mob hlwb cov qog ntshav
  • Mob hlwb hlav
  • Meningiomas
  • Craniopharyngioma

Arteriovenous malformations (AVMs) ntawm lub hlwb kuj tuaj yeem raug kho siv siv cov tshuaj protons. Yog tias koj tus mob tsis muaj npe, koj tseem tuaj yeem tau txais txiaj ntsig los ntawm kev kho proton. Thov ncav tes rau lub chaw pabcuam los npaj kev sab laj thiab sib tham yog tias kev kho proton yog txoj kev kho tsim nyog rau koj.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. ProCure muaj  Cov neeg pab tswv yim nyiaj txiag uas mob siab rau coj koj txoj hauv kev tuav pov hwm. Thov hu rau peb yog tias koj muaj lus nug txog kev duav tau.

Kev siv tshuaj Proton thiab xoo hluav taws xob kho ob leeg kho cov qog hlwb los ntawm kev rhuav tshem cov qog cov qog thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob uas tsis xav tau thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv.

Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob ua rau lub qog thaum txo kev raug hluav taws xob ntau thiab muaj kev puas tsuaj rau cov leeg nqaij ntawm lub hlwb, qhov muag, thiab lub paj hlwb optic.5,6

Yog lawm. Kev tshawb fawb los ntawm Lub Tsev Kawm Oncology ntawm Yav Qab Teb Switzerland (luam tawm hauv Kev Tsoo hluav taws xob thiab Oncology:  Phau Ntawv Xov Xwm ntawm European Society for Therapeutic Radiology thiab Oncology) pom tias cov tshuaj tiv thaiv kab mob ua kom zoo dua li kev ntsuas hluav taws xob hauv kev sib kis tsis muaj cov nqaij mos thiab cov plab hnyuv siab raum thaum kho cov mob hlwb me me (ntau lub paj hlwb qog irradiation li ntawm 60% nrog IMRT txog 26% nrog cov protons).6

Yog lawm. Kev tshawb fawb los ntawm Paul Scherrer Lub Tsev Kawm Ntawv tau qhia txog kev muaj sia nyob tag nrho rau cov neeg mob meningiomas uas muaj kev kho mob los ntawm cov tshuaj tiv thaiv kev kho mob siab li 92.7%.7

Tsis muaj qhov tsis xis nyob los yog hnov ​​nyob rau kev kho cov hluav taws xob tiag tiag. Feem ntau ntawm cov neeg mob qog ua hlav muaj ob peb, lossis mob mentsis, phiv los ntawm kev kho proton. Ib qho kev mob tshwm sim me me tuaj yeem tswj nrog tshuaj noj, yog tias tsim nyog. Cov neeg mob feem ntau tuaj yeem txuas ntxiv mus ua ub ua no thiab koom nrog rau feem ntau ntawm lawv cov kev ua haujlwm txhua hnub.

Cov neeg mob tseem ceeb uas muaj benign (tsis yog mob qog nqaij hlav) thiab mob hlwb (mob qog nqaij hlav hauv lub hlwb) yog qhov zoo sib tw rau kev kho proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho mob ntsws ntxiv rau txoj kev kho mob ntsws, yog li lawv yuav muab cov lus qhia kho mob uas zoo tshaj rau koj.

Cov Kab Mob Cancer Mis

Peb kho cov kab mob mis uas tsis yog metastatic uas yog theem I-III. Peb kho sab laug-lossis sab xis ob lub mis mob cancer, tom qab mastectomy lossis lumpectomy.

Zoo ib yam li lwm txoj kev siv hluav taws xob, kev kho mob sab nrauv feem ntau yog siv nrog kev phais mob thiab kev siv tshuaj kho mob thiab tuaj yeem siv los kho cov qog ua kom rov zoo li qub txawm tias cov neeg mob uas twb tau txais cov qauv hluav taws xob tas li.

Tsis yog, kev siv tshuaj proton tsis hloov qhov kev xav tau ntawm kev kho mob lossis phais mob. Cov neeg mob feem ntau muaj cov tshuaj proton kho nrog kev siv tshuaj kho lossis lwm yam kev kho mob lawv tau txais lossis lawv tau txais kev kho mob tom qab kev phais mob.

Yog lawm. Qee tus neeg mob tuaj yeem kho lub mis cog ua ntej kho cov tshuaj tiv thaiv kab mob thiab ib txhia yuav tsum tos kom txog thaum kho cov tshuaj proton tiav. Thov tham nrog koj tus kws phais mob lub mis thiab hluav taws xob oncologist los txiav txim siab sijhawm siab ntawm koj txoj kev phais mob thiab kho cov tshuaj tiv thaiv.

Lub sijhawm siv xa cov tshuaj proton kho rau cov qog tsuas yog li ib feeb lossis ob feeb, tab sis kev kho mob tag nrho yuav siv sijhawm li 30 mus rau 60 feeb. Cov kev kho mob feem ntau yog muab 5 hnub ib lim tiam rau 3 txog 7 asthiv, nyob ntawm theem ntawm koj mob qog nqaij hlav thiab lwm yam.

Cov neeg mob feem ntau tsis hnov ​​mob los sis tsis xis nyob thaum kho. Yuav luag txhua lub sijhawm tus neeg mob siv hauv chav kho mob suav nrog kev teeb tsa kho. Koj cov neeg siv hluav taws xob yuav npaj txhua yam rau koj ua ntej kev kho mob pib. Koj yuav raug muab txav mus rau hauv txoj haujlwm ua ntej txhua qhov kev kho mob siv FDA-kev pom zoo ib qho chaw tso rau neeg hlau. Yuav kom koj mus pw ntawm lub txaj kho thaum koj cov kws kho mob kho kom haum. Tom qab koj nyob rau hauv txoj haujlwm, proton nqaj tau xa thiab nyob rau li ib feeb. Koj yuav tsis hnov ​​lossis pom tus nplaim ntoo. Koj tuaj yeem hnov ​​qee qhov nias ntawm cov khoom siv puag ncig koj, tab sis feem ntau, tom qab ob peb zaug kev kho mob, lub suab tsis nrov. Lub sijhawm kho mob tiag tiag, koj tus kws kho mob yuav tawm hauv chav thiab saib xyuas koj kev kho mob los ntawm chav tswj kav sab nraum chav kho mob. Txawm hais tias lawv tsis nyob hauv tib chav li koj, lawv tuaj yeem pom thiab hnov ​​koj los ntawm lub tsom kwm saib. Lawv nyob ze thiab koj tuaj yeem yooj yim tham nrog lawv yog tias koj xav tau dab tsi.

Tsis tas yuav tsum tau pw hauv tsev kho mob lossis nyob hauv qhov chaw tom qab koj kho tas. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho. Cov neeg mob feem ntau muaj cov kev mob tshwm sim heev me me, xws li kev qaug zog, los ntawm kev kho proton. Yog tias koj tau ntsib kev mob tshwm sim, lawv tuaj yeem tswj nrog tshuaj yog tias tsim nyog.

Feem ntau ntawm cov neeg mob cancer mis yog qhov zoo rau kev kho proton. Yog tias koj xav nkag siab zoo dua kev siv cov tshuaj tiv thaiv kab mob hauv koj txoj kev kho mob, peb tuaj yeem teem sijhawm sab laj nrog cov kws tshaj lij hluav taws xob tua hluav taws xob. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob rau kev kho mob qog noj ntshav mis, yog li lawv yuav muab cov lus qhia rau kev kho mob rau koj qhov kev xav. Xav paub ntau ntxiv, thov hu rau peb lossis Thov Xav Paub Ntxiv online.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. ProCure muaj cov kws pab tswv yim txog nyiaj txiag uas mob siab rau coj koj txoj hauv kev tuav pov hwm. Lawv zoo siab yuav coj koj thiab teb cov lus nug uas koj muaj txog kev pov hwm kev pov hwm.

Peb ua qhov zoo tshaj plaws kom koj tau tuaj rau peb lub chaw thiab hais lus nrog kws kho mob kom sai li sai tau, thiab feem ntau cov neeg mob tuaj yeem teem sijhawm sab laj hauv ib lub lim tiam ntawm kev tiv tauj peb.

Thaum lub sijhawm sab laj, hluav taws xob oncologist ntawm ProCure yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj tuaj yeem tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho mob cancer mis ntxiv nrog rau kev kho cov tshuaj tiv thaiv kab mob, yog li lawv yuav muab cov lus qhia rau kev kho mob rau koj qhov kev xav.

Vim tias cov protons tso lawv lub zog ncaj qha rau cov qog nqaij hlav tawm tom qab ntawd nres los ntawm tsis xa cov tshuaj rau cov nqaij hauv qab cov qog, cov neeg mob tuaj yeem tau txais qis hluav taws xob kis mus rau lub plawv, lub ntsws thiab lub mis zoo dua li nrog xoo hluav taws xob kho. Tsawg hluav taws xob rau cov cheeb tsam no yuav txo qis kev pheej hmoo ntawm kev tsim mob plawv, mob ntsws, thiab hlav hlav ob xyoo tom qab siv hluav taws xob. Cov txiaj ntsig yog qhov tshwj xeeb tshaj yog rau cov neeg mob uas muaj mob qog mis hlav rau sab laug vim tias mob qog yuav ze rau lub siab thiab lub ntsws. Lawv kuj tseem ceeb heev rau cov neeg mob uas xav tau xoo hluav taws xob rau cov qog ntshav lossis lub plawv nrog ua haujlwm lossis lub ntsws muaj sia.

Proton kev kho mob tej zaum yuav yog qhov kev xaiv zoo yog tias koj:

  • Muaj mob cancer mis tsis-metastatic xav tau kev kho mob rau lub mis / hauv siab thiab cov qog ntshav hauv cheeb tsam
  • Yuav tau txais kev kho mob plawv tshuaj, xws li doxorubicin lossis trastuzumab
  • Muaj tus mob ua ntej vascular comorbidity, mob plawv, mob ntsws lossis keeb kwm kev haus luam yeeb
  • Ua kom muaj qhov ntawm lub cev uas tso cov khoom nruab nrog cev uas muaj feem cuam tshuam nrog kev raug hluav taws xob ntau

Kev siv tshuaj Proton thiab xoo hluav taws xob kho ob leeg kho mob cancer mis los ntawm tua cov qog nqaij hlav cancer thaum lawv sim sib faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Vim tias X-ray hluav taws xob tso nws qhov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso cov hluav taws xob tawm thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nws nthuav tawm ntau cov ntaub so ntswg rau cov xaim hluav taws xob tsis txaus, ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv ntau dua li cov tshuaj tiv thaiv. Cov.

Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Nrog rau kev kho cov tshuaj tiv thaiv, kev siv hluav taws xob ntau dhau tsawg mus rau lub plawv thiab lub ntsws piv rau kev xoo hluav taws xob.

Cov neeg mob yuav qaug zog me ntsis thaum kho tab sis tuaj yeem txuas ntxiv thiab ua haujlwm thiab ua lawv feem ntau. Nws kuj tseem muaj rau cov neeg mob ua rau tawv nqaij mob nrog txhua yam kev kho mob rau mob qog noj ntshav mis. Koj tus kws kho mob oncologist tuaj yeem muab tshuaj pleev kom pab txo cov tawv nqaij tsis xis nyob thaum kho koj tus mob.

Yog lawm, muaj cov pov thawj tshawb nrhiav pom tias kev siv tshuaj tiv thaiv kab mob ua tau zoo hauv kev kho mob cancer mis, txo cov koob tshuaj tawg rau lub plawv thiab mob ntsws thiab zoo rau cov neeg mob uas muaj cov kev mob tshwm sim tsawg.

Cov kev tshawb fawb qhia pom tias kev kho proton yog qhov ua tau zoo thiab muaj kev tiv thaiv zoo hauv kev kho mob cancer mis nrog rau hauv qab no:

  • Kev tshawb fawb los ntawm Massachusetts General Tsev Kho Mob (MGH) tau qhia tias hauv cov neeg mob uas muaj mob cancer mis hauv zos, kev kho mob tom qab mastectomy txoj kev kho tau tuaj yeem kho lub hauv siab phab ntsa thiab thaj av lymphatics thaum tshaj tawm lub siab thiab lub ntsws los ntawm qhov tsis xav tau.1
  • ProCure Proton Therapy Center thiab Memorial Sloan Kettering Cancer Center nyuam qhuav luam tawm cov kev tshawb fawb loj tshaj plaws ntawm kev kho mob proton los kho lub mis thiab qog ntshav. Txoj kev tshawb no tau pom cov txiaj ntsig zoo ib yam li txoj kev tshawb no los ntawm MGH nrog cov neeg mob qhia tias muaj kev phiv ntau heev. Proton kev kho mob ua tiav tau txais txiaj ntsig ntau dhau los ntawm hluav taws xob rau lub ntsws thiab lub siab yam tsis muaj kev kho mob rau lub qog tsom.2

Cov kev tshawb fawb qhia tau hais tias kev kho proton txo cov koob tshuaj tawg rau lub plawv thiab lub ntsws muaj xws li cov hauv qab no:

  • Kev tshawb fawb los ntawm Paul Scherrer Lub Tsev Kawm Ntawv hauv Switzerland tau sib piv cov tshuaj tiv thaiv kab mob rau kev kho hluav taws xob xoo hluav taws xob rau kev kho mob qog mis cancer hauv zos. Txoj kev tshawb no qhia tau hais tias kev kho cov tshuaj tiv thaiv cov qog ua kom lub qog zoo dua thiab txo cov hluav taws xob rau cov kabmob nyob ze thaum piv nrog kev ntsuas hluav taws xob xoo hluav taws xob. Qhov no txhais tau hais tias kev kho proton muaj qhov txo qis kev pheej hmoo ntawm kev ncua luv thiab ntev ntev.3
  • Kev tshawb fawb los ntawm National Cancer Center hauv Kauslim tau qhia tias kev kho cov tshuaj tiv thaiv kab mob tso cai txo cov koob tshuaj ntau dua li qub rau lub mis, lub ntsws thiab lub siab.4
  • Kev sib piv txog kev npaj kho mob raws sab lauj, sab III, cov neeg mob cancer mis kho ntawm ProCure Proton Therapy Center pom tias kev kho cov tshuaj tiv thaiv kab mob ua rau muaj kev txo qis ntau dua rau lub plawv, lub ntsws thiab lub mis ntawm qhov tsis rov qab raug coj los piv rau cov txuj ci siv duab hluav taws xob X-ray (3D-CRT, HT, thiab IMRT).5

Kev tshawb fawb los ntawm Swedish National Cancer (txoj kev tshawb nrhiav Darby luam tawm nyob rau hauv phau ntawv xov xwm New England Journal of Medicine), txoj kev tshawb fawb loj txog kev tswj hwm, pom tias qhov kev pheej hmoo ntawm ischemic mob plawv yog ncaj qha sib luag rau cov tshuaj mob plawv tau txais.6 

Tam sim no muaj ob txoj kev sim mob qog noj ntshav mis pib ntawm ProCure:

  • Ib Theem II, kev cia siab, sim kev sib piv kev sib piv cov teebmeem ntawm cov poj niam mob qog mis cancer thaum ntxov uas siv tshuaj tua hluav taws xob.
  • Ntu II ntau lub chaw haujlwm tshawb nrhiav los ntawm Proton Cov Pab Pawg Sib Koom Tes (PCG) los saib cov nqi ntawm cov mob hnyav thiab mob ntev ntawm kev tiv thaiv kev mob siab ntawm kev mob siab rau kev kho mob hauv thaj chaw hauv cheeb tsam rau cov pojniam uas muaj mob cancer mis hauv zos. Txoj kev tshawb fawb no tshwj xeeb suav nrog kev rov qab taug xyuas ntawm 10 thiab 15 xyoo tom qab cov kev kho mob los ntsuas cov xwm txheej ntawm lub plawv kev tuag thiab kev mob qog zaum ob.

Yog xav paub ntxiv, thov mus saib soj ntsuam hlw kom qis lossis hu rau lub chaw zov me nyuam.

Lub Taub Hau & Caj Dab Tes Qha

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo hluav taws xob. Nrog rau kev kho cov kab mob, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm cov nqaij mos noj qab haus huv ib puag ncig. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Yog lawm. Proton kev kho mob tuaj yeem siv los ua kev soj qab taug qab lossis ua ke nrog kev phais mob, kho mob lossis siv hluav taws xob X-ray hluav taws xob txheem.

ProCure kho:

  • Nasopharynx (qaum ntawm lub qhov ntswg uas nws ntsib caj pas)
  • Tshuaj tua ntswg (qhov ntswg) kab noj hniav
  • Paranasal sinuses (cov hlab ntshav ncig lub qhov ntswg kab noj hniav)
  • Oropharynx (thaj chaw ntawm caj pas nyob sab tom qab ntawm lub qhov ncauj), suav nrog tonsil thiab lub hauv paus ntawm tus nplaig
  • Larynx cancer (lub suab lub suab)
  • Cov mob qog nqaij hlav tawm hauv qhov ncauj thiab qhov ncauj
  • Pob qaib
  • tus nplaig
  • thyroid
  • Salivary caj pas
  • Hypopharyngeal mob cancer
  • Kheesxawj Lub Taub Hau & Caj Qib (yav tas los kho)

Yog tias koj tus mob tsis muaj npe, koj kuj tseem tau txais txiaj ntsig los ntawm kev kho proton. Thov ncav tes rau lub chaw pabcuam los npaj kev sab laj thiab sib tham yog tias kev kho cov tshuaj proton yog txoj kev kho tsim nyog rau koj.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Lub chaw muaj cov kws pab tswvyim txog nyiaj txiag uas mob siab rau coj koj txoj kev pov hwm thiab yuav ua haujlwm nrog koj los xyuas cov txiaj ntsig (xws li sib koom them, rho tawm, cov nqi ntawm hnab nyiaj) muab los ntawm koj lub tuam txhab kev pov hwm. Yog tias koj muaj lus nug txog kev tiv thaiv, thov hu rau peb thiab muaj koj txoj kev npaj tuav pov hwm, tus lej pab pawg, thiab tus tswvcuab ID npaj txhij. Thaum muab nkag rau hauv lub chaw, ib qho ntawm peb cov neeg tau txais kev pab yuav tiv tauj cov kev pab cuam los ntawm koj lub tuam txhab kev pov hwm.

Kev siv tshuaj Proton thiab xoo hluav taws xob tua ob leeg kho mob hlav thiab caj dab los ntawm tua cov mob qog nqaij hlav thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob uas tsis xav tau thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv. Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob txhawm rau txhawm rau mob qog thaum txo kev puas tsuaj rau lwm cov nqaij noj qab haus huv.

Muaj ntau cov kev tshawb fawb uas qhia tau tias kev kho mob proton yog ib txoj kev kho zoo rau kev mob taub hau thiab caj dab. Cov kev tshawb fawb no tuaj yeem nrhiav tau ntawm peb Kev tshawb fawb page.

Ntau tus neeg mob qog lub taub hau thiab caj dab yog qhov zoo sib tw rau kev kho proton. Yog tias koj xav nkag siab zoo txog kev kho mob proton, peb tuaj yeem teem sijhawm sab laj nrog cov kws tshaj lij oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho qog ntshav ntxiv rau kev tiv thaiv kab mob, yog li lawv yuav muab cov lus qhia rau kev kho mob rau koj qhov kev xav. Xav paub ntau ntxiv, thov hu rau peb lossis Thov Xav Paub Ntxiv online.

Tumors ze Rau Cov Qwj Qwj Qoob

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo duab hluav taws xob. Nrog rau kev kho cov tshuaj, cov kws kho mob tuaj yeem kho tus pob txha caj qaum kom raug mob thaum tab tom txo kev puas tsuaj rau cov nqaij mos noj qab haus huv uas nyob ib puag ncig. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Nyob ntawm seb koj qhov mob txha caj qaum, kev kho mob feem ntau yog muab 5 hnub ib lim piam rau lub sijhawm 4-7 lub lis piam. Txhua ntu kev kho mob tuaj yeem yog ntev li 15-60 feeb, tab sis qhov tseeb xa tawm ntawm lub cev tsuas yog ntev li 60 lij.

Yog lawm. Proton kev kho mob tuaj yeem siv ua ke nrog kev ntsuas hluav taws xob, kev kho tshuaj hormone, kev kho tshuaj, thiab / lossis raws li kev soj qab taug qab tom qab phais mob.

Cov pob qij pob txha zoo tshaj plaws rau kev kho mob proton suav nrog:

  • Ependymomas
  • Chondrosarcomas
  • Sarcomas
  • Desmoid hlav
  • Chordomas
  • Kev mob qog ib leeg (yav tas los kho)

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Lub chaw muaj cov kws pab tswvyim txog nyiaj txiag uas mob siab rau coj koj txoj kev pov hwm thiab yuav ua haujlwm nrog koj los xyuas cov txiaj ntsig (xws li sib koom them, rho tawm, cov nqi ntawm hnab nyiaj) muab los ntawm koj lub tuam txhab kev pov hwm. Yog tias koj muaj lus nug txog kev tiv thaiv, thov hu rau peb thiab muaj koj txoj kev npaj tuav pov hwm, tus lej pab pawg, thiab tus tswvcuab ID npaj txhij. Thaum muab nkag rau hauv lub chaw, ib qho ntawm peb cov neeg tau txais kev pab yuav tiv tauj cov kev pab cuam los ntawm koj lub tuam txhab kev pov hwm.

Proton kev kho thiab xoo hluav taws xob kho ob leeg kho qog nyob ze ntawm tus nqaj qaum los ntawm tua cov mob qog nqaij hlav thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, ua rau ntau cov ntaub so ntswg ua rau cov xaim hluav taws xob tsis zoo thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv. Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob txhawm rau txhawm rau mob qog thaum txo kev puas tsuaj rau lwm cov nqaij noj qab haus huv.

Muaj ntau cov kev tshawb fawb uas qhia cov kev kho proton yog ib txoj kev kho mob zoo rau cov qog uas nyob ze ntawm tus txha nraub qaum. Cov kev tshawb fawb no tuaj yeem nrhiav tau ntawm peb Kev tshawb fawb page.

Yuav luag txhua tus neeg mob cov pob txha caj qaum tsis mob tshwm sim thaum kho cov tshuaj tiv thaiv. Yog tias muaj cov kev mob tshwm sim, xws li qaug zog me ntsis los yog xeev siab, lawv feem ntau yog cov me thiab tswj tau. Ib qho ntxiv, kev kho mob proton muaj qhov pheej hmoo tsawg kawg uas yuav muaj lub neej ntev thiab yuav muaj kev phom sij zoo xws li lub cev muaj zog lossis tuag tes tuag taw. Cov neeg mob feem ntau tuaj yeem txuas ntxiv mus ua ub ua no thiab koom nrog lawv cov kev ua haujlwm txhua hnub hauv sijhawm thiab tom qab kho.

Ntau tus neeg mob qog mob pob txha yog qhov zoo rau kev kho proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij hluav taws xob oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob rau kev kho pob qij txha pob txha txhawm rau ntxiv rau kev kho mob proton, yog li lawv yuav muab cov lus pom zoo rau kev kho kom haum zoo rau koj cov kev xav tau.

Kev Mob Cancer Cov Lus Nug Neeg Mob Cancer

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo hluav taws xob. Nrog rau kev kho cov kab mob, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm cov nqaij mos noj qab haus huv ib puag ncig. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Ua raws li koj tus menyuam qhov kev kuaj mob, feem ntau muab kev kho mob 5 hnub nyob rau ib lub lis piam ntev txog 4 txog 7 asthiv. Lub sijhawm siv xa cov protons rau cov qog loj tau ntev li 60 lij, tab sis kev kho mob cancer ntawm cov menyuam yaus muaj peev xwm dhau los ntawm 60 txog 90 feeb, nyob ntawm koj tus menyuam xav taus.

Yog lawm. Proton kev kho mob tuaj yeem siv sib xyaw nrog lossis ua raws li lwm cov kev kho mob xws li kev phais mob, kho mob lossis hluav taws xob X-ray hluav taws xob.

Kev kho mob qog nqaij hlav ntshav ProCure muaj xws li:

  • Craniopharyngioma
  • Ewing tus sarcoma
  • Ependymoma
  • Medulloblastoma
  • Neuroblastoma
  • Rhabdomyosarcoma
  • Retinoblastoma
  • Hodgkin's kab mob
  • Osteosarcoma
  • Puag ntawm pob txha taub hau hlav:
    • Chordomas
    • Chondrosarcoma
  • Optic leeg meningioma

Yog tias koj tus menyuam qhov mob tsis tau teev tseg, lawv kuj tseem tuaj yeem xaiv tus neeg zoo rau kev kho proton. Thov hu rau qhov chaw teem sijhawm teem kev sab laj thiab kom paub ntxiv txog cov txiaj ntsig ntawm kev kho proton.

Feem ntau ntawm cov ntawv faj seeb kho mob them tus nqi ntawm kev tiv thaiv kab mob rau kev kho mob qog nqaij hlav menyuam yaus. Hu rau koj lub chaw muag kev pov hwm ncaj qha lossis hu rau peb yog xav paub ntxiv. ProCure muaj cov kws pab tswv yim txog nyiaj txiag uas mob siab rau coj koj txoj hauv kev tuav pov hwm. Lawv zoo siab yuav coj koj thiab teb cov lus nug uas koj muaj txog kev pov hwm kev pov hwm.

Qhov xov xwm zoo yog qhov feem ntau ntawm cov menyuam yaus kho rau mob qog mis thaum yau yuav kho tau lawv tus mob. Hmoov tsis zoo, qee tus neeg muaj txoj sia mob qog noj ntshav yuav rov qab pib mob qog noj ntshav vim lawv raug hluav taws xob ntau, ntau xyoo tom qab lawv pib kho. Cov menyuam yaus feem ntau muaj peev xwm tsim cov qog nqaij hlav hluav taws xob ntau dua cov laus dua li cov neeg laus, thiab qhov kev pheej hmoo yog ncaj qha cuam tshuam rau cov nyiaj uas ib txwm muaj, cov nqaij noj qab nyob zoo uas tau txais hluav taws xob.

Cov kev tshawb fawb qhia tias kev siv tshuaj tiv thaiv kab mob siab yog yuav txo qhov kev pheej hmoo ntawm cov qog nqaij hlav cancer ntau heev, txawm tias piv rau cov qauv siv hluav taws xob xoo hluav taws xob ntau, xws li IMRT. Tsis tas li ntawd, qee cov kws tshaj lij tau kwv yees tias qhov kev pheej hmoo ntawm kev mob qog ntxiv nrog IMRT yog tsawg kawg 8 zaug ntau dua nrog cov tshuaj tiv thaiv kev kho mob rau cov menyuam yaus nrog medulloblastoma.5

Hauv ntej, tsis muaj. Proton txoj kev kho kom txo qis cov pa tawg rau cov ntaub so ntswg ib txwm tuaj yeem txo qhov kev pheej hmoo ntawm lwm cov teeb meem, xws li kev loj hlob txawv txav. Piv txwv li, kev kho kab mob proton kho rau cov qog nqaij hlav hlwb tuaj yeem txo qhov koob tshuaj rau cov txheej txheem tseem ceeb, xws li ntxaws ntxig, hypothalamus, sab nqaij tawv lobes, thiab cochlea, piv rau kev kho mob xoo hluav taws xob (X-ray).6-9

Yuav luag txhua tus neeg mob cov ntshav muaj ob peb, lossis mob mentsis, uas tshwm sim los ntawm kev kho proton. Yog tias koj tus menyuam ntsib kev mob tshwm sim, feem ntau yuav tswj tau nrog cov tshuaj.

Txij li tus neeg mob tau txais kev tiv thaiv hluav taws xob tsis zoo, tsis pom kev, lossis hnov ​​dab tsi, kev kho yog ib txwm tsis muaj mob. Raws li qhov tshwm sim, feem ntau cov menyuam yaus yuav tau dag tseem rau lub sijhawm ntawm kev kho mob. Txawm li cas los xij, qee zaum qee zaum kev tswj hwm yog tias peb xav tias nws tsim nyog los ua kom ntseeg tau tias koj tus menyuam tseem nyob hauv qhov chaw kho mob.

Feem ntau ntawm cov menyuam yaus tuaj yeem koom nrog hauv kev ua ub ua no ua ntej thiab tom qab lawv tau txais kev kho mob txhua hnub.

Ntau tus menyuam yaus mob qog nqaij hlav cancer yog qhov zoo rau kev kho proton. Yog tias koj xav nkag siab zoo dua kev siv tshuaj tiv thaiv kab mob hauv koj tus menyuam txoj kev kho mob, peb tuaj yeem teem sijhawm sab laj nrog tus kws kho mob xoo hluav taws xob. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab seb koj tus menyuam puas muaj feem tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob rau kev kho mob qog nqaij hlav rau menyuam yaus ntxiv rau kev tiv thaiv kev tiv thaiv kab mob, yog li lawv yuav muab cov lus qhia kho rau koj qhov kev xav. Xav paub ntau ntxiv, thov hu rau peb lossis Thov Xav Paub Ntxiv online.

Tam sim no tam sim no ib qho kev sim rau cov kabmob kheesxaws ntawm menyuam yaus ntawm ProCure:

- Ntau qhov chaw sau npe ntawm cov menyuam yaus tau txais kev kho mob nrog cov tshuaj tiv thaiv kev kho mob uas sib piv cov tshuaj muaj txiaj ntsig ntawm kev kho mob hauv kev sib xyaw nrog hypofractionated proton radiation kho.

Yog xav paub ntxiv txog qhov kev sim no, thov saib soj ntsuam hlw kom qis lossis hu rau lub chaw zov me nyuam.

Lub plab zom mov Cancer Cov Lus Nug

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo duab hluav taws xob. Nrog rau kev kho cov tshuaj tiv thaiv, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm ib puag ncig, cov nqaij zoo. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Nyob ntawm seb koj qhov mob yog dab tsi, kev kho mob feem ntau yog muab 5 hnub ib lim tiam rau 4-7 lub lis piam. Txhua ntu kev kho mob tuaj yeem yog ntev li 15-60 feeb, tab sis qhov tseeb xa tawm ntawm lub cev tsuas yog ntev li 60 lij.

Cov neeg mob feem ntau tsis hnov ​​mob los sis tsis xis nyob thaum kho. Yuav luag txhua lub sijhawm tus neeg mob siv hauv chav kho mob suav nrog kev teeb tsa kho.

Koj cov neeg siv hluav taws xob yuav npaj txhua yam rau koj ua ntej kev kho mob pib. Koj yuav raug muab txav mus rau hauv txoj haujlwm ua ntej txhua qhov kev kho mob siv FDA-kev pom zoo ib qho chaw tso rau neeg hlau. Yuav kom koj mus pw ntawm lub txaj kho thaum koj cov kws kho mob kho kom haum. Tom qab koj nyob rau hauv txoj haujlwm, proton nqaj tau xa thiab nyob rau li ib feeb. Koj yuav tsis hnov ​​lossis pom tus nplaim ntoo. Koj tuaj yeem hnov ​​qee qhov nias ntawm cov khoom siv puag ncig koj, tab sis feem ntau, tom qab ob peb zaug kev kho mob, lub suab tsis nrov. Lub sijhawm kho mob tiag tiag, koj tus kws kho mob yuav tawm hauv chav thiab saib xyuas koj kev kho mob los ntawm chav tswj kav sab nraum chav kho mob. Txawm hais tias lawv tsis nyob hauv tib chav li koj, lawv tuaj yeem pom thiab hnov ​​koj los ntawm lub tsom kwm saib. Lawv nyob ze thiab koj tuaj yeem yooj yim tham nrog lawv yog tias koj xav tau dab tsi.

Tsis tas yuav tsum tau pw hauv tsev kho mob lossis nyob hauv qhov chaw tom qab koj kho tas. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho.

Yog lawm. Proton kev kho mob tuaj yeem siv ua ke nrog lossis raws li kev taug qab ntawm kev tshaj tawm hluav taws xob, kho tshuaj, thiab / lossis phais.

ProCure kho cov qog nqaij hlav hauv plab muaj nyob hauv:

  • txoj hlab nqos mov
  • Mob plab
  • txiav
  • siab
  • Lub Pob Tsuas
  • Lub qhov quav
  • nyuv

Yog tias koj tus mob tsis muaj npe, koj kuj tseem tau txais txiaj ntsig los ntawm kev kho proton. Thov ncav tes rau lub chaw pabcuam los npaj kev sab laj thiab sib tham yog tias kev kho cov tshuaj proton yog txoj kev kho tsim nyog rau koj.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Lub chaw muaj cov kws pab tswvyim txog nyiaj txiag uas mob siab rau coj koj txoj kev pov hwm thiab yuav ua haujlwm nrog koj los xyuas cov txiaj ntsig (xws li sib koom them, rho tawm, cov nqi ntawm hnab nyiaj) muab los ntawm koj lub tuam txhab kev pov hwm. Yog tias koj muaj lus nug txog kev tiv thaiv, thov hu rau peb thiab muaj koj txoj kev npaj tuav pov hwm, tus lej pab pawg, thiab tus tswvcuab ID npaj txhij. Thaum muab nkag rau hauv lub chaw, ib qho ntawm peb cov neeg tau txais kev pab yuav tiv tauj cov kev pab cuam los ntawm koj lub tuam txhab kev pov hwm.

Proton kev kho thiab kev xoo hluav taws xob kho ob leeg kho lub plab hnyuv qog los ntawm kev rhuav tshem cov qog cov qog thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob uas tsis xav tau thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv.

Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob ua rau lub qog thaum txo cov hluav taws xob ntau thiab ua rau cov nqaij mos noj qab nyob zoo.

Yog lawm. Kev tshawb nrhiav los ntawm University of Texas MD Anderson Cancer Center hauv Houston, TX (luam tawm hauv International Journal of Radiation Oncology, Biology, Physics) tau qhia cov tshuaj tiv thaiv kab mob ua rau muaj kev mob ntsws zoo dua li IMRT hauv kev kho mob esophageal mob cancer.4

Cov kev tshawb fawb txuas ntxiv tshawb xyuas qhov muaj txiaj ntsig ntawm kev kho proton tuaj yeem pom ntawm peb Kev tshawb fawb page.

Coob tus neeg mob lub plab zom zaub mov yog cov neeg zoo rau kev kho proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob rau kev kho mob cancer hauv plab ntxiv rau kev kho proton, yog li lawv yuav muab cov lus qhia kho uas zoo tshaj rau koj.

Lub ntsws mob ntsws Cov Lus Nug

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo hluav taws xob. Nrog rau kev kho cov kab mob, cov kws kho mob tuaj yeem kho qhov mob qog thaum txo cov kev puas tsuaj ntawm cov nqaij mos noj qab haus huv ib puag ncig. Tsis zoo li cov qauv xoo hluav taws xob, tiv thaiv cov xaim hluav taws xob ntau ntawm lawv cov hluav taws xob ncaj qha rau cov qog thiab tom qab ntawd nres.

Cov kev kho mob feem ntau yog muab XNUMX hnub hauv ib lis piam rau ib mus rau xya lub lim tiam, nyob ntawm theem ntawm koj mob qog nqaij hlav thiab lwm yam mob.

Yog lawm. Proton kev kho mob tuaj yeem raug siv los ua kev taug qab ua qab kev phais mob lossis tshuaj tua hluav taws xob.

Cov neeg mob feem ntau tsis hnov ​​mob los sis tsis xis nyob thaum kho. Yuav luag txhua lub sijhawm tus neeg mob siv hauv chav kho mob suav nrog kev teeb tsa kho.

Koj cov neeg siv hluav taws xob yuav npaj txhua yam rau koj ua ntej kev kho mob pib. Koj yuav raug muab txav mus rau hauv txoj haujlwm ua ntej txhua qhov kev kho mob siv FDA-kev pom zoo ib qho chaw tso rau neeg hlau. Yuav kom koj mus pw ntawm lub txaj kho thaum koj cov kws kho mob kho kom haum. Tom qab koj nyob rau hauv txoj haujlwm, proton nqaj tau xa thiab nyob rau li ib feeb. Koj yuav tsis hnov ​​lossis pom tus nplaim ntoo. Koj tuaj yeem hnov ​​qee qhov nias ntawm cov khoom siv puag ncig koj, tab sis feem ntau, tom qab ob peb zaug kev kho mob, lub suab tsis nrov. Lub sijhawm kho mob tiag tiag, koj tus kws kho mob yuav tawm hauv chav thiab saib xyuas koj kev kho mob los ntawm chav tswj kav sab nraum chav kho mob. Txawm hais tias lawv tsis nyob hauv tib chav li koj, lawv tuaj yeem pom thiab hnov ​​koj los ntawm lub tsom kwm saib. Lawv nyob ze thiab koj tuaj yeem yooj yim tham nrog lawv yog tias koj xav tau dab tsi.

Tsis tas yuav tsum tau pw hauv tsev kho mob lossis pw hauv Tsev Kho Mob tom qab koj kho tas. Feem ntau, koj tuaj yeem mus txog koj txoj kev coj ua ua ntej thiab tom qab koj qhov kev sib kho.

ProCure saib xyuas cov theem I, II, thiab III Tsis-Lub Cev Me Ntsws Cell (NSCLC) thiab qee theem ntawm Kab Mob Me Ntshav Cell (SCLC).

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. ProCure muaj cov kws pab tswv yim txog nyiaj txiag uas mob siab rau coj koj txoj hauv kev tuav pov hwm. Thov hu rau peb yog tias koj muaj lus nug txog kev duav tau.

Proton kev kho thiab xoo hluav taws xob kho ob leeg kho mob ntsws los ntawm tua cov mob cancer thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob uas tsis xav tau thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv. Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm lub qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob txhawm rau txhawm rau mob qog thaum txo kev puas tsuaj rau lwm cov nqaij noj qab haus huv.

Rau kev mob qog noj ntshav, qhov no txhais tau hais tias kev kho mob proton tuaj yeem xa tib cov tshuaj mus rau cov qog nrog cov hluav taws xob tsawg dua rau cov kev mob ntsws uas noj qab haus huv piv nrog cov kev kho mob hluav taws xob, xws li peb txoj kev kho hluav taws xob (3D-CRT) thiab IMRT.3 Tsis tas li ntawd, kev siv tshuaj proton tuaj yeem siv xa hluav taws xob ntau dua rau cov qog los txhim kho cov txiaj ntsig ntawm cov neeg mob qog nqaij hlav ntsws.4 Qhov no tseem ceeb vim tias qhov kev txiav txim siab ncaj txo cov hluav taws xob rau cov leeg mob ntsws thiab txoj hlab pas, uas txo qis cov neeg mob ntsws thiab mob hlab pas piv rau 3D-CRT lossis IMRT.5

Cov kev tshawb fawb tsis ntev los no hais tias kev kho cov tshuaj tiv thaiv kab mob tsuas yog siv tau zoo dua li lwm cov qauv hluav taws xob, xws li 3D-CRT thiab IMRT, hauv cov neeg mob NSCLC, tab sis muaj kev pheej hmoo tsawg dua ntawm kev phiv xws li mob ntsws thiab mob hlab pas (mob ntsws thiab txoj hlab pas).4,5 Cov Protons tseem tuaj yeem txo cov koob tshuaj hluav taws xob rau lub plawv. Proton txoj kev kho yog lub hom phiaj mob ntsws ntau dua li lwm cov kev kho mob radiotherapy, txo cov hluav taws xob ntau dhau mus rau qhov tsis pom kev mob ntsws, lub siab, thiab lwm yam kev sib kho.6 Hauv txoj kev tshawb fawb los ntawm University of Texas MD Anderson Cancer Center ntawm cov neeg mob uas tsis tuaj yeem NSCLC, kev tiv thaiv cov kab mob ua rau kom txo qis cov leeg mob mus rau txoj kev mob ntsws, txoj hlab pas, pob txha nraub qaum, thiab lub plawv los ntawm tus nqi ntau dua piv nrog lwm cov kev kho mob radiotherapy.7,8

Cov kev mob tshwm sim feem ntau los ntawm ib hom kev kho hluav taws xob rau cov neeg mob qog nqaij hlav cancer yog esophagitis thiab mob ntsws. Qhov loj heev ntawm cov kev mob tshwm sim no cuam tshuam ncaj qha rau hluav taws xob koob xa mus rau lub ntsws thiab txoj hlab pas. Nrog tsawg hluav taws xob xa mus rau cov ntaub so ntswg ib txwm dua li cov qauv kev kho mob hluav taws xob xws li 3D-CRT thiab IMRT, kev tiv thaiv cov kab mob ua rau muaj qis dua ntawm kev mob ntsws thiab txoj hlab pas cuam tshuam.4

Ntau tus neeg mob nyob rau theem II lossis theem III NSCLC thiab qee cov theem ntawm SCLC yog cov neeg sib tw zoo rau kev kho mob. Ntxiv rau, xaiv cov neeg mob uas muaj qib I lossis rov ua dua NSCLC tej zaum yuav raug xaiv los kho cov tshuaj proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho mob ntsws ntxiv rau txoj kev kho mob ntsws, yog li lawv yuav muab cov lus qhia kho mob uas zoo tshaj rau koj.

Tam sim no, muaj ib qhov kev sim tshuaj rau kab mob ntsws uas tseem tab tom ua rau ntawm ProCure:

  • Kev kawm qib I / II uas sib piv cov kev cuam tshuam rau cov kev kawm thiab lawv cov qog mob cancer siv cov txheej txheem tshuaj kho mob niaj hnub nrog kev sib xyaw nrog hypofractionated proton radiation kho rau theem II-III Tsis-Me Cell Mob ntsws Cancer (NSCLC). Hypofractionation yog txheej txheem uas muab cov tshuaj tiv thaiv hluav taws xob ntau dua nyob rau lub sijhawm luv luv.

Yog xav paub ntxiv, thov mus saib soj ntsuam hlw kom qis lossis hu rau lub chaw zov me nyuam.

Lub Hauv Paus-ntawm-pob txha taub hau Cov Lus Nug

Proton therapy yog kev tiv thaiv hluav taws xob ntau tshaj uas ua rau cov cell mob qog los ntawm kev tiv thaiv lawv kom faib thiab loj tuaj. Proton txoj kev kho yog siv cov tshuaj proton-zoo raug them rau ib qho me me ais - tsis txhob siv cov duab uas siv los xoo duab hluav taws xob. Nrog rau kev kho cov tshuaj, cov kws kho mob tuaj yeem tsom lub hauv paus-ntawm-pob txha hlav thaum ua kom tsawg dua kev puas tsuaj rau cov nqaij mos noj qab haus huv ib puag ncig. Tsis zoo li cov duab xoo hluav taws xob dhau, cov protons tso nyiaj ntau ntawm cov hluav taws xob ncaj qha mus rau cov qog thiab tom qab ntawd nres.

Nyob ntawm seb koj qhov mob yog dab tsi, kev kho mob feem ntau yog muab 5 hnub ib lim tiam rau 4-7 lub lis piam. Txhua ntu kev kho mob tuaj yeem yog ntev li 15-60 feeb, tab sis qhov tseeb xa tawm ntawm lub cev tsuas yog ntev li 60 lij.

Yog lawm. Proton kev kho mob tuaj yeem siv ua ke nrog thiab / lossis raws li kev soj ntsuam ntawm cov pa hluav taws xob, kev kho tshuaj, thiab phais mob.

Lub hauv paus-ntawm-pob txha hlav hlav uas tsim nyog tshaj rau kev kho proton suav nrog:

Benign

  • Pituitary adenoma
  • Neurofibromas
  • Neuromas (trigeminal neuromas, paum ntawm lub paum)
  • Meningiomas
  • Glomus hlav
  • Adenoid cystic carcinoma
  • Acoustic neuromas (tseem hu ua vestibular schwannomas)

Mob Cancer

  • Sarcomas
  • Mucosal melanomas
  • Esthesioblastomas
  • Chordomas
  • Carcinomas
  • Carcinoid qog

Yog tias koj tus mob tsis muaj npe, koj kuj tseem tau txais txiaj ntsig los ntawm kev kho proton. Thov ncav tes rau lub chaw pabcuam los npaj kev sab laj thiab sib tham yog tias kev kho cov tshuaj proton yog txoj kev kho tsim nyog rau koj.

Kev pab tiv thaiv cov Proton yog pab them los ntawm Medicare thiab ntau lub chaw pov hwm tus kheej. Lub chaw muaj cov kws pab tswvyim txog nyiaj txiag uas mob siab rau coj koj txoj kev pov hwm thiab yuav ua haujlwm nrog koj los xyuas cov txiaj ntsig (xws li sib koom them, rho tawm, cov nqi ntawm hnab nyiaj) muab los ntawm koj lub tuam txhab kev pov hwm. Yog tias koj muaj lus nug txog kev tiv thaiv, thov hu rau peb thiab muaj koj txoj kev npaj tuav pov hwm, tus lej pab pawg, thiab tus tswvcuab ID npaj txhij. Thaum muab nkag rau hauv lub chaw, ib qho ntawm peb cov neeg tau txais kev pab yuav tiv tauj cov kev pab cuam los ntawm koj lub tuam txhab kev pov hwm.

Proton kev kho thiab kev xoo hluav taws xob hluav taws xob tua ob leeg los kho cov qog nqaij hlav hlav los ntawm tua cov qog nqaij hlav cancer thaum lawv sim faib thiab ntau. Txawm li cas los xij, muaj qhov sib txawv tseem ceeb. Xoo hluav taws xob tso nws cov kev siv hluav taws xob ntau tshaj plaws sai sai tom qab nkag mus rau ntawm daim tawv nqaij thiab tseem tso tawm hluav taws xob thaum nws dhau ntawm koj lub cev dhau ntawm cov qog, nthuav tawm ntau cov ntaub so ntswg mus rau cov xaim hluav taws xob uas tsis xav tau thiab muaj peev xwm ua rau kev puas tsuaj ntau dua rau cov nqaij thiab noj qab haus huv. Cov tshuaj Proton kho tau feem ntau ntawm cov hluav taws xob raws nraim ntawm qhov chaw hlav thiab mam li tso tseg. Tsis tas yuav tsis muaj hluav taws xob tshwm sim dhau ntawm cov qog nqaij hlav ib zaug qhov hluav taws xob tau mus txog thiab them rau thaj chaw kho. Qhov no tso cai rau cov tshuaj tiv thaiv hluav taws xob txhawm rau txhawm rau mob qog thaum txo kev puas tsuaj rau lwm cov nqaij noj qab haus huv.

Muaj ntau cov kev tshawb fawb uas qhia cov kev kho proton yog ib txoj kev kho mob zoo rau lub hauv paus ntawm-pob txha hlav. Pob txha taub hau qog tau kho nrog proton txoj kev kho rau ntau tshaj 20 xyoo nrog kev ua tiav zoo tshaj tawm.  Cov Protons tseem yog cov qauv kev saib xyuas rau cov mob qog nqaij hlav no. Cov kev tshawb fawb no tuaj yeem nrhiav tau ntawm peb Kev tshawb fawb page.

Cov neeg mob qog pob txha taub hau feem ntau muaj cov kev mob tshwm sim tsawg kawg thaum kev kho mob. Koj tus kws kho mob thiab pab neeg tu koj nyob ntawd los pab nrog tswj cov teeb meem uas yuav tshwm sim. Cov neeg mob feem ntau tuaj yeem txuas ntxiv mus ua ub ua no thiab koom nrog lawv cov kev ua haujlwm txhua hnub hauv sijhawm thiab tom qab kho.

Ntau tus neeg mob nrog lub hauv paus ntawm pob txha taub hau yog qhov zoo sib tw rau kev kho proton. Yog tias koj txaus siab rau kev kho proton raws li kev xaiv kho, peb tuaj yeem teem sijhawm sab laj rau koj los tham nrog ib tus ntawm peb cov kws tshaj lij hluav taws xob oncologist. Thaum lub sijhawm sab laj, hluav taws xob oncologist yuav sib tham txog kev kho mob sib txawv nrog koj thiab txiav txim siab yog tias koj yuav tau txais txiaj ntsig los ntawm kev kho proton. Cov duab hluav taws xob oncologists ntawm ProCure siv ntau yam hluav taws xob los kho lub hauv paus pob txha qog nqaij hlav ntxiv nrog rau kev kho mob sab nrauv, yog li lawv yuav muab cov lus qhia kho uas zoo tshaj plaws rau koj cov kev xav tau.

Tham Nrog Peb

Tshawb nrhiav seb kev kho proton puas yog txoj kev kho mob rau koj. Hu rau peb Pab Neeg Khomob lossis thov cov ntaub ntawv online ntxiv.

Mus Koom Kev Kawm Txog Cov Ntaub Ntawv

Kawm ntxiv txog kev kho proton thiab peb Pab Pawg Muab Kev Pab Rau Ntiaj Teb. Hu rau qhov chaw zov me nyuam kom tseg koj qhov chaw.

 

Hu rau pab neeg tu peb ntawm (877) 967-7628