Photodynamic kurapa iri oncology: zvakanakira nekuipira

Nekenza tiri rokutanga nzvimbo pakati yevagari kufa. Mumakore achangopfuura, rinooneka zvakawedzera uwandu nekenza kuti chirwere Varwere. Zvinosuruvarisa, vasina chinhu kurambidzwa zera - chirwere chinobata vakuru uyewo ANOPONESA nevana.

Munguva yedu, akashandisa zvakawanda nzira itsva kenza kurapwa, mushonga yakafambira mberi panyaya iyi kare vanotozozviziva. Imwe nzira yakadaro photodynamic kurapa mu oncology. With nzira iyi, tichadzidza zvishoma zvakawanda munyaya ino.

Pfungwa photodynamic kurapa

nzira iyi yokurapa ndiro zita rakapfupikiswa pamusoro PST wayo chaizvo kushandisa chiedza uye mamwe mapoka zvinodhaka kuti vanonzi photosensitizers. Kana pachena kuti avhenekese mushonga fuma aunganidza ari kenza bundu anotanga deleteriously kukanganisa masero ayo.

Zvichienderana localization anomera, kugadzirira anogona kupiwa kupinda ropa kana kureva ganda. Pashure pfupi izvozvo wefodya munyama, uye ipapo rangano yakatungamirira danda ichi chiedza.

Ngationgororei zvinhu zvayo biophysics. Photodynamic kurapa iri oncology mushure chiedza danda anowira ipfupi makemikari kusakarongeka pamwe oxygen, uye somugumisiro, kenza masero vanourayiwa. Kana kurapa kwakadaro zvakakodzera kubvisa duku midziyo ropa, nokunyima bundu dzichifura.

Zvokukura PD mishonga

Photodynamic kurapa mu oncology inosanganisira matanho akawanda:

1. Nhanganyaya sensitizing mhinduro nomutsinga.
2. Kuunganidza mushonga mu munyama kukanganiswa kenza. Akapiwa siyana dzomuviri uye zvinodhaka, danho iri dzimwe nguva kwazvinogumira mazuva akawanda. Rakanga panguva ino, nyanzvi akaonekwa bundu pahwaro ukuru wevasungwa of sensitizer.
3. Step bundu irradiation pamwe Laser namatanda. Kana kenza iri rakadzika, matanda akashandiswa chokuendesa akatungamirira chubhu. Pasi pokudzora kwomudzimu Laser anotanga ane chepfu maitiro, izvo kwakaguma kenza masero akafa, apo pedyo zvinyama utano hakuna kukanganiswa.
4. Step kuora kenza rinenge kugadzira uye pasi mutation. Duration uri pamusoro mwedzi.

Sokushandiswa photodynamic kurapa mu oncology

Izvi mhando yokurapa ndechokuti yekudyidzana kuvandudza upenyu varwere. PST haana nguva yakareba asina kunaka kuratidzwa, asi kwete somunhu zvikuru kushandiswa munyika dzose.

Photodynamic Yokurapa muna Oncology muMoscow aishandisa kubva 1998. Panguva ino, muguta guru pane 5 mahofisi, izvo tiite nzira iyi. About 2 zviuru. Varwere vakanga kurapwa nenzira iyi.

The Cancer kunotoda dispensary №1 yambokurukurwa uye raishandiswa kuonana PST. Laser irradiation chiri kuitwa nenzira inoita kuti kuwedzera kudzama kupinda pakati mwaranzi 2 cm.

Zvakanakira nzira iyi yokurapa

PST - imwe nzira itsva rokurwisa kenza uye precancerous idzodzo. Pari mukutanga mumatanho waro oncology edza kushandisa sezvo photodynamic kurapa mune oncology ane mukana guru:

• Zvinokwanisika kukanganisa kenza chete.
• Varwere vanogona kubvuma nzira chero zera nyore.
• Zvipatara ane zvinyoronyoro zvainoita nhengo uye nyama kukanganiswa kenza.
• In kenza ganda nzira anopa 100% kunobudirira zvabuda.

• Gomarara, nzira iyi inonyatsobudirira, sezvo unokubvumira kuponesa womukadzi dzokubereka nadzo.
• Kunokwanisa kuitwa pamusoro outpatient hwaro.
• zvinogona reapplied kana zvakakodzera.
• Haina systemic matambudziko.
• Tichishandisa nzira iyi, zvinokwanisika kubvisa mapundu mu zvakaoma kusvika nzvimbo.
• Munguva nzira murwere anoziva.
• Nzira iri zvachose nyarara.
• Photodynamic mushonga mu oncology rinogona kushandiswa yakazvimirira nzira yokurapa, uye sezvo chikamu mubatanidzwa mishonga.

Nzira ine dzinoparadza anoita masero kenza, uyewo virucidal (kukwanisa kuparadza munhu papilloma utachiona), fungicidal, bactericidal uye immunomodulatory. Kuvapo vakadaro vakawanda zvakanakira zvichiita akakurumbira.

Nokuremara

Kunze makomborero akawanda, nzira ine zvainovhiringidzawo yaro:

• ARV kungogumira kuwana chiedza. Izvozvo amenable kurapwa ndicho chikamu kuti iri zvakananga pasi ganda. Nokuda kwaizvozvi, hazvibviri kushandisa nzira yavangabata masero kenza, dzakanga kugara zvinenge zvose nhengo uye munyama.
• Pashure pechinguva photosensitizers zvabatwa aikanganiswa nechiedza.

Asi vose pamusoro unoratidzawo kuti photodynamic kurapa iri oncology ane zviduku chaizvo zvaunokanganisa.

Zvairatidza kuti kushandiswa nzira

Zvinofanira kucherechedzwa kuti PST rinoshandiswa kuti kwete chete ndichipfeka kubvisa namamota kenza, asiwo kurapa psoriasis, Vitiligo, cutaneous lupus nezvimwe zvirwere. Photodynamic kurapa rinoshandiswa kurasira siyana kenza uye precancer mishonga. Hazvina vabudirire mune hosha ziso uye matambudziko dermatological.

Uyezve, achishandisa nzira iyi zvinopa mabatiro maronda asiri achiporesa uye trophic maronda.

Ndiani asingadi anoenzanisira nzira PST

Photodynamic kurapa mu oncology ane contraindications, asi zviduku. Hazvina kuitwa:

• kana pane zvokurwara kuti renal uye chiropa;
• decompensated zvirwere kumwoyo;
• panguva kunyanya aikanganiswa mushonga;
• zvirwere ropa.

Nzira iri contraindicated panguva mukubereka vana uye lactation.

Photodynamic kurapa mu oncology inofanira kushandiswa bedzi pashure kubvunza chiremba, kuti vakwanise kuziva zvose zviripo contraindications.

The gadziriro inoshandiswa kurapa

Nokuti kuita nzira iyi kurapwa oncologists vanoshandisa zvinodhaka kuti inogona mapoka mapoka maviri:

1. wokutanga chizvarwa sensitizers, pamwe porphyrins.
2. wechipiri-chizvarwa photosensitizers.

Pasinei boka, kuti mushonga pasi chinokosha zvinodiwa:

• It ane pfuma kunyatsotora vazhinji vari kenza uye haina kupinda mukati utano tishu;
• pashure nzira yava yabudiswa kubva mumuviri uye ane pasi toxicity;
• Hazvina -wedzera paganda;
• Zviri husingakwanisi okuchengetera uye rokutarisira kupinda muropa;
• Rine fluorescent ehupfumi.

Overview zvinodhaka nokuda PST

A nzira photodynamic kurapa iri oncology inowanzoshandiswa ne "Photofrin" chinodhaka. Zvinonzi kusashanda nokuda yakatsvuka. Uye kurishandisa pakurapa zvinotevera ezvinhu:

• Nekenza yacho dokeriro. Mushure nzira murwere anonzwa nani, kunyanya anoenzanisira kushandiswa kwezvinodhaka, kana bundu zvasvika ane saizi anenge rakavhara dokeriro, uye Laser kurapa havagoni kurarama nayo.
• Barrett kuti yegurokuro. The mushonga rinoshandiswa kuzvidzivirira mishonga kudzivirira kenza kukura.
• kenza yemapapu.

Aminolivulinovaya asidhi inoshandiswa panyaya penga nokuda kokuchembera keratosis. It rinoshandiswa zvakananga ganda uye kusashanda ne mutema. Anogona kushandiswa chete kumeso uye musoro.

Kune zvimwe zvinodhaka, asi vari kushandiswa ndoda kakawanda.

Marapirwo kwacho achishandisa "Photofrin"

The rokuremekedza medicament ari mutsinga jekiseni kupinda mumuviri. Kudzokera mukati, rwunotanga nyura kenza masero kwete chete asiwo utano kuti muviri. Zvakakwana masero utano mukati memazuva mashoma chose pachena pamusoro fuma, uye zvichaita kuramba kenza.

Asi kana ukaramba kuita chinhu, ipapo hapana chichaitika bundu. The kuita rinotanga chete kana paine kugara chiedza imwe wavelength, muzvitokisi.

Kana uchida kuita nzira kunorapwa kenza yemapapu, ipapo ichi zvinoitwa kushandisa bronchoscope dawo maximally kupinda zvakakanganisa tishu. Doctors for PST Laser rinoshandiswa ane diki vachikwanisa, saka hapana kutsva munyama havana kuwana achaita chinhu.

Duration kurapwa kunoenderana nzvimbo bundu uye miganhu yacho (kazhinji zviri kubva 5 kusvika 45 Nha). masero akafa uye nyama inonyangarika mumazuva mashomanana. Mushure yokuedza kana, zvaida, wechipiri muitiro.

Tapota ziva kuti kurapa nokushandiswa kwe "Photofrin" kwete zvose anobvumirwa, zvinonzi contraindicated kana paine:

• fistula pakati yegurokuro uye principales;
• kenza bundu kuti rakabudiswa makuru midziyo ropa;
• dumbu urikanwi kana awanda mutsinga;
• chisimbwa kuti zvinodhaka.

Mibvunzo All hako kurukura chiremba wako usati nzira.

Side anokonzerwa PST

Vakawanda divi mugumisiro nzira achishandisa "Photofrin" ndiyo wakawedzera aikanganiswa nechiedza. Dzimwe nguva zvimwe ari kuzvimba panguva mushonga nzvimbo duku soreness.

Kana mushonga anopinda muviri, izvozvo rinoungana iri mumasero uye nyama mumazuva mashomanana dzimwe nguva mavhiki pashure kurapa asare masero uye. nguva yose iyi, ziso murwere uye ganda vari nehanya chiedza. Kubva inopenya zviedza kudzivirirwa nzvimbo dzinotanga kuzvimba uye mhoni mukati maminitsi mashoma.

utetsa Izvi zvinogona zvikaramba kwemwedzi inoverengeka, zvose zvinoenderana zvinoitwa nhengo. Tichava dzose nguva kudzivisa zvakananga chezuva, asi izvozvo hazvirevi kuti unofanira kugara muimba rima. Dosed kwaedza kunobatsira kuparadzwa zvinhu mumasero uye kunoita hwokuponesa.

utetsa zvishoma nezvishoma havadi, uye iwe unogona kutarisa kunze, asi kwete kwokutanga pane imwe mwedzi pashure photodynamic kurapa.

Basa dzimwe Migumisiro anogona kuzvimba panguva nzvimbo yokurapa. Kana nzira iri kuitwa pamusoro huro, yokutanga nguva pachava nezvinetso pakuparadza, uye pashure kumonyanisa of zvemapapu - kufema. Pamusoro kuonekwa zviratidzo zvakadaro vanofanira kukurumidza kwachiremba. Mhiri migumisiro zvinosanganisira zvinotevera:

• kuda kurutsa, kurutsa, nomusoro, hiccups - kana PST akanga akatakurwa pamusoro yegurokuro;
• kupfupika mweya, kukura bronchitis kana nemabayo - kunogona pashure chiedza kurapwa.

All siyana vakadaro vanofanira kuudza chiremba.

Recommendations pashure kurapwa

Unogona kudzivisa chinokosha nemishonga pashure kurapwa, kana uchiziva sei kugadzirira uye kuti vazvibate zvakarurama pashure nzira. Kuti aite izvi, tevedzera mazano aya:

1. Kuenda kuchipatara photodynamic kurapa, zvakakodzera kuvhara yose imba mahwindo uye maketeni, uyewo kuona kuti rambi vakaparara vadzivirirwa kana zvimwewo.
2. Tora kuchipatara hazvo Sunglasses, heti (zvimwe paupamhi-akazara ngowani) kudzivirira kumeso. Clothing vanofanira refu dzisimbe, uye tsoka dzake - bhurukwa uye masokisi (mumamiriro ezvinhu akadaro, tariro sunscreen iri diki).
3. Mushure nzira, mukati memazuva 30, zvinokurudzirwa kwete kuitika mumugwagwa masikati, uye kuva nechokwadi kudzivirira ganda rako kunyange pamusoro ramakore mazuva kana iwe anongoerekana.
4. All rokukurumidzira uye nechimbichimbi nguva zviri chinodiwa kutamira manheru.
5. Home kuverenga zvakafanira kudzivirira meso kubva chiedza zvakananga kubva rambi.
6. Pashure Pakurigeza haifaniri kushandiswa Dryer - hot mhepo anogona Activate pafuma akasara masero uye kukonzera akatsvuka nokupisa.

Kana ukatevera dzose dzave aya, photodynamic kurapa iri oncology tigokuzivisai kunonyanyisa kunyatsoshanda uye murwere vachafara pamwe mugumisiro.

akaongorora

Chero nzira kurapwa hazvigoni zvakafanana kushandiswa zvakanaka mishonga kuvarwere zvose. Asi photodynamic kurapa mu oncology wongororo iri kunyanya kunaka. Varwere vanoti mushure kurapwa kwavo mamiriro chaizvo hwakavandudzika, ichokwadi kunyanya kenza ganda, uye zvimwe zvirwere ganda. Pashure PST zvachose hapana mavanga, ganda kunova cleaner.

Varwere dzinoshuma nyarara kurapwa, shoma nemishonga. Asi zvinofanira kucherechedzwa kuti zvinenge zvose varwere nezvechimwe chinhu rakawedzera aikanganiswa pashure nzira. Tinofanira kudzivisa chiedza chinopenya uye yakavimbika kudzivirira meso enyu uye ganda kubva kuonana naye.

Photodynamic kurapa mu oncology ane kunaka inofambiswa chete nevaya vasina kuteerera zano chiremba uye havana buritsa huripo comorbidities. Zvinofanira kucherechedzwa kuti kenza yacho dokeriro kana zvemapapu zvakaoma kurapa, uye pashure pacho vangava nezvinetso pakuparadza uye kufema, asi kwenguva pfupi chakajairika kuti zvishoma nezvishoma.

Mushure kurapwa, dzinenge varwere vose vanogutsikana mugumisiro, kunyanya kana nzira rinoitwa zvikuru anokwanisa nyanzvi. Saka, photodynamic kurapa mu oncology muNovosibirsk akadzidza kunoshamisa Purofesa Sergey Danilovich Nikonov. Akava photodynamic kurapa nokuda uropi, uyewo nzira yokurapa kantseromatoznogo pleurisy, pachiitiko ichi iye akasunungura mabhuku akawanda uye mapepa yesayenzi.

Mune mamwe maguta, munewo Makiriniki dzidzira mukurapa kenza inorondedzerwa. Photodynamic kurapa mu oncology muna Krasnodar iripo zvekuchipatara oncologic dispensary №1. Chivako ichi zvokurapa zviri vakagadzirira pamwe noungwaru zvigadzirwa, saka varwere vari kurapwa kubudirira haigoni vakakonona.

Sezvineiwo, ikozvino kunyange chirwere ichi anotyisa, kufanana kenza, harisi mutongo. Chinonyanya kukosha - kuzivisa kuti pachikuva kana unokwanisa kutsungirira nawo. Uye nokuda kwaizvozvo zvose, zvino unoda kunyatsoteerera utano hwavo uye vanosangana nguva dzose dzokurapwa bvunzo. Zvichengetedze uye vaine utano!