关于放疗的几大误区，你该晓得了
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 放射治疗（简<span style="color: black;">叫作</span>放疗），<span style="color: black;">做为</span>肿瘤治疗的“三剑客”之一，在肿瘤治疗过程中发挥着<span style="color: black;">要紧</span>的<span style="color: black;">功效</span>，可人们对它总有<span style="color: black;">有些</span>误解。今天，本文就来为<span style="color: black;">大众</span>梳理一下您常听到的八大放疗误区。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">1、</span>手术<span style="color: black;">才可</span>治愈 放疗只是姑息</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>，<span style="color: black;">针对</span><span style="color: black;">初期</span>肿瘤治疗<span style="color: black;">来讲</span>，手术依旧是根治的首选。<span style="color: black;">然则</span>，在肿瘤<span style="color: black;">周边</span>有大血管、<span style="color: black;">要紧</span>器官时，手术可能<span style="color: black;">亦</span>很难切除干净。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 而<span style="color: black;">此刻</span>的放疗技术和设备<span style="color: black;">持续</span>升级，<span style="color: black;">加强</span>了靶区剂量，减少了<span style="color: black;">周边</span>的射线照射，<span style="color: black;">例如</span>伽马刀、射波刀等，<span style="color: black;">尤其</span>是质子、重离子治疗，<span style="color: black;">更加是</span><span style="color: black;">经过</span>射线本身的特性，实现了更优化的剂量分布，<span style="color: black;">作为</span>新一代放疗的<span style="color: black;">表率</span>。相比手术，放疗<span style="color: black;">针对</span><span style="color: black;">周边</span>器官的影响较少，在<span style="color: black;">没</span>法手术切除肿瘤时<span style="color: black;">亦</span>有机会<span style="color: black;">得到</span>彻底的治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>，<span style="color: black;">选取</span>手术切除还是放射治疗，取决于肿瘤的病理类型、临床分期、身体<span style="color: black;">情况</span>、<span style="color: black;">伴同</span><span style="color: black;">疾患</span>和治疗意愿等<span style="color: black;">详细</span><span style="color: black;">状况</span>，不是所有的肿瘤都适合<span style="color: black;">经过</span>手术方式来治疗，<span style="color: black;">例如</span>，喉癌、下咽癌、鼻咽癌等<span style="color: black;">平常</span>的头颈部癌症，手术常常不是最优<span style="color: black;">选取</span>，<span style="color: black;">由于</span>在头颈部实施手术，在很小的手术区域内有密集的血管和神经等，很可能影响到<span style="color: black;">病人</span>生活质量，而放疗能够更好地<span style="color: black;">保留</span>器官和相应的功能，<span style="color: black;">加强</span><span style="color: black;">病人</span>的生活质量。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">2、</span>手术后要做放疗 手术前不行</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 经常遇到<span style="color: black;">病人</span>问放疗到底是手术前进行，还是手术后进行。这不是简单的有个原则就<span style="color: black;">能够</span>了，而是<span style="color: black;">必须</span>综合<span style="color: black;">思虑</span>病情。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放疗应该什么时候做？这跟治疗的目的密切<span style="color: black;">关联</span>，<span style="color: black;">一样</span>取决于肿瘤的病理类型、临床分期、身体<span style="color: black;">基本</span>等<span style="color: black;">详细</span><span style="color: black;">状况</span>。<span style="color: black;">例如</span>肿瘤侵犯了大血管，就<span style="color: black;">必须</span>先放疗，使肿瘤跟血管分离，<span style="color: black;">而后</span>再做根治性手术。再<span style="color: black;">例如</span>像直肠癌，<span style="color: black;">由于</span>保肛手术对<span style="color: black;">病人</span>术后的生活质量非常<span style="color: black;">要紧</span>，有时肿瘤距离肛门很近，<span style="color: black;">或</span><span style="color: black;">周边</span>病变范围大，直接手术很难保住肛门，<span style="color: black;">此时</span>术前做同步放化疗是国际惯例，肿瘤缩小后，手术范围和创伤都要小<span style="color: black;">非常多</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">详细</span>的某个病人<span style="color: black;">各样</span>治疗的先后<span style="color: black;">次序</span>和协同<span style="color: black;">过程</span>，<span style="color: black;">必须</span>有经验的多学科专家充分讨论，取得共识，这<span style="color: black;">便是</span>美国MD安德森癌症中心<span style="color: black;">数年</span>前首倡的MDT（多学科会诊）模式，经过各国<span style="color: black;">大夫</span>的实践，<span style="color: black;">已然</span>证明适合肿瘤的<span style="color: black;">疾患</span>特点，<span style="color: black;">针对</span>各学科的协调，避免<span style="color: black;">病人</span>（<span style="color: black;">包含</span>专科<span style="color: black;">大夫</span>）<span style="color: black;">由于</span>不<span style="color: black;">认识</span>其他专科<span style="color: black;">优良</span>而走弯路，<span style="color: black;">得到</span>了很好的效果。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">3、</span>化疗放疗<span style="color: black;">同期</span>进行 <span style="color: black;">病人</span>哪能受得了</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>，<span style="color: black;">咱们</span><span style="color: black;">必要</span><span style="color: black;">知道</span>的是，治疗<span style="color: black;">方法</span>的<span style="color: black;">选取</span><span style="color: black;">必定</span>是<span style="color: black;">创立</span>在安全且有效的前提下的，<span style="color: black;">针对</span>放疗与化疗能否<span style="color: black;">同期</span>进行，这<span style="color: black;">必须</span>依据<span style="color: black;">详细</span>的病情而定。<span style="color: black;">例如</span><span style="color: black;">有些</span><span style="color: black;">初期</span>淋巴瘤的<span style="color: black;">病人</span>，单纯做放疗，效果就很好，就<span style="color: black;">能够</span>不加化疗。<span style="color: black;">例如</span>直肠癌、肺癌、胃癌等，单纯放疗<span style="color: black;">敏锐</span>性不是很高，<span style="color: black;">咱们</span>就<span style="color: black;">必须</span>同步应用化疗或靶向<span style="color: black;">药品</span>，同步放化疗能使局部疗效<span style="color: black;">加强</span>，那<span style="color: black;">咱们</span>就<span style="color: black;">必须</span><span style="color: black;">一块</span>做。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其次，<span style="color: black;">大众</span>之<span style="color: black;">因此</span>对放疗和化疗<span style="color: black;">同期</span>进行有顾虑，<span style="color: black;">必定</span>是<span style="color: black;">思虑</span>到两种治疗方式的毒副<span style="color: black;">功效</span>。其实，放疗与化疗<span style="color: black;">同期</span>进行并不只是将一个放疗<span style="color: black;">方法</span>和一个化疗<span style="color: black;">方法</span>简单相加，<span style="color: black;">必须</span>综合<span style="color: black;">思虑</span>，这<span style="color: black;">亦</span>是<span style="color: black;">咱们</span>强调MDT的<span style="color: black;">原由</span>之一。在同步进行放化疗时，会<span style="color: black;">按照</span><span style="color: black;">每一个</span><span style="color: black;">病人</span>的<span style="color: black;">实质</span><span style="color: black;">状况</span>，将放疗的照射范围和照射剂量、化疗<span style="color: black;">药品</span>的剂量和强度都做出<span style="color: black;">调节</span>，<span style="color: black;">奋斗</span>将放化疗同步进行的“副<span style="color: black;">功效</span>”降低。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">4、</span>做放疗的都是恶性肿瘤 还都是晚期</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">病人</span>确诊后<span style="color: black;">通常</span><span style="color: black;">第1</span><span style="color: black;">选取</span>是手术，觉得切除了的肿瘤<span style="color: black;">能够</span>被治好，但<span style="color: black;">倘若</span><span style="color: black;">选取</span>放疗，就会感觉<span style="color: black;">无</span>治愈机会了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 其实<span style="color: black;">做为</span>肿瘤治疗的三大手段之一，放射治疗<span style="color: black;">能够</span>贯穿于肿瘤治疗的<span style="color: black;">全部</span>过程中。<span style="color: black;">按照</span>其疗效<span style="color: black;">能够</span>将放疗分成三类：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">根治性治疗：<span style="color: black;">经过</span>单纯放疗<span style="color: black;">能够</span>完全根治的肿瘤，<span style="color: black;">例如</span>鼻咽癌、部分头颈部肿瘤，<span style="color: black;">初期</span>的前列腺癌、肺癌、淋巴瘤等，放疗<span style="color: black;">能够</span><span style="color: black;">做为</span><span style="color: black;">重点</span>的治疗<span style="color: black;">方法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 综合治疗：是最<span style="color: black;">平常</span>的治疗手段，<span style="color: black;">例如</span>乳腺癌、肝癌等，常常在手术后<span style="color: black;">必须</span>放射治疗。<span style="color: black;">咱们</span><span style="color: black;">经过</span>放疗减少局部区域复发的<span style="color: black;">危害</span>，叫做辅助治疗。还有<span style="color: black;">例如</span>直肠癌的术前放疗，<span style="color: black;">咱们</span>叫做新辅助放疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">姑息治疗：<span style="color: black;">针对</span>晚期或<span style="color: black;">显现</span>转移的<span style="color: black;">病人</span>，<span style="color: black;">例如</span><span style="color: black;">显现</span>脑转移的<span style="color: black;">病人</span>，首选<span style="color: black;">便是</span>放疗<span style="color: black;">或</span>头部伽马刀治疗，<span style="color: black;">能够</span>取得很好的局部<span style="color: black;">掌控</span>效果；<span style="color: black;">针对</span>骨转移等<span style="color: black;">状况</span>，放疗<span style="color: black;">能够</span>缓解约80%<span style="color: black;">病痛</span>的症状，还有<span style="color: black;">有些</span>淋巴结转移，肾上腺转移等，放疗都<span style="color: black;">能够</span>精确打击，<span style="color: black;">掌控</span>病情，能够达到解除痛苦、延长生命、<span style="color: black;">加强</span>生活质量的目的。从<span style="color: black;">这儿</span><span style="color: black;">能够</span>看到，放疗的适应症比手术更广。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">5、</span>生命不息化疗不止 实在受不了再放疗</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 常常能见到病人做过<span style="color: black;">非常多</span>疗程的化疗才来咨询放疗，<span style="color: black;">此时</span>骨髓<span style="color: black;">控制</span><span style="color: black;">显著</span>，血象很低，<span style="color: black;">或</span>营养不良严重，<span style="color: black;">已然</span>错失了放疗最佳<span style="color: black;">机会</span>，非常可惜。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实，放疗是肿瘤治疗过程中广泛<span style="color: black;">运用</span>的一种<span style="color: black;">办法</span>，在肿瘤治疗中有非常<span style="color: black;">要紧</span>的地位。肿瘤<span style="color: black;">病人</span>中有70%<span style="color: black;">上下</span>在不<span style="color: black;">同期</span>期<span style="color: black;">必须</span>接受放射治疗。<span style="color: black;">况且</span>，有<span style="color: black;">非常多</span>的<span style="color: black;">初期</span>恶性肿瘤(鼻咽癌、喉癌、食管癌、肺癌、宫颈癌等)<span style="color: black;">经过</span>放射治疗<span style="color: black;">能够</span>取得较高的治愈率，<span style="color: black;">因此</span>放射治疗在恶性肿瘤的治疗中<span style="color: black;">已然</span>越来越<span style="color: black;">要紧</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以往认为放疗只是局部治疗，<span style="color: black;">此刻</span><span style="color: black;">发掘</span>放射治疗在杀灭肿瘤的<span style="color: black;">同期</span>会促进肿瘤抗原的释放，<span style="color: black;">帮忙</span>免疫系统更好的识别肿瘤，<span style="color: black;">而后</span>加强了对其他部位肿瘤的免疫效果，间接起到了全身治疗的<span style="color: black;">功效</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">6、</span>放疗设备及<span style="color: black;">办法</span>越贵越好</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 放疗过程中，<span style="color: black;">病人</span>从定位到治疗都是在<span style="color: black;">设备</span>上进行，接受的射线<span style="color: black;">亦</span>要从<span style="color: black;">设备</span>中发出，<span style="color: black;">大夫</span>是<span style="color: black;">经过</span>电脑<span style="color: black;">掌控</span>射线的剂量和范围，治疗中<span style="color: black;">无</span><span style="color: black;">大夫</span>与<span style="color: black;">病人</span>的直接接触，不像手术<span style="color: black;">同样</span>对<span style="color: black;">大夫</span>的操作技巧<span style="color: black;">需求</span><span style="color: black;">那样</span>高。这<span style="color: black;">是否</span>就<span style="color: black;">寓意</span>着，只要<span style="color: black;">设备</span>最先进，治疗效果就<span style="color: black;">必定</span>最好呢？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">并不</span>然，最适合的放疗<span style="color: black;">设备</span>才是最好的。<span style="color: black;">例如</span>，乳腺癌<span style="color: black;">病人</span>改良根治术后，<span style="color: black;">咱们</span><span style="color: black;">必须</span><span style="color: black;">经过</span>常规的放疗<span style="color: black;">或</span>电子线就<span style="color: black;">能够</span>了，先进的调强放疗有些<span style="color: black;">地区</span>剂量上不去，反而不合适。后装治疗是很经典的设备，<span style="color: black;">此刻</span><span style="color: black;">非常多</span>医院都<span style="color: black;">无</span>了，<span style="color: black;">然则</span><span style="color: black;">针对</span>宫颈癌等治疗还是有不可替代的<span style="color: black;">功效</span>。<span style="color: black;">因此</span>放疗<span style="color: black;">必须</span>选什么设备，<span style="color: black;">必定</span>要专业<span style="color: black;">大夫</span><span style="color: black;">指点</span>才<span style="color: black;">能够</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，放疗设备的先进性很重要，<span style="color: black;">针对</span><span style="color: black;">详细</span>的病人，还是要<span style="color: black;">选取</span>更适合，<span style="color: black;">亦</span>能够实现的医院进行治疗。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">7、</span>放疗<span style="color: black;">重点</span>靠<span style="color: black;">设备</span> 跟医疗团队<span style="color: black;">不碍事</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">放疗的实现确实很依赖放疗设备，<span style="color: black;">因此</span><span style="color: black;">针对</span>设备的保养、<span style="color: black;">守护</span>和检测就非常<span style="color: black;">要紧</span>。在医院中有多个岗位来<span style="color: black;">保准</span>设备<span style="color: black;">精细</span>运行，<span style="color: black;">包含</span>放疗科室的技术人员，<span style="color: black;">理学</span>师<span style="color: black;">每日</span>、每周、每月都会<span style="color: black;">根据</span>设备质量<span style="color: black;">掌控</span><span style="color: black;">需求</span>做<span style="color: black;">各样</span><span style="color: black;">检测</span>，厂家<span style="color: black;">定时</span><span style="color: black;">守护</span>，医院的设备科<span style="color: black;">亦</span>要<span style="color: black;">定时</span>检测。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 与此<span style="color: black;">同期</span>放疗<span style="color: black;">必须</span><span style="color: black;">全部</span>医疗团队的默契<span style="color: black;">协同</span>，认真执行<span style="color: black;">每一个</span><span style="color: black;">过程</span><span style="color: black;">才可</span><span style="color: black;">得到</span>满意的疗效。放射治疗是多<span style="color: black;">过程</span>、多人参与的治疗过程，每一个治疗环节、每一个细节、每一次治疗都直接决定着放疗的效果。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在MDT确定放疗时间后，<span style="color: black;">大夫</span>会整理病历资料，与病人介绍治疗过程和<span style="color: black;">重视</span>事项，<span style="color: black;">而后</span>安排病人定位，在影像<span style="color: black;">大夫</span>把图像传输到治疗计划的系统后，<span style="color: black;">大夫</span>勾画靶区，<span style="color: black;">理学</span>师制定计划，放疗技师和护士安排病人<span style="color: black;">起始</span>治疗，在治疗过程中，<span style="color: black;">亦</span><span style="color: black;">必须</span><span style="color: black;">大夫</span>经常的与病人交流病情，观察治疗反应，<span style="color: black;">按照</span>病人<span style="color: black;">状况</span><span style="color: black;">必须</span><span style="color: black;">持续</span><span style="color: black;">调节</span>治疗计划。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 误区<span style="color: black;">8、</span>放疗后 病人<span style="color: black;">已然</span>治愈 <span style="color: black;">没</span>需再复查</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 肿瘤正在<span style="color: black;">作为</span>一种慢性<span style="color: black;">疾患</span>，规范治疗，<span style="color: black;">定时</span>复查非常<span style="color: black;">要紧</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">原由</span>1：肿瘤本身是一种全身<span style="color: black;">疾患</span>，即使<span style="color: black;">无</span><span style="color: black;">发掘</span>转移，<span style="color: black;">亦</span>还是有复发和转移的可能。结合<span style="color: black;">精细</span>治疗中的靶向治疗、免疫治疗等，<span style="color: black;">非常多</span>肿瘤病人都<span style="color: black;">能够</span><span style="color: black;">长时间</span><span style="color: black;">存活</span>，即使如此，<span style="color: black;">亦</span><span style="color: black;">不可</span>在治疗后掉以轻心，还是要<span style="color: black;">定时</span>到医院复查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">原由</span>2：放射治疗不仅能<span style="color: black;">损害</span>肿瘤，对正常的组织<span style="color: black;">亦</span>会产生<span style="color: black;">必定</span><span style="color: black;">损伤</span>，<span style="color: black;">况且</span>，射线对一部分正常组织的<span style="color: black;">损害</span>是迟发性慢性反应，在放射治疗结束后才<span style="color: black;">逐步</span>表现出来。有些反应<span style="color: black;">倘若</span>能<span style="color: black;">即时</span><span style="color: black;">发掘</span>、<span style="color: black;">即时</span>治疗完全<span style="color: black;">能够</span>恢复，否则<span style="color: black;">导致</span>严重的后果将会影响<span style="color: black;">病人</span>的<span style="color: black;">存活</span>质量。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 复查的时间<span style="color: black;">通常</span><span style="color: black;">能够</span>在治疗后的3～6个月，有些<span style="color: black;">状况</span><span style="color: black;">能够</span>按<span style="color: black;">大夫</span>的<span style="color: black;">需求</span>在治疗后1个月复查。以后每半年或1年复查一次。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">破除误区，科学放疗。<span style="color: black;">期盼</span>每位<span style="color: black;">病人</span>都能够在<span style="color: black;">大夫</span>团队的<span style="color: black;">指点</span>下科学、正确地<span style="color: black;">运用</span>放疗，最大程度发挥放疗的功效，有疑问时请积极向专业的<span style="color: black;">大夫</span>寻求<span style="color: black;">帮忙</span>，祝您<span style="color: black;">早点</span><span style="color: black;">恢复</span>！</p>
在遇到你之前，我对人世间是否有真正的圣人是怀疑的。 你的努力一定会被看见，相信自己，加油。 你的见解独到，让我受益匪浅，非常感谢。 楼主继续加油啊！外链论坛加油！ 你的见解独到，让我受益匪浅，非常感谢。
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