{"id":4857,"date":"2023-08-17T16:18:32","date_gmt":"2023-08-17T14:18:32","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/zazivaci-trakt\/protonova-lecba-zazivaciho-traktu\/"},"modified":"2024-06-21T14:05:51","modified_gmt":"2024-06-21T12:05:51","slug":"protonska-terapija-probavnog-trakta","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/probavni-trakt\/protonska-terapija-probavnog-trakta\/","title":{"rendered":"Protonska terapija probavnog trakta"},"content":{"rendered":"<p><strong><em>C\u00edlem modern\u00ed onkologick\u00e9 l\u00e9\u010dby je zajistit pacient\u016fm maxim\u00e1ln\u00ed \u0161anci na&nbsp;vyl\u00e9\u010den\u00ed p\u0159i minimalizaci vedlej\u0161\u00edch \u00fa\u010dink\u016f spojen\u00fdch s\u00a0l\u00e9\u010dbou. Tohoto c\u00edle je dnes mo\u017en\u00e9 dos\u00e1hnout pomoc\u00ed protonov\u00e9 l\u00e9\u010dby.<\/em><\/strong><\/p>\n<p><strong>Protonov\u00e1 radioterapie<\/strong>\u00a0je \u0161etrn\u00e1 metoda l\u00e9\u010dby rakoviny s\u00a0minim\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky. Umo\u017e\u0148uje p\u0159esn\u00e9 zac\u00edlen\u00ed protonov\u00e9ho paprsku do c\u00edlov\u00e9 oblasti (do m\u00edsta p\u016fvodn\u00edho n\u00e1doru), a&nbsp;t\u00edm minimalizuje oz\u00e1\u0159en\u00ed okoln\u00edch tk\u00e1n\u00ed a&nbsp;org\u00e1n\u016f.\u00a0<strong>Protonov\u00e1 terapie se vyu\u017e\u00edv\u00e1 k&nbsp;l\u00e9\u010db\u011b n\u00e1dor\u016f j\u00edcnu, slinivky b\u0159i\u0161n\u00ed, \u017elu\u010dov\u00fdch cest a&nbsp;anu.<\/strong><\/p>\n<div class=\"gdc_row\">\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h3>N\u00e1dory j\u00edcnu<\/h3>\n<p><strong>Anatomick\u00e9 ulo\u017een\u00ed j\u00edcnu, mezi ob\u011bma pl\u00edcemi a&nbsp;v\u00a0bl\u00edzkosti srdce,\u00a0<\/strong>vy\u017eaduje aplikaci do geometricky slo\u017eit\u00e9ho prostoru mezi org\u00e1ny, jejich\u017e oz\u00e1\u0159en\u00ed mus\u00ed b\u00fdt minim\u00e1ln\u00ed. <strong>Proto se vyu\u017e\u00edv\u00e1 zejm\u00e9na protonov\u00e1 radioterapie.<\/strong><\/p>\n<p><strong>Radioterapie n\u00e1dor\u016f j\u00edcnu je slo\u017eit\u00e1 a&nbsp;vy\u017eaduje oz\u00e1\u0159en\u00ed velk\u00e9ho objemu<\/strong>, kter\u00fd zahrnuje oblast j\u00edcnu posti\u017eenou n\u00e1dorem, p\u0159ilehl\u00e9 \u010d\u00e1sti j\u00edcnu a&nbsp;tak\u00e9 rozs\u00e1hl\u00e9 oblasti sp\u00e1dov\u00fdch m\u00edzn\u00edch uzlin. Proto je technika oza\u0159ov\u00e1n\u00ed n\u00e1ro\u010dn\u00e1 a&nbsp;mohou se uplatnit <strong>v\u00fdhody protonov\u00e9 radioterapie<\/strong>. Radioterapie se upravuje podle toho, jak\u00fd postup pl\u00e1nuje chirurg.<\/p>\n<h3>N\u00e1dory slinivky b\u0159i\u0161n\u00ed (pankreatu) a&nbsp;\u017elu\u010dov\u00fdch cest<\/h3>\n<p><strong>Oza\u0159ov\u00e1n\u00ed pankreatu a&nbsp;\u017elu\u010dov\u00fdch cest p\u0159edstavuje po technick\u00e9 a&nbsp;biologick\u00e9 str\u00e1nce dost obt\u00ed\u017enou \u201e\u00falohu\u201c<\/strong>.<\/p>\n<p><strong>Pankreas i&nbsp;\u017elu\u010dov\u00e9 cesty jsou toti\u017e obklopeny \u0159adou org\u00e1n\u016f, kter\u00e9 lze oz\u00e1\u0159en\u00edm po\u0161kodit<\/strong> (j\u00e1tra, dvan\u00e1ctern\u00edk, ledviny, \u017ealudek a&nbsp;dal\u0161\u00ed). Jedinou mo\u017enost\u00ed radioterapie, p\u0159i kter\u00e9 je do c\u00edlov\u00e9ho objemu dod\u00e1na dostate\u010dn\u011b vysok\u00e1 d\u00e1vka z\u00e1\u0159en\u00ed pot\u0159ebn\u00e1 pro zni\u010den\u00ed n\u00e1doru, je <strong>oza\u0159ov\u00e1n\u00ed protonov\u00e9<\/strong>.<\/p>\n<p><strong>Oza\u0159ov\u00e1n\u00ed u&nbsp;n\u00e1dor\u016f pankreatu nen\u00ed n\u00e1hrada chemoterapie, ale dopln\u011bn\u00ed chemoterapie.<\/strong><\/p>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h3>N\u00e1dory jater<\/h3>\n<p><strong>Radioterapie prim\u00e1rn\u00edch n\u00e1dor\u016f jater je pom\u011brn\u011b nov\u00e1 metoda, zat\u00edm m\u00e1lo vyu\u017e\u00edvan\u00e1. S&nbsp;ohledem na&nbsp;lokalizaci a&nbsp;rozsah posti\u017een\u00ed \u010dasto nelze v&nbsp;p\u0159\u00edpad\u011b\u00a0hepatocelul\u00e1rn\u00edho karcinomu\u00a0aplikovat \u00fa\u010dinnou d\u00e1vku z\u00e1\u0159en\u00ed jinak ne\u017e oza\u0159ov\u00e1n\u00edm protony. Protonov\u00e1 l\u00e9\u010dba v\u00fdznamn\u011b sni\u017euje oz\u00e1\u0159en\u00ed okol\u00ed n\u00e1doru, a&nbsp;proto zvy\u0161uje nemocn\u00fdm \u0161anci na&nbsp;vyl\u00e9\u010den\u00ed.<\/strong><\/p>\n<h3>N\u00e1dory an\u00e1ln\u00edho otvoru<\/h3>\n<p><strong>Radioterapie n\u00e1dor\u016f an\u00e1ln\u00edho otvoru je velmi n\u00e1ro\u010dn\u00e1.<\/strong> Proto byly vyvinuty<strong class=\"custom-bold\"> t<\/strong><strong><strong class=\"custom-bold\">ec<\/strong>hniky protonov\u00e9 radioterapie, <\/strong>kter\u00e9 <strong>omezuj\u00ed <\/strong>ne\u017e\u00e1douc\u00ed efekty v\u00a0oblasti k\u016f\u017ee a&nbsp;sliznic sv\u011bra\u010de a&nbsp;okol\u00ed a&nbsp;umo\u017e\u0148uj\u00ed obvykle aplikovat oza\u0159ov\u00e1n\u00ed bez nutnosti zav\u00e9st do\u010dasnou (odleh\u010dovac\u00ed) kolostomii.<\/p>\n<p><iframe loading=\"lazy\" title=\"Protonov\u00e1 l\u00e9\u010dba karcinomu za\u017e\u00edvac\u00edho traktu\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/HoId-Rur3rY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00edlem modern\u00ed onkologick\u00e9 l\u00e9\u010dby je zajistit pacient\u016fm maxim\u00e1ln\u00ed \u0161anci na&nbsp;vyl\u00e9\u010den\u00ed p\u0159i minimalizaci vedlej\u0161\u00edch \u00fa\u010dink\u016f spojen\u00fdch s\u00a0l\u00e9\u010dbou. Tohoto c\u00edle je dnes mo\u017en\u00e9 dos\u00e1hnout pomoc\u00ed protonov\u00e9 l\u00e9\u010dby. Protonov\u00e1 radioterapie\u00a0je \u0161etrn\u00e1 metoda l\u00e9\u010dby rakoviny s\u00a0minim\u00e1ln\u00edmi vedlej\u0161\u00edmi \u00fa\u010dinky. Umo\u017e\u0148uje p\u0159esn\u00e9 zac\u00edlen\u00ed protonov\u00e9ho paprsku do c\u00edlov\u00e9 oblasti (do m\u00edsta p\u016fvodn\u00edho n\u00e1doru), a&nbsp;t\u00edm minimalizuje oz\u00e1\u0159en\u00ed okoln\u00edch tk\u00e1n\u00ed a&nbsp;org\u00e1n\u016f.\u00a0Protonov\u00e1 terapie se vyu\u017e\u00edv\u00e1&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4826,"parent":4855,"menu_order":225,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-anchor-sidebar.php","meta":{"footnotes":""},"class_list":["post-4857","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/comments?post=4857"}],"version-history":[{"count":2,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4857\/revisions"}],"predecessor-version":[{"id":4873,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4857\/revisions\/4873"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4855"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media\/4826"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=4857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}