{"id":4894,"date":"2023-08-17T16:14:22","date_gmt":"2023-08-17T14:14:22","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/centralni-nervovy-system\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-21T14:10:03","modified_gmt":"2024-06-21T12:10:03","slug":"zasto-odabrati-protonsko-lijecenje-tumora-cns-a","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/sredisnji-zivcani-sustav\/zasto-odabrati-protonsko-lijecenje-tumora-cns-a\/","title":{"rendered":"Za\u0161to odabrati protonsko lije\u010denje tumora CNS-a"},"content":{"rendered":"<p style=\"text-align: left;\">\u00dasp\u011b\u0161nost l\u00e9\u010dby n\u00e1dor\u016f CNS radioterapi\u00ed je z\u00e1visl\u00e1 na&nbsp;biologick\u00e9 povaze onemocn\u011bn\u00ed, p\u0159edchoz\u00edm proveden\u00ed chirurgick\u00e9ho v\u00fdkonu a&nbsp;aplikovan\u00e9 d\u00e1vce z\u00e1\u0159en\u00ed. <strong>Oza\u0159ov\u00e1n\u00ed oblasti centr\u00e1ln\u00ed nervov\u00e9 soustavy pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm<\/strong> jak pro pacienta, tak pro l\u00e9ka\u0159e. V&nbsp;t\u00e9to oblasti se nach\u00e1z\u00ed p\u0159\u00edli\u0161 mnoho struktur citliv\u00fdch na&nbsp;z\u00e1\u0159en\u00ed, kter\u00e9 mohou b\u00fdt po\u0161kozeny. Z\u00e1rove\u0148 je ke zni\u010den\u00ed n\u00e1doru pot\u0159eba pou\u017e\u00edt vysok\u00fdch d\u00e1vek. Standardn\u00ed (fotonov\u00e1) radioterapie tuto situaci nen\u00ed schopna v\u017edy vy\u0159e\u0161it kv\u016fli nep\u0159im\u011b\u0159en\u00e9mu riziku po\u0161kozen\u00ed rizikov\u00fdch, \u010dasto \u017eivotn\u011b d\u016fle\u017eit\u00fdch struktur, kter\u00e9 se nach\u00e1z\u00ed v&nbsp;bl\u00edzkosti n\u00e1doru. U&nbsp;n\u011bkter\u00fdch n\u00e1dor\u016f, nap\u0159. n\u00e1dor\u016f b\u00e1ze lebn\u00ed, nen\u00ed chirurgick\u00e1 l\u00e9\u010dba t\u00e9m\u011b\u0159 nikdy nen\u00ed kompletn\u00ed.<\/p>\n<p style=\"text-align: left;\"><strong>Protonov\u00e1 l\u00e9\u010dba umo\u017e\u0148uje dodat pot\u0159ebnou d\u00e1vku z\u00e1\u0159en\u00ed do oblasti n\u00e1doru, a&nbsp;t\u00edm p\u0159isp\u00edv\u00e1 k&nbsp;jeho lep\u0161\u00ed kontrole\u00a0 a&nbsp;zvy\u0161uje \u0161ance pacienta na&nbsp;vyl\u00e9\u010den\u00ed. <\/strong>V<strong>\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed n\u00e1dor\u016f centr\u00e1ln\u00ed nervov\u00e9 soustavy jsou:<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>Umo\u017e\u0148uje v\u00fdznamn\u011b sn\u00ed\u017eit<\/strong> d\u00e1vku ne\u017e\u00e1douc\u00edho oz\u00e1\u0159en\u00ed na&nbsp;mozek, a&nbsp;t\u00edm p\u0159edch\u00e1zet riziku vzniku poruch pam\u011bti.<\/li>\n<li><strong>Umo\u017e\u0148uje v\u00fdznamn\u00fdm zp\u016fsobem sn\u00ed\u017eit<\/strong> d\u00e1vky na&nbsp;zrakov\u00e9 nervy, \u010d\u00edm\u017e sni\u017euje riziko omezen\u00ed \u010di ztr\u00e1ty zraku.<\/li>\n<li><strong>Sni\u017euje tak\u00e9 riziko omezen\u00ed<\/strong> \u010di ztr\u00e1ty sluchu, zejm\u00e9na v\u00a0oblasti vysok\u00fdch frekvenc\u00ed.<\/li>\n<li><strong>Sni\u017euje riziko<\/strong> po\u0161kozen\u00ed ment\u00e1ln\u00edch a&nbsp;hormon\u00e1ln\u00edch funkc\u00ed.<\/li>\n<li><strong>Sni\u017euje pravd\u011bpodobnost <\/strong>vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f.<\/li>\n<\/ul>\n<h5><span style=\"color: #e6214c;\">\u2e3a<\/span><\/h5>\n<h4 style=\"text-align: left;\"><strong>Na schematick\u00e9m obr\u00e1zku je zn\u00e1zorn\u011bno rozlo\u017een\u00ed d\u00e1vky z\u00e1\u0159en\u00ed v&nbsp;t\u011ble p\u0159i pou\u017eit\u00ed protonov\u00e9 a&nbsp;fotonov\u00e9 terapie.<\/strong><\/h4>\n<p style=\"text-align: left;\">Je patrn\u00e9, \u017ee protonov\u00fd svazek oza\u0159uje pouze tzv. c\u00edlov\u00fd objem (oblast, kde se nach\u00e1z\u00ed nebo nach\u00e1zel n\u00e1dor), tedy z\u00e1\u0159en\u00ed je sm\u011brov\u00e1no tak\u0159ka v\u00fdlu\u010dn\u011b jenom do tk\u00e1n\u011b, kter\u00e1 je posti\u017een\u00e1. Naopak fotonov\u00e9 z\u00e1\u0159en\u00ed d\u00edky sv\u00fdm fyzik\u00e1ln\u00edm vlastnostem zasahuje v\u00fdznamn\u011b i&nbsp;okoln\u00ed zdrav\u00e9 struktury.<\/p>\n<p style=\"text-align: left;\">\n<div class=\"gdc_row\">\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2435\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-proton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-proton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-proton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-proton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<p style=\"text-align: left;\"><\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2434\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-foton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-foton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-foton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/CNS-_-porovnani-foton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<p style=\"text-align: left;\"><\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: left;\">\n","protected":false},"excerpt":{"rendered":"<p>\u00dasp\u011b\u0161nost l\u00e9\u010dby n\u00e1dor\u016f CNS radioterapi\u00ed je z\u00e1visl\u00e1 na&nbsp;biologick\u00e9 povaze onemocn\u011bn\u00ed, p\u0159edchoz\u00edm proveden\u00ed chirurgick\u00e9ho v\u00fdkonu a&nbsp;aplikovan\u00e9 d\u00e1vce z\u00e1\u0159en\u00ed. Oza\u0159ov\u00e1n\u00ed oblasti centr\u00e1ln\u00ed nervov\u00e9 soustavy pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm jak pro pacienta, tak pro l\u00e9ka\u0159e. V&nbsp;t\u00e9to oblasti se nach\u00e1z\u00ed p\u0159\u00edli\u0161 mnoho struktur citliv\u00fdch na&nbsp;z\u00e1\u0159en\u00ed, kter\u00e9 mohou b\u00fdt po\u0161kozeny. Z\u00e1rove\u0148 je ke zni\u010den\u00ed n\u00e1doru pot\u0159eba pou\u017e\u00edt vysok\u00fdch d\u00e1vek. Standardn\u00ed (fotonov\u00e1) radioterapie&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4830,"parent":4890,"menu_order":265,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-4894","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\/4894","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=4894"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4894\/revisions"}],"predecessor-version":[{"id":4914,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4894\/revisions\/4914"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4890"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media\/4830"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/media?parent=4894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}