{"id":4925,"date":"2023-08-17T16:04:31","date_gmt":"2023-08-17T14:04:31","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/hlava-a-krk\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-21T14:14:11","modified_gmt":"2024-06-21T12:14:11","slug":"zasto-odabrati-protonsko-lijecenje","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/glava-i-vrat\/zasto-odabrati-protonsko-lijecenje\/","title":{"rendered":"Za\u0161to odabrati protonsko lije\u010denje"},"content":{"rendered":"<p>Oza\u0159ov\u00e1n\u00ed v\u00a0oblasti hlavy a&nbsp;krku pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm jak pro pacienta, tak pro l\u00e9ka\u0159e. V\u00a0t\u00e9to oblasti je p\u0159\u00edli\u0161 mnoho org\u00e1n\u016f citliv\u00fdch na&nbsp;z\u00e1\u0159en\u00ed, kter\u00e9 mohou b\u00fdt po\u0161kozeny, a&nbsp;z\u00e1rove\u0148 je ke zni\u010den\u00ed n\u00e1doru pot\u0159eba pou\u017eit\u00ed vysok\u00fdch d\u00e1vek.<\/p>\n<p>Standardn\u00ed radioterapie tuto situaci nen\u00ed schopna v\u017edy vy\u0159e\u0161it. N\u00e1dory oblasti hlavy a&nbsp;krku jsou lokalizov\u00e1ny v\u00a0bl\u00edzk\u00e9m okol\u00ed mnoha rizikov\u00fdch struktur, kter\u00e9 maj\u00ed v\u00fdznamn\u011b omezenou toleranci k\u00a0ionizuj\u00edc\u00edmu z\u00e1\u0159en\u00ed (m\u00edcha, slinn\u00e9 \u017el\u00e1zy, mozkov\u00fd kmen, polykac\u00ed cesty, o\u010di, optick\u00fd nerv apod.), tedy velmi \u010dasto nen\u00ed v\u00a0p\u0159\u00edpad\u011b fotonov\u00e9 radioterapie mo\u017en\u00e9 aplikovat dostate\u010dnou d\u00e1vku z\u00e1\u0159en\u00ed, ani\u017e by se tyto org\u00e1ny po\u0161kodily.<\/p>\n<h3>V\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed n\u00e1dor\u016f hlavy a&nbsp;krku proti b\u011b\u017en\u00e9 radioterapii jsou:<\/h3>\n<ul>\n<li><strong>Umo\u017e\u0148uje v\u00fdznamn\u011b sn\u00ed\u017eit<\/strong> <strong>d\u00e1vku ne\u017e\u00e1douc\u00edho oz\u00e1\u0159en\u00ed na&nbsp;mozek,<\/strong> a&nbsp;t\u00edm p\u0159edch\u00e1zet riziku vzniku poruch pam\u011bti.<\/li>\n<li><strong class=\"custom-bold\">V\u00fdznamn\u011b sni\u017euje ne\u017e\u00e1douc\u00ed oz\u00e1\u0159en\u00ed m\u00edchy a\u017e o&nbsp;80 %,<\/strong> a&nbsp;p\u0159edch\u00e1z\u00ed tak vzniku tzv. myelopatie, kter\u00e1 je prov\u00e1zena poruchou hybnosti a\u017e \u00fapln\u00e9 ztr\u00e1ty hybnosti.<\/li>\n<li><strong>V\u00fdznamn\u00fdm zp\u016fsobem umo\u017e\u0148uje sn\u00ed\u017eit d\u00e1vky na&nbsp;v\u0161echny optick\u00e9 struktury<\/strong> (\u010do\u010dka, rohovka, retina, zrakov\u00e9 nervy), \u010d\u00edm\u017e sni\u017euje riziko omezen\u00ed \u010di ztr\u00e1ty zraku.<\/li>\n<li><strong>Sni\u017euje tak\u00e9 riziko<\/strong> <strong>omezen\u00ed \u010di ztr\u00e1ty sluchu,<\/strong> zejm\u00e9na v\u00a0oblasti vysok\u00fdch frekvenc\u00ed.<\/li>\n<li><strong>Umo\u017e\u0148uje redukci d\u00e1vky<\/strong> <strong>na struktury polykac\u00edch cest<\/strong>, a&nbsp;tak sni\u017euje pravd\u011bpodobnost polykac\u00edch obt\u00ed\u017e\u00ed, poruchy tvorby slin, nutnost zaveden\u00ed PEG (kanyla zaveden\u00e1 do \u017ealudku pro zaji\u0161t\u011bn\u00ed v\u00fd\u017eivy).<\/li>\n<\/ul>\n<h5><span style=\"color: #a0c657;\">\u2e3a<\/span><\/h5>\n<h5 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.\u00a0<\/strong><\/h5>\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><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2441\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-proton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-proton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-proton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-proton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2440\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-foton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-foton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-foton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/HAK-_-porovnani-foton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p><strong>Mezin\u00e1rodn\u00ed l\u00e9\u010debn\u00e9 protokoly a&nbsp;organizace jako nap\u0159. ASTRO (American Society for Therapeutic Radiology and Oncology) doporu\u010duj\u00ed v\u017edy zv\u00e1\u017eit protonovou radioterapii u&nbsp;vybran\u00fdch diagn\u00f3z hlavy a&nbsp;krku.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Oza\u0159ov\u00e1n\u00ed v\u00a0oblasti hlavy a&nbsp;krku pat\u0159\u00ed k\u00a0nejn\u00e1ro\u010dn\u011bj\u0161\u00edm jak pro pacienta, tak pro l\u00e9ka\u0159e. V\u00a0t\u00e9to oblasti je p\u0159\u00edli\u0161 mnoho org\u00e1n\u016f citliv\u00fdch na&nbsp;z\u00e1\u0159en\u00ed, kter\u00e9 mohou b\u00fdt po\u0161kozeny, a&nbsp;z\u00e1rove\u0148 je ke zni\u010den\u00ed n\u00e1doru pot\u0159eba pou\u017eit\u00ed vysok\u00fdch d\u00e1vek. Standardn\u00ed radioterapie tuto situaci nen\u00ed schopna v\u017edy vy\u0159e\u0161it. N\u00e1dory oblasti hlavy a&nbsp;krku jsou lokalizov\u00e1ny v\u00a0bl\u00edzk\u00e9m okol\u00ed mnoha rizikov\u00fdch struktur, kter\u00e9 maj\u00ed v\u00fdznamn\u011b&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4830,"parent":4921,"menu_order":300,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-4925","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\/4925","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=4925"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4925\/revisions"}],"predecessor-version":[{"id":4944,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4925\/revisions\/4944"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4921"}],"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=4925"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}