{"id":4992,"date":"2023-08-07T13:42:14","date_gmt":"2023-08-07T11:42:14","guid":{"rendered":"https:\/\/www.ptc.cz\/sto-lijecimo\/lymfomy\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-21T14:37:24","modified_gmt":"2024-06-21T12:37:24","slug":"zasto-odabrati-protonsko-lijecenje-malignih-limfoma","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/hr\/sto-lijecimo\/limfomi\/zasto-odabrati-protonsko-lijecenje-malignih-limfoma\/","title":{"rendered":"Za\u0161to odabrati protonsko lije\u010denje malignih limfoma"},"content":{"rendered":"<p style=\"text-align: left;\"><strong>Aby bylo mo\u017en\u00e9 zvolit optim\u00e1ln\u00ed l\u00e9\u010dbu, je velmi d\u016fle\u017eit\u00e9 z\u00edskat \u00fapln\u00e9 a&nbsp;srozumiteln\u00e9 informace<\/strong>. Zaj\u00edmejte se nejen o&nbsp;nejmodern\u011bj\u0161\u00ed l\u00e9\u010debn\u00e9 metody malign\u00edho lymfomu, ozna\u010dovan\u00e9 t\u00e9\u017e jako rakovina m\u00edzn\u00edch uzlin,<strong><em>\u00a0<\/em><\/strong>ale i&nbsp;o&nbsp;vedlej\u0161\u00ed \u00fa\u010dinky spojen\u00e9 s\u00a0l\u00e9\u010dbou. Ty toti\u017e mohou v\u00fdznamn\u011b ovlivnit\u00a0<strong>kvalitu va\u0161eho \u017eivota b\u011bhem l\u00e9\u010dby i&nbsp;po n\u00ed.<\/strong><\/p>\n<h3 style=\"text-align: left;\">V\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed lymfom\u016f proti b\u011b\u017en\u00e9 radioterapii:<\/h3>\n<ul style=\"text-align: left;\">\n<li><strong>Redukce d\u00e1vek ne\u017e\u00e1douc\u00edho z\u00e1\u0159en\u00ed na&nbsp;srdce<\/strong>\u00a0se sn\u00ed\u017een\u00edm rizika vzniku pozdn\u00edch n\u00e1sledk\u016f radioterapie jako jsou chlopenn\u00ed vady, ischemick\u00e1 choroba srde\u010dn\u00ed, arytmie apod.<\/li>\n<li><strong>Redukce d\u00e1vek na&nbsp;plicn\u00ed tk\u00e1\u0148<\/strong>\u00a0se sn\u00ed\u017een\u00edm rizika vzniku postradia\u010dn\u00ed plicn\u00ed fibr\u00f3zy (zvazivovat\u011bn\u00ed tk\u00e1n\u011b), plicn\u00edch z\u00e1n\u011bt\u016f apod.<\/li>\n<li><strong>Redukce d\u00e1vek na&nbsp;m\u00edchu<\/strong>\u00a0se sn\u00ed\u017een\u00edm rizika vzniku postradia\u010dn\u00ed myelopatie (poruchy hybnosti a&nbsp;\u010dit\u00ed).<\/li>\n<li><strong>Redukce d\u00e1vek na&nbsp;prsn\u00ed \u017el\u00e1zy<\/strong>\u00a0se sn\u00ed\u017een\u00edm rizika vzniku sekund\u00e1rn\u00edch n\u00e1dor\u016f prsn\u00ed \u017el\u00e1zy.<\/li>\n<\/ul>\n<p style=\"text-align: left;\">V\u00a0sou\u010dasn\u00e9 dob\u011b se k\u00a0oza\u0159ov\u00e1n\u00ed malign\u00edch lymfom\u016f u\u017e\u00edv\u00e1 <strong>fotonov\u00e1 nebo protonov\u00e1 radioterapie<\/strong>. Rozd\u00edl je ve fyzik\u00e1ln\u00edch vlastnostech jednotliv\u00fdch typ\u016f z\u00e1\u0159en\u00ed, a&nbsp;t\u00edm je d\u00e1no i&nbsp;jin\u00e9 chov\u00e1n\u00ed ve tk\u00e1n\u00edch.<\/p>\n<p><span style=\"color: #f07f1f;\">\u2e3a<\/span><\/p>\n<p 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><\/p>\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\u00a0okoln\u00ed zdrav\u00e9 struktury.<\/p>\n<div class=\"gdc_row\">\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h2 style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2443\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-proton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-proton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-proton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-proton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/h2>\n<\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<h2 style=\"text-align: left;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-2442\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-foton-1000x12000-1-250x300.jpg\" alt=\"\" width=\"450\" height=\"540\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-foton-1000x12000-1-250x300.jpg 250w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-foton-1000x12000-1-768x922.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/04\/LYMFOMY-_-porovnani-foton-1000x12000-1.jpg 1000w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: left;\"><strong>Fotonov\u00e9 z\u00e1\u0159en\u00ed,<\/strong> jeho\u017e zdrojem jsou line\u00e1rn\u00ed urychlova\u010de, vykazuje pozvoln\u00fd sp\u00e1d d\u00e1vky ve tk\u00e1ni. T\u00edm doch\u00e1z\u00ed k&nbsp;v\u011bt\u0161\u00ed \u201ekontaminaci\u201d okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed (v\u011bt\u0161\u00edmu a&nbsp;ne\u017e\u00e1douc\u00edmu oz\u00e1\u0159en\u00ed okoln\u00edch zdrav\u00fdch tk\u00e1n\u00ed).<\/p>\n<p style=\"text-align: left;\"><strong>P\u0159i u\u017eit\u00ed proton\u016f<\/strong> doch\u00e1z\u00ed ke strm\u00e9mu sp\u00e1du d\u00e1vky za lo\u017eiskem oz\u00e1\u0159en\u00ed. <strong>Protonov\u00e1 terapie tak umo\u017e\u0148uje zam\u011b\u0159it d\u00e1vku z\u00e1\u0159en\u00ed na\u00a0n\u00e1dor, a&nbsp;v\u00fdznamn\u011b tak sni\u017euje oz\u00e1\u0159en\u00ed zdrav\u00fdch org\u00e1n\u016f a&nbsp;tk\u00e1n\u00ed v&nbsp;okol\u00ed n\u00e1doru<\/strong> (vysok\u00fdmi, st\u0159edn\u00edmi i&nbsp;n\u00edzk\u00fdmi d\u00e1vkami z\u00e1\u0159en\u00ed).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Aby bylo mo\u017en\u00e9 zvolit optim\u00e1ln\u00ed l\u00e9\u010dbu, je velmi d\u016fle\u017eit\u00e9 z\u00edskat \u00fapln\u00e9 a&nbsp;srozumiteln\u00e9 informace. Zaj\u00edmejte se nejen o&nbsp;nejmodern\u011bj\u0161\u00ed l\u00e9\u010debn\u00e9 metody malign\u00edho lymfomu, ozna\u010dovan\u00e9 t\u00e9\u017e jako rakovina m\u00edzn\u00edch uzlin,\u00a0ale i&nbsp;o&nbsp;vedlej\u0161\u00ed \u00fa\u010dinky spojen\u00e9 s\u00a0l\u00e9\u010dbou. Ty toti\u017e mohou v\u00fdznamn\u011b ovlivnit\u00a0kvalitu va\u0161eho \u017eivota b\u011bhem l\u00e9\u010dby i&nbsp;po n\u00ed. V\u00fdhody protonov\u00e9 l\u00e9\u010dby p\u0159i oza\u0159ov\u00e1n\u00ed lymfom\u016f proti b\u011b\u017en\u00e9 radioterapii: Redukce d\u00e1vek ne\u017e\u00e1douc\u00edho z\u00e1\u0159en\u00ed&#8230;<\/p>\n","protected":false},"author":1,"featured_media":4830,"parent":4983,"menu_order":373,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-4992","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\/4992","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=4992"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4992\/revisions"}],"predecessor-version":[{"id":5011,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4992\/revisions\/5011"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/hr\/wp-json\/wp\/v2\/pages\/4983"}],"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=4992"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}