{"id":3239,"date":"2023-08-17T16:14:22","date_gmt":"2023-08-17T14:14:22","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/centralni-nervovy-system\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-17T14:19:00","modified_gmt":"2024-06-17T12:19:00","slug":"preco-zvolit-protonovu-liecbu-pri-nadoroch-cns","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/centralny-nervovy-system\/preco-zvolit-protonovu-liecbu-pri-nadoroch-cns\/","title":{"rendered":"Pre\u010do zvoli\u0165 prot\u00f3nov\u00fa lie\u010dbu pri n\u00e1doroch CNS"},"content":{"rendered":"<p>\u00daspe\u0161nos\u0165 lie\u010dby n\u00e1dorov CNS r\u00e1dioterapiou je z\u00e1visl\u00e1 na&nbsp;biologickej povahe ochorenia, predch\u00e1dzaj\u00facom preveden\u00ed chirurgick\u00e9ho v\u00fdkonu a&nbsp;aplikovanej d\u00e1vke \u017eiarenia. O\u017earovanie oblasti centr\u00e1lnej nervovej s\u00fastavy patr\u00ed k&nbsp;najn\u00e1ro\u010dnej\u0161\u00edm ako pre pacienta, tak aj pre lek\u00e1ra. V&nbsp;tejto oblasti sa nach\u00e1dza pr\u00edli\u0161 ve\u013ea \u0161trukt\u00far citliv\u00fdch na&nbsp;\u017eiarenie, ktor\u00e9 m\u00f4\u017eu by\u0165 po\u0161koden\u00e9. Z\u00e1rove\u0148 je na&nbsp;zni\u010denie n\u00e1doru potrebn\u00e9 pou\u017ei\u0165 vysok\u00e9 d\u00e1vky. \u0160tandardn\u00e1 (fot\u00f3nov\u00e1) r\u00e1dioterapia t\u00fato situ\u00e1ciu nie je schopn\u00e1 v\u017edy vyrie\u0161i\u0165 kv\u00f4li neprimeran\u00e9mu riziku po\u0161kodenia rizikov\u00fdch, \u010dasto \u017eivotne d\u00f4le\u017eit\u00fdch \u0161trukt\u00far, ktor\u00e9 sa nach\u00e1dzaj\u00fa v&nbsp;bl\u00edzkosti n\u00e1doru. U&nbsp;niektor\u00fdch n\u00e1dorov, napr. n\u00e1dorov b\u00e1zy lebe\u010dnej, nie je chirurgick\u00e1 lie\u010dba takmer nikdy kompletn\u00e1. Prot\u00f3nov\u00e1 lie\u010dba umo\u017e\u0148uje doda\u0165 potrebn\u00fa d\u00e1vku \u017eiarenia do oblasti n\u00e1doru, a&nbsp;t\u00fdm prispieva k&nbsp;jeho lep\u0161ej kontrole a&nbsp;zvy\u0161uje \u0161ance pacienta na&nbsp;vylie\u010denie.<\/p>\n<h3>V\u00fdhody prot\u00f3novej lie\u010dby pri o\u017earovan\u00ed n\u00e1dorov centr\u00e1lnej nervovej s\u00fastavy s\u00fa:<\/h3>\n<ul>\n<li>Umo\u017e\u0148uje v\u00fdznamne zn\u00ed\u017ei\u0165 d\u00e1vku ne\u017eiaduceho o\u017eiarenia na&nbsp;mozog, a&nbsp;t\u00fdm predch\u00e1dza\u0165 riziku vzniku por\u00fach pam\u00e4te.<\/li>\n<li>Umo\u017e\u0148uje v\u00fdznamn\u00fdm sp\u00f4sobom zn\u00ed\u017ei\u0165 d\u00e1vky na&nbsp;zrakov\u00e9 nervy, \u010d\u00edm zni\u017euje riziko obmedzenia \u010di straty zraku.<\/li>\n<li>Zni\u017euje tie\u017e riziko obmedzenia \u010di straty sluchu, najm\u00e4 v&nbsp;oblasti vysok\u00fdch frekvenci\u00ed.<\/li>\n<li>Zni\u017euje riziko po\u0161kodenia ment\u00e1lnych a&nbsp;hormon\u00e1lnych funkci\u00ed.<\/li>\n<li>Zni\u017euje pravdepodobnos\u0165 vzniku sekund\u00e1rnych n\u00e1dorov.<\/li>\n<\/ul>\n<h5><span style=\"color: #e6214c;\">\u2e3a<\/span><\/h5>\n<h4><em>Na schematickom obr\u00e1zku je zn\u00e1zornen\u00e9 rozlo\u017eenie d\u00e1vky \u017eiarenia v&nbsp;tele pri pou\u017eit\u00ed prot\u00f3novej a&nbsp;fot\u00f3novej terapie.<\/em><\/h4>\n<p>Je zrejm\u00e9, \u017ee prot\u00f3nov\u00fd zv\u00e4zok o\u017earuje iba tzv. cie\u013eov\u00fd objem (oblas\u0165, kde sa nach\u00e1dza alebo nach\u00e1dzal n\u00e1dor), teda \u017eiarenie je smerovan\u00e9 takmer v\u00fdlu\u010dne len do tkaniva, ktor\u00e9 je postihnut\u00e9. Naopak fot\u00f3nov\u00e9 \u017eiarenie v\u010faka svojim fyzik\u00e1lnym vlastnostiam zasahuje v\u00fdznamne aj okolit\u00e9 zdrav\u00e9 \u0161trukt\u00fary.<\/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=\"aligncenter size-full wp-image-3936\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_proton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_proton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_proton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><\/div>\n<\/div>\n<div class=\"gdc_column gdc_chalf\">\n<div class=\"gdc_inner\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3952\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_foton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_foton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_CNS-_foton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p style=\"text-align: left;\">\n<p style=\"text-align: left;\"><\/div>\n<\/div>\n<\/div>\n<p style=\"text-align: left;\">\n","protected":false},"excerpt":{"rendered":"<p>\u00daspe\u0161nos\u0165 lie\u010dby n\u00e1dorov CNS r\u00e1dioterapiou je z\u00e1visl\u00e1 na&nbsp;biologickej povahe ochorenia, predch\u00e1dzaj\u00facom preveden\u00ed chirurgick\u00e9ho v\u00fdkonu a&nbsp;aplikovanej d\u00e1vke \u017eiarenia. O\u017earovanie oblasti centr\u00e1lnej nervovej s\u00fastavy patr\u00ed k&nbsp;najn\u00e1ro\u010dnej\u0161\u00edm ako pre pacienta, tak aj pre lek\u00e1ra. V&nbsp;tejto oblasti sa nach\u00e1dza pr\u00edli\u0161 ve\u013ea \u0161trukt\u00far citliv\u00fdch na&nbsp;\u017eiarenie, ktor\u00e9 m\u00f4\u017eu by\u0165 po\u0161koden\u00e9. Z\u00e1rove\u0148 je na&nbsp;zni\u010denie n\u00e1doru potrebn\u00e9 pou\u017ei\u0165 vysok\u00e9 d\u00e1vky. \u0160tandardn\u00e1 (fot\u00f3nov\u00e1) r\u00e1dioterapia&#8230;<\/p>\n","protected":false},"author":1,"featured_media":2879,"parent":3237,"menu_order":264,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-3239","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3239","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3239"}],"version-history":[{"count":4,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3239\/revisions"}],"predecessor-version":[{"id":3958,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3239\/revisions\/3958"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3237"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/2879"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}