{"id":3258,"date":"2023-08-17T16:04:31","date_gmt":"2023-08-17T14:04:31","guid":{"rendered":"https:\/\/www.ptc.cz\/co-liecime\/hlava-a-krk\/proc-zvolit-protonovou-lecbu\/"},"modified":"2024-06-17T14:20:40","modified_gmt":"2024-06-17T12:20:40","slug":"preco-zvolit-protonovu-liecbu","status":"publish","type":"page","link":"https:\/\/www.ptc.cz\/sk\/co-liecime\/hlava-a-krk\/preco-zvolit-protonovu-liecbu\/","title":{"rendered":"Pre\u010do zvoli\u0165 prot\u00f3nov\u00fa lie\u010dbu"},"content":{"rendered":"<p>O\u017earovanie v&nbsp;oblasti hlavy a&nbsp;krku patr\u00ed k&nbsp;najn\u00e1ro\u010dnej\u0161\u00edm ako pre pacienta, tak aj pre lek\u00e1ra. V&nbsp;tejto oblasti je pr\u00edli\u0161 ve\u013ea org\u00e1nov citliv\u00fdch na&nbsp;\u017eiarenie, ktor\u00e9 m\u00f4\u017eu by\u0165 po\u0161koden\u00e9, a&nbsp;z\u00e1rove\u0148 je na&nbsp;zni\u010denie n\u00e1doru potrebn\u00e9 pou\u017eitie vysok\u00fdch d\u00e1vok. \u0160tandardn\u00e1 r\u00e1dioterapia t\u00fato situ\u00e1ciu nie je schopn\u00e1 v\u017edy vyrie\u0161i\u0165. N\u00e1dory oblasti hlavy a&nbsp;krku s\u00fa lokalizovan\u00e9 v&nbsp;bl\u00edzkom okol\u00ed mnoh\u00fdch rizikov\u00fdch \u0161trukt\u00far, ktor\u00e9 maj\u00fa v\u00fdznamne obmedzen\u00fa toleranciu k&nbsp;ionizuj\u00facemu \u017eiareniu (miecha, slinn\u00e9 \u017e\u013eazy, mozgov\u00fd kme\u0148, preh\u013atacie cesty, o\u010di, optick\u00fd nerv a&nbsp;pod.), teda ve\u013emi \u010dasto nie je v&nbsp;pr\u00edpade fot\u00f3novej r\u00e1dioterapie mo\u017en\u00e9 aplikova\u0165 dostato\u010dn\u00fa d\u00e1vku \u017eiarenia bez toho, aby sa tieto org\u00e1ny po\u0161kodili.<\/p>\n<h3><strong>V\u00fdhody prot\u00f3novej lie\u010dby pri o\u017earovan\u00ed n\u00e1dorov hlavy a&nbsp;krku proti be\u017enej r\u00e1dioterapii s\u00fa:<\/strong><\/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>V\u00fdznamne zni\u017euje ne\u017eiaduce o\u017eiarenie miechy a\u017e o&nbsp;80 %, a&nbsp;predch\u00e1dza tak vzniku tzv. myelopatie, ktor\u00e1 je sprev\u00e1dzan\u00e1 poruchou hybnosti a\u017e \u00faplnej straty hybnosti.<\/li>\n<li>V\u00fdznamn\u00fdm sp\u00f4sobom umo\u017e\u0148uje zn\u00ed\u017ei\u0165 d\u00e1vky na&nbsp;v\u0161etky optick\u00e9 \u0161trukt\u00fary (\u0161o\u0161ovka, rohovka, retina, 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>Umo\u017e\u0148uje redukciu d\u00e1vky na&nbsp;\u0161trukt\u00fary preh\u013atac\u00edch ciest, a&nbsp;tak zni\u017euje pravdepodobnos\u0165 \u0165a\u017ekost\u00ed preh\u013atania, poruchy tvorby sl\u00edn, nutnos\u0165 zavedenia PEG (kanyla zaveden\u00e1 do \u017eal\u00fadka na&nbsp;zabezpe\u010denie v\u00fd\u017eivy).<\/li>\n<\/ul>\n<h5><span style=\"color: #a0c657;\">\u2e3a<\/span><\/h5>\n<h4>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.<\/h4>\n<p style=\"text-align: left;\"><span style=\"font-size: 16px;\">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.<\/span><\/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-3959\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_proton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_proton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_proton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p>&nbsp;<\/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=\"aligncenter size-full wp-image-3962\" src=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_foton-_SK.jpg\" alt=\"\" width=\"768\" height=\"922\" srcset=\"https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_foton-_SK.jpg 768w, https:\/\/www.ptc.cz\/wp-content\/uploads\/2024\/06\/PxF-_HAK-_foton-_SK-250x300.jpg 250w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/p>\n<p>&nbsp;<\/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>O\u017earovanie v&nbsp;oblasti hlavy a&nbsp;krku patr\u00ed k&nbsp;najn\u00e1ro\u010dnej\u0161\u00edm ako pre pacienta, tak aj pre lek\u00e1ra. V&nbsp;tejto oblasti je pr\u00edli\u0161 ve\u013ea org\u00e1nov citliv\u00fdch na&nbsp;\u017eiarenie, ktor\u00e9 m\u00f4\u017eu by\u0165 po\u0161koden\u00e9, a&nbsp;z\u00e1rove\u0148 je na&nbsp;zni\u010denie n\u00e1doru potrebn\u00e9 pou\u017eitie vysok\u00fdch d\u00e1vok. \u0160tandardn\u00e1 r\u00e1dioterapia t\u00fato situ\u00e1ciu nie je schopn\u00e1 v\u017edy vyrie\u0161i\u0165. N\u00e1dory oblasti hlavy a&nbsp;krku s\u00fa lokalizovan\u00e9 v&nbsp;bl\u00edzkom okol\u00ed mnoh\u00fdch rizikov\u00fdch \u0161trukt\u00far, ktor\u00e9 maj\u00fa&#8230;<\/p>\n","protected":false},"author":1,"featured_media":2879,"parent":3255,"menu_order":300,"comment_status":"closed","ping_status":"closed","template":"template-service-detail-with-sidebar.php","meta":{"footnotes":""},"class_list":["post-3258","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\/3258","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=3258"}],"version-history":[{"count":4,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3258\/revisions"}],"predecessor-version":[{"id":3965,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3258\/revisions\/3965"}],"up":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/pages\/3255"}],"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=3258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}