{"id":3564,"date":"2024-06-13T10:23:12","date_gmt":"2024-06-13T08:23:12","guid":{"rendered":"https:\/\/www.ptc.cz\/?p=3564"},"modified":"2024-06-13T10:23:12","modified_gmt":"2024-06-13T08:23:12","slug":"na-co-sluzi-pri-ozarovani-maska","status":"publish","type":"post","link":"https:\/\/www.ptc.cz\/sk\/blog\/na-co-sluzi-pri-ozarovani-maska\/","title":{"rendered":"Na \u010do sl\u00fa\u017ei pri o\u017earovan\u00ed maska?"},"content":{"rendered":"

Dozvedeli ste sa, \u017ee v\u00e1m pred r\u00e1dioterapiou musia vyrobi\u0165 masku, a vy neviete, \u010do to znamen\u00e1?<\/p>\n

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U\u017e asi viete, \u017ee po\u010das r\u00e1dioterapie je z\u00e1sadn\u00e1 maxim\u00e1lna presnos\u0165 zacielenia o\u017earovacieho l\u00fa\u010da priamo do n\u00e1doru. \u00dalohu tu hr\u00e1 ka\u017ed\u00fd milimeter, a pr\u00e1ve prot\u00f3nov\u00e1 r\u00e1dioterapia m\u00e1 t\u00fa v\u00fdhodu, \u017ee presn\u00e9 zacielenie umo\u017e\u0148uje neporovnate\u013ene lep\u0161ie, ne\u017e konven\u010dn\u00e1 fot\u00f3nov\u00e1 r\u00e1dioterapia.<\/p>\n

Ani najpresnej\u0161\u00ed pr\u00edstroj by v\u0161ak nebol ni\u010d platn\u00fd, keby pacient pri ka\u017edom o\u017eiaren\u00ed zaujal in\u00fa polohu. T\u00e1 mus\u00ed by\u0165 pri ka\u017edej o\u017earovacej frakcii \u00faplne rovnak\u00e1. Pacientky s rakovinou prsn\u00edka sa z toho d\u00f4vodu napr\u00edklad u\u010dia takzvan\u00e9 riaden\u00e9 d\u00fdchanie, aby bol ich hrudn\u00edk pri o\u017earovan\u00ed v\u017edy v rovnakej polohe. Pri n\u00e1doroch v oblasti hlavy a krku je presnos\u0165 e\u0161te delik\u00e1tnej\u0161ou z\u00e1le\u017eitos\u0165ou, preto\u017ee je d\u00f4le\u017eit\u00e9, aby d\u00e1vka \u017eiarenia nezasiahla zdrav\u00e9 tkaniv\u00e1, napr\u00edklad o\u010dn\u00fd alebo sluchov\u00fd nerv. A pr\u00e1ve z toho d\u00f4vodu tu prich\u00e1dza na rad fixa\u010dn\u00e1 maska.<\/p>\n

Fixa\u010dn\u00e1 maska na mieru<\/h2>\n

Na zabezpe\u010denie presnej, a z\u00e1rove\u0148 \u013eahko reprodukovate\u013enej polohy pacienta pri o\u017earovan\u00ed n\u00e1dorov v oblasti mozgu, miechy, vybran\u00fdch lymf\u00f3mov, sark\u00f3mov, prostaty, pr\u00edpadne \u010fal\u0161\u00edch n\u00e1dorov sa pou\u017e\u00edva fixa\u010dn\u00e1 maska. T\u00e1 zaist\u00ed, \u017ee bude mo\u017en\u00e9 pri ka\u017edej frakcii nastavi\u0165 o\u017earovan\u00e9 \u010dasti tela pacienta do presne rovnakej polohy.<\/p>\n

Maska sa v\u017edy tvaruje na mieru ka\u017ed\u00e9mu jednotliv\u00e9mu pacientovi, a to e\u0161te pred za\u010dat\u00edm pr\u00edpravy o\u017earovacieho pl\u00e1nu. N\u00e1sledne sa pou\u017e\u00edva na zabezpe\u010denie presnej polohy pacienta u\u017e pri pl\u00e1novacej po\u010d\u00edta\u010dovej tomografii a na simul\u00e1tore, rovnako ako pri v\u0161etk\u00fdch o\u017earovac\u00edch frakci\u00e1ch.<\/p>\n

Materi\u00e1l, z ktor\u00e9ho sa maska vyr\u00e1ba, mus\u00ed sp\u013a\u0148a\u0165 ur\u010dit\u00e9 krit\u00e9ri\u00e1. Napr\u00edklad nesmie nijako ovplyv\u0148ova\u0165 v\u00fdsledky pri vy\u0161etren\u00ed na CT, mus\u00ed by\u0165 \u013eahko um\u00fdvate\u013en\u00fd a pochopite\u013ene zdravotne nez\u00e1vadn\u00fd. V s\u00fa\u010dasnej dobe sa naj\u010dastej\u0161ie pou\u017e\u00edvaj\u00fa masky, vyroben\u00e9 z r\u00f4znych termoplastick\u00fdch materi\u00e1lov \u2013 teda tak\u00fdch materi\u00e1lov, ktor\u00e9 sa daj\u00fa po zahriat\u00ed \u013eahko tvarova\u0165.<\/p>\n

Ako prebieha tvarovanie masky<\/h2>\n

Pod\u013ea typu a lokaliz\u00e1cii n\u00e1doru sa vyber\u00e1 aj najvhodnej\u0161\u00ed typ masky. Pokia\u013e je potrebn\u00e9 fixova\u0165 iba hlavu, sta\u010d\u00ed maska trojbodov\u00e1, ak je potrebn\u00e9 fixova\u0165 aj polohu ramien, pou\u017e\u00edvaj\u00fa sa masky \u0161tvor alebo p\u00e4\u0165bodov\u00e9.<\/p>\n

Pred pou\u017eit\u00edm je bud\u00faca maska rovn\u00fd plastov\u00fd pl\u00e1t. Pred samotn\u00fdm tvarovan\u00edm sa najsk\u00f4r pribli\u017ene na 5 min\u00fat vlo\u017e\u00ed do vodn\u00e9ho k\u00fape\u013ea s teplotou okolo 60 \u00b0C. Po vybrat\u00ed z k\u00fape\u013ea sa maska osu\u0161\u00ed a pri pr\u00edjemnej teplote sa potom tvaruje priamo na tv\u00e1ri pacienta. Tvarovanie mus\u00ed by\u0165 r\u00fdchle, preto\u017ee materi\u00e1l masky po\u010das chladnutia z\u00e1rove\u0148 tuhne.<\/p>\n

Po vytvarovan\u00ed sa maska nech\u00e1va pacientovi e\u0161te pribli\u017ene 10 min\u00fat na tv\u00e1ri, tak aby \u00faplne stuhla v po\u017eadovanom tvare. Po\u010das o\u017earovania sa maska up\u00edna k \u0161peci\u00e1lnej podlo\u017eke. T\u00fdm sa zaist\u00ed \u00fapln\u00e1 nehybnos\u0165 \u010dast\u00ed pacientovho tela pod upevnenou maskou, a teda aj maxim\u00e1lnu presnos\u0165 o\u017eiarenia.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Dozvedeli ste sa, \u017ee v\u00e1m pred r\u00e1dioterapiou musia vyrobi\u0165 masku, a vy neviete, \u010do to znamen\u00e1? U\u017e asi viete, \u017ee po\u010das r\u00e1dioterapie je z\u00e1sadn\u00e1 maxim\u00e1lna presnos\u0165 zacielenia o\u017earovacieho l\u00fa\u010da priamo do n\u00e1doru. \u00dalohu tu hr\u00e1 ka\u017ed\u00fd milimeter, a pr\u00e1ve prot\u00f3nov\u00e1 r\u00e1dioterapia m\u00e1 t\u00fa v\u00fdhodu, \u017ee presn\u00e9 zacielenie umo\u017e\u0148uje neporovnate\u013ene lep\u0161ie, ne\u017e konven\u010dn\u00e1 fot\u00f3nov\u00e1 r\u00e1dioterapia. Ani najpresnej\u0161\u00ed pr\u00edstroj…<\/p>\n","protected":false},"author":9,"featured_media":2980,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-3564","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3564","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/comments?post=3564"}],"version-history":[{"count":1,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3564\/revisions"}],"predecessor-version":[{"id":3565,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/posts\/3564\/revisions\/3565"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media\/2980"}],"wp:attachment":[{"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/media?parent=3564"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/categories?post=3564"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ptc.cz\/sk\/wp-json\/wp\/v2\/tags?post=3564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}