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style=\";text-align:right;direction:rtl\"> اليوم الخامس وما بعده</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> - الاستمرار في جلسات العلاج بالموجات فوق الصوتية اليومية حسب نصيحة الأخصائي.</li><li style=\";text-align:right;direction:rtl\"> مشاورات منتظمة مع الأخصائي لرصد التقدم.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع الثاني فصاعدًا</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> بعد العلاج ، البقاء في البلاد للمراقبة والراحة.</li><li style=\";text-align:right;direction:rtl\"> من الضروري إجراء مشاورات متابعة مع المتخصص.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع الرابع</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> العودة إلى العمل حسب حالة الفرد.</li><li style=\";text-align:right;direction:rtl\"> تجنب الأنشطة والرياضات الشاقة.</li></ul><p style=\";text-align:right;direction:rtl\"> الأسبوع السادس</p><ul style=\";text-align:right;direction:rtl\"><li style=\";text-align:right;direction:rtl\"> من المتوقع العودة التدريجية إلى الأنشطة العادية.</li><li style=\";text-align:right;direction:rtl\"> عادة ما تظهر النتائج النهائية للعلاج المقطعي الآن.</li></ul><p style=\";text-align:right;direction:rtl\"> <i>يرجى ملاحظة أن تجربة كل مريض مع Tomotherapy قد تختلف تبعًا لحالته الصحية الفردية وخصائص خطة العلاج الخاصة به.</i></p>"},"overview":{"text":"<h3>العلاج الإشعاعي المقطعي المحوسب</h3> <p>العلاج بالتصوير المقطعي المحوسب هو شكل دقيق من أشكال العلاج الإشعاعي الذي يدمج التصوير المقطعي المحوسب والعلاج الإشعاعي المعدل الشدة (IMRT) لعلاج السرطان.</p> <div>[أيقونة الإيجابيات<b>]:</b><span> يوفر دقة عالية في استهداف الأورام بالتصوير ثلاثي الأبعاد، مما يقلل من الأضرار التي تلحق بالأنسجة المحيطة بنسبة تصل إلى 50%. مناسب لأشكال ومواقع الأورام المعقدة.</span></div> <div>[icon-cons<b>] السلبيات:</b><span> قد تستغرق جلسات العلاج وقتًا أطول مقارنةً بجهاز TrueBeam، بمتوسط 20-30 دقيقة. ليس مثاليًا 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such as fatigue and skin changes are far commoner"},"contraindications":["Pregnancy, due to fetal radiation exposure","Prior radiotherapy to same region exceeding normal-tissue tolerance","Severe connective tissue disorders with marked radiosensitivity (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Delivered as daily outpatient visits; no overnight stay is normally required for an uncomplicated course."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity continues during treatment; strenuous exercise resumes as acute side effects settle, often within 2-4 weeks."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Tumour response is usually assessed on imaging about 3 months after completion; depends on tumour type."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After the final fraction, once acute side effects are manageable and the radiation team clears travel."},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":42,"unit":"days","qualifier":"Weekly on-treatment review of side effects during the course"},"requirement":"routine"},{"purpose":"wound_check","after":{"min":14,"max":70,"unit":"days","qualifier":"Skin or mucosal reaction check after course completion if reactions are significant"},"requirement":"conditional"},{"purpose":"result_review","after":{"min":90,"max":150,"unit":"days","qualifier":"Response imaging and clinical review about 3 months after completion"},"requirement":"routine"}],"indications":["Cancers of the head, neck, brain, spine or body","Complex target shapes or multiple targets near critical organs","Craniospinal and other long-field irradiation, including paediatric cancers","Total body or marrow irradiation for transplant conditioning","Palliative or benign-lesion irradiation needing precise dose shaping"],"main_risks":["Acute skin reaction (redness, dryness, peeling) in the treated area","Fatigue","Site-specific effects: mucositis, nausea, diarrhoea, urinary symptoms, hair loss","Late tissue effects: fibrosis, organ dysfunction, neurocognitive changes","Small risk of radiation-induced second cancer years later","Low-dose exposure of a larger normal-tissue volume"],"pain":"The radiation delivery itself is painless. Discomfort comes mainly from lying still in position and from treatment-related side effects such as skin or mucosal irritation, which are managed supportively.","preparation":["Oncology consultation and planning imaging: CT, sometimes MRI or PET","Custom immobilisation (thermoplastic mask or body mould) and skin markings","Radiation team gives site-specific instructions, e.g. bladder or bowel preparation","Review of prior radiotherapy, pregnancy status and implanted devices","Dental or supportive care check before head and neck treatment"],"recovery_timeline":[{"phase":"During treatment","description":"Daily outpatient sessions; fatigue and site-specific reactions gradually build over the course.","restrictions":["Protect treated skin from sun and friction","Keep skin markings intact","Follow site-specific diet advice"]},{"phase":"First weeks after completion","description":"Acute side effects peak shortly after the last fraction, then settle over 2-4 weeks.","restrictions":["Avoid strenuous exercise until fatigue eases","Continue skin and mucosal care"]},{"phase":"Months 1-6","description":"Energy returns and tissues heal; first response imaging is performed.","restrictions":["Attend scheduled oncology reviews"]}],"rehabilitation_days":{"min":14,"max":28,"unit":"days","qualifier":"Acute side effects settle over 2-4 weeks; swallowing or functional therapy may extend it."},"result_longevity":"Durability depends on tumour type, stage and site; effective tumour control may be long-lasting or permanent, with surveillance continuing for years.","revision_rate_pct":null,"scars":"No surgical incision or scar. Skin discolouration, dryness or later fibrosis may occur in the irradiated field.","sessions_or_stages":{"sessions":{"min":5,"max":40,"unit":"visits","qualifier":"Daily weekday fractions: about 5-15 for hypofractionated, 25-40 for standard courses."},"stages":[{"code":"planning","label":"Planning CT, immobilisation and dose planning","after":{"min":0,"max":7,"unit":"days","qualifier":"Before first fraction"}},{"code":"treatment_course","label":"Daily helical radiotherapy fractions","after":{"min":3,"max":10,"unit":"days","qualifier":"Starts after plan quality assurance"}}],"qualifier":"One planned fractionated course; length depends on diagnosis, site and dose."},"success":{"metric":"Local tumour control after completed course","value":85,"unit":"percent","horizon":"2-5 years","population":"Adults with localised cancers treated with curative intent","evidence_status":"limited"},"techniques":[{"name":"Helical tomotherapy (IMRT with integrated CT image guidance)","suits_whom":"Patients needing conformal radiotherapy for complex or long targets near critical structures","recovery":"Daily outpatient sessions; no recovery period after each session, with side effects accumulating over the course and settling in the weeks after it ends"},{"name":"Craniospinal or total marrow irradiation by tomotherapy","suits_whom":"Selected paediatric and adult patients needing long-field irradiation","recovery":"Acute side effects depend on field size and settle over 2-4 weeks"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.25,"max":0.75,"unit":"hours","qualifier":"Per daily fraction, including positioning and image guidance; beam-on time is shorter, and complex or long-field treatments may take longer."},"initial_assessment_documents":["Biopsy and pathology report","Recent CT, MRI or PET-CT images (DICOM)","Staging and radiology reports","Oncologist's treatment plan or summary","Surgery operative report (if available)","Prior radiotherapy records (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Daily weekday sessions, so patient stays for the whole course; about 1-3 weeks for hypofractionated, 5-8 weeks for standard courses."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=dominikanskaya-respublika/procedure=tomoterapiya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"سرطان الثدي"},{"id":4,"alias":"lung-cancer","name":"سرطان الرئة"},{"id":7,"alias":"pancreatic-cancer","name":"سرطان البنكرياس"},{"id":9,"alias":"liver-cancer","name":"سرطان الكبد"},{"id":26,"alias":"cervical-cancer","name":"سرطان عنق الرحم"},{"id":97,"alias":"prostate-cancer","name":"سرطان البروستات"},{"id":112,"alias":"brain-cancer","name":"سرطان الدماغ"},{"id":236,"alias":"brain-tumor","name":"ورم في المخ"},{"id":416,"alias":"rectal-cancer","name":"سرطان المستقيم"},{"id":524,"alias":"colon-cancer","name":"سرطان القولون"}],"rendersOffersList":false}