An caman bɛ siran ni an ye kansɛri daɲɛ mɛn. siranba bɛ an na fana fiɲɛbana furakɛli la . A bɛnnen don ka miiri ko: "O, yala nin bɛna nɔ bila farikolo yɔrɔ kɛnɛmanw fana na wa?" Nka bi fɛɛrɛ kuraw yiriwara kosɛbɛ. Bi an bɛ kuma kɛnɛyaji furakɛli fɛɛrɛ kɛrɛnkɛrɛnnen dɔ kan min bɛ kansɛri banakisɛ laɲini tigitigi ani ka tiɲɛni dɔgɔya lamini farikolo yɔrɔ kɛnɛmanw na. O ye 3D-CRT ye.
Nin 3D-CRT ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, 3D-CRT ye fɛɛrɛ ye min ka bon kosɛbɛ, min bɛ kɛ ka kɛnɛyaji kɛnɛyali (EBRT) labɛn kansɛri la. Furakɛli yɛrɛ tɛ, nka furakɛli bolodacogo don .
Miiri k’a filɛ i bɛ taa finitigi dɔ fɛ walisa ka fini dɔ dilan. A b’i ka sumanikɛlan tigitigiw ta ani ka fini labɛn walasa a ka bɛn i ma kosɛbɛ, tiɲɛ tɛ? 3D-CRT bɛ o cogo la. Yan, kansɛribana dɔgɔtɔrɔw bɛ i ka kansɛri kuru ni a lamini farikolo yɔrɔ kɛnɛmanw yecogo saba (3D) sɔrɔ.
Walasa ka nin 3D filɛli in sɔrɔ, ja minnu bɛ bɔ bana sɛgɛsɛgɛli sɛgɛsɛgɛliw la i n’a fɔ `CT (Computed Tomography)` sɛgɛsɛgɛli, ` MRI (Magnetic Resonance Imaging)` sɛgɛsɛgɛli, walima `PET ( Positron Emission Tomography )` sɛgɛsɛgɛli, olu bɛ kɛ. Ɔridinatɛri porogaramu kɛrɛnkɛrɛnnenw bɛ o ja ninnu sɛgɛsɛgɛ ka `3D karti` dɔ dilan min bɛ kansɛri hakɛ tigitigi, a cogoya ani a sigiyɔrɔ jira .
Nin karti 3D in b’a to fiɲɛbɔlanw bɛ se ka ɲɛsin tigitigi kansɛribana ma, o bɛ dɔ bɔ kosɛbɛ fiɲɛ bɛ tiɲɛni minnu kɛ farikolo yɔrɔ kɛnɛmanw lamini na i n’a fɔ fogonfogon, dusukun ani sugunɛ
3D-CRT nafa ye mun ye?
Kansɛri dɔgɔtɔrɔw bɛ baara kɛ ni nin 3D-CRT bolodacogo ye walasa ka kansɛri suguya caman furakɛ. Nin fɛɛrɛ in nafa ka bon kɛrɛnkɛrɛnnenya la ni opereli tɛ se ka kɛ. A bɛ furakɛli bolodalenw fana di walasa ka kurukuru dɔgɔya sani opereli ka kɛ (`neadjuvant therapy`) walima ka kansɛribana tɔw bɛɛ tiɲɛ opereli kɔfɛ (`adjuvant therapy`).
Kansɛri suguya minnu ka teli ka kɛ, 3D-CRT bɛ kɛ minnu na, olu dɔw bɛ duguma.
| Kansɛri suguya | Kunnafoni wɛrɛw |
|---|---|
| Kansɛri min bɛ kɛ kɔnɔbara la | Ka furakɛli boloda ni opereli ye walima ni opereli tɛ. |
| Kansɛri min bɛ kɛ kɔnɔbara la | A ka ca a la a bɛ kɛ ka kurukuruni dɔgɔya sani opereli ka kɛ. |
| Sinna kansɛri | Ni a kɛra ko a seginni farati ka bon furakɛli kɔfɛ. |
| Kolotuguda kansɛri | Ni a jɛnsɛnna fogonfogon walima sugunɛ na ani opereli tɛ se ka kɛ. |
| Kungolo ni kɔ kansɛri | Misali la: Kansɛri minnu bɛ sɔrɔ ɲɛgɛnɛsira ni ɲɛgɛnɛsira la. |
| Kansɛri min bɛ sɔrɔ dumunikɛminɛnw na | Misali la: Sugunɛbilenni ni ɲɛgɛnɛsira kansɛri. |
| Kansɛri min bɛ sɔrɔ ɲɛgɛnɛsira la | A bɛ kɛ bana fɔlɔw ni bana jugumanw bɛɛ la. |
| Fogonfogon kansɛri | I n’a fɔ furakɛli kunba ni opereli tɛ se ka kɛ. |
| Kansɛri wɛrɛw | A bɛ kɛ fana kansɛri wɛrɛw la i n’a fɔ `Ewing sarcoma`, `Vulvar cancer`, `Wilms tumor`. |
3D-CRT bɛ kɛ cogo di furakɛli bolodacogo la?
Aw ka dɔgɔtɔrɔso jɛkulu bɛna aw bila nin 3D-CRT bolodacogo in na senfɛ-senfɛ.
1. Karti 3D dilan
Fɔlɔ, i n’a fɔ an y’a ɲɛfɔ cogo min na ka tɛmɛ, ja minnu bɛ bɔ i ka CT ni MRI sɛgɛsɛgɛliw la , olu bɛ ta ani ɔridinatɛri porogaramu dɔ bɛ kuru karti 3D dilan. Nin karti in bɛ balo masin kɔnɔ min bɛ fiɲɛ bila (`Linear Accelerator`).
2. Simulasi kɛcogo
O bɛ i n’a fɔ tulonkɛ dɔ labɛncogo. Aw bɛna kɛ sababu ye ka aw da furakɛli tabali kan ani ka aw jɔ i n’a fɔ aw bɛna furakɛli kɛ ni fiɲɛ ye. Nin yɔrɔ in na, 3D karti bɛna kɛ ka fiɲɛbɔlanw sigiyɔrɔ tigitigi n’u kɛrɛ dɔn.
3. Aw bɛ fari taamasiɲɛw kɛ
Simulasi kɛtuma na, dɔgɔtɔrɔso jɛkulu bɛna taamasiɲɛ misɛnnin caman bila i fari la, minnu bɛ i n’a fɔ nɔrɔnɔrɔ. A ka c’a la, ninnu ye taamasiɲɛ misɛnninw ye (`tatuw`) minnu bɛ i n’a fɔ tatuwati banbaliw . Aw kana siran ni aw ye ninnu ye. Olu bɛ bila walasa furakɛli kelen-kelen bɛɛ senfɛ, fiɲɛbɔlan ka ɲɛsin kansɛribanakisɛw bɛ yɔrɔ min na tigitigi, k’a sɔrɔ a ma lamaga hali milimɛtɛrɛ kelen. Nin taamasiɲɛ ninnu bɛna aw dɛmɛ ka aw farikolo to a cogo la furakɛli kelen-kelen bɛɛ senfɛ.
Yala 3D-CRT bɛ kɔlɔlɔ lase mɔgɔ ma wa?
Fɛn min nafa ka bon ka faamuya yan, o ye ko 3D-CRT ye bolodacogo ye , furakɛli tɛ. O la, kɔlɔlɔ tilennen si tɛ yen min bɛ sɔrɔ 3D-CRT bolodacogo fɛ.
Nka, kɛnɛyaji furakɛli min bɛ kɛ ka kɛɲɛ ni o labɛn ye, o bɛ se ka kɔlɔlɔ dɔw lase mɔgɔ ma. Hali ni 3D-CRT bɛ dɔ bɔ kosɛbɛ tiɲɛni na farikolo yɔrɔ kɛnɛmanw na, tiɲɛni dɔw bɛ se ka kɛ hali bi. Kɔnɔnatumu minnu bɛ sɔrɔ, olu bɛ bɔ farikolo yɔrɔ la min bɛ furakɛ.
| Kɔnɔnafili | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Sɛgɛn | Bana min ka teli ka sɔrɔ ni farikolo bɛ kansɛribanakisɛw kɛlɛ ani furakɛli kɔfɛ. |
| Dusukunnata ni fɔɔnɔ | O bɛ se ka kɛ kɛrɛnkɛrɛnnenya la ni aw bɛ kɔnɔbara yɔrɔ furakɛ. |
| Dumuninege | Furakɛli bɛ se ka kɛ sababu ye ka yɛlɛma don a diya la. |
| Kunkolodimi | A bɛ se ka kɛ ni aw bɛ kunkolo yɔrɔ furakɛ. |
| Fari bɛ yɛlɛma | Furakɛli yɔrɔ bilenni, ja, nɛ, walima dimi. |
| Disuriya (Disuria) (Disuria). | A bɛ se ka kɛ ni aw bɛ kɔnɔbara duguma walima basibɔn yɔrɔ furakɛ. |
| Kɔnɔboli | A bɛ se ka kɛ ni banakɔtaa yɔrɔ furakɛra. |
Nafaw ni bi fɛɛrɛ kuraw 3D-CRTw la
Nafa min bɛ 3D-CRT fɛɛrɛ la, o ye ko a bɛ kuru laɲini tigitigi kosɛbɛ, wa a bɛ tiɲɛni dɔgɔya lamini farikolo yɔrɔ kɛnɛmanw na.
Nka bi, fiɲɛbɔ furakɛli bolodacogo fɛɛrɛ kɔrɔlenw bɛ yen ka tɛmɛ 3D-CRT kan. U dɔ ye `Intensity-Modulated Radiation Therapy (IMRT)` ye.
IMRT bɛ baara kɛ ni jirisun misɛnnin caman, caman ye (beamlets) sanni ka baara kɛ ni jirisunba kelen ye. Biɲɛw fanga fana bɛ se ka ladilan. A bɛ i n’a fɔ ka ja dɔ ja ni ja misɛnninw ye minnu tɛ kelen ye, sanni ka kɛ ni kulɛri kelen ye. O bɛ a to IMRT ka se ka fiɲɛ di min bɛ bɛn tumu cogoya gɛlɛn ma ka ɲɛ. Kalan dɔw y’a jira ko IMRT kɔlɔlɔw bɛ se ka dɔgɔya hali.
Nka ni 3D-CRT, IMRT, walima fɛɛrɛ wɛrɛ ka fisa aw ma, o bɛ dɔn aw ka kansɛri furakɛli jɛkulu fɛ. A bɛ bɔ fɛn caman na, i n’a fɔ aw ka kansɛri suguya, a sigiyɔrɔ ani a bonya.
Ni aw ye fiɲɛ bila aw la, aw kana siran ka dɔgɔtɔrɔ walima dɔgɔtɔrɔso jɛkulu ɲininka o kɛcogo la. A bɛna kɛ lafiyaba ye i bolo ka fɛn bɛɛ dɔn ka jɛya.
Take-Home cikan
- 3D-CRT tɛ kɛnɛyaji furakɛli ye, nka a ye bolodacogo ye min bɛ kɛ ka ɲɛ kosɛbɛ, min bɛ kɛ ni yɔrɔ saba ye (3D).
- O bɛ kansɛri kuru laɲini ani ka tiɲɛni minnu bɛ kɛ fiɲɛ fɛ farikolo yɔrɔ kɛnɛmanw lamini na, olu dɔgɔya.
- Nin bolodacogo in na, ja minnu bɛ sɛgɛsɛgɛli kɛ i n’a fɔ CT ni MRI, ani ka taamasiɲɛ misɛnniw kɛ fari la walasa ka furakɛli kɛcogo ɲuman dɔn.
- Kɔnɔnatumuw kɔlɔlɔw bɛ sɔrɔ kɛnɛyaji furakɛli fɛ, a tɛ sɔrɔ fɛɛrɛ bolodalen fɛ. U bɛ ɲɔgɔn ta ka kɛɲɛ ni farikolo yɔrɔ ye min bɛ furakɛ.
- Aw bɛ baro kɛ ni dɔgɔtɔrɔ ye furakɛli min ka fisa aw ma. Aw kana siran abada ka ɲininkali si kɛ.
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