Siranya ni jɔrɔnanko min bɛ na an hakili la n’an y’a dɔn ko kansɛri bɛ an na, o tɛ se ka fɔ ni kuma ye. Nka bi, ni furakɛli dɔnniya yiriwara, furakɛli kɔrɔlen caman bɛ yen walasa ka kansɛri furakɛ ani k’a kɛlɛ. Bi, an bɛ kuma furakɛli fɛɛrɛ dɔ kan, n’a sɔrɔ aw ma min mɛn, nka a bɛ nɔ bɔ kosɛbɛ. O bɛ wele ko Brachytherapy. Nin ye kɛnɛyaji furakɛli kɛrɛnkɛrɛnnen ye min bɛ kɛ ka kansɛribanakisɛw tiɲɛ.
Brachytherapy ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, brachytherapy ye kɔnɔna furakɛli suguya dɔ ye kansɛri furakɛli la. Fiɲɛ furakɛlicogo kɔrɔ la, masin min bɛ bɔ farikolo kɔkan, o bɛ fiɲɛ bila kuru la. Nka o fɛɛrɛ in tɛ kelen ye.
Yan, minɛn dɔ, i n’a fɔ kisɛ misɛnninw, bɔgɔmugu walima furakisɛ minnu bɛ kɛ ni radiyowaati ye, opereli bɛ don kuru kɔnɔ walima ka surunya kosɛbɛ . Aw bɛ a miiri i n’a fɔ aw bɛ anpulu fitinin dɔ yeelen kuru kɛrɛfɛ yɛrɛ. O minɛn in bɛ fiɲɛ min Bɔ, o bɛ Taa kansɛribanakisɛw la k’u Tiɲɛ.
Nafa min ka bon yan, o ye ko fiɲɛ fanba bɛ lase kansɛri ma k’a sɔrɔ kansɛri lamini farikolo yɔrɔ kɛnɛmanw tiɲɛni ka dɔgɔ. O bɛ na ni kɔlɔlɔw dɔgɔyali ye.
Tuma dɔw la, fura in bɛ kɛ a kelen na. Tuma wɛrɛw la, a ni kansɛri furakɛcogo wɛrɛw bɛ fara ɲɔgɔn kan, i n’a fɔ kɛnɛyaji furakɛli (EBRT) walima opereli.
Yala brachythérapie suguya kunbabaw bɛ yen wa?
Ɔwɔ, nin furakɛli fɛɛrɛ in bɛ se ka tila suguya fila ye: fɛn minnu bɛ don waati dɔɔni kɔnɔ ani fɛn minnu bɛ don mɔgɔ la kudayi. An k’a lajɛ danfara min bɛ u ni ɲɔgɔn cɛ.
| Furakɛli suguya | Cogojirali |
|---|---|
| Waati dɔɔnin kɔnɔ fɛnw doncogo | |
| A tata hakɛ dɔgɔman (LDR) . | O fɛɛrɛ in na, fiɲɛbɔlan dɔ bɛ to farikolo la tile 1 fo tile 7, ka to ka fiɲɛ hakɛ dɔgɔmanw bɔ. Waati kofɔlen kɔfɛ, dɔgɔtɔrɔ bɛ minɛn in bɔ. |
| A tata hakɛ cayalenba (HDR) . | Fiɲɛ hakɛ camanba bɛ di waati kunkurunnin kɔnɔ, a ka ca a la miniti 10-20 kɔnɔ. O minɛn bɛ bɔ furakɛli waati kelen-kelen bɛɛ laban na. Furakɛliw bɛ se ka kɛ siɲɛ fila tile kɔnɔ fo ka se tile 5 ma walima siɲɛ kelen dɔgɔkun kɔnɔ fo dɔgɔkun 5. |
| Fɛn minnu bɛ don mɔgɔ kɔnɔ kudayi | |
| Kisɛw falenni | O fɛɛrɛ in na, kisɛ misɛnninw bɛ don tumu kɔnɔ kudayi. Olu bɛ fiɲɛ hakɛ dɔgɔmanw bɔ dɔgɔkun walima kalo damadɔ kɔnɔ. Waati tɛmɛnen kɔfɛ, radiyowaati bɛ sɛgɛn, wa kisɛ minnu tɛ baara kɛ, olu bɛ to farikolo la. U tɛ bɔ yen. |
Nin furakɛli in bɛ kɛ kansɛri suguya jumɛnw na?
Brachytherapy nafa ka bon kɛrɛnkɛrɛnnenya la kansɛriw la minnu bɛ sigida la, minnu ma jɛnsɛn farikolo yɔrɔ wɛrɛw la. Kansɛri suguya minnu ka teli ka kɛ, furakɛli in bɛ kɛ minnu na, olu dɔw ye:
- Kansɛri min bɛ sɔrɔ ɲɛgɛnɛsira la
- Musoya kansɛri (misali la, denso, kɔnɔbara walima musoya kansɛri) .
- Sinna kansɛri
- Ɲɛ kansɛri
- Kungolo ni kɔ kansɛriw
Aw bɛ aw labɛn cogo di sani aw ka furakɛli kɛ?
Sani dɔgɔtɔrɔ ka se ka aw ka furakɛli boloda, u bɛna aw sɛgɛsɛgɛ ani ka furakɛli tariku sɛbɛn ka ɲɛ. A bɛ se ka kɛ fana u ka kan ka fɛnw kɛ i n’a fɔ joli sɛgɛsɛgɛli ni sɛgɛsɛgɛli.
Aw ka kan ka min kɛ sani aw ka furakɛli kɛ, aw ka dɔgɔtɔrɔ bɛna cikan jɛlenw di aw ma. A ka c’a la, a bɛ se ka ɲini aw fɛ aw ka fɛnw kɛ i n’a fɔ:
- Aw bɛ furaw tali dabila minnu bɛ nɔ bila joli kuruli la (misali la, joli segin furaw (anticoagulants), dimimadafura i n’a fɔ AINE) aw bɛ dɔɔni dɔɔni, i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na.
- Banakɔtaa saniya ni layidu ye sani furakɛli ka kɛ.
- Aw bɛ aw yɛrɛ tanga dumuni ni minni ma fo lɛri damadɔ sani aw ka taa dɔgɔtɔrɔso la.
- Sigarɛtimin dabila pewu.
A nafa ka bon kosɛbɛ ka tugu nin cikanw kɔ tigitigi.
Mun bɛ kɛ furakɛli waati?
Furakɛli kɛcogo bɛ danfara ka kɛɲɛ ni kansɛri suguya ye min bɛ aw la ani aw bɛ brakifura suguya min sugandi (LDR, HDR, walima banbali). A fana bɛ ɲɔgɔn ta ka kɛɲɛ ni fiɲɛbɔlan bilayɔrɔ ye.
- Brachythérapie interstitielle : O yɔrɔ de la minɛn bɛ bila kuru kɔnɔ k’a ɲɛsin a ma. Nin fɛɛrɛ in bɛ kɛ ɲɛgɛnɛsira kansɛri, musoya kansɛri dɔw la, ani farikolo yɔrɔ nugulama kansɛriw (sarcomas).
- Brachythérapie intracavité : Nin ye yɔrɔ ye min na minɛn bɛ bila dingɛ dɔ kɔnɔ farikolo la, ka surunya kuru la. Nin fɛɛrɛ in bɛ kɛ ka caya musoya kansɛriw la i n’a fɔ kɔnɔbara ni denso ta.
Anestezi (anestezi) bɛna di aw ma walasa ka dimi si sɔrɔ aw la furakɛli waati. Ni aw lafiyalen don, kansɛri furakɛla min bɛ wele ko Radiation Oncologist, o bɛna nin wale ninnu kɛ:
1. Katetɛri walima furakisɛ doncogo: Tubabufura (katɛri) walima minɛn (minɛn) bɛ don a kɔnɔ walasa ka radiyowaati lase kansɛri yɔrɔ la. O bɛ bilasira ka taa yɔrɔ tigitigi la ni sɛgɛsɛgɛli ye.
2. Fiɲɛbɔlan doncogo : O kɔfɛ, fiɲɛdilan dɔ bɛ ci ka tɛmɛ tubabukan na ka don kuru kɔnɔ walima a kɛrɛfɛ. O bɛ fiɲɛ min bɔ, o bɛ kansɛribanakisɛw tiɲɛ.
3. Minɛn bɔli (furakɛli waati dɔɔnin dɔrɔn): HDR fɛɛrɛ la, minɛn bɛ bɔ furakɛli siɲɛ kelen kɔfɛ. LDR fɛɛrɛ la, a bɛ bɔ tuma dɔw la tile damadɔ kɔfɛ.
Furakɛli kɔfɛ, dimimadafura bɛ di walasa ka dusukasi lajɔ ni aw bɛ fɛnw bɔ i n’a fɔ katetɛri.
Furakɛli nafa ni a ɲɛtaa hakɛ jumɛnw bɛ yen?
Brachytherapy ye kansɛri furakɛcogo ɲumanba ye min ma jɛnsɛn.
- Ni fiɲɛ bɛ binkanni min laɲini kosɛbɛ, o bɛ se ka kansɛribana banakisɛw tiɲɛ ka tɛmɛ.
- A kɔlɔlɔw ka dɔgɔn barisa tiɲɛni ka dɔgɔn farikolo yɔrɔ kɛnɛmanw na.
- A kɛnɛyali waati ka surun ka tɛmɛ kansɛri furakɛcogo dɔw kan.
Nin furakɛli in nafa ka bon cogo di?
Sɛgɛsɛgɛliw y’a jira ko brachytherapy bɛ se ka kɛ kosɛbɛ banaw furakɛli la i n’a fɔ kɔnɔbara basigilen kansɛri ani ɲɛgɛnɛsira kansɛri. Tuma dɔw la, nin furakɛli in sera ka kansɛri furakɛ pewu, ka a bali ka segin.
Nka fɛn kelen min ka kan ka to an hakili la: Kansɛri bɛɛ tɛ kelen ye ani banabagatɔ bɛɛ tɛ kelen ye. O la, a nafa ka bon ka kuma aw ka dɔgɔtɔrɔ fɛ ani ka a faamu kosɛbɛ aw bɛ se ka nɔ minnu sɔrɔ furakɛli in na ka da aw ka ko kan.
Yala farati walima kɔlɔlɔ dɔw bɛ nin furakɛli in na wa?
I n’a fɔ furakɛli suguya bɛɛ, kɔlɔlɔ bɛ se ka sɔrɔ a la. U bɛ bɔ kansɛri suguya la min bɛ furakɛ ani a furakɛcogo. A yɔrɔ min ka fisa, o ye ko kɔlɔlɔ fanba bɛ kɛ waati dɔɔnin dɔrɔn de kɔnɔ. Dɔw bɛ se ka mɛn, nka u bɛ se ka ɲɛnabɔ.
Kɔnɔnatumuw kɔlɔlɔ minnu ka teli ka sɔrɔ:
- Koli gɛlɛya walima koli kunbɛnbaliya (`(Sugunɛbaliya)`) .
- Cɛya sɔgɔsɔgɔninjɛ
- Musoya la sɔgɔsɔgɔninjɛ
- Sɛgɛn
- Kɔnɔboli, kɔnɔboli, walima banakɔtaa kunbɛnni gɛlɛya
- Dusukunnata ni fɔɔnɔ
Min nafa ka bon kosɛbɛ, o ye ko a ka ca a la, kɔlɔlɔw bɛ dan farikolo yɔrɔ ma min furakɛra. Misali la, ɲɛgɛnɛsira furakɛli bɛ se ka sugunɛ walima banakɔtaa gɛlɛyaw lase mɔgɔ ma, nka kɔnɔboli man teli.
Mɔgɔ min ye furakɛli sɔrɔ ani mɔgɔ wɛrɛw
A bɛ waati joli ta ka kɛnɛya?
A kɛnɛyali waati min bɛ kɛ braki furakɛli kɔfɛ, o ka surun ni a bɛ tali kɛ kansɛri furakɛli wɛrɛw la, i n’a fɔ opereli. Ka kɛɲɛ ni furakɛli suguya ye, aw bɛ se ka kɛnɛya tile damadɔ walima dɔgɔkun kelen kɔnɔ. A nafa ka bon ka lafiɲɛ tile damadɔ furakɛli kɔfɛ ani ka i yɛrɛ tanga baara gɛlɛnw ma. Aw bɛ aw ka baara kɛcogo kɔrɔw daminɛ kokura i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na.
Yala farati tɛ ka kɛ mɔgɔ dɔ kɛrɛfɛ min ye furakɛli kɛ wa?
Nin ye ɲininkali ye mɔgɔ caman bɛ min kɛ.
- Ni aw ye brachythérapie waati dɔɔnin kɛ , fiɲɛ si tɛna to aw fari la minɛn bɔlen kɔfɛ, o la farati tɛ ka maga mɔgɔ wɛrɛw la kosɛbɛ.
- Ni aw ye brakifurakɛli banbali ta (misali la, kisɛw doncogo), fiɲɛ dɔɔni dɔɔni bɛ bɔ aw fari la dɔgɔkun walima kalo damadɔ kɔnɔ.
Nka, i kana i hakili ɲagami. O fiɲɛ in bɛ Taa yɔrɔ surunba la farikolo kɔkan. O de kama a tɛ tiɲɛni kɛ farikolo yɔrɔ kɛnɛmanw na kansɛri lamini na. O la, farati min bɛ mɔgɔ wɛrɛw la, o ka dɔgɔ kosɛbɛ. Nka, i n’a fɔ u yɛrɛ tanga , a ka ca a la dɔgɔtɔrɔw bɛ musokɔnɔmaw ni denmisɛnniw laadi ko u kana ɲɔgɔn gɛrɛ ɲɔgɔn na waati jan kɔnɔ u daminɛ na.
Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?
Aw bɛ a fɔ aw ka dɔgɔtɔrɔ ye joona ni aw ye nin taamasiɲɛ ninnu ye furakɛli senfɛ walima furakɛli kɔfɛ:
- Ninakili walima dumuni kununni gɛlɛya
- Kɔnɔboli jugumanba, fɔɔnɔ, walima kɔnɔboli
- Sebaliya ka sugunɛ walima banakɔtaa kunbɛn
Take-Home cikan
- Brachytherapy ye furakɛli fɛɛrɛ kɔrɔlen ye min bɛ fiɲɛbɔyɔrɔ dɔ bila kuru kɔnɔ walima ka surunya kosɛbɛ kuru la walasa ka kansɛribanakisɛw laɲini ani k’u tiɲɛ.
- O nafa fɔlɔ ye ko tiɲɛni bɛ kɛ farikolo yɔrɔ kɛnɛmanw na, o la, a kɔlɔlɔw bɛ dɔgɔya.
- O nafa ka bon kɛrɛnkɛrɛnnenya la kansɛriw ma minnu ma jɛnsɛn farikolo yɔrɔ wɛrɛw la.
- A sugu fla bɛ yen: waati dɔɔnin ta ani banbali. Aw ka dɔgɔtɔrɔ bɛna a latigɛ fɛɛrɛ min ka fisa aw ma.
- Hali ni kɔlɔlɔ bɛ se ka sɔrɔ, a ka ca a la, u bɛ se ka kunbɛn, wa u bɛ dan furakɛli yɔrɔ dɔrɔn de la.
- A nafa ka bon kosɛbɛ ka dɔgɔtɔrɔ ka laadilikanw labato ka ɲɛ sani furakɛli ka kɛ, furakɛli kɛtuma na ani furakɛli kɔfɛ.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment