"Radiation" daɲɛ bɛ se ka siran dɔɔnin. Kɛrɛnkɛrɛnnenya la ni kansɛri furakɛli ko don, o siran bɛ se ka bonya ka tɛmɛ o kan. Nka fɛɛrɛ kuraw yiriwara kosɛbɛ nin donw in na. A tɛ i n’a fɔ fɔlɔ, sisan furakɛli ninnu bɛ se ka kɛ ka ɲɛ kosɛbɛ ani ka ɲɛ. O la bi an bɛ kuma kansɛri furakɛli kan ni fiɲɛ ye min ka ca ni tɔw bɛɛ ye, External Beam Radiation Therapy, walima EBRT ni a surunyalen don.
N’an y’a fɔ cogo nɔgɔman na, EBRT ye mun ye?
Miiri k’a filɛ i dalen bɛ dilan kan ka ɲɛ. K’a sɔrɔ i ma maga i fari la, masinba dɔ min bɛ yɔrɔ jan, o bɛ ka fiɲɛbɔlanw ci minnu dilannen don ka ɲɛ kosɛbɛ, minnu ɲɛsinnen bɛ i farikolo kuru dɔrɔn ma. An b’o de Weele dɔrɔn ko EBRT.
O ye ka baara kɛ ni fiɲɛw ye minnu fanga ka bon walasa ka kansɛribanakisɛw tiɲɛ. Laɲini kunba ye ka tiɲɛni dɔgɔya u lamini farikolokisɛ kɛnɛmanw na ka sɔrɔ ka kansɛribanakisɛw tiɲɛ. Nin ye kɛnɛya fura ye, o la foyi tɛ don aw fari kɔnɔ.
Nin furakɛli in na, fiɲɛbɔlan tɛ maga i fari la abada. O nɔ na, dɔgɔtɔrɔso jɛkulu bɛ o masin porogaramu walasa a ka kansɛribanakisɛw dɔrɔn de laɲini ka bɔ yɔrɔ jan, k’u tiɲɛ.
Danfara jumɛn bɛ kɛnɛma ni kɔnɔna furakɛli ni fiɲɛ fɛ?
Fiɲɛ furakɛli bɛ se ka tila suguya belebele fila ye.
1. External Beam Radiation Therapy (EBRT): An bɛ kuma fɛɛrɛ min kan, o ye nin ye. O ye ka fiɲɛ bila ka bɔ masin dɔ la min bɛ farikolo kɔkan.
2. Kɔnɔnafili furakɛli : O ye ka opereli kɛ ka fiɲɛbɔlan fitinin dɔ bila kuru kɔnɔ walima a kɛrɛfɛ.
Hali ni nin fɛɛrɛ fila bɛɛ bɛ kansɛribanakisɛw tiɲɛ, u kɛcogo tɛ kelen ye.
Fanga-fiɲɛ suguya jumɛnw bɛ kɛ o furakɛli in na?
Radiation ye fanga-yɔrɔ ye min kɔnɔ, fɛnɲɛnɛmaw (supercharged particules) bɛ sɔrɔ. Se bɛ o fɛnɲɛnɛmaw ye ka kansɛribanakisɛw tiɲɛ. Nin furakɛli in gɛlɛyaba ye ka kansɛribanakisɛw dɔrɔn tiɲɛ k’a sɔrɔ a ma tiɲɛni kɛ farikolokisɛ kɛnɛmanw na. Fɛnɲɛnɛma suguya wɛrɛw bɛ Kɛ o la.
- Fotonw (X-rays ani gamma rays): Olu de ka teli ka kɛ EBRT furakɛli la. U bɛ i n’a fɔ X-ray minnu fanga ka bon. U bɛ se ka don aw farikolo yɔrɔ jan na ka kansɛribanakisɛw faga.
- Protonw: 1 .Olu ye fɛnɲɛnɛmaw ye minnu ka charge positif bɛ u la. Furakɛli min bɛ kɛ ni ninnu ye, o bɛ wele ko `(Proton Therapy)`. Nin ye fɛɛrɛ kura ye min tɛ se ka fɔ. Kɛrɛnkɛrɛnnenya min bɛ yan, o ye ko porotɔni-fiɲɛ ye kansɛri kuru gosi kɔfɛ, a bɛ jɔ k’a sɔrɔ a ma tɛmɛ a kan. O la, tiɲɛni bɛ kɛ farikolo yɔrɔ kɛnɛmanw na minnu bɛ kansɛri kɛrɛfɛ, o ka dɔgɔ kosɛbɛ. Nka hali bi o furakɛli fɛɛrɛ in man ca diɲɛ kɔnɔ kosɛbɛ.
- Elektɔronw: Olu ye fɛnɲɛnɛmaw ye minnu ka charge négative bɛ yen. U tɛ Se ka Taa fo ka Taa fo ka Se fotonw walima porotɔnw ma. O la, u bɛ kɛ ka caya ka kurukuruw furakɛ farikolo yɔrɔ la, i n’a fɔ farikansɛri.
EBRT furakɛli fanba la, masin dɔ bɛ kɛ min bɛ wele ko ``Linear Accelerator`` (LINAC) walasa ka o fɛnɲɛnamafagalanw teliya ani ka u lase kansɛribanakisɛw ma.
Yala EBRT furakɛli suguya wɛrɛw bɛ yen wa?
Ɔwɔ, ni fɛɛrɛ kuraw yiriwara, sisan EBRT furakɛli fɛɛrɛ ni suguya caman bɛ yen. Ka kɛɲɛ ni aw ka kansɛri suguya ni a sigiyɔrɔ ye, aw ka dɔgɔtɔrɔ bɛna fɛɛrɛ sugandi min bɛnnen don aw ma kosɛbɛ.
| Furakɛcogo suguya | N’an y’a fɔ cogo nɔgɔman na... (Ɲɛfɔli nɔgɔman) |
|---|---|
| 3D furakɛli min bɛ kɛ ni radiyodisiyɔn ye | Baara kɛli ni fɛnw ye i n’a fɔ CT scans, kansɛri misali saba (3D) bɛ dilan ani ka fiɲɛ bila a la ka bɔ yɔrɔw la minnu tɛ kelen ye walasa ka bɛn a ma. |
| Furakɛcogo min bɛ kɛ ni fiɲɛ ye (IMRT) . | Nin ye 3D fɛɛrɛ kɔrɔlen ye. Yan, tumu cogoya dɔrɔn tɛ se ka laɲini, nka kansɛribana caman bɛ yɔrɔ minnu na, olu fana bɛ se ka laɲini ni fanga caman ye , ani yɔrɔ minnu kansɛribana ka dɔgɔn, olu fana bɛ se ka laɲini ni fanga dɔgɔman ye |
| Jaw fɛ furakɛli ni fiɲɛ ye (IGRT) . | Sani furakɛli kelen-kelen bɛɛ ka kɛ, ja lajɛ (i n’a fɔ CT scan) bɛ kɛ walasa ka kansɛri yɔrɔ dɔn ka ɲɛ, o kɔfɛ, fiɲɛ bɛ di. O b’a to tiɲɛni bɛ bonya kosɛbɛ. |
| Radioopératoire stéréotactique (misali la, Gamma Knife) . | Nin tɛ opereli ye, hali n'a bɛ fɔ a ma ko "opereli". O ye fɛɛrɛ ye min bɛ se ka fiɲɛ hakɛ camanba lase kuru misɛnninw ma kunsɛmɛ na, pikiri kelen na walima pikiri caman na, cogo tigitigi la. |
| Furakɛcogo min bɛ kɛ ni farikolojidɛsɛ ye (SBRT) . | Nin ye fɛɛrɛ kelen ye min fɔra sanfɛ, nka a bɛ kɛ kansɛriw la minnu bɛ sɔrɔ kunsɛmɛ kɔkan, kɛrɛnkɛrɛnnenya la yɔrɔw la i n’a fɔ fogonfogon, sugunɛbara ani kɔkolo. |
| Radiation intraoperative (IORT) min bɛ kɛ opereli kɔnɔ . | O bɛ kɛ opereli waati la walasa ka kansɛri bɔ. Fiɲɛ bɛ di waati kelen na kansɛri yɔrɔw ma minnu tun tɛ se ka bɔ pewu opereli fɛ. |
EBRT furakɛli bɛ kɛ bana suguya jumɛnw na?
Nin furakɛli in bɛ kɛ kunba caman na.
- Walasa ka kansɛribanakisɛw tiɲɛ: EBRT bɛ kɛ kansɛri suguya caman furakɛli fɔlɔ ye.
- Walasa ka furakɛli wɛrɛw dɛmɛ: A bɛ kɛ ka kurukuru dɔgɔya sani opereli ka kɛ (furakɛli dɛmɛnan kura) walima ka kansɛribanakisɛ suguya o suguya tiɲɛ opereli kɔfɛ ani ka kansɛri bali ka segin (furakɛli dɛmɛnan).
- Walasa ka bana taamasiɲɛw nɔgɔya: Hali ni a dɔw la, kansɛri tɛ se ka kɛnɛya pewu, o furakɛli bɛ dɛmɛ ka bana taamasiɲɛw kunbɛn i n’a fɔ dimi min bɛ sɔrɔ kansɛri kuruw fɛ ani ka banabagatɔ ka ɲɛnamaya kɛcogo ɲuman sabati.
Kansɛri suguya minnu furakɛra ni EBRT ye
EBRT ye furakɛliba ye kansɛri suguya caman na minnu bɛ sɔrɔ sigida la, i n’a fɔ:
- Sinna kansɛri
- Kolotuguda kansɛri
- Fogonfogon kansɛri
- Kansɛri min bɛ sɔrɔ ɲɛgɛnɛsira la
- Denso kansɛri
- Kungolo ni kɔ kansɛri
- Joli kansɛriw i n’a fɔ jolidɛsɛ ni jolidɛsɛ
Mun bɛ kɛ sani furakɛli ka kɛ? (Labɛnni dakun)
Nin bolodacogo in, n’a bɛ fɔ fana ko ``simulation'', o ye EBRT furakɛli ɲɛtaa yɔrɔba dɔ ye. O ye ka fɛn bɛɛ labɛn i ka furakɛli fɔlɔ kama.
1. Yɔrɔw sigicogo:Aw bɛna sigi dilan kan nin labɛn don in na, i n’a fɔ aw tun bɛ cogo min na furakɛli waati.
2. Sɛgɛsɛgɛli: O kɔfɛ, CT, MRI walima PET sɛgɛsɛgɛli bɛ kɛ walasa ka aw ka kansɛri ni a lamini farikolo yɔrɔ kɛnɛmanw ja tigitigiw sɔrɔ. O de bɛ dɛmɛ ka kansɛri hakɛ tigitigi, a cogoya ani a sigiyɔrɔ dɔn.
3. Taamaʃyɛn: O kɔfɛ, taamasiɲɛ misɛnnin damadɔw bɛna kɛ aw fari la ni sɛbɛnnikɛlan ye walasa ka yɔrɔ dɔn min ka kan ka furakɛ. Olu ka kan ka to u nɔ na fo ka se furakɛli waati laban ma.
4. Nɔgɔ/Maskɛw dilanni: Walasa ka aw dɛmɛ ka to yɔrɔ kelen na furakɛli waati, mɔbili walima masike kɛrɛnkɛrɛnnen dɔ bɛ se ka dilan walasa a ka bɛn aw farikolo yɔrɔ ma.
Ni aw bɛ baara kɛ ni o kunnafoniw ye, aw ka dɔgɔtɔrɔso jɛkulu bɛna tile damadɔ kɛ ka furakɛli bolodacogo dɔ labɛn min bɛ kɛ aw yɛrɛ de kama.
Mun bɛ kɛ furakɛli waati?
Aw tɛna dimi foyi sɔrɔ furakɛli senfɛ.
Aw bɛna sigi yɔrɔ kelen na i n’a fɔ aw tun bɛ cogo min na simulatigɛ waati la. Ni a mago bɛ a la, aw bɛna masike walima siri kɛrɛnkɛrɛnnen dɔ di aw ma. O kɔfɛ, fiɲɛbana furakɛla bɛna bɔ so kɔnɔ ka masin da. nka , u bɛ se k' i kɔlɔsi monitor (kɔlɔsilikɛlan) kan , ka kuma i fɛ intercom (intercom) fɛ .
Masina bɛ wuli ka i lamini, ka mankan suguya wɛrɛw bɔ, ka fiɲɛ bila yɔrɔ kɛrɛnkɛrɛnnenw na. Aw ka kan ka min kɛ dɔrɔn, o ye ka to aw hakili sigilen na, ka to aw hakili sigilen na, ani ka ninakili cogo bɛnnen na. Furakɛli bɛɛ bɛ se ka miniti 15-30 ɲɔgɔn kɛ. Nka, tiɲɛ na, o fiɲɛ bɛ kɛ miniti damadɔ dɔrɔn de kɔnɔ.
A kɔlɔlɔ jumɛnw ka teli ka sɔrɔ?
Hali n’an y’a ɲini ka farikolokisɛ kɛnɛmanw tiɲɛni dɔgɔya ni an bɛ se ka kɛ, a ka gɛlɛn ka tiɲɛni dɔw bali. O farikolokisɛ kɛnɛmanw tiɲɛni de bɛ kɔlɔlɔ lase mɔgɔ ma.
Nafa min b’a la, o ye ko nin kɔlɔlɔ ninnu tɛ kelen ye bɛɛ la . U bɛ bɔ farikolo yɔrɔ fana na min bɛ furakɛ ni fiɲɛ ye. Misali la, mɔgɔ min bɛ furakɛli kɛ a kun na, o tigi kunsigi bɛ se ka bɔ, nka mɔgɔ min bɛ furakɛli kɛ kɔnɔbara la, o tigi tɛ se ka bɔ a la.
Kɔnɔnatumu minnu ka teli ka ye, olu dɔw ye:
- Sɛgɛn kosɛbɛ (Sɛgɛn): O de ye kɔlɔlɔ ye min ka teli ka kɛ.
- Dusukunnata ni fɔɔnɔ
- Dumuninege
- Fari bilenni, ka ja, walima ka nɛ bɔ furakɛli yɔrɔ la
- Kunsigi bɔli furakɛli yɔrɔ la
- Munumunu gɛlɛya ni a bɛ da ni dawolo furakɛ
- Kunkolodimi
Nin kɔlɔlɔ ninnu fanba bɛ ban dɔɔni dɔɔni dɔgɔkun damadɔ kɔnɔ furakɛli bannen kɔfɛ. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ kɛnɛ kan kɔlɔlɔ kɛrɛnkɛrɛnnen minnu bɛ se ka sɔrɔ ani u furakɛcogo.Ni kɔlɔlɔ dɔw ka jugu walima ni aw ye fɛn dɔ ye min tɛ deli ka kɛ, aw bɛ dɔgɔtɔrɔ walima furakɛli yɔrɔ ladɔnniya o yɔrɔnin bɛɛ. Ni bana juguman don, a nafa ka bon ka taa dɔgɔtɔrɔso ka furakɛli kɔrɔtɔlenw yɔrɔ la (ETU).
Take-Home cikan
- EBRT ye furakɛli fɛɛrɛ ye min ka ca kosɛbɛ, dimi tɛ a la, wa a laɲininen don kosɛbɛ, a bɛ kɛ kansɛri furakɛli la bi.
- O bɛ kɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka kulu dɔ fɛ. A kuntilenna fɔlɔ ye ka kansɛribanakisɛw dɔrɔn tiɲɛ ka sɔrɔ ka farikolokisɛ kɛnɛmanw lakana.
- Kɔnɔnatumuw ka teli, nka a ka ca a la, u bɛ kɛ waati dɔɔni kɔnɔ. Kɔnɔnatumu suguya min bɛ sɔrɔ, o bɛ bɔ farikolo yɔrɔ la min bɛ furakɛ.
- A nafa ka bon kosɛbɛ ka kuma i ka dɔgɔtɔrɔ fɛ kɛnɛ kan ani ni tiɲɛ ye furakɛli kan, a kɔlɔlɔw kan, walima siran walima haminanko minnu bɛ se ka kɛ i la.











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