Ɲɛtaa kura kansɛri furakɛli la: Aw ka kan ka min dɔn VMAT fɛɛrɛbɔ la (Volumetric Modulated Arc Therapy - VMAT)

Daɲɛ min ye "radiation therapy" ye, o bɛ se ka kɛ siranfɛn ye dɔɔni i bolo. Nka a ye fura ye min nafa ka bon kosɛbɛ ani min fanga ka bon ni kansɛri kɛlɛli ye. Bi an bɛna kuma fiɲɛ furakɛli fɛɛrɛ kura dɔ kan, min ka bon kosɛbɛ ani min tɛ mɔgɔ tɔɔrɔ. O ye VMAT ye. An k’a lajɛ a ye min ye, a bɛ baara kɛ cogo min na, ani a nafa ye mun ye.

N’an y’a Fɔ cogo nɔgɔman na, nin VMAT in ye mun ye?

VMAT kɔrɔ ye ko Volumetric Modulated Arc Therapy . Nin ye furakɛli ye min bɛ kɛ ni fiɲɛ ye min bɛ bɔ farikolo kɔkan walasa ka kansɛribanakisɛw faga. Furakɛcogo la, an b’o wele ko External Beam Radiation Therapy (EBRT).

Miiri k’a filɛ, i b’a fɛ ka kansɛribana dɔ tiɲɛ i fari kɔnɔ, nka k’a sɔrɔ i ma kojugu si lase a lamini farikolo yɔrɔ kɛnɛmanw ma minnu ka ɲi. O waati de la VMAT fɛɛrɛbɔ bɛ kɛ fɛn nafamaba ye.

Nin de bɛ kɛ nin furakɛli in na:

Ni aw dalen bɛ furakɛli dilan kan, masin belebele dɔ min bɛ fiɲɛ bɔ, o bɛ wuli ka aw lamini ka kɛ sɛrɛkili kelen walima caman ye. Nin masin in tɛ i gosi. Nka n’a bɛ wuli ka wuli, a bɛ kansɛri laɲini tigitigi ani ka fiɲɛ hakɛ wajibiyalen bɔ.

VMAT ye IMRT (Intensity-Modulated Radiation Therapy) furakɛli fɛɛrɛ kɔrɔlen ye min bɛ kɛ kaban. Sani a ka baara kɛ ni fiɲɛbɔlan belebele kelen ye, IMRT bɛ baara kɛ ni fiɲɛ misɛnnin caman ye walasa ka fiɲɛbɔlan lase tumu ma. VMAT la, o wale in bɛ kɛ ka a sɔrɔ masin bɛ to ka wuli (i n’a fɔ arc), o la furakɛli waati bɛ surunya kosɛbɛ.

VMAT furakɛli bɛ kɛ kansɛri suguya jumɛnw na?

K’a sababu kɛ VMAT fɛɛrɛ ye min bɛ kɛ ka ɲɛ, a ye fura ɲuman ye walasa ka kuruw furakɛ minnu cogoya tɛ deli ka kɛ, walima kuru minnu bɛ farikolo yɔrɔw gɛrɛfɛ i n’a fɔ kunsɛmɛ, dusukun walima kɔkolo. Miiri k’a filɛ, kuru dɔ falenna farikolo yɔrɔ nafama dɔ lamini na. O cogo la, VMAT bɛ se ka kansɛri dɔrɔn furakɛ k’a sɔrɔ a ma tiɲɛni kɛ farikolo yɔrɔ kɛnɛman na.

Kansɛri suguya minnu ka teli ka kɛ, furakɛli fɛɛrɛ in bɛ kɛ minnu na, olu dɔw bɛ duguma.

Nin VMAT masin in bɛ baara kɛ cogo di?

Nin fɛɛrɛ in kuntilenna fɔlɔ ye ka fiɲɛ hakɛ tiɲɛnen dɔ lase kansɛribana ma, ka sɔrɔ ka tiɲɛni dɔgɔya farikolo yɔrɔ kɛnɛmanw na.

Ni masin ``Medical Linear Accelerator - LINAC`` bɛ ka wuli ka i lamini, a bɛ to ka a ka fiɲɛbɔlan cogoya n’a fanga Changer. O bɛ kɛ ka bɛn tigitigi kansɛri kuru cogoya saba (3D) ma. O fiɲɛ hakɛ min ka bon kosɛbɛ, o bɛ kansɛribanakisɛw ka ADN tiɲɛ, k’u faga. O waati kelen na, nin masin in b’a janto a la walasa a lamini farikolokisɛ kɛnɛmanw bɛ fiɲɛ hakɛ min sɔrɔ, o ka dɔgɔya kosɛbɛ.

Mun bɛ kɛ sani furakɛli ka daminɛ? (Labɛnni dakun)

VMAT furakɛli ɲɛtaa yɔrɔ min nafa ka bon kosɛbɛ , o ye nin bolodacogo in ye . A bɛ iko ka karti ja sani i ka taa kɛlɛ la ani ka jugu bɛ yɔrɔ min na tigitigi, o taamasiyɛn.

Aw ka kansɛri dɔgɔtɔrɔ ni dɔgɔtɔrɔso jɛkulu bɛna tile damadɔ kɛ o la.

1. Ja 3D : Fɔlɔ, CT scan, MRI walima PET scan bɛ kɛ walasa ka ja 3D jɛlenba sɔrɔ i farikolo yɔrɔ la, kansɛri bɛ yɔrɔ min na. Nin ja ninnu bɛ kuru bonya tigitigi, a cogoya ani a sigiyɔrɔ jira. U bɛ farikolo yɔrɔ kɛnɛmanw fana dɔn minnu ka kan ka tanga fiɲɛ ma.

2. Seginkanni Session (Simulation):O kɔfɛ, i bɛna taa ni i ye kalan kɛrɛnkɛrɛnnen dɔ la min tɔgɔ ye ko "Simulation". Yan, aw bɛna bila furakɛli dilan kan ani aw ka kan ka kɛ yɔrɔ min na furakɛli waati la, o bɛna dɔn.

3. Taamaʃyɛn ni dɛmɛni : Ikomi aw ka kan ka to yɔrɔ kelen na furakɛli kelen-kelen bɛɛ senfɛ, tuma dɔw la taamasiɲɛw bɛ kɛ aw fari la waati dɔɔnin kɔnɔ, i n’a fɔ ni sɛbɛnnikɛlan ye. Tuma dɔw la, taamasiɲɛ fitiniba dɔ bɛ se ka kɛ a la, min bɛ to senna, i n’a fɔ tatuwati. Ani fana, barisa aw tɛna se ka lamaga furakɛli senfɛ, dɛmɛnan dɔ bɛ se ka kɛ, i n’a fɔ nɔgɔ min dilannen don kɛrɛnkɛrɛnnenya la aw farikolo kama walima masike min bɛ don aw ɲɛda la.

4. Radiation beam planning: O kɔfɛ, dɔgɔtɔrɔso jɛkulu bɛ radiation beamw labɛn walasa u ka ɲɛsin kuru ma ni ɔridinatɛri porogaramuw dɛmɛni ye.

Mun bɛ kɛ furakɛli waati?

Ni aw sera aw ka furakɛli don na, kɛnɛyabaarakɛla bɛna aw bila dilan kan i n’a fɔ a labɛnna cogo min na. O kɔfɛ, a bɛna o masin baara ka bɔ so wɛrɛ kɔnɔ. Nka, i bɛna se ka kuma a fɛ mikro fɛ.

Masina bɛ wuli dɔɔni dɔɔni ka i lamini. Ni a bɛ wuli ka wuli, fiɲɛbɔlanw minnu cogoya ni u fanga tɛ kelen ye, olu bɛ ɲɛsin kuru ma. Aw tɛna o fiɲɛbɔlanw ye. Radiation furakɛlikɛla bɛ o baara bɛɛ lajɛ ɔridinatɛri ɲɛ kan. O la, u bɛ se ka a lajɛ ni a tata hakɛ tigitigi sera yɔrɔ bɛnnen na.

Furakɛli bɛ waati joli ta?

furakɛli bɛɛ bɛ se ka kɛ miniti 20 ɲɔgɔn kɔnɔ . Nka o waati fanba bɛ kɛ ka i jɔyɔrɔ fa cogo bɛnnen na. Masina ka wulicogo yɛrɛ ani ka fiɲɛ bila a la, o bɛ waati kunkurunninba ta, miniti fila ɲɔgɔn.

Ka kɛɲɛ ni aw ka kansɛri suguya ni a taabolo ye, aw bɛ se ka na furakɛli ninnu na don o don dɔgɔkun damadɔ kɔnɔ. Aw ka dɔgɔtɔrɔ bɛna o waati bolodacogo ɲɛfɔ aw ye. Aw bɛ se ka taa so ka ɲɛ furakɛli kɔfɛ.

VMAT furakɛli nafa ye mun ye?

VMAT fɛɛrɛbɔ nafaba fila ye tiɲɛni ni teliya ye .

Yala kɔlɔlɔ dɔw bɛ a la wa?

Ikomi VMAT fɛɛrɛ tɛ tiɲɛni caman kɛ farikolokisɛ kɛnɛmanw na, o la, kɔlɔlɔw farati ka dɔgɔn kosɛbɛ. Nka, a bɛ se ka kɛ ko selilɛri tiɲɛni hakɛ dɔw tɛ se ka bali.

Kɔnɔnatumu minnu bɛ sɔrɔ, olu bɛ bɔ farikolo yɔrɔ la min furakɛra. A ka c’a la, o kow bɛ kɛ waati dɔɔnin kɔnɔ.

Kɛnɛya ni furakɛli ladilikanw furakɛli kɔfɛ

Bɛɛ ka kɛnɛya taabolo n’a ka waati kɛcogo tɛ kelen ye. Mɔgɔ dɔw bɛ se ka kɛnɛya joona furakɛli kɔfɛ, dɔw bɛ se ka kalo damadɔw ta walasa u ka kɛnɛya pewu.

Min nafa ka bon kosɛbɛ, o ye ka aw jija ka taa aw ka tuguni lajɛw la ni aw ka dɔgɔtɔrɔ ye. Nin lajɛ ninnu ye walasa ka a lajɛ aw ka furakɛli bɛ baara kɛ cogo min na. Ani fana, aw bɛ aw ka bana taamasiɲɛw walima kɔlɔlɔ minnu bɛ aw la, aw bɛ aw da mɔgɔw ɲɛ na ni dɔgɔtɔrɔ ye. Nin ye waati ɲuman ye walasa ka ɲininkali o ɲininkali kɛ i bɛ se ka min kɛ.

Danfara jumɛn bɛ VMAT ni IMRT cɛ?

I n’a fɔ a fɔra cogo min na ka tɛmɛ, VMAT ye IMRT ka baarakɛcogo kɔrɔlen ye. U fila bɛɛ laɲini ye ka kansɛribanakisɛw tiɲɛ ka sɔrɔ ka farikolokisɛ kɛnɛmanw kisi.

Danfaraba min bɛ u ni ɲɔgɔn cɛ, o ye ko IMRT kɔnɔ, masin bɛ jɔ yɔrɔ wɛrɛw la, ka fiɲɛbɔlanw bɔ. VMAT kɔnɔ, masin bɛ to ka wuli ka i lamini, ka furakɛli lase. O bɛ kɛ sababu ye ka VMAT furakɛli teliya kosɛbɛ ka tɛmɛ IMRT kan.