Ɲɛtaa kura min kɛra kansɛri furakɛli la: An ka VMAT fɛɛrɛ dɔn wa? (Thérapie d’arc modulé volumétrique) .

I bɛ siran ni jɔrɔnanko min sɔrɔ n’i y’a ye ko kansɛri bɛ i walima i ka mɔgɔ kanulen dɔ la, a ka gɛlɛn ka o fɔ daɲɛw la. Wa o kɔfɛ ni aw ye furakɛli ko mɛn, aw bɛ se ka siran ka tɛmɛn fɔlɔ kan ni aw ye "radiation therapy" ko mɛn. Nka furakɛli dɔnniya bɛ ka ɲɛtaa sɔrɔ don o don. Bi an bɛna kuma o furakɛli fɛɛrɛ kɔrɔlen dɔ kan, min teliyalen don kosɛbɛ, min bɛ kansɛribanakisɛw dɔrɔn de laɲini, wa a bɛ dɔ bɔ kosɛbɛ farikolokisɛ kɛnɛmanw tiɲɛni na. O bɛ Weele ko VMAT.

O la, nin VMAT in ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, VMAT ye ‘Volumetric Modulated Arc Therapy’ daɲɛ surun ye. Nin ye kɛnɛyaji furakɛli ye min ka bon kosɛbɛ, min bɛ kɛ ka kansɛribanakisɛw faga. Ni an b’a fɛ ka tiɲɛ fɔ, a ye furakɛli suguya dɔ ye min bɛ wele ko External Beam Radiation Therapy (EBRT). O kɔrɔ ye ko fɛn si tɛ pikiri kɛ i fari la. O la, kun t’a la ka hami fiɲɛ bɔli la i fari la furakɛli senfɛ walima furakɛli kɔfɛ.

Miiri k’a filɛ, n’i dalen bɛ i ka dilan kan, masinba dɔ bɛ wuli dɔɔni dɔɔni i lamini na, ka to ka fiɲɛbɔlanw laɲini, ka kansɛri bɛ yɔrɔ min na dɔrɔn. O de bɛ Kɛ ni VMAT fɛɛrɛbɔ ye.

Nin ye furakɛli fɛɛrɛ wɛrɛ ye min bɛ taa ɲɛ ni fiɲɛ ye, n’o ye IMRT (Intensity-Modulated Radiation Therapy) ye. IMRT la, fiɲɛbɔlan belebele kelen nɔ na, ​​fiɲɛbɔlan misɛnnin caman minnu fanga tɛ kelen ye, olu bɛ lase tumu ma. O bɛ dɔ bɔ kosɛbɛ tiɲɛni na min bɛ kɛ farikolo yɔrɔ kɛnɛmanw na kuru lamini na. VMAT la, o kɛcogo kelen in bɛ kɛ ni masin bɛ to ka wuli, o la furakɛli bɛ se ka kɛ ka ɲɛ kosɛbɛ ani ka teliya .

VMAT furakɛli bɛ kɛ kansɛri suguya jumɛnw na?

K’a sababu kɛ VMAT fɛɛrɛ tiɲɛni ye, a ye fura ɲumanba ye kansɛribana furakɛli la, minnu cogoya tɛ deli ka kɛ walima minnu bɛ an farikolo yɔrɔ nafamaw gɛrɛfɛ kosɛbɛ. Misali la, aw ka kansɛri dɔgɔtɔrɔ bɛ se ka nin fɛɛrɛ in fɔ aw ye walasa ka kansɛri furakɛ min falen don farikolo yɔrɔ dɔ lamini na.

VMAT furakɛli ka teli ka kɛ nin kansɛri suguya ninnu na.

O bɛ baara kɛ cogo di? Mun bɛ kɛ sani furakɛli ka kɛ?

VMAT furakɛli ye fɛɛrɛ ye min bolodara kosɛbɛ. A bɛ tali kɛ fɛɛrɛ jɔnjɔn damadɔw la.

1. Furakɛli bolodacogo (Planning & Simulation) .

O de ye fɛɛrɛ ye min nafa ka bon kosɛbɛ. Aw ka dɔgɔtɔrɔso jɛkulu bɛna fɔlɔ ka aw farikolo ja saba ta (3D). A ka ca a la, o bɛ kɛ ni CT scan ye, nka tuma dɔw la, MRI walima PET scan. O ja ninnu bɛna u dɛmɛ k’a dɔn kansɛri bɛ yɔrɔ min na tigitigi, a bonya, a cogoya, ani a lamini farikolo yɔrɔ kɛnɛman minnu ka kan ka tanga fiɲɛ ma.

O kɔ fɛ, bolodacogo dɔ bɛ yen min bɛ Weele ko "simulation". Yan,

• Aw bɛna bila yɔrɔ bɛnnen na furakɛli dilan kan ani ka fiɲɛbɔlan bila yɔrɔ la walasa a ka kansɛri gosi tigitigi.
• Aw bɛ se ka waati dɔɔni taamasiɲɛ walima taamasiɲɛ banbali dɔ kɛ aw fari la, i n’a fɔ tatuwati fitini dɔ, walasa ka kansɛri yɔrɔ tigitigi taamasiyɛn.
• Aw bɛ se fana ka baara kɛ ni mɔni walima masike ye min dilannen don kɛrɛnkɛrɛnnenya la aw farikolo kama walasa aw ka to o cogo kelen na ka sɔrɔ aw ma lamaga furakɛli senfɛ.

Nin bolodacogo in bɛ se ka tile kelen walima tile damadɔ ta, barisa furakɛli ka kan ka kɛ ka kɛɲɛ ni aw ka kansɛri cogoya tigitigi ye, ka baara kɛ ni fiɲɛbɔlanw ye minnu ka dɔgɔn i n’a fɔ kretiɛn kun (milimɛtɛrɛ 2,5 x 5).

2. VMAT waati la

Fiɲɛbɔlan dɔ bɛna i bila furakɛli dilan kan, i tun bɛ yɔrɔ min na labɛn waati la. O kɔfɛ, a bɛna masin min bɛ kɛnɛyaji lase, n’o bɛ wele ko ``LINAC - Linear Accelerator'', o kɔlɔsi ka bɔ so danfaralen dɔ la. I bɛna se ka kuma a fɛ mikro fɛ.

Ni furakɛli daminɛna, LINAC masin bɛ wuli dɔɔni dɔɔni ka aw lamini. Ni a bɛ wuli ka wuli, fiɲɛbɔlanw minnu cogoya ni u fanga tɛ kelen ye, olu bɛ ɲɛsin kuru ma. Aw tɛna nin fiɲɛbɔlanw ye, wa aw tɛna dimi foyi sɔrɔ. Radiation furakɛlikɛla bɛna fɛn bɛɛ kɔlɔsi kosɛbɛ ɔridinatɛri ɲɛ kan.

Hali ni furakɛli bɛɛ bɛ miniti 20 ɲɔgɔn ta, tiɲɛ na, fiɲɛ bɛ di waati kunkurunninba kɔnɔ, miniti fila ɲɔgɔn. Waati tɔ bɛ kɛ ka i jɔyɔrɔ fa cogo bɛnnen na.

3. Furakɛli kɔfɛ (VMAT kɔfɛ) .

Ni furakɛli waati banna, aw bɛ se ka taa so ka aw ka don o don baaraw daminɛ kokura i n’a fɔ a bɛ kɛ cogo min na.

VMAT furakɛli nafa ye mun ye?

Nafaba fila bɛ VMAT furakɛli la: tiɲɛni ni teliya.

Yala kɔlɔlɔ dɔw bɛ a la wa?

Ikomi VMAT furakɛli tɛ tiɲɛni dɔgɔya farikolo yɔrɔ kɛnɛmanw na, a kɔlɔlɔw fana ka dɔgɔn. Nka, tiɲɛni dɔw tɛ se ka bali farikolokisɛ kɛnɛmanw na. Ni kɔlɔlɔw bɛ sɔrɔ walima ni u tɛ kɛ, ani u ye fɛn minnu ye, o bɛ danfara ka kɛɲɛ ni farikolo yɔrɔ ye min bɛ furakɛ .

Bɛɛ ka ko kɛlenw tɛ kelen ye. Mɔgɔ dɔw bɛ se ka kɛnɛya o yɔrɔnin bɛɛ furakɛli kɔfɛ. Dɔ wɛrɛw bɛ se ka kalo damadɔw ta walasa u ka kɛnɛya pewu. Aw bɛ dɔgɔtɔrɔ ɲininka aw bɛ se ka min makɔnɔ ka kɛɲɛ ni aw ka kɛnɛyako ye.

Aw bɛna tugu-tugu-ɲɔgɔn kɔ lajɛw di aw ma aw ka furakɛli kɔfɛ. Aw ye aw jija ka taa o lajɛw bɛɛ la. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ bana taamasiɲɛw walima kɔlɔlɔ minnu bɛ se ka sɔrɔ aw la.