Mía dometɔ geɖe vɔ̃na ne míese nya kansa. Míevɔ̃na na keklẽŋusẽdɔdamɔnu hã vevie . Enye nusi sɔ be woabu be, "Oo, ɖe esia akpɔ ŋusẽ ɖe ŋutilã ƒe akpa siwo le lãmesẽ me hã dzia?" Gake egbegbe mɔ̃ɖaŋununya de ŋgɔ ŋutɔ. Egbea míele nu ƒom tso keklẽŋusẽ ƒe atikewɔwɔ ƒe ɖoɖo tɔxɛ aɖe si tɔa ŋku kansa ƒe dɔdzẽa pɛpɛpɛ eye wòɖea nusiwo gblẽ le ŋutinu siwo le lãmesẽ me siwo ƒo xlãe ŋu dzi kpɔtɔna ŋu. Emae nye 3D-CRT.
Nukae nye 3D-CRT sia?
Kpuie ko la, 3D-CRT nye mɔnu deŋgɔ aɖe si wozãna tsɔ wɔa ɖoɖo ɖe External Beam Radiation Therapy (EBRT) ŋu na kansa. Menye atikewɔwɔa ŋutɔe o, ke boŋ ɖoɖo si wowɔ ɖe atikewɔwɔa ŋue .
Tsɔe be èyi avɔlɔ̃la aɖe gbɔ be yeaɖawɔ awu aɖe. Etsɔa wò dzidzenuwo pɛpɛpɛ eye wòtrɔa asi le awua ŋu wòsɔna na wò bliboe, alo? 3D-CRT le nenema. Le afisia la, keklẽŋusẽdɔdalawo kpɔa wò kansadɔlékui kple ŋutinu siwo le lãmesẽ me siwo ƒo xlãe la le akpa etɔ̃ (3D) me.
Be woakpɔ 3D nukpɔkpɔ sia la, wozãa nɔnɔmetata siwo tso dodokpɔ siwo wowɔ tsɔ dia dɔlélewo abe `CT (Computed Tomography)` scan, ` MRI (Magnetic Resonance Imaging)` scan, alo `PET ( Positron Emission Tomography )` scan ene me. Kɔmpiutadziɖoɖo tɔxɛwo dzroa nɔnɔmetata siawo me eye wowɔa `3D anyigbatata` si me kansa la ƒe lolome, nɔnɔme, kple afisi tututu wòle .
3D-nyigbatata sia na be woate ŋu aɖo keklẽŋusẽ ƒe keklẽwo ɖe kansa ƒe dɔdzẽa ŋu pɛpɛpɛ, si ɖea nusiwo keklẽŋusẽ gblẽna le ŋutinu siwo le lãmesẽ me siwo ƒo xlãe abe lãkusi, dzi, kple aklã ene ŋu dzi kpɔtɔna ŋutɔ .
Nukae nye 3D-CRT zazã?
Kansaŋutinunyalawo zãa ɖoɖowɔwɔ ƒe mɔnu sia si nye 3D-CRT tsɔ daa kansa ƒomevi vovovowo. Mɔnu sia le vevie ŋutɔ le nɔnɔme siwo me amekoko mate ŋu adzɔ o me. Enaa keklẽŋusẽ ƒe atikewɔwɔ si ŋu wowɔ ɖoɖo ɖo hã be woatsɔ aɖe dɔdzẽa dzi akpɔtɔ hafi woawɔ dɔ nɛ (`neoadjuvant therapy`) alo atsɔ atsrɔ̃ kansa lãmenugbagbevi ɖesiaɖe si susɔ le amekoko megbe (`adjuvant therapy`).
Kansa ƒomevi siwo bɔ wu siwo ŋu wozãa 3D-CRT na la dometɔ aɖewo le ete.
| Kansa Ƒomevi | Nyatakaka bubuwo |
|---|---|
| Anal cancer | Be woawɔ ɖoɖo ɖe atikewɔwɔ ŋu kple amekoko alo amekoko manɔmee. |
| Dɔdzẽ si le dɔgboa me | Zi geɖe la, wozãnɛ tsɔ ɖea dɔdzẽa dzi kpɔtɔna hafi wowɔa dɔ nɛ. |
| No me dɔdzẽ | Le nɔnɔme siwo me afɔku si li be wòagadzɔ ake le atikewɔwɔ vɔ megbe me. |
| Dɔdzẽ si le dɔgboa me | Ne ekaka ɖe lãkusi alo aklã me eye amekoko mate ŋu adzɔ o. |
| Ta kple kɔ me kansa | Le kpɔɖeŋu me: Laryngeal kple Nasopharyngeal cancers. |
| Kansa si le nuɖuɖumeŋusẽ me | Le kpɔɖeŋu me: Dɔdzẽ le tsinyegoe me kple ʋumenugbagbeviɣiwo me. |
| Dɔdzẽ si le ʋuka me | Wozãnɛ le dɔléle gbãtɔwo kple esiwo do ŋgɔ siaa me. |
| Aklã me dɔdzẽ | Abe atikewɔwɔ vevitɔ ne amekoko mate ŋu adzɔ o ene. |
| Kansa bubuwo | Wozãnɛ hã na kansa bubuwo abe `Ewing sarcoma`, `Vulvar cancer`, `Wilms tumor`. |
Aleke wozãa 3D-CRT le atikewɔwɔ ŋuti ɖoɖowɔwɔ me?
Wò atikewɔlawo ƒe ƒuƒoƒoa akplɔ wò ato 3D-CRT ƒe ɖoɖowɔwɔ ƒe ɖoɖo sia me afɔɖeɖe ɖesiaɖe.
1. 3D Map wɔwɔ
Gbã la, abe alesi míeƒo nu tso eŋu va yi ene la, woɖea nɔnɔmetata siwo woɖe tso wò CT kple MRI fotowo me eye kɔmpiutadziɖoɖo aɖe wɔa dɔdzẽa ƒe nɔnɔmetata si le 3D me. Wotsɔa anyigbatata sia dea mɔ̃ si tsɔa keklẽŋusẽa (si nye `Linear Accelerator`) me.
2. Simulasi ƒe ɖoɖo
Esia le abe fefe aɖe ƒe dzadzraɖo ene. Woana nàmlɔ atikewɔkplɔ̃ dzi eye nànɔ teƒe si nànɔ abe alesi woawɔ keklẽŋusẽdɔdamɔnu na wò ene. Le ɣeyiɣi sia me la, woazã 3D-nyigbatata la atsɔ anya afisi tututu keklẽŋusẽ ƒe keklẽawo le kple dzogoe si tututu dzi wole .
3. Ŋutilã ƒe dzesiwo zazã
Le nɔnɔmetataawo wɔwɔ me la, atikewɔlawo ƒe ƒuƒoƒoa ade dzesi sue ŋutɔ geɖe siwo le abe dometsotso ene ɖe wò ŋutigbalẽ ŋu. Zi geɖe la, esiawo nyea dzesi suesuesuewo (`tattoos`) siwo le abe tattoos siwo nɔa anyi ɖaa ene . Mègavɔ̃ ne èkpɔ esiawo o. Woda esiawo ale be le atikewɔwɔ ɖesiaɖe me la, keklẽŋusẽa naɖo afisi tututu kansa lãmenugbagbeviwo le, eye maʋuʋu milimeta ɖeka pɛ gɔ̃ hã o. Dzesi siawo akpe ɖe ŋuwò be wò ŋutilã nanɔ nɔnɔme ɖeka me le atikewɔwɔ ɖesiaɖe me.
Ðe 3D-CRT hea nugbegblẽ le ame ŋu vɛa?
Nu vevitɔ si gɔme wòle be míase le afisiae nye be 3D-CRT nye ɖoɖowɔwɔ ƒe mɔnu , ke menye atikewɔwɔ o. Eyata nugbegblẽ le ame ŋu tẽ aɖeke meli si 3D-CRT ƒe ɖoɖowɔwɔ ƒe ɖoɖoa hena vɛ o.
Gake keklẽŋusẽdɔdamɔnu si wona le ɖoɖo ma nu ate ŋu ahe nugbegblẽ aɖewo vɛ. Togbɔ be 3D-CRT ɖea nusiwo gblẽna le lãmeka siwo le lãmesẽ ŋu dzi kpɔtɔna ŋutɔ hã la, nu aɖewo ate ŋu agblẽ kokoko. Nusiwo dona tso eme la nɔ te ɖe ŋutilãa ƒe akpa si wole atike wɔm na dzi.
| Nusiwo wògblẽna le ame ŋu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Ɖeɖiteameŋu | Nɔnɔme si bɔ si dzɔna ne ŋutilãa le avu wɔm kple kansa lãmenugbagbeviwo kple le atikewɔwɔ me. |
| Aɖuɖɔtoe kple ʋuʋudedi | Esia ate ŋu adzɔ vevietɔ ne wole dɔ wɔm le ƒodoa ƒe akpa si. |
| Nudzroame | Atikewɔwɔ ate ŋu ana tɔtrɔ le vivisese ŋu. |
| Taɖuame | Ate ŋu adzɔ ne wole ta ƒe akpa si wole dɔ wɔm na. |
| Ŋutilã ƒe tɔtrɔ | Dzobibi, ƒuƒu, ƒoƒo, alo vevesese le afisi atikewɔƒea le. |
| Dysuria ƒe dɔléle | Ate ŋu adzɔ ne wole dɔ wɔm le ƒodo ƒe akpa si le ete alo akɔta ƒe akpa si le akɔta. |
| Dɔmetɔtrɔ | Ate ŋu adzɔ ne wole dɔgboa ƒe akpaa dam. |
Viɖe siwo le 3D-CRTwo ŋu kple egbegbe mɔ̃ɖaŋununya
Viɖe gãtɔ kekeake si le 3D-CRT mɔnua ŋue nye be eɖoa taɖodzinu na dɔdzẽa pɛpɛpɛ ŋutɔ eye wòɖea nusiwo gblẽ le lãmeka siwo le lãmesẽ me siwo ƒo xlãe ŋu dzi kpɔtɔna.
Gake egbea la, ɖoɖowɔwɔ ɖe keklẽŋusẽ ƒe atikewɔwɔ ŋu ƒe mɔnu deŋgɔwo li wu 3D-CRT. Wo dometɔ ɖekae nye `Intensity-Modulated Radiation Therapy (IMRT)`.
IMRT zãa xɔtunu sue geɖe, geɖe (beamlets) ɖe xɔtunu gã ɖeka teƒe. Woate ŋu atrɔ asi le xɔtunuawo ƒe sesẽme hã ŋu. Ele abe nɔnɔmetata suesuesue siwo le vovovo, tsɔ wu be woatsɔ amadede ɖeka tae ene. Esia wɔnɛ be IMRT te ŋu naa keklẽŋusẽ si sɔ kple dɔdzẽa ƒe nɔnɔme si me kɔ nyuie wu. Numekuku aɖewo ɖee fia be ɖewohĩ IMRT ƒe nugbegblẽ le ame ŋu ʋɛ wu gɔ̃ hã.
Gake nenye be 3D-CRT, IMRT, alo mɔnu bubu aɖe nyo na wò la, wò kansadɔlélawo ƒe ƒuƒoƒo si le atike wɔm na wòe tsoa nya me. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye wò kansa ƒe ƒomevi, teƒe si wòle, kple eƒe lolome.
Ne woŋlɔ keklẽŋusẽdɔdamɔnu na wò la, mègavɔ̃ be yeabia wò ɖɔkta alo atikewɔlawo tso alesi wowɔa dɔae ŋu o. Anye gbɔdzɔe gã aɖe na wò ne ènya nusianu nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- 3D-CRT menye keklẽŋusẽ ƒe atikewɔwɔ o, ke boŋ enye ɖoɖowɔwɔ ƒe mɔnu si de pɛpɛpɛ ŋutɔ, si me wozãa akpa etɔ̃ (3D) le.
- Esia tɔa ŋku kansa ƒe dɔdzẽa eye wòɖea nusiwo keklẽŋusẽ gblẽna le ŋutinu siwo le lãmesẽ me siwo ƒo xlãe ŋu dzi kpɔtɔna.
- Ðoɖowɔwɔ sia ƒe akpa aɖewoe nye nɔnɔmetatawo abe CT kple MRI ene ɖeɖeɖa, kple dzesi suesuesuewo dede ŋutigbalẽa ŋu be woakpɔ egbɔ be atikewɔwɔa de pɛpɛpɛ.
- Kekeli ƒe atikewɔwɔ si wonana gbɔe nugbegblẽ le ame ŋu tsona, ke menye dɔdamɔnu si ŋu wowɔ ɖoɖo ɖo gbɔ o. Wotoa vovo le ŋutilã ƒe akpa si wole atike wɔm na nu.
- Dzro atikewɔwɔ si nyo na wò me kple wò ɖɔkta. Mègavɔ̃ gbeɖe be yeabia nya aɖeke o.
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