Pono anei kākou e aʻo e pili ana i ka Brachytherapy, kahi lāʻau e hoʻopau ai i nā hunaola kanesa?

Ke haʻi aku kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai he maʻi kanesa, kamaʻilio paha ʻoe e pili ana i ka radiation therapy, ʻeā? Manaʻo ka poʻe he nui i ka radiation therapy he mīkini nui wale nō e pana ana i ka radiation i ke kino. He hoʻokahi wale nō ʻano hana kēlā. Eia nō naʻe, aia kekahi ʻano hana kūikawā e hele pololei ana i ka puʻupuʻu kanesa a i kekahi manawa e hoʻokomo i kahi mea radioactive i loko. Ua like ia me ka hele ʻana e hoʻouka i ka ʻenemi ma kahi e noho ai ʻo ia. I kēia lā ke kamaʻilio nei mākou e pili ana iā Brachytherapy, kahi lāʻau lapaʻau i lohe ʻole ʻia e ka poʻe he nui, akā he lāʻau lapaʻau maikaʻi loa ia.

He aha ka Brachytherapy ma nā huaʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, ʻo Brachytherapy kahi ʻano o ka radiation therapy kūloko . Pili ia i ke kau ʻana i nā hua liʻiliʻi, nā pellets, a i ʻole nā ​​capsules i loaʻa nā mea radioactive i loko a kokoke loa paha i kahi puʻupuʻu. Hoʻokuʻu kēia mau implants i ka radiation no kahi manawa pōkole, e pepehi ana i nā cell cancer.

E noʻonoʻo he hoʻokahi wale nō wahi lepo i loko o kahi lumi. Pehea ka maikaʻi inā hiki iā ʻoe ke hele wale i kahi o ka lepo a pīpī iā ia ma kahi o ka pīpī ʻana i ka lumi holoʻokoʻa? Pēlā ka hana o kēia lāʻau lapaʻau. No ka mea, ua kuhikuhi ʻia ka radiation i ke kanesa, hiki iā ia ke hāʻawi i kahi mahele ikaika o ka radiation e lawa ai e pepehi i nā cell cancer. Eia kekahi, ʻo ka hōʻino ʻana i nā cell olakino a puni ke kanesa he liʻiliʻi loa ia .

I kekahi manawa, loaʻa paha iā ʻoe ka brachytherapy wale nō. A i ʻole, hiki ke hui pū ʻia me nā lāʻau lapaʻau maʻi ʻē aʻe, e like me ka radiation therapy beam external (EBRT) a i ʻole ke ʻoki kino. Na kāu kauka e hoʻoholo i kēia, ma muli o ke ʻano o ka maʻi ʻaʻai āu.

He aha nā ʻano nui o kēia lāʻau lapaʻau?

Hiki ke hoʻokaʻawale ʻia kēia mau mea radioactive (implants) i hoʻokomo ʻia i loko o ke kino i ka wā o ka mālama ʻana i ka brachytherapy i ʻelua ʻano nui. ʻO ia hoʻi, nā mea i hoʻokomo ʻia no ka manawa pōkole a laila wehe ʻia, a me nā mea e mau loa ana i loko o ke kino. E nānā kākou i kēia mau mea.

He aha nā ʻano maʻi kanesa i mālama ʻia me ka brachytherapy?

ʻO ka Brachytherapy ka mea kūpono loa no nā maʻi kanesa kūloko i laha ʻole i nā ʻāpana ʻē aʻe o ke kino . ʻO ke ʻano kēia aia ke kanesa ma kahi like i hoʻomaka ai. Eia kekahi o nā ʻano maʻi kanesa maʻamau e hoʻohana ʻia ai kēia lāʻau lapaʻau:

• Ka maʻi ʻaʻai prostate
• Nā maʻi kanesa gynecological - no ka laʻana, ka maʻi kanesa uterine, ka maʻi kanesa cervical, a i ʻole ke kanesa vaginal
• Ka maʻi ʻaʻai umauma
• Ka maʻi ʻaʻai maka
• Nā maʻi ʻaʻai poʻo a me ka ʻāʻī

Pehea e hoʻomākaukau ai ma mua o kēia lāʻau lapaʻau?

Ma mua o kou hana ʻana i kēia lāʻau lapaʻau, e nānā pono kāu kauka iā ʻoe. E kūkākūkā ʻo ia i kāu mōʻaukala olakino piha. E kauoha pū ʻo ia i nā hoʻāʻo koko a me nā kaʻina hana kiʻi, e like me ka CT scan, e hoʻolālā i kāu lāʻau lapaʻau.

Eia kekahi, e hāʻawi kāu kauka iā ʻoe i kekahi mau ʻōlelo kūikawā e hahai ai i kekahi mau lā ma mua o kāu mālama ʻana. ʻO kekahi o lākou:

• ʻO kekahi mau lāʻau lapaʻau e hoʻopilikia ai i ke kāpili ʻana o ke koko, no ka laʻana nā anticoagulants a i ʻole nā ​​​​​​painkiller (NSAID), hiki ke hoʻopau ʻia no kekahi manawa.
• Hiki ke noi ʻia ʻoe e hoʻohana i kahi enema e hoʻomaʻemaʻe i kou ʻōpū ma mua o ka mālama ʻana.
• E noi ʻia ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka lāʻau lapaʻau.
• Inā ʻoe e hoʻohana i nā huahana paka, e aʻo ʻia ʻoe e hoʻōki.

He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana?

E ʻokoʻa ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa ai, kona wahi, a me ke ʻano o ka brachytherapy āu e loaʻa ai (LDR, HDR, a mau loa paha). Ua māhele ʻia hoʻi i ʻelua mau ʻano nui e pili ana i kahi i waiho ʻia ai ka mea radioactive:

1. Interstitial Brachytherapy: ʻO kēia kahi e kau pololei ʻia ai nā mea radioactive i loko o ka puʻupuʻu. Hoʻohana ʻia kēia ʻano hana e mālama i ke kanesa prostate, kekahi mau kanesa gynecological, a me nā kanesa ʻiʻo palupalu (sarcomas).

2. Intracavity Brachytherapy: Pili kēia i ke kau ʻana i nā mea radioactive i loko o kahi lua kino kokoke loa i ka puʻupuʻu. Hoʻohana pinepine ʻia kēia ʻano hana no nā maʻi ʻaʻai gynecological e like me ka cervix a me ka uterus.

Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau, e hāʻawi ʻia ʻoe i ka anesthesia e hoʻopau i kou ʻeha. Ke ʻoluʻolu ʻoe, e hahai ke kauka radiation oncologist i kēia mau ʻanuʻu:

• Ke hoʻokomo ʻana i kahi catheter a i ʻole applicator: Hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) a i ʻole kahi mea kūikawā (applicator) i loko o ke kino e lawe i ka mea radioactive i ka puʻupuʻu. Hoʻohana ʻia nā ʻano hana kiʻi, e like me nā scans, e ʻike inā ʻo ia ke ʻano.
• Radiotherapy: A laila hoʻouna ʻia ka Radiotherapy ma o ka ʻōmole i loko a i ʻole kokoke i ka puʻupuʻu. Hoʻomaka ka radiation i hoʻopuka ʻia e kēia mau mea e luku i nā hunaola kanesa.
• Ka wehe ʻana i nā mea radioactive (nā ʻano hana manawa pōkole wale nō): Inā loaʻa iā ʻoe ka radiation therapy kiʻekiʻe (HDR), e wehe ʻia ke mea ma hope o hoʻokahi kau. I ka radiation therapy haʻahaʻa (LDR), e wehe ʻia ma hope o kekahi mau lā.

I ka pau ʻana o ka lāʻau lapaʻau, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha e kāohi i kekahi ʻeha e hiki mai ana ke wehe ʻia ka ʻōmole.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau a pehea ka lōʻihi e hoʻōla ai?

Ma hope o ka pau ʻana o ka lāʻau lapaʻau, e lawe ʻia ʻoe i kahi lumi hoʻōla, kahi e nānā ai nā limahana lapaʻau i kou kūlana a kōkua iā ʻoe e hoʻokele i kekahi ʻeha āu e ʻike nei.

I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me kāu lāʻau lapaʻau. Eia nō naʻe, inā ua loaʻa iā ʻoe ka anesthesia, pono ʻoe i kekahi e hoʻokele iā ʻoe i ka home. I kekahi mau hihia, ʻoiai inā he mau lā kāu mau kau lapaʻau, pono paha ʻoe e noho i ka haukapila.

Ke hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe no ka maʻi kanesa, ʻoiai ke ʻoki kino nui, he pōkole ka manawa hoʻōla ma hope o ka brachytherapy . Ma muli o ke ʻano o ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻi i ka maʻamau i loko o kekahi mau lā a i ʻole hoʻokahi pule. Eia nō naʻe, he mea nui e pale i nā hana ikaika a loaʻa ka nui o ka hoʻomaha no kekahi mau lā ma hope o ka lāʻau lapaʻau. E nīnau i kāu kauka e pili ana i ka manawa kūpono e hoʻomaka hou ai i kāu mau hana maʻamau.

Aia kekahi mau hopena ʻaoʻao a me nā pilikia?

E like me nā lāʻau lapaʻau āpau, hiki i ka brachytherapy ke hana i kekahi mau hopena ʻaoʻao. Eia nō naʻe, ʻo ke ʻano o kēia mau hopena ʻaoʻao e hilinaʻi nui ʻia i ke ʻano o ka maʻi kanesa āu e loaʻa ai a me ke ʻano o ka brachytherapy āu e loaʻa ai.

Hoʻomaikaʻi mālie ka hapa nui o nā hopena ʻaoʻao i ka pau ʻana o ka radiation, akā hiki i kekahi ke hoʻomau no ka manawa lōʻihi, a hiki paha i kekahi ke ʻike ʻia i kekahi manawa ma hope o ka pau ʻana o ka lāʻau.

He palekana anei ke launa pū me nā poʻe ʻē aʻe ma hope o ka lāʻau lapaʻau?

He nīnau kēia a ka poʻe he nui. "No ka mea, he mea radioactive koʻu i loko o koʻu kino, e hōʻeha anei au i koʻu ʻohana a me nā keiki liʻiliʻi?"

ʻO ka pane i kēia e pili ana i ke ʻano o ka brachytherapy āu i loaʻa ai.

• Inā ua loaʻa iā ʻoe ka brachytherapy manawa pōkole: Ma hope o ka wehe ʻia ʻana o ka mea radioactive mai kou kino, ʻaʻohe radiation i koe i loko o kou kino. No laila hiki iā ʻoe ke noho a puni nā poʻe ʻē aʻe, me nā wahine hāpai a me nā keiki liʻiliʻi, me ka makaʻu ʻole. ʻAʻohe pilikia.

• Inā ua loaʻa iā ʻoe ka brachytherapy mau loa: ʻOiai ua hoʻokomo mau ʻia nā hua radioactive i loko o kou kino, hiki iā ʻoe ke hoʻopili ʻia i nā ʻāpana liʻiliʻi loa o ka radiation no kekahi mau pule a i ʻole mau mahina. He haʻahaʻa loa ka pilikia i nā poʻe ʻē aʻe no ka mea ʻaʻole hele mamao loa ka radiation ma waho o ke kino. Eia nō naʻe, ma ke ʻano he akahele, hiki i kāu kauka ke aʻo iā ʻoe e kaupalena i ka pilina kokoke (e.g., ʻapo) me nā wahine hāpai a me nā keiki ʻōpio no kekahi manawa. E hahai pono i kēia mau ʻōlelo aʻoaʻo.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Ma ke ʻano maʻamau, e loaʻa iā ʻoe nā manawa hoʻopaʻa ma hope o ka mālama ʻana. Eia naʻe, ma kahi o ke kali ʻana no kēlā mau lā, e kelepona koke i kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Paʻakikī i ka hanu ʻana a i ʻole ka moni ʻana
• ʻEha nui o ka ʻōpū, ka luaʻi mau ʻana, a i ʻole ka maʻi palahēhē
• Inā loaʻa iā ʻoe kahi kūlana kahi hiki ʻole iā ʻoe ke kaohi i kāu mimi a i ʻole ka ʻōpala

He lāʻau lapaʻau kūpono loa ʻo Brachytherapy no ka luku ʻana i nā hunaola kanesa. He nui kona mau pono no ka mea e hōʻemi ana i ka hōʻino ʻana i nā hunaola olakino. Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe a i ʻole kekahi mea aloha, e kamaʻilio me kāu kauka e pili ana i ia mea a nīnau i kāu mau nīnau.