ʻAʻole hiki ke hōʻike ʻia ka makaʻu a me ka hopohopo e hiki mai ana i ko kākou manaʻo ke ʻike kākou he maʻi kanesa ko kākou. Akā i kēia lā, me ka ʻepekema lapaʻau holomua, he nui nā lāʻau lapaʻau holomua e ho'ōla a kāohi i ka maʻi kanesa. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano lapaʻau āu i lohe ʻole ai, akā he kūpono loa. ʻO ia ka Brachytherapy. He lāʻau lapaʻau radiation kūikawā kēia i hoʻohana ʻia e luku i nā hunaola maʻi kanesa.
He aha ka Brachytherapy?
I ka ʻōlelo maʻalahi, ʻo ka brachytherapy kahi ʻano radiation therapy kūloko no ka maʻi kanesa. I ka radiation therapy maʻamau, hāʻawi kahi mīkini mai waho o ke kino i ka radiation i ka puʻupuʻu. Akā ʻokoʻa kēia ʻano hana.
Maanei, ua hoʻokomo ʻia kahi mea hana, e like me nā hua liʻiliʻi, nā pellets, a i ʻole nā capsules i loaʻa nā mea radioactive, i loko a i ʻole kokoke loa i ka puʻupuʻu. E noʻonoʻo e like me ka hoʻomālamalama ʻana i kahi kukui liʻiliʻi ma ka ʻaoʻao o ka puʻupuʻu. ʻO ka radiation i hoʻopuka ʻia e kēia mea hana e hele pololei i nā hunaola kanesa a luku iā lākou.
ʻO ka pōmaikaʻi nui ma ʻaneʻi, ʻo ia ka hapa nui o ka radiation e hāʻawi pololei ʻia i ke kanesa, ʻoiai ka hōʻino ʻana i nā ʻiʻo olakino a puni ke kanesa he liʻiliʻi loa. ʻO ka hopena, he emi nā hopena ʻaoʻao.
I kekahi manawa hoʻohana wale ʻia kēia lāʻau lapaʻau. I kekahi manawa hoʻohana ʻia ia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe e like me ka radiation therapy beam external (EBRT) a i ʻole ke ʻoki kino.
Aia kekahi mau ʻano nui o ka brachytherapy?
ʻAe, hiki ke hoʻokaʻawale ʻia kēia ʻano lapaʻau i ʻelua ʻano nui: nā implants manawa pōkole a me nā implants mau loa. E nānā kākou i ka ʻokoʻa.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā Implants Kuikawa | |
| Ka helu haʻahaʻa (LDR) | Ma kēia ʻano hana, waiho ʻia kahi mea hana radiation i loko o ke kino no 1 a 7 mau lā, e hoʻopuka mau ana i nā dosis haʻahaʻa o ka radiation. Ma hope o ka manawa i kuhikuhi ʻia, wehe ke kauka i ka mea hana. |
| Ka helu kiʻekiʻe o ka lāʻau (HDR) | Hoʻouna ʻia kahi mahele nui o ka radiation i loko o kahi manawa pōkole, ʻo 10-20 mau minuke maʻamau. Wehe ʻia ka hāmeʻa i ka hopena o kēlā me kēia kau lapaʻau. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau i ʻelua manawa i ka lā a hiki i 5 mau lā a i ʻole hoʻokahi manawa i ka pule a hiki i 5 mau pule. |
| Nā Implants Paʻa | |
| Hoʻokomo ʻana i nā hua | Ma kēia ʻano hana, hoʻokomo mau ʻia nā hua radioactive liʻiliʻi i loko o ka puʻupuʻu. Hoʻopuka kēia mau mea i nā haʻahaʻa haʻahaʻa o ka radiation no kekahi mau pule a i ʻole mau mahina. I ka hala ʻana o ka manawa, pau ka radioactivity, a noho nā hua hana ʻole i loko o ke kino. ʻAʻole lākou e wehe ʻia. |
He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai kēia lāʻau lapaʻau?
He kūpono loa ka Brachytherapy no nā maʻi kanesa kūloko i laha ʻole i nā ʻāpana ʻē aʻe o ke kino. ʻO kekahi o nā ʻano maʻi kanesa maʻamau e hoʻohana ʻia ai kēia lāʻau lapaʻau:
- Ka maʻi ʻaʻai prostate
- nā maʻi ʻaʻai gynecological (e like me ke kanesa uterine, cervical, a i ʻole vaginal)
- Ka maʻi ʻaʻai umauma
- Ka maʻi ʻaʻai maka
- Nā maʻi ʻaʻai poʻo a me ka ʻāʻī
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
Ma mua o ka hoʻolālā ʻana o kāu kauka i kāu lāʻau lapaʻau, e nānā lākou iā ʻoe a lawe i kahi mōʻaukala olakino piha. Pono paha lākou e hana i nā mea e like me nā hoʻāʻo koko a me nā scan.
E hāʻawi kāu kauka iā ʻoe i nā kuhikuhi maopopo e pili ana i kāu mea e pono ai ke hana ma mua o ka mālama ʻana. Hiki ke noi ʻia ʻoe e hana i nā mea e like me:
- E ho'ōki i ka lawe ʻana i nā lāʻau lapaʻau e hoʻopilikia ai i ke kāpili ʻana o ke koko (e like me nā lāʻau hoʻokahe koko (anticoagulants), nā lāʻau hoʻomaha ʻeha e like me NSAID) no kekahi manawa, e like me ke kuhikuhi a kāu kauka.
- ʻO ka hoʻomaʻemaʻe ʻana i nā ʻōpū me ka hoʻohana ʻana i ka enema ma mua o ka mālama ʻana.
- Mai ʻai a inu no kekahi mau hola ma mua o ka hele ʻana i ka haukapila.
- Ka hoʻōki loa ʻana i ka hoʻohana ʻana i nā huahana paka.
He mea nui loa e hahai pololei i kēia mau kuhikuhi.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻOkoʻa ke ʻano o ka mālama ʻana ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa ai a me ke ʻano o ka brachytherapy āu e koho ai (LDR, HDR, a mau loa paha). ʻOkoʻa nō hoʻi ia ma muli o kahi i kau ʻia ai ka mea radiation.
- Interstitial brachytherapy: ʻO kēia kahi e kau pololei ʻia ai ka hāmeʻa i loko o ka puʻupuʻu. Hoʻohana ʻia kēia ʻano hana no ke kanesa prostate, kekahi mau kanesa gynecological, a me nā kanesa ʻiʻo palupalu (sarcomas).
- ʻO ka brachytherapy intracavity: ʻO kēia kahi e waiho ʻia ai ka hāmeʻa i loko o kahi lua i loko o ke kino, kokoke i ka puʻupuʻu. Hoʻohana pinepine ʻia kēia ʻano hana no nā maʻi kanesa gynecological e like me nā mea o ka cervix a me ka uterus.
E hāʻawi ʻia ʻoe i ka anesthesia (anesthesia) e pale aku iā ʻoe mai ka ʻeha ʻana i ka wā o ka mālama ʻana. Ke ʻoluʻolu ʻoe, e hahai ke kauka Radiation Oncologist i kēia mau ʻanuʻu:
1. Hoʻokomo ʻia ʻana o kahi catheter a i ʻole applicator: Hoʻokomo ʻia kahi paipu (catheter) a i ʻole mea hana (applicator) e lawe i ka mea radioactive i kahi maʻi kanesa. Alakaʻi ʻia kēia i kahi kikoʻī e kahi scan.
2. Hoʻokomo ʻia ʻana o ka mea hana radiation: A laila, hoʻouna ʻia kahi mea hana radioactive ma o ka ʻōmole i loko a i ʻole kokoke i ka puʻupuʻu. Hoʻopau ka radiation i hoʻopuka ʻia e kēia i nā hunaola kanesa.
3. Ke wehe ʻana i ka hāmeʻa (lāʻau lapaʻau manawa wale nō): Ma ke ʻano HDR, wehe ʻia ka hāmeʻa ma hope o hoʻokahi kau lapaʻau. Ma ke ʻano LDR, i kekahi manawa wehe ʻia ma hope o kekahi mau lā.
Ma hope o ka lāʻau lapaʻau, hāʻawi ʻia nā mea ʻeha e hōʻoluʻolu i ka ʻehaʻeha i ka wā e wehe ai i nā mea e like me ke catheter.
He aha nā pōmaikaʻi a me nā helu holomua o ka lāʻau lapaʻau?
He lāʻau lapaʻau maikaʻi loa ʻo Brachytherapy no ka maʻi ʻaʻai i laha ʻole.
- ʻOi aku ka nui o ka hiki ke hoʻopau i nā hunaola kanesa kahi hoʻouka kaua radiation i kuhikuhi nui ʻia.
- He liʻiliʻi nā hopena ʻaoʻao no ka mea he liʻiliʻi ka hōʻino ʻana i nā ʻiʻo olakino.
- ʻOi aku ka pōkole o ka manawa ho'ōla ma mua o kekahi mau lāʻau lapaʻau maʻi kanesa ʻē aʻe.
Pehea ka maikaʻi o kēia lāʻau lapaʻau?
Ua hōʻike ʻia e ka noiʻi he maikaʻi loa ka brachytherapy i ka mālama ʻana i nā maʻi e like me ke kanesa cervical a me ke kanesa prostate. I kekahi mau hihia, ua hiki i kēia lāʻau ke ho'ōla piha i ke kanesa a pale i kona hoʻi hou ʻana mai.
Akā hoʻokahi mea e hoʻomanaʻo ai: ʻAʻole like nā maʻi kanesa a me nā maʻi āpau. No laila, he mea nui e kamaʻilio me kāu kauka a hoʻomaopopo piha i nā hopena āu e manaʻo ai mai kēia lāʻau lapaʻau e pili ana i kou kūlana.
Aia kekahi mau pilikia a i ʻole nā hopena ʻaoʻao i kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao e hiki mai ana. Aia lākou i ke ʻano o ka maʻi kanesa e mālama ʻia ana a me ke ʻano o ka lāʻau. ʻO ka mea maikaʻi loa, ʻo ka hapa nui o nā hopena ʻaoʻao he manawa pōkole. Hiki i kekahi ke lōʻihi, akā hiki ke mālama ʻia.
Nā hopena ʻaoʻao maʻamau:
- Ka paʻakikī o ka mimi ʻana a i ʻole ka hiki ʻole ke kāohi i ka mimi ʻana (`(Urinary incontinence)`)
- ʻO ka hana ʻino ʻana o ka erectile
- ʻO ka ʻeha o ka wahine
- Luhi
- ʻO ka paʻa ʻana, ka maʻi diarrhea, a i ʻole ka pilikia o ka kaohi ʻana i nā neʻe ʻana o ka ʻōpū
- Ka luaʻi a me ka luaʻi
ʻO ka mea nui loa, ʻo nā hopena ʻaoʻao e kaupalena pinepine ʻia i ka ʻāpana o ke kino i mālama ʻia. No ka laʻana, hiki i ka mālama ʻana i ka prostate ke hana i nā pilikia mimi a i ʻole ka ʻōpū, akā ʻoi aku ka liʻiliʻi o ka nausea.
ʻO ke kanaka i loaʻa ka lāʻau lapaʻau a me nā poʻe ʻē aʻe
ʻEhia ka lōʻihi e ho'ōla ai?
He pōkole ka manawa hoʻōla ma hope o ka brachytherapy ke hoʻohālikelike ʻia me nā lāʻau lapaʻau ʻē aʻe o ka maʻi kanesa, e like me ke ʻoki ʻana. Ma muli o ke ʻano o ka lāʻau lapaʻau, hiki iā ʻoe ke manaʻo maikaʻi i loko o kekahi mau lā a i ʻole hoʻokahi pule. He mea nui e hoʻomaha no kekahi mau lā ma hope o ka lāʻau lapaʻau a pale i nā hana ikaika. E hoʻomau i kāu mau hana maʻamau e like me ke kuhikuhi a kāu kauka.
He palekana anei ke noho a puni kekahi i hana ʻia i ka lāʻau lapaʻau?
He nīnau kēia a nā poʻe he nui e nīnau ai.
- Inā loaʻa iā ʻoe ka brachytherapy manawa pōkole , ʻaʻohe radiation i koe i loko o kou kino ma hope o ka wehe ʻia ʻana o ka hāmeʻa, no laila ʻaʻohe pilikia o ka launa pū ʻana me nā poʻe ʻē aʻe.
- Inā ua loaʻa iā ʻoe ka brachytherapy mau loa (e like me nā mea hoʻokomo hua), e hoʻokuʻu ʻia kahi liʻiliʻi loa o ka radiation mai kou kino no kekahi mau pule a mau mahina paha.
Akā, mai hopohopo. Hele kēia radiation i nā wahi pōkole loa ma waho o ke kino. ʻO ia ke kumu ʻaʻole ia e hōʻeha i nā ʻiʻo olakino a puni ke kanesa. No laila, he liʻiliʻi loa ka pilikia i nā poʻe ʻē aʻe. Eia nō naʻe, ma ke ʻano he akahele , ʻōlelo pinepine nā kauka i nā wahine hāpai a me nā keiki ʻōpio e pale i ka pili kokoke ʻana me kekahi no ka manawa lōʻihi i nā wā mua.
Āhea ʻoe e ʻike ai i ke kauka?
E haʻi koke aku i kāu kauka inā loaʻa iā ʻoe nā hōʻailona aʻe i ka wā a ma hope paha o ka mālama ʻana:
- Paʻakikī i ka hanu ʻana a i ʻole ka moni ʻana
- ʻO ka ʻōpū nui, ka luaʻi ʻana, a i ʻole ka maʻi palahēhē
- ʻAʻole hiki ke kāohi i ka mimi a i ʻole ka ʻōpala
Leka Lawe-Home
- ʻO Brachytherapy kahi ʻano lapaʻau holomua e kau ana i kahi kumu radiation i loko a kokoke loa paha i kahi puʻupuʻu e kuhikuhi a luku i nā hunaola kanesa.
- ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka hoʻemi ʻia ʻana o ka hōʻino ʻana i nā ʻiʻo olakino a no laila ua hoʻemi ʻia nā hopena ʻaoʻao.
- He mea kūpono loa kēia no nā maʻi ʻaʻai i laha ʻole i nā ʻāpana ʻē aʻe o ke kino.
- ʻElua ʻano: manawa pōkole a mau loa. Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.
- ʻOiai hiki ke loaʻa nā hopena ʻaoʻao, hiki ke hoʻokele pinepine ʻia a kaupalena ʻia i ka wahi i mālama ʻia.
- He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka ma mua, i ka wā, a ma hope o ka lāʻau lapaʻau.
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