He alakaʻi kiʻi no ka mālama ʻana i ka maʻi kanesa? E aʻo kākou e pili ana i ka ʻenehana IGRT hou loa (Image-Guided Radiation Therapy) ma ke ʻano maʻalahi.

Ua ʻike anei kāu kauka iā ʻoe a i ʻole kekahi āu i ʻike ai me ka maʻi kanesa a haʻi iā ʻoe e pono lākou i ka radiation therapy? A laila ua lohe paha ʻoe i ka huaʻōlelo `IGRT.' E makaʻu iki paha ʻoe ke lohe ʻoe i kēia, me ka noʻonoʻo ʻana, 'He aha kēia?' Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i ia mea ma ke ʻano maʻalahi loa e hiki ai iā ʻoe ke hoʻomaopopo. He ʻano holomua a palekana kēia i hoʻohana ʻia e luku i nā hunaola kanesa.

He aha wale nō ka IGRT?

I ka ʻōlelo maʻalahi, ʻo Image-Guided Radiation Therapy (IGRT) kahi ʻano kūikawā no ka hāʻawi ʻana i ka radiation therapy. ʻO ka pahuhopu nui o kēia, ʻo ia ka luku ʻana i nā hunaola kanesa a hoʻēmi a hoʻopau loa paha i nā puʻupuʻu.

E noʻonoʻo e neʻe ana kahi maʻi kanesa i loko o kou kino i ka wā o ka mālama ʻana. No ka laʻana, hiki i kahi maʻi kanesa i loko o kou mau māmā ke neʻe i kou hanu ʻana. A laila, inā ʻoe e hoʻouna i ka radiation ma ke ʻano maʻamau, ʻaʻole paha e pā pololei i ke kanesa, akā e hōʻino i nā ʻiʻo olakino a puni.

He ʻano kēia o ka radiation therapy beam external (EBRT). Hoʻohana ia i kahi mīkini kūikawā i kapa ʻia ʻo LINAC. Hoʻokele kēia mīkini i nā kukuna ikehu kiʻekiʻe (nā kukuna X-ray/photon) i ke kanesa. ʻO ka mea nui loa, ʻaʻole loa e hoʻopā kēia mīkini i kou kino.

Me IGRT, lawe kāu kauka i nā kiʻi hou ma mua a i ka wā o ka mālama ʻana. Ma ka hoʻohālikelike ʻana i kēlā mau kiʻi me nā kiʻi ma mua, hiki iā lākou ke hoʻoponopono koke i ke kukuna radiation e ʻike inā ua loli iki kahi o ke kanesa. Hoʻemi kēia i ka hōʻino ʻana i nā ʻiʻo olakino.

He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai kēia lāʻau lapaʻau?

Hoʻohana pinepine nā kauka oncologists radiation i ka IGRT e mālama i nā ʻano maʻi kanesa penei:

• Ka maʻi ʻaʻai māmā
• Ka maʻi ʻaʻai prostate
• Ka maʻi ʻaʻai lolo
• Ka maʻi ʻōpū
• ʻO ke kanesa gynecological, e like me ke kanesa ovarian, uterine, a i ʻole ke kanesa vaginal
• Ka maʻi ʻaʻai poʻo a me ka ʻāʻī

I ka manawa pinepine, hoʻohana ʻia ka IGRT me ka hui pū ʻana me nā ʻenehana radiation therapy holomua ʻē aʻe, e like me `(IMRT)` (Intensity-Modulated Radiation Therapy) a i ʻole `(SBRT)` (Stereotactic Body Radiotherapy).

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?

Inā ua kuhikuhi ʻia kēia lāʻau lapaʻau iā ʻoe, e wehewehe pono kāu kauka iā ʻoe i ka mea e hana ʻia ma mua, i ka wā, a ma hope o ka lāʻau lapaʻau. ʻO ka maʻamau, hana ʻia kahi "kau hoʻolālā lapaʻau" (hoʻohālike lapaʻau) ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau maoli.

ʻO kēia ka lawe ʻana i nā scan a me nā kiʻi o kou kino, ka lawe ʻana i nā ana pololei loa me ka hoʻohana ʻana i nā kukuna laser, a me ka hana ʻana i kahi hoʻolālā lapaʻau e pili pono ana iā ʻoe. E wehewehe mua ke kime lapaʻau i nā mea āpau iā ʻoe, no laila ʻaʻohe kumu e makaʻu ai.

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

E like me nā lāʻau lapaʻau radiation waho ʻē aʻe, moe ʻoe ma kahi papa lāʻau. A laila kuhikuhi kahi mīkini i nā kukuna radiation i ke kanesa.

ʻO kēia kahi e komo ai ʻo IGRT. Lawe kāu hui lapaʻau i nā scan hou i ka wā o ka mālama ʻana a hoʻohālikelike i kēlā mau kiʻi me nā mea i lawe ʻia i ka wā o nā kau hoʻolālā mua. Hiki ke hoʻohana ʻia nā ʻano scan like ʻole no kēia.

I kekahi manawa ua kūkulu ʻia nā lako e hiki ke hana i kēia scan i loko o ka mīkini e hāʻawi ana i ka radiation. A i ʻole, e lawe ʻia paha ʻoe i ka papa kahi i loaʻa ai ka scanner.

ʻEhia ka lōʻihi o kēia kau lapaʻau?

ʻO ka hapa nui o nā kau lapaʻau IGRT e mau ana ma waena o 15 a me 20 mau minuke . Eia nō naʻe, i kekahi manawa hiki iā lākou ke mau i 30 mau minuke a i ʻole hoʻokahi hola. ʻO kēia no ka mea pono e hoʻōki i ka lapaʻau i ka hapalua o ka manawa, lawe ʻia nā scan hou, a pono e hoʻoponopono ʻia ke kūlana o ke kukuna radiation a i ʻole ke kūlana o ka papa ʻaina āu e noho nei. E wehewehe mua kāu hui lapaʻau i kēia iā ʻoe.

Nā pōmaikaʻi a me nā hopena ʻaoʻao o ka mālama ʻana iā IGRT

He ala palekana a kūpono loa ka IGRT therapy no ka mālama ʻana i nā maʻi ʻaʻai ma nā ʻāpana o ke kino e neʻe ana.

• He pololei loa ka pahuhopu: Ma muli o ke kāʻei wale nō i ke kanesa, ʻoi aku ka holomua o ka lāʻau.
• Ka pale ʻana i nā ʻiʻo olakino: Hoʻēmi ʻia ka hōʻike ʻana o ka radiation i nā ʻiʻo olakino a puni ke kanesa.
• Nā hopena ʻaoʻao emi: Ma muli o ka emi ʻana o ka hōʻino ʻana i nā ʻiʻo olakino, hiki ke emi mai nā hopena ʻaoʻao ma mua o ka radiation therapy maʻamau.

Nā hopena ʻaoʻao hiki ke loaʻa

ʻOkoʻa paha ka manawa hoʻōla a me nā hopena ʻaoʻao mai kēlā kanaka a kēia kanaka, akā ʻo kekahi mau hopena ʻaoʻao maʻamau:

• Ka maʻi pākī
• Luhi
• Ka luaʻi a me ka luaʻi
• Nā loli o ka ʻili (e.g., ʻulaʻula, maneʻo)

He aha ka ʻokoʻa ma waena o IGRT, IMRT a me SBRT?

Hiki i kēia mau inoa ʻekolu ke lilo i mea huikau iki. He mau lāʻau lapaʻau radiation holomua kēia a pau. E nānā kākou i nā ʻokoʻa nui.

Ke hoʻāʻo mau nei nā kauka e koho i ke ala kūpono a palekana loa e mālama ai i ka maʻi kanesa. ʻO IGRT kekahi o ia mau hana. Inā loaʻa iā ʻoe ka maʻi kanesa, e nānā kāu kauka i kou kūlana a paipai i ka lāʻau lapaʻau radiation kūpono a palekana loa nāu. E hauʻoli lākou e wehewehe i ke kumu e paipai nei lākou i ka IGRT, ke kaʻina hana lapaʻau, a me nā mea āu e manaʻo ai i ka wā a ma hope o ka mālama ʻana.