He ʻenehana hou i ka mālama ʻana i ka maʻi kanesa: He aha ka IMRT? (Intensity-Modulated Radiation Therapy)

He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i ka radiation therapy ke ʻike ʻia ʻoe he maʻi kanesa. Akā ua ʻike anei ʻoe ua holomua nui ka ʻenehana lapaʻau i kēia mau lā a aia nā ʻano hana e kuhikuhi wale ana i nā cell cancer a hoʻemi i ka hōʻino ʻana i nā cell olakino e pili ana? ʻO IMRT kekahi ʻano lapaʻau holomua a pololei. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi e hoʻomālamalama i nā nīnau a hopohopo paha āu e loaʻa ai.

He aha ka IMRT ma ka ʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, ʻo IMRT (Intensity-Modulated Radiation Therapy) kahi lāʻau lapaʻau radiation holomua loa no ke kanesa. He ʻano ia o ka radiation therapy kukuna waho. Ma kēia, hoʻohana ʻia kahi mīkini kūikawā i kapa ʻia ʻo Linear Accelerator (LINAC) e kuhikuhi i nā kukuna X-ray ikehu kiʻekiʻe i nā hunaola kanesa a luku iā lākou. ʻAʻole loa e hoʻopā kēia mīkini i kou kino.

ʻO ke ʻano o nā huaʻōlelo ʻelua "Intensity-Modulated" ʻo ia hoʻi "hiki ke hoʻololi ʻia ka ikaika." ʻO kēia ka mea kūikawā e pili ana i ka mālama ʻana i ka IMRT. E noʻonoʻo e pili ana, ʻaʻole like ka mānoanoa o ka puʻupuʻu kanesa ma nā wahi āpau, ʻeā? ʻOi aku ka mānoanoa o kekahi mau wahi, ʻoi aku ka lahilahi o kekahi mau wahi. Hiki i ka ʻenehana IMRT ke hāʻawi i ka radiation me ka ikehu kiʻekiʻe (ikaika) i nā wahi o ka puʻupuʻu i ʻoi aku ka mānoanoa a he nui nā cell, a hāʻawi i ka radiation me ka ikehu haʻahaʻa i nā ʻāpana lahilahi kokoke i nā ʻiʻo olakino. Ua like ia me kahi kukui super hiki ke hoʻomalu ʻia e kahi kamepiula a hiki ke hoʻonui a hoʻemi paha i ka mālamalama o ke kukui. ʻO ke ʻano kēia ʻoiai ua luku pololei ʻia nā cell cancer, ua emi nui ka pōʻino i nā ʻiʻo olakino a puni.

No ke aha he mea nui ka mālama ʻana i ka IMRT?

E like me nā lāʻau lapaʻau radiation ʻē aʻe, ʻo ka pahuhopu nui o IMRT ka luku ʻana i nā hunaola kanesa a me ka hoʻēmi ʻana i nā puʻupuʻu. Eia nō naʻe, ʻo ka pilikia nui loa, ʻo ia ka kokoke mau ʻana o nā puʻupuʻu kanesa i nā ʻōpū olakino koʻikoʻi i loko o ko mākou kino.

E noʻonoʻo e pono ʻoe e wehe i kekahi mau nāhelehele i loko o kāu māla, akā ʻaʻole makemake ʻoe e hōʻino i nā pua nani āu i kanu ai ma kahi kokoke. Hana ʻo IMRT i kēlā. No ka laʻana, hiki ke hoʻohana ʻia e mālama i ka maʻi kanesa me ka mālama ʻana i nā ʻāpana koʻikoʻi o kou kino, e like me kou iwi kuamoʻo, ka lolo, a me nā aʻalolo optic.

ʻO kekahi o nā ʻano maʻi kanesa maʻamau e hoʻohana ʻia ai ka mālama ʻana o IMRT:

• Ka maʻi ʻaʻai umauma
• Ka maʻi ʻaʻai o ka ʻōpū
• Ka maʻi ʻaʻai kolona
• Ka maʻi ʻaʻai māmā
• Ka maʻi ʻaʻai prostate
• Ka maʻi ʻōpū
• Ka maʻi ʻōpū
• A no nā ʻano maʻi ʻē aʻe he nui.

ʻO ka hui loea ma hope o kēia lāʻau lapaʻau

ʻAʻole hana hoʻokahi ka IMRT. He hana hui ia. Hana pū kahi hui o nā kauka akamai e hoʻokō i kāu lapaʻau. E ʻike kākou ʻo wai kēlā hui.

He aha ka mea e hana ʻia ma mua o ka mālama ʻana? (Kau hoʻolālā)

Ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, pono ʻoe e hele i kahi hālāwai hoʻolālā i kapa ʻia he "simulation." Ua like kēia me ka "rehearsal" ma mua o ke kau ʻana i kahi pāʻani. ʻO kēia kahi e hōʻiliʻili ai kāu hui lapaʻau i ka ʻike āpau e pono ai lākou e hoʻolālā i kāu lāʻau lapaʻau.

Nā mea e hana ʻia ana ma ka simulation:

• Nā scan: E loaʻa iā ʻoe kahi scan CT e ʻike pono ai i kahi o ke kanesa, kona nui, a me kona ʻano. I kekahi manawa hiki ke hana ʻia kahi scan MRI a i ʻole PET .
• Ke kau nei i nā māka:I kēlā me kēia lā o ka mālama ʻana, pono ʻoe e hoʻonoho i kou kino ma ke ʻano like e pili ana i ka mīkini LINAC. No ke alakaʻi ʻana iā ʻoe, ua kau ʻia kekahi mau kiko liʻiliʻi a mau loa, e like me ka peʻa, ma kou ʻili. Ua like kēia me nā māka liʻiliʻi. I kekahi manawa, hoʻohana ʻia nā māka peni, akā pono e mālama ʻia a hiki i ka pau ʻana o ka mālama ʻana.
• Nā ʻŌmole Kūikawā: Pono ʻoe e noho ma ke kūlana like i ka wā o ka mālama ʻana me ka neʻe ʻole ʻana. No ke kōkua ʻana i kēia, hiki ke hana ʻia kahi ʻōmole kūikawā a i ʻole ke kākoʻo e kūpono i ka ʻāpana o kou kino e mālama ʻia nei.

Ma ka hoʻohana ʻana i kēia ʻike a pau i hōʻiliʻili ʻia, hana ke kime lapaʻau i kahi hoʻolālā kukuna radiation me nā ikaika like ʻole e pili ana i kou maʻi kanesa.

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

E ʻokoʻa ka papa hana lapaʻau ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa nei. ʻO ka maʻamau, hāʻawi ʻia ka lapaʻau i nā kau pōkole e mau ana ma kahi o 30 mau minuke i ka lā. E loaʻa i ka hapa nui o ka poʻe ka lapaʻau i kēlā me kēia lā, ʻelima mau lā o ka pule (Pōʻakahi a hiki i ka Pōʻalima). Hiki ke hoʻomau ʻia kēia no kekahi mau pule.

I ka wā o kahi kau lapaʻau:

1. E hoʻonoho ʻia ʻoe ma ke kūlana like me ka wā o ka hoʻolālā ʻana (sim). E kōkua ka mea hoʻōla radiation iā ʻoe me ka hoʻohana ʻana i nā ʻōmole kūikawā i hana ʻia.

2. A laila, komo ka mea hoʻōla radiation i loko o kahi lumi ʻokoʻa a hoʻā i ka mīkini LINAC mai laila mai. Akā, mai hopohopo, hiki iā ia ke ʻike maopopo iā ʻoe ma kahi monitor. Aia kekahi ʻōnaehana intercom e hiki ai iā ʻoe ke kamaʻilio pū kekahi.

3. Neʻe ka mīkini i kona hāʻawi ʻana i nā kukuna radiation mai nā kihi like ʻole. E lohe paha ʻoe i kahi leo "kaomi" a me kahi leo wili iki i kēia manawa. He mea maʻamau loa kēia.

Hiki iā ʻoe ke hoʻi i ka home ke pau ka lāʻau lapaʻau. ʻAʻole kēia he lāʻau lapaʻau inpatient.

He aha nā pōmaikaʻi a me nā pōʻino o IMRT?

E like me kekahi ʻano lapaʻau, hiki i ka IMRT ke loaʻa nā pono a me nā hemahema. E nānā kākou iā lākou.

Pehea e hiki ai iā ʻoe ke mālama iā ʻoe iho i ka wā e hoʻōla ai?

ʻOkoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka. Aia ia i ka nui o ka radiation āu i loaʻa ai, ka nui o nā lāʻau lapaʻau, a me ka ʻāpana o kou kino i mālama ʻia. Manaʻo kekahi poʻe ua ʻoi aku ka maikaʻi i loko o kekahi mau pule inā loaʻa iā lākou nā hopena ʻaoʻao. No kekahi poʻe, hiki ke hala i hoʻokahi a ʻelua paha mahina. E wehewehe kāu kauka i nā hopena ʻaoʻao hiki a me ka manawa hoʻōla iā ʻoe ma muli o kou kūlana.

Pono kou kino i ka hoʻomaha maikaʻi i ka wā a ma hope o ka mālama ʻana. E hana i kēia mau mea e kōkua i kou kino e ho'ōla.

• E ʻai i ka meaʻai momona.
• E inu i ka wai nui.
• E hoʻomaha i ka nui e like me ka hiki.

Hiki ke ʻano ʻili iki kou ʻili ma muli o ka lāʻau lapaʻau. E makaʻala loa i ka ʻili ma kahi i kau ʻia ai ka radiation.

• E ʻaʻahu i nā lole ʻoluʻolu e like me ka pulupulu, ka lole palupalu.
• E hoʻohana i nā kopa a me nā kirīmi i loaʻa ʻole nā ​​​​​​mea ʻala ikaika a i ʻole nā ​​​​​​kemika.
• Mai kau i nā ʻōmole wai wela a i ʻole nā ​​ʻeke hau ma luna o ka ʻili i hoʻopilikia ʻia e ka radiation.
• Inā ʻoe e hele ana i waho i ka lā, e ʻaʻahu i nā lole māmā a palupalu e uhi ana i kou ʻili. E hoʻopili i ka sunscreen, e like me ka ʻōlelo a kāu kauka, i nā wahi i hiki ʻole ke uhi ʻia.

E kamaʻilio ākea me kāu kauka lapaʻau e pili ana i kēia mau mea a pau. E haʻi iā ia i nā nīnau a hopohopo paha āu e loaʻa ai, ʻoiai inā he mau mea liʻiliʻi.