He ʻenehana hou i ka mālama ʻana i ka maʻi kanesa: E aʻo wale kākou e pili ana i ka IMRT? (Intensity-Modulated Radiation Therapy)

Ke ʻike ʻia ʻoe a i ʻole kahi mea aloha i ka maʻi kanesa, ua lohe paha ʻoe i ka "radiation therapy." Hiki i kēlā huaʻōlelo ke hopohopo iki. Akā me ka holomua o ka ʻepekema lapaʻau, ua lilo kēia mau lāʻau lapaʻau i mea palekana a ʻoi aku ka pololei. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau holomua loa e kuhikuhi wale ana i nā hunaola kanesa a hoʻemi i ka hōʻino ʻana i nā hunaola olakino a puni. Ua kapa ʻia ʻo IMRT.

I ka ʻōlelo maʻalahi, he aha ka IMRT?

ʻO IMRT ke kū nei no Intensity-Modulated Radiation Therapy . He ʻano radiation therapy kēia no ka maʻi kanesa. E noʻonoʻo ʻoe he lama maʻamau kāu ma kou lima. Ke hoʻā ʻoe, hoʻomālamalama ia i kahi wahi nui, ʻeā? Akā inā makemake ʻoe e hoʻomālamalama i kahi wahi liʻiliʻi wale nō, pono ʻoe i kahi mea e like me ka lama laser.

Pēlā nō ia. I ka radiation therapy maʻamau, ua kau ʻia ke kukuna radiation ma luna o ka puʻupuʻu ma kahi ʻāpana like a ākea iki. Akā ma IMRT, hoʻohana mākou i ka ʻenehana holomua loa e hoʻonui a hoʻemi paha i ka ikaika o ke kukuna radiation.

I ka ʻōlelo maʻalahi, hiki i kēia ʻenehana ke hoʻouna i kahi kukuna ikaika loa i waenakonu o ka puʻupuʻu, kahi i nui ai nā cell, a me kahi kukuna ikaika ʻole i nā kihi o ka puʻupuʻu, kahi e kokoke mai ai nā ʻiʻo olakino. Hāʻawi ʻia kēia lāʻau lapaʻau me kahi mīkini i kapa ʻia ʻo "Linear Accelerator" a i ʻole "LINAC". ʻAʻole loa e hoʻopā kēia mīkini i kou kino. Hana ia i ka lāʻau lapaʻau ma kahi mamao.

ʻO ka pahuhopu nui o kēia ʻano hana, ʻo ia ka hōʻemi ʻana i ka hōʻike ʻana o ka radiation i nā ʻōpū a me nā ʻiʻo olakino a puni ke kanesa me ka hoʻonui ʻana i ka hōʻino ʻana i nā hunaola kanesa.

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

Hiki i nā puʻupuʻu kanesa ke hana ʻia ma nā ʻāpana like ʻole o ko kākou kino. I kekahi manawa, hiki iā lākou ke hana kokoke i nā ʻōpū koʻikoʻi loa e like me ka lolo, ke kaula kuamoʻo, a me nā aʻalolo optic. I ka mālama ʻana i kahi kanesa ma ia wahi me ka radiation, hiki ke lilo i mea paʻakikī ke pale aku i ka hōʻino ʻana i kēlā mau ʻōpū koʻikoʻi.

Ma muli o ke kikoʻī o ke ʻano IMRT, he koho maikaʻi loa ia no ka mālama ʻana i nā maʻi kanesa ma nā wahi koʻikoʻi e like me kēia. Hoʻopili pololei ia i ke kanesa a mālama iā ia, me ka hoʻemi nui ʻana i ka hōʻino ʻana i nā ʻiʻo olakino a puni. No laila, haʻahaʻa ka pilikia o nā hopena ʻaoʻao.

ʻO kekahi o nā ʻano maʻi kanesa maʻamau e hoʻohana ʻia ai ʻo 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 ʻaʻai ʻōpū a me nā ʻano maʻi ʻē aʻe he nui.

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ʻO wai ka mea e hoʻolālā a hāʻawi i kēia lāʻau lapaʻau?

ʻAʻole kēia he hana hoʻokahi kanaka. He hana hui kēia. Hana pū kekahi mau loea akamai e hoʻokō i kāu lapaʻau. E nānā kākou i kēlā hui.

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

Ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau maoli, aia kahi "kau hoʻolālā." Ua kapa ʻia kēia he (simulation) a i ʻole (sim). ʻO kēia kahi e hōʻiliʻili ʻia ai nā ʻike āpau e pono ai no ka hoʻolālā ʻana i ka lāʻau lapaʻau.

He aha ka mea e hana ʻia ana ma kēia kau?

• Nā scan: E loaʻa iā ʻoe kahi scan CT e ʻike pono ai i kahi o kou puʻupuʻu, kona nui, a me kona ʻano. I kekahi manawa hiki ke hana ʻia kahi scan MRI a i ʻole PET.
• Kaha: I kēlā me kēia lā o ka mālama ʻana, e kau ʻia ʻoe ma kahi hoʻokahi, a e kau ʻia kekahi mau kiko liʻiliʻi loa i kou ʻili, e like me ka peʻa. E like kēia me nā kiko liʻiliʻi. Pono e mālama ʻia kēia mau māka a hiki i ka pau ʻana o ka mālama ʻana.
• Ke kau ʻana o ke kino:He mea nui loa ia e noho mālie ʻoe i ka wā o ka mālama ʻana. No ke kōkua ʻana i kēia, hiki iā ʻoe ke hoʻohana i kahi ʻōmole kūikawā i hana ʻia e kūpono i kou kino.

Hoʻohana ka hui lapaʻau i ka ʻike i loaʻa mai kēia kau (sim) e hana i nā kukuna radiation i hana kūikawā ʻia no kou maʻi kanesa.

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

E loli ana ka papa hana lapaʻau ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa nei. ʻO ka maʻamau, e loaʻa iā ʻoe ka lapaʻau i kēlā me kēia lā (Pōʻakahi a hiki i Pōʻalima) no kekahi mau pule. E mau ana kēlā me kēia kau ma kahi o 30 mau minuke.

I ka wā o ka mālama ʻana:

• Ua hoʻonoho ʻia ʻoe me ka hoʻohana ʻana i nā ʻōmole, e like me ʻoe i loko o kēlā kau (sim).
• A laila, komo ka mea hoʻōla radiation i loko o kahi lumi ʻokoʻa a hoʻā i ka mīkini "LINAC". Hiki iā ia ke nānā iā ʻoe ma kahi monitor. Aia kekahi ʻōnaehana "intercom" e hiki ai iā ʻoe ke kamaʻilio pū kekahi.
• Hoʻohuli ka mīkini i mua a i mua i ka wā e hoʻouna ana i nā kukuna radiation mai nā kihi like ʻole. E lohe paha ʻoe i kahi leo 'kaomi', 'kaomi' i kēia manawa. He mea maʻamau kēia, mai hopohopo.

ʻO ka mea nui loa, ʻaʻohe ʻeha o ka mālama ʻana iā IMRT . ʻAʻole ʻoe e ʻike i ka radiation i ka wā o ka mālama ʻana.

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

Pono kou kino i ka nui o ka hoʻomaha i ka wā a ma hope o ka mālama ʻana. Eia kekahi mau mea e kōkua iā ʻoe e hoʻōla koke:

• E hoʻomaha nui. E hāʻawi i kou kino i ka manawa e ho'ōla ai.
• E ʻai i ka meaʻai olakino a inu i ka wai he nui.
• E mālama pono i kou ʻili: Hiki ke maʻalahi loa ka ʻili ma ka wahi i mālama ʻia.
• E ʻaʻahu i nā lole pulupulu ākea.
• E hoʻohana i nā kopa a me nā holoi kino i loaʻa ʻole nā ​​​​mea ʻala a i ʻole nā ​​​​kemika ʻino.
• Mai kau i nā ʻōmole wai wela a i ʻole nā ​​ʻeke hau ma luna o ka ʻili i mālama ʻia.
• E uhi i ka wahi i ka wā e hele ai i waho i ka lā. Inā ʻaʻole hiki iā ʻoe ke uhi iā ia, e hoʻohana i kahi pale lā maikaʻi.

ʻO ka mea nui loa, ʻo ia ke hahai pono i nā kuhikuhi a kāu kauka. E wehewehe ʻo ia iā ʻoe i nā hopena ʻaoʻao a me nā mea e manaʻo ai i kou wā e hoʻōla ai.