Ke ʻike ʻoe he maʻi kanesa kou, hiki i ka manaʻo o ka lāʻau lapaʻau ke kaumaha a hopohopo hoʻi, ʻeā? ʻO ka manaʻo o ka hele ʻana i ka haukapila no nā lā, a i ʻole nā pule, a pono e hana i ka radiation therapy hiki ke luhi. ʻO ka mālama ʻana i nā hana o ka home, nā keiki, a me ka hana hiki ke lilo i mea paʻakikī. Eia nō naʻe, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana hou e hoʻomaʻalahi i kēia kaʻina hana lapaʻau a hiki iā ʻoe ke hoʻopau i ka radiation therapy i ka manawa like me ke ʻoki ʻana.
I ka ʻōlelo maʻalahi, he aha ka IORT?
ʻO ka inoa piha o kēia ʻano lapaʻau, i hoʻopōkole ʻia ʻo IORT, ʻo ia ka Intraoperative Radiation Therapy . Ma ka ʻōlelo Sinhala, ʻo ia hoʻi "ka lāʻau lapaʻau radiation i hāʻawi ʻia i ka wā o ke ʻoki ʻana." He ʻano lapaʻau kūikawā kēia no ka maʻi kanesa.
He mea maʻalahi loa ka mea e hana ʻia ma ʻaneʻi. Ke hana ʻia ʻoe i ke ʻoki ʻana i ka maʻi kanesa, wehe mua ke kauka ʻoki i ka puʻupuʻu holoʻokoʻa mai kou kino. A laila, hāʻawi kahi kauka radiation oncologist i kahi radiation kikoʻī loa, kiʻekiʻe loa i ka wahi i wehe ʻia ai ka puʻupuʻu, kahi e hoʻi hou mai ai nā hunaola kanesa. Hana ʻia kēia i hoʻokahi manawa.
ʻO ka pahuhopu nui o kēia, ʻo ia ka luku ʻana i nā hunaola kanesa liʻiliʻi loa a ʻike ʻole ʻia e waiho ana ma ia wahi ma hope o ke ʻoki ʻana, a pēlā e hōʻemi ai i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa ma ia wahi hoʻokahi (local recurrence).
ʻOiai ua hoʻohana ʻia kēia ʻano hana no nā ʻano maʻi kanesa like ʻole, ʻo ia ka mea i hoʻohana nui ʻia ma ka honua no ka maʻi kanesa o ka umauma.
He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai ka lāʻau IORT?
Hoʻohana nui nā kauka i ka lāʻau IORT no nā maʻi kanesa e hiki mai ana:
- Ka maʻi ʻaʻai umauma: ʻOi aku hoʻi no ka maʻi ʻaʻai umauma i ʻike ʻia i ka wā mua.
- Nā maʻi ʻili: No kekahi mau ʻano maʻi ʻili.
- Nā maʻi ʻaʻai kolona: No nā maʻi ʻaʻai e pili ana i ka ʻōpū nui.
- Nā maʻi ʻaʻai wahine: No nā maʻi ʻaʻai e kū mai ana ma nā wahi e like me ka ʻōpū a me ka cervix.
- Nā maʻi ʻaʻai kuamoʻo: No kekahi ʻano o nā puʻupuʻu maʻi ʻaʻai e kū mai ana ma ka kuamoʻo.
No wai kēia lāʻau lapaʻau kūpono loa?
He nīnau koʻikoʻi loa kēia. ʻAʻole kūpono ka lāʻau IORT no nā poʻe maʻi kanesa āpau. E hoʻopili kekahi mau kumu i ka kūpono o kēia lāʻau iā ʻoe.
Eia kekahi laʻana, he liʻiliʻi loa kekahi mau puʻupuʻu a ʻaʻole i laha i nā ʻiʻo a puni. I ia mau hihia, kūpono loa paha kēia ʻano hana. Eia nō naʻe, inā ʻoi aku ka nui o ka puʻupuʻu, a i ʻole ua laha i nā lymph node kokoke, a laila ʻoi aku ka maikaʻi o ka radiation therapy kuʻuna.
Hana ʻia ka hoʻoholo hope loa ma hope o ka noʻonoʻo ʻana i nā kumu he nui, e like me ke ʻano o ka maʻi kanesa āu, ka nui o ka puʻupuʻu, inā ua laha ka maʻi kanesa, a me kou olakino holoʻokoʻa. Hana ʻia kēia hoʻoholo e kāu kauka lapaʻau a me ke kauka oncologist radiation , ma ke kūkākūkā ʻana me ʻoe. No laila, mai makaʻu e kamaʻilio ākea e pili ana i kēia me kāu kauka.
He aha ka ʻokoʻa ma waena o ka radiation therapy maʻamau (EBRT) a me IORT?
Inā maopopo iki iā ʻoe nā ʻokoʻa ma waena o kēia mau ʻano hana ʻelua, e maopopo maikaʻi iā ʻoe ke ʻano kū hoʻokahi o IORT. E nānā kākou i kēia ma kahi papa.
| ʻAno | ʻO ka lāʻau lapaʻau radiation maʻamau (EBRT) | Ka lāʻau lapaʻau radiation intraoperative (IORT) |
|---|---|---|
| Pehea e hāʻawi ʻia ai ka lāʻau lapaʻau | Hoʻokele kahi mīkini nui (linear accelerator) ma waho o ke kino i nā kukuna radiation i loko o ke kino. | I ka wā o ke ʻoki ʻana, hoʻokomo ʻia kahi hāmeʻa kūikawā (applicator) i loko o ka wahi like i wehe ʻia ai ka puʻupuʻu a hoʻouna ʻia ka radiation. |
| Pahuhopu | Hoʻopilikia pū ka radiation i ka wahi i loaʻa ai ke kanesa a me nā ʻiʻo olakino a puni ia. | Hoʻouna pololei ʻia ka radiation i kahi o ka puʻupuʻu, me ka hōʻino iki ʻana i nā ʻiʻo olakino a puni (puʻuwai, māmā, ʻili). |
| Ka manawa lapaʻau | Pono ʻoe e hele i ka haukapila i kēlā me kēia lā no 3 a 6 mau pule e loaʻa ai ka mālama ʻana. | Hoʻopau koke ʻia ka mālama ʻana i ka radiation, i loko o kekahi mau minuke, i ka wā o ke ʻoki kino. |
| Ka nui o ka radiation | No ka pale ʻana i nā ʻiʻo olakino, hāʻawi ʻia kahi mahele haʻahaʻa o ka radiation i kēlā me kēia lā. | Ma muli o ka pololei loa o ka hoʻopaʻa ʻana, hiki ke hāʻawi ʻia i kahi mahele ikaika a kiʻekiʻe o ka radiation i ka manawa hoʻokahi. |
He aha nā pono nui o ka mālama ʻana me ka IORT?
Ke nānā nei i kēia papa, loaʻa paha iā ʻoe kekahi manaʻo o nā pono. E wehewehe iki kākou i kēlā.
- Hoʻemi ʻia ka pinepine o ka mālama ʻana: ʻO kēia ka pōmaikaʻi nui loa. E noʻonoʻo i ka luhi o ka hele ʻana mai i ka haukapila i kēlā me kēia lā no nā pule a kali i nā laina e loaʻa ai ka mālama ʻana. Me IORT, hoʻopau ʻia ka radiation therapy i ka lā hoʻokahi me ke ʻoki kino. ʻO ia hoʻi , hiki iā ʻoe ke hoʻi koke i kou ola maʻamau. Hāʻawi kēia iā ʻoe i ka manawa hou aku e hoʻolilo ai me kou ʻohana a hana i kāu hana.
- Hoʻēmi i ka hōʻino ʻana i nā ʻiʻo olakino a puni: ʻOiai ua hāʻawi pololei ʻia ka radiation i kahi o ke kanesa, ua haʻahaʻa loa ka pilikia o ka radiation e hiki aku i nā ʻōpū koʻikoʻi a puni, e like me ka ʻili, nā māmā, a me ka puʻuwai.
- Hoʻemi ʻia nā hopena ʻaoʻao: ʻO nā hopena ʻaoʻao e like me nā loli ʻili (ka ʻā ʻana, ka ʻulaʻula) a me ka luhi e kū mai ana i ka wā o ka radiation therapy kuʻuna ua hoʻemi nui ʻia me IORT.
Pehea e hana ʻia ai ka lāʻau IORT?
I ka lā o ke kaʻina hana, e hāʻawi ʻia ʻoe i ka anesthesia laulā. No laila e hiamoe ana ʻoe i ke kaʻina hana holoʻokoʻa. Penei ke kaʻina hana:
1. ʻO ka mea mua, hoʻopau loa ke kauka ʻoki i ka puʻupuʻu kanesa.
2. A laila, hoʻokomo ʻia kahi hāmeʻa kūikawā (applicator) i hana kūikawā ʻia no ka hāʻawi ʻana i ka radiation i loko o ka lua kahi i wehe ʻia ai ka puʻupuʻu.
3. Hāʻawi ka mea hoʻōla radiation i ka nui i kuhikuhi ʻia o ka radiation i nā ʻiʻo i loaʻa ka puʻupuʻu ma o ka hāmeʻa, i kāohi ʻia e kahi kamepiula.
4. Ke hoʻouna ʻia ka radiation, e wehe ʻia ka hāmeʻa.
5. ʻO ka hope loa, humuhumu ke kauka ʻoki i ka ʻeha ʻoki.
Āhea ʻoe e ʻike ai i ke kauka?
ʻOiai he kakaikahi nā hopena ʻaoʻao ma hope o ka mālama ʻana i ka IORT, e like me nā ʻoki kino āpau, hiki ke loaʻa nā pilikia. No laila, e makaʻala i kēia mau hōʻailona ke hoʻi ʻoe i ka home ma hope o ka mālama ʻana.
Inā loaʻa iā ʻoe kekahi o nā hōʻailona koʻikoʻi a i ʻole nā hōʻailona i manaʻo ʻole ʻia, e kāhea koke aku i kāu kauka me ka hoʻokaʻulua ʻole.
- Ke kahe nui ʻana o ke koko mai kahi ʻeha ʻoki.
- He wai e like me ka pus a i ʻole he ʻala pilau e puka mai ana mai kahi i ʻeha ai.
- Kuni a i ʻole ke anu .
Inā ʻike ʻoe i kahi mea e like me kēia, mai manaʻo he mea maʻamau ia. ʻO ka mea palekana loa e hana ai, ʻo ia ke hoʻomaopopo koke i kāu kauka.
Leka Lawe-Home
- He lāʻau lapaʻau radiation nui ka IORT i hāʻawi ʻia i hoʻokahi manawa i ka wā o ke ʻoki ʻana i ka maʻi kanesa.
- ʻO ka pōmaikaʻi nui o kēia, ʻo ia ka hiki ke hoʻopau ʻia ka mālama ʻana i ka radiation holoʻokoʻa i hoʻokahi lā, me ka ʻole o ka hele ʻana i ka haukapila no nā pule.
- ʻAʻole kūpono kēia lāʻau lapaʻau no kēlā me kēia maʻi kanesa. Na kāu hui lapaʻau e hoʻoholo inā kūpono ia iā ʻoe.
- Ke hoʻohālikelike ʻia me ka radiation therapy kuʻuna, hoʻemi iki ka hōʻino ʻana o ka IORT i nā ʻiʻo olakino a puni a he liʻiliʻi nā hopena ʻaoʻao.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau, nā makaʻu, a i ʻole nā hopohopo āu e pili ana i kāu mau koho lapaʻau. E kōkua lākou iā ʻoe e koho i ka lāʻau lapaʻau kūpono a palekana loa nāu.
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