Ua haʻi aku anei ke kauka iā ʻoe he maʻi ʻaʻai prostate kou? He mea maʻamau ka makaʻu a me ka hopohopo ke loaʻa iā ʻoe ia mau lono. Akā, mai hopohopo, me ka ʻepekema lapaʻau holomua o kēia lā, he nui nā lāʻau lapaʻau kūpono no kēia. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano lapaʻau kūikawā a kūpono hoʻi. ʻO ia ka brachytherapy.
I ka ʻōlelo maʻalahi, he aha ka brachytherapy?
He ʻano hoʻōla radiation nō hoʻi kēia. Akā, pili ia i ke kau ʻana i nā mea hoʻokomo radioactive liʻiliʻi i loko a i ʻole kokoke i kou gland prostate e pepehi i nā hunaola kanesa. Kāhea nā kauka i kēia mau mea he "hua" a i ʻole "capsules."
Ma kēia lāʻau lapaʻau, hoʻopuka nā hua liʻiliʻi i nā haʻahaʻa haʻahaʻa o ka radiation no kahi o 10 a 12 mau mahina e pepehi i nā hunaola kanesa. Ma hope o kēlā, ʻoiai ua nalowale kā lākou radioactivity, noho mau nā hua i loko o ke kino no ka wā pau ʻole. ʻAʻole lākou e hōʻeha.
Pehea e hana ʻia ai kēia lāʻau lapaʻau? E nānā kākou...
E kamaʻilio kākou e pili ana i nā mea e hana ʻia i ka lā o kēia lapaʻau i kēlā me kēia ʻanuʻu i hiki iā ʻoe ke hoʻomaopopo maikaʻi aku i ia mea.
1. Hoʻomākaukau: Ke hōʻea ʻoe i ka haukapila, e hoʻomākaukau ke kahu maʻi iā ʻoe no ka mālama ʻana. A laila e hāʻawi ke kauka anesthesiologist iā ʻoe i ka lāʻau lapaʻau e pono ai a e hōʻoia ʻaʻole ʻoe e ʻeha a ʻoluʻolu ʻole paha i ka wā o ka mālama ʻana.
2. Ke nānā ʻana i ka ultrasound: E kau ke kauka radiation oncologist a me ke kime iā ʻoe ma kahi papa lapaʻau. A laila, e hoʻokomo ʻia kahi probe ultrasound liʻiliʻi ma kou rectum. ʻAe kēia i ka ʻike maopopo ʻia ʻana o loko o ka prostate ma ka pale kīwī.
3. Hoʻokomo ʻana i nā hua radioactive: Ke nānā nei i nā kiʻi ma ka pale, hoʻolālā pololei ke kauka i ka nui o nā hua e hoʻokomo a me kahi. A laila, me ka hoʻohana ʻana i nā nila lahilahi loa, e hoʻokomo ʻia ma kahi o 50 a 100 mau hua radioactive i loko o ka prostate ma o ka ʻili ma waena o kou scrotum a me ka anus (ka perineum). Aia ka helu o nā hua i nā mea e like me ka nui a me kahi o ke kanesa.
4. Manawa: ʻO ka maʻamau, hoʻokahi hola a i ʻole hoʻokahi hola a me ka hapa ka lōʻihi o kēia kaʻina hana holoʻokoʻa.
ʻO ka mea nui loa, e hana ka hui lapaʻau i nā mea āpau e pono ai e hōʻoia ʻaʻole ʻoe e ʻeha i loko o kēia lapaʻau ʻana.
Pehea ka maikaʻi o kēia lāʻau lapaʻau?
He ʻano lapaʻau kūleʻa loa ʻo Brachytherapy.Eia nō naʻe, hiki ke ʻokoʻa iki nā hopena mai kēlā kanaka a kēia kanaka. Ua ʻike ʻia kekahi noiʻi lōʻihi he 97% o ka poʻe i loaʻa i kēia lāʻau lapaʻau e ola mau ana he 17 mau makahiki ma hope o ka lāʻau lapaʻau.
Akā, ʻaʻole ia he manaʻo maikaʻi e hōʻalo i nā hoʻokolohua no ka mea ua lawe ʻoe i kēia lāʻau lapaʻau. He mea nui e hoʻomau i ka loaʻa ʻana o nā hoʻokolohua i nā manawa i hoʻonohonoho ʻia, e like me ka ʻōlelo a kāu kauka.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao. E makaʻala kākou iā lākou. Hiki ke hoʻokaʻawale ʻia kēia i ka wā koke, ka wā pōkole, a me ka wā lōʻihi.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ʻoe e ʻike |
|---|---|
| Nā hopena ʻaoʻao koke (Nā lā 2-3 mua) | Hiki paha iā ʻoe ke ʻike i kekahi ʻeha iki, ka pehu ʻana, a me ka palapū ma kahi i mālama ʻia. He mea maʻamau loa kēia a e nalowale loa i loko o ʻelua a ʻekolu lā. |
| Nā hopena ʻaoʻao pōkole (Ma kahi o 6-8 mau pule) |
|
| Nā hopena ʻaoʻao lōʻihi (hiki ke hana pinepine ʻole) |
|
E laha anei ka radiation i nā poʻe ʻē aʻe?
He mea hopohopo kēia no nā poʻe he nui. Ma muli o nā iwi radioactive i loko, e hopohopo paha ʻoe e pili ana i ka laha ʻana o ka radiation i ka poʻe i loko o ka hale, ʻoiai nā makuahine hāpai a me nā keiki liʻiliʻi .
ʻOiaʻiʻo, ua maikaʻi no lākou ke kokoke iā ʻoe. He haʻahaʻa loa ka nui o ka radiation i hoʻopuka ʻia a ʻaʻole ia he mea ʻino. Akā e hoʻomanaʻo, mai hoʻopaʻa i kahi keiki liʻiliʻi a i ʻole kahi wahine hāpai ma kou ʻūhā no ka manawa lōʻihi (ʻoi aku ma mua o 20 mau minuke) no nā mahina ʻelua mua ma hope o ka mālama ʻana. He hana palekana kēia. E kamaʻilio me kāu kauka e pili ana i kēia no nā kikoʻī hou aku.
Āhea e hiki ai ke hoʻomaka hou i ka hana maʻamau?
Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o hoʻokahi a ʻelua paha lā ma hope o ka mālama ʻana. ʻOi aku ka maikaʻi o ka hoʻomaha no nā lā mua.
Akā ʻo ka mea nui loa , pono ʻoe e hoʻōki i nā hana e kau ana i ke kaomi ma kou ʻāpana groin (no ka laʻana, ka holo lio, ke kaʻa paikikala) no ʻelua mahina. E aʻo pū kāu kauka iā ʻoe i kēlā.
Āhea wau e kāhea aku ai i ke kauka?
E ʻike pono i kāu kauka i nā hihia aʻe:
- Inā ʻoi aku ka ʻino o nā hopena ʻaoʻao ma mua o kou manaʻo.
- Inā ʻoi aku ka lōʻihi o nā hopena ʻaoʻao ma mua o ka mea i manaʻo ʻia.
- Inā ʻike ʻia nā hōʻailona hou e hōʻike ana ua hoʻi mai ke kanesa (e like me ka ʻeha o ka iwi, ka luhi nui).
I kou noʻonoʻo ʻana i kēia lāʻau lapaʻau, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. He mea maʻamau ka manaʻo kaumaha i kēia mau mea a pau. Aia mau kāu kauka a me nā limahana o ka haukapila e kōkua iā ʻoe, e pane i kāu mau nīnau, a e aʻo iā ʻoe. No laila e ʻoluʻolu e nīnau i nā mea a pau e hiki mai ana i kou manaʻo.
Leka Lawe-Home
- He ʻano lapaʻau radiation maikaʻi loa ka Brachytherapy no ka maʻi ʻaʻai prostate e pili ana i ke kanu ʻana i nā hua radioactive i loko o ke kino.
- Hana ʻia kēia ma lalo o ka anesthesia a hoʻopau ʻia i loko o hoʻokahi hola a i ʻole hoʻokahi hola a me ka hapa.
- Hiki ke loaʻa nā hopena ʻaoʻao e like me ka huhū o ke ala mimi a me ka mimi pinepine ʻana ma hope o ka mālama ʻana, akā he manawa pōkole wale nō ia.
- I nā mahina ʻelua mua ma hope o ka mālama ʻana, e pale i ka hoʻopaʻa ʻana i nā keiki liʻiliʻi a me nā wahine hāpai ma kou ʻūhā no ka manawa lōʻihi.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē a koʻikoʻi paha, e hoʻomaopopo koke i kāu kauka.
- He mea nui loa ka hana ʻana i nā hoʻokolohua lapaʻau i nā manawa i hoʻonohonoho ʻia.
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