He lāʻau hou no ka maʻi ʻaʻai umauma: E aʻo kākou e pili ana i ka Proton Therapy

Inā ʻōlelo kāu kauka he maʻi ʻaʻai umauma kou, hiki ke hāʻawi ʻia iā ʻoe ka radiation therapy ma ke ʻano he ʻāpana o kāu hoʻolālā lapaʻau. Paipai pinepine ʻia kēia lāʻau lapaʻau, ʻoiai inā ua loaʻa iā ʻoe kahi mastectomy , inā nui ke kanesa, a inā ua pālahalaha ke kanesa i nā lymph nodes ma kou armpit a i ʻole nā ​​​​wahi ʻē aʻe. Hiki iā ia ke kōkua i ka pale ʻana i ke kanesa mai ka hoʻi hou ʻana ma hope o ke ʻoki ʻana i ka umauma.

He aha ka Proton Therapy?

ʻO ke ʻano maʻamau o ka radiation therapy i hoʻohana ʻia no ka maʻi ʻaʻai umauma, ʻo ia ka radiation kukuna waho. ʻO kahi ʻano kūikawā a holomua o kēia i kapa ʻia ʻo ka proton therapy . I kekahi manawa ua kapa ʻia ʻo ia he intensity modulated proton therapy, a i ʻole IMPT.

ʻO ke ʻano kūikawā o kēia lāʻau lapaʻau, ʻo ia ka kuhikuhi pololei ʻana o ke kukuna radiation i ka puʻupuʻu kanesa. No laila, ʻo ka hōʻino ʻana i nā ʻiʻo olakino a puni ke kanesa, ʻo ia hoʻi nā kino, he mea liʻiliʻi loa ia. E noʻonoʻo e pili ana i ia mea, aia ko mākou mau umauma ma kahi kokoke loa i ka puʻuwai a me nā māmā. No laila, ʻōlelo nā kauka hiki i kēia ʻano hana proton therapy ke hoʻōla i ke kanesa me ka hoʻēmi ʻana i ka hōʻino e hiki ai i ka radiation ke hana i kēlā mau kino makamae.

Pehea ka ʻokoʻa o kēia mai ka radiation therapy maʻamau?

I ka ʻōlelo maʻalahi, ʻo ka proton therapy a me ka radiation therapy kuʻuna e hōʻino i ka DNA i loko o nā hunaola kanesa a pepehi iā lākou. Akā, ʻokoʻa ke ʻano o kā lākou hana ʻana.

E hoʻomaopopo kākou i kēia ʻokoʻa me ka maopopo iki.

He aha nā pono e lawe mai ai kēia i nā wahine me ka maʻi ʻaʻai umauma?

ʻO nā wāhine me ke kanesa umauma hema hema e loaʻa ana i ka radiation therapy maʻamau (X-rays) e piʻi aʻe ka pilikia o ka loaʻa ʻana o nā pilikia puʻuwai nui, e like me ka maʻi puʻuwai ischemic, i hana ʻia e ka haiki ʻana o nā kīʻaha koko i loko o ka puʻuwai. Ua ʻike ʻia kahi noiʻi 2017 e hiki ke hoʻomaka kēia pilikia i loko o nā makahiki 10 mua o ka mālama ʻana.

No laila he kōkua nui ka proton therapy i ka pale ʻana i ia mau pilikia.

ʻO kekahi mau pono ʻē aʻe o kēia lāʻau lapaʻau:

• ʻAʻohe ʻeha: ʻAʻole kēia he lāʻau ʻeha.
• ʻAʻohe ʻoki kino: ʻAʻohe pono e ʻoki a ʻoki paha i kekahi wahi o ke kino (ʻaʻohe invasive).
• Hiki ke hana ʻia me nā lāʻau lapaʻau ʻē aʻe: Hiki ke hana ʻia kēia me nā lāʻau lapaʻau ʻē aʻe āu e loaʻa nei no ka maʻi kanesa (e.g. chemotherapy).
• ʻAʻole pilikia nā mea hoʻokomo umauma: Hiki ke hana ʻia kēia lāʻau lapaʻau inā paha ua loaʻa iā ʻoe kahi mea hoʻokomo umauma.

E like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao liʻiliʻi. ʻO ka mea maʻamau ka luhi, ka ʻulaʻula , ka hāʻule ʻana o ka lauoho, a me ka ʻike o ka ʻili ma kahi i mālama ʻia . Eia nō naʻe, ʻaʻole maʻamau kēia mau mea ma mua o ka radiation therapy maʻamau.

He aha nā ʻano maʻi umauma e hiki ke mālama ʻia me ka proton therapy?

He mea nui loa kēia. Pono ʻoe e kamaʻilio me kāu kauka e pili ana inā kūpono kēia lāʻau lapaʻau iā ʻoe, no kou ʻano a me ke kahua o ka maʻi kanesa.

Aia kekahi mau kūlana maʻamau e hiki ai ke noʻonoʻo ʻia kēia lāʻau lapaʻau:

• Inā loaʻa iā ʻoe ke kanesa o ka umauma pae 1, 2, a i ʻole 3 (Pae I, II, a i ʻole III).
• Inā ua pālahalaha ke kanesa i ka paia o ka umauma, ka ʻili, a i ʻole nā ​​​​​​glandula armpit, akā ʻaʻole i pālahalaha i nā ʻōpū mamao ʻē aʻe, ua kapa ʻia ia ʻo 'ka maʻi kanesa o ka umauma holomua'.
• Inā he mau hunaola kanesa i loko o nā lymph nodes, ua kapa ʻia ia he "node-positive breast cancer".

Eia kekahi, kūpono paha kāu maʻi kanesa no kēia lāʻau lapaʻau ʻoiai inā he hoʻokahi o kēia mau ʻano:

• ʻO ka mea loaʻa Estrogen (ER) maikaʻi a maikaʻi ʻole paha.
• ʻO ka mea loaʻa Progesterone (PR) maikaʻi a maikaʻi ʻole paha.
• HER2/neu maikaʻi a maikaʻi ʻole paha.
• ʻO ka maikaʻi ʻekolu: ʻO ka maikaʻi no nā mea ʻekolu a pau: ER, PR, a me HER2.
• ʻAʻole maikaʻi ʻekolu: Maikaʻi ʻole no nā mea ʻekolu a pau: ER, PR, a me HER2.

Ke hoʻomau nei ka noiʻi ʻana i kēia, no laila ʻo ke ala maikaʻi loa e loaʻa ai ka ʻike hou loa, ʻo ia ke kamaʻilio me kāu kauka.

Pehea ka hana o ka lāʻau lapaʻau?

E hana pū ana kāu mau radiologists a me nā kauka e hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe.

1. Hālāwai Hoʻohālike: I kekahi mau lā ma mua o kāu lāʻau lapaʻau mua, e lawe ʻia ʻoe i kēia hālāwai. Maanei, e hōʻailona ka hui radiation i ka wahi kikoʻī ma kou kino kahi e hāʻawi ʻia ai ka lāʻau lapaʻau. Hiki ke hana ʻia kēia ma ke kaha kiʻi ʻana i nā laina me kahi māka mau loa a i ʻole ma ke kau ʻana i nā kiko liʻiliʻi, e like me nā peʻa.

2. I ka wā o ka mālama ʻana: Pono ʻoe e moe mālie ma luna o kahi moe i ka wā o ka mālama ʻana. Inā ʻoe e neʻe, hiki i ka kukuna radiation ke hala i ke kanesa. Hiki ke hoʻokomo ʻia ʻoe i loko o kahi kiʻi kūikawā e hoʻopaʻa iā ʻoe iho. Hiki ke mau ka mālama ʻana ma kahi o 30 mau minuke.

3. Ka wā lapaʻau: Pono e hana ʻia kekahi mau kau lapaʻau like ʻole ma kahi o 6 mau pule.

Loaʻa kēia lāʻau lapaʻau ma Sri Lanka?

Pono ka lāʻau lapaʻau Proton i nā mīkini nui loa, kūikawā, a pipiʻi hoʻi i kapa ʻia ʻo cyclotrons a i ʻole synchrotrons. No laila, ʻaʻole i loaʻa i kēlā me kēia ʻāina a haukapila paha ma ka honua kēia hale hana.

No ka mea, he ʻenehana holomua loa kēia a he mea hou hoʻi.ʻAʻole paha i loaʻa nui kēia lāʻau lapaʻau ma Sri Lanka i kēia manawa. Eia nō naʻe, i ka holomua ʻana o ka ʻenehana, e hiki mai ana kēia hale i ko mākou ʻāina i ka wā e hiki mai ana. ʻO ke ala maikaʻi loa e loaʻa ai ka ʻike pololei a me ka hou loa e pili ana i kēia, ʻo ia ke kamaʻilio me kāu kauka maʻi kanesa, ʻoiai kekahi mai kahi haukapila kanesa nui e like me ka Halemai ʻo Apeksha.

Ka maʻi ʻaʻai umauma, proton therapy, radiation therapy, mālama ʻana i ke kanesa, olakino wahine, ka maʻi ʻaʻai umauma sinhala , proton therapy Sri Lanka