Mai makaʻu i ka radiation therapy no ka mālama ʻana i ka maʻi kanesa - e aʻo pono kākou i ke ʻano o ia mea!

Ke haʻi aku ke kauka iā ʻoe a i ʻole kahi mea aloha iā ʻoe he maʻi kanesa kou, ua lohe paha ʻoe i ka huaʻōlelo "radiation therapy" i ke kamaʻilio ʻana e pili ana i ka lāʻau lapaʻau e hiki mai ana. I ka lohe ʻana i kēia inoa, ua manaʻo paha ʻoe i kahi makaʻu iki a me ka hopohopo. "E ʻeha anei kēia?", "He aha ka mea e hiki mai ana i ke kino?", "He mea weliweli anei kēia?" He nui paha kāu mau nīnau i loko o kou manaʻo. He mea maʻamau loa ia. Akā inā ʻike pololei mākou a maʻalahi e pili ana i kēia ʻano lapaʻau, hiki iā mākou ke hoʻopau i kēlā makaʻu pono ʻole. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia radiation therapy.

I ka ʻōlelo maʻalahi, he aha ka radiation therapy?

He ʻano hana kūpono loa ka Radiotherapy no ka mālama ʻana i ka maʻi kanesa. Hoʻohana ia i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. E noʻonoʻo iā ia e like me ke kukuna laser e wehe wale ana i nā hunaola ʻino i loko o ko kākou kino.

I kekahi manawa hāʻawi wale ʻia kēia lāʻau lapaʻau. I kekahi manawa hāʻawi ʻia me ka hui pū ʻana me nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki kino a i ʻole ka chemotherapy. E hoʻoholo kekahi kauka radiation oncologist inā kūpono kēia lāʻau lapaʻau iā ʻoe, pehea e hāʻawi ʻia ai, a me ka nui e hāʻawi ai. E hoʻolālā ʻo ia i ka lāʻau lapaʻau e kuhikuhi wale i nā hunaola kanesa, e hōʻemi ana i ka hōʻino ʻana i kāu mau hunaola olakino.

He aha nā ʻano lapaʻau radiation?

ʻElua ʻano nui o ka radiation therapy. Hoʻokahi ka pahuhopu o nā mea ʻelua: e luku i ka DNA e haʻi aku i kahi cell cancer e ulu a māhele. Ke nalowale kēlā mau kuhikuhi, make nā cell cancer a emi ka puʻupuʻu.

1. Ka Lapaʻau Hawewe Kūwaho (EBRT): ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Maanei, kuhikuhi kahi mīkini nui ma waho o kou kino i nā kukuna hawewe ma kahi o ke kanesa.

2. Lapaʻau Kukui Kūloko: Maanei, ua kau ʻia kahi mea radioactive i loko o kou kino, kokoke loa i nā hunaola kanesa.

E nānā kākou i kēia mau ʻano hana ʻelua me nā kikoʻī hou aku.

1. Ka lāʻau lapaʻau kukuna waho (EBRT) - ka lāʻau i hāʻawi ʻia mai waho mai

Ma kēia, ʻaʻohe mea e pā iā ʻoe i loko o ke kino. Neʻe ka mīkini a puni ʻoe a hoʻopili i nā kukuna ma kahi kūpono wale nō. Ua holomua loa kēia ʻano hana i kēia manawa. ʻO ia ke kumu e hiki ai ke mālama pono ʻia, e hōʻemi ana i ka hōʻino ʻana i nā ʻiʻo olakino.

2. Lapaʻau Radiation Kūloko - Lapaʻau i hāʻawi ʻia mai loko mai

Hoʻohana ʻia kēia ʻano hana no nā maʻi ʻaʻai liʻiliʻi ma nā wahi e like me ke poʻo, ka ʻāʻī, ka umauma, a me ka cervix. Hāʻawi ʻia kēia ma nā ʻano ʻelua.

• ʻO ka Brachytherapy:ʻO kēia ke kau ʻana i kahi "hua" liʻiliʻi e loaʻa ana kahi mea radioactive i loko a i ʻole kokoke loa i ka puʻupuʻu. Hoʻokuʻu mālie kekahi o kēia mau mea i ka radiation i loko o kekahi mau pule. Hoʻokuʻu kekahi i kahi mahele nui i loko o kekahi mau minuke. He manawa pōkole kekahi o kēia mau mea, aʻo kekahi e noho mau ana i loko o ke kino (e mae ana ko lākou radioactivity i ka hala ʻana o ka manawa).
• Lapaʻau ʻōnaehana: Pili kēia i ka hāʻawi ʻana i kahi mea radioactive ma ke ʻano he wai. Hiki ke hāʻawi ʻia ma ke ʻano he wai e inu ai a i ʻole ma ke ʻano he injection ma o kahi vein (IV). Hele ka mea ma o ke kahe koko, loaʻa nā hunaola kanesa, hoʻopili iā lākou, a luku iā lākou.

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

Ma mua o ka mālama ʻana iā EBRT, aia kahi hālāwai hoʻolālā i kapa ʻia he "simulation". I loko o kēlā hālāwai, e hana ʻoe i kēia mau mea:

• Ke kau ʻana iā ʻoe: E kau ʻia ʻoe ma ka papa lāʻau. Hiki ke hāʻawi ʻia iā ʻoe kahi ʻōmole a i ʻole kahi pale maka e kōkua i ka noho mālie ʻana o kou kino. A laila, e hōʻailona ʻia ka wahi kikoʻī e mālama ʻia.
• Nā scan: Hana ʻia kahi CT scan a i ʻole MRI e ʻike pono i kahi o ke kanesa. Hoʻohana ka hui lapaʻau i kēia ʻike e hoʻomohala i kahi hoʻolālā lapaʻau.

I ka lā o kāu mālama ʻana, e moe ʻoe ma ka papa ʻaina like me kāu i hana ai ma ka simulation. E neʻe ka mīkini radiation a puni ʻoe, akā ʻaʻole loa ia e paʻi iā ʻoe. E hoʻokele kahi mea hoʻōla radiation i ka mīkini ma kahi lumi ʻokoʻa. Hiki iā ʻoe ke kamaʻilio me lākou i kēlā me kēia manawa ma o kahi intercom. ʻAʻole ʻoe e ʻeha i ka wā o ka mālama ʻana.

I nā lāʻau lapaʻau kūloko, hoʻohana ʻia ka anesthesia e hoʻokomo i ka mea radioactive, no laila ʻaʻohe ʻeha e pili ana.

Aia kekahi mau hopena ʻaoʻao ma hope o ka lāʻau lapaʻau?

ʻAe, e like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao. Akā, mai hopohopo. ʻO ka maʻamau , hoʻopilikia wale kēia mau hopena ʻaoʻao i ka ʻāpana o ke kino e mālama ʻia nei. Eia kekahi, ʻoiai ʻaʻole hāʻawi mau ʻia ka lāʻau lapaʻau akā hāʻawi ʻia i kekahi mau kau i kēlā me kēia mau lā, loaʻa i kāu mau cell olakino ka manawa e hoʻōla ai. Hoʻemi nui kēia i nā hopena ʻaoʻao.

ʻO kekahi o nā hopena ʻaoʻao maʻamau:

• Luhi
• Ka luaʻi a me ka luaʻi
• Ka maʻi pākī
• ʻEha poʻo
• Nā loli o ka ʻili ma kahi i mālama ʻia (ʻulaʻula, maloʻo, maneʻo)
• ʻEha waha
• ʻEha i ka moni ʻana
• Makemake nui
• Ke kuni nei i ka wā e mimi ai a i ʻole ka pinepine o ka mimi

E hōʻike koke i kekahi ʻeha i kāu kauka. E hāʻawi ʻo ia iā ʻoe i nā kuhikuhi a me nā lāʻau lapaʻau e pono ai e mālama i nā hopena ʻaoʻao.

Aia kekahi pilikia i nā poʻe ʻē aʻe ma hope o ka mālama ʻana?

• I ka lāʻau lapaʻau kukuna waho (EBRT): ʻAʻohe. ʻAʻohe kukuna i koe i loko o kou kino ma hope o ka lāʻau lapaʻau. Hiki iā ʻoe ke hoʻi i ka home ma ke ʻano maʻamau, e noho me kou ʻohana, a launa pū me nā keiki liʻiliʻi. ʻAʻohe pilikia.
• No ka lāʻau lapaʻau radiation kūloko: ʻOiai aia kahi mea radioactive i loko o ke kino, pono ʻoe e hahai i kekahi mau hana palekana no ka manawa pōkole. No ka laʻana, hiki ke hoʻokuʻu ʻia nā liʻiliʻi o ka radiation ma o ka hou a me ka mimi. No laila, hiki i kāu kauka ke aʻo iā ʻoe e kaupalena i ka pilina kokoke me nā wahine hāpai a i ʻole nā ​​​​keiki liʻiliʻi no kekahi manawa. He mea nui loa e hahai pololei i nā ʻōlelo a kāu kauka.