Ua ʻike mākou ʻaʻole maʻalahi ka hakakā ʻana me ke kanesa. I kēia manawa, ke haʻi aku kāu kauka iā ʻoe e pili ana i kahi lāʻau hou i kapa ʻia ʻo 'SBRT', he mea maʻamau ka hiki ʻana mai o nā nīnau i kou manaʻo. "He aha kēia? E ʻeha anei? E hana anei?" Loaʻa paha iā ʻoe nā nīnau e like me kēia i loko o kou manaʻo. Mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kēia lāʻau i kapa ʻia ʻo SBRT ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha ka SBRT ma nā huaʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, ʻo Stereotactic Body Radiation Therapy (SBRT) kahi ʻano hana radiation holomua loa i hoʻohana ʻia e hoʻopau i nā hunaola kanesa.
E noʻonoʻo e like me kahi sniper, e pana ana mai kahi mamao aku a paʻi i ka pahuhopu. ʻO ia ka hana a SBRT. Kuhikuhi ia i ka puʻupuʻu a hāʻawi i kahi mahele kiʻekiʻe loa o ka radiation. ʻO ka mea kūikawā o kēia , ʻo ia ka hoʻēmi ʻana i ka hōʻino ʻana i nā ʻiʻo olakino a me nā ʻōpū a puni ka puʻupuʻu.
ʻAʻole e like me ka radiation therapy maʻamau, ʻaʻole pono ka lāʻau lapaʻau i nā pule he nui o ka lāʻau. Hāʻawi ʻo SBRT i kahi mahele kiʻekiʻe loa o ka radiation i loko o kahi manawa pōkole, maʻamau he mau lā, a hiki ke hoʻopau ʻia ka lāʻau.
He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai ka lāʻau SBRT?
ʻŌlelo pinepine nā kauka i ka SBRT no nā puʻupuʻu liʻiliʻi, a he koho maikaʻi nō hoʻi ia no ka poʻe hiki ʻole ke hana ʻoki no nā kumu olakino ʻē aʻe.
Hoʻohana nui ʻia ka lāʻau SBRT ma nā kūlana ʻelua:
- Nā Maʻi Kanesa Mua: ʻO ke ʻano kēia o ka mālama ʻana i ke kanesa i ʻike mua ʻia i ke kino.
- Nā Kanesa Oligometastatic: Hoʻohana ʻia kēia ʻano hana e wehe i nā puʻupuʻu i pālahalaha mai kahi kumu i nā ʻāpana ʻē aʻe o ke kino, akā he liʻiliʻi nō naʻe a he liʻiliʻi nā helu.
ʻO kekahi o nā ʻano maʻi kanesa maʻamau i mālama ʻia me SBRT:
- Ka maʻi ʻaʻai māmā
- Ka maʻi ʻaʻai prostate
- Ka maʻi ʻaʻai ate
- Ka maʻi ʻaʻai pancreatic
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
E nānā kāu kauka i kāu mōʻaukala olakino piha a hoʻoholo inā he moho kūpono ʻoe no kēia lāʻau lapaʻau. A laila e wehewehe ʻo ia i ke kaʻina hana, kona mau pono, a me nā pilikia hiki iā ʻoe. Ke hoʻomaopopo ʻoe i nā mea āpau, e noi ʻia ʻoe e kau inoa i kahi palapala ʻae.
He mea maikaʻi ke ʻike i kēia mau mea ma mua o ka mālama ʻana:
- Kekahi e kōkua iā ʻoe: I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻokele kaʻawale i ka home ma hope o ka mālama ʻana. Eia nō naʻe, he manaʻo maikaʻi e lawe pū mai i kahi lālā o ka ʻohana a i ʻole hoaaloha no ke kākoʻo.
- ʻAi, mea inu a me nā lāʻau lapaʻau:E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o kou hoʻōki ʻana i ka ʻai ʻana a me ka inu ʻana i ka pō ma mua o kāu mālama ʻana. Ma muli o kou kūlana, hiki ke noi ʻia ʻoe e lawe i ka lāʻau lapaʻau no ka nausea, ka ʻeha (e like me NSAID), a i ʻole ka anti-anxiety (anti-anxiety) ma mua.
- Nā lole: ʻOi aku ka maikaʻi o ke komo ʻana i nā lole māmā a ʻoluʻolu hoʻi e maʻalahi ke komo a wehe no ke kapa komo haukapila. Pono ʻoe e waiho i nā mea e like me ka lauoho hoʻopunipuni, nā mea hoʻonani, nā aniani, a me nā niho wahaheʻe ma ka home.
- Ka manawa lapaʻau: Hiki i hoʻokahi kau lapaʻau ke mau ma nā wahi a pau mai 15 mau minuke a i hoʻokahi hola a ʻoi aku paha, ma muli o kou kūlana.
- Kaumaha: He mea maʻamau ka hopohopo a me ke kaumaha i ka wā e hana ai me ka maʻi kanesa. E nīnau i kāu kauka e pili ana i nā ala e hoʻokele ai i kēia kaumaha ma mua o kāu mālama ʻana. Hiki iā ia ke noi iā ʻoe e lawe mai i kahi mea e heluhelu ai, e like me ka puke a i ʻole ka makasina. Hiki iā lākou ke kuhikuhi i kahi mea hoʻomaha.
Ka Pae Hoʻolālā Lapaʻau (Hoʻohālike Lapaʻau)
ʻAʻole kēia ke ʻano o ka lāʻau lapaʻau ponoʻī. Ua like ia me kahi hoʻomaʻamaʻa. Ua palapala ʻia kahi kikoʻī e kuhikuhi ʻia a ua hoʻomohala ʻia ka hoʻolālā lapaʻau i kēia pae.
Eia nā mea e hana ʻia ana:
- Nā scan: No ka ʻike ʻana i kahi kikoʻī o ke kanesa, pono paha ʻoe e hana i kekahi mau hoʻokolohua, e like me ka `CT scan`, `MRI`, a i ʻole X-ray. Hoʻohana ʻia kēia mau hoʻokolohua e hoʻolālā i ka mīkini e kuhikuhi i nā kukuna radiation.
- Ke Kūlana: E hoʻoholo ke kime lapaʻau i ke kūlana kūpono no ʻoe e kau ʻia ai ma ka papa lapaʻau. Hiki iā lākou ke kau i nā māka ma kou ʻili e kōkua iā ʻoe e ʻike pono i kahi e kuhikuhi ai i nā kukuna radiation.
- Ke hana ʻana i nā ʻōmole kūikawā: Hiki iā ʻoe ke hana i kahi ʻōmole (he `mea hoʻopaʻa`) i hana ʻia e kūpono i ka ʻāpana o kou kino kahi i loaʻa ai ke kanesa. E mālama kēia iā ʻoe ma ke kūlana like i ka wā o ka mālama ʻana. E kōkua kēia iā ʻoe e mālama i ke kūlana like no kēlā me kēia mālama ʻana.
Inā manaʻo ʻoe i kekahi ʻoluʻolu ʻole i ka wā o kēia hoʻāʻo ʻana, a inā hopohopo ʻoe i ka wā hiki ʻole iā ʻoe ke neʻe, mai makaʻu e haʻi aku i ka hui lapaʻau. E kōkua lākou iā ʻoe e ʻoluʻolu e like me ka hiki.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻO ka mea mua, ʻaʻohe ʻeha o ka mālama ʻana iā SBRT. Ua like ia me ka loaʻa ʻana o kahi X-ray. Inā ʻoluʻolu ʻole ʻoe a makaʻu paha i ka wā o ka mālama ʻana, hiki iā ʻoe ke noi e hoʻōki i ka mālama ʻana i kēlā me kēia manawa.
Eia ka mea e hana ʻia i ka wā o ka mālama ʻana:
1. E hoʻomoe ʻia ʻoe ma ka papa lapaʻau ma ke kūlana like me ka wā o ka hoʻomaʻamaʻa ʻana.
2. Hoʻokele nā mea hana loea radiation i ka mīkini mai kahi lumi ʻokoʻa. Nānā lākou iā ʻoe ma o kahi pale, a hiki iā ʻoe ke kamaʻilio me lākou ma o kahi intercom.
3. Hoʻomaka ka mīkini e hāʻawi i ka radiation. Hoʻohuli kahi ʻāpana nui e like me ka lima o ka mīkini a puni ʻoe, e hāʻawi ana i nā kukuna radiation kiʻekiʻe mai nā kihi like ʻole, i hana ʻia i ke ʻano o ka puʻupuʻu. Hōʻoia kēia e loaʻa wale ana i ke kanesa ka radiation.
ʻOiai ʻaʻole ʻoe e manaʻo i kekahi mea i ka wā o ka mālama ʻana, lohe paha ʻoe i kahi walaʻau iki i ka neʻe ʻana o ka mīkini.
Nā hopena ʻaoʻao hiki ke loaʻa ma hope o ka mālama ʻana
ʻOkoʻa ke ʻano o nā hopena ʻaoʻao āu e ʻike ai ma muli o ke ʻano o ka maʻi kanesa āu e loaʻa ai a me kou olakino holoʻokoʻa. ʻO ka hapa nui o ka manawa, he manawa pōkole kēia.
| ʻAno o ke kanesa | Nā hopena ʻaoʻao hiki ke loaʻa |
|---|---|
| Ka maʻi ʻaʻai māmā | ʻAʻole ʻike ka hapa nui o ka poʻe i kekahi ʻano ʻoluʻolu ʻole. I loko o nā pule mua, hiki iā ʻoe ke ʻike i ka luhi nui, ka ʻū iki, a me ka phlegm. Inā pilikia koke ʻoe i ka hanu ʻana, e haʻi koke i kāu kauka. |
| Ka maʻi ʻaʻai prostate | E manaʻo paha ʻoe i ka pono e mimi pinepine a wikiwiki paha. E ʻike paha ʻoe i nā loli i nā ʻano hana ʻōpū (pinepine a ʻeha paha). E nīnau i kāu kauka e pili ana i ke ʻano o ka mālama ʻana i kēia mau mea. |
| Ka maʻi ʻaʻai o ke akepaʻa a me ka pancreas | Hiki ke loaʻa ka luaʻi a me ka maʻi pākī (ʻeha ʻōpū). E aʻo aku kāu kauka iā ʻoe i nā lāʻau lapaʻau kūpono a me nā hoʻololi ʻai no kēia. |
He aha nā pōmaikaʻi o ka mālama ʻana me ka SBRT?
Ua hōʻike ʻia nā noiʻi he lāʻau lapaʻau maikaʻi loa ka SBRT no kekahi mau maʻi kanesa.
- Hiki ke wehe ʻia nā puʻupuʻu kanesa me ka pololei like me ke ʻoki ʻole ʻana.
- He liʻiliʻi loa ka pōʻino i nā ʻōkana olakino a puni.
- Ma muli o ka emi ʻana o ka helu o nā lāʻau lapaʻau ma mua o ka radiation therapy maʻamau, hiki ke hoʻemi ʻia ka pilikia o nā hopena ʻaoʻao.
- Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha mau lā o ka mālama ʻana.
He aha ka ʻokoʻa ma waena o SBRT a me IMRT?
ʻO SBRT a me Intensity-Modulated Radiation Therapy (IMRT) nā lāʻau lapaʻau ʻelua e hāʻawi ana i ka radiation mai kahi mīkini ma waho o ke kino ('External Beam Radiation Therapy' - EBRT').
ʻO ka ʻokoʻa, hoʻohana ʻia ʻo SBRT e mālama i nā puʻupuʻu liʻiliʻi loa, me kahi mahele kiʻekiʻe, no kahi manawa pōkole . Hoʻohana pinepine ʻia ʻo IMRT e uhi i kahi ʻāpana nui loa (ke kanesa a me nā wahi i laha ai) , no laila ʻoi aku ka nui o nā lāʻau lapaʻau a he mau pule ka lōʻihi.
Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- He ʻano lapaʻau pololei loa ka SBRT e hāʻawi ana i nā koina kiʻekiʻe o ka radiation e hoʻopaʻa i nā ʻōpū kanesa liʻiliʻi.
- Hoʻemi kēia i ka hōʻino ʻana i nā ʻiʻo olakino a hoʻemi i ka nui o nā lāʻau lapaʻau e pono ai.
- Hiki i kēia ke lilo i koho maikaʻi loa no ka poʻe hiki ʻole ke hana ʻoki kino.
- Hiki ke loaʻa nā hopena ʻaoʻao, akā he manawa pōkole a hiki ke hoʻokele ʻia.
- E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E hāʻawi lākou iā ʻoe i ka hopena maikaʻi loa.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo