ʻO ka huaʻōlelo "radiation therapy" paha e kani iki paha i ka weliweli iā ʻoe. Akā he lāʻau lapaʻau koʻikoʻi a ikaika loa ia i ka wā e hakakā ai i ka maʻi kanesa. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā lāʻau lapaʻau radiation hou loa, holomua loa a palekana loa. ʻO ia ʻo VMAT. E nānā kākou i ke ʻano o ia mea, pehea e hana ai, a he aha nā pono o ia mea.
I ka ʻōlelo maʻalahi, he aha kēia VMAT?
ʻO VMAT ke kū nei no Volumetric Modulated Arc Therapy . He lāʻau lapaʻau kēia e hoʻohana ana i ka radiation mai waho o ke kino e pepehi i nā hunaola kanesa. I ka lāʻau lapaʻau, kapa mākou i kēia External Beam Radiation Therapy (EBRT).
E noʻonoʻo, makemake ʻoe e luku i kahi puʻupuʻu kanesa i loko o kou kino, akā me ka ʻole o ka hōʻeha ʻana i nā ʻōpū olakino a maikaʻi a puni. ʻO ia ka manawa e lilo ai ka ʻenehana VMAT i mea nui loa.
Eia ka mea e hana ʻia ma kēia lāʻau lapaʻau:
ʻOiai ʻoe e moe ana ma luna o kahi moena lapaʻau, e wili ana kahi mīkini nui e hoʻopuka ana i ka radiation a puni ʻoe i hoʻokahi a ʻoi aku paha mau pōʻai. ʻAʻole kēia mīkini e paʻi iā ʻoe. Akā i kona wili ʻana, kuhikuhi pololei ia i ke kanesa a hoʻopuka i ka nui o ka radiation e pono ai.
ʻO ka mea nui loa, ʻaʻohe mea radioactive i hoʻokomo ʻia i loko o kou kino i ka wā o kēia mālama ʻana. No laila , ʻaʻohe pono e hopohopo e pili ana i kou kino e lilo i radioactive i ka wā a ma hope paha o ka mālama ʻana.
ʻO VMAT kahi mana holomua o ka lāʻau lapaʻau IMRT (Intensity-Modulated Radiation Therapy) i hoʻohana mua ʻia. Ma kahi o ka hoʻohana ʻana i hoʻokahi kukuna nui o ka radiation, hoʻohana ʻo IMRT i nā kukuna liʻiliʻi he nui e hāʻawi i ka radiation i ka puʻupuʻu. Ma VMAT, hana ʻia kēia kaʻina hana ʻoiai e hoʻohuli mau ana ka mīkini (e like me ke arc), no laila he pōkole loa ka manawa lapaʻau.
He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai ka lāʻau VMAT?
Ma muli o ke kikoʻī o ka ʻenehana VMAT, he hopena kūpono ia no ka mālama ʻana i nā puʻupuʻu me nā ʻano ʻē, a i ʻole nā puʻupuʻu e kokoke ana i nā ʻōpū koʻikoʻi e like me ka lolo, ka puʻuwai, a i ʻole ke kaula kuamoʻo. E noʻonoʻo i kahi puʻupuʻu i ulu a puni kahi ʻōpū koʻikoʻi. I ia hihia, hiki i ka VMAT ke mālama wale i ke kanesa me ka ʻole o ka hōʻeha ʻana i ke ʻōpū olakino.
Aia ma lalo iho kekahi o nā ʻano maʻi kanesa maʻamau e hoʻohana pinepine ʻia ai kēia ʻano lapaʻau.
| ʻAno maʻi kanesa | Nā ʻāpana kino i mālama pinepine ʻia |
|---|---|
| Nā maʻi ʻaʻai poʻo a me ka ʻāʻī | Ma hope o ka ihu (Nasopharyngeal), ʻāʻī (Oropharyngeal) |
| Ka maʻi ʻaʻai umauma | Ka maʻi ʻaʻai māmā, ka maʻi ʻaʻai umauma, ka maʻi ʻaʻai esophageal |
| Nā maʻi ʻōpū a me nā pelvic | Ka maʻi ʻaʻai prostate, ka maʻi ʻaʻai cervical, ka maʻi ʻaʻai rectum, ka maʻi ʻaʻai colon |
| ʻŌnaehana nerve waena | Ka maʻi ʻaʻai lolo |
Pehea e hana ai kēia mīkini VMAT?
ʻO ka pahuhopu nui o kēia ʻano hana, ʻo ia ka hāʻawi ʻana i kahi mahele luku o ka radiation i ka puʻupuʻu maʻi ʻaʻai me ka hoʻēmi ʻana i ka hōʻino ʻana i nā ʻiʻo olakino.
I ka hoʻohuli ʻana o ka mīkini "Medical Linear Accelerator - LINAC" a puni ʻoe, hoʻololi mau ia i ke ʻano a me ka ikaika o ke kukuna radiation āna e hoʻopuka ai. Hana pololei kēia e kūlike me ke ʻano ʻekolu-dimensional (3D) o ka puʻupuʻu kanesa. ʻO kēia nui o ka radiation e hōʻino i ka DNA o nā cell cancer, e pepehi ana iā lākou. I ka manawa like, mālama kēia mīkini e mālama i ka nui o ka radiation i loaʻa i nā cell olakino a puni ma kahi pae haʻahaʻa loa.
He aha ka mea e hana ʻia ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau? (Ka pae hoʻolālā)
ʻO ka ʻāpana koʻikoʻi o ka holomua o ka mālama ʻana iā VMAT ʻo ia kēia pae hoʻolālā . Ua like ia me ke kaha kiʻi ʻana i kahi palapala ʻāina ma mua o ke komo ʻana i ke kaua a me ka hōʻailona pololei ʻana i kahi o ka ʻenemi.
E hoʻolilo ana kāu kauka maʻi ʻōpū a me ka hui lapaʻau i kekahi mau lā ma kēia.
1. Kiʻi 3D: ʻO ka mea mua, hana ʻia kahi CT scan, MRI, a i ʻole PET scan e loaʻa ai nā kiʻi 3D maopopo loa o ka wahi o kou kino kahi i loaʻa ai ke kanesa. Hōʻike kēia mau kiʻi i ka nui, ke ʻano, a me kahi kikoʻī o ka puʻupuʻu. Kuhi pū lākou i nā ʻōpū olakino e pono e pale ʻia mai ka radiation.
2. Hālāwai Hoʻonohonoho (Hoʻohālike):A laila, e lawe ʻia ʻoe i kahi hālāwai kūikawā i kapa ʻia ʻo "Simulation." Maanei, e kau ʻia ʻoe ma luna o ka moena lapaʻau a e hoʻoholo ʻia ke kūlana kūpono e noho ai i ka wā o ka lapaʻau.
3. Ka māka ʻana a me ke kākoʻo: No ka mea, pono ʻoe e noho ma ke kūlana like i kēlā me kēia kau lapaʻau, i kekahi manawa hana ʻia nā māka manawa pōkole ma kou ʻili, e like me ka peni. I kekahi manawa hiki ke hoʻopili ʻia kahi māka liʻiliʻi loa, e like me ka peʻa. Eia kekahi, no ka mea, ʻaʻole hiki iā ʻoe ke neʻe i ka wā o ka lapaʻau ʻana, hiki ke hoʻohana ʻia kahi kākoʻo, e like me kahi ʻōmole i hana kūikawā ʻia no kou kino a i ʻole kahi pale maka i kau ʻia ma kou maka.
4. Hoʻolālā kukuna radiation: A laila hoʻolālā ke kime lapaʻau i nā kukuna radiation e kuhikuhi ʻia i ka puʻupuʻu me ke kōkua o nā polokalamu kamepiula.
E noʻonoʻo, hiki i kēia ʻenehana ke kaohi i nā kukuna radiation i kahi liʻiliʻi e like me ka piko o ka penikala, ʻo ia hoʻi, 2.5 x 5 millimeters. Pēlā ka pololei.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Ke hōʻea ʻoe i ka lā o kāu mālama ʻana, e hoʻonoho ke kauka lapaʻau radiation iā ʻoe ma luna o kahi moe e like me ka hoʻolālā. A laila e hoʻokele ʻo ia i ka mīkini mai kahi lumi ʻokoʻa. Eia nō naʻe, hiki iā ʻoe ke kamaʻilio me ia ma o kahi microphone.
Hoʻohuli mālie ka mīkini a puni ʻoe. I kona hoʻohuli ʻana, kuhikuhi ʻia nā kukuna radiation o nā ʻano like ʻole a me nā ikaika i ka puʻupuʻu. ʻAʻole ʻoe e ʻike i kēia mau kukuna radiation. Nānā ka mea hoʻōla radiation i ke kaʻina holoʻokoʻa ma kahi pale kamepiula. No laila hiki iā lākou ke hōʻoia i ka hāʻawi ʻia ʻana o ka nui pololei i kahi kūpono.
ʻEhia ka lōʻihi o ka manawa e mālama ai?
Hiki i ka manawa lapaʻau holoʻokoʻa ke hala ma kahi o 20 mau minuke . Akā ʻo ka hapa nui o kēia manawa e hoʻohana ʻia e hoʻonoho pono iā ʻoe. ʻO ke kaʻina hana maoli o ka mīkini e hoʻohuli ana a hāʻawi ana i ka radiation he manawa pōkole loa ia, ma kahi o ʻelua mau minuke.
Ma muli o ke ʻano a me ke kahua o kou maʻi ʻaʻai, pono paha ʻoe e hele mai i kēia mau kau lapaʻau i kēlā me kēia lā no kekahi mau pule. E wehewehe kāu kauka i ka papa hana iā ʻoe. Hiki iā ʻoe ke hoʻi i ka home ma ke ʻano maʻamau ma hope o ka lapaʻau ʻana.
He aha nā pōmaikaʻi o ka mālama ʻana me VMAT?
ʻO nā pono nui ʻelua o ka ʻenehana VMAT ka pololei a me ka wikiwiki .
| Pōmaikaʻi | Wehewehena |
|---|---|
| Pololei | Ma ka hoʻopili wale ʻana i ka puʻupuʻu kanesa, ua pale ʻia ka radiation mai ka hiki ʻana aku i nā ʻiʻo olakino a me nā ʻōpū e pili ana. Hoʻemi nui kēia i ka pilikia o nā hopena ʻaoʻao. |
| Ka wikiwiki | Hoʻopau koke ʻia kahi kau lapaʻau hoʻokahi, ʻelua mau minuke ka lōʻihi. ʻO ka wikiwiki o ka lapaʻau ʻana, ʻo ka liʻiliʻi o ka manawa e noho ai ʻoe ma kahi kūlana hoʻokahi. Eia kekahi, ʻoi aku ka liʻiliʻi o ka manawa e lawe ai mai kou lā. |
Aia kekahi mau hopena ʻaoʻao?
Ma muli o ka hana ʻana o ka ʻenehana VMAT i ka hōʻino liʻiliʻi i nā cell olakino, ua haʻahaʻa ka pilikia o nā hopena ʻaoʻao. Eia nō naʻe, ʻaʻole hiki ke pale ʻia kekahi pae o ka hōʻino ʻana o nā cell.
ʻO nā hopena ʻaoʻao e kū mai ana e hilinaʻi nui ʻia ma ka ʻāpana o ke kino i mālama ʻia. He manawa pōkole wale nō kēia.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Luhi | ʻO kēia ka hopena ʻaoʻao i ʻike pinepine ʻia. |
| Nā loli ʻili | ʻUlaʻula, maloʻo, maneʻo, pehu, a i ʻole ka ʻili ʻana o ka ʻili ma ka wahi i mālama ʻia. |
| Pohō lauoho | Hiki ke loaʻa ka nalowale o ka lauoho no ka manawa pōkole ma ka wahi i mālama ʻia wale nō. |
| Nā pilikia o ka ʻōnaehana hoʻoheheʻe | I ka wā e mālama ai i ka ʻōpū, hiki ke loaʻa ka nausea, ka luaʻi ʻana, a me ka maʻi pā. |
| ʻEha poʻo | Hiki ke hana ia i ka wā e mālama ai i nā wahi e pili ana i ka lolo. |
Hoʻōla hou a me ke aʻo lapaʻau ma hope o ka mālama ʻana
He ʻokoʻa ke kaʻina hana hoʻōla a me ka manawa o kēlā me kēia kanaka. Hiki i kekahi poʻe ke ʻoluʻolu koke ma hope o ka mālama ʻana, aʻo kekahi poʻe e hala paha kekahi mau mahina e hoʻōla piha ai.
ʻO ka mea nui loa, ʻo ia ka hōʻoia ʻana e hele ʻoe i kāu mau hālāwai hoʻomaʻamaʻa me kāu kauka. ʻO kēia mau hālāwai e nānā i ka maikaʻi o ka hana ʻana o kāu lāʻau lapaʻau. Eia kekahi, e kamaʻilio me kāu kauka e pili ana i nā hōʻailona a i ʻole nā hopena ʻaoʻao āu e ʻike nei. He manawa kūpono kēia e nīnau ai i nā nīnau āu e loaʻa ai.
He aha ka ʻokoʻa ma waena o VMAT a me IMRT?
E like me ka mea i ʻōlelo ʻia ma mua, ʻo VMAT kahi mana holomua o IMRT. ʻO nā pahuhopu ʻelua e luku i nā hunaola kanesa me ka mālama ʻana i nā hunaola olakino.
ʻO ka ʻokoʻa nui, ʻo ia ka IMRT, kū ka mīkini ma nā kihi like ʻole a hoʻopuka i nā kukuna radiation. Ma VMAT, hoʻohuli mau ka mīkini a puni ʻoe, e hāʻawi ana i ka lāʻau lapaʻau. ʻOi aku ka wikiwiki o ka lāʻau VMAT ma mua o IMRT.
Leka Lawe-Home
- He ʻano lapaʻau radiation holomua loa, pololei, a wikiwiki hoʻi ka VMAT i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesa.
- ʻO ka pōmaikaʻi nui o kēia, ʻo ia wale nō ke kuhikuhi ʻana i ka puʻupuʻu kanesa a hoʻemi i ka hōʻino ʻana i nā ʻōpū olakino a puni.
- He manawa pōkole loa ka lōʻihi o ka mālama ʻana (ma kahi o 2 mau minuke), no laila ʻaʻole ʻoe e ʻike nui i ka ʻoluʻolu ʻole.
- Ke hoʻohālikelike ʻia me nā lāʻau lapaʻau radiation ʻē aʻe, haʻahaʻa ka pilikia o nā hopena ʻaoʻao. ʻO nā hopena ʻaoʻao e kū mai ana he manawa pōkole pinepine.
- E ʻoluʻolu e kamaʻilio me kāu kauka e pili ana i kāu hoʻolālā lapaʻau, nā hopena ʻaoʻao, a me nā hopohopo āu e loaʻa ai.
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