He mea paʻakikī ke hoʻopuka i nā huaʻōlelo i ka makaʻu a me ka hopohopo āu e ʻike ai ke ʻike ʻoe ua loaʻa iā ʻoe a i ʻole kahi mea aloha i ka maʻi kanesa. A laila ke lohe ʻoe e pili ana i ka lāʻau lapaʻau, ʻoi aku paha kou makaʻu ke lohe ʻoe e pili ana i ka "radiation therapy." Akā ke holomua nei ka ʻepekema lapaʻau i kēlā me kēia lā. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano lapaʻau holomua a wikiwiki loa e kuhikuhi wale ana i nā cell cancer a hōʻemi nui i ka hōʻino ʻana i nā cell olakino. Ua kapa ʻia kēia ʻo VMAT.
No laila, he aha kēia VMAT?
I ka ʻōlelo maʻalahi, ʻo VMAT kahi huaʻōlelo pōkole no 'Volumetric Modulated Arc Therapy'. He ʻano lapaʻau radiation holomua loa kēia i hoʻohana ʻia e pepehi i nā hunaola kanesa. I ka pololei, he ʻano ia o External Beam Radiation Therapy (EBRT). ʻO ke ʻano kēia, ʻaʻohe mea radioactive i hoʻokomo ʻia i loko o kou kino. No laila, ʻaʻohe pono e hopohopo e pili ana i ka pakele ʻana o ka radiation mai kou kino i ka wā a ma hope paha o ka mālama ʻana.
E noʻonoʻo, i kou moe ʻana ma kahi moe, e wili mālie ana kahi mīkini nui a puni ʻoe, e kuhikuhi mau ana i nā kukuna radiation, e kuhikuhi wale ana i kahi i loaʻa ai ke kanesa. ʻO ia ka mea e hana ʻia me ka ʻenehana VMAT.
He mana holomua kēia o kekahi ʻano hana lapaʻau radiation ʻē aʻe, ʻo IMRT (Intensity-Modulated Radiation Therapy). Ma IMRT, ma kahi o hoʻokahi kukuna nui o ka radiation, ua hāʻawi ʻia nā kukuna liʻiliʻi he nui o ka radiation ma nā ikaika like ʻole i ka puʻupuʻu. Hoʻemi nui kēia i ka hōʻino ʻana i nā ʻiʻo olakino a puni ka puʻupuʻu. Ma VMAT, hana ʻia kēia kaʻina hana like ʻoiai e hoʻohuli mau ana ka mīkini, no laila hiki ke hana pololei a wikiwiki hoʻi ka lapaʻau ʻana.
He aha nā ʻano maʻi kanesa e hoʻohana ʻia ai ka lāʻau VMAT?
Ma muli o ke kikoʻī o ka ʻenehana VMAT, he hopena maikaʻi loa ia no ka mālama ʻana i nā puʻupuʻu kanesa i loaʻa ke ʻano ʻē a i ʻole aia kokoke loa i nā ʻōpū koʻikoʻi i loko o ko mākou kino. No ka laʻana, hiki i kāu kauka maʻi kanesa ke ʻōlelo i kēia ʻano hana e mālama ai i kahi kanesa i ulu a puni kahi ʻōpū.
Hoʻohana pinepine ʻia ka mālama ʻana o VMAT no nā ʻano maʻi kanesa ma lalo nei.
| Nā ʻano maʻi kanesa kahi i hoʻohana pinepine ʻia ai ka mālama ʻana iā VMAT | |
|---|---|
| Ka maʻi ʻaʻai prostate | Ka maʻi ʻaʻai umauma |
| Nā maʻi ʻaʻai poʻo a me ka ʻāʻī | Ka maʻi ʻaʻai o ka ʻōpū |
| Nā maʻi ʻaʻai māmā | Ka maʻi ʻaʻai colorectal |
| Ka maʻi ʻaʻai anal | Ka maʻi ʻaʻai ʻōpū |
| Ka maʻi ʻaʻai lolo | Ka maʻi ʻaʻai nasopharyngeal/oropharyngeal |
Pehea e hana ai kēia? He aha ka mea e hana ʻia ma mua o ka lāʻau lapaʻau?
He hana i hoʻolālā nui ʻia ka mālama ʻana iā VMAT. Pili ia i kekahi mau ʻanuʻu koʻikoʻi.
1. Hoʻolālā Lapaʻau (Hoʻolālā & Hoʻohālike)
ʻO kēia ka hana nui loa. E lawe mua kāu hui lapaʻau i nā kiʻi ʻekolu-dimensional (3D) o kou kino. Hana pinepine ʻia kēia me ka hoʻohana ʻana i kahi CT scan, akā i kekahi manawa he MRI a i ʻole PET scan. E kōkua kēia mau kiʻi iā lākou e hoʻoholo pono i kahi o ke kanesa, kona nui, ke ʻano, a me nā ʻōpū olakino a puni ia e pono e pale ʻia mai ka radiation.
A laila aia kahi hālāwai hoʻolālā i kapa ʻia ʻo "simulation". Maanei,
- E hoʻonoho ʻia ʻoe ma ke kūlana kūpono ma luna o ka noho lapaʻau a e kau ʻia ke kukuna radiation i mea e pā pololei ai i ke kanesa.
- Hiki iā ʻoe ke hoʻohana i kahi māka manawa pōkole a i ʻole kahi māka mau loa, e like me kahi peʻa liʻiliʻi, ma kou ʻili e hōʻailona i kahi kikoʻī o ke kanesa.
- Hiki nō hoʻi iā ʻoe ke hoʻohana i kahi ʻōpala a i ʻole kahi pale maka i hana kūikawā ʻia no kou kino e mālama iā ʻoe ma ke kūlana like me ka ʻole o ka neʻe ʻana i ka wā o ka mālama ʻana.
Hiki i kēia kaʻina hana hoʻolālā ke hala i hoʻokahi lā a i ʻole kekahi mau lā, no ka mea, pono e hoʻopilikino ʻia ka lāʻau lapaʻau i ke ʻano kikoʻī o kou maʻi ʻaʻai, me ka hoʻohana ʻana i nā kukuna radiation e like me ka liʻiliʻi o ka piko o ka penikala (2.5 x 5 millimeters).
2. I ka wā o VMAT
E hoʻonoho kekahi mea lapaʻau radiation iā ʻoe ma luna o ka moena lapaʻau ma ke kūlana like āu i noho ai i ka wā hoʻolālā. A laila e hoʻomalu ʻo ia i ka mīkini e hāʻawi ana i ka radiation, i kapa ʻia ʻo "LINAC - Linear Accelerator", mai kahi lumi ʻokoʻa. E hiki iā ʻoe ke kamaʻilio me ia ma o ka microphone.
Ke hoʻomaka ka lāʻau lapaʻau, e wili mālie ana ka mīkini LINAC a puni ʻoe. I kona wili ʻana, ua 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, a ʻaʻole ʻoe e ʻike i kekahi ʻeha. E nānā pono ka mea hoʻōla radiation i nā mea āpau ma kahi pale kamepiula.
ʻOiai ʻo ka lōʻihi o ka mālama ʻana ma kahi o 20 mau minuke, ua hāʻawi ʻia ka radiation no kahi manawa pōkole loa, ma kahi o ʻelua mau minuke. Hoʻohana ʻia ke koena o ka manawa e hoʻonoho pono iā ʻoe.
3. Ma hope o ka mālama ʻana (Ma hope o VMAT)
Ke pau ka lāʻau lapaʻau, hiki iā ʻoe ke hoʻi i ka home a hoʻi hou i kāu mau hana o kēlā me kēia lā e like me ka maʻamau.
He aha nā pōmaikaʻi o ka mālama ʻana me VMAT?
ʻElua mau pono nui o ka mālama ʻana iā VMAT: ka pololei a me ka wikiwiki.
Pololei: ʻOiai ke kuhikuhi nei ka ʻenehana VMAT i ka puʻupuʻu a hāʻawi i ka radiation, ua liʻiliʻi ka pōʻino i nā ʻiʻo olakino a puni. ʻO kēia ka pōmaikaʻi nui loa.
Wikiwiki: Hiki ke hoʻopau ʻia hoʻokahi kau lapaʻau i loko o kekahi mau minuke. ʻO ka wikiwiki o ka lapaʻau ʻana, ʻo ka liʻiliʻi o ka manawa e noho ai ma ke kūlana like. A ʻo ka pololei o ka lapaʻau ʻana.
Aia kekahi mau hopena ʻaoʻao?
ʻOiai ʻo ka mālama ʻana o VMAT e hōʻemi i ka hōʻino ʻana i nā ʻiʻo olakino, ua haʻahaʻa nō hoʻi ka pilikia o nā hopena ʻaoʻao. Eia nō naʻe, ʻaʻole hiki ke pale ʻia kekahi mau hōʻino i nā cell olakino. Inā loaʻa nā hopena ʻaoʻao a ʻaʻole paha, a me ko lākou ʻano, ʻokoʻa ia ma muli o ka wahi o ke kino e mālama ʻia ana .
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Luhi | ʻO kēia ka hopena ʻaoʻao maʻamau. |
| Ka luaʻi a me ka luaʻi | Hiki ke hana ʻia kēia i ka wā e mālama ai i ka ʻāpana ʻōpū. |
| Ka maʻi pākī | Hiki ke hana i ka wā e mālama ai i ka ʻōpū a i ʻole ka ʻāpana pelvic. |
| Pohō lauoho | I ka mālama ʻana i ke poʻo a i ʻole ka ʻāʻī, aia wale nō ia ma ia wahi. |
| Nā loli ʻili | ʻUlaʻula, maloʻo, maneʻo, a pehu paha o ka ʻili ma ka wahi i mālama ʻia. |
He ʻokoʻa ka ʻike o kēlā me kēia kanaka. Hiki i kekahi poʻe ke ʻoluʻolu koke ma hope o ka mālama ʻana. Hiki i kekahi ke hala i kekahi mau mahina e hoʻōla piha ai. E nīnau i kāu kauka i ka mea e manaʻo ai ma muli o kou kūlana olakino.
E hāʻawi ʻia ʻoe i nā manawa hoʻopaʻa ma hope o kāu lāʻau lapaʻau. E hōʻoia e hele i kēia mau manawa a pau. E kamaʻilio me kāu kauka e pili ana i kekahi mau hōʻailona a i ʻole nā hopena ʻaoʻao āu e loaʻa ai.
Leka Lawe-Home
- He ʻano lapaʻau radiation holomua loa ka VMAT a pololei hoʻi e pili ana i nā hunaola kanesa wale nō a hoʻēmi i ka hōʻino ʻana i nā ʻiʻo olakino.
- He wikiwiki loa kēia mau kau lapaʻau. He mau minuke wale nō e hāʻawi ai i ka radiation.
- Ma muli o ka pololei kiʻekiʻe, ua emi ka manawa kūpono o nā hopena ʻaoʻao ma mua o ka radiation therapy kuʻuna.
- ʻAʻohe ʻeha i ka wā o ka mālama ʻana, a hiki iā ʻoe ke hoʻi i ka home e like me ka maʻamau ma hope o ka mālama ʻana.
- E kamaʻilio ākea me kāu oncologist e pili ana i ka kūpono o kēia lāʻau lapaʻau iā ʻoe a me nā hopena a me nā hopena ʻaoʻao.
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