We yu dɔktɔ tɛl yu ɔ pɔsin we yu sabi gɛt kansa, sɔntɛm yu kin tɔk bɔt redyushɔn tɛrapi, nɔto so? Bɔku pipul dɛn kin tink se redyushɔn tɛrapi na jɔs big mashin we de shot redyushɔn na di bɔdi. Dat na jɔs wan we fɔ du tin. Bɔt wan spɛshal we de we kin go rayt to di kansa tɔŋ ɛn sɔntɛnde i kin put wan redioaktiv tin insay. I tan lɛk se yu go atak di ɛnimi rayt usay i de. Tide wi de tɔk bɔt Brachytherapy, na tritmɛnt wae bɔrku pipul nɔr dɔn yɛri bɔt, bɔt na tritmɛnt wae de woke fayn fayn wan.
Wetin na Brachytherapy insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, Brachytherapy na wan kayn intanɛnt redyushɔn tɛrapi . I min fɔ put smɔl smɔl sid dɛn, pɛlɛt dɛn, ɔ kapsul dɛn we gɛt redioaktiv tin insay ɔ rili nia wan tumbu. Dɛn tin ya we dɛn kin put insay pɔsin in bɔdi kin pul raytin fɔ shɔt tɛm, ɛn dis kin kil di kansa sɛl dɛn.
Imajin se na wan ples nɔmɔ dɔti de na wan rum. Aw i go wok if yu jɔs go na di say we di dɔti de ɛn sprɛy am instead fɔ sprɛy di wan ol rum? Na so dis tritmɛnt de wok. Bikɔs di raytin de fɔ di kansa, i kin gi pawaful doz raytin we go du fɔ kil di kansa sɛl dɛn. Dɔn bak, di damej we de pan wɛlbɔdi sɛl dɛn we de rawnd di kansa nɔ bɔku .
Sɔntɛnde, yu kin gɛt brachytherapy nɔmɔ. Ɔ, dɛn kin put am togɛda wit ɔda tritmɛnt dɛn fɔ kansa, lɛk ɛksternal bim redyushɔn tɛrapi (EBRT) ɔ ɔpreshɔn. Na yu dɔktɔ go disayd dis, i go dipen pan di kayn kansa we yu gɛt.
Wetin na di men kayn tritmɛnt wae dɛn kin gi dis tritmɛnt?
Dɛn redioaktiv tin ya (implant) we dɛn kin put na di bɔdi we dɛn de trit brakitɛrapi, dɛn kin sheb dɛn to tu men kayn. Dat min se, di wan dɛn we dɛn kin put fɔ sɔm tɛm ɛn afta dat dɛn kin pul dɛn, ɛn di wan dɛn we de na di bɔdi fɔ ɔltɛm. Lɛ wi si wetin na dɛn tin ya.
| Di kayn tritmɛnt we dɛn kin gi | Aw i de wok ɛn aw i de tɔk bɔt am |
|---|---|
| 1. Implant dɛn we dɛn kin put insay di bɔdi fɔ sɔm tɛm | |
| Lɔw-Dɔs Rɛt (LDR) . | Insay dis we, dɛn kin lɛf smɔl smɔl redioaktiv tin dɛn na di bɔdi fɔ lɛk wan to sɛvin dez, afta dat di dɔktɔ kin pul dɛn. Insay dis tɛm, yu go gɛt fɔ de na di ɔspitul. |
| Ay-Doz Rεt (HDR) . | wetin kin apin ya na dat dεn kin gi wan rili ay doz fכ rεdyushכn fכ sכm tεm, lεk 10-20 minit. Afta wan sɛshɔn, dɛn kin pul di tin we dɛn tɔk bɔt. Bɔku sɛshɔn dɛn lɛk dis nid fɔ du. Sɔntɛm tu tɛm insay di de fɔ fayv dez, ɔ wan tɛm insay di wik fɔ fayv wik. |
| 2. Implant dɛn we go de sote go | |
| Sid we dɛn de put insay di bɔdi | Insay dis we, dɛn kin put redioaktiv sid dɛn we smɔl pas wan gren rays, insay di bɔdi fɔ ɔltɛm. Dɛn tin ya kin pul raytin smɔl smɔl fɔ sɔm wik ɔ mɔnt. As tɛm de go, dɛn redioaktiviti kin dɔnawe wit dɛn ɛn dɛn nɔ kin wok. Bɔt di smɔl smɔl sid dɛn kin stil de na di bɔdi ɛn dɛn nɔ kin du ɛni bad tin. |
Us kayn kansa dɛn kin trit wit brachytherapy?
Brachytherapy kin wok fayn fɔ di lokal kansa dɛm we nɔr dɔn spre to ɔda pat dɛm na di bɔdi . Dis min se di kansa de na di sem ples usay i bigin. Na sɔm pan de kayn kansa wae dɛn kin yuse dis tritmɛnt fɔ:
- Prɔstat kansa
- Gaynekolojikal kansa - fכ egzampl, uterin kεnsar, sεvikal kεnsar, כ vagina kεnsar
- Brɔst kansa
- Ay kansa
- Kansa na ed ɛn nɛk
Aw a fɔ pripia bifo dis tritmɛnt?
Bifo yu du dis tritmɛnt, yu dɔktɔ go chɛk yu gud gud wan. I go tɔk bɔt yu kɔmplit mɛdikal istri. I go ɔda bak fɔ mek dɛn du blɔd tɛst ɛn fɔ tek pikchɔ, lɛk CT skan, fɔ plan di tritmɛnt we yu go gɛt.
Apat frɔm dat, yu dɔktɔ go gi yu sɔm spɛshal instrɔkshɔn dɛn fɔ fala sɔm dez bifo yu tritmɛnt. Sɔm pan dɛn tin ya na:
- Sɔm mɛrɛsin dɛn we kin afɛkt di we aw blɔd kin klɔt, fɔ ɛgzampul, antikɔagulant ɔ pen kil (NSAID), dɛn kin stɔp fɔ tek am fɔ sɔm tɛm.
- Dɛn kin aks yu fɔ yuz inɛma fɔ klin yu insay bifo yu gɛt tritmɛnt.
- Dɛn go aks yu fɔ fast fɔ sɔm awa bifo di tritmɛnt.
- If yu de yuz tabak, dɛn go advays yu fɔ stɔp.
Dɛn kin du ɔl dis fɔ mek di tritmɛnt sef ɛn wok fayn as dɛn ebul. So, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn di rayt we.
Wetin kin rili apin we dɛn de trit am?
Di we aw dɛn de trit yu go difrɛn difrɛn wan bay di kayn kansa we yu gɛt, usay i de, ɛn di kayn brakitɛrapi we yu de gɛt (LDR, HDR, ɔ fɔ ɔltɛm). Dɛn sheb am bak to tu men we dɛn bay usay dɛn put di redioaktiv matirial:
1. Interstitial Brachytherapy: Dis na di say we dεn de put redioaktiv mεtirial dεm dεn dεn de put dεn t כmכro dεm dεn wan dεm. Dɛn kin yuz dis we fɔ mɛn prɔstat kansa, sɔm kansa dɛn we gɛt fɔ du wit uman dɛn, ɛn kansa we gɛt sɔft tisu (sarkoma).
2. Intracavity Brachytherapy: Dis involv fכ put redioaktiv mεtirial insay wan bכdi kεviti we rili nia di tכmכro. bכku tεm dεn kin yus dis mεtכd fכ di gεnεkכlכjik kεnsar dεm lεk di sεviks εn di uterus.
Bifo di tritmɛnt bigin, dɛn go gi yu anestezi fɔ mek yu nɔ fil pen. We yu dɔn fil fayn, di dɔktɔ we de mɛn di raytin ɔnkɔlɔji go fala dɛn tin ya:
- we yu put kateshכn כ aplikεta: dεn de put wan tin tכb (kateta) כ spεshal divays (aplikεta) insay di bכdi fכ gi di rεdyuaktiv mεtirial to di tכmכro. Dɛn kin yuz we dɛn fɔ tek pikchɔ, lɛk fɔ skan fɔ si if na so i bi.
- Rediotɛrapi: Dɔn dɛn kin gi rediotɛrapi tru di tiub insay ɔ nia di tɔŋ. Di raytin we dɛn tin ya kin pul kin bigin fɔ pwɛl di kansa sɛl dɛn.
- Fɔ pul di redioaktiv matirial (fɔ sɔm tɛm nɔmɔ): If yu de tek ay doz raytin tɛrapi (HDR), dɛn kin pul di matirial afta wan sɛshɔn. Insay low-dose radiation therapy (LDR), dɛn kin pul am afta sɔm dez.
We di tritmɛnt dɔn, dɛn go gi yu mɛrɛsin fɔ mek yu nɔ fil pen fɔ kɔntrol ɛnitin we go mek yu nɔ fil fayn we dɛn pul di tiub.
Wetin kin apin afta tritmɛnt ɛn aw lɔng i kin tek fɔ mek i wɛl?
Afta di tritmɛnt dɔn, dɛn go kɛr yu go na rum fɔ wɛl, usay di mɛdikal wokman dɛm go wach yu kɔndishɔn ɛn ɛp yu fɔ kɔntrol ɛni pen we yu go gɛt.
Bɔrku tɛm, yu go ebul fɔ go na os di sem de we yu trit yu. Bɔt if yu dɔn gɛt anestezi, yu go nid pɔsin fɔ drayv yu go na os. Sɔntɛnde, mɔ if yu tritmɛnt seshɔn dɛn kin las fɔ sɔm dez, yu kin nid fɔ de na ɔspitul.
We yu kɔmpia am to ɔda tritmɛnt dɛn we dɛn kin yuz fɔ mɛn kansa, mɔ di big ɔpreshɔn, di tɛm we pɔsin kin wɛl afta dɛn dɔn du brakitɛrapi nɔ kin shɔt . Dipen pan di kayn tritmɛnt, yu kin kam bak to nɔmal tin insay sɔm dez ɔr wan wik. Bɔt i impɔtant fɔ avɔyd fɔ du tin dɛn we de mek yu strɛs ɛn fɔ rɛst bɔku fɔ sɔm dez afta yu dɔn gɛt tritmɛnt. Aks yu dɔktɔ bɔt di bɛst tɛm fɔ bigin yu nɔmal tin dɛn bak.
Ɛni sayd ɛfɛkt ɛn risk de?
Jɔs lɛk ɛni ɔda mɛrɛsin, brachytherapy kin mek sɔm sayd ɛfɛkt dɛn. Bɔt wetin dɛn sayd ɛfɛkt ya bi go dipen mɔ pan di kayn kansa we yu gɛt ɛn di kayn brachytherapy we yu de gɛt.
Di tin we impɔtant pas ɔl na dat, bikɔs dɛn de tɔk bɔt dis tritmɛnt, di sayd ɛfɛkt dɛn kin jɔs de na di say we dɛn trit am . Fɔ ɛgzampul, we yu de trit di prɔstat, yu kin gɛt prɔblɛm fɔ pis ɔ fɔ pul dɔti, bɔt yu nɔ go gɛt nɔys ɔ vɔmit.
Bɔku pan di sayd ɛfɛkt dɛn kin bɛtɛ smɔl smɔl as di raytin de west, bɔt sɔm kin de fɔ lɔng tɛm, ɛn sɔm kin apin sɔm tɛm afta di tritmɛnt dɔn.
| Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt | Di say dɛn we dɛn kin gɛt tritmɛnt we dɛn kin gɛt fɔ du wit |
|---|---|
| I nɔ izi fɔ pis ɔ nɔ ebul fɔ kɔntrol di pis (urinary incontinence) . | Prɔstat, kansa we gɛt fɔ du wit uman dɛn |
| Erectile dysfunction we nɔ de wok fayn | Prɔstat |
| Vagina ska, dray | Kansa we gɛt fɔ du wit uman dɛn |
| Kɔnstipɛshɔn, dayarɛa, ɔ nɔ ebul fɔ kɔntrol di stɔl (fecal incontinence) . | Prɔstat, gaynɛkɔlɔjik kansa, gastrointestinal kansa |
| Bɔdi taya pasmak (Fatigue) . | I kin apin wit ɛni tritmɛnt eria. |
| Nɔs ɛn vɔmit | Insay di tritmɛnt fɔ di kansa dɛn we de na di bɛlɛ |
Yu tink se i nɔ bad fɔ de wit ɔda pipul dɛn afta yu dɔn gɛt tritmɛnt?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. "Bikɔs a gɛt sɔntin we redioaktiv na mi bɔdi, a go du bad to mi famili ɛn yɔŋ pikin dɛn?"
Di ansa to dis dipen pan di kayn brachytherapy we yu bin gɛt.
- If yu dɔn gɛt brakitɛrapi fɔ sɔm tɛm: Afta dɛn dɔn pul di redioaktiv tin na yu bɔdi, nɔ raytin nɔ go lɛf na yu bɔdi. So yu kin de wit ɔda pipul dɛn, ivin uman dɛn we gɛt bɛlɛ ɛn yɔŋ pikin dɛn, ɛn yu nɔ kin fred. No risk nɔ de.
- If yu dɔn gɛt brakitɛrapi fɔ ɔltɛm: Bikɔs dɛn kin put di redioaktiv sid dɛn na yu bɔdi fɔ ɔltɛm, yu kin gɛt smɔl smɔl raytin fɔ sɔm wik ɔ mɔnt. Di risk fɔ ɔda pipul dɛn rili smɔl bikɔs di raytin nɔ de travul fa fawe na di bɔdi. Bɔt fɔ tek tɛm, yu dɔktɔ kin advays yu fɔ stɔp fɔ kɔntakt (e.g., fɔ ɔg) wit bɛlɛ uman ɛn yɔŋ pikin dɛn fɔ sɔm tɛm. Tek tɛm fala dɛn instrɔkshɔn ya.
Ustɛm a fɔ go to di dɔktɔ?
Yu go ɔltɛm gɛt fɔl-ap apɔntinmɛnt afta tritmɛnt. Bɔt bifo yu wet fɔ dɛn de dɛn de, kɔl yu dɔktɔ wantɛm wantɛm if yu si ɛni wan pan dɛn tin ya:
- I nɔ kin izi fɔ yu fɔ blo ɔ fɔ swɛla
- Bɛlɛ pen bad bad wan, vɔmit ɔltɛm, ɔ dayarɛa
- If yu gɛt kɔndishɔn wae yu nɔr kin ebul fɔ kɔntrol yu urine ɔr stɔl
Brachytherapy na wan tritmɛnt we rili wok, we dɛn kin tɔch fɔ pwɛl di kansa sɛl dɛn. I gɛt bɔku bɛnifit bikɔs i de mek di sɛl dɛn we gɛt wɛlbɔdi nɔ pwɛl bɛtɛ. If dɛn dɔn gi yu ɔ pɔsin we yu lɛk dis tritmɛnt, tɔk to yu dɔktɔ bɔt am ɛn aks ɛni kwɛstyɔn we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Brachytherapy na wan targeted radiation treatment method we involv fɔ put redioaktiv matirial insay ɔ rili nia wan kansa tumor.
- di big advantej fכ dis mεtכd na dat i kin gi strכng doz כf rεdyushכn to di kεnsar sεl dεm we i de sכmtεm damej to di hεlty sεl dεm we de rawnd.
- If yu gɛt pɔrmanent redyushɔn sid, dɛn kin advays yu fɔ stɔp fɔ tɔk to yɔŋ pikin dɛn ɛn uman dɛn we gɛt bɛlɛ fɔ sɔm tɛm. Nɔr risk nɔr de afta di tritmɛnt fɔ sɔm tɛm.
- If yu kɔmpia am wit ɔda tritmɛnt dɛn we dɛn kin yuz fɔ mɛn kansa, i nɔ kin gɛt bɔku sayd ɛfɛkt dɛn ɛn i kin shɔt fɔ mek i wɛl.
- Tɔk opin wan wit yu dɔktɔ fɔ gɛt di bɛst infɔmeshɔn bɔt di bad tin dɛn we kin apin to yu ɛn aw yu tritmɛnt go wok fayn.
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