Di fred ɛn wɔri we kin kam na wi maynd we wi kam fɔ no se wi gɛt kansa, wi nɔ go ebul fɔ sho am wit wɔd. Bɔt tide, wit di advans mɛdikal sayɛns, bɔku advans tritmɛnt dɛn de fɔ mɛn ɛn kɔntrol kansa. Tide, wi de tɔk bɔt wan tritmɛnt we yu nɔ bin dɔn yɛri bɔt, bɔt i rili wok. Dɛn kɔl dat Brachytherapy. Dis na spɛshal tritmɛnt we dɛn kin yuz fɔ pul di kansa sɛl dɛn.
Wetin na Brachytherapy?
Fɔ tɔk am simpul wan, brachytherapy na wan kayn intanɛnt redyushɔn tɛrapi fɔ kansa. Insay kɔmɔn raytin tɛrapi, wan mashin we kɔmɔt na do na di bɔdi kin gi raytin to di tumbu. Bɔt dis we aw dɛn de du tin difrɛn.
Na ya, dɛn kin ɔpreshɔn wan tin lɛk smɔl smɔl sid dɛn, pɛlɛt dɛn, ɔ kapsul dɛn we gɛt redioaktiv tin, insay ɔ rili nia di tumbu. Tink bɔt am lɛk we yu de shayn smɔl layt bɔl rayt nia di tumbu. Di raytin we dis divays de mek de go dairekt to di kansa sɛl dɛn ɛn pwɛl dɛn.
Di big bɛnifit ya na dat bɔku pan di raytin de go dairekt to di kansa, we di damej pan di wɛlbɔdi tisu dɛn we de rawnd di kansa nɔ bɔku. Dis kin mek di sayd ɛfɛkt dɛn nɔ bɔku.
Sɔntɛnde, dɛn kin yuz dis tritmɛnt in wan. Ɔda tɛm dɛn kin yuz am togɛda wit ɔda tritmɛnt dɛn we gɛt kansa, lɛk ɛksternal bim redyushɔn tɛrapi (EBRT) ɔ ɔpreshɔn.
Yu tink se men kayn brachytherapy de?
Yɛs, dɛn kin sheb dis tritmɛnt we dɛn kin du to tu men kayn: tin dɛn we dɛn kin put insay pɔsin in bɔdi fɔ sɔm tɛm ɛn tin dɛn we dɛn kin put insay pɔsin in bɔdi fɔ ɔltɛm. Lɛ wi si wetin na di difrɛns.
| Di kayn tritmɛnt we dɛn kin gi | Tɔk bɔt |
|---|---|
| Implant dɛn we dɛn kin put insay di bɔdi fɔ sɔm tɛm | |
| Lɔw-Dɔs Rɛt (LDR) . | insay dis mכtכd, dεn kin lεf wan rεdyushכn divays na di bכdi fכ 1 to 7 dez, kכntinyu fכ kכntinyu fכ gi lכw dכz rεdyushכn. Afta di tɛm we dɛn tɛl am fɔ du, di dɔktɔ kin pul di divays. |
| Ay-Doz Rεt (HDR) . | wan rili ay doz fכ rεdyushכn de gi fכ sכt tεm, כltεm 10-20 minit. Dɛn kin pul di divays we ɛni tritmɛnt dɔn. Dɛn kin gi tritmɛnt tu tɛm insay di de fɔ te 5 dez ɔ wan tɛm insay di wik fɔ te to 5 wik. |
| Implant dɛn we go de sote go | |
| Sid we dɛn de put insay di bɔdi | insay dis mεtכd, dεn kin put sכm sכm rεdyuaktiv sid dεm insay di tכmכro fכ כltεm. Dɛn tin ya kin pul smɔl smɔl raytin fɔ sɔm wik ɔ mɔnt. As tɛm de go, di redioaktiviti kin west, ɛn di sid dɛn we nɔ de wok kin stil de na di bɔdi. Dɛn nɔ de pul dɛn kɔmɔt. |
Us kayn kansa dɛn kin yuz dis tritmɛnt fɔ?
Brachytherapy kin wok fayn fɔ di lokal kansa dɛm we nɔr dɔn spre to ɔda pat dɛm na di bɔdi. Sɔm pan de kayn kansa wae dɛn kin yuse dis tritmɛnt fɔ na:
- Prɔstat kansa
- Kansa dεm we de kam wit uman dεm (fכ egzampl, uterin, sεvikal, כ vagina kansa) .
- Brɔst kansa
- Ay kansa
- Kansa na ed ɛn nɛk
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Bifo yu dɔktɔ plan yu tritmɛnt, dɛn go chɛk yu ɛn tek wan gud mɛdikal histri. Dɛn kin nid fɔ du tin dɛn bak lɛk fɔ tɛst blɔd ɛn fɔ skan.
Yu dɔktɔ go gi yu klia instrɔkshɔn bɔt wetin yu fɔ du bifo yu gɛt tritmɛnt. Bɔku tɛm dɛn kin aks yu fɔ du tin dɛn lɛk:
- Stɔp fɔ tek mɛrɛsin dɛn we de afɛkt di we aw yu blɔd de klɔt (e.g., tin dɛn we de mek yu blɔd tan (anticoagulants), tin dɛn we de mek yu nɔ fil pen lɛk NSAID) fɔ sɔm tɛm, lɛk aw yu dɔktɔ tɛl yu.
- Klin di intestines yuz enema bifo tritmεnt.
- Nɔ it ɛn drink fɔ sɔm awa bifo yu go na ɔspitul.
- Fɔ lɛf fɔ yuz tin dɛn we dɛn kin mek wit tabak kpatakpata.
I rili impɔtant fɔ fala dɛn instrɔkshɔn ya di rayt we.
Wetin kin apin we dɛn de trit am?
Di we aw dɛn de trit yu kin difrɛn difrɛn wan bay di kayn kansa we yu gɛt ɛn di kayn brachytherapy we yu pik (LDR, HDR, ɔ pɔrmanent). I kin difrɛn bak dipen usay dɛn put di raytin divays.
- Interstitial brachytherapy: Dis na di say we dɛn kin put di divays dairekt insay di tɔŋ. Dɛn kin yuz dis we fɔ gɛt prɔstat kansa, sɔm kansa dɛn we gɛt fɔ du wit uman dɛn, ɛn kansa dɛn we gɛt sɔft tisu (sarkoma).
- Intracavity brachytherapy: na dis say dεn de put di divays insay wan cavity na di bכdi, nia di tכmכro. dis mכt dεn kin yus fכ gaynikכl kεnsar lεk di wan dεm na di sεviks εn uterus.
Dɛn go gi yu anestezi (anestesia) fɔ mek yu nɔ fil ɛni pen we yu de du di tritmɛnt. Wae yu dɔn fil fayn, di Radiation Oncologist go fala dɛn step ya:
1. Fɔ put kateta ɔ apliketa: Dɛn kin put tiub (kateta) ɔ divays (apliketa) fɔ kɛr di redioaktiv tin go na di say we di kansa de. Dɛn kin gayd dis fɔ no di rayt say bay we dɛn de skan am.
2. insay di raytin divays: Nεks, dεn de sεnd wan redioaktiv divays tru di tכb insay כ nia di tכmכro. Di raytin we dis kin mek kin pwɛl di kansa sɛl dɛn.
3. Fɔ pul di divays (tɛmporari tritmɛnt nɔmɔ): Insay di HDR we, dɛn kin pul di divays afta wan tritmɛnt sɛshɔn. Insay di LDR we, sɔm tɛm dɛn kin pul am afta sɔm dez.
Afta dɛn dɔn trit am, dɛn kin gi am mɛrɛsin fɔ mek pɔsin nɔ fil pen we dɛn de pul tin dɛn lɛk di kateshɔn.
Wetin na di bɛnifit ɛn sakses rɛt fɔ di tritmɛnt?
Brachytherapy na wan tritmɛnt wae rili fayn fɔ kansa wae nɔr dɔn skata.
- Wan raytin atak we dɛn kin atak bad bad wan kin gɛt mɔ pawa fɔ pwɛl di kansa sɛl dɛn.
- di sayd ifekt dεm nכ kin bכku biכs na sכm damej de pan di hεlty tisu.
- Di tɛm fɔ wɛl kin shɔt pas sɔm ɔda tritmɛnt dɛm fɔ kansa.
Aw dis tritmɛnt kin wok fayn?
Risach dɔn sho se brachytherapy kin rili ɛp fɔ trit tin dɛn lɛk sɛvikal kansa ɛn prɔstat kansa. Sɔntɛnde, dis tritmɛnt dɔn ebul fɔ mɛn di kansa kpatakpata ɛn mek i nɔ kam bak.
Bɔt wan tin we wi fɔ mɛmba: Nɔto ɔl kansa ɛn nɔto ɔl di wan dɛn we sik na di sem. So, e fayn fɔ tɔk to yu dɔktɔ ɛn ɔndastand gud gud wan wetin yu go gɛt frɔm dis tritmɛnt bay aw yu de si yu.
Ɛni risk ɔ sayd ɛfɛkt de fɔ dis tritmɛnt?
Jɔs lɛk ɛni ɔda tritmɛnt, sɔm bad tin dɛn de we kin apin to am. Dɛn kin dipen pan di kayn kansa we dɛn de trit ɛn di we aw dɛn de trit am. Di bɛst pat na dat bɔku pan di sayd ɛfɛkt dɛn na fɔ shɔt tɛm nɔmɔ. Sɔm kin tek lɔng tɛm, bɔt dɛn kin ebul fɔ kɔntrol dɛn.
Di kɔmɔn sayd ɛfɛkt dɛn:
- I nɔ izi fɔ pis ɔ nɔ ebul fɔ kɔntrol di pis (`(Urinary incontinence)`)
- Erectile dysfunction we nɔ de wok fayn
- Ska we de na di vagina
- Taya
- Kɔnstipɛshɔn, dayarɛa, ɔ i nɔ kin izi fɔ kɔntrol di bɔdi we yu de muv
- Nɔs ɛn vɔmit
Di tin we impɔtant pas ɔl na dat, di sayd ɛfɛkt dɛn kin jɔs de fɔ di pat pan di bɔdi we dɛn bin dɔn trit. Fɔ ɛgzampul, prɔstat tritmɛnt kin mek yu gɛt prɔblɛm wit yu urinary ɔ bowel, bɔt i nɔ kin izi fɔ mek yu nɔs.
Pɔsin we dɔn gɛt tritmɛnt ɛn ɔda pipul dɛn
Aw lɔng i kin tek fɔ mek i wɛl?
Di tɛm we pɔsin kin wɛl afta di brachytherapy kin shɔt we yu kɔmpia am wit ɔda tritmɛnt dɛn we kin mek pɔsin gɛt kansa, lɛk ɔpreshɔn. Dipen pan di kayn tritmɛnt, yu kin fil fayn insay sɔm dez ɔr wan wik. I impɔtant fɔ rɛst fɔ sɔm dez afta yu dɔn trit yu ɛn avɔyd fɔ du tin dɛn we de mek yu tranga. Risum yu nɔmal tin dɛn lɛk aw yu dɔktɔ tɛl yu fɔ du.
Yu tink se i nɔ bad fɔ de nia pɔsin we dɔn gɛt tritmɛnt?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks.
- If yu bin gɛt brachytherapy fɔ sɔm tɛm , nɔ raytin nɔ go lɛf na yu bɔdi afta dɛn dɔn pul di divays, so no risk nɔ go de fɔ mek yu go nia ɔda pipul dɛn.
- If yu bin gɛt brakitɛrapi fɔ ɔltɛm (e.g. sid implant), smɔl smɔl raytin go kɔmɔt na yu bɔdi fɔ sɔm wik ɔ mɔnt.
Bɔt nɔ wɔri. Dis raytin de travul fɔ rili shɔt distans dɛn na do na di bɔdi. Na dat mek i nɔ de ambɔg di wɛlbɔdi tisu dɛn we de rawnd di kansa. So di risk fɔ ɔda pipul dɛn rili smɔl. Bɔt as fɔ tek tɛm , dɔktɔ dɛn kin advays uman dɛn we gɛt bɛlɛ ɛn yɔŋ pikin dɛn fɔ avɔyd fɔ de nia dɛnsɛf fɔ lɔng tɛm we dɛn bigin.
Ustɛm yu fɔ go to dɔktɔ?
Tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt dɛn sik ya we yu de du di tritmɛnt ɔ afta yu dɔn gɛt di tritmɛnt:
- I nɔ kin izi fɔ yu fɔ blo ɔ fɔ swɛla
- Bɛlɛ kramp bad bad wan, vɔmit, ɔ dayarɛa
- Nɔ ebul fɔ kɔntrol di urine ɔ stɔl
Mɛsej we dɛn kin kɛr go na os
- Brachytherapy na wan advans tritmɛnt we de put wan raytin sɔs insay ɔ rili nia wan tumbu fɔ tɔch ɛn pwɛl di kansa sɛl dɛn.
- di men advantej fכ dis na dat di damej pan di hεlty tisu dεm nכ de sכmtεm εn dat mek di sayd ifekt dεm de rεdכks.
- Dis kin wok mɔ fɔ di kansa dɛn we nɔ dɔn skata to ɔda pat dɛn na di bɔdi.
- Tu kayn dɛn de: fɔ shɔt tɛm ɛn fɔ ɔltɛm. Yu dɔktɔ go disayd us we fɔ du am bɛtɛ fɔ yu.
- Pan ɔl we di sayd ɛfɛkt dɛn kin apin, bɔku tɛm dɛn kin ebul fɔ kɔntrol dɛn ɛn na di say we dɛn kin trit nɔmɔ.
- I rili impɔtant fɔ tek tɛm fala yu dɔktɔ in instrɔkshɔn bifo, di tɛm we yu de trit yu, ɛn afta yu dɔn trit yu.
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