We yu dɔktɔ tɛl yu ɔ pɔrsin wae yu lɛk gɛt kansa, na nɔrmal tin fɔ fil smɔl frayd ɛn wɔri we yu yɛri di wɔd dɛm "radiation therapy" we yu de tɔk bɔt di nɛks tritmɛnt. We wi yɛri di wɔd "radiation", wan pikchɔ we de mek wi fred smɔl kin kam na wi maynd. Bɔt fɔ tru, wit di tɛknɔlɔji tide, dɛn tritmɛnt ya rili advans ɛn dɛn nɔ gɛt wan prɔblɛm. So tide, lɛ wi tɔk bɔt di men ɛn we dɛn kin yuz mɔ fɔ yuz redyushɔn tɛrapi, `External Beam Radiation Therapy` ɔ `(EBRT)`. A shɔ se bay di tɛm we yu dɔn rid dis atikul, yu go dɔn lɛf fɔ fred bɔt dis ɛn yu go ɔndastand am klia wan.
Fɔ tɔk am simpul wan, wetin na Ɛksternal Bim Rɛdyeshɔn Tɛrapi (EBRT)?
I rili simpul. Dis na di men we fɔ yuz redyushɔn tɛrapi fɔ fɛt kansa. I min se yu de ledɔm pan spɛshal bed ɛn big mashin we de sɛn wan layt we dɛn kin kɔntrol fayn fayn wan to di kansa.
Di tin we impɔtant pas ɔl na dat, dis mashin nɔ de hit ɛnisay na yu bɔdi . I de wok frɔm fa fa say. Fɔ tɔk di kɔrɛkt tin, dɛn mek dis mashin fɔ pwɛl di kansa sɛl dɛn nɔmɔ, pan ɔl we i nɔ go pwɛl di sɛl dɛn we gɛt wɛlbɔdi.
Imajin se di kansa sɛl dɛn we de insay yu bɔdi na smɔl tin we dɛn kin want fɔ du. Dis EBRT mashin tan lɛk supa snaypa we kin shot da target de wit big prɛsishɔn. I de pwɛl di target we i nɔ de ambɔg di inosɛnt (hɛlth) sɛl dɛn we de rawnd am.
Aw dis tritmɛnt de wok insay di bɔdi?
Dis tritmɛnt de yuz bim dɛn we gɛt bɔku ɛnaji. Dɛn bim ya kin mek pawaful tin dɛn we gɛt bɔku chaj ɛn we kin kil kansa sɛl dɛn. Sɔm kayn bim kin travul dip insay yu bɔdi, ɛn afɛkt di kansa sɛl dɛn ɛn di wɛlbɔdi sɛl dɛn we de nia yu. Bɔt di men tin we dɔktɔ dɛn want na fɔ tɔch di kansa sɛl dɛn nɔmɔ ɛn dɛn nɔ go pwɛl di tisu dɛn we gɛt wɛlbɔdi.
Bɔku men kayn patikyula dɛn de we dɛn kin yuz fɔ dis. Lɛ wi tek wan luk pan wetin dɛn bi.
| Partikul Tayp we Dɛn Yuz | Simpul ɛksplen |
|---|---|
| Fɔtɔn dɛn - ɛgz. X-ray, gama rayt | Dɛn tin ya na di wan dɛn we dɛn kin yuz mɔ. Dɛn kin go dip dip wan insay di bɔdi ɛn pwɛl di kansa sɛl dɛn. |
| Prɔtɔn dɛn | Dɛn tin ya kin stɔp we dɛn rich di tɔŋ we gɛt kansa. fכ dat, di damej pan di hεlty tisu we de rawnd de rili sכm. Bɔt dis teknɔlɔji stil de na smɔl say dɛn nɔmɔ na di wɔl. |
| Ilɛktrɔn dɛn | Dɛn tin ya nɔ kin go dip insay di bɔdi, so dɛn kin yuz dɛn mɔ fɔ mɛn kansa na di skin ɔ kansa we de ɔp di skin. |
כl di EBRT tritmεnt dεm de yuz wan mashin we dεn kכl `linear accelerator` (LINAC).
Us kɔndishɔn dɛn kin yuz EBRT tritmɛnt fɔ?
Dɔktɔ dɛn kin yuz dis tritmɛnt fɔ sɔm men tin dɛn.
- Pwɛl di kansa sɛl dɛn ɔ stɔp dɛn fɔ mek dɛn nɔ go na ɔda pat dɛn na di bɔdi.
- As adjɔnt to ɔda tritmɛnt dɛn. Fɔ ɛgzampul, fɔ mek di tumbu smɔl bifo dɛn du di ɔpreshɔn, ɔ fɔ pul ɛni kansa sɛl we lɛf kpatakpata afta dɛn dɔn du di ɔpreshɔn ɔ kemotɛrapi.
- Riliv di simptom dɛm. Sɔntɛnde, dɛn kin yuse dis tritmɛnt fɔ shrink di tumor dɛm wae de mek pɔrsin fil pen ɔr ɔda diskɔmfɔt ɛn gi di sikman rilif. Wi kin kɔl dis bak `palliative care`.
Dɛn kin yuz dis tritmɛnt mɔ fɔ kansa dɛn we de na wan patikyula say ɔ bɔku say dɛn. Fɔ ɛgzampul:
- Brɔst, kɔlon, lɔng, prɔstat, uterin, ɛn ed ɛn nɛk kansa
- Kansa lεk lukimiya εn `Nכn-Hכdgkin limfoma`
Difrɛn kayn EBRT tritmɛnt dɛn de?
Yɛs. EBRT dεn sheb am to sεvεra tritmεnt mכdaliti dεm bay aw di rεdyushכn bim de shep, dayrεkt, εn tכgεt. Dɛn tin ya na smɔl tɛknik, bɔt if yu ɔndastand dɛn simpul wan, dɛn go rili ɛp yu.
| Nem fɔ di we aw dɛn de trit am | Wetin kin apin wit dis? |
|---|---|
| 3D kɔnfɔmal rɛdyushɔn tɛrapi | we dεn yuz sכmtin lεk CT skan, dεn kin mek wan tri-dimεnshכnal (3D) mכdel fכ di tכmכro. Dɔn, dɛn kin ajɔst sɔm bim dɛn we de kɔmɔt na difrɛn angul dɛn fɔ mek dɛn mach di shep we di tumbu gɛt ɛn dɛn kin atak dɛn. |
| Intɛnsity-modulet rɛdyushɔn tɛrapi (IMRT) . | Dis na wan we we dɔn go bifo pas ɔl. I de yuz kɔmpyuta-asist bim dɛn we gɛt difrɛn intensiti fɔ gi ay doz ɔf redyushɔn to di kansa tɔmɔs pan ɔl we i de spay wɛlbɔdi tisu. |
| Imej-gayd rεdyushכn tεrapi (IGRT) . | We dɛn de du di tritmɛnt, dɛn kin yuz imej tɛknik dɛn lɛk skan fɔ no klia wan usay di tɔŋ de. if di tכmכro in posishכn chenj sכmtεm, dεn de ajɔst di bim akɔdin to dat fכ mek sכh se i de aim to di kכrekt tכgεt. |
| Tomotɛrapi | Wan we we di raytin bim dɛn kin dayrɛkt to di tɔŋ insay wan spiral patɛn we yu de muv tru wan mashin we shep lɛk donut. |
| Stereotactic redio ɔpreshɔn we dɛn kin du | Pan ɔl we di nem se "ɔpareshɔn," dis nɔto rili ɔpreshɔn. Na wan we fɔ gi ay dos ɔf raytin to smɔl smɔl tɔŋ dɛn na di bren, we dɛn nɔ gɛt ɔpreshɔn. |
| Stiriɔtaktik bɔdi rɛdyushɔn tɛrapi (SBRT) . | dis lεk di mεtכd we wi bin dכn tכk bכt dεn kin yus am fכ tכmכro dεm we de na do na di bren, na כda pat dεm na di bכdi (e.g., lכng, liva, spayna). Dis kin rili yusful pan kes dɛm we nɔ pɔsibul fɔ ɔpreshɔn. |
| Intra-ɔpareshɔn rɛdyushɔn (IORT) . | Dɛn kin gi dis tritmɛnt we dɛn de du ɔpreshɔn. I de gi raytin dairekt to eria dɛn we gɛt kansa we dɛn nɔ bin ebul fɔ pul ɔl, pan ɔl we i de spay di wɛlbɔdi tisu we de rawnd am. |
Wetin kin apin bifo dɛn trit am? Fɔ Pripia (Simulation) .
Bifo yu tritmɛnt bigin, wan planin faz de we dɛn kɔl `simulation.` Dis na fɔ mek shɔ se ɔltin sɛt fayn fayn wan fɔ di fɔs tritmɛnt sɛshɔn ɛn fɔ mek yu ɔndastand klia wan wetin go apin.
Insay dis `simulashɔn`, dɛn tin ya kin apin:
- Di pozishɔn we dɛn mek yu ledɔm: Di pozishɔn we dɛn mek yu ledɔm we dɛn de du di tritmɛnt na di sem pozishɔn we dɛn go mek yu ledɔm dis tɛm bak.
- Skan: Dɛn kin du CT, MRI, ɔ PET skan fɔ no usay yu tumbu de ɛn fɔ no di angul we di raytin bim dɛn fɔ go.
- Skin mak: Fɔ no ustɛm di raytin bim go de go, dɛn kin put wan rili smɔl mak we tan lɛk dɔt na yu skin, we fiba tatu. Dɛn mak ya go de te di tritmɛnt tɛm dɔn.
- Pozishɔn ɛp: Dɛn kin mek tin dɛn lɛk mask ɔ kast fɔ fit yu fɔ ɛp fɔ mek yu stil de we dɛn de trit yu.
dis `simulashכn` kin tek lכng pas wan tכpik tritmεnt sεshכn, frכm 30 minit to tu awa. Dɔn, fɔ sɔm dez ɔ wik, yu mɛdikal tim kin yuz dis infɔmeshɔn fɔ mek wan tritmɛnt plan we go spɛshal fɔ yu.
Wetin kin rili apin we dɛn de trit am?
EBRT nɔto ɔutpeshɛnt prosidur, we min se yu kin go na os di sem de we yu gɛt di tritmɛnt.
Na dis na wetin fɔ ɛkspɛkt insay ɛni tritmɛnt sɛshɔn:
1. Dɛn go put yu na di sem pozishɔn we yu bin de na di simulshɔn. Dɛn go sɔpɔt yu as nid de fɔ mek yu stil ɛn fil fayn.
2. Afta yu dɔn posishun kɔrɛkt wan, di tɛknishian (tɛrapist) go kɔmɔt na di rum ɛn opin di mashin.
3. Nɔ wɔri! I de wach yu pan monita. Yu kin tɔk to am bak tru wan `intakɔm`.
4. Di mashin de muv rawnd yu kwayɛt wan, i de dayrɛkt di raytin bim dɛn rili prɛsishɔn to di kansa tɔŋ.
5. I rili impɔtant fɔ mek yu stil de du dis tɛm. Bɔt yu kin blo nɔmal wan.
6. Dɛn nɔ de gi redyushɔn kɔntinyu, bɔt na shɔt bɔrst.
Yu tink se dis kin mek pɔsin fil bad?
Nɔ, yu nɔ go fil di raytin. Bɔt yu kin yɛri "klik" ɔ wispa sawnd frɔm di mashin. Yu kin si layt we de flash (espɛshali we yu de trit di bren). Yu kin smɛl bak wan strenj smel. Dis ɔl na nɔmal tin ɛn i nɔ bad.
Aw lɔng di tritmɛnt kin tek?
Yu tritmɛnt schedule go dipen pan di kayn, saiz, ɛn usay yu gɛt kansa. Dɛn kin gi tritmɛnt ɛvride (fayv dez insay di wik) fɔ sɔm wik. Yu raydyushɔn ɔnkɔlɔjis go ɛksplen klia wan yu tritmɛnt plan ɛn aw fɔ tek yu tritmɛnt.
Wetin na di bɛnifit ɛn di sayd ɛfɛkt dɛm we dis tritmɛnt kin gɛt?
I dɔn pas 100 ia we dɛn dɔn de yuz redyushɔn tɛrapi. Wit di teknɔlɔji we de tide, i dɔn bi sef ɛn kɔrɛkt mɔ ɛn mɔ. Di men bɛnifit dɛn we EBRT tritmɛnt gɛt na:
- Fɔ pwɛl di kansa sɛl dɛn.
- Fɔ stɔp ɔ kɔntrol di we aw di kansa tɔŋ dɛn de gro.
- Fɔ mek kansa nɔ kam bak.
- Riliv di sayn dɛm ɛn impruv kwaliti layf.
Bɔt lɛk di ɔda say na di kɔyn, di sɛl dɛn we gɛt wɛlbɔdi nia di say we dɛn de trit wit raytin bak kin afɛkt. Na dat mek sayd ɛfɛkt kin apin.
Di sayd ɛfɛkt we kin apin mɔ na we pɔsin taya . Ɔda sayd ɛfɛkt dɛn kin dipen pan di eria na yu bɔdi we dɛn de trit. Sɔm pan dɛn na:
- Nɔs ɔ vɔmit
- Fil fɔ it
- Ed de at
- Di ia we de lɔs (na di say we dɛn dɔn trit nɔmɔ) .
- I nɔ izi fɔ swɛla
- I nɔ kin izi fɔ yu fɔ blo
- Rɛd, it, ɔ pen na di skin (lɛk we san bɔn) .
- Inflameshɔn ɔ swɛlin na di say we dɛn de trit am
Di tin we impɔtant pas ɔl: Nɔto ɔlman kin gɛt dɛn sayd ɛfɛkt ya. Ivin tu pipul dɛm wae gɛt di sem kansa kin gɛt difrɛn sayd ɛfɛkt dɛm. Yu mɛdikal tim go ɛp yu fɔ manej dɛn tin ya.
Aw lɔng i go tek fɔ mek a wɛl?
Dis kin difrɛn bak frɔm wan pɔsin to ɔda pɔsin. Sɔm pipul dɛn kin kɔntinyu fɔ du dɛn nɔmal tin dɛn we dɛn de du tritmɛnt. Ɔda pipul dɛn kin nid fɔ lɛf fɔ wok, mɔ if dɛn de fil se dɛn taya mɔ.
Di sayd ɛfɛkt dɛn kin bɔku as tɛm de go. Dis na bikɔs di kansa sɛl dɛn nɔ de day wantɛm wantɛm afta dɛn dɔn gɛt raytin. I kin tek sɔm dez ɔ sɔm wiks fɔ lɛ dɛn bigin day. So yu nɔ go fil ɛni prɔblɛm fɔs, bɔt smɔl smɔl yu go taya mɔ as di tritmɛnt de kɔntinyu.
Ivin afta dɛn dɔn trit am, di tɛm we pɔsin kin wɛl kin difrɛn. Sɔm pipul dɛn kin wɛl insay sɔm wiks. Fɔ ɔda pipul dɛn, i kin tek sɔm mɔnt.
Wetin a go du fɔ mek di tritmɛnt izi?
Aks yu mɛdikal tim fɔ patikyula advays bay yu tritmɛnt plan. Jɛnɛral wan, dɛn tin ya go ɛp yu:
- Gɛt bɔku rɛst. Taya na wan big sayd ɛfɛkt fɔ dis tritmɛnt. So slip ɛn rɛst as yu ebul.
- It tin dɛn we gɛt fayn fayn tin dɛn fɔ it.I impɔtant fɔ mek di bɔdi wɛl.
- Drink bɔku wata. I impɔtant fɔ mek yu nɔ gɛt wata na yu bɔdi.
- Lisin to yu bɔdi. If yu taya, wok smɔl. Na wetin yu ebul nɔmɔ du.
Tɛl yu mɛdikal tim bɔt ɛni sayn we yu de gɛt. Dɛn de fɔ ɛp yu fɔ kɔntrol di sayd ɛfɛkt dɛm ɛn mek yu fil fayn as yu ebul.
Ustɛm a fɔ kɔl mi dɔktɔ?
Bifo yu bigin fɔ trit yu, tɔk to yu dɔktɔ bɔt us sayd ɛfɛkt yu kin ɛkspɛkt, ɛn ɛni sayn we kin bi prɔblɛm. Jɛnɛral wan, tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:
- If sɔm kayn sik dɛn we yu nɔ bin de ɛkspɛkt ɔ we gɛt siriɔs sik apin.
- If di sayd ɛfɛkt dɛn kin wɔs wantɛm wantɛm.
- If yu sho sayn dɛn fɔ se yu gɛt di sik, lɛk fiva, kol, ɛn shek shek .
- If yu gɛt prɔblɛm fɔ blo ɔ yu chɛst de pen .
Yu bɛst sɔpɔt na yu mɛdikal tim. Nɔr shem fɔ tɔk to dɛm bɔt ɛni kwɛstyɔn ɔr tin wae de mɔna yu, wae yu de du yu tritmɛnt ɔr afta yu dɔn gɛt yu tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- External Beam Radiation Therapy (EBRT) na wan tritmɛnt we rili prɛsis ɛn we go wok fayn ɛn we dɛn kin yuz bɔku bɔku wan fɔ kansa.
- Nɔr pen nɔr de wae de trit yu, bɔt sɔm kayn sayd ɛfɛkt lɛk wae yu taya ɛn yu skin kin chenj.
- I rili impɔtant fɔ tɔk opin wan wit yu dɔktɔ ɔr mɛdikal tim bɔt ɛni diskɔmfɔt ɔr sayd ɛfɛkt wae yu kin gɛt.
- I impɔtant fɔ mek yu rɛst fayn, it tin dɛn we gɛt fayn fayn tin dɛn fɔ it, ɛn drink bɔku wata insay dis tɛm.
- Na nɔmal tin fɔ fred fɔ gɛt kansa tritmɛnt. Bɔt mɛmba se bikɔs ɔf di advans tɛknɔlɔji tide, dɛn tritmɛnt ya nɔ bad pas aw dɛn bin de trade. Yu mɛdikal tim de rɛdi ɔltɛm fɔ ɛp yu.
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