Na nɔmal tin fɔ fil smɔl frayd we yu yɛri bɔt redyushɔn tɛrapi we dɛn no se yu gɛt kansa. Bɔt yu no se di mɛdikal tɛknɔlɔji dɔn so go bifo dɛn tɛm ya dat we dɛn de we de tɔch di kansa sɛl dɛn nɔmɔ ɛn we nɔ de pwɛl di sɛl dɛn we de rawnd we gɛt wɛlbɔdi? IMRT na wan pan dɛn kayn advans, prɛsis tritmɛnt we dɛn de. So tide, lɛ wi tɔk bɔt dis insay wan simpul we we go klia ɛni kwɛstyɔn ɔ fred we yu gɛt.
Wetin na IMRT insay simpul wɔd dɛn?
Fɔ tɔk am simpul wan, IMRT (Intensity-Modulated Radiation Therapy) na wan tritmɛnt we gɛt bɔku bɔku raytin fɔ kansa. Na wan kayn ɛksternal bim redyushɔn tɛrapi. Insay dis, dɛn kin yuz wan spɛshal mashin we dɛn kɔl Linear Accelerator (LINAC) fɔ dayrɛkt di ɛks-ray bim dɛn we gɛt bɔku ɛnaji to di kansa sɛl dɛn ɛn pwɛl dɛn. Dis mashin nɔ de ɛva tɔch yu bɔdi.
di tu wod dεm "Intensity-Modulated" min "dεn kin chenj di intensiti." Dis na wetin spɛshal bɔt IMRT tritmɛnt. Tink bɔt am, kansa tumbu nɔto di sem tik ɔlsay, nɔto so? Sɔm ples dɛn tik, sɔm ples dɛn kin tik. IMRT tεknכlכji kin gi rεdyushכn wit hכy enεji (intensiti) to εria dεm na di tכmכro we dεn dεn εn gεt mכr sεl dεm, εn de gi rεdyush כn wit lכw enεji to tin pat dεm nia hεlty tisu. I tan lɛk supa tɔch we kɔmpyuta kin kɔntrol ɛn i kin mek di layt brayt mɔ ɔ smɔl. Dis min se pan ɔl we di kansa sɛl dɛn dɔn pwɛl jɔs, di damej we de pan di wɛlbɔdi tisu we de rawnd de ridyus bad bad wan.
Wetin mek IMRT tritmɛnt impɔtant so?
Lɛk ɔda tritmɛnt dɛn we gɛt raytin, di men gol fɔ IMRT na fɔ pwɛl di kansa sɛl dɛn ɛn fɔ mek di tumbu dɛn smɔl. Bɔt di big prɔblɛm na dat, ɔlmost ɔltɛm di kansa tumbu dɛn kin de rili nia di impɔtant ɔgan dɛn we gɛt wɛlbɔdi na wi bɔdi.
Bikɔs ɔf di prɛsishɔn we IMRT teknɔlɔji de du, na fayn opshɔn fɔ trit kansa nia ɔgan dɛn we rili sɛnsitiv.
Imajin se yu jɔs nid fɔ pul sɔm gras dɛn na yu gadin, bɔt nɔ want fɔ pwɛl di fayn fayn flawa dɛn we yu dɔn plant nia de. IMRT de du jɔs dat. Fɔ ɛgzampul, yu kin yuz am fɔ trit kansa ɛn yu nɔ go kip di impɔtant pat dɛn na yu bɔdi lɛk yu spɛnal kɔd, yu bren stem, ɛn yu optik nɛv dɛn.
Sɔm pan di kayn kansa dɛn we dɛn kin yuz IMRT tritmɛnt fɔ na:
- Brɔst kansa
- Kansa na di sɛvikal
- Kansa na di kɔlon
- Kansa na di lɔng
- Prɔstat kansa
- Bɛlɛ kansa
- Kansa na di uterin
- Ɛn fɔ bɔku ɔda kayn kansa dɛn.
Di masta sabi tim we de biɛn dis tritmɛnt
IMRT nɔto sɔntin we wan pɔsin de du. Na wan tim ɛfɔt. Wan tim we gɛt dɔktɔ dɛn we sabi du di wok kin wok togɛda fɔ mek yu tritmɛnt go bifo. Mek wi si udat na da tim de.
| Tim mɛmba | Gɛt fɔ du |
|---|---|
| Rɛdieshɔn Ɔnkɔlɔjis | Dis na di men dɔktɔ we go pripia ɛn dayrɛkt yu ɔl di tritmɛnt plan. |
| Mɛdikal Fiziks ɛn Dosimetrist | Dis na di ‘tɛknikal bren’ fɔ dis wok. Dɛn kin yuz kɔmpyuta fɔ disayn di trɛnk, shep, ɛn di say we di raytin bim dɛn de go fɔ atak di kansa kɔrɛkt wan. |
| Radieshɔn Tɛrapist | Dis ɔfisa go de ɔpreshɔn di LINAC mashin ɛvride we dɛn de trit yu, put yu na di rayt pozishɔn, ɛn kia fɔ yu we dɛn de trit yu. |
Wetin kin apin bifo dɛn trit am? (Planin sɛshɔn)
Bifo yu bigin fɔ trit yu, yu go gɛt fɔ atɛnd wan planin sɛshɔn we dɛn kɔl "simulashɔn." Dis na lek "rehearsal" bifo yu stej ple. Dis na di say we yu mɛdikal tim kin gɛda ɔl di infɔmeshɔn we dɛn nid fɔ plan yu tritmɛnt.
Tin dɛn we kin apin na di simulshɔn:
- Skan: Yu go gɛt CT skan fɔ si ustɛm di kansa de, in saiz, ɛn aw i shep. Sɔntɛnde, dɛn kin du MRI ɔ PET skan bak.
- Fɔ aplay mak dɛn:Ɛvride we yu de trit yu, yu nid fɔ put yu bɔdi di sem we we yu kɔmpia am to di LINAC mashin. Fɔ gayd yu, dɛn kin put sɔm rili smɔl smɔl dɔt dɛn we go de sote go, lɛk tatu, na yu skin. Dɛn tin ya tan lɛk smɔl mak dɛn. Sɔntɛnde, dɛn kin yuz pen mak, bɔt dɛn nid fɔ kip am na in ples te di tritmɛnt dɔn.
- Speshal Mold: Yu go nid fɔ de na di sem pozishɔn we yu de du di tritmɛnt ɛn yu nɔ go muf atɔl. Fɔ ɛp wit dis, dɛn kin mek spɛshal mol ɔ sɔpɔt fɔ fit di pat pan yu bɔdi we dɛn de trit.
We di mɛdikal tim de yuz ɔl dis infɔmeshɔn we dɛn dɔn gɛda, kin mek wan plan fɔ di raytin bim we gɛt difrɛn kayn pawa we gɛt fɔ du wit yu kansa.
Wetin kin apin we dɛn de trit am?
Di tritmɛnt schedule go difrɛn difrɛn wan bay di kayn kansa wae yu gɛt. Bɔrku tɛm, dɛn kin gi tritmɛnt fɔ shɔt tɛm we kin tek lɛk 30 minit ɛvride. Bɔrku pipul dɛn go gɛt tritmɛnt ɛvride, fayv dez insay di wik (Mɔnde to Frayde). Dis kin kɔntinyu fɔ sɔm wiks.
We dɛn de du tritmɛnt:
1. Yu go de na di sem pozishɔn we yu de du di planin sɛshɔn (sim). Di dɔktɔ we de mɛn di raytin go ɛp yu fɔ yuz spɛshal mol dɛn we dɛn mek.
2. Dɔn di pɔsin we de mɛn di raytin go insay wan sɛpret rum ɛn opin di LINAC mashin frɔm de. Bɔt nɔ wɔri, i kin si yu klia wan pan monita. Intakɔm sistem de bak we de mek una ebul fɔ tɔk to unasɛf.
3. Di mashin de muv as i de gi redyushɔn bim frɔm difrɛn angul dɛn. Yu kin yɛri "klik" sawnd ɛn smɔl spin sawnd insay dis tɛm. Dis na tin we nɔmal tin.
Di tin we impɔtant pas ɔl na dat, IMRT tritmɛnt nɔ de mek pɔsin fil pen atɔl. Yu nɔ ivin fil di raytin de hit yu bɔdi.
Yu kin go na os we di tritmɛnt dɔn. Dis nɔto tritmɛnt fɔ inpatient.
Wetin na di bɛnifit ɛn bad tin dɛn we IMRT gɛt?
Lɛk ɛni tritmɛnt we, IMRT kin gɛt bɛnifit ɛn prɔblɛm. Mek wi tek wan luk pan dem.
| Di bɛnifit dɛn we pɔsin kin gɛt | Di bad tin dɛn we kin apin |
|---|---|
| Fɔ ebul fɔ tɔch di kansa sɛl dɛn wit big prɛsishɔn. | Pan ɔl we di risk fɔ pwɛl di sɛl dɛn we gɛt wɛlbɔdi nɔ bɔku, di sayd ɛfɛkt dɛn kin apin. |
| Fɔ mek di tisu ɛn ɔgan dɛn we de rawnd di wɛlbɔdi nɔ pwɛl. | Bikɔs di we aw dɛn kin plan fɔ trit di tritmɛnt at, i kin tek lɔng tɛm. |
| Ridyus di chans fɔ gɛt sayd ɛfɛkt. | Wan tritmɛnt sɛshɔn kin tek smɔl tɛm pas ɔda we dɛn lɛk VMAT (Volumetric Modulated Arc Therapy). |
Aw yu go tek kia ɔf yusɛf we yu de wɛl?
De tɛm wae pɔrsin kin wɛl kin difrɛn frɔm pɔrsin to ɔda pɔrsin. I dipen pan di doz fɔ di raytin we yu gɛt, di nɔmba fɔ di tritmɛnt dɛn, ɛn di pat pan yu bɔdi we dɛn trit. Sɔm pipul dɛn kin fil fayn insay sɔm wiks if dɛn gɛt sayd ɛfɛkt. Fɔ ɔda pipul dɛn, i kin tek wan ɔ tu mɔnt. Yu dɔktɔ go ɛksplen to yu di sayd ɛfɛkt dɛn we pɔsin kin gɛt ɛn di tɛm we yu go gɛt fɔ wɛl bay aw yu sik.
Yu bɔdi nid fɔ rɛst fayn fayn wan we yu de du tritmɛnt ɛn afta yu dɔn trit yu. Du dɛn tin ya fɔ ɛp yu bɔdi fɔ wɛl.
- It tin dɛn we gɛt fayn fayn tin dɛn fɔ it.
- Drink bɔku wata.
- Gɛt bɔku rɛst as yu ebul.
Yu skin kin fil smɔl bikɔs ɔf di tritmɛnt. Tek tɛm mɔ wit di skin we de na di say we dɛn put di raytin.
- Wear kɔmfyut klos lɛk lɔs, kɔtɔn.
- Yuz sop ɛn krim we nɔ gɛt strɔng sɛnt ɔ kemikal.
- Nɔ put ɔt wata bɔtul ɔ ays pak dairekt pan di skin we gɛt raytin.
- If yu go de na do na di san, wɛr klos we gɛt layt kɔlɔ ɛn we nɔ fit fɔ kɔba yu skin. Put tin we de protɛkt yu frɔm di san, lɛk aw yu dɔktɔ se, na say dɛn we yu nɔ go ebul fɔ kɔba.
Tɔk opin wan wit yu dɔktɔ we de trit yu bɔt ɔl dis. Tɛl am ɛni kwɛstyɔn ɔ tin we de mɔna yu, ilɛksɛf na smɔl tin.
Mɛsej we dɛn kin kɛr go na os
- IMRT na wan we we rili advans, we gɛt prɛsis raytin tritmɛnt fɔ kansa.
- Dis kin mek di tisu we de rawnd di wɛlbɔdi nɔ pwɛl ɛn i kin pwɛl di kansa sɛl dɛn.
- Na wan mɛdikal tim we sabi du di wok kin tek tɛm plan fɔ du di tritmɛnt.
- Nɔ pen nɔ de we dɛn de du di tritmɛnt.
- Sɔm bad tin kin apin, bɔt bɔku tɛm dɛn kin ebul fɔ kɔntrol dɛn. I impɔtant fɔ tɔk to yu dɔktɔ bɔt ɛni prɔblɛm we yu go gɛt.
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