Wae yu ɔr pɔrsin wae yu lɛk gɛt kansa, yu kin dɔn yɛri bɔt "radiation therapy." Da wɔd de kin mek pɔsin fred smɔl. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, dɛn tritmɛnt dɛn ya dɔn rili sef ɛn dɛn dɔn rili kɔrɛkt. Tide, wi de tɔk bɔt wan tritmɛnt we rili advans we de tɔch di kansa sɛl dɛn nɔmɔ ɛn we nɔ de pwɛl di sɛl dɛn we de rawnd we gɛt wɛlbɔdi. Dɛn kɔl am IMRT.
Fɔ tɔk am simpul wan, wetin na IMRT?
IMRT tinap fɔ Intɛnsity-Modulated Radiation Therapy . Dis na wan kayn redyushɔn tɛrapi fɔ kansa. Imajin se yu gɛt tɔch we yu kin yuz ɔltɛm na yu an. We yu on am, i de layt wan big eria, nɔto so? Bɔt if yu want fɔ layt jɔs wan smɔl ples, yu nid sɔntin lɛk lɛsa tɔch.
Na so i bi. insay kכvεshכnal rεdyushכn tεrapi, di rεdyushכn bim de fכs pan di tכmכro na wan yunifכm εria we wayd sכmtεm. Bɔt insay IMRT, wi de yuz rili advans tɛknɔlɔji fɔ inkrisayz ɔ ridyus di intensiti fɔ di redyushɔn bim.
Fɔ tɔk am simpul wan, dis teknɔlɔji kin sɛn wan bim we gɛt mɔ pawa to di sɛntrɔm pat pan di tumbu, usay mɔ sɛl dɛn de, ɛn wan bim we nɔ gɛt bɛtɛ pawa to di ed dɛn na di tumbu, usay di tisu we gɛt wɛlbɔdi de nia. Dɛn kin gi dis tritmɛnt wit wan mashin we dɛn kɔl ``Linear Accelerator'' ɔ ``LINAC''. Dis mashin nɔ de ɛva tɔch yu bɔdi. I de du di tritmɛnt frɔm fa.
di men gol fכ dis mεtכd na fכ minimiz rεdyushכn εksposhכn to sεnsitiv, hεlty כgan dεm εn tisu dεm we de rawnd di kansa we i de mek maksimal damej to di kansa sεl dεm.
Wetin mek IMRT tritmɛnt impɔtant so?
Kansa tכmכro kin fכm na bכku difrεn pat dεm na wi bכdi. sכmtεm, dεn kin fכm nia כgan dεm we rili sεnsitiv lεk di bren, spεnal kכd, εn optik nεv dεm. We dɛn de trit kansa na da kayn say de wit raytin, i kin tranga fɔ avɔyd fɔ pwɛl dɛn sɛnsitiv ɔgan dɛn de.
Bikɔs ɔf di prɛsishɔn fɔ di IMRT we, na rili gud opshɔn fɔ trit kansa na sɛnsitiv eria lɛk dɛn wan ya. I de prɛsishɔn fɔ tɔch di kansa ɛn trit am, pan ɔl we i de ridyus di damej to di wɛlbɔdi tisu we de rawnd am bad bad wan. So, di risk fɔ gɛt sayd ɛfɛkt nɔ bɔku.
Sɔm pan di kayn kansa dɛm we dɛn kin yuz IMRT fɔ na:
- Brɔst kansa
- Kansa na di sɛvikal
- Kansa na di kɔlon
- Kansa na di lɔng
- Prɔstat kansa
- Bɛlɛ kansa
- Uterine kansa ɛn bɔku ɔda kayn kansa.
Udat de plan ɛn gi dis tritmɛnt?
Dis nɔto ɔpreshɔn we pɔsin kin du fɔ wan pɔsin. Dis na wan tim ɛfɔt . Bɔku pipul dɛn we sabi du di wok kin wok togɛda fɔ mek yu tritmɛnt go bifo. Mek wi tek wan luk pan dat tim.
| Tim mɛmba | Di wok we dɛn de du |
|---|---|
| Rɛdieshɔn Ɔnkɔlɔjis | Na in de mek ɛn ɔvasayz yu kɔmplit tritmɛnt plan. |
| Mɛdikal Fiziks ɛn Dosimetrist | Dis na di pipul dɛm we de yuz kɔmpyuta fɔ disayn di rayt shep, di kayn pawa, ɛn di doz fɔ di raytin bim dɛm we dɛn nid fɔ gɛt kansa. |
| Radieshɔn Tɛrapist | Na tritmɛnt de, dis ɔfisa go posishun yu kɔrɛkt wan, ɔpreshɔn di LINAC mashin, ɛn gi yu di tritmɛnt. |
Wetin kin apin bifo dɛn trit am? (Simulation sɛshɔn)
Bifo di aktual tritmɛnt bigin, "planin sɛshɔn" de. Dɛn kɔl dis `(simulashɔn)` ɔ `(sim)`. Na dis say dɛn kin gɛda ɔl di infɔmeshɔn we dɛn nid fɔ plan di tritmɛnt.
Wetin kin apin insay dis sɛshɔn?
- Skan: Yu go gɛt CT skan fɔ si ustɛm yu tumbu de, in saiz, ɛn aw i shep. Sɔntɛnde, dɛn kin du MRI ɔ PET skan bak.
- Mak: Ɛvride we dɛn de trit yu, dɛn go put yu na di sem say, ɛn dɛn go put sɔm rili smɔl dɔt dɛn na yu skin, lɛk tatu. Dɛn tin ya go tan lɛk smɔl smɔl say dɛn. Dɛn mak ya go nid fɔ de te di tritmɛnt dɔn.
- Di bɔdi we dɛn kin put: .I rili impɔtant fɔ mek yu stil de du di tritmɛnt. fכ εp wit dis, yu kin yuz spεshal `mכld` we dεn mek fכ fit yu bכdi.
Di mεdikal tim de yuz di infכmeshכn we dεn gεt frכm dis `(sim)` sεshכn fכ mek rεdyushכn bim dεm we dεn tayl fכ yu kεnsar.
Wetin kin apin we dɛn de trit am?
Di tritmɛnt schedule go difrɛn difrɛn wan bay di kayn kansa wae yu gɛt. Tipikli, yu go gɛt tritmɛnt ɛvride (Mɔnde to Frayde) fɔ sɔm wiks. Ɛni sɛshɔn go tek lɛk 30 minit so.
We dɛn de du di tritmɛnt:
- Yu de posishun yuz mold, jos laik yu bin de fo dat `(sim)` seshon.
- Dɔn di raytin tɛrapist go insay wan sɛpret rum ɛn opin di ``LINAC`` mashin. I kin wach yu pan monita. Wan ``intakɔm`` sistɛm de bak we de mek una ebul fɔ tɔk to unasɛf.
- Di mashin de rɔta bak ɛn go bifo as i de gi redyushɔn bim dɛn frɔm difrɛn angul dɛn. Yu kin yɛri ‘klik’, ‘klik’ sawnd insay dis tɛm. Dis na nɔmal tin, nɔ wɔri.
Di tin we impɔtant pas ɔl na dat, IMRT tritmɛnt nɔ de mek pɔsin fil pen atɔl . Yu nɔ go fil di raytin we yu de du di tritmɛnt.
Aw yu kin kia fɔ yusɛf we yu de wɛl?
Yu bɔdi nid fɔ rɛst bɔku tɛm we yu de trit yu ɛn afta yu dɔn trit yu. Na sɔm tin dɛn ya we go ɛp yu fɔ wɛl kwik kwik wan:
- Gɛt bɔku rɛst. Gi yu bɔdi tɛm fɔ wɛl.
- It fayn it ɛn drink bɔku wata.
- Tek kia ɔf yu skin spɛshal: Di skin we de na di say we dɛn dɔn trit kin rili sɛnsitiv.
- Wear klos we nɔ gɛt natin ɛn we gɛt kɔtɔn.
- Yuz sop ɛn bɔdi was we nɔ gɛt sɛnt ɔ bad bad kemikal.
- Nɔ put ɔt wata bɔtul ɔ ays pak pan di skin we dɛn dɔn trit.
- Kɔba di say we yu de go na do na di san. If yu nɔ ebul fɔ kɔba am, yuz gud tin fɔ protɛkt yusɛf frɔm di san.
Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. I go ɛksplen to yu di sayd ɛfɛkt dɛn we yu kin gɛt ɛn wetin fɔ ɛkspɛkt we yu de wɛl.
Mɛsej we dɛn kin kɛr go na os
- IMRT na wan we we rili advans, we gɛt prɛsis raytin tritmɛnt fɔ kansa.
- di men advantej fכ dis na dat i de tכk bכt di kεnsar sεl dεm we i de sכmtεm di damej pan di hεlty tisu dεm we de rawnd am.
- Bifo di tritmɛnt bigin, dɛn fɔ skan ɛn tek tɛm plan we wan tim we gɛt spɛshal pipul dɛn de du.
- Nɔ pen nɔ de we dɛn de du di tritmɛnt.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr frayd bɔt de tritmɛnt, tɔk to yu dɔktɔ opin wan bɔt am.
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