If yu dɔktɔ se yu gɛt bɔdi kansa, dɛn kin gi yu raytin tɛrapi as pat pan yu tritmɛnt plan. Bɔku tɛm dɛn kin se dɛn fɔ tek dis tritmɛnt, mɔ if yu dɔn pul di mastectomy , if di kansa big, ɔ if di kansa dɔn skata to di limf no dɛm na yu armpit ɔ ɔda say dɛm. I kin ɛp bak fɔ mek di kansa nɔ kam bak afta dɛn dɔn du ɔpreshɔn fɔ mek di bɔdi nɔ pwɛl.
Wetin na Prɔtɔn Tɛrapi?
di kayn rεdyushכn tεrapi we dεn kin yus fכ bכst kεnsar na εksternal bim rεdyushכn. Wan spɛshal, advans we fɔ dis na in dɛn kɔl protɔn tɛrapi . Sɔntɛnde dɛn kin kɔl am intensiti modulated proton therapy, ɔ IMPT.
Di spɛshal tin we dis tritmɛnt de du na dat di raytin bim de aim dairekt to di kansa tɔŋ. So, di damej we de pan di hεlty tisu dεm we de rawnd di kansa, dat na di כgan dεm, na bכku bכku wan. Tink bɔt am, wi bɔdi de rili nia di at ɛn di lɔng dɛn. So dɔktɔ dɛn se dis we fɔ mɛn di prɔton kin mɛn di kansa ɛn i nɔ kin pwɛl di raytin we dɛn kin gɛt pan dɛn valyu pat dɛn de.
Aw dis difrɛn frɔm di tritmɛnt we dɛn kin gi ɔltɛm wit raytin?
Fɔ tɔk am simpul wan, ɔl tu di protɔn tɛrapi ɛn tradishɔnal raytin tɛrapi kin pwɛl di DNA we de insay di kansa sɛl dɛn ɛn kil dɛn. Bɔt di we aw dɛn de du am difrɛn.
Tink bɔt ɔltɛm raytin tɛrapi lɛk sprɛy bɔtul wata. We yu sprɛy am, di wata kin skata ɔlsay. Semweso, protɔn tɛrapi tan lɛk tɔys wata gɔn. I kin shot wata prɛsishɔn pan di target.
Lɛ wi ɔndastand dis difrɛns klia wan smɔl.
| Di kwaliti we pɔsin gɛt | Jɛnɛral raytin tɛrapi (X-ray) . | Prɔtɔn Tɛrapi |
|---|---|---|
| Partikul dɛn we dɛn yuz | Dɛn kin yuz ay-ɛnaji rayt (X-ray) we dɛn kɔl fɔtɔn. | Dɛn kin yuz bim dɛn we gɛt chaj patikyula dɛn we dɛn kɔl protɔn. |
| Fɔ pas na di bɔdi | Dɛn rayt ya kin go insay di bɔdi, pas insay di kansa, ɛn travul rawnd am. Dis min se di raytin kin rich bak to di tisu we gɛt wɛlbɔdi pas di kansa. | di protכn bim de stכp we i rich di kεnsar, we min se di hεlty tisu we de biεn di kansa nכ de kכlכsכl fכ rεdyushכn nכ de afekt am. |
| Damej to di tisu we gɛt wɛlbɔdi | di risk de fכ damej di hεlty tisu dεm we de rawnd di kεnsar (e.g. at, lכng). | Di risk fɔ pwɛl di wɛlbɔdi tisu rili smɔl . |
Us bɛnifit dis kin briŋ to uman dɛn we gɛt bɔdi kansa?
Uman dɛn we gɛt lɛft-sayd brɔst kansa we dɛn kin tek kɔvɛnshɔnal raytin tɛrapi (X-ray) kin gɛt mɔ prɔblɛm wit at prɔblɛm, lɛk ischemic at sik, we kin kam bikɔs di blɔd vesel dɛn na di at kin smɔl. Wan stɔdi wae dɛn bin du insay 2017 dɔn sho se dis risk kin bigin insay di fɔs 10 ia wae pɔrsin gɛt tritmɛnt.
So protɔn tɛrapi kin ɛp fɔ avɔyd dɛn kayn prɔblɛm dɛn ya.
Sɔm ɔda bɛnifit dɛn we dis tritmɛnt kin gi na:
- Nɔ pen: Dis nɔto tritmɛnt we de mek pɔsin fil pen.
- Nɔ ɔpreshɔn: Nɔ nid fɔ kɔt ɔ kɔt ɛnisay na di bɔdi (nɔ-invasive).
- Dɛn kin du am wit ɔda tritmɛnt dɛm: Dɛn kin du dis wit ɔda tritmɛnt dɛm wae yu de gɛt fɔ kansa (e.g. kemotɛrapi).
- Breast Implants Nɔto Prɔblɛm: Dɛn kin du dis tritmɛnt ivin if yu dɔn gɛt breast implant.
Jɔs lɛk ɔl di tritmɛnt dɛn, sɔm smɔl smɔl sayd ɛfɛkt dɛn de. Di wan dɛn we kin bɔku pas ɔl na we pɔsin taya, i kin rɛd , i kin lɔs in ia, ɛn i kin fil bad na di say we dɛn de trit am . Bɔt dɛn tin ya nɔ kin bɔku lɛk aw dɛn kin yuz raytin tritmɛnt ɔltɛm.
Us kayn brɔst kansa dɛn kin trit wit protɔn tɛrapi?
Dis na pɔynt we rili impɔtant. Yu fɔ rili tɔk to yu dɔktɔ bɔt if dis tritmɛnt rayt fɔ yu, fɔ yu kayn ɛn stej we yu gɛt kansa.
Bɔku kɔmɔn tin dɛn de we dɛn kin tink bɔt dis tritmɛnt:
- If yu gɛt stej 1, 2, ɔ 3 brɔst kansa (Stej I, II, ɔ III).
- if di kansa dכn spre to di chεst wכl, skin, כ di armpit gland dεm, bכt i nכ spre to כda כgan dεm we de fa, dεn kכl am `locally advanced breast cancer`.
- if kεnsar sεl dεm de na di limf no dεm, dεn kכl am ``node-positiv brεst kεnsar``.
Dɔn bak, yu kansa kin fayn fɔ dis tritmɛnt ilɛksɛf na wan pan dɛn kayn ya:
- εstrojen rεsεptכr (ER) positifu כ nεgεtiv.
- Projesterone rεsεpכta (PR) positifu כ nεgεtiv.
- HER2/neu positif ɔ negatif.
- Tripul positif: Fɔ bi pɔsitiv fɔ ɔl tri pan dɛn tin ya: ER, PR, ɛn HER2.
- Tripul nεgεtiv: Nεgεtiv fכ כl di tri dεm we de dכn: ER, PR, εn HER2.
Risach bɔt dis stil de go bifo, so di bɛst we fɔ gɛt di layt infɔmeshɔn na fɔ tɔk to yu dɔktɔ.
Aw di tritmɛnt kin wok?
Yu raydiɔlɔjis ɛn dɔktɔ dɛn go wok togɛda fɔ mek wan tritmɛnt plan we go fayn fɔ yu.
1. Simulation Session: Fɔ sɔm dez bifo yu fɔs tritmɛnt, dɛn go kɛr yu go na dis sɛshɔn. Na ya, di redyushɔn tim go mak di rayt say na yu bɔdi usay dɛn go gi di tritmɛnt. Dɛn kin du dis bay we dɛn de drɔ layn dɛn wit mak we go de sote go ɔ yu kin put smɔl smɔl dɔt dɛn we fiba tatu.
2. We yu de du tritmɛnt: Yu go nid fɔ ledɔm stil na di bed we yu de du di tritmɛnt. If yu muf, di raytin bim kin mis di kansa. Dɛn kin put yu na spɛshal freym fɔ mek yu kɔntinyu fɔ tinap tranga wan. Wan tritmɛnt sɛshɔn kin tek lɛk 30 minit.
3. Tritmɛnt tɛm: Dɛn go nid fɔ du sɔm kayn tritmɛnt sɛshɔn dɛn fɔ lɛk 6 wiks.
Dis tritmɛnt de na Sri Lanka?
Prɔtɔn tɛrapi nid fɔ gɛt mashin dɛn we rili big, spɛshal, ɛn we dia we dɛn kɔl sayklɔtron ɔ sinkrɔtrɔn. So, nɔto ɔl kɔntri ɔ ɔspitul na di wɔl gɛt dis ples.
Bikɔs dis na teknɔlɔji we rili advans ɛn nyu, .Dis tritmɛnt nɔr kin de ɔlsay na Sri Lanka dis tɛm. Bɔt as tɛknɔlɔji de go bifo, dis ples go kam na wi kɔntri tumara bambay. Di bɛst we fɔ gɛt di kɔrɛkt ɛn ɔp-to-dɛt infɔmeshɔn bɔt dis na fɔ tɔk to yu ɔnkɔlɔjis, mɔ wan we kɔmɔt na wan big kansa ɔspitul lɛk Apeksha Ospital.
Mɛsej we dɛn kin kɛr go na os
- Proton tεrapi na wan advans tritmεnt mεtכd we de gi hεli tכgεt rεdyushכn we dεn de yuz fכ brεst kεnsar.
- Di men bɛnifit fɔ dis na dat di raytin we de pwɛl di ɔgan dɛn we gɛt wɛlbɔdi nia di kansa, lɛk di at ɛn di lɔng dɛn, nɔ bɔku.
- Dis tritmɛnt nɔ fayn fɔ ɔl kayn bɔdi kansa ɔ ɛvri sikman.
- Di wangren ɛn bɛst we fɔ no if dis tritmɛnt fayn fɔ yu na fɔ tɔk bɔt am wit yu dɔktɔ we de mɛn kansa.
- Bikɔs dis na nyu teknɔlɔji we nɔ de yet na Sri Lanka, aks yu dɔktɔ bɔt di tin dɛn we i ebul fɔ du.
Brest kansa, proton tɛrapi, redyushɔn tɛrapi, kansa tritmɛnt, uman dɛn wɛlbɔdi, brɔst kansa sinhala , proton tɛrapi Sri Lanka
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