We yu de tɔk bɔt kansa tritmɛnt, yu go dɔn yɛri bɔt redyushɔn tɛrapi, ɔ redyushɔn. Bɔt we yu yɛri "radiation to the whole body," yu kin fil smɔl frayd. Bɔt dis na rili impɔtant tritmɛnt we sɔntɛnde dɛn kin gɛt fɔ du. So tide, lɛ wi tɔk bɔt wetin na Total Body Irradiation (TBI), wetin mek dɛn de du am, ɛn aw i de wok.
Fɔ tɔk am simpul wan, wetin na Tɔtɔl Bɔdi Irɛdieshɔn (TBI)?
Total Body Irradiation (TBI) na wan kayn raydyushɔn tɛrapi. Bɔt nɔto lɛk di raytin tɛrapi we dɛn kin yuz ɔltɛm, di raytin nɔ kin jɔs de na wan say na di bɔdi. Bifo dat , dɛn kin kɛr wan rili smɔl raytin go na yu wan ol bɔdi .
Tink bɔt am dis we: rɛdieshɔn tɛrapi ɔltɛm tan lɛk we yu de shayn tɔch na wan ples. Bɔt TBI tan lɛk we yu de on layt na di wan ol rum, ɛn mek smɔl layt fɔdɔm ɔlsay. Di doz fɔ redyushɔn we dɛn yuz ya rili smɔl pas wan spɔt tritmɛnt.
Wetin mek dɛn de du dis tritmɛnt? Wetin na di rizin fɔ am?
TBI tritmɛnt na fɔ pripia yu fɔ bon mɛrɔ transplant ɔ stem sɛl transplant. Tri men rizin dɛn de we mek yu dɔktɔ go tɛl yu fɔ du dis tritmɛnt.
- Pwɛl di kansa sɛl dɛn: Dis kin ɛp fɔ pwɛl di kansa sɛl dɛn we de ayd na yu bon mɛrɔ, yu nervɔs sistɛm, ɔ ples dɛn we ɔda tritmɛnt dɛn nɔ go ebul fɔ rich izi wan.
- Mek rum fɔ bon mכro: Dis tritmεnt de εp fכ mek rum insay di bכdi fכ nyu transplant hεlty bon mכro εn ridyus di aktiviti fכ ol bon mכro.
- kכntrol yu imyun sistεm: dis de εp fכ mek yu imyun sistεm nכ no di nyu bon mכro we dεn transplant as "fכrin" εn rijek am, we de mek di transplant bכku bכku wan go bi saksesful.
Us kɔndishɔn dɛn kin trit wit TBI?
Nɔto ɔltɛm dɛn kin du TBI tritmɛnt in wan. Bɔku tɛm dɛn kin yuz am wit ɔda tritmɛnt dɛn we gɛt kansa, lɛk kemotɛrapi. Di tebul dɔŋ ya de sho sɔm pan de sik dɛm wae dɛn kin yuse dis tritmɛnt fɔ.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Lukimiya | Kansa we kin apin na di blɔd ɛn bon mɛrɔ. |
| Limfoma we dɛn kɔl Limfoma | Wan kansa we kin apin na di limfatik sistɛm. |
| Mɔltipɛl Mayloma | Wan kansa we de afɛkt di plasma sɛl dɛn we de na di bon mɛro. |
| Maylodisplastik Sindrom we dɛn kɔl di sik | Wan sik we di bon mכro de mek hεlty bכdi sεl dεm nכ de wok fayn. |
Wetin kin apin bifo dɛn trit am? (Simulshɔn) .
Bifo yu gɛt yu TBI tritmɛnt, yu go gɛt spɛshal apɔntinmɛnt we dɛn kɔl "simulation." Dis tan lɛk we yu de mɛzhɔ bifo yu mek dɛn mek yu sus. I tan lɛk se yu de praktis bifo yu gɛt di tritmɛnt. Di men rizin fɔ dis na fɔ plan di bɛst pozishɔn fɔ yu fɔ de fɔ mek shɔ se yu bɔdi gɛt di rayt doz fɔ rayt, di rayt we .
Insay dis simulshɔn:
- Dɛn go put yu pan wan spɛshal tebul ɛn dɛn go du CT skan fɔ map di say we dɛn fɔ trit.
- Di dɔktɔ we de mɛn yu we gɛt raytin go tek sɔm mɛzhɔmɛnt dɛn fɔ yu bɔdi.
- Afta dɛn dɔn no di bɛst pozishɔn fɔ yu bɔdi, dɛn go mek sɔm rili smɔl mak dɛn na yu skin. Dɛn go tek pikchɔ dɛn bak. Dɛn tin ya go ɛp yu fɔ de na di sem pozishɔn di de we dɛn go gɛt di tritmɛnt. Dɛn mak ya kin de fɔ ɔltɛm, bɔt dɛn kin rili smɔl.
Wetin kin apin we dɛn de trit am?
Yu kin nid fɔ de na ɔspitul fɔ sɔm dez afta yu dɔn gɛt TBI tritmɛnt. Na dis na wetin kin apin we dɛn de trit am:
- Di raydyushɔn tɛrapist go put yu na di sem pozishɔn we yu bin de na di simulshɔn we dɛn bin dɔn plan fɔ du bifo tɛm.
- fכ ridyus di rεdyushכn dכz to sכm כgan dεm lεk yu lכng, yu kin put spεshal panεl כ shild oba dεn כgan dεm.
- Fɔ mek shɔ se di raytin de ɔlsay na yu bɔdi ikwal, yu kin sɛt sɔntin bak lɛk big skrin bifo yu.
- Dɔn di pɔsin we de mɛn di sik kɔmɔt na di rum. Bɔt nɔ wɔri, nɔto yu wan de. Yu kin tɔk to dɛn tru wan intakɔm. Dem de wach yu from outsaid.
- wan big mashin we dεn kכl "linear accelerator" de muv rawnd yu, de gi rεdyushכn di we aw yu plan.
De tin wae impɔtant pas ɔl na wae yu nɔr go fil ɛni pen wae yu de du dis tritmɛnt. Yu nɔ go fil di raytin bim, ɛn di mashin nɔ go nak yu bɔdi.
Wan tipik sɛshɔn kin tek 60 minit. Yu fɔs sɛshɔn kin tek smɔl tɛm bikɔs di tritmɛnt pɔsin go tek sɔm ɔda ɛkstrem rayt fɔ mek shɔ se yu pozishɔn kɔrɛkt 100%. Dɛn kin alaw yu bak fɔ du tin dɛn lɛk fɔ lisin to myuzik insay dis tɛm.
Aw lɔng a go gɛt fɔ tek dis tritmɛnt?
Bɔku pipul dɛn kin gɛt TBI tritmɛnt tu ɔ tri tɛm insay di de fɔ tri to fayv dez. Yu mɛdikal tim go ɛksplen ɔmɔs tritmɛnt seshɔn yu go nid bifo yu bigin tritmɛnt.
Wetin na di risk ɛn sayd ɛfɛkt dɛm we dis kin gɛt?
Jɔs lɛk ɛni tritmɛnt, TBI tritmɛnt kin gɛt sayd ɛfɛkt. Dɛn sayd ɛfɛkt ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔku tin dɛn de we kin afɛkt dɛn:
- Di nɔmba fɔ di tritmɛnt sɛshɔn dɛn we yu go gɛt.
- Di doz fɔ di raytin we dɛn gi.
- Yu ɔl wɛlbɔdi biznɛs.
Dɛn kin sheb di sayd ɛfɛkt dɛn mɔ to tu kayn: fɔ shɔt tɛm ɛn fɔ lɔng tɛm.
Sɔt tɛm sayd ɛfɛkt dɛn
Dɛn tin ya kin apin sɔm dez ɔr wik afta dɛn dɔn bigin fɔ trit am ɛn dɛn kin dɔn as tɛm de go.
| Kɔmɔn sayd ɛfɛkt dɛn we kin apin fɔ shɔt tɛm | |
|---|---|
| Rɔnbɛlɛ | Taya |
| Di ia we de lɔs | Ɛd we de at |
| Nɔs ɔ vɔmit | Skin de chenj (it, di kɔlɔ we de chenj) . |
| Risk dɛn we kin apin bikɔs di blɔd sɛl dɛn nɔ bɔku | |
| Blɔd (blɔd we de kɔmɔt na di nos, blɔd we de kɔmɔt na di gɔm - epistaxis) . | Di risk fɔ gɛt infɛkshɔn kin bɔku |
| Anemia we nɔ gɛt ayɔn | |
Di sayd ɛfɛkt dɛn we kin apin fɔ lɔng tɛm
Dɛn tin ya nɔ kin bɔku, dɛn kin apin lɔng afta dɛn dɔn trit am, ɛn dɛn kin las fɔ lɔng tɛm.
- Katarakt: Klaud na di lens na di yay.
- Infertility: I de afɛkt di ebul fɔ bɔn pikin.
- Pulmonary fibrosis: Na skata na di lכng tisu, we de mek i at fכ brith.
- Hypothyroidism: I de mek di tayroyd ɔmon we de kɔntrol di bɔdi in mɛtabolism nɔ de bɔku.
I impɔtant fɔ mɛmba se smɔl risk de fɔ mek yu gɛt sɛkɔn kayn kansa afta dɛn dɔn transplant yu bon mɛro. Bɔt dis risk rili smɔl we yu kɔmpia am to di wɛlbɔdi risk we yu nɔ gɛt transplant. Tɔk to yu dɔktɔ bɔt dis opin wan.
Aw yu go tek kia ɔf yusɛf afta yu dɔn gɛt tritmɛnt?
Fɔ kɔntrol di sayd ɛfɛkt kin go fa fɔ mek dis tritmɛnt tɛm izi. Na sɔm tin dɛn we yu kin du:
- If yu de fil lɛk yu nɔs, nɔ shek fɔ aks fɔ mɛrɛsin .
- Tek kia ɔf yu skin. Fɔ fala di tin dɛn we yu dɔktɔ tɛl yu fɔ kia fɔ yu skin. Put mɔstizayza ɔltɛm.
- If yu ebul, jɔyn sɔpɔt grup wit pipul dɛn we dɔn gɛt di sem kayn ɛkspiriɛns.
- Sheb yu tink ɛn filin bɔt dis tritmɛnt wit pɔrsin wae yu trɔst (wan tritmɛnt, famili mɛmba, padi).
- Tray fɔ slip fayn fɔ at le et awa ɛvri nɛt.
- Afta yu kɔmɔt na ɔspitul, if i pɔsibul , tek sɔm tɛm fɔ lɛf yu wok ɛn rɛst fayn.
Ustɛm yu nid fɔ tɔk to di dɔktɔ?
If yu gɛt ɛni wan pan dɛn tin ya we yu de du ɔ afta yu dɔn gɛt tritmɛnt, tɛl yu dɔktɔ wantɛm wantɛm.
- Chills we de mek pɔsin kol
- Fiva
- Skin chenj (e.g., blistering, peeling skin) .
Na nɔmal tin fɔ fil frayd we yu yɛri di wɔd dɛm "tɔtal bɔdi redyushɔn" ɛn udat nɔr de yɛri? Bɔt tɔk to yu dɔktɔ we de mɛn yu raytin ɔnkɔlɔji bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. TBI de yuz bɔku smɔl dos dɛm fɔ redyushɔn pas ɔda redyushɔn tritmɛnt dɛm. Nyu teknɔlɔji dɔn ridyus bak di raytin we dɛn kin yuz fɔ trit wɛlbɔdi tisu. I kin kil di kansa sɛl dɛn we nɔ kin gɛt ɔda tritmɛnt dɛn. I de mek bak di chans fɔ mek dɛn transplant bon mɛro go bifo bad bad wan we dɛn nɔ gri fɔ tek am.
Mɛsej we dɛn kin kɛr go na os
- Total Body Irradiation (TBI) na tritmɛnt we de gi smɔl doz redyushɔn to yu ɔl bɔdi fɔ rɛdi yu fɔ bon mɛrɔ transplant.
- Yu nɔ go fil ɛni pen pan dis.
- Di men gol na fɔ pwɛl ɛni kansa sɛl we lɛf, mek ples fɔ nyu bon mɛro, ɛn fɔ mek dɛn nɔ gri fɔ transplant.
- Sɔt tɛm sayd ɛfɛkt lɛk fɔ lɔs yu ia, taya, ɛn nɔs kin apin. Dɛn kin ebul fɔ kɔntrol dɛn tin ya.
- Tɔk opin wan wit yu mɛdikal tim bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn de de fɔ ɛp yu.
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