Mi tam tak chuan cancer tih thumal kan hriat hian kan hlau thin. Radiation therapy pawh hlauhna nasa tak kan nei bawk . "Aw, hei hian taksa peng hriselte pawh a nghawng dawn em ni?" Mahse tunlai technology hi a changkang hle. Vawiin hian special radiation treatment plan kan sawi dawn a, chu chuan cancer tumor chu chiang takin a target a , a chhehvela taksa peng hriselte tihchhiatna a tihtlem phah a ni. Chu chu 3D-CRT a ni.
He 3D-CRT hi eng nge ni?
A awlsam zawngin sawi ila, 3D-CRT hi cancer natna atana External Beam Radiation Therapy (EBRT) ruahmanna siamna atana hmanraw changkang tak a ni. Enkawlna ngei ni lovin, enkawlna tur ruahmanna a ni zawk .
Tailor pakhat hnenah dress siam turin i kal ang tih han ngaihtuah teh. I tehfung dik tak a la a, i kawr chu i fit tawk turin a siamsak thin a ni lawm ni? 3D-CRT chu chutiang chu a ni. Hetah hian radiation oncologist-te chuan i cancer tumor leh a chhehvela taksa peng hrisel tak takte chu three-dimensional (3D)-in an hmu thei a ni.
He 3D view hi hmuh theih nan hian diagnostic test atanga thlalak te chu `CT (Computed Tomography)` scan, ` MRI (Magnetic Resonance Imaging)` scan, emaw `PET ( Positron Emission Tomography )` scan te hi hman a ni. Computer software bik chuan heng thlalak te hi a zirchiang a, cancer lian leh te, a pianzia leh a awmna hmun dik tak `3D map` a siam thin.
He 3D map hian radiation beam te chu cancer tumor chu chiang takin a target thei a, chu chuan radiation avanga a chhehvela taksa peng hrisel, lung, thinlung, leh thin te a tihchhiat chu nasa takin a tihtlem phah a ni
3D-CRT hmanna tur engte nge ni?
Oncologist te hian he 3D-CRT planning method hi cancer chi hrang hrang enkawl nan an hmang thin. Hetiang hmanrua hi operation tih theih lohna hmunah chuan a pawimawh hle. Tin, operation hmaa tumor tihtlem nan (`neoadjuvant therapy`) emaw, operation hnua cancer cell la awm zawng zawng tihchhiat nan (`adjuvant therapy`) planned radiation therapy a pe bawk.
A hnuaia tarlan te hi cancer chi hrang hrang, 3D-CRT hmanna atana hman tlanglawn ber berte an ni.
| Cancer chi hrang hrang | Thu belhchian dawl zawk |
|---|---|
| Anal cancer a ni | Surgery nei emaw nei lo emaw enkawl dan tur ruahmanna siam. |
| Rectal cancer a ni | Operation hmaa tumor tihtlem nan an hmang fo thin. |
| Hnute cancer a ni | Enkawlna hnua a lo lang leh theihna a san chuan. |
| Colorectal cancer a ni | Lung emaw liver emaw-ah a darh tawh a, operation tih theih loh a nih chuan. |
| Lu leh kawng cancer a ni | Entirnan: Laryngeal leh Nasopharyngeal cancer te. |
| Digestive system-a cancer a awm | Entirnan: Gall bladder leh bile duct cancer. |
| Prostate cancer a ni | Case hmasa leh case hmasa lamah pawh hman thin. |
| Lung cancer a ni | Surgery tih theih loh huna enkawlna ber angin. |
| Cancer dangte pawh a awm | Cancer dang `Ewing sarcoma`, `Vulvar cancer`, `Wilms tumor` te tan pawh hman a ni. |
Engtin nge 3D-CRT hi enkawlna ruahmannaah hman a nih?
I medical team chuan he 3D-CRT planning process hi step by step in an kalpui ang che.
1. 3D Map siam dan
Pakhatnaah chuan kan sawi tawh ang khan i CT leh MRI scan atanga thlalak lak a ni a, computer program chuan tumor chu 3D map a siam a. He map hi radiation pe chhuaktu machine (`Linear Accelerator`) ah dah a ni.
2. Simulation kalpui dan
Hei hi play atana rehearsal ang mai a ni. Treatment table-ah muttir i ni ang a, radiation therapy i dawn angin i dah ang. Hetih lai hian 3D map hmangin radiation beam awmna hmun leh angle dik tak chu hriat theih a ni ang.
3. Skin marker hnawih
Simulation neih chhung hian medical team chuan i vunah hian chhinchhiahna te tak te, dot ang chi engemaw zat an dah ang. Hengte hi chhinchhiahna te tak te (`tattoos`) te, permanent tattoo ang maia lang an ni fo thin . Hengte hi i hmuh hian hlauthawng suh. Chungte chu enkawlna apiangah radiation beam chu cancer cell awmna hmun dik takah a kal theih nan dah a ni a, millimeter khat pawh a che lo ang. Heng chhinchhiahnate hian enkawlna apiangah i taksa chu a dinhmun inangah a awm reng theih nan a pui ang che.
3D-CRT hian side effect a nei em?
Hetah hian hriatthiam tur pawimawh tak chu 3D-CRT hi ruahmanna siam dan a ni a , enkawlna a ni lo. Chuvangin 3D-CRT planning process avanga direct side effects awm lo.
Mahse, chu ruahmanna ang chuan radiation therapy pek chuan side effect engemaw zat a nei thei a ni. 3D-CRT hian tissue hrisel chhiatna nasa takin a tihtlem a, mahse chhiatna engemaw zat chu a la awm thei tho. Side effect lo awm dan hi taksa enkawl mek laiah a innghat a ni.
| Side Effect a awm thei | A sawifiahna awlsam tak |
|---|---|
| Chau | Taksain cancer cell a do lai leh enkawlna avanga lo awm thin natna tlanglawn tak. |
| Nausea leh luak chhuak | Hei hi a bik takin pum chhung enkawlnaah a thleng thei a ni. |
| Chaw chakna | Enkawlna hian a thlum a tidanglam thei. |
| Lu na | Lu hmun enkawl laiin a thleng thei. |
| Vun a inthlak danglam thin | Enkawlna hmunah a sen, a vawt, a hring emaw, a na emaw a awm. |
| Dysuria natna (Dysuria) a awm | Pum hnuai lam emaw, pelvic area emaw enkawlnaah a awm thei. |
| Kawthalo | Intestinal area enkawlnaah a thleng thei. |
3D-CRTs te thatna leh tunlai technology te
3D-CRT method hian a thatna lian ber chu tumor chu chiang takin a target a, a chhehvel tissue hrisel tihchhiatna a ti tlem hle.
Mahse, tunlai hian 3D-CRT aiin radiation treatment planning method hmasawn zawk a awm ta a ni. Chumi zinga pakhat chu `Intensity-Modulated Radiation Therapy (IMRT)` tih a ni.
IMRT hian beam lian tak pakhat ai chuan beam te tak te (beamlet) tam tak, tam tak a hmang a. Beam te intensity pawh a inthlak thei bawk. Thlalak pakhat chu rawng pakhat ni lovin, paint stroke te tak te, chi hrang hrang hmanga painting ang mai a ni. Hei hian IMRT hian tumor complex shape nena inmil zawk radiation a pe thei a ni. Zirna thenkhatah chuan IMRT hian side effect a nei tlem zawk thei niin an sawi.
Mahse 3D-CRT, IMRT emaw, hmanraw dang emaw hi i tan a tha ber em tih chu i enkawltu oncology team-in an rel a ni. Thil tam takah a innghat a, chu chu i cancer chi hrang hrang, a awmna hmun leh a lian zawng te pawh a ni.
Radiation therapy pek i nih chuan i doctor emaw medical team emaw hnenah a kalphung zawh hreh suh. Engkim chiang taka i hriat chuan thlamuanna ropui tak a ni ang.
Take-Home Thuchah a ni
- 3D-CRT hi radiation hmanga enkawlna a ni lo va, a tan chuan ruahmanna dik tak, three-dimensional (3D) hmanga ruahmanna siam a ni.
- Hei hian cancer tumor chu a target a, a chhehvela taksa peng hrisel tak takte radiation-in a tihchhiat chu a ti tlem hle.
- He ruahmanna siamnaah hian CT leh MRI ang chi thlalak scan te, vunah chhinchhiahna te te dah te, enkawlna dik leh dik loh enfiah te a tel a ni.
- Side effects hi radiation therapy pek avanga lo awm a ni a, ruahmanna siam atanga lo chhuak a ni lo. Taksa enkawl mek hmun a zirin an danglam thin.
- I doctor nen eng damdawi nge i tan a tha ber tih sawiho rawh. Zawhna engmah zawh hreh ngai suh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh