Cancer kan vei tih kan hriat huna kan rilrua hlauhna leh lungkhamna lo thleng thin hi tawngkam hmanga sawi chhuah theih a ni lo. Mahse tunlai hian medical science hmasawn tak nen cancer tihdam leh thunun theihna tur enkawlna changkang tak tak a awm ta. Vawiin hian i hriat ngai loh, mahse a hlawk em em enkawl dan tur kan sawi dawn a ni. Chu chu Brachytherapy an ti a. Hei hi radiation hmanga enkawlna bik a ni a, cancer cell tihchhiat nan hman a ni.
Brachytherapy tih hi eng nge ni?
A awlsam zawngin sawi ila, brachytherapy hi cancer enkawlna atana internal radiation therapy chi khat a ni. Conventional radiation therapy-ah chuan taksa pawn lam atanga machine pakhatin tumor-ah radiation a pe chhuak thin. Mahse he method hi a danglam hle.
Hetah hian, chi te tak te, pellet, a nih loh leh radioactive material awmna capsule ang chi hmanrua chu operation hmangin tumor chhungah emaw, a hnaih hle emaw a ni. Tumor bulah chiah light bulb te tak te eng ang maiin han ngaihtuah teh. He hmanrua atanga radiation chhuak hi cancer cell-ah direct-in a kal a, a tichhia a ni.
Hetah hian a thatna lian ber chu radiation tam zawk hi cancer-ah direct-in a thleng a, chutih laiin cancer chhehvela tissue hrisel tihchhiatna erawh a tlem hle thung. Hei hian side effects a ti tlem zawk a ni.
A châng chuan he enkawlna hi amah chauhin hman a ni. A chang chuan cancer enkawlna dang, external beam radiation therapy (EBRT) emaw surgery emaw nen hman dun a ni.
Brachytherapy chi hrang hrang lian ber ber a awm em?
Ni e, he enkawlna dan hi chi hnih ah then theih a ni a, chungte chu temporary implants leh permanent implants te an ni. A danglamna chu eng nge ni tih i lo en ang u.
| Enkawlna chi hrang hrang | Hrilhfiahna |
|---|---|
| Hun eng emaw chen atana Implant te | |
| Dose hniam zat (LDR) 1.1. | Hetiang hmang hian radiation device pakhat chu taksaah ni 1 atanga ni 7 chhung dah a ni a, radiation dose hniam tak tak a pe chhuak chhunzawm zel a ni. Hun bituk hnuah doctor chuan device chu a la chhuak leh thin. |
| Dose sang tak (HDR) a ni. | Radiation dose sang tak tak chu hun rei lote chhungin pek chhuah a ni a, a tlangpuiin minute 10-20 chhung a ni. Treatment session apiang tawp lamah device hi lakchhuah a ni. Enkawlna hi ni khatah vawi hnih ni 5 thleng pek theih a ni a, kar khatah vawi khat kar 5 thleng pek theih a ni bawk. |
| Permanent Implant te pawh a awm | |
| Thlai chi phun | Hetiang hmang hian radioactive chi te te chu tumor chhungah hian a nghetin an dah a ni. Chungte chuan kar emaw thla engemaw zat emaw chhung chu radiation dose hniam tak tak an pe chhuak thin. Hun a kal zel a, radioactivity chu a chhe vek a, inactive chi chu taksaah a awm reng a ni. An paih chhuak lo. |
He damdawi hi eng cancer chi hrang hrangah nge hman a nih?
Brachytherapy hi taksa hmun dangah a darh loh localized cancer tan a tangkai hle. He damdawi hi cancer chi hrang hrang hman tlanglawn tak tak thenkhat chu:
- Prostate cancer a ni
- Hmeichhia cancer (entir nan, uterine, cervical, emaw vaginal cancer) .
- Hnute cancer a ni
- Mit cancer a ni
- Lu leh kawng cancer te
Engtin nge enkawl hmain i inbuatsaih thin?
I doctor-in i enkawl dan tur a ruahman hmain an enfiah ang che a, medical history uluk takin an la ang che. Thisen test leh scan ang chi thil an tih a ngai mai thei bawk.
I doctor chuan enkawl hmaa i tih tur chiang takin a hrilh ang che. Thil tih tur i ti tlangpui mai thei:
- Thisen zam tichhe thei damdawi (e.g., thisen tithianghlimtu (anticoagulants), natna tidamtu NSAID ang chi) hi doctor-in a tih angin hun engemaw chen ei kha bansan rawh.
- Enkawl hmaa enema hmanga intestine tihfai.
- Damdawi in kal hmain darkar engemaw zat ei leh in loh tur.
- Zuk leh hmuam hman tihtawp vek.
Heng thupekte hi dik taka zawm a pawimawh hle.
Enkawl lai hian eng nge thleng?
Enkawl dan hi cancer chi i neih leh brachytherapy i thlan chi (LDR, HDR, emaw permanent) a zirin a inang lo. Radiation device dahna hmun a zirin a danglam bawk.
- Interstitial brachytherapy: Hei hi tumor chhungah direct-a device dahna hmun a ni. Hetiang hmanrua hi prostate cancer, hmeichhe cancer thenkhat, leh soft tissue cancer (sarcomas) tan te hman a ni.
- Intracavity brachytherapy: Hei hi taksa chhunga cavity chhungah, tumor hnaih takah device dahna hmun a ni. Hetiang hmanrua hi hmeichhe cancer, serh leh nausen cancer te tan pawh hman a ni tlangpui.
Enkawl lai hian natna engmah i neih loh nan anesthesia (anesthesia) pek i ni ang. I hlim tawh chuan Radiation Oncologist chuan hengte hi a zawm ang:
1. Catheter emaw applicator emaw dah luh: Tube (catheter) emaw device (applicator) emaw dahin radioactive material chu cancer awmna hmuna thlen a ni. Hei hi scan hmangin hmun dik takah a kaihruai a ni.
2. Radiation device dah luh: A dawtah chuan radioactive device chu tube kaltlangin tumor chhungah emaw, a bulah emaw thawn a ni. Chumi atanga radiation chhuak chuan cancer cell te chu a tichhia a ni.
3. Device lakchhuah (temporary treatment chauh): HDR method ah chuan treatment session vawi khat hnuah lakchhuah a ni. LDR method-ah chuan a chang chuan ni engemaw zat hnuah lakchhuah a ni.
Enkawl zawhah catheter ang chi thil lakchhuah huna hrehawmna tihziaawmna turin painkiller pek thin a ni.
Enkawlna a hlawkna leh hlawhtlinna chu engte nge ni?
Brachytherapy hi cancer lakai lo tan chuan a tha em em a.
- Target sang tak radiation attack hian cancer cells a tichhia thei zawk a ni.
- Side effects hi a tlem hle a, a chhan chu tissue hrisel tihchhiat a tlem vang a ni.
- Cancer enkawlna dang thenkhat aiin a dam hun chhung hi a tawi zawk.
He enkawlna hi engtiang chiahin nge a hlawhtlin?
Research atanga a lan dan chuan brachytherapy hi cervical cancer leh prostate cancer ang chi natna enkawlnaah a tangkai hle a ni. A then phei chuan he enkawlna hian cancer chu a tidam vek thei a, a lo let leh tawh loh nan a veng thei bawk.
Mahse thil pakhat hriat reng tur chu: Cancer zawng zawng leh damlo zawng zawng hi an inang vek lo. Chuvangin, i doctor nena inbiakna neih a pawimawh a, i dinhmun a zirin he enkawlna atanga i beisei theih result chu chiang taka i hriatthiam a pawimawh hle .
He enkawlna hian hlauhawmna emaw, side effect emaw a nei em?
Damdawi hmanga enkawlna dang ang bawkin, a nghawng tha lo pawh a awm thei. Cancer enkawl mek chi leh enkawl danah an innghat a ni. A tha ber chu side effect tam zawk hi hun eng emaw chen atan a ni. Ṭhenkhat chu hun rei tak chhung a ni thei a, mahse enkawl theih a ni.
Side effects awm tlangpui:
- Zun harsatna emaw, zun thunun theih lohna (`(Urinary incontinence)`) .
- Erectile dysfunction a awm thin
- Vaginal scarring a awm
- Chau
- Constipation, diarrhea, emaw, rilru hahna control harsat
- Nausea leh luak chhuak
A pawimawh ber chu side effects hi taksa peng enkawl tawhah chauh a awm tlangpui. Entirnan, prostate enkawlna hian zun emaw, ril emaw a tibuai thei a, mahse nausea erawh a tlem zawk.
Enkawlna dawng tawh leh midangte
Eng chen nge tihdam a ngaih?
Brachytherapy hnua dam leh hun chhung hi cancer enkawlna dang, surgery ang chi nena khaikhin chuan a rei lo hle. Enkawlna chi hrang hrang a zirin ni engemaw zat emaw, kar khat chhungin i dam thei ang. Enkawl hnu ni engemaw zat chawlh a pawimawh a, thil hahthlak tak tak tih loh a pawimawh. I doctor-in a tih angin i thiltih pangngai chu thawk leh rawh.
Enkawlna nei tawhte bula awm hi a him em?
Hei hi mi tam takin an zawh thin a ni.
- Temporary brachytherapy i dawng a nih chuan device lakchhuah hnuah i taksaah radiation a awm tawh lo vang a, chuvangin midang nena inzawmna hnai tak neih theihna a awm lo.
- Permanent brachytherapy (e.g. seed implants) i dawng a nih chuan i taksa atang hian kar emaw thla engemaw zat emaw chhung chu radiation tlemte chauh a chhuak ang.
Mahse, lungngai suh. He radiation hian taksa pawn lamah hla vak lo tak tak a kal a. Chuvang chuan cancer chhehvela tissue hrisel te a tichhe lo. Chuvangin midangte tana hlauhawmna chu a tlem hle. Mahse, fimkhur nan , doctor-te chuan naupai leh naupang tête chu a tir lamah hun rei tak chhung inhnaih lo turin an fuih tlangpui.
Engtikah nge doctor i hmuh ang?
Enkawl lai emaw, enkawl hnu emawa a hnuaia symptoms te hi i neih chuan doctor hnenah hrilh nghal rawh:
- Thâwk harsa emaw, ei harsa emaw
- Pum natna nasa tak, luak chhuak emaw, luak chhuak emaw
- Zun emaw, bawlhhlawh emaw control theih lohna
Take-Home Thuchah a ni
- Brachytherapy hi enkawlna kawng hmasawn tak a ni a, tumor chhungah emaw, a hnaih takah emaw radiation source dahin cancer cells te chu target leh tihchhiat a ni.
- Hei hi a thatna ber chu tissue hrisel tihchhiatna a tlem avangin side effects a tlem phah a ni.
- Hei hi taksa peng dangah a darh loh cancer tan a tangkai hle.
- A chi hnih a awm a, temporary leh permanent. I doctor chuan eng method nge i tan a tha ber tih a rel ang.
- Side effect awm thei mahse, enkawl theih a ni fo va, enkawl na hmunah chauh a awm.
- Inenkawl hma, enkawl lai leh enkawl hnua doctor thupek uluk taka zawm a pawimawh hle.
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