Cancer enkawlna lama tunlai thiamna: IMRT chu eng nge ni? (Intensity-Modulated Radiation Therapy hmanga enkawlna) a ni.

Cancer i vei tih hriat a nih chuan radiation therapy chungchang i hriat hian hlauhna tlem i neih hi thil pangngai a ni. Mahse, tunlai hian medical technology a lo thang chak em em a, cancer cell chauh target a, a chhehvela cell hrisel te tihchhiat tlem theihna tur method a awm tih i hria em? IMRT hi chutiang enkawlna kawng hmasawn tak, dik tak pakhat chu a ni. Chuvangin vawiin hian he thu hi zawhna emaw hlauhthawnna emaw i neih zawng zawng tichiang thei tur awlsam takin i sawi dawn nia.

A awlsam zawngin IMRT chu eng nge ni?

A awlsam zawngin sawi ila, IMRT (Intensity-Modulated Radiation Therapy) hi cancer enkawlna radiation hmanga enkawlna hmasawn tak a ni. External beam radiation therapy chi khat a ni. Hemi ah hian machine bik Linear Accelerator (LINAC) an tih hmangin high-energy X-ray beam te chu cancer cell ah an direct a, an tichhia a ni. He machine hian i taksa a khawih ngai lo.

"Intensity-Modulated" tih thumal pahnih hian "intensity chu tihdanglam theih a ni" tihna a ni. Hei hi IMRT enkawlna atana thil danglam bik chu a ni. Ngaihtuah teh, cancer tumor hi hmun tinah a thickness inang lo a ni lawm ni? Hmun thenkhatah chuan a thim zawk a, hmun thenkhatah chuan a thim zawk bawk. IMRT technology hian tumor chhunga hmun zau zawk leh cell tam zawk neiah chakna sang zawk (intensity) nei radiation a pe thei a, tissue hrisel bula hmun te tak teah chakna tlem zawk nei radiation a pe thei bawk. Computer hmanga control theih, light brightness tihpun emaw tihhniam emaw thei super torch ang a ni. Chumi awmzia chu cancer cell te chu chiang taka tihchhiat a nih laiin, a chhehvela tissue hrisel te chhiatna chu nasa takin a tlahniam tihna a ni.

Engvangin nge IMRT hmanga enkawl hi a pawimawh em em?

Radiation treatment dang ang bawkin IMRT hian a tum ber chu cancer cell tihchhiat leh tumor tihtlem a ni. Mahse, harsatna lian ber chu cancer tumor hi kan taksa peng hrisel pawimawh tak takte hnaih takah a awm fo mai.

I huana hnim tlemte i paih chhuah mai a ngai a, mahse i bula pangpar mawi tak tak i phun tawhte chu tihchhiat i duh lo ang tih han ngaihtuah teh. IMRT hian chutiang chiah chuan a ti a ni. Entirnan, cancer enkawlna atan hman theih a ni a, chutih rualin i taksa peng pawimawh tak tak, i ruhro, thluak bul, leh mit nerve te chu a humhim thei bawk.

IMRT hmanga enkawlna cancer chi hrang hrang hman tlanglawn tak tak thenkhat chu:

• Hnute cancer a ni
• Cervical cancer a ni
• Colon cancer a ni
• Lung cancer a ni
• Prostate cancer a ni
• Pum cancer a ni
• Uterine cancer a ni
• Tin, cancer chi dang tam tak tan pawh.

He enkawlna hnuaia expert team te hi an ni

IMRT hi mi pakhat tih a ni lo. Team thawhrimna a ni. Doctor thiam tak tak team chuan i enkawlna chu a hlawhtlin theih nan an thawk ho thin. Chu team chu tute nge an nih i en ang u.

Enkawl hma hian eng nge thleng thin? (Planning session) a ni.

Enkawlna i tan hmain "simulation" tih planning session i tel a ngai dawn a ni. Hei hi play stage hmaa "rehearsal" ang mai a ni. Hei hi i medical team-in i enkawlna tur ruahmanna siamna atana an mamawh zawng zawng an khawlkhawmna hmun a ni.

Simulation-a thil thlengte chu:

• Scans: CT scan hmangin cancer awmna hmun, a lian leh te, a pianzia dik tak i hmu ang. A chang chuan MRI emaw PET scan emaw pawh tih theih a ni.
• Mark lakna tur: 1.1.Nitin enkawlna i neih apiangin LINAC machine nena khaikhin chuan i taksa chu a position ang chiah hian i dah a ngai a ni. I kaihhruaina atan chuan i vunah hian tattoo ang chi, dot te tak te tak tak, awm reng thei tak tak, a inzawm tlat chu dah a ni. Chungte chu chhinchhiahna te tak te ang maiin a lang. A châng chuan pen mark hman a ni a, mahse enkawlna a zawh hma loh chuan a hmunah dah reng a ngai a ni.
• Special Moulds: Treatment neih chhung hian i dinhmun ang chiah khan che lovin i awm reng a ngai ang. Chutianga ṭanpui nân, i taksa peng enkawl mek nêna inmil tûrin mold emaw, support bik emaw siam theih a ni.

Heng thu lakkhawm zawng zawng hmang hian medical team chuan i cancer atana hman tur bik, intensity hrang hrang nei radiation beam plan an siam a.

Enkawl lai hian eng nge thleng?

Cancer i neih chi hrang hrang a zirin enkawl dan tur a inang lo ang. A tlangpuiin ni khatah minute 30 vel hun rei lote chhung enkawlna pek thin a ni. Mi tam zawk chuan nitin enkawlna an nei ang a, kar khatah ni nga (Monday atanga Friday thleng) an nei ang. Hei hi kar engemaw zat chhung chu a la awm thei a ni.

Treatment session neih chhung hian:

1. Planning session (sim) chhunga i dinhmun ang chiah khan i awm ang. Radiation therapist chuan special mould siam tawh hmangin a pui ang che.

2. Tichuan radiation therapist chu room hranah a lut a, chuta tang chuan LINAC machine chu a on ta a. Mahse, lungngai suh, monitor-ah chiang takin a hmu thei che a ni. Tin, intercom system a awm bawk a, chu chuan inbiak theihna a siam a ni.

3. Machine hian angle hrang hrang atanga radiation beam a pek chhuah angin a kal thin. Hemi chhung hian "click" ri leh spinning ri tlem i hre mai thei. Hei hi thil pangngai tak a ni.

Enkawlna a zawh hunah i haw thei ang. Hei hi inpatient treatment a ni lo.

IMRT hian eng nge a thatna leh a that lohna?

Enkawl dan dang ang bawkin IMRT hian thatna leh that lohna a nei thei a ni. Anni hi han thlir ila.

Dam leh hunah engtin nge i in enkawl theih ang?

Dam leh hun chhung hi mi hrang hrangah a inang lo. Radiation i dawn zat, enkawl zat leh i taksa peng enkawl danah a innghat a ni. Mi thenkhat chuan side effect an neih chuan kar tlemte chhungin an dam tha hle. Mi dangte tan chuan thla khat emaw thla hnih emaw a la ngai thei. I doctor chuan i dinhmun a zirin a side effect awm thei leh i dam leh hun tur a hrilhfiah ang che.

I taksa hian enkawl lai leh enkawl zawhah chawlh hahdamna tha tak a mamawh a ni. I taksa a dam theih nan heng thilte hi ti rawh.

• Ei leh in tha tak ei rawh.
• Tui tam tak in thin ang che.
• A theih ang angin chawlh hahdam rawh.

I vun hi a enkawl dan avang hian a sensitive deuh mai thei. A bik takin radiation pekna hmuna vun chu fimkhur hle ang che.

• Thawmhnaw nuam tak tak, loose, cotton ang chi ha rawh.
• Sahbawn leh cream rimtui chak tak leh chemical chi hrang hrang tel lo hmang thin ang che.
• Tui lum bottle emaw ice pack emaw chu radiation-in a nghawng vun chungah direct-in dah suh.
• Ni chhuahnaah i chhuak dawn a nih chuan i vun khuh thei thawmhnaw rawng hring, loose-fitting ha la. I doctor-in a rawt angin sunscreen hnawih la, khuh theih lohna hmunah hnawih rawh.

Heng zawng zawng hi i enkawltu doctor nen zalen takin sawipui rawh. Zawhna emaw, ngaihtuahna emaw i neih apiang chu thil tenawm tak pawh ni se, hrilh rawh.