I hmangaih zînga pakhatin cancer natna a neih avangin zai a ngai ang tih han ngaihtuah teh. Surgery an neih zawh chuan damdawi inah ni tam tak, kar tam tak pawh ni thei, radiation therapy dawng turin an kal leh a ngai a ni. Chu chu engtiang chiahin nge a hahthlak? Mahse, heng zawng zawng hi ni khata tih theih dan a awm tih i hriat chuan mak i ti mai thei a, chu chu operation neih ruala tih theih a ni. Chu chu tunlaia kan sawi tak enkawl dan thar leh hlawhtling tak chu a ni.
A awlsam zawngin IORT chu eng nge ni?
IORT awmzia kimchang chu Intraoperative Radiation Therapy a ni. Sinhala tawng chuan "operation neih laiin radiation treatment pek" tihna a ni. Hei hi cancer enkawlna atana hmanraw bik a ni.
Thil thleng chu hetiang hi a ni mai:
I surgeon chuan surgery a ti ang a, tumor chu a paih chhuak vek ang. Tichuan, radiation oncologist chuan tumor awmna hmunah chuan radiation dose target tak tak a pe ang a, chutah chuan cancer cell eng pawh a la awm thei ang.
Hei hian a tum ber chu operation hnua cancer hmun khata lo awm leh theihna tur tihtlem a ni.
He damdawi hi eng cancer chi hrang hrangah nge hman a nih?
He IORT enkawlna dan hi cancer chi hrang hrang tan hman theih ni mah se, khawvela a awm ang bawkin Sri Lanka ramah hian hnute cancer tan hman a ni ber.
Hei bakah hian he method hi cancer chi dang engemaw zat tan pawh hman a ni bawk.
- Vun cancer te hi a awm thei
- Colon cancer te hi a awm thei
- Hmeichhia cancer te
- Spine cancer te hi a awm thei
IORT enkawlna hi tute tan nge a tha ber?
Hei hi zawhna pawimawh tak a ni. IORT hmanga enkawl hi cancer vei zawng zawng tan a tha lo. He enkawlna hi mi pakhat tan a tha leh tha lo tih hi thil engemaw zatin a nghawng a ni.
- Cancer i neih chi hrang hrang
- Cancer natna lian tham tak leh a nihna
- I hriselna dinhmun zawng zawng
Hemi chungchanga thutlukna hnuhnung ber chu i surgeon leh radiation therapist te chuan an siam dun ang a, i dinhmun uluk taka an enfiah hnuah. Chuvang chuan hemi chungchang hi Doctor nen zalen taka sawipui a pawimawh hle.
Enkawl lai hian eng nge thleng?
Enkawlna ni hian general anesthesia pek i ni ang a, chuvangin i tih chhung zawng chu i muhil vek ang. Chuvangin engmah hrehawmna i nei lovang. Hetah hian a kaihhnawih step awlsam tak takte chu tarlan a ni.
| Step hrang hrang | Eng thil nge thleng? |
|---|---|
| 1. Tumor lakchhuah | Surgeon chuan operation hmangin tumor chu a paih chhuak vek a ni. |
| 2. Device dah luh dan | Radiation pek chhuahna atana siam bik device (applicator) chu tumor lakchhuahna hmun khar takah dah a ni. |
| 3. Radiation pek | Radiation therapist chuan he device hmang hian radiation dose ruat chu a pe chhuak a, tumor awmna hmuna a chhehvel tissue chauh a target a ni. |
| 4. Device lakchhuah | Radiation a rawn thlen chuan special device chu lakchhuah a ni. |
| 5. Hliam chu stitching | A tawpah chuan surgeon chuan surgical wound chu a stitch a, a khar ta a ni. |
IORT hmanga enkawlna hian eng hlawkna nge a neih?
Traditional radiation therapy-ah chuan damlote chu nitin damdawi inah kar engemaw zat chhung enkawl turin an lo kal a ngai a ni. Mahse IORT hmang hian radiation treatment zawng zawng chu session khatah tihfel theih a ni a, chu chu surgery neih ni khatah tihfel theih a ni. Hei hi a thatna lian ber a ni.
A awlsam zawngin, kar tam tak chhung damdawi ina kal ngai harsatna, hun leh senso te chu a humhim thei a ni.
A thatna dang engemaw zat a awm bawk:
- Treatment session tlem ber: Radiation treatment zawng zawng hi session khatah tih zawh theih a ni.
- A chhehvela tissue hrisel tihchhiatna tlem: Cancer awmna hmunah direct-a radiation a thlen avangin, a chhehvela taksa peng hrisel, lung, thinlung leh vun-a radiation exposure chu a tlem thei hle.
- Side effects awm theihna a tlem hle:Chutiang bawkin, hmanlai hman dan aiin side effects a awm tlem zawk.
Conventional radiation therapy (EBRT) leh IORT inkara danglamna
Hêng hmanraw pahnih inthlauhna berte chiang taka hriat nân he table hi en rawh .
| Nihphung | Radiation hmanga enkawlna hmanlai (EBRT) . | IORT hmanga enkawl a ni |
|---|---|---|
| Radiation pek dan tur | Taksa pawn lama machine pakhat chuan radiation beam chu taksa chhungah a hruai lut thin. | Surgery an tih lai hian taksaah device dahin, target area-ah radiation direct-in a pe chhuak thin. |
| Enkawl hun chhung | Inenkawlna hi nitin kar eng emaw zat dawn tur a ni. | Surgery neih chhung hian session khatah enkawlna hi tihfel a ni. |
| Radiation dose a ni | Tissue hrisel ven nan nitin radiation dose tlemte pek thin a ni. | Radiation dose sang tak chu vawi khatah target area-ah chauh pek theih a ni. |
| A chhehvel tissue-a nghawng a neih dan | Radiation thenkhat chuan cancer chhehvela tissue hrisel tak takte pawh a thleng thei bawk. | A chhehvela tissue hrisel tak takah radiation exposure hi a tlem hle. |
Engtikah nge doctor koh tur
IORT hmanga enkawl hnuah hian side effect na tak tak a awm tlem tlangpui. Mahse, a hnuaia natna khirh tak tak emaw, beisei loh tak emaw i neih chuan , i doctor hnenah hrilh nghal rawh.
- Surgery hliam atanga thisen chhuak tam lutuk
- Hliam atanga pus ang chi tui lo chhuak
- Khawsik emaw, khawsik emaw
Cancer enkawlna hi taksa leh rilru lama phurrit tak a ni. Nitin damdawi ina kal leh enkawlna avanga nghawng tha lo tuar chhuah hi a buaithlak vek thei. IORT hi damlo thenkhat tan he zinkawng awlsam zawka siam thei tur solution tha tak a ni thei.
Mahse kan sawi tawh ang khan IORT hi mi zawng zawng tan a ni lo. I medical team chuan eng enkawlna nge i tan a tha ber tih an rel ang a, side effects tlem ber a awm ang a, result tha ber an pe ang che. Chuvangin IORT i nei emaw nei lo emaw pawh nise, i hahna, i stress leh side effects te chu i doctor hnenah inhawng takin sawi rawh. I mamawh ang puihna an pe thei ang che.
Take-Home Thuchah a ni
- IORT hi cancer surgery nen a ruala radiation therapy pek dan a ni.
- Hei hi a thatna lian ber chu kar tam tak radiation hmanga enkawlna chu ni khatah, session khatah tih zawh theih a ni.
- Radiation hi target area-ah direct-a thlen a nih avangin a chhehvela tissue hrisel tak takte chu chhiatna leh side effects a tlem zawk a ni.
- He enkawlna hi cancer vei zawng zawng tan a tha lo. Hemi chungchanga thutlukna hnuhnung ber chu i medical team-in an siam ang.
- He enkawlna chungchang hi hriat belh i duh emaw, i tan a tha a nih chuan i doctor nen inbia ang che.
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