Cancer i vei tih i hriat chuan a enkawl dan tur ngaihtuah hian a buaithlak thei a, a hlauhawm thei bawk a ni lawm ni? Damdawi inah ni tam tak, kar tam tak pawh ni se, radiation therapy lak a ngai tih ngaihtuah hian a hahthlak thei hle. Inchhung hna te, fate, leh hnathawhna te zawm zel chu thil harsa tak a ni thei. Mahse, vawiin hian tunlai hmanraw thar kan sawi dawn a, chu chuan he enkawlna kalphung hi a ti awlsam a, radiation therapy chu surgery neih rualin a zo thei a ni.
A awlsam zawngin IORT chu eng nge ni?
He enkawlna kawng hming kimchang, IORT tia tawifel chu Intraoperative Radiation Therapy tih a ni. Sinhala tawng chuan "operation laiin radiation treatment pek" tihna a ni. Hei hi cancer enkawlna atana hmanraw bik a ni.
Heta thil thleng hi a awlsam hle. Cancer surgery i neih chuan surgeon chuan i taksa atanga tumor pumpui chu a paih chhuak hmasa thin. Tichuan, radiation oncologist chuan tumor lakchhuahna hmunah, cancer cells te chu an lo kir leh theihna tur hmunah chuan radiation dik tak, dose sang tak a pe chhuak a ni. Hei hi vawi khatah tih a ni.
Hei hian a tum ber chu operation hnua cancer cell tenau tak tak, hmuh theih loh, chu hmuna awm thei zawng zawng tihchhiat a ni a, chu chuan hmun khata cancer lo kir leh theihna (local recurrence) a tihtlem phah a ni.
Hetiang hmanraw hi cancer chi hrang hrangah hman ni mah se, tun dinhmunah chuan hnute cancer tan khawvelah hman tam ber a ni.
IORT enkawlna hi eng cancer chi hrang hrang atan nge hman?
Doctor-te chuan IORT enkawlna hi a hnuaia cancer natna hrang hrangte tan hian an hmang ber a ni:
- Breast cancer: A bik takin hnute cancer a tir atanga hmuhchhuah tan.
- Skin cancers: Vun cancer chi hrang hrang tan.
- Colon cancers: Intestine lian tak nena inzawm cancer tan.
- Gynecological cancers: Nausen pum leh serh chhunga cancer awmte tan.
- Spine cancers: Cancer natna chi hrang hrang, ruhroa lo awmte tan.
He enkawlna hi tute tan nge a inhmeh ber?
Hei hi zawhna pawimawh tak a ni. IORT hmanga enkawl hi cancer vei zawng zawng tan a tha lo. He enkawlna hi i tan a tha em tih chu thil engemaw zatin a nghawng dawn a ni.
Entirnan, tumor thenkhat chu a te hle a, a chhehvel tissue-ah a darh lo. Chutiang hunah chuan he hmanraw hi a remchang hle mai thei. Mahse, tumor hi a lian deuh a nih chuan, emaw, a bul hnaia lymph node-ah a darh tawh a nih chuan, traditional radiation therapy hi a tha zawk mai thei.
Thutlukna hnuhnung ber chu thil tam tak ngaihtuah a nih hnuah siam a ni a, chungte chu cancer chi hrang hrang, tumor lian leh te, cancer a darh tawh em tih te, leh i hriselna zawng zawng te hi a ni. He thutlukna hi i enkawltu surgeon leh radiation oncologist , nangmah nena inrawnkhawmin a siam a ni. Chuvangin he thu hi i doctor nen inhawng takin sawipui hlau suh.
Conventional radiation therapy (EBRT) leh IORT hi eng nge an danglamna?
Heng method pahnih inthlauhna hi tlem tal i hriatthiam chuan IORT danglamna hi i hrethiam zawk ang. Hei hi table pakhatah han thlir ila.
| Mihring ziarang | Radiation hmanga enkawlna hmanlai (EBRT) . | Intraoperative radiation therapy (IORT) hmanga enkawl a ni. |
|---|---|---|
| Enkawlna pek dan tur | Taksa pawn lama machine lian tak (linear accelerator) chuan radiation beam chu taksa chhungah a hruai lut a. | Surgery an tih lai hian tumor lakchhuahna hmunah hian special device (applicator) dahin radiation an pe chhuak thin. |
| Tum bik | Radiation hian cancer awmna hmun leh a chhehvela tissue hrisel tak takte pawh a nghawng bawk. | Radiation hi tumor awmna hmunah chiang takin a thleng a, a chhehvel tissue hrisel (thinlung, lung, vun) te chu a tichhe tlem hle. |
| Enkawl hun chhung | Inenkawlna dawng tur chuan nitin kar 3 atanga kar 6 chhung damdawi inah i lo kal tur a ni. | Radiation hmanga enkawlna zawng zawng chu vawi khatah, minute tlemte chhungin, operation neih chhungin tihfel vek a ni. |
| Radiation dose a ni | Tissue hrisel ven nan nitin radiation dose tlemte pek thin a ni. | Target a dik em avangin vawi khatah radiation chak tak, sang tak a pe chhuak thei a ni. |
IORT hmanga enkawlna hian eng hlawkna berte nge a neih?
He table hi en hian tunah chuan a hlawkna tur ngaihtuahna engemaw zat i nei mai thei. Chu chu tlem han sawifiah leh ila.
- Enkawl tamna tihtlem: Hei hi a thatna lian ber a ni. Kar tam tak chhung ni tin damdawi ina lo kal a, enkawlna dawng tura line-a nghah chu a hahthlak zia han ngaihtuah teh. IORT hmang hian radiation therapy pawh operation neih ni vek hian tihfel a ni bawk. Hei hian i nun pangngaiah i kir leh thuai thei tihna a ni. Hei hian chhungte nena hun hman tur leh hna thawh tur tam zawk a hnutchhiah che a ni.
- A chhehvela tissue hrisel tihchhiatna a ti tlem: Cancer awmna hmunah direct-a radiation a thlen avangin a chhehvela taksa peng sensitive tak tak, vun, lung leh thinlungah radiation a thlen theihna a tlem hle.
- Side effect tihtlem: Traditional radiation therapy-a lo awm thin vun inthlak danglam (kang, sen) leh hahna ang chi side effects te chu IORT hmang hian nasa takin a tlahniam thin.
IORT enkawlna hi engtin nge an tih?
Procedure neih ni hian general anesthesia pek i ni ang. Chuvangin procedure zawng zawngah i muhil vek ang. A kalphung chu hetiang hi a ni:
1. Pakhatnaah chuan surgeon chuan cancer tumor chu a paih chhuak vek a.
2. Tichuan, radiation thlenna atana siam bik device (`applicator`) chu tumor lakchhuahna cavity-ah dah a ni.
3. Radiation therapist chuan radiation dose ruat chu tumor awmna tissue-ah device hmangin a pe chhuak a, computer hmanga control a ni.
4. Radiation a rawn thlen chuan device chu lakchhuah a ni.
5. A tawp berah chuan surgeon chuan surgical wound chu a stitch a, a khar a.
Engtikah nge doctor i hmuh ang?
IORT hmanga enkawl hnuah pawh side effect a awm tlem hle nachungin, operation dang ang bawkin, harsatna a awm thei a ni. Chuvangin, enkawl zawha in lama haw hunah heng symptoms te hi fimkhur hle ang che.
A hnuaia chhinchhiahna na tak tak emaw, beisei loh tak emaw i neih chuan tihkhawtlai lohvin i doctor ko nghal rawh.
- Surgery hliam atanga thisen chhuak tam lutuk.
- Pus ang chi tui emaw, hliam na hmun atanga rimchhia lo chhuak emaw.
- Khawsik emaw, khawsik emaw .
Hetiang thil i hmuh chuan thil pangngaiah ngai suh. A him ber chu doctor hnenah hriattir nghal mai tur a ni.
Take-Home Thuchah a ni
- IORT hi cancer surgery neih laiin vawi khata pek thin, high-dose radiation therapy a ni.
- Hei hi a thatna ber chu radiation hmanga enkawlna zawng zawng hi ni khatah tihfel theih a ni a, kar tam tak chhung damdawi ina kal ngai lovin.
- He enkawlna hi cancer vei zawng zawng tan a tha lo. I medical team chuan i tan a tha em tih an rel ang.
- Traditional radiation therapy nena khaikhin chuan IORT hian a chhehvel tissue hrisel te a tichhe tlem hle a, side effect pawh a nei tlem hle.
- I enkawl dan tur chungchanga zawhna, hlauhthawnna, leh ngaihtuahna i neih apiang chu i doctor nen zalen takin sawi rawh. I tana enkawlna tha ber leh him ber thlang turin an pui ang che.
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