SBRT hmanga enkawl tura rawtna i dawng tawh em? A awlsam zawngin sawi ila (Stereotactic Body Radiation Therapy)

Cancer do hi thil awlsam a ni lo tih kan hria. Chutih lai chuan i doctor-in enkawlna thar ‘SBRT’ tih a hrilh che chuan i rilruah zawhna lo lut chu thil pangngai tak a ni. "Hei hi eng nge ni? A na em? A thawk thei ang em?" Hetiang zawhna hi i rilruah a awm mai thei. Lungngai suh. Vawiin hian he enkawlna SBRT tih hi i hriatthiam theih tur awlsam takin kan sawi dawn a ni.

A awlsam zawngin SBRT chu eng nge ni?

A awlsam zawngin sawi ila, Stereotactic Body Radiation Therapy (SBRT) hi cancer cell tihchhiatna atana hman thin radiation therapy hmanraw changkang tak a ni.

Sniper ang maiin ngaihtuah la, hla tak atanga kah a, target a kah. Chu chu SBRT hian a ti thin. Tumor chu a target a, radiation dose sang tak a pe chhuak thin. Hei hi a specialty chu tumor chhehvela tissue leh organ hrisel tak takte tihchhiatna a tihtlem vang a ni .

Radiation therapy pangngai ang lo takin enkawlnaah hian kar tam tak enkawl a ngai lo. SBRT hian hun rei lote chhungin radiation dose sang tak tak a pe chhuak a, a tlangpuiin ni engemaw zat chhungin a pe chhuak a, enkawlna pawh a zo thei a ni.

SBRT enkawlna hi eng cancer chi hrang hrangah nge hman?

Doctor-te chuan tumor te tak te tan SBRT hi an rawt tlangpui a, hriselna lam thil dang avanga operation nei thei lo tan pawh duhthlan tur tha tak a ni.

SBRT enkawlna hi thil pahnih ah hman a ni ber a:

• Primary Cancers: Hei hian taksaa cancer lo lang hmasa ber enkawl tihna a ni.
• Oligometastatic Cancers: Hetiang hmanrua hi a bul atanga taksa peng dangah a darh tawh, mahse a la tlem a, a tlem hle bawk.

SBRT hmanga enkawl cancer chi hrang hrang zingah chuan:

• Lung cancer a ni
• Prostate cancer a ni
• Liver cancer a ni
• Pancreatic cancer natna a ni

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Engtin nge enkawl hmain i inbuatsaih thin?

I doctor chuan i medical history kimchang chu a enfiah ang a, he enkawlna atana candidate tha tak i nih leh nih loh a rel ang. Chumi hnuah chuan enkawlna chu engtin nge a tih ang tih te, a hlawkna te, leh hlauhawmna awm thei te chu a hrilhfiah ang che. Engkim i hriatthiam zawh chuan consent form-ah sign turin an ti ang che.

Enkawl hmaa heng thilte hi hriat chian a tha:

• I tanpuitu tur: A tam zawkah chuan enkawl hnuah nangmah chauhin i in lamah i tlan thei a ni. Amaherawhchu, tanpuina atan chhungte emaw, thian emaw rawn hruai tel a tha.
• Ei leh in leh damdawi: 1.1.I doctor chuan i enkawl hma zanah eng chen nge ei leh in i chawlhsan tur tih a hrilh ang che. I dinhmun azirin, natna, natna (NSAID ang chi), emaw, lungkhamna dotu (anti-anxiety) damdawi ei hmasak phawt theih a ni bawk.
• Thawmhnaw: Hospital gown atan chuan thawmhnaw light, nuam tak, hak leh phelh awlsam tak hak a tha ber. Sam lem, jewelry, glasses, leh ha lem ang chi te chu in lamah i dah a ngai dawn a ni.
• Enkawl hun: Enkawlna vawi khat hi i dinhmun a zirin minute 15 atanga darkar khat emaw a aia rei emaw vel a ni tlangpui.
• Stress: Cancer kan hmachhawn hian lungkhamna leh stress neih hi thil pangngai a ni. I enkawl hmain i doctor hnenah he stress hi i enkawl dan tur zawt la. Lehkhabu emaw, magazine emaw ang chi chhiar tûr thil keng tûrin a ti thei che a ni. Sedative pawh an pe thei bawk.

Enkawlna ruahmanna siam (Treatment Simulation) 1.1.

Hei hi a enkawlna tak tak a ni lo. Rehearsal ang deuh a ni. Target tur hmun dik tak chu map out a ni a, hetiang dinhmunah hian enkawlna tur ruahmanna siam a ni.

Heng thil thlengte hi hetiang hi a ni:

• Scans: Cancer awmna hmun dik tak hriat tur chuan test eng emaw zat neih a ngai mai thei, chu chu CT scan, MRI, X-ray te hi a ni. Heng test te hi machine chu radiation beams direct turin program nan an hmang thin.
• Positioning: Medical team chuan treatment table-a i dah tur position dik tak chu an ruat ang. I vunah hian chhinchhiahna an dah thei bawk a, chu chuan radiation beam-te chu khawiah nge i aim tur tih chiang taka i hriat theih nan a pui thei che a ni.
• Mould bik siam: I taksa peng cancer awmna hmun nena inmil tur mold (immobilization device) siam tir theih a ni. Hei hian enkawl laiin i dinhmun ang chiah khan a awm reng ang. Hei hian enkawlna apiangah dinhmun inangah i awm reng theih nan a pui ang che.

He test neih chhung hian hrehawmna i neih chuan, emaw, che thei lovah i hlauthawng a nih chuan medical team te hrilh hreh suh. Anni chuan a nuam thei ang bera awm turin an pui ang che.

Enkawl lai hian eng nge thleng?

A hmasa berah chuan SBRT enkawlna hi a hrehawm lo . X-ray lak ang mai a ni. Enkawl laia i lungawi loh emaw, hlauhna emaw i neih chuan engtik lai pawhin enkawl tawh loh turin i ngen thei a ni.

Hei hi enkawl laia thil thleng chu a ni:

1. Rehearsal neih lai ang bawkin treatment table-ah mu turin siam i ni ang.

2. Radiation technician te hian room hran atang hian machine hi an hmang thin. Screen hmangin an en che a, intercom hmangin i biak thei bawk.

3. Machine chuan radiation a pe tan ta. Machine-a kut ang maia lian tak chu i chhehvelah a inher a, angle hrang hrang aṭangin high-dose radiation beam a pe chhuak a, chu chu tumor pianzia ang zela siam a ni. Hei hian cancer chauhvin radiation a dawng thei tih a tichiang a ni.

Enkawl lai hian engmah hre lo mah la, machine a kal laiin thawm tlem i hre mai thei.

Enkawlna hnua side effect awm thei

I cancer chi hrang hrang leh i hriselna zawng zawng a zirin side effect i tawn chi hrang hrang a inang lo ang. A tam zawkah chuan hengte hi hun eng emaw chen atan a ni.

SBRT hmanga enkawlna hian eng hlawkna nge a neih?

Zirna atanga a lan dan chuan SBRT hi cancer thenkhat tan chuan damdawi tha tak a ni.

• Cancer natna vei chu operation tel lovin hetiang chiah hian chiang takin lakchhuah theih a ni.
• A chhehvela taksa peng hrisel tak takte chhiatna hi a tlem hle.
• Radiation therapy pangngai aiin enkawlna a tlem avangin side effects awm theihna pawh a tlahniam thei bawk.
• I enkawl atanga ni khat emaw ni hnih emaw chhungin i hnathawh dan pangngaiah i kir leh thei a ni.

SBRT leh IMRT hi eng nge an danglamna?

SBRT leh Intensity-Modulated Radiation Therapy (IMRT) te hi taksa pawn lama machine atanga radiation pe chhuak (External Beam Radiation Therapy' - EBRT') te an ni.

A danglamna chu SBRT hi tumor te tak te, chiang tak tak, dose sang tak nen, hun rei lote chhung enkawlna atan hman a ni . IMRT hi hmun zau zawk (cancer leh a darh tawhna hmun eng pawh) khuh nan hman a ni tlangpui a, chuvangin enkawlna a tam zawk a, kar engemaw zat a ngai a ni.

I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang.