He hangarau 3D hei rongoā i te mate pukupuku? Me kōrero noa tātou mō te 3D-CRT (Te Whakaora Irahiko Āhua-Toru)

He tokomaha o tātou e mataku ana ina rongo tātou i te kupu matepukupuku. He nui hoki tō tātou wehi ki te rongoā irahiko . He mea noa te whakaaro, "Āe, ka pāngia hoki ngā wāhanga hauora o te tinana?" Engari he tino matatau te hangarau o ēnei rā. I tēnei rā kei te kōrero tātou mō tētahi mahere maimoatanga irahiko motuhake e aro tika ana ki te pukupuku matepukupuku, ā, e whakaiti ana i te kino ki ngā whekau hauora e karapoti ana. Ko te 3D-CRT tēnā.

He aha tēnei 3D-CRT?

Ki te kī māmā noa, he tikanga tino matatau te 3D-CRT e whakamahia ana hei whakamahere i te Whakaora Irahiko Hiko o Waho (EBRT) mō te mate pukupuku. Ehara i te maimoatanga tonu, engari ko te mahere mō te maimoatanga .

Whakaarohia kei te haere koe ki te kaimahi tuitui hei hanga i tētahi kākahu. Ka tangohia e ia ō inenga tika, ā, ka tuitui i te kākahu kia tino ōrite ki a koe, tika? He rite tonu te 3D-CRT. I konei, ka whiwhi ngā tākuta matepukupuku irahiko i tētahi tirohanga toru-ahu (3D) o tō pukupuku matepukupuku me ngā whekau hauora e karapoti ana.

Hei whiwhi i tēnei tirohanga 3D, ka whakamahia ngā whakaahua mai i ngā whakamātautau tātaritanga pēnei i te matawai `CT (Computed Tomography)`, te matawai ` MRI (Magnetic Resonance Imaging)`, te matawai `PET ( Positron Emission Tomography )` rānei. Ka tātarihia ēnei whakaahua e tētahi pūmanawa rorohiko motuhake, ā, ka hangaia he `mahere 3D` o te rahi, te āhua, me te wāhi tika o te mate pukupuku.

He aha ngā whakamahinga o te 3D-CRT?

Ka whakamahia e ngā tākuta pukupuku tēnei tikanga whakamahere 3D-CRT hei rongoā i ngā momo mate pukupuku. He mea nui rawa tēnei tikanga i ngā wā kāore e taea te pokanga. Ka whakaratohia hoki he rongoā irahiko kua whakaritea hei whakaiti i te pukupuku i mua i te pokanga (`rongoā neoadjuvant`) hei whakangaro rānei i ngā pūtau mate pukupuku e toe ana i muri i te pokanga (`rongoā adjuvant`).

Kei raro nei ētahi o ngā momo mate pukupuku e whakamahia whānuitia ana te 3D-CRT mōna.

Me pēhea te whakamahi i te 3D-CRT i roto i te whakamahere maimoatanga?

Mā tō tīma hauora koe e ārahi i roto i tēnei tukanga whakamahere 3D-CRT taahiraa i ia taahiraa.

1. Te Waihanga i tētahi Mahere 3D

Tuatahi, e ai ki tā tātou i kōrero ai i mua ake nei, ka tangohia ngā whakaahua mai i ō matawai CT me MRI, ā, ka hangaia e tētahi hōtaka rorohiko he mahere 3D o te puku. Ka tukuna tēnei mahere ki te mīhini e tuku ana i te irahiko (te 'Whakateretere Raina').

2. Tukanga whakatauira

He rite tēnei ki tētahi whakaharatau mō tētahi whakaari. Ka meinga koe kia takoto ki runga i tētahi tēpu maimoatanga, ā, ka whakanohoia koe ki te tūranga me te mea kei te whiwhi koe i te rongoā irahiko. I tēnei wā, ka whakamahia te mahere 3D hei whakatau i te wāhi me te koki tuturu o ngā hihi irahiko.

3. Te tāpiri i ngā tohu kiri

I te wā o te whakatauira, ka whakatūria e te tīma hauora ētahi tohu iti, rite ki ngā ira ki tō kiri. He maha ngā wā he tohu iti ēnei ('moko') e āhua rite ana ki ngā mokomoko tuturu . Kaua e mataku ina kite koe i ēnei. Ka whakatakotoria ēnei kia tika ai te aronga o te hihi ira ki te wāhi e noho ana ngā pūtau matepukupuku i ia maimoatanga, me te kore e nekehia ahakoa he mirimita. Mā ēnei tohu koe e āwhina ki te pupuri i tō tinana i te tūranga kotahi i ia maimoatanga.

Ka pā mai ngā pānga taha o te 3D-CRT?

Ko te mea nui kia mārama ki konei, he tikanga whakamahere te 3D-CRT, ehara i te maimoatanga. Nō reira, kāore he pānga taha tika e puta mai ana i te tukanga whakamahere 3D-CRT.

Heoi, ka pā mai ētahi pānga taha mēnā ka tukuna te rongoā irahiko e ai ki taua mahere. Ahakoa ka whakaitihia e te 3D-CRT te kino ki ngā kiko hauora, tera tonu ētahi pānga kino. Ko ngā pānga taha ka puta, ka whakawhirinaki ki te wāhi o te tinana e rongoatia ana.

Ngā Painga me ngā Hangarau Hou o ngā 3D-CRT

Ko te painga nui o te tikanga 3D-CRT ko tana arotahi tika ki te pukupuku, ā, ka whakaiti i te kino ki ngā kiko hauora e karapoti ana.

Heoi, i ēnei rā, he nui ake ngā tikanga whakamahere maimoatanga irahiko matatau atu i te 3D-CRT. Ko tētahi o aua tikanga ko te 'Intensity-Modulated Radiation Therapy (IMRT)'.

He maha, he maha ngā hihi iti (ngā hihi iti) e whakamahia ana e te IMRT, kaua ki te hihi nui kotahi. Ka taea hoki te whakarite i te kaha o ngā hihi. He rite ki te peita i tētahi pikitia ki ngā whiu peita iti, rerekē, kaua ki te tae kotahi. Mā tēnei ka taea e te IMRT te tuku i te irahiko e pai ake ana te ōrite ki te āhua uaua o te pukupuku. E kī ana ētahi rangahau he iti ake pea ngā pānga taha o te IMRT.

Mena kua tohua he rongoā irahiko ki a koe, kaua e wehi ki te pātai ki tō tākuta, ki tō tīma hauora rānei mō te tukanga. He tino whakamarie tēnei māu ki te mōhio mārama ki ngā mea katoa.