Me ako tātou mō te Brachytherapy, he maimoatanga e whakangaro ana i ngā pūtau matepukupuku?

Ina kī mai tō tākuta he mate pukupuku tōu, tō tētahi rānei e mōhio ana koe, tera pea ka kōrero koe mō te rongoā irahiko, tika? He tokomaha e whakaaro ana ko te rongoā irahiko he mīhini nui e pupuhi ana i te irahiko ki te tinana. He tikanga kotahi noa iho tēnā. Heoi, he tikanga motuhake kei reira e tika ana ki te pukupuku mate pukupuku, ā, i ētahi wā ka maka he matū irahiko ki roto. He rite ki te whakaeke i te hoariri i tōna wāhi tonu. I tēnei rā kei te kōrero tātou mō te Brachytherapy, he maimoatanga kāore anō kia rongohia e te tini o te tangata, engari he maimoatanga tino whai hua.

He aha te Brachytherapy i ngā kupu māmā?

He māmā noa iho, ko te Brachytherapy he momo whakaora irahiko ā-roto . Ko te whakaurunga o ngā kākano iti, ngā pirepire, ngā kāpū rānei kei roto ngā rauemi irahiko ki roto, ki te tata rawa rānei ki tētahi pukupuku. Ka tukuna e ēnei tāpiringa te irahiko mō te wā poto, ka patu i ngā pūtau matepukupuku.

Whakaarohia kotahi anake te wāhi paru i roto i te rūma. He aha te whai huatanga mēnā ka taea e koe te haere noa ki te wāhi kei reira te paru ka rehuhia, kaua e rehuhia te rūma katoa? Koinei te mahi a tēnei maimoatanga. Nā te mea e aro ana te irahiko ki te mate pukupuku, ka taea e ia te tuku i tētahi horopeta kaha o te irahiko e ranea ana hei patu i ngā pūtau mate pukupuku. Waihoki, he iti noa te kino ki ngā pūtau hauora e karapoti ana i te mate pukupuku .

I ētahi wā, ka taea e koe te whakamahi i te brachytherapy anake. Tērā pea ka taea te whakamahi tahi me ētahi atu maimoatanga mate pukupuku, pērā i te radiation therapy hihi o waho (EBRT) me te pokanga rānei. Mā tō tākuta tēnei e whakatau, i runga i te momo mate pukupuku kei a koe.

He aha ngā momo matua o tēnei maimoatanga?

Ka taea te wehewehe i ēnei rauemi irahiko (ngā mea tāpiri) e whakanohoia ana ki roto i te tinana i te wā o te maimoatanga brachytherapy ki ngā momo matua e rua. Arā, ko ngā mea e whakanohoia ana mō te wā poto, kātahi ka tangohia, me ngā mea e noho pūmau ana ki roto i te tinana. Kia titiro tātou he aha ēnei.

He aha ngā momo mate pukupuku e rongoatia ana e te brachytherapy?

Ko te Brachytherapy te mea tino whai hua mō ngā mate pukupuku ā-rohe kāore anō kia horapa ki ētahi atu wāhanga o te tinana . Ko te tikanga kei te wāhi kotahi tonu te mate pukupuku i tīmata ai. Anei ētahi o ngā momo mate pukupuku e whakamahia ana tēnei maimoatanga:

• Matepukupuku prostate
• Ngā mate pukupuku wahine - hei tauira, te mate pukupuku kōpū, te mate pukupuku waha kōpū, te mate pukupuku tara rānei
• Matepukupuku ū
• Matepukupuku kanohi
• Ngā mate pukupuku o te upoko me te kaki

Me pēhea taku whakarite i mua i tēnei maimoatanga?

I mua i tō whiwhinga i tēnei maimoatanga, ka tirotirohia koe e tō tākuta. Ka kōrerohia e ia tō hītori hauora katoa. Ka tonoa hoki e ia he whakamātautau toto me ngā tikanga whakaahua, pērā i te matawai CT, hei whakarite i tō maimoatanga.

Hei tāpiritanga, ka hoatu e tō tākuta ētahi tohutohu motuhake hei whai māu i ētahi rā i mua i tō maimoatanga. Ko ētahi o ēnei ko:

• Ko ētahi rongoā e pā ana ki te toto totoka, hei tauira, ngā rongoā ārai toto me ngā rongoā whakamamae mamae (NSAID), ka mutu pea te tango mō te wā poto.
• Tērā pea ka tonoa koe kia whakamahi i tētahi enema hei horoi i ō whekau i mua i te maimoatanga.
• Ka tonoa koe kia nohopuku mō ētahi haora i mua i te maimoatanga.
• Ki te whakamahi koe i ngā hua tupeka, ka tohutohuhia koe kia mutu.

He aha te mea e tupu ana i te wā e rongoatia ana?

Ka rerekē te tikanga maimoatanga i runga i te momo mate pukupuku kei a koe, tōna wāhi, me te momo brachytherapy ka whiwhi koe (LDR, HDR, tūturu rānei). E rua ngā tikanga matua e wehea ana i runga i te wāhi e whakatakotoria ai te rauemi irahiko:

1. Te Brachytherapy Interstitial: Koinei te wāhi e whakatakotoria tika ai ngā rauemi irahiko ki roto i te pukupuku. Ka whakamahia tēnei tikanga hei rongoā i te mate pukupuku repeure, ētahi mate pukupuku wahine, me ngā mate pukupuku kiko ngohengohe (sarcomas).

2. Te Whakaora i roto i te Kōhao: Ko te whakaurunga o ngā rauemi irahiko ki roto i te kōhao tinana e tata ana ki te pukupuku. He maha ngā wā ka whakamahia tēnei tikanga mō ngā mate pukupuku wahine pērā i te kaki me te kōpū.

I mua i te tīmatanga o te maimoatanga, ka tukuna he rongoā whakamoe ki a koe hei whakangāwari i tō mamae. Kia marino koe, ka whai te tākuta matepukupuku irahiko i ēnei mahi:

• Te whakaurunga o tētahi catheter, o tētahi taputapu rānei: Ka whakauruhia he ngongo angiangi (catheter) he taputapu motuhake rānei (applicator) ki roto i te tinana hei kawe i te rauemi irahiko ki te pukupuku. Ka whakamahia ngā tikanga whakaahua, pērā i ngā matawai, hei tirotiro mēnā koinei te āhua.
• Whakaora Irahiko: Kātahi ka tukuna te rongoā irahiko mā roto i te ngongo ki roto, ki te taha rānei o te puku. Ka tīmata te whakararuraru e tukuna ana e ēnei ki te whakangaro i ngā pūtau matepukupuku.
• Te tango i ngā rauemi irahiko (ngā tikanga rangitahi anake): Mena kei te whiwhi koe i te rongoā irahiko horopeta nui (HDR), ka tangohia te rauemi i muri i te wā kotahi. I roto i te rongoā irahiko horopeta iti (LDR), ka tangohia i muri i ētahi rā.

I te mutunga o te maimoatanga, ka hoatu he rongoā whakamamae ki a koe hei whakahaere i te mamae ka pā mai ina tangohia te ngongo.

He aha te mea ka tupu i muri i te maimoatanga, ā, kia pehea te roa o te wa e ora ai?

Kia mutu te maimoatanga, ka haria koe ki te rūma whakaora, ā, ka aroturukihia tō āhua e ngā kaimahi hauora, ka āwhina hoki i a koe ki te whakahaere i ngā mamae katoa e pā ana ki a koe.

I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i te rā tonu i rongoatia ai koe. Heoi, ki te mea kua pangia koe e te mate whakamoe, me whai tangata hei taraiwa i a koe ki te kāinga. I ētahi wā, ina koa ka roa ō wā rongoa, me noho pea koe ki te hōhipera.

Ki te whakaritea ki ētahi atu maimoatanga mate pukupuku, inā koa ko ngā pokanga nui, he poto noa te wā whakaora i muri i te brachytherapy . I runga i te momo maimoatanga, ka hoki pea koe ki te āhua noa i roto i ētahi rā, i tētahi wiki rānei. Heoi, he mea nui kia karohia ngā mahi uaua, ā, kia nui te okiokinga mō ētahi rā i muri i te maimoatanga. Pātai atu ki tō tākuta mō te wā pai ki te tīmata anō i ō mahi noa.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, ka pā mai ētahi pānga taha i te brachytherapy. Heoi, ko te nui o ēnei pānga taha ka whakawhirinaki ki te momo mate pukupuku kei a koe me te momo brachytherapy ka whiwhi koe.

Ka pai haere te nuinga o ngā pānga taha i te memeha haere o te irahiko, engari ko ētahi ka roa pea te noho, ā, ko ētahi ka puta i muri i te mutunga o te maimoatanga.

He haumaru te whakahoahoa ki ētahi atu i muri i te maimoatanga?

He pātai tēnei nā te tini o te tangata. "Nā te mea he mea irahiko kei roto i tōku tinana, ka whara ahau i tōku whānau me āku tamariki?"

Ko te whakautu ki tēnei ka whakawhirinaki ki te momo brachytherapy i whiwhi koe.

• Mena kua whiwhi koe i te brachytherapy rangitahi: I muri i te tangohanga o te rauemi irahiko i roto i tō tinana, kāore he irahiko e toe ana i roto i tō tinana. Nō reira, ka taea e koe te noho tahi me ētahi atu tāngata, tae atu ki ngā wāhine hapu me ngā tamariki nohinohi, me te kore e mataku. Kāore he mōrearea.

• Mena kua whiwhi koe i te brachytherapy tuturu: Nā te mea kua whakatōkia tuturu ngā purapura irahiko ki roto i tō tinana, tera pea ka pāngia koe e te iti rawa o te irahiko mō ētahi wiki, marama rānei. He iti rawa te mōrearea ki ētahi atu nā te mea kāore te irahiko e haere tawhiti ki waho o te tinana. Heoi, hei tūpato, ka tohutohu pea tō tākuta kia whakawhāitihia te whakapā tata (hei tauira, te awhi) ki ngā wāhine hapu me ngā tamariki nohinohi mō tētahi wā. Me whai i ēnei tohutohu me te āta.

Kia pēhea te wā me toro atu ahau ki te tākuta?

I te nuinga o te wā ka whai wā tirotiro anō koe i muri i te maimoatanga. Heoi, kaua e tatari mō aua rā, waea atu ki tō tākuta tonu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei:

• Te uaua ki te manawa, te horomi rānei
• Te mamae nui o te puku, te ruaki tonu, te mate korere rānei
• Mena he āhuatanga tōu e kore e taea e koe te whakahaere i tō mimi, i tō tūtae rānei

He maimoatanga tino whai hua te Brachytherapy, he maimoatanga arotahi mō te whakangaro i ngā pūtau matepukupuku. He maha ngā painga nā te mea ka whakaiti i te kino o ngā pūtau hauora. Mena kua tohua tēnei maimoatanga ki a koe, ki tētahi rānei o tō whānau, kōrero ki tō tākuta mō tēnei, me te pātai atu i ō pātai.