Kāore e taea te whakapuaki i te wehi me te manukanuka e puta ake ana ki roto i ō tātou hinengaro ina rongo tātou he mate pukupuku tō tātou. Engari i ēnei rā, me te pūtaiao hauora matatau, he maha ngā maimoatanga matatau hei whakaora me te whakahaere i te mate pukupuku. I tēnei rā, e kōrero ana tātou mō tētahi tikanga maimoatanga kāore pea koe i rongo, engari he tino whai hua. Ko te Brachytherapy te ingoa. He maimoatanga irahiko motuhake tēnei e whakamahia ana hei whakangaro i ngā pūtau mate pukupuku.
He aha te Brachytherapy?
Ki te whakarapopoto, he momo rongoā irahiko ā-roto te rongoā brachytherapy mō te mate pukupuku. I roto i te rongoā irahiko tikanga, ka tukuna he irahiko mai i waho o te tinana ki te pukupuku. Engari he rerekē tēnei tikanga.
I konei, ka whakatōngia he taputapu, pērā i ngā kākano ririki, ngā pirepire, ngā kāpū rānei kei roto ngā rauemi irahiko, ki roto, ki te puku rānei, ki te taha tata rawa atu rānei o te puku. Whakaarohia he rite ki te whakakā i tētahi pūrama iti i te taha tonu o te puku. Ka haere tika te irahiko e tukuna ana e tēnei taputapu ki ngā pūtau matepukupuku, ka whakangaro i a rātou.
Ko te painga nui i konei ko te nuinga o te irahiko ka tukuna tika ki te mate pukupuku, engari he iti noa te kino ki ngā kiko hauora e karapoti ana i te mate pukupuku. Ka iti ake ngā pānga taha o tēnei.
I ētahi wā ka whakamahia ko ia anake tēnei maimoatanga. I ētahi wā ka whakamahia ngātahi me ētahi atu maimoatanga matepukupuku, pērā i te rongoā hihi hihi o waho (EBRT) me te pokanga rānei.
He momo matua o te brachytherapy?
Āe, e rua ngā momo matua o tēnei tikanga maimoatanga: ngā whakatō rangitahi me ngā whakatō tūturu. Kia kite tātou he aha te rerekētanga.
| Momo maimoatanga | Whakaahuatanga |
|---|---|
| Ngā Whakatōnga Rangitahi | |
| Te Reiti Inenga Iti (LDR) | I tēnei tikanga, ka waihohia he taputapu irahiko ki roto i te tinana mō te 1 ki te 7 rā, me te tuku tonu i ngā horopeta iti o te irahiko. I muri i te wā kua whakaritea, ka tangohia te taputapu e te tākuta. |
| Te Reiti Horomanga Teitei (HDR) | Ka tukuna he horopeta tino nui o te irahiko i roto i te wā poto, ko te tikanga he 10-20 meneti. Ka tangohia te taputapu i te mutunga o ia wā maimoatanga. Ka taea te hoatu maimoatanga e rua i te rā mō te 5 rā, kotahi rānei i te wiki mō te 5 wiki. |
| Ngā Whakatō Tuturu | |
| Te Whakatō Kākano | I tēnei tikanga, ka whakatōkia ngā kākano iti irahiko ki roto i te pukupuku. Ka tukuna e ēnei he iti noa ngā horopeta irahiko mō ētahi wiki, marama rānei. I roto i te wā, ka memeha haere te irahiko, ā, ka noho tonu ngā kākano kore mahi ki roto i te tinana. Kāore e tangohia. |
He aha ngā momo matepukupuku e whakamahia ana tēnei maimoatanga?
He tino whai hua te brachytherapy mō ngā matepukupuku ā-rohe kāore anō kia horapa ki ētahi atu wāhanga o te tinana. Ko ētahi o ngā momo matepukupuku e whakamahia ana tēnei maimoatanga ko:
- Matepukupuku prostate
- Ngā mate pukupuku wahine (hei tauira, te mate pukupuku o te kōpū, te kaki, te tara rānei)
- Matepukupuku ū
- Matepukupuku kanohi
- Ngā mate pukupuku o te upoko me te kaki
Me pēhea te whakarite i mua i te maimoatanga?
I mua i te whakamahere a tō tākuta i tō maimoatanga, ka tirotirohia koe e rātou, ka tangohia he hītori hauora hōhonu. Tērā pea me mahi ētahi mahi pēnei i ngā whakamātautau toto me ngā karapa.
Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō ngā mea me mahi e koe i mua i te maimoatanga. Tērā pea ka tonoa koe kia mahi i ngā mea pēnei i:
- Kati te tango i ngā rongoā e pā ana ki te toto totoka (hei tauira, ngā rongoā whakaiti toto (anticoagulants), ngā rongoā mamae pēnei i te NSAID) mō tētahi wā, e ai ki ngā tohutohu a tō tākuta.
- Te horoi i ngā whekau mā te whakamahi i te enema i mua i te maimoatanga.
- Kaua e kai me te inu mō ētahi haora i mua i te haerenga ki te hōhipera.
- Te whakamutu katoa i te whakamahinga o ngā hua tupeka.
He mea tino nui kia tino whai i ēnei tohutohu.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ka rerekē te tikanga maimoatanga i runga i te momo mate pukupuku kei a koe me te momo brachytherapy e whiriwhiria e koe (LDR, HDR, tūturu rānei). Ka rerekē anō hoki i runga i te wāhi e whakatakotoria ai te taputapu irahiko.
- Te rongoā brachytherapy interstitial: Koinei te wāhi e whakatakotoria ai te taputapu ki roto tonu i te pukupuku. Ka whakamahia tēnei tikanga mō te mate pukupuku prostate, ētahi mate pukupuku wahine, me ngā mate pukupuku kiko ngohengohe (sarcomas).
- Te rongoā ārai mate pukupuku i roto i te poka: Koinei te wāhi e whakatakotoria ai te taputapu ki roto i te poka i roto i te tinana, e tata ana ki te pukupuku. He tikanga tēnei e whakamahia whānuitia ana mō ngā mate pukupuku wahine pērā i ngā mate pukupuku o te kaki me te kōpū.
Ka hoatu he rongoā whakamoe (whakamoe) ki a koe kia kore ai koe e pāngia e te mamae i te wā e rongoatia ana. Kia pai tō noho, ka whai te Tākuta Matepukupuku Irahiko i ēnei mahi:
1. Te whakaurunga o tētahi catheter, o tētahi taputapu rānei: Ka whakauruhia he ngongo (catheter) he taputapu rānei (applicator) hei kawe i te rauemi irahiko ki te wāhi o te matepukupuku. Ka arahina tēnei ki te wāhi tika mā te matawai.
2. Te whakaurunga o te taputapu irahiko: Muri iho, ka tukuna he taputapu irahiko mā roto i te ngongo ki roto, ki te taha rānei o te pukupuku. Ka whakangaromia ngā pūtau matepukupuku e te irahiko e tukuna ana e tēnei.
3. Te tango i te taputapu (maimoatanga rangitahi anake): I roto i te tikanga HDR, ka tangohia te taputapu i muri i te wā maimoatanga kotahi. I roto i te tikanga LDR, i ētahi wā ka tangohia i muri i ētahi rā.
I muri i te maimoatanga, ka hoatu ngā rongoā whakamamae hei whakamamae i te mamae ina tangohia ngā mea pēnei i te catheter.
He aha ngā painga me ngā ōrau angitu o te maimoatanga?
He tino whai hua te brachytherapy mō te mate pukupuku kāore anō kia horapa.
- He nui ake te pūmanawa o tētahi whakaeke irahiko e tino arotahi ana ki te whakangaro i ngā pūtau matepukupuku.
- He iti noa ngā pānga taha nā te mea he iti noa te kino ki ngā kiko hauora.
- He poto ake te wā whakaora i ētahi atu maimoatanga matepukupuku.
He pēhea te whai huatanga o tēnei maimoatanga?
Kua whakaatuhia e ngā rangahau he tino whai hua te brachytherapy ki te rongoā i ngā āhuatanga pēnei i te mate pukupuku o te kaki me te mate pukupuku o te repeure. I ētahi wā, kua taea e tēnei maimoatanga te whakaora katoa i te mate pukupuku me te ārai i tōna hokinga mai.
Engari kia maumahara koe ki tētahi mea: Ehara i te mea he rite tonu ngā mate pukupuku katoa, me ngā tūroro katoa. Nō reira, he mea nui kia kōrero koe ki tō tākuta, kia mārama hoki ki ngā hua ka puta mai i tēnei maimoatanga i runga i tō āhuatanga.
He tūponotanga, he pānga taha rānei kei roto i tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, tera pea ngā pānga taha. Ka whakawhirinaki ēnei ki te momo mate pukupuku e rongoatia ana me te tikanga maimoatanga. Ko te mea pai rawa atu ko te nuinga o ngā pānga taha he rangitahi. Ko ētahi ka roa pea, engari ka taea te whakahaere.
Ngā pānga taha noa:
- Te uaua ki te mimi, te kore rānei e taea te whakahaere i te mimi (`(Urinary incontinence)`)
- Te ngoikore o te ure
- Te whara o te tara
- Ngenge
- Te mate pāwera, te mate korere, te uaua rānei ki te whakahaere i ngā nekehanga o te puku
- Whakapairuaki me te ruaki
Ko te mea nui, ko ngā pānga taha ka pā ki te wāhanga o te tinana i rongoatia. Hei tauira, ka pāngia pea te mimi, te puku rānei e te maimoatanga repeure, engari he iti ake te tūponotanga o te whakapairuaki.
He tangata kua whiwhi maimoatanga me ētahi atu
Kia pēhea te roa o te wā e ora ai?
He poto te wā whakaora i muri i te brachytherapy ki te whakaritea ki ētahi atu maimoatanga mate pukupuku, pērā i te pokanga. I runga i te āhua o te maimoatanga, tera pea ka pai ake koe i roto i ētahi rā, i tētahi wiki rānei. He mea nui kia okioki mō ētahi rā i muri i te maimoatanga, ā, kia karo i ngā mahi uaua. Me haere tonu ki ō mahi noa e ai ki ngā tohutohu a tō tākuta.
He haumaru te noho tahi me tētahi kua whiwhi maimoatanga?
He pātai tēnei e pātaihia ana e te tini tāngata.
- Mena i whiwhi koe i te brachytherapy rangitahi , kāore he irahiko e toe ana i roto i tō tinana i muri i te tangohanga o te taputapu, nō reira kāore he mōrearea o te whakapā tata ki ētahi atu.
- Mena i whiwhi koe i te brachytherapy tuturu (hei tauira, ngā whakatō purapura), ka tukuna he iti noa te irahiko mai i tō tinana mō ētahi wiki, marama rānei.
Kaua e manukanuka. He poto noa te tawhiti e haere ai tēnei irahiko ki waho o te tinana. Koia te take kāore e kino ki ngā kiko hauora e karapoti ana i te mate pukupuku. Nō reira he iti noa te mōrearea ki ētahi atu. Heoi, hei tūpato , ka tohutohu ngā tākuta i ngā wāhine hapu me ngā tamariki nohinohi kia kaua e pā tata tetahi ki tetahi mō ngā wā roa i ngā wāhanga tōmua.
Āhea koe me toro atu ki te tākuta?
Me kōrero tonu atu ki tō tākuta mēnā ka pāngia koe e ēnei tohu i te wā e rongoatia ana, i muri rānei i te maimoatanga:
- Te uaua ki te manawa, te horomi rānei
- Ngā mamae nui o te puku, te ruaki, te mate korere rānei
- Te kore e taea te whakahaere i te mimi, i te tūtae rānei
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga matatau te Brachytherapy e whakanoho ana i tētahi pūtake irahiko ki roto, ki te tata rānei ki tētahi pukupuku hei arotahi me te whakangaro i ngā pūtau matepukupuku.
- Ko te painga matua o tēnei ko te whakaiti i te kino ki ngā kiko hauora, ā, nā reira ka whakaitihia hoki ngā pānga taha.
- He tino whai hua tēnei mō ngā mate pukupuku kāore anō kia horapa ki ētahi atu wāhanga o te tinana.
- E rua ngā momo: he wā poto, he wā pumau. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai māu.
- Ahakoa tera pea ngā pānga taha, he maha ngā wā ka taea te whakahaere, ā, ka herea noa ki te wāhi e rongoatia ana.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua atu, i te wā e rongoatia ana, me muri iho hoki i te rongoā.
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