Kodi tiyenera kuphunzira za Brachytherapy, mankhwala omwe amawononga maselo a khansa?

Dokotala wanu akakuuzani kapena munthu amene mumamudziwa kuti ali ndi khansa, mwina mumalankhula za chithandizo cha radiation, sichoncho? Anthu ambiri amaganiza kuti chithandizo cha radiation ndi makina akuluakulu omwe amawombera radiation m'thupi. Imeneyo ndi njira imodzi yokha. Komabe, pali njira yapadera yomwe imapita ku khansa ndipo nthawi zina imayika mankhwala a radiation mkati mwake. Zili ngati kuukira mdani pomwe ali. Lero tikulankhula za Brachytherapy, chithandizo chomwe anthu ambiri sanamvepo, koma ndi chithandizo chothandiza kwambiri.

Kodi Brachytherapy ndi chiyani mwachidule?

Mwachidule, Brachytherapy ndi mtundu wa chithandizo cha radiation chamkati . Chimaphatikizapo kuyika mbewu zazing'ono, tinthu tating'onoting'ono, kapena makapisozi okhala ndi zinthu zowononga mkati kapena pafupi kwambiri ndi chotupa. Zinthuzi zimatulutsa radiation kwa kanthawi kochepa, zomwe zimapha maselo a khansa.

Tangoganizirani kuti chipinda chili ndi dothi limodzi lokha. Kodi zingakhale zothandiza bwanji ngati mungapite pamalo pomwe pali dothi ndikulipopera m'malo mopopera chipinda chonsecho? Umu ndi momwe chithandizochi chimagwirira ntchito. Chifukwa chakuti kuwala kwa dzuwa kumayang'ana khansa, kumatha kupereka mphamvu yamphamvu yowononga maselo a khansa. Komanso, kuwonongeka kwa maselo athanzi ozungulira khansa ndikochepa .

Nthawi zina mungafunike chithandizo cha brachytherapy chokha. Kapena, chingaphatikizidwe ndi mankhwala ena a khansa, monga chithandizo cha radiation chakunja (EBRT) kapena opaleshoni. Izi zidzasankhidwa ndi dokotala wanu, kutengera mtundu wa khansa yomwe muli nayo.

Kodi mitundu ikuluikulu ya chithandizochi ndi iti?

Zipangizozi (zomera) zomwe zimayikidwa m'thupi panthawi ya chithandizo cha brachytherapy zitha kugawidwa m'magulu awiri akuluakulu. Ndiko kuti, zomwe zimayikidwa kwakanthawi kenako nkuchotsedwa, ndi zomwe zimakhala m'thupi kwamuyaya. Tiyeni tiwone zomwe izi ndi.

Ndi mitundu iti ya khansa yomwe imachiritsidwa ndi brachytherapy?

Brachytherapy ndi yothandiza kwambiri pa khansa ya m'deralo yomwe sinafalikire ku ziwalo zina za thupi . Izi zikutanthauza kuti khansa ili pamalo omwewo pomwe idayambira. Nazi zina mwa mitundu yodziwika bwino ya khansa yomwe mankhwalawa amagwiritsidwa ntchito:

• Khansa ya prostate
• Khansa ya amayi - mwachitsanzo, khansa ya m'chiberekero, khansa ya pachibelekero, kapena khansa ya m'chiberekero
• Khansa ya m'mawere
• Khansa ya maso
• Khansa ya mutu ndi khosi

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizochi?

Musanayambe kulandira chithandizochi, dokotala wanu adzakuyang'anirani bwino. Adzakambirana mbiri yanu yonse ya matenda. Adzalamulanso kuti mupimidwe magazi ndi njira zojambulira zithunzi, monga CT scan, kuti mukonzekere chithandizo chanu.

Kuphatikiza apo, dokotala wanu adzakupatsani malangizo apadera oti mutsatire masiku angapo musanalandire chithandizo. Ena mwa malangizowa ndi awa:

• Mankhwala ena omwe amakhudza magazi kuundana, mwachitsanzo mankhwala oletsa magazi kuundana kapena ochepetsa ululu (NSAIDs), akhoza kuthetsedwa kwakanthawi.
• Mungapemphedwe kuti mugwiritse ntchito enema kutsuka matumbo anu musanalandire chithandizo.
• Mudzapemphedwa kusala kudya kwa maola angapo musanalandire chithandizo.
• Ngati mukugwiritsa ntchito zinthu zopangidwa ndi fodya, mudzalangizidwa kuti musiye.

Kodi chimachitika ndi chiyani kwenikweni panthawi ya chithandizo?

Njira yochiritsira imasiyana malinga ndi mtundu wa khansa yomwe muli nayo, komwe ili, ndi mtundu wa brachytherapy yomwe mumalandira (LDR, HDR, kapena yokhazikika). Imagawidwanso m'njira ziwiri zazikulu kutengera komwe zinthu zowunikira zimayikidwa:

1. Interstitial Brachytherapy: Apa ndi pomwe zinthu zowononga ma radiation zimayikidwa mwachindunji mu chotupacho. Njirayi imagwiritsidwa ntchito pochiza khansa ya prostate, khansa zina za amayi, ndi khansa ya minofu yofewa (sarcomas).

2. Intracavity Brachytherapy: Izi zimaphatikizapo kuyika zinthu zowononga ma radiation mkati mwa thupi lomwe lili pafupi kwambiri ndi chotupa. Njirayi nthawi zambiri imagwiritsidwa ntchito pa khansa ya amayi monga chiberekero ndi chiberekero.

Musanayambe chithandizo, mudzapatsidwa mankhwala oletsa ululu kuti muchepetse ululu wanu. Mukadzakhala bwino, dokotala wa khansa ya radiation adzatsatira izi:

• Kuika catheter kapena applicator: Chubu chopyapyala (catheter) kapena chipangizo chapadera (applicator) chimayikidwa m'thupi kuti chipereke zinthu zotulutsa ma radiation ku chotupacho. Njira zojambulira, monga scan, zimagwiritsidwa ntchito kuti zione ngati zili choncho.
• Kuchiza ndi Radiotherapy: Kenako radiotherapy imaperekedwa kudzera mu chubu kupita kapena pafupi ndi chotupacho. Mphamvu ya radiation yomwe imachokera ku izi imayamba kuwononga maselo a khansa.
• Kuchotsa zinthu zowononga (njira yakanthawi yokha): Ngati mukulandira chithandizo cha radiation cha mlingo wapamwamba (HDR), zinthuzo zimachotsedwa patatha nthawi imodzi. Mu chithandizo cha radiation cha mlingo wotsika (LDR), zimachotsedwa patatha masiku angapo.

Pamapeto pa chithandizo, mudzapatsidwa mankhwala ochepetsa ululu kuti muchepetse kusasangalala kulikonse komwe kungachitike mutachotsa chubu.

Kodi chimachitika ndi chiyani munthu akalandira chithandizo ndipo zimatenga nthawi yayitali bwanji kuti achire?

Chithandizo chikatha, mudzatengedwera ku chipinda chochiritsira, komwe ogwira ntchito zachipatala adzayang'anira vuto lanu ndikukuthandizani kuthana ndi ululu uliwonse womwe mungakhale nawo.

Nthawi zambiri, mudzatha kupita kunyumba tsiku lomwelo lomwe munalandira chithandizo. Komabe, ngati mwalandira mankhwala oletsa ululu, mungafunike munthu woti akutengereni kunyumba. Nthawi zina, makamaka ngati chithandizo chanu chimatenga masiku angapo, mungafunike kukhalabe kuchipatala.

Poyerekeza ndi mankhwala ena a khansa, makamaka opaleshoni yayikulu, nthawi yochira pambuyo pa brachytherapy ndi yochepa . Kutengera mtundu wa chithandizo, mutha kubwerera ku moyo wabwinobwino pakatha masiku ochepa kapena sabata. Komabe, ndikofunikira kupewa kuchita zinthu zolimbitsa thupi ndikupuma mokwanira kwa masiku angapo mutalandira chithandizo. Funsani dokotala wanu za nthawi yabwino yoyambiranso kuchita zinthu zanu zachizolowezi.

Kodi pali zotsatirapo ndi zoopsa zilizonse?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, brachytherapy ingayambitse zotsatira zina. Komabe, zotsatira zake zimatengera kwambiri mtundu wa khansa yomwe muli nayo komanso mtundu wa brachytherapy yomwe mumalandira.

Zotsatirapo zambiri zimachepa pang'onopang'ono pamene kuwala kwa dzuwa kumatha, koma zina zimatha kupitirira kwa nthawi yayitali, ndipo zina zimatha kuonekera pakapita nthawi chithandizo chitatha.

Kodi n'kotetezeka kucheza ndi ena mukatha kulandira chithandizo?

Funso ili ndi lomwe anthu ambiri amafunsa. "Popeza ndili ndi chinthu chowopsa m'thupi langa, kodi ndivulaza banja langa ndi ana anga aang'ono?"

Yankho la izi limadalira mtundu wa chithandizo cha brachytherapy chomwe mudalandira.

• Ngati mwakhala mukulandira chithandizo cha brachytherapy kwakanthawi: Pambuyo poti mankhwala owopsa achotsedwa m'thupi lanu, sipadzakhalanso ma radiation m'thupi lanu. Kotero mutha kukhala pafupi ndi anthu ena, kuphatikizapo amayi apakati ndi ana aang'ono, popanda mantha. Palibe chiopsezo.

• Ngati mwakhala mukuchita brachytherapy yokhazikika: Popeza mbewu za radioactive zimayikidwa m'thupi lanu kosatha, mutha kukhala pachiwopsezo cha ma radiation ochepa kwambiri kwa milungu ingapo kapena miyezi ingapo. Chiwopsezo kwa ena ndi chochepa kwambiri chifukwa ma radiation samayenda kutali kwambiri kunja kwa thupi. Komabe, monga njira yodzitetezera, dokotala wanu angakulangizeni kuti muchepetse kukhudzana kwambiri (monga kukumbatirana) ndi amayi apakati ndi ana aang'ono kwa kanthawi. Tsatirani malangizo awa mosamala.

Ndiyenera kupita kwa dokotala nthawi yanji?

Nthawi zambiri mudzakhala ndi nthawi yokumana ndi dokotala pambuyo pa chithandizo. Komabe, m'malo moyembekezera masiku amenewo, imbani dokotala nthawi yomweyo ngati mukukumana ndi zizindikiro zotsatirazi:

• Kuvuta kupuma kapena kumeza
• Kupweteka kwambiri m'mimba, kusanza kosalekeza, kapena kutsegula m'mimba
• Ngati muli ndi vuto lomwe simungathe kulamulira mkodzo wanu kapena ndowe zanu

Brachytherapy ndi mankhwala othandiza kwambiri komanso olunjika bwino powononga maselo a khansa. Ali ndi ubwino wambiri chifukwa amachepetsa kuwonongeka kwa maselo athanzi. Ngati inu kapena wokondedwa wanu mwapatsidwa mankhwala awa, lankhulani ndi dokotala wanu za mankhwalawa ndipo funsani mafunso aliwonse omwe mungakhale nawo.