Chithandizo chapadera chomwe chimawononga maselo a khansa: Tiyeni tiphunzire za Brachytherapy?

Mantha ndi nkhawa zomwe zimabwera m'maganizo mwathu tikadziwa kuti tili ndi khansa sizingathe kufotokozedwa m'mawu. Koma masiku ano, ndi sayansi yapamwamba ya zamankhwala, pali njira zambiri zamakono zochiritsira ndi kuwongolera khansa. Masiku ano, tikulankhula za njira yochiritsira yomwe mwina simunamvepo, koma ndi yothandiza kwambiri. Imeneyo imatchedwa Brachytherapy. Iyi ndi njira yapadera yochiritsira yomwe imagwiritsidwa ntchito kuwononga maselo a khansa.

Kodi Brachytherapy ndi chiyani?

Mwachidule, brachytherapy ndi mtundu wa chithandizo cha mkati mwa khansa pogwiritsa ntchito radiation. Mu chithandizo chamakono cha radiation, makina ochokera kunja kwa thupi amapereka radiation ku chotupacho. Koma njira iyi ndi yosiyana.

Apa, chipangizo, monga mbewu zazing'ono, tinthu tating'onoting'ono, kapena makapisozi okhala ndi zinthu zowononga, chimayikidwa opaleshoni mkati kapena pafupi kwambiri ndi chotupacho. Taganizirani ngati kuyatsa babu laling'ono pafupi ndi chotupacho. Mphamvu yochokera ku chipangizochi imapita mwachindunji ku maselo a khansa ndikuwononga.

Nthawi zina mankhwalawa amagwiritsidwa ntchito okha. Nthawi zina amagwiritsidwa ntchito limodzi ndi mankhwala ena a khansa, monga chithandizo cha radiation cha kunja (EBRT) kapena opaleshoni.

Kodi pali mitundu ikuluikulu ya brachytherapy?

Inde, njira yochizira iyi ingagawidwe m'magulu awiri akuluakulu: ma implants osakhalitsa ndi ma implants okhazikika. Tiyeni tiwone kusiyana kwake.

Kodi mankhwalawa amagwiritsidwa ntchito pa mitundu iti ya khansa?

Brachytherapy ndi yothandiza kwambiri pa khansa ya m'deralo yomwe sinafalikire mbali zina za thupi. Mitundu ina yodziwika bwino ya khansa yomwe chithandizochi chimagwiritsidwa ntchito ndi iyi:

• Khansa ya prostate
• Khansa ya amayi (monga khansa ya m'chiberekero, ya pachibelekero, kapena ya m'chiberekero)
• Khansa ya m'mawere
• Khansa ya maso
• Khansa ya mutu ndi khosi

Kodi mumakonzekera bwanji musanalandire chithandizo?

Dokotala wanu asanakonzekere chithandizo chanu, adzakuyang'anirani ndikulemba mbiri yanu yonse yachipatala. Angafunikenso kuchita zinthu monga kuyezetsa magazi ndi kusanthula.

Dokotala wanu adzakupatsani malangizo omveka bwino a zomwe muyenera kuchita musanalandire chithandizo. Nthawi zambiri mungapemphedwe kuchita zinthu monga:

• Siyani kumwa mankhwala omwe amakhudza magazi kuundana (monga mankhwala ochepetsa magazi kuundana), mankhwala ochepetsa ululu monga NSAIDs) kwa kanthawi, monga momwe dokotala wanu wanenera.
• Kuyeretsa matumbo pogwiritsa ntchito enema musanalandire chithandizo.
• Pewani kudya ndi kumwa kwa maola angapo musanapite kuchipatala.
• Kusiya kwathunthu kugwiritsa ntchito zinthu zopangidwa ndi fodya.

Ndikofunikira kwambiri kutsatira malangizo awa molondola.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Njira yochiritsira imasiyana malinga ndi mtundu wa khansa yomwe muli nayo komanso mtundu wa brachytherapy yomwe mwasankha (LDR, HDR, kapena yokhazikika). Imasiyananso malinga ndi komwe chipangizo chowunikira chayikidwa.

• Interstitial brachytherapy: Apa ndi pomwe chipangizochi chimayikidwa mwachindunji mkati mwa chotupacho. Njirayi imagwiritsidwa ntchito pa khansa ya prostate, khansa zina za amayi, ndi khansa ya minofu yofewa (sarcomas).
• Intracavity brachytherapy: Apa ndi pomwe chipangizochi chimayikidwa mkati mwa dzenje m'thupi, pafupi ndi chotupa. Njirayi imagwiritsidwa ntchito kwambiri pa khansa ya amayi monga ya pachibelekero ndi chiberekero.

Mudzapatsidwa mankhwala oletsa ululu (anesthesia) kuti musamve ululu uliwonse panthawi ya chithandizo. Mukadzakhala bwino, katswiri wa khansa ya m'mawere adzatsatira izi:

1. Kuika catheter kapena applicator: Chubu (catheter) kapena chipangizo (applicator) chimayikidwa kuti chipereke zinthu zowopsa ku malo a khansa. Izi zimatsogoleredwa kumalo enieni pogwiritsa ntchito scan.

2. Kuika chipangizo chowunikira: Kenako, chipangizo chowunikira chimatumizidwa kudzera mu chubu kupita kapena pafupi ndi chotupacho. Mphamvu yowunikira yomwe imachokera ku izi imawononga maselo a khansa.

3. Kuchotsa chipangizochi (chithandizo chakanthawi kokha): Mu njira ya HDR, chipangizocho chimachotsedwa pambuyo pa nthawi imodzi ya chithandizo. Mu njira ya LDR, nthawi zina chimachotsedwa patatha masiku angapo.

Pambuyo pa chithandizo, mankhwala ochepetsa ululu amaperekedwa kuti achepetse ululu akamachotsa zinthu monga catheter.

Kodi ubwino ndi kuchuluka kwa chithandizochi ndi kotani?

Brachytherapy ndi mankhwala othandiza kwambiri a khansa yomwe sinafalikire.

• Kuukira kwa radiation komwe kumayendetsedwa kwambiri kumatha kuwononga maselo a khansa.
• Zotsatirapo zake zimakhala zochepa chifukwa chakuti minofu yathanzi siwonongeka kwambiri.
• Nthawi yochira ndi yochepa poyerekeza ndi njira zina zochiritsira khansa.

Kodi chithandizochi chili ndi mphamvu yotani?

Kafukufuku wasonyeza kuti chithandizo cha brachytherapy ndi chothandiza kwambiri pochiza matenda monga khansa ya pachibelekero ndi khansa ya prostate. Nthawi zina, chithandizochi chathandiza kuchiritsa khansa yonse ndikuiletsa kuti isabwererenso.

Kodi pali zoopsa kapena zotsatirapo zilizonse pa chithandizochi?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali zotsatirapo zina zomwe zingachitike. Zimadalira mtundu wa khansa yomwe ikuchiritsidwa komanso njira yochizira. Chabwino kwambiri ndichakuti zotsatirapo zambiri zimakhala zakanthawi kochepa. Zina zimatha kukhala za nthawi yayitali, koma zimatha kuthandizidwa.

Zotsatira zoyipa zofala:

• Kuvuta kukodza kapena kulephera kulamulira kukodza (`(Kusadziletsa kwa mkodzo)`)
• Kulephera kwa erectile
• Zilonda za kumaliseche
• Kutopa
• Kudzimbidwa, kutsegula m'mimba, kapena kuvutika kulamulira mayendedwe a m'mimba
• Kusanza ndi kusanza

Chofunika kwambiri, nthawi zambiri zotsatira zake zimakhala mbali ya thupi yomwe inalandira chithandizo. Mwachitsanzo, chithandizo cha prostate chingayambitse mavuto a mkodzo kapena matumbo, koma nseru sizikhalapo kawirikawiri.

Munthu amene walandira chithandizo ndi ena

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yochira pambuyo pa chithandizo cha brachytherapy ndi yochepa poyerekeza ndi njira zina zochizira khansa, monga opaleshoni. Kutengera mtundu wa chithandizocho, mutha kumva bwino mkati mwa masiku angapo kapena sabata. Ndikofunikira kupuma kwa masiku angapo mutalandira chithandizo ndikupewa kuchita zinthu zolemetsa. Yambaninso kuchita zinthu zanu zachizolowezi monga momwe dokotala wanu walangizira.

Kodi n'kotetezeka kukhala pafupi ndi munthu amene walandira chithandizo?

Ili ndi funso lomwe anthu ambiri amafunsa.

• Ngati mwalandira chithandizo cha brachytherapy kwakanthawi , sipadzakhalanso kuwala kwa dzuwa m'thupi lanu chipangizocho chitachotsedwa, kotero palibe chiopsezo chokhudzana ndi ena.
• Ngati munalandira chithandizo chokhazikika cha brachytherapy (monga kulowetsedwa kwa mbewu), mphamvu yochepa kwambiri ya radiation idzatuluka m'thupi lanu kwa milungu ingapo kapena miyezi ingapo.

Kodi muyenera kupita kwa dokotala liti?

Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi zizindikiro zotsatirazi panthawi ya chithandizo kapena mutatha:

• Kuvuta kupuma kapena kumeza
• Kupweteka kwambiri m'mimba, kusanza, kapena kutsegula m'mimba
• Kulephera kulamulira mkodzo kapena ndowe