Ukadaulo wamakono wochiza khansa: Tiyeni tingophunzira za IMRT? (Chithandizo cha Radiation Chosinthidwa Mwamphamvu)

Inu kapena wokondedwa wanu mukapezeka ndi khansa, mwina munamvapo za "mankhwala a radiation." Mawu amenewo akhoza kukhala owopsa pang'ono. Koma ndi kupita patsogolo kwa sayansi ya zamankhwala, mankhwala awa akhala otetezeka kwambiri komanso olondola. Lero, tikulankhula za chithandizo chapamwamba kwambiri chomwe chimayang'ana maselo a khansa okha ndikuchepetsa kuwonongeka kwa maselo athanzi ozungulira. Chimatchedwa IMRT.

Mwachidule, kodi IMRT ndi chiyani?

Dzina lonse la IMRT ndi Intensity-Modulated Radiation Therapy . Uwu ndi mtundu wa chithandizo cha khansa pogwiritsa ntchito radiation. Tangoganizirani, muli ndi tochi wamba m'manja mwanu. Mukayatsa, imayatsa malo akuluakulu, sichoncho? Koma ngati mukufuna kungoyatsa malo ang'onoang'ono, muyenera china chake ngati tochi ya laser.

Ndi momwe zilili. Mu chithandizo cha radiation chachizolowezi, radiation light imayang'ana kwambiri pa chotupacho m'dera lofanana, lalikulu pang'ono. Koma mu IMRT, timagwiritsa ntchito ukadaulo wapamwamba kwambiri kuti tiwonjezere kapena kuchepetsa mphamvu ya radiation light.

Mwachidule, ukadaulo uwu ukhoza kutumiza kuwala kolimba kwambiri pakati pa chotupacho, komwe kuli maselo ambiri, ndi kuwala kochepa kwambiri m'mphepete mwa chotupacho, komwe minofu yathanzi ili pafupi. Chithandizochi chimaperekedwa ndi makina otchedwa ``Linear Accelerator'' kapena ``LINAC''. Makinawa sakhudza thupi lanu. Amachita chithandizocho patali.

Kodi chithandizo cha IMRT n'chofunika bwanji?

Zotupa za khansa zimatha kupangika m'matupi athu osiyanasiyana. Nthawi zina, zimatha kupangika pafupi ndi ziwalo zofewa kwambiri monga ubongo, msana, ndi mitsempha ya maso. Pochiza khansa pamalo otere ndi radiation, zingakhale zovuta kupewa kuwononga ziwalo zofewazo.

Chifukwa cha kulondola kwa njira ya IMRT, ndi njira yabwino kwambiri yochizira khansa m'malo ovuta ngati awa. Imayang'ana khansa ndikuyichiza, pomwe imachepetsa kwambiri kuwonongeka kwa minofu yathanzi yozungulira. Chifukwa chake, chiopsezo cha zotsatirapo zake ndi chochepa.

Mitundu ina yodziwika bwino ya khansa yomwe IMRT imagwiritsidwa ntchito ndi iyi:

• Khansa ya m'mawere
• Khansa ya pachibelekero
• Khansa ya m'matumbo
• Khansa ya m'mapapo
• Khansa ya prostate
• Khansa ya m'mimba
• Khansa ya m'chiberekero ndi mitundu ina yambiri ya khansa.

Ndani amakonza ndi kupereka chithandizochi?

Iyi si ntchito ya munthu mmodzi. Iyi ndi ntchito ya gulu . Akatswiri angapo aluso amagwira ntchito limodzi kuti chithandizo chanu chikhale chopambana. Tiyeni tiwone gulu limenelo.

Kodi chimachitika ndi chiyani musanalandire chithandizo? (Gawo loyeserera)

Chithandizo chenicheni chisanayambe, pamakhala "gawo lokonzekera." Izi zimatchedwa `(simulation)` kapena `(sim)`. Apa ndi pomwe chidziwitso chonse chofunikira pokonzekera chithandizo chimasonkhanitsidwa.

Kodi chikuchitika ndi chiyani mu gawoli?

• Kujambula: Mudzachitidwa CT scan kuti muwone komwe chotupa chanu chili, kukula kwake, ndi mawonekedwe ake. Nthawi zina MRI kapena PET scan ingachitikenso.
• Zizindikiro: Tsiku lililonse la chithandizo, mudzaikidwa pamalo omwewo, ndipo madontho ang'onoang'ono adzapakidwa pakhungu lanu, ngati tattoo. Izi zidzawoneka ngati madontho ang'onoang'ono. Zizindikirozi ziyenera kusungidwa pamalopo mpaka chithandizocho chitatha.
• Kukhazikitsa thupi:Ndikofunikira kwambiri kuti mukhale chete panthawi ya chithandizo. Kuti muthandizidwe ndi izi, mutha kugwiritsa ntchito 'mold' yapadera yopangidwa kuti igwirizane ndi thupi lanu.

Gulu lachipatala limagwiritsa ntchito chidziwitso chomwe chapezeka kuchokera mu gawoli la `(sim)` kuti apange kuwala kwa radiation komwe kumagwirizana ndi khansa yanu.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Ndondomeko ya chithandizo imasiyana malinga ndi mtundu wa khansa yomwe muli nayo. Nthawi zambiri, mudzalandira chithandizo tsiku lililonse (Lolemba mpaka Lachisanu) kwa milungu ingapo. Gawo lililonse limatenga pafupifupi mphindi 30.

Pa nthawi ya chithandizo:

• Muli pamalo ogwiritsira ntchito zinyalala, monga momwe munaliri mu gawo la `(sim)`.
• Kenako katswiri wothandiza odwala pogwiritsa ntchito radiation amapita kuchipinda china ndikuyatsa makina a ``LINAC```. Akhoza kukuyang'anirani pogwiritsa ntchito chowunikira. Palinso makina a ``intercom``` omwe amakulolani kulankhulana.
• Makinawa amazungulira uku ndi uku pamene akupereka kuwala kwa ma radiation kuchokera mbali zosiyanasiyana. Mungathe kumva phokoso la 'click', 'click' panthawiyi. Izi sizachilendo, musadandaule.

Kodi mumasamalira bwanji nthawi yochira?

Thupi lanu limafunika kupuma mokwanira panthawi ya chithandizo komanso mukalandira chithandizo. Nazi zinthu zina zomwe zingakuthandizeni kuchira mwachangu:

• Pumulani mokwanira. Perekani thupi lanu nthawi yoti lichiritse.
• Idyani zakudya zabwino komanso imwani madzi ambiri.
• Samalani kwambiri khungu lanu: Khungu lomwe lili pamalo omwe mwalandira chithandizo likhoza kukhala losavuta kuchiza.
• Valani zovala zomasuka, za thonje.
• Gwiritsani ntchito sopo ndi zotsukira thupi zomwe zilibe mafuta onunkhira kapena mankhwala oopsa.
• Musaike mabotolo a madzi otentha kapena mapaketi a ayezi pakhungu lokonzedwa.
• Phimbani malowo mukapita padzuwa. Ngati simungathe kuphimba, gwiritsani ntchito mafuta abwino oteteza ku dzuwa.

Chofunika kwambiri ndikutsatira malangizo a dokotala wanu molondola. Iye adzakufotokozerani zotsatirapo zake komanso zomwe mungayembekezere mukachira.