Kodi chithandizo cha khansa chimakhudza mtima? Tiyeni tikambirane za matenda a mtima otchedwa Radiation!

Ngati mudalandirapo chithandizo cha khansa pogwiritsa ntchito radiation , kapena ngati wina amene mumamudziwa adalandirapo, mwina mudamvapo kuti mankhwalawa akhoza kukhudza mtima. Izi ndi nkhawa pang'ono. Koma musadandaule, chifukwa chofunika kwambiri ndikudziwa za matendawa. Lero tikambirana za matenda a mtima otchedwa radiation , momwe amakulira, omwe ali pachiwopsezo chachikulu cha matendawa, ndi zina zomwe zingachite.

Kodi Matenda a Mtima a Radiation ndi Chiyani?

Mwachidule, matenda a mtima otchedwa radiation ndi gulu la matenda osiyanasiyana omwe angachitike mumtima chifukwa cha chithandizo cha radiation, chomwe chimagwiritsidwa ntchito kupha maselo a khansa. Taganizirani izi, pamene kuwala kwa radiation kulunjika pamalo omwe khansa yagwera, pali kuthekera kuti kuwonongeka kwina kungachitike ku minofu yathanzi yapafupi, makamaka mtima. Kuwonongeka kumeneku nthawi zina kungawonekere mkati mwa milungu ingapo mutalandira chithandizo cha radiation, kapena kungawonekere ngakhale patapita zaka zambiri.

Matendawa nthawi zambiri amapezeka mwa anthu omwe adalandira chithandizo cha radiation pachifuwa chifukwa cha mitundu iyi ya khansa:

• Khansa ya m'mawere
• Khansa ya m'mero
• Hodgkin lymphoma
• Khansa ya m'mapapo

Kodi chithandizo cha radiation chimakhudza bwanji mtima?

Kutulutsa kwa dzuwa kungawononge minofu yomwe ili mkati ndi mozungulira mtima wanu. M'kanthawi kochepa, izi zingayambitse kutupa kwa mtima. Izi zikutanthauza kuti mbali zina za mtima zimatupa, zimafiira, komanso zimapweteka. Pakapita nthawi, minofu yowonongekayi imatha kukhuthala pang'onopang'ono ndikukhala ulusi. Zili ngati chilonda chomwe chikupangika pabala. Kenako minofuyo singathenso kugwira ntchito bwino.

Ziwalo za mtima zomwe zimakhudzidwa kwambiri ndi chithandizo cha radiation ndi izi:

• Mitsempha ya mtima: Iyi ndi mitsempha yomwe imapereka magazi ku minofu ya mtima . Ngati yawonongeka, kuyenda kwa magazi kupita kumtima kungachepe.
• Maselo omwe amapanga ndi kunyamula ma impulses amagetsi kuti asunge kugunda kwa mtima ndi kayimbidwe kake (conduction system): Izi zili ngati mawaya amagetsi a mtima. Ngati izi zawonongeka, kugunda kwa mtima kumatha kusakhazikika.
• Myocardium: Iyi ndi gawo lalikulu la mtima lomwe limapopa magazi. Ngati lafooka, mtima sungathe kupopa magazi bwino.
• MtimaChifuwa cha mtima: Ichi chili ngati thumba loteteza mtima. Chimatha kutupa.
• Ma valve pakati pa zipinda za mtima: Izi zimathandiza kuti magazi aziyenda mbali imodzi yokha. Ngati izi zawonongeka, magazi amatha kuyamba kuyenda chammbuyo.

Zotsatira za kanthawi kochepa

Zotsatira zazikulu za chithandizo cha radiation pamtima kwa kanthawi kochepa zili pa pericardium. Izi zikuphatikizapo:

• Pericarditis : Uku ndi kutupa kwa nembanemba yozungulira mtima.
• Kutuluka kwa madzi m'thupi: Uku ndi kusonkhana kwa madzi m'thupi pakati pa mtima ndi thumba la mtima.

Matendawa nthawi zambiri amapezeka mkati mwa milungu ingapo kapena miyezi ingapo atalandira chithandizo cha radiation. Amapezeka kwambiri mwa anthu omwe adalandira chithandizo cha khansa yotchedwa Hodgkin lymphoma .

Mavuto a nthawi yayitali

Matenda ena a mtima angatenge zaka, nthawi zina mpaka zaka 20, kuti ayambe. Mavuto a nthawi yayitali ndi awa:

• Kulephera kwa mtima kotsekeka: Mtima sungathe kupompa magazi okwanira kupita m'thupi.
• Matenda a mitsempha ya mtima: Kuchepa kapena kutsekeka kwa mitsempha yomwe imapereka magazi kumtima.
• Matenda a mtima: Minofu ya mtima imafooka, imakhuthala, kapena imakula.
• Kusakhazikika kwa kugunda kwa mtima (Arrhythmia): Kusakhazikika kwa kugunda kwa mtima, kaya mofulumira kwambiri kapena pang'onopang'ono kwambiri.
• Kutsekeka kwa mtima: Nembanemba yozungulira mtima imakhala yolimba komanso yolimba, zomwe zimapangitsa kuti mtima usakule bwino.
• Matenda a mtima otchedwa Valvular: Ma valve a mtima sakugwira ntchito bwino.

Ndani amene ali pachiwopsezo chachikulu?

Ngati mwalandira chithandizo cha radiation pachifuwa panu, makamaka mbali yakumanzere komwe mtima wanu uli, mungakhale pachiwopsezo cha matenda a mtima awa. Gawo loyezera radiation limatchedwa Gray (Gy) . Kawirikawiri, chiopsezo cha matenda a mtima a radiation chimawonjezeka ngati mlingo wonse upitirira 30 Gray (Gy) pa chithandizo cha radiation zingapo.

Kuphatikiza apo, palinso zinthu zina zomwe zimawonjezera chiopsezo ichi:

• Kulandira chithandizo nthawi imodzi ndi mankhwala ena a chemotherapy omwe ali ndi poizoni wa mtima , monga trastuzumab kapena anthracyclines.
• Kukhala ndi vuto la mtima lomwe lilipo kale.
• Kuyamba unyamata pamene ukulandira chithandizo cha radiation.

Kuphatikiza apo, matenda ena ndi zizolowezi zina za moyo zingawonjezere chiopsezo ichi:

• Kunenepa kwambiri.
• Matenda a shuga (Diabetes Mellitus).
• Kugwiritsa ntchito mowa mopitirira muyeso.
• Kuthamanga kwa magazi kwambiri.
• Kusachita masewera olimbitsa thupi.
• Kusuta fodya.
• Kuchuluka kwa cholesterol yoyipa.

Kodi vutoli ndi lofala bwanji?

Kale, anthu sankamvetsa bwino za chiopsezo cha matenda a mtima, kotero panali milandu yambiri ya kuwonongeka kwa mtima chifukwa cha chithandizo cha radiation. Koma tsopano, madokotala ndi akatswiri achita kafukufuku wambiri pa izi ndipo apanga njira zatsopano komanso zotetezeka. Izi zathandiza kuchepetsa kuchuluka kwa radiation yomwe imafika pamtima. Chifukwa chake, mwamwayi, chiwerengero cha anthu omwe adwala matenda a mtima a radiation awa chatsika tsopano.

Kodi zizindikiro za matenda a mtima otchedwa radiation ndi ziti?

Zizindikiro za matenda a mtima omwe amayambitsidwa ndi radiation zimatha kusiyana malinga ndi munthu aliyense, kutengera momwe zizindikiro zimaonekera mwachangu komanso mtundu wa matenda a mtima omwe amayamba chifukwa cha radiation.

Zizindikiro za matenda a mtima a radiation a nthawi yochepa

Chizindikiro chachikulu cha pericarditis ndi pericardial effusion, zomwe ndi zotsatirapo za kanthawi kochepa za chithandizo cha radiation, ndi kupweteka kwambiri pachifuwa . Ululu uwu:

• Zimachepa mukakhala pansi ndikuwerama patsogolo.
• Zimawonjezeka mukamapuma mokweza.

Komanso, kupuma movutikira (dyspnea) kungachitike. Izi zimachepa mukawerama patsogolo.

Zizindikiro za matenda a mtima omwe amayambitsidwa ndi radiation kwa nthawi yayitali

Matenda a mtima omwe amayambitsidwa ndi radiation sangayambitse zizindikiro zilizonse mpaka atakula kwambiri. Zizindikiro zomwe muli nazo zimadalira mtundu wa matenda a mtima omwe muli nawo. Zizindikiro zodziwika bwino za matenda a mtima ndi izi:

• Kupweteka pachifuwa kapena kusasangalala.
• Chizungulire kapena kukomoka (syncope).
• Chifuwa chouma.
• Kusanza.
• Kugunda kwa mtima mofulumira kapena kosasinthasintha (kugunda kwa mtima).
• Kuvuta kupuma.
• Kutupa (edema) kwa akakolo, miyendo, mapazi, kapena mimba.
• Kufooka kapena kutopa kwambiri.

Chofunika: Matenda a mtima omwe amayambitsidwa ndi radiation yayikulu angayambitse matenda a mtima kapena kulephera kwa mtima.

Matenda a mtima kapena kulephera kwa mtima ndi vuto lalikulu lomwe lingawononge moyo. Ngati mukuganiza kuti inuyo kapena munthu amene muli naye ali ndi matenda a mtima, pitani ku chipatala chapafupi kapena imbani ogwira ntchito zadzidzidzi nthawi yomweyo. Nthawi ndi yofunika kwambiri. Ngakhale kuchedwa kwa mphindi zochepa kungayambitse kuwonongeka kwamuyaya kapena imfa.

Kodi mumazindikira bwanji izi?

Madokotala amagwiritsa ntchito mayeso osiyanasiyana kuti adziwe matenda a mtima omwe ali ndi radiation. Mayeso omwe mumagwiritsa ntchito amadalira zizindikiro zanu komanso mbiri yanu yachipatala. Kuwonjezera pa kuyezetsa thupi ndi magazi, dokotala wanu angakupatseni mayeso amodzi kapena angapo mwa awa:

• Kutsegula kwa mtima
• Kujambula kwa mtima kwa CT
• MRI ya mtima
• X-ray pachifuwa
• Echocardiogram
• Electrocardiogram (EKG kapena ECG)
• Mayeso a Electrophysiology
• Mayeso opsinjika maganizo ochita masewera olimbitsa thupi
• Chowunikira cha Holter
• Kufufuza kwa mtima (Endomyocardial biopsy)

Kodi mankhwala ake ndi otani?

Pali njira zambiri zochizira matenda a mtima. Izi zimayambira kusintha moyo mpaka mankhwala, njira zochiritsira zosavulaza thupi, komanso opaleshoni. Dokotala wanu adzakambirana nanu za chithandizo chomwe chili chabwino kwa inu.

Ndi kupita patsogolo kwatsopano pa chithandizo cha matenda a mtima, anthu tsopano akukhala ndi moyo wautali komanso wabwino.

Kodi ukadaulo watsopano ungachepetse bwanji chiopsezochi?

Njira yaikulu yopewera matenda a mtima otchedwa radiation ndi kuchepetsa kuchuluka kwa radiation yomwe mtima wanu umalandira.

Ukadaulo waposachedwa kwambiri wa kuwala kwa khansa umapereka mlingo woyenera wa kuwala kwa chotupacho, kuchepetsa kuchuluka kwa kuwala komwe kumafika minofu yathanzi yozungulira, makamaka mtima. Zina mwa izi ndi izi:

• Chithandizo cha radiation chosinthidwa mphamvu (IMRT): Izi zimaphatikizapo kuchita mapu a chotupa cha mbali zitatu (3D) ndikupereka kuwala kwa radiation m'njira yowongoka kwambiri.
• Chithandizo cha protoni: Izi zimagwiritsa ntchito tinthu tambirimbiri tomwe timapatsidwa mphamvu (ma protoni) ndipo zimaika mphamvuzo pafupifupi pa chotupacho.

Komanso, pochiza khansa ya m'mawere, mutha kuchepetsa kuchuluka kwa kuwala komwe mumalandira kumtima mwanu mwa kusintha momwe mumakhalira. Mwachitsanzo, mutha kulandira chithandizo mutagona chagada, kapena mutha kulandira kuwala kokha panthawi yochepa mukapuma mozama.

Kodi mungachepetse bwanji chiopsezochi?

Ngati mwalandira chithandizo cha radiation pachifuwa, mutha kuchepetsa chiopsezo chanu chodwala matenda a mtima mwa kukhala ndi moyo wathanzi. Izi zikutanthauza:

• Kupewa kumwa mowa.
• Kudya zakudya zabwino.
• Kuchita masewera olimbitsa thupi nthawi zonse.
• Kulamulira kuthamanga kwa magazi ndi kuchuluka kwa cholesterol m'magazi.
• Kusiya kusuta fodya kotheratu.

Pambuyo poti chithandizo cha khansa chatha, ndikofunikiranso kukhala ndi chithandizo chowunikira nthawi zonse. Izi zingathandize kuyang'anira thanzi lanu lonse. Dokotala wanu angakupatseninso mayeso kuti aone momwe mtima wanu umagwirira ntchito zaka 5 mpaka 10 zilizonse.

Kodi anthu amene alandira chithandizo cha radiation angaganize chiyani za tsogolo lawo?

Pamene anthu ambiri akupulumuka khansa ndikukhala ndi moyo wautali, kumvetsetsa kwathu zotsatira za chithandizo kwa nthawi yayitali kukukulirakulira. Mukakhala ndi moyo wautali mutalandira chithandizo cha khansa, chiopsezo chanu chotenga matenda a mtima chikuwonjezeka. Komabe, chiopsezochi chikuchepa tsopano chifukwa cha ukadaulo watsopano womwe umachepetsa kukhudzana ndi kuwala kwa dzuwa mumtima.

Maganizo anu amadalira zinthu izi:

• Kuchuluka kwa kuwala komwe mtima wanu unalandira.
• Zaka zanu pamene munalandira chithandizo cha radiation.
• Zinthu zomwe zimayambitsa matenda a mtima ndi mitsempha yamagazi. Izi zikutanthauza zakudya zanu, masewera olimbitsa thupi, ndi matenda ena omwe muli nawo.

Kodi muyenera kupita kwa dokotala liti?

Ngati mukuona zizindikiro zilizonse za matenda a mtima, imbani dokotala nthawi yomweyo. Zizindikirozi zikuphatikizapo kupweteka pachifuwa kapena kusapeza bwino, kupuma movutikira, kapena kugunda kwa mtima kosasinthasintha.

Ngati mukuganiza kuti muli ndi vuto la mtima kapena mtima wanu walephera kugwira ntchito, funani chithandizo chadzidzidzi nthawi yomweyo.

Anthu omwe adapatsidwa chithandizo cha khansa pachifuwa amatha kudwala matenda a mtima omwe amabwera chifukwa cha kuwala kwa dzuwa patatha zaka zambiri. Komabe, kupita patsogolo kwaposachedwa kwa ukadaulo wa kuwala kwachepetsa chiwerengero cha anthu omwe amadwala matenda a mtima chifukwa cha kuwala kwa dzuwa. Mankhwala a matenda a mtima nawonso asintha, zomwe zapangitsa kuti moyo ukhale wabwino. Ngati mudapatsidwa chithandizo cha kuwala kwa dzuwa kale ndipo muli ndi zizindikiro zilizonse za matenda a mtima, onetsetsani kuti mwadziwitsa dokotala wanu.

Chidule (Uthenga Wopita Nawo Kunyumba)

Chabwino, lero takambirana zambiri zokhudza matenda a mtima otchedwa radiation. Nazi zina mwa zinthu zofunika kwambiri kukumbukira:

• Chithandizo cha khansa pogwiritsa ntchito radiation pachifuwa chingawononge mtima.
• Zotsatirazi zitha kuchitika pakapita nthawi yochepa kapena nthawi yayitali (pambuyo pa zaka).
• Chiwopsezochi tsopano chachepa kwambiri chifukwa cha ukadaulo watsopano wa radiation.
• Ngati mwalandira chithandizo cha radiation, ndikofunikira kwambiri kutsatira moyo wathanzi komanso kukaonana ndi dokotala nthawi zonse.
• Ngati mukumva zizindikiro monga kupweteka pachifuwa ndi kuvutika kupuma , musachite mantha ndipo funsani upangiri wa dokotala mwamsanga.

Palibe choopa, kudziwa ndi kusamalira ndi zinthu zofunika kwambiri. Ngati muli ndi mafunso ena okhudza izi, lankhulani ndi dokotala wanu.

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