Ndizachilendo kumva mantha pang'ono komanso mantha dokotala wanu akakuuzani kuti muli ndi khansa ya m'mawere ndipo mukufunika chithandizo cha radiation. Mawu oti "radiation" nthawi zambiri amakumbukiridwa ngati chinthu choopsa. Koma kwenikweni iyi ndi njira yothandiza kwambiri komanso yodziwika bwino yochizira khansa ya m'mawere. Tiyeni tiphunzire zambiri za izi lero.
Mwachidule, kodi chithandizo cha radiation n'chiyani?
Chithandizo cha radiation, kunena zoona, ndi kugwiritsa ntchito X-ray yamphamvu kwambiri kuti iwononge kapena kuwononga maselo a khansa m'bere lanu. Kawirikawiri, madokotala ochita opaleshoni ya khansa amayamba achotsa chotupa cha khansa m'bere. Komabe, pambuyo pake, pakhoza kukhalabe maselo ang'onoang'ono a khansa omwe sitingathe kuwaona m'derali. Chithandizo cha radiation chimaperekedwa kuti chiwononge kwathunthu maselo otsala a khansa ndikuletsa khansa kuti isabwererenso .
Nthawi zina, khansa ikafalikira ku ziwalo zina za thupi (metastatic), chithandizochi chimagwiritsidwanso ntchito poletsa zizindikiro monga ululu.
Kodi njira zazikulu zoperekera chithandizo cha radiation ndi ziti?
Katswiri wanu adzasankha njira yochizira khansa ya radiation yomwe ili yoyenera kwa inu kutengera zinthu zambiri, monga mtundu ndi malo a khansa yanu. Pali njira zingapo zazikulu.
| Dzina la njira yochizira | Zimene zimachitika basi |
|---|---|
| Chithandizo cha radiation cha kunja kwa dzuwa (EBRT) | Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Makina akuluakulu (Linear Accelerator) amagwiritsa ntchito kuwala kwakunja kwa radiation kuti ayang'ane dera la bere lanu komwe maselo a khansa anali. Chithandizochi nthawi zambiri chimaperekedwa masiku 5 pa sabata kwa milungu 1-6. |
| Chithandizo cha radiation chamkati (Brachytherapy) | Chomwe chimachitika apa ndi chakuti mbewu ya radioactive imayikidwa kudzera mu chubu chaching'ono (catheter) m'dera lomwe khansa inali. Imatulutsa radiation kwa mphindi zochepa kenako imachotsedwanso. Chithandizochi chimatha munthawi yochepa, pafupifupi masiku 5, kawiri patsiku. |
| Chithandizo cha radiation cha pa opaleshoni (IORT) | Izi zimachitika nthawi yomweyo opaleshoni. Dokotala akachotsa chotupacho, asanatseke bala, kuwalako kumaperekedwa mwachindunji ku minofu yowonekera. |
Kodi chimachitika ndi chiyani pa msonkhano woyamba ndi kukonzekera chithandizo?
Ulendo wanu woyamba ndi tsiku lomwe chilichonse chakonzedwa. Apa ndi pomwe mungafunse mafunso aliwonse omwe mungakhale nawo. Gulu lachipatala lidzakufotokozerani izi:
- Ndandanda ya chithandizo: Izi zimakuuzani nthawi komanso kangati komwe mungafunikire chithandizo. Ngakhale kuti nthawi imodzi nthawi zambiri imatenga pafupifupi mphindi 30-45, kuwala kwa radiation kumaperekedwa kwa kanthawi kochepa, pafupifupi mphindi 2-3.
- Kufotokoza njira: Kufotokoza momwe muyenera kukhalira panthawi ya chithandizo, komwe gulu lachipatala lidzakhala, ndi zomwe simungathe kuchita (monga kusatha kuyenda).
- Chitetezo cha Mtima ndi Mapapo: Pa nthawi ya chithandizo, mudzaphunzitsidwa njira zothandizira kuchepetsa mphamvu ya kuwala kwa dzuwa pa mtima ndi mapapo anu. Mwachitsanzo, mudzaphunzitsidwa kuchita masewera olimbitsa thupi pogwira mpweya wozama.
- Zinthu zomwe mungachite kuti mukhale omasuka: Mukabwera kudzalandira chithandizo, mudzalangizidwa kuvala zovala zotayirira zomwe sizingalowe m'mabere anu.
- Zotsatirapo ndi njira zothetsera mavuto: Akufotokoza zotsatirapo zomwe zingatheke komanso momwe angathanirane nazo.
Kukonzekera chithandizo (Kuyerekezera)
Pa tsiku la msonkhano uno, thupi lanu lidzakhala litakonzeka kulandira chithandizo. Izi zitha kutenga ola limodzi kapena kuposerapo.
1. Kuchita CT scan: Pogwiritsa ntchito `CT scanner`, malo enieni oti akonzedwe amapangidwa.
2. Kulephera kuyenda: Mudzalephera kuyenda patebulo la chithandizo pogwiritsa ntchito chipangizo chapadera choletsa kuyenda. Izi zimatsimikizira kuti mudzakhala pamalo omwewo nthawi yonse ya chithandizo.
3. Kulemba: Kuti tizindikire ngodya za malo ochiritsira, timadontho tating'onoting'ono timalembedwa ndi chida cholembera tattoo. Izi zitha kukhala zokhazikika kapena zakanthawi. Zizindikirozi zimatsimikizira kuti kuwala kumapita kumalo omwewo nthawi iliyonse.
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Mukapita kukalandira chithandizo, membala wa gulu lachipatala adzakupatsani moni ndikukupatsani diresi lapadera loti muvale panthawi ya chithandizo chanu. Pambuyo pake,
- Mudzatengedwera ku chipinda chochiritsira.
- Mudzaikidwa pamalo oyenera patebulo la chithandizo. Nthawi zambiri, mudzaikidwa chammbali moyang'ana mmwamba. Mkono womwe uli m'mbali mwa khansa uyenera kuyikidwa pamwamba pa mutu wanu.
- Gulu la azachipatala lidzatuluka mchipindamo ndikuyatsa makina. Akhoza kukuonani kudzera m'makamera ndikuyankhula nanu.
- Makina akayatsidwa , mumamva phokoso la 'whoosh', koma simukumva chilichonse , ndipo simukuwona kuwala kulikonse kwa radiation.
- Chithandizo chikatha, adzabwera kudzakuthandizani kudzuka patebulo.
Kumbukirani, chithandizochi sichipangitsa thupi lanu kukhala ndi mphamvu ya radioactive. Mutha kucheza ndi anthu ena nthawi zonse mukatha kulandira chithandizo.
Kodi zotsatirapo zake zofala ndi ziti?
Chithandizo cha radiation chili ndi zotsatirapo zochepa nthawi yomweyo, koma pakhoza kukhala zotsatirapo za nthawi yochepa komanso yayitali panthawi ya chithandizo komanso pambuyo pake.
Zotsatirapo za kanthawi kochepa
- Kutopa: Anthu ambiri amamva kutopa pang'ono akalandira chithandizo. Izi zimatha pakatha milungu ingapo chithandizo chitatha.
- Kusintha kwa khungu: Khungu pamalo omwe achiritsidwa likhoza kukhala louma komanso losweka. Nthawi zina, kunyowa (`moist desquamation`) kungachitike m'makwinya omwe ali pansi pa mabere kapena pansi pa makhwapa.
- Kusintha mtundu wa khungu: Ngati muli ndi khungu loyera, mungawoneke ngati lofiira, ngati la dzuwa. Ngati muli ndi khungu lakuda, malowo akhoza kukhala akuda kuposa masiku onse.
- Kupweteka kwa m'mawere: Nthawi zina ululu wosawoneka bwino kapena wakuthwa ukhoza kubwera ndi kutha. Areola kapena bere likhoza kukhala lofewa.
Zotsatirapo za nthawi yayitali
- Mitsempha ya kangaude (`Telangiectasias`): Iyi ndi mitsempha yaying'ono yofiira yomwe imawonekera pamwamba pa khungu. Izi ndi zachilendo ndipo palibe chodetsa nkhawa nacho.
- Kusintha kwa kukula kwa bere: Bere likhoza kukula pang'ono kapena kucheperapo.
- Lymphedema: Ngati chithandizo cha radiation chaperekedwa ku ma lymph nodes, anthu ena akhoza kutupa mkono womwe uli mbali imeneyo.
- Kutopa kwa nthawi yayitali: Anthu ena amatha kutopa kwa milungu ingapo chithandizo chitatha.
Chofunika kwambiri ndichakuti, mosiyana ndi mankhwala a chemotherapy, chithandizo cha radiation sichimayambitsa kutaya tsitsi pamutu. Komabe, tsitsi la m'khwapa likhoza kutayika.
Kodi mungadzisamalire bwanji?
Chithandizo ndi nthawi yomwe muyenera kudzisamalira bwino.
- Valani zovala zomasuka komanso za thonje: Mabra ndi zovala zolimba zimatha kukwiyitsa khungu kwambiri.
- Khalani odekha pakhungu lanu: Tsukani khungu lanu ndi sopo wofatsa ndi madzi ofunda. Funsani gulu lanu la zaumoyo za kirimu kapena mafuta odzola osapsa mtima komanso ochepetsa ululu.
- Pumulani mokwanira: Mungathe kumva kutopa kwambiri mukamaliza chithandizo. Phatikizani nthawi yopuma tsiku lililonse.
- Idyani zakudya zabwino: Zakudya zopatsa thanzi zingathandize kuti thupi likhale ndi mphamvu.
- Chitani masewera olimbitsa thupi opepuka: Kuchita masewera olimbitsa thupi osavuta monga kuyenda kwa mphindi 30 tsiku lililonse kungathandize kuchepetsa kutopa.
Mafunso oti mufunse dokotala wanu
Mukakumana ndi gulu lanu lachipatala, mutha kufunsa mafunso awa.
- Ndi mtundu wanji wa chithandizo cha radiation chomwe ndikulimbikitsidwa kwa ine ndipo chifukwa chiyani?
- Kodi chithandizochi chidzatenga nthawi yayitali bwanji? Ndiyenera kubwera kangati?
- Ndi zotsatirapo ziti za kanthawi kochepa zomwe ndingayembekezere panthawi ya chithandizo?
- Kodi ndingachite chiyani kuti ndichepetse zotsatirapo zake?
- Kodi ndiyenera kulankhula ndi ndani za zotsatirapo zilizonse zomwe ndimakumana nazo? Kodi ndi nthawi yotani?
- Kodi chithandizochi chidzakhudza bwanji moyo wanga watsiku ndi tsiku? Kodi ndingathe kupita kuntchito, kuchita masewera olimbitsa thupi?
- Kodi zotsatirapo zake za chithandizo cha radiation ndi ziti zomwe zingakhalepo kwa nthawi yayitali?
- Kodi tidzadziwa liti ndipo bwanji ngati chithandizochi chapambana?
Chithandizo cha radiation si chinthu choopa. Ndi gawo lofunika kwambiri komanso lopambana paulendo wogonjetsa khansa. Lankhulani momasuka ndi dokotala wanu za chilichonse chomwe chili m'maganizo mwanu. Iwo nthawi zonse amakhala okonzeka kukuthandizani.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha khansa ya m'mawere pogwiritsa ntchito radiation ndi njira yothandiza kwambiri komanso yodziwika bwino yogwiritsira ntchito kuwononga maselo otsala a khansa pambuyo pa opaleshoni ndikuletsa matendawa kuti asabwererenso.
- Simudzamva ululu uliwonse kapena chilichonse panthawi ya chithandizo. Chomwe mudzamva ndi phokoso la makina.
- Zotsatirapo monga kusintha kwa khungu ndi kutopa ndizofala ndipo zitha kuthetsedwa . Lankhulani ndi gulu lanu lachipatala za izi.
- Ndikofunikira kwambiri kupuma bwino, kudya zakudya zopatsa thanzi, komanso kusamalira khungu lanu mosamala panthawi ya chithandizo.
- Musazengereze kukambirana ndi dokotala wanu za mantha, kukayikira, kapena mafunso aliwonse omwe muli nawo .











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