Dokotala akakuuzani inu kapena wokondedwa wanu kuti muli ndi khansa, mwina munamvapo mawu akuti "radiation therapy" polankhula za chithandizo chotsatira. Mukamva dzinali, mwina munamva mantha pang'ono komanso mantha. "Kodi izi zikupweteka?", "N'chiyani chidzachitikire thupi?", "Kodi izi ndizoopsa?" Mungakhale ndi mafunso ambiri m'maganizo mwanu. Ndizachilendo kwambiri. Koma ngati tikudziwa bwino komanso mwachidule za njira yochizira iyi, titha kuchotsa mantha osafunikira amenewo. Chifukwa chake lero, tiyeni tikambirane za radiation therapy iyi.
Mwachidule, kodi chithandizo cha radiation n'chiyani?
Kuchiza ndi ma radiation ndi njira yothandiza kwambiri yochizira khansa. Imagwiritsa ntchito ma X-ray amphamvu kwambiri kuti iwononge maselo a khansa. Taganizirani izi ngati kuwala kwa laser komwe kumachotsa maselo oipa okha m'thupi lathu.
Nthawi zina chithandizochi chimaperekedwa chokha. Nthawi zina chimaperekedwa pamodzi ndi mankhwala ena, monga opaleshoni kapena chemotherapy. Katswiri wa khansa ya radiation adzasankha ngati chithandizochi chili choyenera kwa inu, momwe chingaperekedwere, komanso kuchuluka kwa zomwe mungapereke. Iye adzakonza chithandizocho kuti chizingoyang'ana maselo a khansa okha, kuchepetsa kuwonongeka kwa maselo anu athanzi.
Kumbukirani, cholinga chachikulu cha chithandizochi ndikuwononga maselo a khansa komanso kuchepetsa kuwonongeka kwa maselo anu athanzi.
Kodi chithandizo cha radiation ndi chiyani?
Pali mitundu iwiri ikuluikulu ya chithandizo cha radiation. Cholinga chonse chili ndi chimodzi: kuwononga DNA yomwe imauza selo la khansa kuti likule ndikugawikana. Malangizo amenewo akatayika, maselo a khansa amafa ndipo chotupacho chimachepa.
1. Kuchiza ndi Kutulutsa Ma radiation a Kunja kwa Mtambo (EBRT): Iyi ndiyo njira yomwe imagwiritsidwa ntchito kwambiri. Pano, makina akuluakulu omwe ali kunja kwa thupi lanu amangoyang'ana kuwala kwa radiation komwe kuli khansa.
2. Chithandizo cha Radiation Yamkati: Apa, chinthu chowopsa chimayikidwa m'thupi lanu, pafupi kwambiri ndi maselo a khansa.
Tiyeni tiwone njira ziwirizi mwatsatanetsatane.
1. Chithandizo cha radiation cha kunja kwa dzuwa (EBRT) - chithandizo choperekedwa kuchokera kunja
Mu izi, palibe chomwe chimakukhudzani m'thupi. Makinawo amakuzungulirani ndipo amangoyang'ana kuwala pamalo oyenera. Njirayi tsopano yapita patsogolo kwambiri. Ndicho chifukwa chake imatha kuchiritsidwa bwino kwambiri, kuchepetsa kuwonongeka kwa minofu yathanzi.
| Mtundu wa chithandizo cha EBRT | Mwachidule... |
|---|---|
| Chithandizo cha X-ray cha 3D Conformal | Kujambula kwa CT kumapanga chitsanzo cha khansa cha mbali zitatu (3D) ndipo kumatsogolera kuwala kwa dzuwa mwachindunji kwa khansayo. |
| Chithandizo cha Ma radiation Chosinthidwa Mwamphamvu (IMRT) | Iyi ndi njira yapamwamba kwambiri. Imagwiritsa ntchito kuwala kwa mphamvu zosiyanasiyana kuti ipereke kuwala kochuluka ku khansa osati ku minofu yathanzi yozungulira. |
| Kuchiza ndi Ma Radiotherapy Otsogozedwa ndi Zithunzi (IGRT) | Musanayambe chithandizo chilichonse, X-ray kapena CT scan yaying'ono imatengedwa kuti itsimikizire komwe khansa ili kenako kuwala kwa dzuwa kumaperekedwa. Izi zimapangitsa kuti kulondola kukhale kwakukulu kwambiri. |
| Opaleshoni ya Radiosurgery ya Stereotactic (monga Mpeni wa Gamma) | Izi ndi zolondola monga opaleshoni, koma popanda kuduladula kulikonse. Zimagwiritsa ntchito mphamvu ya radiation yambiri kuwononga zotupa zazing'ono muubongo. |
| Ma radiation a m'kati mwa opaleshoni (IORT) | Izi zimachitika panthawi ya opaleshoni. Pambuyo pochotsa chotupa, ngati pali maselo ang'onoang'ono a khansa omwe sangachotsedwe, ma radiation amaperekedwa nthawi yomweyo kuti awawononge. |
2. Chithandizo cha Radiation ya Mkati - Chithandizo choperekedwa kuchokera mkati
Njirayi imagwiritsidwa ntchito pa khansa zazing'ono m'malo monga mutu, khosi, bere, ndi khomo lachiberekero. Izi zimaperekedwanso m'njira ziwiri.
- Chithandizo cha Brachy:Izi zimaphatikizapo kuyika "mbewu" yaying'ono yokhala ndi mankhwala owopsa mkati kapena pafupi kwambiri ndi chotupacho. Zina mwa izi zimatulutsa kuwala pang'onopang'ono kwa milungu ingapo. Zina zimatulutsa mlingo waukulu mkati mwa mphindi zochepa. Zina mwa izi ndi zakanthawi kochepa, pomwe zina zimakhalabe m'thupi kwamuyaya (mphamvu yawo yowopsa imatha pakapita nthawi).
- Chithandizo Chadongosolo: Izi zimaphatikizapo kupereka mankhwala owopsa ngati madzi. Angaperekedwe ngati madzi oti amwe kapena ngati jakisoni kudzera mu mtsempha (IV). Mankhwalawa amayenda m'magazi, amapeza maselo a khansa, amamatira, ndikuwononga.
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Musanayambe kulandira chithandizo cha EBRT, pamakhala msonkhano wokonzekera wotchedwa "simulation". Pa msonkhanowo, mudzachita izi:
- Kukuikani pamalo: Mudzaikidwa patebulo la chithandizo. Mungapatsidwe nkhungu kapena chigoba kuti thupi lanu likhale losasunthika. Kenako, malo enieni oti mulandire chithandizo adzalembedwa chizindikiro.
- Kujambula: Kujambula kwa CT kapena MRI kumachitika kuti muwone komwe khansa ili. Gulu lachipatala limagwiritsa ntchito izi popanga dongosolo la chithandizo.
Pa tsiku la chithandizo chanu, mudzagona patebulo lomwelo monga momwe munachitira mu seweroli. Makina owunikira adzakuzungulirani, koma sadzakukhudzani. Katswiri wowunikira adzagwiritsa ntchito makinawo m'chipinda china. Mutha kulankhula nawo nthawi iliyonse kudzera pa intercom. Simudzamva kupweteka kulikonse panthawi ya chithandizo.
Mu mankhwala amkati, mankhwala oletsa ululu amagwiritsidwa ntchito popereka mankhwala owopsa, kotero palibe ululu womwe umabwera chifukwa cha mankhwalawa.
Kodi pali zotsatirapo zilizonse pambuyo pa chithandizo?
Inde, monga chithandizo chilichonse, pali zotsatirapo zina. Koma musadandaule. Zotsatirapo izi nthawi zambiri zimakhudza gawo la thupi lomwe likulandira chithandizo. Komanso, popeza chithandizocho sichiperekedwa nthawi zonse koma chimaperekedwa m'magawo angapo masiku angapo, maselo anu athanzi amakhala ndi nthawi yochira. Izi zimachepetsa kwambiri zotsatirapo zake.
Zina mwa zotsatira zoyipa kwambiri ndi izi:
- Kutopa
- Kusanza ndi kusanza
- Kutsegula m'mimba
- Mutu
- Kusintha kwa khungu pamalo ochizira (kufiira, kuuma, kuyabwa)
- Zilonda pakamwa
- Ululu ukameza
- Chilakolako cha chakudya
- Kupsa mtima mukakodza kapena kufuna kukodza pafupipafupi
Uzani dokotala wanu nthawi yomweyo ngati mukuvutika ndi vutoli. Iye adzakupatsani malangizo ndi mankhwala ofunikira kuti muchepetse zotsatirapo zake.
Kodi pali chiopsezo kwa ena pambuyo pa chithandizo?
- Mu chithandizo cha radiation chakunja (EBRT): Palibe. Palibe radiation yomwe imatsala m'thupi lanu mutalandira chithandizo. Mutha kupita kunyumba mwachizolowezi, kukhala ndi banja lanu, komanso kucheza ndi ana aang'ono. Palibe zoopsa.
- Pa chithandizo cha radiation mkati mwa thupi: Popeza pali mankhwala owopsa m'thupi, muyenera kutsatira njira zina zodzitetezera kwa kanthawi kochepa. Mwachitsanzo, ma radiation ochepa amatha kutuluka kudzera mu thukuta ndi mkodzo. Chifukwa chake, dokotala wanu angakulangizeni kuti muchepetse kukhudzana ndi amayi apakati kapena ana aang'ono kwa kanthawi. Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola.
Uthenga Wopita Nawo Kunyumba
- Chithandizo cha radiation ndi njira yothandiza kwambiri komanso yapamwamba kwambiri yogwiritsira ntchito kuwononga maselo a khansa. Musachite mantha ndi zimenezi mopanda chifukwa.
- Simudzamva ululu uliwonse panthawi ya chithandizo.
- Mukalandira chithandizo cha radiation chakunja (EBRT), simupereka chiopsezo kwa ena.
- Zotsatirapo za chithandizo ndi zakanthawi kochepa ndipo zitha kuthetsedwa. Lankhulani momasuka ndi dokotala wanu za vuto lililonse lomwe mungakhale nalo.
- Anthu ena amatha kupitiriza ndi zochita zawo zachizolowezi panthawi ya chithandizo, pomwe ena amafunika kupuma. Mvetserani thupi lanu.
- Ndi ufulu wanu kufunsa ndi kufotokoza mafunso, mantha, kapena kukayikira kulikonse komwe mungakhale nako ndi gulu lachipatala musanalandire chithandizo.
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