Kodi kuunikira thupi lonse n'chiyani? (Kuunikira thupi lonse) Tiyeni tikambirane izi mwachidule.

Pokamba za chithandizo cha khansa, mwina munamvapo za chithandizo cha radiation, kapena radiation. Koma mukamva "radiation ku thupi lonse," mungamve mantha pang'ono. Koma iyi ndi njira yofunika kwambiri yomwe nthawi zina imayenera kuchitidwa. Kotero lero, tiyeni tikambirane za Total Body Irradiation (TBI) ndi chiyani, chifukwa chake imachitidwa, komanso momwe imagwirira ntchito.

Mwachidule, kodi Total Body Irradiation (TBI) ndi chiyani?

Kuunikira thupi lonse (TBI) ndi mtundu wa chithandizo cha radiation. Komabe, mosiyana ndi chithandizo cha radiation cha nthawi zonse, radiation siilunjika mbali imodzi yokha ya thupi. M'malo mwake , mlingo wochepa kwambiri wa radiation umaperekedwa ku thupi lanu lonse .

Taganizirani izi motere: chithandizo cha radiation nthawi zonse chili ngati kuyatsa tochi pamalo amodzi. Koma TBI ili ngati kuyatsa nyali m'chipinda chonse, zomwe zimapangitsa kuti kuwala pang'ono kugwere paliponse. Mlingo wa radiation womwe umagwiritsidwa ntchito pano ndi wochepa kwambiri kuposa chithandizo cha malo amodzi.

Chifukwa chiyani chithandizochi chikuchitidwa? Cholinga chake ndi chiyani?

Chithandizo cha TBI chimachitika makamaka kuti chikukonzekeretseni kuti muyike mafuta a m'mafupa kapena kuyika maselo oyambira. Pali zifukwa zitatu zazikulu zomwe dokotala wanu angakulimbikitsireni chithandizochi.

• Kuwononga maselo a khansa: Izi zimathandiza kuwononga kwathunthu maselo a khansa omwe ali m'mafupa anu, m'mitsempha, kapena m'malo omwe mankhwala ena sangafikire mosavuta.
• Pangani malo a mafupa: Mankhwalawa amathandiza kuti mafupa atsopano athanzi omwe angobzalidwa kumene akhale ndi malo mkati mwa thupi komanso kuchepetsa ntchito ya mafupa akale.
• Lamulirani chitetezo chanu cha mthupi: Izi zimathandiza kuti chitetezo chanu cha mthupi chisamazindikire kuti mafuta a m'mafupa omwe angobzalidwa kumene ndi "achilendo" ndikukana, zomwe zimapangitsa kuti kuyika mafutawo kukhale kopambana.

Ndi matenda ati omwe amachiritsidwa ndi TBI?

Chithandizo cha TBI nthawi zambiri sichimachitika chokha. Nthawi zambiri chimagwiritsidwa ntchito limodzi ndi mankhwala ena a khansa, monga chemotherapy. Gome ili pansipa likuwonetsa zina mwa matenda omwe amagwiritsidwa ntchito kwambiri.

Kodi chimachitika ndi chiyani musanalandire chithandizo? (Kuyerekezera)

Musanalandire chithandizo chanu cha TBI, mudzakhala ndi nthawi yapadera yotchedwa "simulation." Izi zili ngati kutenga miyeso musanakonze suti. Zili ngati nthawi yochita masewera olimbitsa thupi musanalandire chithandizo. Cholinga chachikulu cha izi ndikukonza malo abwino kwambiri kuti mutsimikizire kuti thupi lanu limalandira mlingo woyenera wa kuwala, m'njira yoyenera .

Mu chitsanzo ichi:

• Mudzaikidwa patebulo lapadera ndipo mudzayesedwa ndi CT scan kuti muwone malo omwe mukufuna kuchiritsidwa.
• Dokotala wothandiza anthu odwala matenda a radiation adzayesa thupi lanu kangapo.
• Akatha kudziwa malo abwino kwambiri pathupi lanu, adzapanga zizindikiro zazing'ono kwambiri pakhungu lanu. Adzajambulanso zithunzi. Izi zidzakuthandizani kukhalabe pamalo omwewo tsiku lomwe mulandira chithandizo. Zizindikirozi zitha kukhala zokhalitsa, koma ndi zazing'ono kwambiri.

Kodi chimachitika ndi chiyani panthawi ya chithandizo?

Mungafunike kukhala m'chipatala kwa masiku angapo mutalandira chithandizo cha TBI. Izi ndi zomwe zimachitika panthawi ya chithandizo:

• Katswiri wothandiza anthu pogwiritsa ntchito radiation adzakuikani pamalo omwewo monga momwe munaliri mu sewero lomwe linakonzedwa kale.
• Kuti muchepetse kuchuluka kwa kuwala kwa ziwalo zina, monga mapapo anu, mapanelo apadera kapena zotchingira zitha kuyikidwa pamwamba pa ziwalozo.
• Kuti muwonetsetse kuti kuwala kwa dzuwa kukufalikira mofanana m'thupi lanu lonse, mutha kukhazikitsanso chinthu chonga chophimba chachikulu patsogolo panu.
• Kenako katswiri wa zamaganizo amatuluka m'chipindamo. Koma musadandaule, simuli nokha. Mutha kulankhula nawo kudzera pa intercom. Akukuyang'anirani kuchokera panja.
• Makina akuluakulu otchedwa "linear accelerator" amayendayenda mozungulira inu, akutulutsa kuwala mwanjira yokonzekera.

Nthawi zambiri nthawi yochitira opaleshoni imatha kutenga mphindi 60. Nthawi yanu yoyamba ingatenge nthawi yayitali chifukwa dokotalayo adzakujambulani ma X-ray ena kuti atsimikizire kuti kaimidwe kanu ndi kolondola 100%. Muthanso kuloledwa kuchita zinthu monga kumvetsera nyimbo panthawiyi.

Kodi ndiyenera kumwa mankhwalawa kwa nthawi yayitali bwanji?

Anthu ambiri amalandira chithandizo cha TBI kawiri kapena katatu patsiku kwa masiku atatu kapena asanu. Gulu lanu lachipatala lidzakufotokozerani kuchuluka kwa nthawi zomwe mungafunikire chithandizo musanayambe kulandira chithandizo.

Kodi zoopsa ndi zotsatira zake ndi ziti?

Monga momwe zimakhalira ndi chithandizo chilichonse, chithandizo cha TBI chingakhale ndi zotsatirapo zake. Zotsatirapo zake zimatha kusiyana malinga ndi munthu. Pali zinthu zingapo zomwe zingakhudze:

• Chiwerengero cha nthawi zochizira zomwe mudzalandire.
• Mlingo wa radiation womwe waperekedwa.
• Thanzi lanu lonse.

Zotsatirapo zake zitha kugawidwa m'magulu awiri: nthawi yochepa komanso nthawi yayitali.

Zotsatirapo za kanthawi kochepa

Izi nthawi zambiri zimawonekera patatha masiku angapo kapena milungu ingapo mutayamba kulandira chithandizo ndipo zimazimiririka pakapita nthawi.

Zotsatirapo za nthawi yayitali

Izi sizichitika kawirikawiri, zingawonekere patapita nthawi yaitali chithandizo chitatha, ndipo zitha kukhalapo kwa nthawi yayitali.

• Ma cataracts: Kuphimba kwa lens ya diso.
• Kusabereka: Kukhudza kuthekera kobereka ana.
• Kutupa kwa mapapo: Kutupa kwa minofu ya mapapo, zomwe zimapangitsa kuti munthu avutike kupuma.
• Hypothyroidism: Kuchepa kwa kupanga kwa mahomoni a chithokomiro, omwe amalamulira kagayidwe ka thupi m'thupi.

Kodi mungadzisamalire bwanji mutalandira chithandizo?

Kuthana ndi mavuto ena kungathandize kwambiri kuti nthawi ya chithandizo ikhale yosavuta. Nazi zina zomwe mungachite:

• Ngati mukumva nseru, musazengereze kupempha mankhwala .
• Samalirani khungu lanu. Tsatirani malangizo a dokotala wanu osamalira khungu. Pakani mafuta odzola nthawi zonse.
• Ngati mungathe, lowani nawo gulu lothandizirana ndi anthu omwe adakumanapo ndi zomwezo.
• Gawani malingaliro anu ndi momwe mukumvera pankhani ya chithandizochi ndi munthu amene mumamukhulupirira (wothandizira, wachibale, kapena mnzanu).
• Yesetsani kugona mokwanira kwa maola osachepera asanu ndi atatu usiku uliwonse.
• Mukatuluka kuchipatala, ngati n'kotheka , tengani nthawi yopuma kuntchito ndikupumula bwino.

Kodi ndi liti pamene muyenera kulankhula ndi dokotala?

Ngati mukukumana ndi zizindikiro zotsatirazi panthawi ya chithandizo kapena mutatha, dziwitsani dokotala wanu nthawi yomweyo.

• Kuzizira
• Malungo
• Kusintha kwa khungu (monga kutupa, khungu lotupa)

Ndizachilendo kumva mantha mukamva mawu akuti "total body radiation" ndipo ndani sachita mantha? Koma lankhulani ndi dokotala wanu wa khansa ya radiation za mafunso kapena nkhawa zomwe mungakhale nazo. TBI imagwiritsa ntchito mphamvu zochepa kwambiri kuposa njira zina zochizira khansa. Ukadaulo watsopano wachepetsanso kwambiri mphamvu ya radiation yomwe imagwiritsidwa ntchito pochiza minofu yathanzi. Imatha kupha maselo a khansa omwe sagonjetsedwa ndi mankhwala ena. Zimawonjezeranso kwambiri mwayi woti kusamutsidwa kwa mafupa kupambane popanda kukanidwa.