Mukalimbana ndi khansa, ndi zachilendo kumva mantha pang'ono komanso mantha mukamva mawu oti 'radiation therapy'. Komabe, mukamva mawu oti 'radiation to the whole body', mantha amenewo akhoza kukhala aakulu kwambiri. Koma Total Body Irradiation (TBI) yomwe tikukamba lero, ngati ikumveka bwino, ikhoza kukhala sitepe yofunika kwambiri komanso yotetezeka paulendo wanu wochiza. Choncho tiyeni tipeze mayankho a mafunso anu onse okhudza izi, sichoncho?
Kodi Total Body Irradiation (TBI) ndi chiyani?
Mwachidule, uwu ndi mtundu wa chithandizo cha radiation. Koma sizili ngati njira zina zochizira radiation. M'malo mongoyang'ana kwambiri pa chotupa chokha, TBI imapereka radiation yochepa kwambiri ku thupi lonse m'njira yowongoka.
Taganizirani izi ngati kukonzekera dothi m'munda mwanu wonse powonjezera feteleza pang'ono, osati kungochotsa udzu pang'ono. Cholinga chachikulu cha izi ndikukonzekeretsani gawo lalikulu lotsatira la chithandizo, lomwe ndi kuyika mafupa kapena kuyika maselo oyambira.
N’chifukwa chiyani mukufunikira chithandizochi?
Pali zifukwa zingapo zazikulu zomwe dokotala wanu angakulimbikitseni chithandizochi.
- Kuwononga maselo a khansa: Izi zimathandiza kuwononga maselo a khansa omwe amabisika m'malo ovuta kufikako, makamaka m'mafupa ndi m'mitsempha.
- Kuti mupeze malo oti mupake mafuta a m'mafupa: Ngati mwakonzekera kuti mupake mafuta a m'mafupa, chithandizochi chimathandiza kuchepetsa kuchuluka kwa maselo akale a m'mafupa kuti mupake malo a maselo atsopano komanso athanzi m'thupi lanu.
- Lamulirani chitetezo chanu chamthupi: Kuti kuyika mafupa mu mafupa kuyende bwino, chitetezo chamthupi chanu sichiyenera kukana maselo atsopano. Chithandizochi chimawongolera bwino ntchito ya chitetezo chamthupi chimenecho, ndikuwonjezera mwayi woti kuyika mafupa kuyende bwino.
Kodi chithandizo cha TBI chimagwiritsidwa ntchito pa matenda otani?
Kuunikira thupi lonse nthawi zambiri kumaperekedwa limodzi ndi mankhwala ena a khansa, monga chemotherapy. Nazi zina mwa matenda omwe angachiritsidwe nawo.
| Dzina la matenda (Mkhalidwe) | Chiyambi chachidule |
|---|---|
| Khansa ya m'magazi | Khansa ya magazi ndi mafupa. |
| Lymphoma | Khansa yomwe imapezeka mu dongosolo la lymphatic. |
| Myeloma yambiri | Khansa ya maselo a plasma m'mafupa. |
| Matenda a Myelodysplastic | Matenda omwe kupanga maselo athanzi m'magazi kumakhala kosakhazikika. |
Kodi chimachitika ndi chiyani musanalandire chithandizo komanso mukalandira chithandizo?
Kukonzekera musanalandire chithandizo
Izi zili ngati kuyeserera sewero. Musanayambe kupereka radiation yeniyeni, pamakhala 'msonkhano wokonzekera' (simulation) kuti mukonze chilichonse molondola. Panthawiyi, mumapita ku CT scan, ndipo katswiri wa radiation amatenga miyeso yofunikira. Thupi lanu limayikidwa pamalo enaake, ndipo zizindikiro zochepa zimayikidwa pakhungu kuti zikhalebe pamalo amenewo panthawi yonse ya chithandizo. Izi nthawi zambiri zimakhala zokhazikika, koma zazing'ono kwambiri, ngati kadontho mu tattoo.
Pa nthawi ya chithandizo
Mungafunike kukhala m'chipatala kwa masiku angapo pamene mukulandira chithandizo cha TBI. Izi ndi zomwe zimachitika panthawi ya chithandizo:
- Dokotala wothandiza odwala pogwiritsa ntchito radiation adzakuikani pamalo oyenera monga momwe anakonzera.
- Kuti achepetse mlingo wa kuwala kwa dzuwa ku ziwalo zina, monga mapapo, zishango zapadera zitha kuyikidwa pamwamba pa madera amenewo.
- Dokotala wothandiza odwala pogwiritsa ntchito radiation adzatuluka m'chipindamo. Mudzakhala nokha panthawi ya chithandizo. Koma musadandaule, adzakuyang'anirani ndi makamera, ndipo mutha kulankhula nawo kudzera pa intercom.
- Makina akuluakulu otchedwa linear accelerator amakuzungulirani ndipo amapereka kuwala kwa radiation.
Kawirikawiri, chithandizo chimodzi chimatenga mphindi 60. Mungakhalenso ndi mwayi wochita zinthu zina panthawiyi, monga kumvetsera nyimbo, ngati mukufuna. Anthu ambiri amalandira chithandizochi kawiri kapena katatu patsiku, kwa masiku atatu kapena asanu.
Chofunika kwambiri, chithandizochi sichipweteka konse . Simudzamva kuwala kulikonse kapena kumva makina akugunda thupi lanu.
Kodi zotsatirapo zake ndi zoopsa zake ndi ziti?
Monga chithandizo chilichonse cha khansa, TBI ikhoza kukhala ndi zotsatirapo zake. Koma nthawi zambiri izi zimatha kuthetsedwa. Zotsatirapo zake zimatha kusiyana malinga ndi kuchuluka kwa chithandizo chomwe mumalandira, mlingo wa radiation, komanso thanzi lanu lonse.
| Mtundu wa zotsatira zoyipa | Zoyenera kuyembekezera |
|---|---|
| Zotsatirapo za kanthawi kochepa (masiku angapo kapena milungu ingapo mutalandira chithandizo) | |
| Kusanza ndi kusanza | Kusanza ndi kusanza. Pali mankhwala oletsa izi. |
| Kutopa | Kumva kutopa kwambiri komanso kutopa. |
| Kutaya tsitsi | Kutaya tsitsi ndi kutayika kwa tsitsi m'thupi (nthawi zambiri kwakanthawi kochepa) |
| Kutsegula m'mimba | Kutupa m'mimba. |
| Kusintha kwa khungu | Khungu loyabwa, louma, kapena losintha mtundu. |
| Kuchepa kwa maselo amagazi | Izi zingayambitse chiopsezo chowonjezeka cha matenda, kutuluka magazi (monga kutuluka magazi m'mphuno , kutuluka magazi m'kamwa), komanso kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa iron. |
| Zotsatirapo za nthawi yayitali (zingachitike kawirikawiri) | |
| Matenda a Cataract | Kupindika kwa lenzi ya diso. |
| Zotsatira pa kuthekera kobereka ana (Kusabereka) | Pali chiopsezo cha kusabereka. |
| Kutupa kwa mapapo (Pulmonary Fibrosis) | Kutupa kwa minofu ya m'mapapo. |
| Hypothyroidism | Kuchepa kwa kupanga mahomoni a chithokomiro. |
Chofunika: Ngakhale kuti chiopsezo chotenga khansa yachiwiri mutatenga mafupa ophwanyidwa chingawonjezeke pang'ono, ndikofunikira kukumbukira kuti zoopsa za kusatenga mafupa ophwanyidwa ndi zazikulu kwambiri pa thanzi .
Kodi ndimadzisamalira bwanji nditalandira chithandizo?
Kuthana ndi zotsatirapo zake kungathandize nthawi ino kukhala yosavuta.
- Ngati mukumva nseru, pemphani mankhwala a nseru.
- Tsatirani malangizo a dokotala wanu okhudza kusamalira khungu. Ngati akukuuzani kuti mugwiritse ntchito mafuta odzola, onetsetsani kuti mwatero.
- Gonani bwino, ndipo ngati n'kotheka, yesetsani kugona maola osachepera 8 usiku uliwonse .
- Kambiranani za momwe mukumvera, mantha anu, ndi chisoni chanu ndi munthu amene mumamudalira kapena mlangizi.
- Mukatuluka kuchipatala, ngati n'kotheka, tengani nthawi yopuma kuntchito.
Ndiyenera kuyimbira dokotala nthawi yanji?
Ngati mukukumana ndi vuto lotere panthawi ya chithandizo kapena mutatha, muyenera kulankhula ndi dokotala nthawi yomweyo .
- Zizindikiro za kuzizira
- Malungo popanda chifukwa
- Kusintha kwa khungu monga kutupa ndi kutsekeka kwa khungu
Uthenga Wopita Nawo Kunyumba
- Kuunikira thupi lonse (TBI) ndi chithandizo chapadera cha radiation chomwe chimaperekedwa ku thupi lanu lonse pa mlingo wochepa kuti mukonzekere kusamutsidwa kwa mafupa.
- Mankhwalawa si opweteka, koma pakhoza kukhala zotsatirapo zoyipa kwakanthawi kochepa (monga nseru, kutopa, kutayika tsitsi). Izi zitha kuthetsedwa.
- Kambiranani momasuka ndi dokotala wanu za dongosolo lanu la chithandizo, zotsatira zake, ndi mantha kapena nkhawa zilizonse zomwe mungakhale nazo.
- Cholinga cha chithandizochi ndikuwononga maselo a khansa m'malo ovuta kufikako ndikuthandiza kuti opaleshoni yanu yoika mafupa ipambane.
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