Kodi chithandizo cha Y-90 chomwe chingachepetse khansa ya chiwindi ndi chiyani?

Dokotala akakuuzani kapena munthu amene mumamudziwa kuti ali ndi khansa ya chiwindi ndipo akunena kuti opaleshoni siingatheke, ndi zachilendo kumva mantha ndi nkhawa zambiri. Mwina mumadzifunsa kuti, "Ndichite chiyani tsopano?" Komabe, ndi kupita patsogolo kwa zamankhwala amakono, pali mankhwala omwe angatipatse mpumulo waukulu komanso chiyembekezo ngakhale pazochitika zotere. Lero, tikambirana za chithandizo chapadera komanso chapamwamba chotere. Umenewo ndi chithandizo cha Y-90.

Chabwino, ndiye chithandizo cha Y-90 ichi ndi chiyani?

Mwachidule, chithandizo cha Y-90 ndi mtundu wa chithandizo cha radiation chomwe chimayang'aniridwa makamaka ndi khansa ya chiwindi. "Y-90" apa ndi dzina lalifupi la mankhwala a radiation "Yttrium-90".

Taganizirani za khansa ngati msasa wa mdani woipa. Mitsempha yamagazi yomwe imapereka magazi ku msasawo ili ngati misewu yomwe imanyamula chakudya ndi zakumwa kupita ku msasawo. Pa chithandizochi, madokotala amaika mikanda yambirimbiri ya microscopic yokhala ndi mankhwala otchedwa Y-90, omwe ndi ang'onoang'ono kwambiri moti sangawonekere ndi maso, mu mtsempha waukulu wamagazi womwe umapatsa magazi ku khansayo.

Tinthu ting'onoting'ono timeneti timadutsa m'magazi ndikukhazikika m'mitsempha yaying'ono yamagazi mkati mwa chotupacho. Tikakhazikika pamenepo, timapereka mphamvu zambiri za kuwala mwachindunji ku maselo a khansa. Chabwino kwambiri ndichakuti kuwala kumeneku kumayang'ana kwambiri malo ochepa kwambiri, kotero palibe kuwonongeka kwakukulu kapena palibe kuwonongeka kulikonse kwa minofu yathanzi ya chiwindi yozungulira chotupacho.

Chithandizochi chimadziwika ndi mayina ena angapo, mwachitsanzo, ``Transarterial Radioembolization - TARE'' ndi ``Selective Internal Radiation Therapy - SIRT'', zomwe dokotala wanu angagwiritse ntchito.

Kodi chithandizochi ndi choyenera kwa ndani?

Dokotala wanu adzasankha ngati chithandizochi chili choyenera kwa inu. Kawirikawiri, chithandizo cha Y-90 chimalimbikitsidwa pazochitika zotsatirazi:

• Kwa iwo omwe ali ndi khansa yomwe idachokera ku chiwindi (khansa yoyamba).
• Kwa iwo omwe ali ndi khansa yomwe yafalikira ku chiwindi (kansa yofalikira) kuchokera kwina.
• Amagwiritsidwanso ntchito pa mitundu ina ya khansa ya ndulu.

Chithandizochi nthawi zambiri chimaganiziridwa pamene opaleshoni siingathe kuchotsa chotupa cha khansa.Nthawi zina, khansa imakhala pafupi kwambiri ndi mitsempha yayikulu yamagazi, ndipo opaleshoni ikhoza kuwononga chiwindi kwambiri. Pazochitika zotere, chithandizo cha Y-90 chingathe kulamulira kukula kwa khansa ndikusunga ntchito ya chiwindi.

Chinthu china chofunika ndi chakuti kwa anthu ena, pambuyo poti chithandizo choyamba cha Y-90 chachepetsa chotupacho, akhoza kuchitidwa opaleshoni kapena kuikidwa chiwindi pambuyo pake. Ichi chingakhale sitepe yofunika kwambiri panjira yochira.

Kodi mumakonzekera bwanji musanalandire chithandizo?

Musanayambe kulandira chithandizo, dokotala wanu adzakuyang'anirani mosamala kuti atsimikizire kuti muli ndi thanzi labwino. Izi nthawi zambiri zimaphatikizapo:

• Kuwunika thupi
• Kuyezetsa magazi
• Mayeso a ntchito ya chiwindi

Kuphatikiza apo, dokotala wanu adzakambirana nanu momveka bwino zinthu izi musanalandire chithandizo:

• Mbiri yanu yonse ya matenda, ziwengo zilizonse zomwe muli nazo, komanso ngati muli ndi pakati.
• Ndi mankhwala ati omwe mukumwa panopa komanso ndi mankhwala ati omwe muyenera kusiya kumwa musanalandire chithandizo.
• Muyenera kukonza kuti wina akutengereni kunyumba mukatha kulandira chithandizo.
• Musanalandire chithandizo, nthawi yakwana yoti musiye kudya ndi kumwa.
• Za njira yonse ya chithandizo.

Ino ndi nthawi yabwino yofunsa dokotala mafunso kapena kukayikira kulikonse komwe mungakhale nako.

Kodi tikambirane za momwe chithandizochi chimagwirira ntchito?

Chithandizo cha Y-90 chimakhala ndi magawo awiri akuluakulu. Nthawi zambiri awiriwa amachitidwa mobwerezabwereza kwa milungu iwiri. Njirayi imatsogozedwa ndi dokotala waluso.

Kodi ubwino wa chithandizo cha Y-90 ndi wotani?

Chithandizo cha Y-90 chili ndi ubwino wambiri poyerekeza ndi chithandizo cha radiation chachikhalidwe (EBRT).

• Chithandizo Cholunjika: Popeza kuwala kwa dzuwa kumapita mwachindunji ku khansa, palibe kuwonongeka kwakukulu kwa minofu yathanzi. Chifukwa chake, pali zotsatirapo zochepa.
• Kumawononga pang'ono: Palibe mabala akuluakulu ochitidwa opaleshoni. Amachitidwa kudzera mu kudula pang'ono kwambiri, monga kulowetsa singano. Chifukwa chake, nthawi yochira ndi yochepa ndipo palibe zipsera.
• Kuchira mwachangu: Mutha kubwerera ku moyo wabwinobwino mwachangu kuposa opaleshoni yayikulu.

Kodi pali zotsatirapo kapena zoopsa zilizonse?

Monga momwe zimakhalira ndi chithandizo chilichonse chamankhwala, pali kuthekera kwa zotsatirapo zazing'ono komanso zovuta zina zomwe sizimachitika kawirikawiri.

Matenda omwe amawonedwa kawirikawiri

Ndi zachilendo kumva kutopa kwa sabata imodzi kapena ziwiri mutalandira chithandizo. Anthu ena amatha kukhala ndi vuto lotchedwa post-embolization syndrome (PES) . Izi zikuphatikizapo:

• Kusanza ndi kusanza
• Chilakolako cha chakudya
• Kupweteka m'mimba
• Kumva kutentha thupi

Zizindikiro zimenezi nthawi zambiri zimayamba patatha masiku atatu ndipo zimatha mkati mwa sabata imodzi. Ngati mukukumana ndi zizindikirozi, uzani dokotala wanu kuti akupatseni mankhwala oyenera.

Zovuta zachilendo

• Matenda: Matenda amatha kuchitika pamalo pomwe catheter imayikidwa. Izi zingafunike maantibayotiki.
• Matenda a ziwengo: N'zotheka kukhala ndi vuto la ziwengo monga utoto womwe umagwiritsidwa ntchito. Ndicho chifukwa chake dokotala adzakufunsani za matenda anu a ziwengo musanachite izi.
• Zilonda zam'mimba: Nthawi zambiri, izi zimachitika ngati tinthu ta Y-90 talowa m'mimba kapena m'matumbo ang'onoang'ono. Komabe, chiopsezochi n'chochepa kwambiri chifukwa dokotala amatseka mitsempha yamagazi m'malo amenewo panthawi ya angiogram.

Ndiyenera kusamala ndi chiyani ndikalandira chithandizo?

Pumulani bwino kwa masiku angapo mutatha kulandira chithandizo. Tsatirani malangizo a dokotala wanu mosamala, makamaka malamulo aliwonse okhudza kuyendetsa galimoto ndi kuchita masewera olimbitsa thupi.

Chinthu china chofunika ndi chokhudza radioactivity. Ngakhale mutapita kunyumba kuchokera kuchipatala, mphamvu yochepa ya radiation kuchokera ku tinthu ta Y-90 imatulutsidwa kwa masiku angapo. Choncho dokotala wanu angakupatseni upangiri monga uwu:

• Pewani kugona pabedi limodzi ndi mnzanu kwa masiku angapo.
• Pewani kukhala pafupi ndi munthu wina kwa nthawi yayitali.
• Chepetsani kukhudzana kwambiri ndi amayi apakati komanso omwe ali ndi chitetezo chamthupi chofooka.

Ngati muli ndi malungo, mukumva kuzizira, muli ndi kutupa, kufiira, kapena kutentha komwe katheta inayikidwa, muli ndi kupweteka kwambiri m'mimba, kapena dzanzi m'miyendo yanu, dziwitsani dokotala wanu nthawi yomweyo .

Ndizachibadwa kuchita mantha mukaganiza zoika mankhwala owononga mphamvu m'thupi lanu. Komabe, chithandizo cha Y-90 ndi njira yotetezeka komanso yothandiza kwambiri yochizira khansa ya chiwindi. Ingakupatseninso mphamvu zokhala ndi moyo wautali popanda zizindikiro za khansa. Chifukwa chake, ngati dokotala wanu akukulangizani chithandizochi, lankhulani naye mosamala ndipo funsani mafunso anu onse.