Kutya nekuzvidya mwoyo kunouya mupfungwa dzedu patinoziva kuti tine kenza hakugone kutsanangurwa nemashoko. Asi nhasi, nesainzi yezvekurapa yepamusoro, kune nzira dzakawanda dzekurapa dzakanyanya kunaka dzekurapa nekudzora kenza. Nhasi, tiri kutaura nezvenzira yekurapa yaungangodaro usina kumbonzwa nezvayo, asi inoshanda zvikuru. Iyo inonzi Brachytherapy. Iyi inyanzvi yekurapa nemwaranzi inoshandiswa kuparadza masero ekenza.
Chii chinonzi Brachytherapy?
Zvichitaurwa zviri nyore, brachytherapy imhando yekurapa nemwaranzi yemukati megomarara. Mukurapa nemwaranzi yemazuva ano, muchina unobva kunze kwemuviri unoendesa mwaranzi kugomarara. Asi nzira iyi yakasiyana.
Pano, mudziyo, wakaita sembeu diki, mapellets, kana makapisi ane zvinhu zvine radioactive, unoiswa mubundu kana kuti pedyo naro. Funga nezvazvo sekubatidza girobhu diki remwenje pedyo nebundu. Mwaranzi inoburitswa nemudziyo uyu inoenda zvakananga kumasero ekenza uye inoaparadza.
Chinhu chikuru apa ndechekuti mwaranzi yakawanda inoendeswa zvakananga kugomarara, nepo kukuvara kwenyama ine hutano yakakomberedza gomarara kuri kushoma. Izvi zvinoita kuti pave nemigumisiro mishoma.
Dzimwe nguva mushonga uyu unoshandiswa wega. Dzimwe nguva unoshandiswa pamwe chete nedzimwe nzira dzekurapa kenza, dzakadai sekurapa nemwaranzi yekunze (EBRT) kana kuvhiyiwa.
Pane mhando huru dzebrachytherapy here?
Ehe, nzira iyi yekurapa inogona kukamurwa kuita mhando mbiri huru: ma "implants" enguva pfupi uye ma "permanent implants". Ngationei musiyano uripo.
| Rudzi rwekurapwa | Tsananguro |
|---|---|
| Zvigadzirwa zvechinguvana | |
| Mwero weDose Yakaderera (LDR) | Munzira iyi, mudziyo wemwaranzi unosara mumuviri kwemazuva 1 kusvika ku7, uchiramba uchiburitsa mwaranzi shoma. Mushure menguva yakatarwa, chiremba anobvisa mudziyo wacho. |
| Mwero weHigh-Dose (HDR) | Kurapwa kwemwaranzi yakawanda kunopihwa kwenguva pfupi, kazhinji maminetsi gumi kusvika makumi maviri. Mudziyo unobviswa pakupera kwekurapwa kwega kwega. Kurapwa kunogona kuitwa kaviri pazuva kwemazuva mashanu kana kamwe chete pasvondo kwemavhiki mashanu. |
| Zvigadzirwa Zvisingaperi | |
| Kudyara Mbeu | Munzira iyi, mbeu diki dzine radioactive dzinoiswa zvachose mubundu. Idzi dzinoburitsa radiation shoma kwemavhiki kana mwedzi yakati wandei. Nekufamba kwenguva, radioactivity inopera, uye mbeu dzisingashande dzinoramba dziri mumuviri. Hadzibviswi. |
Mushonga uyu unoshandiswa pamhando dzipi dzegomarara?
Brachytherapy inonyanya kushanda kune kenza dzemunzvimbo dzisina kupararira kune dzimwe nhengo dzemuviri. Dzimwe dzemhando dzekenza dzinonyanya kushandiswa kurapa uku ndeidzi:
- Kenza yeprostate
- Kenza dzevakadzi (semuenzaniso, kenza yemuchibereko, yemuromo wechibereko, kana yemudumbu)
- Kenza yemazamu
- Kenza yemaziso
- Kenza yemusoro nemutsipa
Unogadzirira sei usati warapwa?
Chiremba wako asati aronga kurapwa kwako, achakuongorora uye onyora nhoroondo yako yezvekurapa. Vangangodawo kuita zvinhu zvakaita sekuongororwa kweropa uye kuskena.
Chiremba wako achakupa mirairo yakajeka yezvaunofanira kuita usati warapwa. Kazhinji ungangokumbirwa kuita zvinhu zvakaita se:
- Rega kutora mishonga inokanganisa kuumbwa kweropa (semuenzaniso, mishonga inoderedza ropa (anticoagulants), mishonga inoderedza marwadzo yakaita seNSAIDs) kwenguva yakati, sezvakarairwa nachiremba wako.
- Kuchenesa ura uchishandisa enema usati warapwa.
- Rega kudya nekunwa kwemaawa mashoma usati waenda kuchipatara.
- Kurega zvachose kushandiswa kwefodya.
Zvakakosha kutevedzera mirairo iyi nemazvo.
Chii chinoitika panguva yekurapwa?
Nzira yekurapa inosiyana zvichienderana nerudzi rwegomarara raunaro uye rudzi rwebrachytherapy yaunosarudza (LDR, HDR, kana permanent). Inosiyanawo zvichienderana nekuti mudziyo wemwaranzi wakaiswa kupi.
- Interstitial brachytherapy: Apa ndipo panoiswa mudziyo zvakananga mukati mebundu. Nzira iyi inoshandiswa pakenza yeprostate, mamwe magomarara evakadzi, uye magomarara enyama yakapfava (sarcomas).
- Intracavity brachytherapy: Apa ndipo panoiswa mudziyo mukati megomba riri mumuviri, pedyo nebundu. Nzira iyi inowanzoshandiswa pakenza dzevakadzi dzakadai sedzemuchibereko nedzechibereko.
Uchapihwa mushonga wekurwadziwa (anesthesia) kuti usanzwe kurwadziwa panguva yekurapwa. Kana wangonzwa kugadzikana, chiremba weRadiation Oncologist achatevera matanho aya:
1. Kuisa catheter kana applicator: Chubhu (catheter) kana mudziyo (applicator) zvinoiswa kuti zviendese zvinhu zvine mwaranzi kunzvimbo yekenza. Izvi zvinotungamirirwa kunzvimbo chaiyo nekuongorora.
2. Kuiswa kwechinhu chinopa mwaranzi: Tevere, chinhu chinopa mwaranzi chinotumirwa nepachubhu chichipinda kana pedyo nebundu. Mwaranzi inoburitswa neizvi inoparadza masero ekenza.
3. Kubvisa mudziyo (kurapwa kwenguva pfupi chete): Munzira yeHDR, mudziyo unobviswa mushure mekurapwa kamwe chete. Munzira yeLDR, dzimwe nguva unobviswa mushure memazuva mashoma.
Mushure mekurapwa, mishonga inoderedza marwadzo inopihwa kuderedza marwadzo pakubvisa zvinhu zvakaita secatheter.
Ndezvipi zvakanakira uye mwero wekubudirira kwekurapwa?
Brachytherapy mushonga unoshanda zvikuru wegomarara risati rapararira.
- Kurwiswa nemwaranzi kwakanyanya kune mukana mukuru wekuparadza masero ekenza.
- Migumisiro yacho mishoma nekuti hapana kukuvara kudiki kunyama ine hutano.
- Nguva yekupora ipfupi pane dzimwe nzira dzekurapa kenza.
Kurapa uku kunoshanda sei?
Tsvagiridzo yakaratidza kuti brachytherapy inoshanda zvikuru mukurapa zvirwere zvakaita sekenza yemumuromo wechibereko nekenza yeprostate. Mune zvimwe zviitiko, kurapwa uku kwakakwanisa kurapa kenza zvachose uye kudzivirira kuti isadzoke.
Asi chinhu chimwe chete chekurangarira: Haasi kenza yese uye haasi murwere wese akafanana. Saka, zvakakosha kutaura nachiremba wako uye kunzwisisa zvizere mhedzisiro yaungatarisira kubva mukurapwa uku zvichienderana nemamiriro ako ezvinhu.
Pane njodzi kana migumisiro yakaipa here pakurapa uku?
Sezvinoitwa mune chero kurapwa, pane zvimwe zvinogona kukonzera migumisiro yakaipa. Zvinoenderana nerudzi rwegomarara riri kurapwa uye nzira yekurapa. Chinhu chakanakisa ndechekuti migumisiro yakawanda ndeyenguva pfupi. Mimwe inogona kugara kwenguva refu, asi inogona kugadziriswa.
Migumisiro yakajairika:
- Kuoma kwekuita weti kana kutadza kudzora weti (`(Kusagona kudzora weti)`)
- Kusashanda zvakanaka kwenhengo dzesikarudzi
- Mavanga ekubereka
- Kuneta
- Kuzvimba, manyoka, kana kuoma kudzora kufamba kwedumbu
- Kusvotwa nekurutsa
Chinonyanya kukosha ndechekuti migumisiro yacho inowanzo wanikwa chete kunhengo yemuviri yakarapwa. Semuenzaniso, kurapwa kweprostate kunogona kukonzera matambudziko eweti kana ura, asi kuda kurutsa hakuwanzoitiki.
Munhu akamborapwa nevamwe
Zvinotora nguva yakareba sei kuti upore?
Nguva yekupora mushure mekurapwa ne brachytherapy ipfupi kana tichienzanisa nedzimwe nzira dzekurapa kenza, dzakadai sekuvhiyiwa. Zvichienderana nerudzi rwekurapwa kwacho, unogona kunzwa zviri nani mukati memazuva mashoma kana vhiki. Zvakakosha kuzorora kwemazuva mashoma mushure mekurapwa uye kudzivirira mabasa anorema. Tangazve mabasa ako enguva dzose sezvakarairwa nachiremba wako.
Zvakachengeteka here kuva pedyo nemunhu akamborapwa?
Uyu mubvunzo unobvunzwa nevanhu vazhinji.
- Kana wakapihwa brachytherapy yenguva pfupi , hapana mwaranzi inosara mumuviri wako mushure mekunge mudziyo wabviswa, saka hapana njodzi yekubatana nevamwe.
- Kana wakagamuchira brachytherapy yenguva dzose (semuenzaniso kuisirwa mbeu), huwandu hushoma hwemwaranzi huchaburitswa mumuviri wako kwemavhiki kana mwedzi yakati wandei.
Asi musazvidya moyo. Mwaranzi iyi inofamba daro diki kunze kwemuviri. Ndosaka isingakuvadzi nyama dzine hutano dzakakomberedza kenza. Saka njodzi kune vamwe idiki zvikuru. Zvisinei, senzira yekudzivirira , vanachiremba vanowanzo kurudzira vakadzi vane pamuviri nevana vadiki kuti vasasangana kwenguva yakareba pakutanga.
Unofanira kuona chiremba rini?
Udza chiremba wako nekukasika kana ukaona zviratidzo zvinotevera panguva yekurapwa kana mushure mekurapwa:
- Kuoma kufema kana kumedza
- Kurwadziwa kwakanyanya mudumbu, kurutsa, kana manyoka
- Kusakwanisa kudzora weti kana tsvina
Mharidzo Yekuenda Nayo Kumba
- Brachytherapy inzira yepamusoro yekurapa inoisa chiedza mukati kana pedyo zvakanyanya nebundu kuti irwise uye iparadze masero egomarara.
- Chinhu chikuru chinoita kuti izvi zvisaitike ndechekuti kukuvara kwenyama ine hutano kushoma uye nekudaro migumisiro yacho inoderera.
- Izvi zvinonyanya kushanda kune kenza dzisina kupararira kune dzimwe nhengo dzemuviri.
- Kune mhando mbiri: dzenguva pfupi nedzechigarire. Chiremba wako ndiye achasarudza kuti ndeipi nzira yakakunakira.
- Kunyange hazvo migumisiro yacho ichigoneka, inowanzo gadziriswa uye inongogumira panzvimbo yakarapwa.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba wako nokungwarira usati watanga kurapwa, panguva yekurapwa, uye mushure mekurapwa.
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