Xa wena okanye umntu omthandayo nifunyaniswa ukuba ninomhlaza, kusenokwenzeka ukuba nikhe nakuva "ngonyango lwemitha." Elo gama linokuba loyikisa kancinci. Kodwa ngokuhambela phambili kwesayensi yezonyango, olu nyango luye lwaba lukhuselekile kwaye luchaneke ngakumbi. Namhlanje, sithetha ngonyango oluphambili kakhulu olujolise kuphela kwiiseli zomhlaza kwaye lunciphisa umonakalo kwiiseli eziphilileyo ezingqongileyo. Lubizwa ngokuba yi-IMRT.
Kalula nje, yintoni i-IMRT?
I-IMRT imele i-Intensity-Modulated Radiation Therapy . Olu luhlobo lonyango lwe-radiation lomhlaza. Khawuthelekelele ukuba unetotshi eqhelekileyo esandleni sakho. Xa uyivula, ikhanyisa indawo enkulu, akunjalo? Kodwa ukuba ufuna ukukhanyisa indawo encinci, udinga into efana netotshi yelaser.
Kunjalo ke. Kwi-radiation therapy eqhelekileyo, i-radiation beam igxile kwi-tumor kwindawo efanayo, ebanzi kancinci. Kodwa kwi-IMRT, sisebenzisa ubuchwepheshe obuphambili kakhulu ukwandisa okanye ukunciphisa amandla e-radiation beam.
Ngamafutshane, le teknoloji inokuthumela umqadi oqinileyo embindini wethumba, apho kukho iiseli ezininzi, kunye nomqadi oqinileyo kangako emaphethelweni ethumba, apho izicubu eziphilileyo zikufutshane. Olu nyango lunikezelwa ngomatshini obizwa ngokuba yi-``Linear Accelerator'' okanye ``LINAC''. Lo matshini awuze uwuchukumise umzimba wakho. Wenza unyango kude.
Eyona njongo iphambili yale ndlela kukunciphisa ukuvezwa kwimitha kwizitho zomzimba ezibuthathaka nezisempilweni ezijikeleze umhlaza ngelixa kusenza umonakalo omkhulu kwiiseli zomhlaza.
Kutheni unyango lwe-IMRT lubaluleke kangaka?
Iithumba ezinomhlaza zinokwakheka kwiindawo ezahlukeneyo zomzimba wethu. Ngamanye amaxesha, zinokuvela kufutshane nezitho ezinobuthathaka kakhulu ezifana nobuchopho, umqolo, kunye nemithambo-luvo yamehlo. Xa unyanga umhlaza kwindawo enjalo ngemitha, kunokuba nzima ukuphepha ukonakalisa ezo zitho zibuthathaka.
Ngenxa yokuchaneka kwendlela ye-IMRT, lukhetho oluhle kakhulu lokunyanga umhlaza kwiindawo ezinobuzaza ezifana nezi. Ijolise ngqo kumhlaza kwaye iwunyange, ngelixa inciphisa kakhulu umonakalo kwizicwili eziphilileyo ezingqongileyo. Ke ngoko, umngcipheko weziphumo ebezingalindelekanga uphantsi.
Ezinye zezona ntlobo zixhaphakileyo zomhlaza ezisetyenziselwa i-IMRT zezi:
- Umhlaza webele
- Umhlaza womlomo wesibeleko
- Umhlaza wamathumbu amakhulu
- Umhlaza wemiphunga
- Umhlaza weprostate
- Umhlaza wesisu
- Umhlaza wesibeleko kunye nezinye iintlobo ezininzi zomhlaza.
Ngubani oceba aze anikezele ngolu nyango?
Olu asilotyando lomntu omnye. Olu luliqaba . Iingcali ezininzi ezinobuchule ziyasebenzisana ukuze unyango lwakho luphumelele. Makhe sijonge elo qela.
| Ilungu leqela | Umsebenzi owenziwayo |
|---|---|
| Ingcali yomhlaza wemisebe | Nguye odala kwaye ajonge isicwangciso sakho esipheleleyo sonyango. |
| Ingcali yeFiziksi yezonyango kunye neDosimetrist | Aba ngabantu abasebenzisa iikhompyutha ukuyila ngokuchanekileyo imo, ubukhali, kunye nomthamo wemitha yemitha efunekayo kumhlaza. |
| Ingcali yoNyango lweMisebe | Ngeentsuku zonyango, eli gosa liza kukubeka kwindawo efanelekileyo, lisebenzise umatshini we-LINAC, kwaye lilawule unyango. |
Kwenzeka ntoni ngaphambi konyango? (Iseshoni yokulinganisa)
Ngaphambi kokuba unyango lokwenyani luqale, kukho "iseshoni yokucwangcisa." Oku kubizwa ngokuba yi-`(simulation)` okanye `(sim)`. Kulapho lonke ulwazi olufunekayo ukucwangcisa unyango luqokelelwa khona.
Kwenzeka ntoni kule seshoni?
- Iiskeni: Uza kwenziwa i-CT scan ukuze ubone ukuba iphi kanye kanye ithumba lakho, ubungakanani balo, kunye nokuma kwalo. Ngamanye amaxesha i-MRI okanye i-PET scan nayo inokwenziwa.
- Ukuphawula: Yonke imihla yonyango, uza kubekwa kwindawo enye, kwaye amachaphaza amancinci kakhulu aza kufakwa eluswini lwakho, njengetattoo. La machaphaza aya kubonakala njengamachaphaza amancinci. La machaphaza kuya kufuneka agcinwe endaweni yawo de unyango lugqitywe.
- Ukufakelwa komzimba:Kubaluleke kakhulu ukuba uhlale ungashukumi ngexesha lonyango. Ukuze uncede koku, ungasebenzisa 'isikhunta' esikhethekileyo esenzelwe ukulingana nomzimba wakho.
Iqela lezonyango lisebenzisa ulwazi olufunyenwe kule seshoni ye-`(sim)` ukwenza imisebe yemitha eyenzelwe umhlaza wakho.
Kwenzeka ntoni ngexesha lonyango?
Ishedyuli yonyango iya kwahluka ngokuxhomekeke kuhlobo lomhlaza onawo. Ngokwesiqhelo, uya kufumana unyango yonke imihla (ukusuka ngoMvulo ukuya ngoLwesihlanu) kangangeeveki ezininzi. Iseshoni nganye iya kuthatha malunga nemizuzu engama-30.
Ngexesha lonyango:
- Ubekwe kwindawo usebenzisa iimolds, kanye njengokuba ubunjalo kuloo seshoni ye-`(sim)`.
- Emva koko ingcali ye-radiation therapist ingena kwigumbi elahlukileyo ize ivule umatshini othi ``LINAC```. Ingakujonga kwiscreen. Kukwakho nenkqubo ethi ``intercom``` enivumela ukuba nithethe omnye nomnye.
- Lo matshini ujikeleza ubuyela umva njengoko ukhupha imisebe yemitha evela kwiikona ezahlukeneyo. Usenokuva isandi esithi 'cofa', 'cofa' ngeli xesha. Oku kuqhelekile, ungakhathazeki.
Okubaluleke kakhulu, unyango lwe-IMRT alunantlungu kwaphela . Awuyi kuva imitha ngexesha lonyango.
Uzinyamekela njani ngexesha lokuchacha?
Umzimba wakho udinga ukuphumla okwaneleyo ngexesha nasemva konyango. Nazi ezinye izinto ezinokukunceda uphile ngokukhawuleza:
- Phumla ngokwaneleyo. Nika umzimba wakho ixesha lokuphola.
- Yitya ukutya okunempilo kwaye usele amanzi amaninzi.
- Lumka kakhulu ulusu lwakho: Ulusu olukwindawo enyangiweyo lunokuba nobuthathaka kakhulu.
- Nxiba impahla ekhululekileyo, yekotoni.
- Sebenzisa iisepha kunye nezinto zokuhlamba umzimba ezingenazo iziqholo okanye iikhemikhali ezinobungozi.
- Musa ukubeka iibhotile zamanzi ashushu okanye iipakethe zomkhenkce eluswini olunyangiweyo.
- Gquma indawo xa uphuma elangeni. Ukuba awukwazi ukuyigquma, sebenzisa i-sunscreen efanelekileyo.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Uza kukuchazela ngemiphumo emibi enokubakho kunye noko ungakulindela ngexesha lokuchacha kwakho.
Umyalezo Wokuya Ekhaya
- I-IMRT yindlela yonyango lwemitha ephucukileyo nechanekileyo yomhlaza.
- Eyona nzuzo iphambili yoku kukuba ijolise kwiiseli zomhlaza ngelixa inciphisa umonakalo kwizicubu eziphilileyo ezijikelezileyo.
- Ngaphambi kokuba unyango luqale, kufuneka kuhlolwe kwaye kucwangciswe ngononophelo liqela leengcali.
- Akukho ntlungu ngexesha lonyango.
- Ukuba unemibuzo, iinkxalabo, okanye uloyiko malunga nonyango, thetha ngokukhululekileyo nogqirha wakho ngalo mba.
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