Khawuthelekelele ukuba omnye wabathandekayo bakho kufuneka etyandwe ngenxa yomhlaza. Emva kotyando, kufuneka babuyele esibhedlele kangangeentsuku, mhlawumbi iiveki, ukuze bafumane unyango lwemitha. Kudinisa kangakanani oko? Kodwa ungamangaliswa kukufumanisa ukuba kukho indlela yokwenza konke oku ngosuku olunye, ngexesha elinye notyando. Le yindlela entsha nephumelelayo kakhulu yonyango esithetha ngayo namhlanje.
Kalula nje, yintoni i-IORT?
Intsingiselo epheleleyo ye-IORT yi-Intraoperative Radiation Therapy. NgesiSinhala, ithetha "unyango lwe-radiation olunikezelwa ngexesha lotyando" . Le yindlela ekhethekileyo yonyango lomhlaza.
Okwenzekayo yile:
Ugqirha wakho uza kwenza utyando lokususa ithumba ngokupheleleyo. Emva koko, ugqirha we-radiation oncologist uza kuhambisa idosi yemitha ejolise kakhulu kwindawo apho ithumba lalikhona, apho kusenokuba kukho naziphi na iiseli zomhlaza.
Injongo ephambili yoku kukunciphisa amathuba okuba umhlaza ubuye kwindawo enye emva kotyando.
Lolu nyango lusetyenziselwa ziphi iintlobo zomhlaza?
Nangona le ndlela yonyango lwe-IORT ingasetyenziselwa iintlobo ezahlukeneyo zomhlaza, isetyenziswa kakhulu kumhlaza wamabele eSri Lanka, njengoko isetyenziswa nasemhlabeni.
Ukongeza, le ndlela ikwasetyenziswa nakwezinye iintlobo ezininzi zomhlaza.
- Umhlaza wolusu
- Umhlaza wamathumbu amakhulu
- Umhlaza wezifo zabasetyhini
- Umhlaza womqolo
Ngubani unyango lwe-IORT olufaneleke kakhulu kuye?
Lo ngumbuzo obaluleke kakhulu. Unyango lwe-IORT alufanelekanga kubo bonke abaguli abanomhlaza. Zininzi izinto ezichaphazela ukuba olu nyango lufanelekile na kumntu okanye hayi.
- Uhlobo lomhlaza onalo
- Ubungakanani kunye nohlobo lwethumba lomhlaza
- Imeko yakho yempilo iyonke
Isigqibo sokugqibela malunga noku siza kwenziwa ngugqirha wakho kunye nogqirha we-radiation kunye, emva kokuhlolwa ngokupheleleyo kwemeko yakho. Kungoko ke, kubaluleke kakhulu ukuthetha ngokukhululekileyo nogqirha wakho ngale nto.
Kwenzeka ntoni ngexesha lonyango?
Ngomhla wonyango, uza kunikwa i-anesthesia eqhelekileyo, ngoko ke uza kube ulele kulo lonke inkqubo. Ngoko ke awuyi kuva ntlungu. Nazi amanyathelo alula abandakanyekayo.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukususwa kwethumba | Ugqirha uyayisusa ngokupheleleyo ithumba ngotyando. |
| 2. Ukufaka isixhobo | Isixhobo esikhethekileyo (i-applicator) esenzelwe ngokukodwa ukuhambisa imitha sifakwa kwindawo engenanto apho ithumba lisusiwe khona. |
| 3. Ukunika imitha | Ingcali yezonyango ngemitha inika idosi emiselweyo yemitha ngesixhobo, ijolise kuphela kwizicubu ezingqongileyo apho kwakukho khona ithumba. |
| 4. Ukususa isixhobo | Nje ukuba imitha ifike, isixhobo esikhethekileyo siyasuswa. |
| 5. Ukuthunga inxeba | Ekugqibeleni, ugqirha otyandayo uthunga inxeba elivalekileyo. |
Zithini iingenelo zonyango lwe-IORT?
Kwi-radiation therapy yesintu, izigulane kufuneka zize esibhedlele yonke imihla kangangeeveki ezininzi ukuze zifumane unyango. Kodwa nge-IORT, lonke unyango lweradiation lunokwenziwa kwiseshoni enye, oko kukuthi, ngosuku olunye notyando. Le yeyona nzuzo inkulu.
Ngamafutshane, oko kukugcinela ubunzima, ixesha, kunye neendleko zokuya esibhedlele kangangeeveki.
Kukho ezinye izibonelelo ezininzi:
- Inani elincinci leeseshoni zonyango: Lonke unyango lwemitha lunokwenziwa kwiseshoni enye.
- Umonakalo omncinci kwizicwili eziphilileyo ezijikelezileyo: Ekubeni imitha ithunyelwa ngqo kwindawo yomhlaza, ukuvezwa kwemitha kwizitho eziphilileyo ezijikelezileyo ezifana nemiphunga, intliziyo, nolusu kuyancitshiswa.
- Umngcipheko weziphumo ebezingalindelekanga uphantsi:Ngesizathu esifanayo, kukho umngcipheko omncinci weziphumo ebezingalindelekanga kunakwindlela yendabuko.
Umahluko phakathi konyango lwe-radiation oluqhelekileyo (i-EBRT) kunye ne-IORT
Ukuze uqonde ngokucacileyo umahluko ophambili phakathi kwezi ndlela zimbini, jonga le theyibhile .
| Uphawu | Unyango lwe-radiation oluqhelekileyo (EBRT) | Unyango lwe-IORT |
|---|---|---|
| Indlela yokunika imitha | Umatshini ongaphandle komzimba uqondisa imisebe yemitha emzimbeni. | Ngexesha lotyando, kufakwa isixhobo emzimbeni size sithumele imitha ngqo kwindawo ekujoliswe kuyo. |
| Ixesha lonyango | Unyango kufuneka lufunyanwe imihla ngemihla kangangeeveki eziliqela. | Unyango lugqitywa kwiseshoni enye ngexesha lotyando. |
| Idosi yokukhupha imisebe | Idosi ephantsi yemitha inikwa imihla ngemihla ukukhusela izicwili ezisempilweni. | Umthamo omkhulu wemitha ungathunyelwa kwindawo ekujoliswe kuyo kuphela ngaxeshanye. |
| Impembelelo kwizicwili ezijikelezileyo | Imitha ethile inokufikelela nakwizicwili eziphilileyo ezijikeleze umhlaza. | Ukuvezwa kwimitha kwizicwili eziphilileyo ezijikelezileyo kuncinci kakhulu. |
Uzakufowunela nini ugqirha
Iziphumo ebezingalindelekanga ezinzulu zihlala zingaqhelekanga emva konyango lwe-IORT. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo ziqatha okanye ezingalindelekanga , xelela ugqirha wakho ngoko nangoko.
- Ukopha kakhulu kwinxeba lotyando
- Ulwelo olufana nobovu oluphuma enxebeni
- Umkhuhlane okanye ukuziva ubanda
Unyango lomhlaza luhambo olunzima ngokwasemzimbeni nangokwengqondo. Ukuya esibhedlele yonke imihla nokunyamezela iziphumo zonyango konke oku kunokuba luxinzelelo. I-IORT ingaba sisisombululo esisebenzayo kakhulu esinokwenza olu hambo lube lula kwabanye abaguli.
Kodwa njengoko besitshilo ngaphambili, i-IORT ayilungelanga wonke umntu. Iqela lakho lezonyango liza kugqiba ukuba loluphi unyango olulungele wena, oluneziphumo ezibi kakhulu, kwaye liza kukunika iziphumo ezilungileyo. Ngoko ke nokuba ufumana i-IORT okanye akunjalo, thetha nogqirha wakho ngokudinwa kwakho, uxinzelelo, kunye neziphumo ezibi. Baya kukwazi ukukunika inkxaso oyifunayo.
Umyalezo Wokuya Ekhaya
- IORT yindlela yokunika unyango lwemitha ngaxeshanye notyando lomhlaza.
- Eyona nzuzo inkulu yoku kukuba iiveki zonyango lwemitha zingagqitywa ngosuku olunye, kwiseshoni enye.
- Ngenxa yokuba imitha ithunyelwa ngqo kwindawo ekujoliswe kuyo, akukho monakalo mkhulu kunye nemiphumo emibi kwizicubu eziphilileyo ezingqongileyo.
- Olu nyango alufanelekanga kubo bonke abaguli abanomhlaza. Isigqibo sokugqibela malunga noku siza kwenziwa liqela lakho lezonyango.
- Ukuba ufuna ukufunda okungakumbi ngolu nyango okanye ukuba lukulungele, thetha nogqirha wakho.
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