Uma udokotela wakho ekutshela noma othile omaziyo ukuthi unomdlavuza, cishe ukhuluma ngokwelashwa ngemisebe, akunjalo? Abantu abaningi bacabanga ngokwelashwa ngemisebe njengomshini omkhulu nje odubula imisebe emzimbeni. Leyo yindlela eyodwa nje. Kodwa-ke, kukhona indlela ekhethekile eya ngqo esigaxeni somdlavuza futhi ngezinye izikhathi ifaka into ekhipha imisebe ngaphakathi kuso. Kufana nokuhlasela isitha lapho sikhona. Namuhla sikhuluma nge-Brachytherapy, ukwelashwa abantu abaningi abangakaze bakuzwe, kodwa kuyindlela yokwelapha ephumelela kakhulu.
Kuyini i-Brachytherapy ngamagama alula?
Kalula nje, i-Brachytherapy uhlobo lokwelashwa ngemisebe yangaphakathi . Kuhilela ukubeka imbewu encane, ama-pellets, noma ama-capsule aqukethe izinto ezikhipha imisebe ngaphakathi noma eduze kakhulu nesimila. Lezi zimila zikhipha imisebe isikhathi esifushane, zibulale amangqamuzana omdlavuza.
Cabanga nje ukuthi kukhona indawo eyodwa yokungcola ekamelweni. Kungaba nempumelelo engakanani uma ungaya endaweni lapho kukhona khona ukungcola bese uwufutha esikhundleni sokufutha lonke igumbi? Yileyo ndlela lokhu kwelashwa okusebenza ngayo. Ngenxa yokuthi imisebe ihloselwe umdlavuza, ingaletha umthamo onamandla wemisebe owanele ukubulala amangqamuzana omdlavuza. Futhi, umonakalo kumaseli aphilile azungeze umdlavuza mncane kakhulu .
Ngezinye izikhathi ungase wenziwe i-brachytherapy yodwa. Noma, ingahlanganiswa nezinye izindlela zokwelapha umdlavuza, njengokwelashwa ngemisebe yangaphandle (i-EBRT) noma ukuhlinzwa. Lokhu kuzonqunywa udokotela wakho, kuye ngohlobo lomdlavuza onawo.
Yiziphi izinhlobo eziyinhloko zalokhu kwelashwa?
Lezi zinto ezisebenzisa imisebe (izimila) ezifakwa emzimbeni ngesikhathi sokwelashwa nge-brachytherapy zingahlukaniswa zibe izinhlobo ezimbili eziyinhloko. Okungukuthi, lezo ezifakwa okwesikhashana bese zisuswa, kanye nalezo ezihlala emzimbeni unomphela. Ake sibone ukuthi ziyini lezi.
| Uhlobo lokwelashwa | Indlela esebenza ngayo kanye nencazelo |
|---|---|
| 1. Izimila Zesikhashana | |
| Izinga Lomthamo Ophansi (LDR) | Ngale ndlela, izinto ezinemisebe ephansi zishiywa emzimbeni cishe usuku olulodwa kuya kweziyisikhombisa, bese udokotela ezikhipha. Phakathi nalesi sikhathi, kuzodingeka uhlale esibhedlela. |
| Izinga Lomthamo Ophakeme (i-HDR) | Okwenzekayo lapha ukuthi kunikezwa umthamo omkhulu kakhulu wemisebe esikhathini esifushane, njengemizuzu eyi-10-20. Ngemva kweseshini eyodwa, izinto ziyasuswa. Kudingeka kwenziwe izikhathi eziningana ezinjengalezi. Mhlawumbe kabili ngosuku izinsuku ezinhlanu, noma kanye ngesonto amasonto amahlanu. |
| 2. Izimila Ezihlala Njalo | |
| Ukufakelwa Kwembewu | Ngale ndlela, imbewu enemisebe, encane kunenhlamvu yelayisi, itshalwa unomphela emzimbeni. Lezi zikhipha imisebe kancane kancane esikhathini esingamasonto noma izinyanga. Ngokuhamba kwesikhathi, ukusebenza kwayo ngemisebe kuyanyamalala ngokuphelele bese kuba yinto engasebenzi. Kodwa-ke, imbewu encane ihlala emzimbeni futhi ayibangeli monakalo. |
Yiziphi izinhlobo zomdlavuza eziphathwa nge-brachytherapy?
I-Brachytherapy iphumelela kakhulu kumdlavuza wendawo ongakasabalali kwezinye izingxenye zomzimba . Lokhu kusho ukuthi umdlavuza usendaweni efanayo lapho waqala khona. Nazi ezinye zezinhlobo zomdlavuza ezivame kakhulu okusetshenziswa kuzo lokhu kwelashwa:
- Umdlavuza we-prostate
- Umdlavuza wezifo zabesifazane - isibonelo, umdlavuza wesibeletho, umdlavuza wesibeletho, noma umdlavuza wesitho sangasese sowesifazane
- Umdlavuza webele
- Umdlavuza wamehlo
- Umdlavuza wekhanda nentamo
Ngingalungiselela kanjani ngaphambi kwalokhu kwelashwa?
Ngaphambi kokuba wenze lokhu kwelashwa, udokotela wakho uzokuxilonga kahle. Uzoxoxa ngomlando wakho wezokwelapha ophelele. Uzophinde akucele ukuhlolwa kwegazi kanye nezinqubo zokuthwebula izithombe, njenge-CT scan, ukuze ahlele ukwelashwa kwakho.
Ngaphezu kwalokho, udokotela wakho uzokunikeza imiyalelo ekhethekile okufanele uyilandele ezinsukwini ezimbalwa ngaphambi kokwelashwa kwakho. Eminye yale miyalelo ihlanganisa:
- Eminye imithi ethinta ukujiya kwegazi, isibonelo imithi yokunciphisa ukujiya kwegazi noma imithi yokunciphisa ubuhlungu (ama-NSAID), ingase iyekwe okwesikhashana.
- Ungase ucelwe ukuthi usebenzise i-enema ukuhlanza amathumbu akho ngaphambi kokwelashwa.
- Uzocelwa ukuthi uzile ukudla amahora amaningana ngaphambi kokwelashwa.
- Uma usebenzisa imikhiqizo kagwayi, uzokwaziswa ukuthi uyeke.
Konke lokhu kwenzelwa ukwenza ukwelashwa kuphephe futhi kuphumelele ngangokunokwenzeka. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
Kwenzekani ngempela ngesikhathi sokwelashwa?
Indlela yokwelapha izohluka kuye ngohlobo lomdlavuza onawo, indawo okuyo, kanye nohlobo lwe-brachytherapy oyitholayo (i-LDR, i-HDR, noma i-permanent). Ihlukaniswe futhi ngezindlela ezimbili eziyinhloko ngokusekelwe lapho izinto ezikhipha imisebe zibekwe khona:
1. I-Interstitial Brachytherapy: Yilapho izinto ezinemisebe zifakwa khona ngqo esimila. Le ndlela isetshenziselwa ukwelapha umdlavuza wendlala, eminye imidlavuza yabesifazane, kanye nomdlavuza wezicubu ezithambile (ama-sarcoma).
2. I-Intracavity Brachytherapy: Lokhu kuhilela ukubeka izinto ezikhipha imisebe emzimbeni eduze kakhulu nesimila. Le ndlela ivame ukusetshenziswa emidlavuzeni yabesifazane efana nomlomo wesibeletho kanye nesibeletho.
Ngaphambi kokuba ukwelashwa kuqale, uzonikezwa i-anesthesia ukuze unciphise ubuhlungu bakho. Uma usukhululekile, udokotela we-radiation oncologist uzolandela lezi zinyathelo:
- Ukufakwa kwe-catheter noma i-applicator: Kufakwa ithubhu elincane (i-catheter) noma idivayisi ekhethekile (i-applicator) emzimbeni ukuze kuhanjiswe izinto ezikhipha imisebe esigaxeni. Amasu okuthatha izithombe, njengezikena, asetshenziswa ukubona ukuthi lokhu kunjalo yini.
- Ukwelashwa ngemisebe: Ukwelashwa ngemisebe kulethwa ngepayipi ngaphakathi noma eduze kwesimila. Imisebe ekhishwa yilokhu iqala ukubhubhisa amangqamuzana omdlavuza.
- Ukususwa kwezinto ezisebenzisa imisebe (izindlela zesikhashana kuphela): Uma usebenzisa ukwelashwa ngemisebe ephezulu (i-HDR), izinto ziyasuswa ngemva kweseshini eyodwa. Kukwelashwa ngemisebe ephansi (i-LDR), ziyasuswa ngemva kwezinsuku ezimbalwa.
Ekupheleni kokwelashwa, uzonikezwa imithi yobuhlungu ukulawula noma yikuphi ukungakhululeki okungase kwenzeke lapho ipayipi likhishwa.
Kwenzekani ngemva kokwelashwa futhi kuthatha isikhathi esingakanani ukululama?
Ngemva kokuphela kokwelashwa, uzoyiswa ekamelweni lokululama, lapho abasebenzi bezokwelapha bezoqapha khona isimo sakho futhi bakusize ulawule noma yibuphi ubuhlungu ongase ubhekane nabo.
Ezimweni eziningi, uzokwazi ukuya ekhaya ngosuku olufanayo nokwelashwa kwakho. Kodwa-ke, uma uke wanikezwa i-anesthesia, uzodinga umuntu ozokuhambisa ekhaya ngemoto. Kwezinye izimo, ikakhulukazi uma izikhathi zakho zokwelashwa zithatha izinsuku eziningana, kungadingeka uhlale esibhedlela.
Uma kuqhathaniswa nezinye izindlela zokwelapha umdlavuza, ikakhulukazi ukuhlinzwa okukhulu, isikhathi sokululama ngemva kokwelashwa nge-brachytherapy sifushane kakhulu . Kuye ngohlobo lokwelashwa, ungase ubuyele esimweni esijwayelekile ezinsukwini ezimbalwa noma ngesonto. Kodwa-ke, kubalulekile ukugwema imisebenzi enzima futhi uthole ukuphumula okwanele izinsuku ezimbalwa ngemva kokwelashwa. Buza udokotela wakho ngesikhathi esingcono kakhulu sokuqhubeka nemisebenzi yakho evamile.
Ingabe ikhona imiphumela emibi kanye nezingozi?
Njenganoma yikuphi ukwelashwa kwezokwelapha, i-brachytherapy ingabangela eminye imiphumela emibi. Kodwa-ke, ukuthi le miphumela emibi iyini izoncika kakhulu ohlotsheni lomdlavuza onalo kanye nohlobo lwe-brachytherapy olutholayo.
Okubaluleke kakhulu, ngoba lokhu kwelashwa kuqondiswe ngqo, imiphumela emibi ikhawulelwe endaweni ephathwayo . Isibonelo, lapho welapha i-prostate, ungase ube nobunzima bokuchama noma ukukhipha indle, kodwa ngeke uzwe isicanucanu noma ukuhlanza.
Imiphumela eminingi emibi iyathuthuka kancane kancane njengoba imisebe iphela, kodwa eminye ingase iqhubeke isikhathi eside, kanti eminye ingase ivele ngemva kwesikhathi esithile ukwelashwa sekuphelile.
| Imiphumela emibi engaba khona | Izindawo zokwelapha ezivame ukubandakanyeka |
|---|---|
| Ubunzima bokuchama noma ukungakwazi ukulawula ukuchama (ukungakwazi ukuzibamba komchamo) | I-prostate, umdlavuza wezifo zabesifazane |
| Ukungasebenzi kahle kwe-Erectile | I-prostate |
| Izibazi zesitho sangasese sowesifazane, ukoma | Umdlavuza wezifo zabesifazane |
| Ukuqunjelwa, isifo sohudo, noma ukungakwazi ukulawula indle (ukungakwazi ukuzibamba) | I-prostate, umdlavuza wezifo zabesifazane, umdlavuza wesisu |
| Ukukhathala ngokweqile komzimba (Ukukhathala) | Kungenzeka kunoma iyiphi indawo yokwelapha. |
| Isicanucanu nokuhlanza | Ekwelapheni umdlavuza wesisu |
Ingabe kuphephile ukuhlangana nabanye abantu ngemva kokwelashwa?
Lona umbuzo abantu abaningi abanawo. "Njengoba nginomuthi okhipha imisebe emzimbeni wami, ingabe ngizolimaza umndeni wami nezingane zami ezincane?"
Impendulo yalokhu incike ohlotsheni lwe-brachytherapy olutholile.
- Uma uke welashwa nge-brachytherapy yesikhashana: Ngemva kokuba izinto ezikhipha imisebe emzimbeni wakho zisusiwe, ngeke kusale misebe emzimbeni wakho. Ngakho-ke ungaba phakathi kwabanye abantu, okuhlanganisa abesifazane abakhulelwe nezingane ezincane, ngaphandle kokwesaba. Akukho bungozi.
- Uma uke welashwa nge-brachytherapy unomphela: Njengoba imbewu enemisebe itshalwa unomphela emzimbeni wakho, ungase uvezwe emisebeni emincane kakhulu amasonto noma izinyanga eziningana. Ingozi kwabanye iphansi kakhulu ngoba imisebe ayihambi kakhulu ngaphandle komzimba. Kodwa-ke, njengesinyathelo sokuqapha, udokotela wakho angase akucebise ukuthi unciphise ukuxhumana okuseduze (isib., ukugona) nabesifazane abakhulelwe nezingane ezincane isikhashana. Landela le miyalelo ngokucophelela.
Ngingambona nini udokotela?
Ngokuvamile uzoba nezikhathi zokulandelela ngemva kokwelashwa. Kodwa-ke, esikhundleni sokulinda lezo zinsuku, shayela udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu ezilandelayo:
- Ubunzima bokuphefumula noma ukugwinya
- Ubuhlungu obukhulu besisu, ukuhlanza okuqhubekayo, noma isifo sohudo
- Uma unesimo lapho ungakwazi ukulawula umchamo noma indle yakho
I-Brachytherapy iyindlela yokwelapha ephumelela kakhulu, eqondiswe ekubhubhiseni amangqamuzana omdlavuza. Inezinzuzo eziningi ngoba inciphisa umonakalo kumaseli anempilo. Uma wena noma othandekayo wakho ninikezwe le ndlela yokwelapha, khuluma nodokotela wakho ngayo bese ubuza noma yimiphi imibuzo ongase ube nayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Brachytherapy iyindlela yokwelapha ngemisebe eqondiwe ehilela ukubeka izinto ezinemisebe ngaphakathi noma eduze kakhulu nesimila somdlavuza.
- Inzuzo enkulu yale ndlela ukuthi ingaletha umthamo omkhulu wemisebe kumaseli omdlavuza ngenkathi inciphisa umonakalo kumaseli aphilile azungezile.
- Uma unembewu yemisebe ehlala njalo, ungase welulekwe ukuthi unciphise ukuxhumana okuseduze nezingane ezincane kanye nabesifazane abakhulelwe isikhashana. Akukho bungozi ngemva kokwelashwa kwesikhashana.
- Uma kuqhathaniswa nezinye izindlela zokwelapha umdlavuza, inemiphumela emibi embalwa futhi isikhathi sokululama sifushane.
- Khuluma nodokotela wakho ngokukhululekile ukuze uthole ulwazi olungcono kakhulu mayelana nemiphumela emibi engaba khona kanye nempumelelo yokwelashwa kwakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho