Ingabe udokotela ukutshelile ukuthi unomdlavuza wendlala? Kuvamile ukuzizwa wesaba futhi ukhathazekile uma uthola izindaba ezinjalo. Kodwa ungakhathazeki, ngesayensi yezokwelapha ethuthukisiwe yanamuhla, kunezindlela eziningi zokwelapha ezisebenzayo zalokhu. Namuhla sizokhuluma ngendlela eyodwa yokwelapha ekhethekile nephumelelayo. Lokho kubizwa ngokuthi i-brachytherapy.
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Kalula nje, kuyini ukwelashwa nge-brachytherapy?
Lolu futhi uhlobo lokwelashwa ngemisebe. Kodwa kuhilela ukufaka izimila ezincane ezinemisebe ngqo endlaleni yakho ye-prostate noma eduze kwayo ukuze kubulawe amangqamuzana omdlavuza. Odokotela babiza lokhu ngokuthi “imbewu” noma “ama-capsule.”
Kulokhu kwelashwa, imbewu encane ikhipha imithamo emincane kakhulu yemisebe cishe izinyanga eziyi-10 kuya kweziyi-12 ukubulala amangqamuzana omdlavuza. Ngemva kwalokho, noma ngabe ilahlekelwa yimisebe yayo, imbewu ihlala emzimbeni unomphela. Ayibangeli monakalo.
Kwenziwa kanjani lokhu kwelashwa? Ake sibone...
Ake sixoxe ngalokho okwenzekayo ngosuku lokwelashwa isinyathelo ngesinyathelo ukuze ukwazi ukukuqonda kangcono.
1. Ukulungiselela: Uma usufikile esibhedlela, abasebenzi bobuhlengikazi bazokulungiselela ukwelashwa. Udokotela wezinzwa uzokunikeza imithi oyidingayo futhi aqinisekise ukuthi awuzizwa ubuhlungu noma ukungakhululeki ngesikhathi sokwelashwa.
2. Ukuskena nge-Ultrasound: Udokotela womdlavuza wemisebe kanye nethimba bazokubeka etafuleni lokwelashwa. Ngemuva kwalokho, kuzofakwa i-ultrasound probe encane nge-rectum yakho. Lokhu kuvumela ukuthi ingaphakathi le-prostate libonakale kahle esikrinini sethelevishini.
3. Ukufakwa kwembewu enemisebe: Ebheka izithombe esikrinini, udokotela uhlela ukuthi zingaki imbewu okufanele azifake nokuthi uzozifaka kuphi. Ngemuva kwalokho, esebenzisa izinaliti ezincane kakhulu, imbewu enemisebe engaba ngu-50 kuya ku-100 ifakwe e-prostate ngesikhumba phakathi kwe-scrotum yakho ne-anus (i-perineum). Inani lembewu lincike ezintweni ezifana nosayizi nendawo yomdlavuza.
4. Isikhathi: Le nqubo yonke ivame ukuthatha cishe ihora noma ihora nesigamu.
Into ebaluleke kakhulu ukuthi ithimba lezokwelapha lizokwenza konke okudingekayo ukuqinisekisa ukuthi awuzizwa ubuhlungu phakathi nalokhu kwelashwa.
Kusebenza kangakanani lokhu kwelashwa?
I-Brachytherapy iyindlela yokwelapha ephumelela kakhulu.Kodwa-ke, imiphumela ingahluka kancane kumuntu nomuntu. Ucwaningo olulodwa lwesikhathi eside luthole ukuthi abantu abangu-97% abathole lokhu kwelashwa babesaphila eminyakeni engu-17 ngemuva kokwelashwa.
Kodwa akuwona umqondo omuhle ukweqa ukuhlolwa ngoba nje usuthathe lo muthi. Kubalulekile ukuqhubeka nokuhlolwa ngezikhathi ezihleliwe, njengoba udokotela wakho encoma.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yikuphi ukwelashwa kwezokwelapha, kunemiphumela emibi engaba khona. Masiqaphele. Lokhu kungahlukaniswa kube okusheshayo, okwesikhathi esifushane, kanye nokwesikhathi eside.
| Uhlobo lomphumela ongemuhle | Incazelo kanye nalokho okudingeka ukwazi |
|---|---|
| Imiphumela emibi esheshayo (Izinsuku zokuqala ezi-2-3) | Ungase uzwe ubuhlungu obuncane, ukuvuvukala, kanye nokushaqeka endaweni eselashiwe. Lokhu kujwayelekile kakhulu futhi kuzophela ngokuphelele ezinsukwini ezimbili kuya kwezintathu. |
| Imiphumela emibi yesikhashana (Cishe amasonto ayi-6-8) |
|
| Imiphumela emibi yesikhathi eside (kungenzeka kungavamile) |
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Ingabe imisebe izosabalala kwabanye?
Lokhu kuyinkinga kubantu abaningi. Ngenxa yamathambo anemisebe ngaphakathi, ungase ukhathazeke ngokuthi imisebe isakazekela kulabo abasendlini, ikakhulukazi omama abakhulelwe nezingane ezincane .
Empeleni, kulungile ukuba babe seduze nawe. Inani lemisebe ekhishwayo liphansi kakhulu kangangokuthi alilimazi. Kodwa khumbula, ungambambi ingane encane noma owesifazane okhulelwe isikhathi eside (ngaphezu kwemizuzu engama-20) ezinyangeni ezimbili zokuqala ngemva kokwelashwa. Lesi yisinyathelo sokuqapha. Khuluma nodokotela wakho ngalokhu ukuze uthole imininingwane eyengeziwe.
Umsebenzi ojwayelekile ungaphinde uqale nini?
Iningi labantu lingabuyela emisebenzini yalo evamile zingakapheli izinsuku ezimbili ngemva kokwelashwa. Kungcono ukuphumula izinsuku ezimbalwa zokuqala.
Kodwa into ebaluleke kakhulu ukuthi kuzodingeka uyeke imisebenzi ebeka ingcindezi endaweni yakho yangaphakathi (isibonelo, ukugibela ihhashi, ukugibela ibhayisikili) cishe izinyanga ezimbili. Udokotela wakho uzokweluleka ngalokho.
Kufanele ngimshayele nini udokotela?
Qiniseka ukuthi ubona udokotela wakho ezimweni ezilandelayo:
- Uma imiphumela emibi imibi kakhulu kunalokho obekulindele.
- Uma imiphumela emibi ihlala isikhathi eside kunokulindelekile.
- Uma kuvela izimpawu ezintsha ezibonisa ukuthi umdlavuza usubuyile (isib. ubuhlungu bamathambo, ukukhathala okukhulu).
Njengoba ucabanga ngalokhu kwelashwa, khumbula ukuthi awuwedwa. Kuvamile ukuzizwa ukhungathekile ngakho konke lokhu. Udokotela wakho kanye nabasebenzi basesibhedlela bahlala bekhona ukukusiza, baphendule imibuzo yakho, futhi bakufundise. Ngakho-ke zizwe ukhululekile ukubuza noma yini efika engqondweni yakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Brachytherapy iyindlela yokwelapha ngemisebe ephumelela kakhulu yomdlavuza we-prostate ehilela ukufaka imbewu enemisebe emzimbeni.
- Lokhu kwenziwa ngaphansi kwe-anesthesia futhi kuqedwa ngehora noma ihora nesigamu.
- Imiphumela emibi efana nokutheleleka komgudu womchamo kanye nokuchama njalo ingase ivele ngemva kokwelashwa, kodwa ivame ukuba yesikhashana.
- Ezinyangeni ezimbili zokuqala ngemva kokwelashwa, gwema ukubamba izingane ezincane nabesifazane abakhulelwe emathangeni akho isikhathi eside.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile noma ezinzima, yazisa udokotela wakho ngokushesha.
- Kubaluleke kakhulu ukuhlolwa kwezokwelapha ngezikhathi ezihleliwe.
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