He aha ka Image-Guided Radiation Therapy (IGRT)? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka image-guided radiation therapy (IGRT) he lapaʻau maʻi maʻi pololei e hoʻohana ana i nā kiʻi lapaʻau i ka manawa maoli e alakaʻi i nā kukuna radiation pololei i nā maʻi. E noʻonoʻo e like me ka loaʻa ʻana o kahi ʻōnaehana GPS e kōkua ana i nā kauka e hāʻawi i ka radiation me ka pololei loa me ka pale ʻana i kou mau ʻiʻo olakino. Ua hoʻololi kēia ʻano hana holomua i ke ʻano o kā mākou mālama ʻana i ka maʻi maʻi, e hana ana i ka radiation therapy i ʻoi aku ka palekana a me ka maikaʻi ma mua o ka wā.

He aha ka Image-Guided Radiation Therapy?

Hoʻohui ʻo IGRT i ka radiation therapy kuʻuna me ka ʻenehana kiʻi paʻakikī e hana i kahi ala lapaʻau i manaʻo nui ʻia. Hoʻohana kāu hui lapaʻau i nā scans CT, MRI, a i ʻole nā ​​X-ray i lawe ʻia ma mua a i ʻole i ka wā o kēlā me kēia kau lapaʻau e ʻike pono i kahi o kāu maʻi.

He mea nui kēia kiʻi i ka manawa maoli no ka mea hiki i nā maʻi a me nā ʻōkana ke neʻe iki ma waena o nā lapaʻau ma muli o ka hanu ʻana, ka ʻai ʻana, a i ʻole nā ​​hana kino maoli ʻē aʻe. Me IGRT, hiki i kāu kauka oncological radiation ke hoʻoponopono i ka lapaʻau i ka manawa maoli e helu ai i kēia mau neʻe liʻiliʻi, e hōʻoia ana i ka radiation e paʻi pololei i nā cell maʻi.

Hāʻawi ka ʻenehana i ka hāʻawi pololei ʻana o ka radiation kiʻekiʻe i ka ʻiʻo maʻi ʻaʻole e hōʻike i nā ʻōkana olakino a puni. He mea waiwai loa kēia pololei i ka wā e mālama ai i nā maʻi kokoke i nā hale koʻikoʻi e like me ke kaula iwi kuamoʻo, ka lolo, a i ʻole ka puʻuwai.

No ke aha e hana ʻia ai ka Image-Guided Radiation Therapy?

Paipai ʻia ʻo IGRT i ka wā e pono ai kāu kauka e hāʻawi i ka radiation me ka pololei loa e hoʻomaikaʻi i nā hopena lapaʻau a hoʻemi i nā hopena ʻaoʻao. He mea pono loa kēia ʻano hana no nā maʻi e kokoke ana i nā ʻōkana koʻikoʻi a i ʻole nā ​​hale i hiki ke hōʻino ʻia e ka radiation.

Hiki i kāu oncologist ke ʻōlelo aku i ka IGRT inā loaʻa iā ʻoe nā maʻi ma nā wahi e neʻe ai a hoʻololi paha nā ʻōpū, e like me nā maʻi maʻi māmā e neʻe me ka hanu ʻana a i ʻole nā maʻi maʻi prostate i hoʻopilikia ʻia e ka piha ʻana o ka ʻōpū a me ka ʻōpū. Kōkua ke alakaʻi kiʻi e hōʻoia i ka mālama ʻana i ke kūlike a me ka pololei me ka nānā ʻole i kēia mau neʻe kino maoli.

He mea waiwai nō hoʻi kēia ʻano lapaʻau no ka mālama ʻana i nā maʻi maʻi i ke ʻano ʻole a i ʻole nā maʻi maʻi i hoʻi mai ma hope o ka mālama ʻana ma mua. Hāʻawi ka IGRT i kāu hui lapaʻau e hāʻawi i nā kiʻekiʻe kiʻekiʻe, ʻoi aku ka maikaʻi o nā lāʻau radiation i ka wā e mālama ana i nā kūlana palekana no nā ʻiʻo olakino a puni.

He aha ke kaʻina hana no ka Image-Guided Radiation Therapy?

Hoʻomaka kāu lapaʻau IGRT me kahi hālāwai hoʻolālā kikoʻī i kapa ʻia ʻo ka simulation, kahi e hana ai kāu hui lapaʻau i kahi palapala lapaʻau pilikino. I ka wā o kēia manawa, e moe ʻoe ma luna o kahi papa lapaʻau i ka wā e ana ai nā ʻenehana i nā ana pololei a me nā kiʻi kiʻi e hoʻolālā i kāu therapy.

E hana kāu hui lapaʻau radiation i nā mea hana kūlana maʻamau a i ʻole nā ʻōpala e kōkua iā ʻoe e mālama i ke kūlana like i kēlā me kēia kau lapaʻau. ʻO kēia mau mea hana, e komo paha i nā pale maka no nā poʻo a me nā ʻāʻī a i ʻole nā ʻūlū kino, e hōʻoia i ke kūlana kūlike i kāu papa lapaʻau.

Eia ka mea e hana ʻia i ka wā o kēlā me kēia kau lapaʻau IGRT:

1. E hoʻonoho ʻia ʻoe ma ka papa lapaʻau me ka hoʻohana ʻana i kāu mau mea hana kūlana maʻamau
2. E lawe ka mea lapaʻau radiation i nā kiʻi kiʻi (CT, X-ray, a i ʻole MRI) e ʻike i kahi o kāu maʻi maʻi
3. Hoʻohālikelike kāu hui lapaʻau i kēia mau kiʻi i kāu hoʻolālā lapaʻau mua
4. Inā pono, e hana lākou i nā hoʻoponopono liʻiliʻi i ka papa lapaʻau a i ʻole nā kihi kukuna radiation
5. Hāʻawi ka mea hoʻolalelale laina i ka lāʻau radiation i kuhikuhi ʻia me ka nānā ʻana i ka manawa maoli
6. Hiki ke lawe ʻia nā kiʻi hou i ka wā o ka mālama ʻana e hōʻoia i ka pololei mau

He 15 a 45 mau minuke ka lōʻihi o kēlā me kēia kau lapaʻau, akā, he mau minuke wale nō ka hāʻawi ʻana i ka radiation. ʻO ka hapa nui o ka manawa e hoʻolilo ʻia ana i ka hoʻonoho pono ʻana a me ke kiʻi ʻana e hōʻoia i ka pololei loa.

Pehea e hoʻomākaukau ai no kāu Image-Guided Radiation Therapy?

He ʻokoʻa ka hoʻomākaukau ʻana no ka IGRT ma muli o ka wahi e mālama ʻia ana, akā e hāʻawi kāu hui lapaʻau i nā ʻōlelo kikoʻī i kūpono i kou kūlana. Ma ke ʻano maʻamau, makemake ʻoe e ʻaʻahu i nā lole ʻoluʻolu, nā lole ʻaʻole i paʻa me nā zippers metala, nā pihi, a i ʻole nā mea nani kokoke i ka wahi lapaʻau.

No kekahi mau ʻano o ka IGRT, hiki i kāu kauka ke noi iā ʻoe e hahai i nā alakaʻi kikoʻī ma mua o kēlā me kēia kau. Hiki i kēia ke komo i ka inu ʻana i ka wai i kekahi nui e hoʻopiha i kou ʻōpū no nā lapaʻau prostate, a i ʻole ka ʻai ʻole ʻana no kekahi mau hola ma mua o nā lapaʻau ʻōpū e hōʻoia i ka hoʻonoho ʻana o nā ʻōkana.

E kūkākūkā kāu hui lapaʻau radiation i nā lāʻau lapaʻau e pono ai ʻoe e hoʻomau a i ʻole e hoʻōki no ka manawa ma mua o ka lapaʻau. He mea nui e mālama i kāu hana maʻamau e like me ka hiki, me ka lawe ʻana i nā lāʻau lapaʻau i kauoha ʻia ke ʻole i kuhikuhi ʻia.

He mea nui ka hoʻomākaukau noʻonoʻo, a he mea maʻamau ka hopohopo e pili ana i kāu lapaʻau. E noʻonoʻo e lawe mai i ke mele hoʻomaha, e hoʻomaʻamaʻa i nā hana hanu hohonu, a i ʻole e nīnau i kāu hui e pili ana i nā ʻenehana hoʻomaha e kōkua iā ʻoe e ʻoluʻolu i nā kau.

Pehea e heluhelu ai i kāu mau hopena Image-Guided Radiation Therapy?

Ana ʻia nā hopena IGRT ma o ka nānā ʻana mau ma mua o nā hopena hoʻāʻo koke e like me ka hana koko a i ʻole nā scans. Mālama kāu oncologist radiation i kou holomua ma o nā loiloi maʻamau, nā haʻawina kiʻi, a me nā loiloi o ka maikaʻi o kou kino e ʻae ana i ka lapaʻau.

I ka wā o ka mālama ʻana, nānā kāu hui lapaʻau i ka pololei o kēlā me kēia kau ma o ka ʻikepili kiʻi manawa maoli. E kākau lākou i nā hoʻoponopono i hana ʻia a e hōʻoia i ka hāʻawi ʻia ʻana o ka radiation e like me nā kikoʻī o kāu hoʻolālā lapaʻau.

E hoʻonohonoho kāu kauka i nā manawa hālāwai e loiloi i ka pono o ka lapaʻau, e hoʻomaka ana ma hope o kekahi mau pule ma hope o ka pau ʻana o ka IGRT. Hiki i kēia mau manawa hālāwai ke komo i nā hoʻokolohua kino, nā hoʻokolohua koko, a i ʻole nā scans kiʻi e loiloi i ka pane ʻana o kāu maʻi ʻaʻai i ka lapaʻau.

Loiloi ʻia nā hopena lōʻihi ma luna o nā mahina a me nā makahiki ma o nā manawa nānā maʻamau. E nānā kāu oncologist i ka pane ʻana o ka maʻi ʻaʻai, e nānā i nā hana hou, a e loiloi i kou olakino holoʻokoʻa a me ka maikaʻi o ke ola ma hope o ka lapaʻau.

He aha nā pōmaikaʻi o ka Image-Guided Radiation Therapy?

Hāʻawi ʻo IGRT i nā pōmaikaʻi nui ma luna o nā ala lapaʻau radiation kuʻuna, ma o kāna pololei a me ka palekana. ʻO ke alakaʻi kiʻi manawa maoli e hiki ai ke kuhikuhi pololei i ka maʻi ʻaʻai, e alakaʻi pinepine ana i nā hopena lapaʻau maikaʻi a me nā hopena ʻaoʻao liʻiliʻi.

ʻO ka pololei o IGRT e hiki ai i kāu oncologist radiation ke hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation i ka maʻi ʻaʻai i ka wā e pale maikaʻi ai i nā ʻiʻo olakino a puni. He mea waiwai nui kēia pololei i ka wā e mālama ai i nā maʻi ʻaʻai kokoke i nā ʻōkana koʻikoʻi e like me ka brainstem, spinal cord, a i ʻole ka puʻuwai.

Eia nā pōmaikaʻi nui e hiki iā ʻoe ke ʻike me IGRT:

• Hoʻemi ʻia nā hopena ʻaoʻao ma muli o ka pale maikaʻi ʻana i nā ʻiʻo olakino
• Hiki ke pōkole nā papa lapaʻau i kekahi mau hihia
• Hoʻomaikaʻi ʻia nā helu hoʻomalu maʻi ʻaʻai
• ʻOi aku ka maikaʻi o ke ola i ka wā a ma hope o ka lapaʻau
• Ka hiki ke mālama i nā maʻi ʻaʻai i hiki ʻole ke hana
• ʻOi aku ka maikaʻi o ka hāʻawi ʻana i ka lapaʻau me ka nānā ʻole i nā neʻe kino maoli

He nui nā maʻi e ʻike nei e hiki ai i ka IGRT ke mālama i ka nui o kā lākou hana maʻamau i ka wā o ka mālama ʻana i hoʻohālikelike ʻia me ka radiation therapy maʻamau. ʻO ka pololei i hoʻonui ʻia e manaʻo pinepine ana i nā palena liʻiliʻi i nā hana o kēlā me kēia lā a me ka mālama maikaʻi ʻana i ka hana o nā ʻōkana.

He aha nā hopena ʻaoʻao hiki ke loaʻa o ka Image-Guided Radiation Therapy?

ʻOiai ua hoʻolālā ʻia ka IGRT e hōʻemi i nā hopena ʻaoʻao ma o kona pololei, hiki nō iā ʻoe ke ʻike i kekahi mau hopena mai ka mālama ʻana i ka radiation. ʻO ka hapa nui o nā hopena ʻaoʻao he manawa pōkole a hiki ke mālama ʻia me ke kākoʻo olakino kūpono a me nā hoʻolālā mālama ponoʻī.

Hoʻomohala maʻamau nā hopena ʻaoʻao maʻamau a pili i ka wahi kikoʻī e mālama ʻia nei. Hōʻike pinepine ʻia kēia mau hopena i loko o nā pule mua o ka mālama ʻana a hoʻomaikaʻi pinepine i loko o nā pule a i ʻole nā mahina ma hope o ka pau ʻana o ka therapy.

Eia nā hopena ʻaoʻao i ʻike pinepine ʻia:

• ʻO ka luhi e hiki ke hoʻonui mālie i ka wā o ka mālama ʻana
• ʻO ka huhū ʻili a i ʻole ka ʻulaʻula i ka wahi lapaʻau
• Ka nalowale o ka lauoho no ka manawa pōkole inā mālama ʻia ke poʻo a i ʻole ka ʻāʻī
• Nā loli digestive inā mālama ʻia nā wahi ʻōpū a i ʻole pelvic
• Nā hōʻailona urinary no nā lapaʻau pelvic
• ʻO ka huhū ʻāʻī a i ʻole ka pilikia o ka ʻai ʻana no nā lapaʻau umauma a i ʻole ka ʻāʻī

Hiki ke loaʻa nā hopena ʻaoʻao kakaʻikahi akā ʻoi aku ka koʻikoʻi, ʻoi aku hoʻi me nā lapaʻau kokoke i nā ʻōkana koʻikoʻi. Hiki i kēia ke komo i ka pōʻino o ke aʻalolo, ka hana ʻole o nā ʻōkana, a i ʻole nā maʻi maʻi lua e ulu ana i nā makahiki ma hope mai, ʻoiai ʻo ka pololei o ka IGRT e hōʻemi nui i kēia mau pilikia i hoʻohālikelike ʻia me nā ʻenehana radiation kahiko.

E nānā pono kāu hui lapaʻau iā ʻoe i ka wā o ka mālama ʻana a hāʻawi i nā hoʻolālā e mālama i nā hopena ʻaoʻao e ulu ana. ʻIke ka hapa nui o nā maʻi i ka maʻalahi o nā hopena ʻaoʻao me ke kākoʻo kūpono a me ka mālama.

He aha nā ʻano maʻi maʻi e mālama ʻia me ka Image-Guided Radiation Therapy?

He kūpono loa ʻo IGRT no ka mālama ʻana i nā maʻi maʻi kahi e pono ai ka pololei ma muli o kahi o ka maʻi a i ʻole ka pono e pale i nā ʻiʻo olakino kokoke. Hiki i kāu oncologist ke ʻōlelo aku i kēia ala no nā ʻano maʻi maʻi like ʻole, ma muli o kou kūlana.

He mau moho maikaʻi loa nā maʻi maʻi lolo a me ke kuamoʻo no IGRT ma muli o ke ʻano koʻikoʻi o nā ʻiʻo a puni. Kōkua ke kiʻi pololei i ka pale ʻana i nā hale neurological koʻikoʻi i ka wā e hāʻawi ana i nā mahele radiation kūpono i ka maʻi.

Eia nā ʻano maʻi maʻi i mālama pinepine ʻia me IGRT:

• Ka maʻi maʻi prostate, kahi e pono ai ka pololei ma muli o ke kokoke ʻana o ka ʻōpū a me ka ʻōpū
• Ka maʻi maʻi māmā, ʻoiai nā maʻi e neʻe me ka hanu
• Nā maʻi maʻi poʻo a me ka ʻāʻī kokoke i nā hale koʻikoʻi
• Nā maʻi maʻi lolo a me nā metastases
• Ka maʻi maʻi ate a me nā metastases ate
• Ka maʻi maʻi pancreatic
• Nā maʻi maʻi kuamoʻo a me nā metastases iwi
• Ka maʻi maʻi umauma, ʻoiai no ka irradiation umauma hapa

He mea waiwai nō hoʻi ʻo IGRT no ka mālama ʻana i nā maʻi maʻi hou kahi e kaupalena ai ka radiation mua i ka mahele e hiki ke hāʻawi palekana ʻia i nā ʻiʻo a puni. Hāʻawi ka pololei i hoʻonui ʻia i ka retreatment i nā hihia he nui kahi i hiki ʻole ai ka radiation maʻamau.

Pehea ka lōʻihi o ka mālama ʻana i ka Image-Guided Radiation Therapy?

Aia ka lōʻihi o kāu mālama ʻana iā IGRT i kāu ʻano maʻi maʻi, ka nui o ka maʻi, a me nā pahuhopu mālama. Loaʻa i ka hapa nui o nā maʻi ka mālama ʻana i nā lā ʻelima o ka pule no kekahi mau pule, ʻoiai e pono paha kekahi mau kūlana i nā ala hoʻonohonoho like ʻole.

ʻO ke ʻano maʻamau o IGRT mai hoʻokahi a ʻewalu pule, me kēlā me kēia kau i kēlā me kēia lā e mau ana mai 15 a 45 mau minuke. ʻO ka hāʻawi maoli ʻana i ka radiation e lawe maʻamau i kekahi mau minuke wale nō, ʻoiai ka hapa nui o ka manawa e hoʻolilo ʻia i ka hoʻonohonoho pololei a me ka hōʻoia ʻana i ke kiʻi.

Hiki ke mālama ʻia kekahi mau maʻi ʻaʻai me nā papa hana hypofractionated, kahi e hāʻawi ʻia ai nā mea kiʻekiʻe i nā kau liʻiliʻi. Hiki i kēia ala ke hoʻopau i ka mālama ʻana i hoʻokahi a ʻelima mau kau, ma muli o ke ʻano a me kahi o ka maʻi ʻaʻai.

E kūkākūkā kāu kauka oncological radiation i ka papa hana lapaʻau maikaʻi loa no kou kūlana kikoʻī, e kaulike ana i ka pono o ka lapaʻau me kou ʻoluʻolu a me nā mea e pili ana i ke ola. Hoʻohālikelike ʻia ka hoʻolālā lapaʻau e hāʻawi i ka hopena maikaʻi loa me ka hōʻemi ʻana i nā hopena ʻaoʻao.

I ka manawa hea wau e hoʻokaʻaʻike aku ai i kaʻu kauka i ka wā o ka Image-Guided Radiation Therapy?

E hāʻawi kāu hui lapaʻau i nā alakaʻi kikoʻī e pili ana i ka manawa e hoʻokaʻaʻike aku ai iā lākou i ka wā o kāu papa lapaʻau. Ma keʻano laulā, pono ʻoe e hoʻopili inā ʻike ʻoe i nā hōʻailona e pili ana a i ʻole e ʻoi aku ka maikaʻi o nā hopena ʻaoʻao.

He mea nui e mālama i ke kamaʻilio hāmama me kāu hui lapaʻau radiation i kāu lapaʻau. Loaʻa iā lākou ka ʻike i ka mālama ʻana i nā hopohopo e pili ana i ka lapaʻau a hiki ke hāʻawi pinepine i nā hoʻonā maʻalahi e kōkua iā ʻoe e ʻoluʻolu.

E hoʻokaʻaʻike i kāu kauka a i ʻole ka hui lapaʻau radiation inā ʻike ʻoe:

• ʻO ka luhi nui a i ʻole ka ʻino e hoʻopilikia i nā hana o kēlā me kēia lā
• ʻO ka huhū nui o ka ʻili, ka ʻōpala, a i ʻole nā ​​ʻeha hāmama ma kahi lapaʻau
• ʻO ka nausea mau a i ʻole ka luaʻi
• He paʻakikī ka ʻai ʻana a i ʻole ka ʻeha nui o ka ʻāʻī
• Nā pilikia mimi a i ʻole ke koko i loko o ka mimi
• ʻO ka maʻi maʻi nui a i ʻole ka ʻeha o ka ʻōpū
• Nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ka hoʻokuʻu ʻana
• ʻO nā hōʻailona hou a i ʻole i manaʻo ʻole ʻia

E hoʻomanaʻo e manaʻo ana kāu hui lapaʻau e lohe mai iā ʻoe a makemake e kōkua i ka mālama ʻana i nā hopohopo e kū mai ana. Hiki ke mālama pono ʻia ka hapa nui o nā hōʻailona e pili ana i ka lapaʻau me ke kākoʻo olakino kūpono a me nā hoʻololi i kāu hoʻolālā mālama.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Image-Guided Radiation Therapy

Nīnau 1. ʻOi aku anei ka maikaʻi o ka Image-Guided Radiation Therapy ma mua o ka radiation therapy maʻamau?

Hāʻawi ka IGRT i nā pōmaikaʻi nui ma luna o ka radiation therapy maʻamau ma o kāna hana pololei a me nā hiki ke nānā i ka manawa maoli. Hāʻawi ke alakaʻi kiʻi i ka pahuhopu pololei o ka maʻi, kahi e hopena ai i nā hopena lapaʻau maikaʻi a me nā hopena ʻaoʻao liʻiliʻi.

Eia naʻe, inā he

ʻAʻole, ʻaʻole ʻoe e lilo i mea radioactive ma hope o nā lapaʻau IGRT. ʻAʻole ka radiation external beam i hoʻohana ʻia ma IGRT e lilo ai ʻoe i mea radioactive, a palekana loa ke noho pū me ka ʻohana, nā hoaaloha, nā holoholona, a me nā keiki ma hope koke o kēlā me kēia kau.

He ʻokoʻa kēia mai kekahi mau ʻano lapaʻau radiation ʻē aʻe, e like me nā mea kanu hua radioactive, kahi e pono ai nā hana palekana manawa. Me IGRT, hiki iā ʻoe ke hoʻomau i ka pilina a me nā hana maʻamau ma hope koke o ka lapaʻau me ka hopohopo ʻole e pili ana i ka radiation exposure i nā poʻe ʻē aʻe.

Q.5 Pehea ka holomua o ka Image-Guided Radiation Therapy?

He ʻokoʻa nui nā helu holomua IGRT ma muli o ke ʻano a me ke kahua o ka maʻi kanesa e mālama ʻia nei, akā maikaʻi loa nā hopena maʻamau ke koho pono ʻia kēia lapaʻau. Nui nā mea maʻi e hoʻokō i ka mana tumor piha me IGRT, aʻo nā mea ʻē aʻe e ʻike i ka emi nui ʻana o ka tumor a i ʻole ka holomua ʻana o ka maʻi.

ʻO ka pololei i hoʻonui ʻia o IGRT e ʻae pinepine ai i nā mea kiʻekiʻe o ka radiation e hāʻawi palekana ʻia, hiki ke hoʻomaikaʻi i nā helu holomua o ka lapaʻau i hoʻohālikelike ʻia me ka radiation therapy maʻamau. Hiki i kāu radiation oncologist ke hāʻawi i ka ʻike helu holomua kikoʻī e pili ana i kāu ʻano maʻi kanesa a me ke kahua.