He aha ka Radiation Therapy Intraoperative (IORT)? Ke Kumu, ke Kaʻina Hana & Nā Hopena

ʻO ka radiation therapy intraoperative (IORT) he lapaʻau maʻi maʻi kūikawā e hāʻawi ana i ka radiation i kālele ʻia pololei i nā wahi tumora i ka wā o ke ʻoki. E noʻonoʻo iā ia he ala pololei a kālele ʻia kahi e hiki ai i kāu hui ʻoki ke mālama i nā cell maʻi maʻi ma ke kumu i ka wā e hana ana ʻoe i ka lumi hana.

Hāʻawi kēia ʻenehana i nā kauka e hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation me ka pololei nui, e pale ana i nā ʻiʻo olakino e maʻamau i ke ala radiation. He mea ia e like me ka loaʻa ʻana o kahi mea pana mākaukau hiki ke paʻi i ka pahuhopu pololei me ka mālama ʻana i nā mea a pau e palekana ana a puni ia.

He aha ka radiation therapy intraoperative?

Hoʻohui ʻo IORT i ke ʻoki a me ka radiation therapy i hoʻokahi, kahi kau lapaʻau i hoʻonohonoho ʻia. I ka wā o kāu hana, ma hope o ka wehe ʻana o ke kauka ʻoki i ka tumora i ʻike ʻia, hāʻawi lākou i ka radiation pololei i ka moena tumora a i ʻole nā cell maʻi maʻi i koe.

Kālele ka radiation beam i ka wahi pololei kahi e hiki ai ke hoʻi hou mai nā cell maʻi maʻi. No ka mea e hoʻoneʻe ʻia nā ʻōkana a me nā ʻiʻo olakino i waho o ke ala i ka wā o ke ʻoki, hiki i kāu hui lapaʻau ke hoʻohana i nā kiʻekiʻe kiʻekiʻe o ka radiation ma mua o ka palekana me ka radiation therapy waho kuʻuna.

He mea waiwai nui kēia ala no nā maʻi maʻi e makemake e hoʻi hou i ka wahi, ʻo ia hoʻi e hoʻi mai lākou i ka wahi like kahi i hoʻomaka mua ai lākou. Hiki i kāu hui ʻoki ke hoʻoponopono i ka wehe ʻana o ka tumora a me ka lapaʻau radiation i ka wā e hana ana ʻoe i ka anesthesia, e hōʻemi ana i kou manawa lapaʻau holoʻokoʻa.

No ke aha e hana ʻia ai ka radiation therapy intraoperative?

Kōkua ʻo IORT i ka hoʻomaikaʻi ʻana i nā hopena lapaʻau maʻi maʻi ma ka hoʻopaʻa ʻana i nā cell maʻi maʻi microscopic e hiki ke noho ma hope o ke ʻoki. ʻOiai ke wehe nā kauka ʻoki i nā ʻiʻo tumora i ʻike ʻia, hiki i nā cell maʻi maʻi liʻiliʻi ke noho ma hope, ʻaʻike ʻia i ka maka.

Hiki i kāu kauka oncologist ke ʻōlelo aku iā IORT inā loaʻa iā ʻoe kekahi mau ʻano maʻi maʻi umauma, maʻi maʻi colorectal, sarcomas, a i ʻole nā ʻōpū paʻa ʻē aʻe kahi e hopohopo ai ka hoʻi hou ʻana. He mea kōkua nui ia ke kokoke ka maʻi i nā ʻōkana koʻikoʻi a i ʻole nā hale e paʻakikī ke pale i ka wā o ka lāʻau lapaʻau radiation maʻamau.

Hiki i ka lāʻau lapaʻau ke pōmaikaʻi i nā maʻi i loaʻa nā koho palena no ka lāʻau lapaʻau radiation waho. Ua loaʻa paha i kekahi poʻe ka nui o nā lāʻau radiation palekana i kahi wahi, e hana ana iā IORT i mea ʻē aʻe waiwai no ka hoʻoponopono ʻana i ka maʻi maʻi hou a i ʻole ka hoʻi hou ʻana i ka maʻi maʻi ma ka ʻāina like.

No kekahi mau maʻi maʻi umauma mua, hiki iā IORT ke pani i ka pono no nā pule o nā lāʻau radiation waho i kēlā me kēia lā. Hiki i kēia ke hōʻemi nui i kāu hana lapaʻau a kōkua iā ʻoe e hoʻi i kāu mau hana maʻamau i ka wā mua.

He aha ke kaʻina hana no ka lāʻau lapaʻau radiation intraoperative?

Hana ʻia ʻo IORT i loko o kahi lumi hana i lako pono i loaʻa nā lako hana a me nā lako radiation. E pili ana kāu kaʻina hana i kahi hui i hoʻonohonoho ʻia o nā kauka lapaʻau, nā kauka oncologist radiation, nā physicists lapaʻau, a me nā kahu hānai loea.

Hoʻomaka ke kaʻina hana e like me ke ʻoki maʻamau, me ʻoe ma lalo o ka anesthesia maʻamau. E wehe mua kāu kauka lapaʻau i ka maʻi a me nā lymph nodes a i ʻole nā ʻiʻo i hoʻopilikia ʻia e like me ka mea i hoʻolālā ʻia. Ke pau ka wehe ʻana i ke ʻoki, e hoʻomākaukau lākou i ka wahi no ka hāʻawi ʻana i ka radiation.

Eia ka mea e hana ʻia i ka wā o ka radiation o kāu kaʻina hana:

E hoʻonoho pono kāu hui lapaʻau i kahi mea hoʻopili radiation pololei i ka a i ʻole i loko o ka moena maʻi. Hāʻawi kēia mea hana i ka radiation ma ke ʻano i hoʻomalu ʻia a kālele ʻia. Hoʻoneʻe mālie ʻia nā ʻōkana olakino a me nā ʻiʻo kokoke i ka wahi lapaʻau a i ʻole pale ʻia me nā pale kūikawā.

ʻO ka hāʻawi ʻana i ka radiation maoli e lawe ma waena o 10 a 45 mau minuke, ma muli o kāu hoʻolālā lapaʻau. I loko o kēia manawa, e hele aku ka hapa nui o nā limahana mai ka lumi hana i ka wā e hāʻawi ʻia ai ka radiation, akā e nānā mau ʻia ʻoe.

Ma hope o ka pau ʻana o ka lapaʻau radiation, e hoʻopau kāu kauka lapaʻau i ka hana ma ka pani ʻana i ke kahua ʻoki. ʻO ka hana holoʻokoʻa e lawe maʻamau i 2 a 6 mau hola, ma muli o ke paʻakikī o kāu ʻoki a me ke ʻano o ka maʻi kanesa e mālama ʻia nei.

Pehea e hoʻomākaukau ai no kāu lapaʻau radiation intraoperative?

ʻO ka hoʻomākaukau ʻana no ka IORT e like me ka hoʻomākaukau ʻana no ka ʻoki nui, me kekahi mau mea e pono ai. E hāʻawi kāu hui lapaʻau i nā ʻōlelo kikoʻī e pili ana i kāu kūlana pilikino a me ke ʻano o ka ʻoki āu e hana nei.

Pono ʻoe e hooki i ka ʻai a me ka inu ʻana no 8 a 12 mau hola ma mua o kāu hana. Hiki nō hoʻi i kāu kauka ke noi iā ʻoe e hooki i kekahi mau lāʻau lapaʻau, ʻo ia hoʻi nā mea lahilahi koko, e hōʻemi i ka pilikia o ke kahe koko i ka wā ʻoki.

Ma mua o kou lā lapaʻau, e loaʻa paha iā ʻoe kekahi mau manawa hoʻomākaukau. Hiki i kēia mau mea ke komo i nā hoʻokolohua koko, nā haʻawina kiʻi, a me nā kūkākūkā me kāu hui ʻoki a me ka oncologist radiation. Kōkua kēia mau kipa e hōʻoia i ka hoʻolālā maikaʻi ʻana o nā mea a pau no kāu hihia kikoʻī.

He mea nui e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o kāu hana a noho pū me ʻoe no nā hola 24 mua. Makemake nō hoʻi ʻoe e hoʻomākaukau i kou home no ka hoʻōla ʻana, me ka loaʻa ʻana o nā lole ʻoluʻolu, nā meaʻai maʻalahi e hoʻomākaukau ai, a me nā lāʻau lapaʻau i kauoha ʻia.

E kūkākūkā kāu hui lapaʻau i nā ʻanuʻu hoʻomākaukau kikoʻī e pili ana i kāu ʻano maʻi kanesa a me ke olakino holoʻokoʻa. Mai kānalua e nīnau i nā nīnau e pili ana i ka mea e manaʻo ai a i ʻole e hōʻike i nā hopohopo āu e loaʻa ai.

Pehea e hoʻomaopopo ai i kāu hopena lapaʻau radiation intraoperative?

ʻAʻole hiki ke ana koke ʻia nā hopena o IORT e like me ka hoʻāʻo koko a i ʻole ke aʻo ʻana i nā kiʻi. Akā, ua loiloi ʻia ka holomua o kāu lapaʻau i ka manawa ma o nā koho ukali maʻamau a me ka nānā ʻana.

E ana kāu kauka oncological radiation i ka holomua o ka lapaʻau ma ka nānā ʻana inā e hoʻi mai ka maʻi maʻi i ka wahi i mālama ʻia. Hoʻomaopopo ʻia kēia ma o nā hoʻokolohua kino maʻamau, nā aʻo ʻana i nā kiʻi e like me CT scans a i ʻole MRIs, a i kekahi manawa nā hoʻāʻo koko no nā mākaʻi tumora.

ʻO ka manawa ma hope koke o ka lapaʻau e kālele ana i ka hoʻōla ʻana i ke ʻoki ʻana ma mua o nā hopena radiation. E nānā kāu hui ʻoki i ka hoʻōla ʻana o kāu ʻoki, nā pae ʻeha, a me ka hoʻōla holoʻokoʻa. ʻO ka hapa nui o nā kānaka e ʻike i nā hōʻailona hoʻōla ʻoki maʻamau ma mua o nā hopena ʻaoʻao radiation kuʻuna.

Hoʻoholo ʻia ka holomua lōʻihi e nā helu mana kūloko, ʻo ia hoʻi, pehea ka maikaʻi o ka lapaʻau e pale ai i ka maʻi maʻi mai ka hoʻi ʻana i ka wahi like. Hōʻike nā haʻawina e hiki i ka IORT ke hoʻomaikaʻi nui i nā helu mana kūloko no nā ʻano maʻi maʻi he nui, e pili pinepine ana a ʻoi aku paha i ka pono o ka lapaʻau radiation waho kuʻuna.

E hoʻopili ʻia kāu papa manawa ukali i kāu kūlana kikoʻī, akā maʻamau e komo pū ana me nā koho i kēlā me kēia 3 a 6 mahina no nā makahiki mua, a laila i kēlā me kēia makahiki. E wehewehe kāu hui lapaʻau i ka mea e nānā ai a i ka manawa e hoʻokaʻaʻike aku iā lākou me nā hopohopo.

He aha nā pōmaikaʻi o ka lapaʻau radiation intraoperative?

Hāʻawi ʻo IORT i nā pono nui ma luna o ka lapaʻau radiation waho kuʻuna. ʻO ka pōmaikaʻi nui loa ka hiki ke hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation pololei i nā cell maʻi maʻi i ka wā e pale ai i nā ʻiʻo olakino a puni.

E ʻike paha ʻoe i nā hopena ʻaoʻao liʻiliʻi i hoʻohālikelike ʻia me ka lapaʻau radiation waho. Mai ka wā i hāʻawi ʻia ai ka radiation i loko a ua pale ʻia nā ʻiʻo olakino i ka wā o ka lapaʻau, ʻaʻole paha ʻoe e ʻike i ka huhū o ka ʻili, ka luhi, a i ʻole ka pōʻino i nā ʻōpū kokoke.

He mea nui ka maʻalahi no nā maʻi he nui. Ma kahi o nā lapaʻau radiation i kēlā me kēia lā no kekahi mau pule, loaʻa iā ʻoe kāu lapaʻau radiation i ka wā o ke kaʻina hana like me kāu ʻoki. Hiki i kēia ke hōʻemi nui i kāu hana lapaʻau a kōkua iā ʻoe e hoʻi i nā hana maʻamau i ka wā mua.

No kekahi mau maʻi ʻaʻai, hiki i ka IORT ke hoʻomaikaʻi i nā hopena lapaʻau. Ua hōʻike nā haʻawina i nā helu mana kūloko maikaʻi loa, ʻo ia hoʻi, ʻaʻole paha e hoʻi ka maʻi ʻaʻai i ka wahi i mālama ʻia. He ʻoiaʻiʻo loa kēia no ka maʻi ʻaʻai umauma i ke kahua mua a me kekahi mau ʻano maʻi ʻaʻai colorectal.

ʻO ka pololei o ka IORT e hiki ai ke mālama i nā maʻi ʻaʻai ma nā wahi paʻakikī. Ke kokoke nā ʻōpū i nā hale koʻikoʻi e like me ke kaulaʻi, nā moku koko nui, a i ʻole nā ʻōpū koʻikoʻi, hiki i ka IORT ke hāʻawi i ka lapaʻau maikaʻi me ka hōʻemi ʻana i ka pilikia i kēia mau wahi nui.

He aha nā pilikia e hiki ke loaʻa i ka lapaʻau radiation intraoperative?

E like me nā kaʻina hana lapaʻau, loaʻa i ka IORT kekahi mau pilikia, ʻoiai ʻaʻole maʻamau nā pilikia koʻikoʻi. ʻO ka hapa nui o nā kānaka e ʻike i nā hopena ʻaoʻao hiki ke mālama ʻia e hoʻoponopono ʻia me ka manawa a me ka mālama kūpono.

ʻO nā hopena pōkole maʻamau e pili ana i ka ʻoki ʻana ma mua o ka radiation. Hiki i kēia mau mea ke komo i nā pilikia maʻamau e like me ke kahe ʻana, ka maʻi, a i ʻole nā hopena i ka anesthesia. E nānā pono kāu hui ʻoki iā ʻoe no kēia mau hopohopo maʻamau ma hope o ka hana.

Eia nā hopena e pili ana i ka radiation āu e ʻike ai:

Hiki ke loli nā ʻiʻo i ka wahi i mālama ʻia i ka manawa. Hoʻomohala kekahi poʻe i ka paʻa, ka mānoanoa, a i ʻole nā loli i ke ʻano o ka ʻili kahi i hāʻawi ʻia ai ka radiation. Hoʻomohala maʻamau kēia mau loli i nā mahina a he maʻalahi pinepine.

Hiki ke lohi iki ka hoʻōla ʻana i ka ʻeha i kekahi mau hihia. Hiki i ka radiation ke hoʻopilikia i ka wikiwiki o ka hoʻoponopono ʻana o nā ʻiʻo iā lākou iho, ʻoiai ʻaʻole kēia e hana i nā pilikia nui ke hahai ʻoe i kāu mau ʻōlelo aʻoaʻo mālama ma hope o ka hana.

Hiki i nā pilikia laha ʻole akā ʻoi aku ka koʻikoʻi ke komo i ka pōʻino i nā ʻōkana a i ʻole nā hale kokoke. Eia naʻe, ʻo ka hoʻolālā akahele a me ka ʻike maoli i ka manawa ma IORT e hōʻemi nui i kēia pilikia i hoʻohālikelike ʻia me ka lāʻau lapaʻau radiation waho.

Hiki i kekahi poʻe ke ʻike i ka ʻeha mau a i ʻole ka ʻeha ʻole i ka wahi i mālama ʻia. ʻOi aku ka maʻamau o kēia me kekahi mau ʻano hana a me nā wahi, a e kūkākūkā kāu hui lapaʻau i kēia pilikia kikoʻī e pili ana i kāu hihia pilikino.

ʻO nā hopena lōʻihi, ʻoiai ʻaʻole maʻamau, hiki ke komo i ka hoʻomohala ʻana i nā maʻi maʻi lua i ka wahi i mālama ʻia. ʻO ka maʻamau, ʻoi aku ka haʻahaʻa o kēia pilikia me IORT i hoʻohālikelike ʻia me ka lāʻau lapaʻau radiation kuʻuna ma muli o ka pahuhopu pololei a me ke ala hoʻokahi.

I ka manawa hea wau e ʻike ai i ke kauka e pili ana i ka lāʻau lapaʻau radiation intraoperative?

Pono ʻoe e hoʻokaʻaʻike koke i kāu hui lapaʻau inā ʻike ʻoe i nā hōʻailona o nā pilikia koʻikoʻi ma hope o kāu kaʻina hana IORT. Hiki i kēia mau mea ke komo i ka ʻeha nui ʻaʻole e hoʻomaikaʻi me nā lāʻau lapaʻau i kuhikuhi ʻia, nā hōʻailona o ka maʻi e like me ke kuni a i ʻole ka hoʻokuʻu ʻana i ka maʻamau, a i ʻole nā ​​hoʻololi koke i kāu pūnaewele ʻoki.

I ka wā o kou ola hou ʻana, e nānā i nā hōʻailona e hōʻike ana i nā pilikia. ʻO ka pehu nui, ke kahe mau ʻana, a i ʻole ka hoʻokahe ʻana mai kāu pūnaewele ʻoki e pono ai ka nānā ʻana i ka lāʻau lapaʻau. E hāʻawi kāu hui ʻoki i nā alakaʻi kikoʻī e pili ana i ka mea maʻamau a me ka mea e pono ai ka mālama koke.

No ka nānā mau ʻana, e mālama i kāu mau manawa hulina i hoʻonohonoho ʻia ʻoiai inā maikaʻi ʻoe. Hiki i nā loiloi maʻamau ke ʻae i kāu hui lapaʻau e ʻike i nā pilikia i ka wā mua a hōʻoia i ka hana ʻana o kāu lapaʻau e like me ka mea i manaʻo ʻia.

E hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i nā puʻupuʻu hou, nā puʻupuʻu, a i ʻole nā ​​hoʻololi i ka wahi i mālama ʻia i ka wā o kou ola hou ʻana a ma waho. ʻOiai ʻo ka hapa nui o nā loli he mau pane hoʻōla maʻamau, hiki i kāu hui lapaʻau ke hoʻoholo inā pono ka loiloi hou.

Mai kānalua e launa pū me nā nīnau a i ʻole nā hopohopo e pili ana i kou ola hou ʻana. Manaʻo a hoʻokipa kāu hui lapaʻau i kāu mau nīnau, a ʻo ka pane ʻana i nā hopohopo i ka wā mua e pale pinepine ai i nā pilikia liʻiliʻi mai ka lilo ʻana i mau pilikia nui.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka lāʻau lapaʻau radiation intraoperative

Q.1 He maikaʻi anei ka lāʻau lapaʻau radiation intraoperative no ka maʻi ʻaʻai umauma?

ʻAe, hiki i ka IORT ke maikaʻi loa no kekahi mau ʻano maʻi ʻaʻai umauma, ʻo ia hoʻi nā ʻōpū i ke kahua mua. Hōʻike ka noiʻi ʻana no nā maʻi i koho pono ʻia me nā maʻi ʻaʻai umauma liʻiliʻi, haʻahaʻa, hiki i ka IORT ke like ka maikaʻi me ka lāʻau lapaʻau radiation waho kuʻuna.

He mea pono loa ka lapaʻau ʻana no nā maʻi kahiko a i ʻole nā mea i ke kahua mua, nā maʻi ʻaʻai umauma hormone-receptor-positive. Nui nā wahine e mahalo ana i ka hiki ke hoʻopau i kā lākou lāʻau lapaʻau radiation i ka wā o ke kaʻina hana like me kā lākou lumpectomy, e pale ana i nā pule o nā manawa radiation i kēlā me kēia lā.

Eia naʻe, ʻaʻole kūpono ka IORT no nā maʻi ʻaʻai umauma a pau. E noʻonoʻo kāu oncologist i nā mea e like me ka nui o ka ʻōpū, kahi, ka papa, a me ke komo ʻana o ka lymph node i ka wā e hoʻoholo ai inā he moho maikaʻi ʻoe no kēia ala.

Q.2 Hoʻoulu anei ka lāʻau lapaʻau radiation intraoperative i nā hopena ʻaoʻao hou aʻe ma mua o ka radiation maʻamau?

ʻO ka ʻoiaʻiʻo, ʻo ka IORT ke kumu pinepine i nā hopena ʻaoʻao liʻiliʻi ma mua o ka lāʻau lapaʻau radiation waho kuʻuna. No ka mea, ua hāʻawi pololei ʻia ka radiation i ka wahi i manaʻo ʻia i ka wā e pale ʻia ai nā ʻiʻo olakino, ʻaʻole paha ʻoe e ʻike i nā hopena ʻaoʻao radiation maʻamau e like me ka huhū o ka ʻili a me ka luhi.

ʻO ke ala hoʻokahi-dose o IORT ke manaʻo nei ʻaʻole ʻoe e ʻike i nā hopena cumulative e hiki ke hoʻomohala me nā lāʻau lapaʻau radiation waho i kēlā me kēia lā. ʻO ka hapa nui o nā hopena ʻaoʻao āu e ʻike ai e pili ana i ke ʻoki ʻana iho ma mua o ka ʻāpana radiation.

Eia naʻe, ʻo nā hopena āu e ʻike ai, e ʻoi aku paha ka nui ma ka wahi i mālama ʻia. Hoʻomohala kekahi poʻe i nā loli ʻiʻo a i ʻole ka paʻa ma kahi i hāʻawi ʻia ai ka radiation, akā hiki ke mālama ʻia kēia mau mea a hoʻomohala mālie i ka manawa.

Q.3 Pehea ka lōʻihi o ka hoʻōla ʻana ma hope o ka lāʻau lapaʻau radiation intraoperative?

Aia ka manawa hoʻōla i ke ʻano o ke ʻoki āu i hana ai ma mua o ka ʻāpana radiation. Hoʻōla ka hapa nui o nā kānaka mai nā kaʻina hana IORT i loko o ka manawa like me ka mea e hana ai mai ke ʻoki wale nō.

No ka umauma IORT, nui nā maʻi e hoʻi i nā hana maʻamau i loko o 1 a 2 mau pule, e like me ka hoʻōla ʻana mai kahi lumpectomy maʻamau. Pono nā ʻokiʻoki nui i nā manawa hoʻōla lōʻihi, maʻamau 4 a 6 mau pule no nā kaʻina hana ʻōpū.

Hiki i ka ʻāpana radiation ke hoʻolohi iki i ka hoʻōla ʻana o ka ʻiʻo i kekahi mau hihia, akā ʻaʻole pinepine kēia e hoʻolōʻihi nui i kou manawa hoʻōla holoʻokoʻa. E hāʻawi kāu hui lapaʻau i nā manaʻolana kikoʻī e pili ana i kāu kaʻina hana a me ke olakino holoʻokoʻa.

Q.4 Hiki ke hana hou ʻia ka lāʻau lapaʻau radiation intraoperative inā hoʻi mai ka maʻi maʻi?

Hiki ke paʻakikī ka hana hou ʻana i ka IORT ma kahi hoʻokahi no ka mea ua loaʻa mua i nā ʻiʻo kahi dosis radiation nui. Eia naʻe, hiki i kekahi manawa ke hilinaʻi ʻia ma kahi, ka manawa i hala mai ka lāʻau mua, a me kou kūlana olakino holoʻokoʻa.

E loiloi pono kāu oncologist radiation i nā mea e like me ka nui o ka radiation i loaʻa i kou mau ʻiʻo, ka manawa mai kāu lāʻau mua, a me kahi o kekahi maʻi maʻi hou. I kekahi manawa, ʻoi aku paha nā lāʻau lapaʻau ʻē aʻe no ka maʻi hou.

Inā hoʻi mai ka maʻi maʻi ma kahi ʻē aʻe o kou kino, hiki nō i ka IORT ke koho no ka mālama ʻana i kahi hou. He kū hoʻokahi kēlā me kēia kūlana, a e hoʻomohala kāu hui lapaʻau i ka hoʻolālā lapaʻau maikaʻi loa no kāu mau kūlana.

Q.5 Ua uhi ʻia ka lāʻau lapaʻau radiation intraoperative e ka ʻinikua?

Ua uhi ka hapa nui o nā hoʻolālā ʻinikua, me Medicare, i ka IORT ke kūpono i ka lāʻau lapaʻau a hana ʻia no nā hōʻailona i ʻae ʻia. Ua manaʻo ʻia ka lapaʻau he koho maʻamau no kekahi mau ʻano maʻi ʻaʻai, ʻo ia hoʻi ka maʻi ʻaʻai umauma a me kekahi mau maʻi ʻaʻai colorectal.

Eia naʻe, hiki ke ʻokoʻa ka uhi ʻana ma muli o kāu hoʻolālā ʻinikua kikoʻī a me ke ʻano o ka maʻi ʻaʻai e mālama ʻia nei. He mea nui e hana pū me nā ʻōlelo aʻoaʻo kālā o kāu hui lapaʻau e hōʻoia i ka uhi ʻana a e hoʻomaopopo i nā koina mai kāu ʻeke ma mua o kāu kaʻina hana.

Inā loaʻa iā ʻoe nā pilikia uhi, hiki i kāu hui lapaʻau ke hāʻawi pinepine i nā palapala e kākoʻo ana i ka pono o ka lāʻau lapaʻau o IORT no kāu kūlana kikoʻī. Nui nā hui ʻinikua e ʻike i ka pono o ke kumukūʻai o IORT i hoʻohālikelike ʻia me nā pule o ka lāʻau lapaʻau radiation waho.