He aha ka Prostate Brachytherapy? Ke Kumu, ke Kaʻina Hana & nā Hōʻike

ʻO ka prostate brachytherapy he lapaʻau radiation i kuhikuhi ʻia kahi e waiho pololei ʻia ai nā hua radioactive liʻiliʻi i loko o kou prostate gland. Hāʻawi kēia ala i nā kauka e hāʻawi i nā kiʻekiʻe kiʻekiʻe o ka radiation pololei i nā sela maʻi ʻaʻai me ka pale ʻana i nā ʻiʻo olakino kokoke. E noʻonoʻo e like me ka waiho ʻana i ka lapaʻau ma kahi e pono ai, ma mua o ka hoʻouna ʻana i ka radiation ma kou kino holoʻokoʻa.

He aha ka prostate brachytherapy?

Hoʻopili ka prostate brachytherapy i ka hoʻokomo ʻana i nā hua radioactive liʻiliʻi, kēlā me kēia ma kahi o ka nui o ka palaoa raiki, pololei i loko o kou ʻiʻo prostate. Hoʻopuka kēia mau hua i ka radiation i ka manawa e luku ai i nā sela maʻi ʻaʻai mai loko mai. ʻO ka huaʻōlelo

He hana maikaʻi kēia lapaʻau no nā kāne me ka maʻi kanesa prostate haʻahaʻa a waena. He moho maikaʻi paha ʻoe inā he haʻahaʻa kou pae PSA, hōʻike kāu helu Gleason i ka maʻi kanesa e ulu lohi ana, a hōʻike nā kiʻi i ka maʻi kanesa i loko o kou prostate.

Hāʻawi ka brachytherapy i nā mea maikaʻi ma mua o nā lapaʻau ʻē aʻe. Hāʻawi ia i ka radiation pololei i nā sela maʻi kanesa me ka hōʻemi ʻana i ka ʻike ʻana i nā ʻōkana a puni e like me kou ʻōpū a me ka ʻōpū. Nui nā kāne e koho i kēia koho no ka mea e koi pinepine ana i nā kau lapaʻau liʻiliʻi ma mua o ka radiation beam waho a loaʻa paha nā hopena ʻaoʻao lōʻihi.

Hiki i kāu kauka ke ʻōlelo aku e hui pū i ka brachytherapy me ka radiation beam waho no nā maʻi kanesa waena a kiʻekiʻe paha. Hiki i kēia hui pū ʻana ke ʻoi aku ka maikaʻi ma mua o kekahi lapaʻau no kekahi mau ʻano maʻi kanesa prostate.

He aha ke kaʻina hana no ka brachytherapy prostate?

Hana ʻia ke kaʻina hana brachytherapy ma kahi kikowaena ʻokiʻoki outpatient a i ʻole ka haukapila. E loaʻa iā ʻoe ka anesthesia spinal a i ʻole ka anesthesia maʻamau e hōʻoia i kou ʻoluʻolu i ke kaʻina hana. He nui nā kāne e hele i ka home i ka lā hoʻokahi, akā hiki i kekahi ke noho i ka pō no ka nānā ʻana.

Ma mua o ka hoʻokomo maoli ʻana, hana kāu hui lapaʻau i ka hoʻolālā pono me ka hoʻohana ʻana i nā haʻawina kiʻi. E hoʻohana lākou i ka ultrasound a i kekahi manawa CT a i ʻole MRI scans e palapala i ka nui a me ke ʻano o kou prostate. Hoʻomaopopo kēia hoʻolālā i nā hua i waiho ʻia i nā kūlana maikaʻi loa e kuhikuhi pono i nā sela maʻi kanesa.

I ka wā o ke kaʻina hana, e moe ʻoe ma kou kua me kou mau wāwae i nā stirrups, e like me ke kūlana hoʻokolokolo gynecological. E hoʻokomo kāu kauka i kahi ultrasound probe i loko o kou ʻōpū e alakaʻi i ka waiho ʻana i nā hua. A laila e hoʻokomo lākou i nā nila lahilahi ma ka ʻili ma waena o kou scrotum a me ka anus e hiki ai i kou prostate.

Hoʻokomo ʻia nā hua radioactive i loko o nā nila a waiho ʻia i nā wahi i hoʻonohonoho mua ʻia ma kou prostate. ʻOkoʻa ka nui o nā hua ma muli o ka nui o kou prostate a me nā ʻano maʻi maʻi, akā maʻamau mai 40 a 100 hua. He mau kekona wale nō ke kau ʻana o kēlā me kēia hua, a maʻamau ka lōʻihi o ke kaʻina hana holoʻokoʻa i hoʻokahi a ʻelua hola.

Ma hope o ke kau ʻia ʻana o nā hua a pau, e hoʻohana kāu kauka i nā kiʻi e hōʻoia i ke kūlana kūpono. Hiki iā lākou ke hana i nā hoʻoponopono liʻiliʻi inā pono e hōʻoia i ka uhi ʻana o ka radiation maikaʻi loa o kāu ʻiʻo prostate.

Pehea e hoʻomākaukau ai no kāu prostate brachytherapy?

Hoʻomaka kāu hoʻomākaukau i kekahi mau pule ma mua o ke kaʻina hana me nā scans hoʻolālā kikoʻī. E hele ʻoe i nā haʻawina kiʻi e palapala i ka anatomy o kou prostate a e hoʻoholo i ka hoʻolālā kau ʻana hua maikaʻi loa. He mea nui kēia pae hoʻolālā no ka holomua o ka mālama ʻana a maʻamau e pili ana i ka ultrasound a me ka CT imaging.

E hāʻawi kāu kauka i nā ʻōlelo kikoʻī e pili ana i nā lāʻau lapaʻau a me nā mea hoʻohui. Pono paha ʻoe e hooki i ka lawe ʻana i nā lāʻau e lahilahi ai ke koko e like me ka aspirin a i ʻole warfarin i kekahi mau lā ma mua o ke kaʻina hana. E kūkākūkā mau i kāu papa inoa lāʻau lapaʻau piha me kāu hui mālama ola, me nā mea hoʻohui ma luna o ka counter a me nā lāʻau lapaʻau herbal.

I ka lā o kāu kaʻina hana, pono ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home. E hoʻolilo ka anesthesia a me ka lāʻau lapaʻau iā ʻoe i mea palekana ʻole e hoʻokele a i ʻole e hana i nā mīkini no ke koena o ka lā. E hoʻolālā e loaʻa i kahi kanaka makua kuleana e noho pū me ʻoe no ka liʻiliʻi o nā hola 24 mua ma hope o ka mālama ʻana.

E loaʻa paha iā ʻoe nā ʻōlelo aʻoaʻo e pili ana i ka hoʻomākaukau ʻana i ka ʻōpū, e komo paha i ka enema a i ʻole ka meaʻai kūikawā i ka lā ma mua. Hiki nō hoʻi i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e pale ai i ka maʻi. E hahai pono i kēia mau ʻōlelo aʻoaʻo e hōʻoia i ka hopena maikaʻi loa.

E lawe mai i nā lole ʻoluʻolu a me nā lole ākea e ʻaʻahu ai i ka wā e hoʻi ai i ka home ma hope o ke kaʻina hana. Hiki iā ʻoe ke ʻike i kekahi ʻoluʻolu ʻole a i ʻole ka pehu ʻana, no laila hiki i nā lole paʻa ke hōʻoluʻolu ʻole. E noʻonoʻo e lawe mai i nā mea leʻaleʻa e like me nā puke a i ʻole nā mele no kekahi manawa kali.

Pehea e heluhelu ai i nā hopena o kāu prostate brachytherapy?

Hoʻoholo ʻia ka holomua o ka prostate brachytherapy ma o nā hoʻokolohua koko PSA maʻamau i ka manawa. Pono e emi mālie kāu pae PSA ma hope o ka mālama ʻana, ʻoiai hiki i kēia kaʻina hana ke lawe i nā mahina a i ʻole nā makahiki. ʻAʻole like me ke ʻoki ʻana, kahi e hāʻule koke ai ka PSA, hoʻokumu ka radiation therapy i ka emi lohi a me ka mālie.

E nānā kāu kauka i kāu mau pae PSA i kēlā me kēia mau mahina i ka wā mua, a laila ʻoi aku ka liʻiliʻi i ka hala ʻana o ka manawa. Hōʻike maʻamau ka mālama ʻana i ka holomua i nā pae PSA e hāʻule ana i nā pae haʻahaʻa loa, pinepine ma lalo o 1.0 ng/mL, ʻoiai ʻokoʻa nā hopena o kēlā me kēia kanaka. ʻIke kekahi mau kāne i ka piʻi ʻana o ka PSA i ka wā o nā makahiki mua, ʻaʻole ia e hōʻike pono i ka hāʻule ʻana o ka mālama ʻana.

Hiki ke hoʻohana ʻia nā haʻawina kiʻi e loiloi i ka pane ʻana i ka mālama ʻana, ʻoi aku ka nui inā ʻaʻole e emi nā pae PSA e like me ka mea i manaʻo ʻia. Hiki i kāu kauka ke ʻōlelo aku i nā scans MRI a i ʻole nā kiʻi ʻē aʻe e loiloi i kou prostate a me nā ʻiʻo a puni. Kōkua kēia mau hoʻokolohua e hoʻoholo inā e pane ana ka maʻi maʻi i ka mālama ʻana.

Ke hoʻomau nei ka radiation mai nā hua brachytherapy e hana no nā mahina ma hope o ke kanu ʻana. Hāʻawi ʻia ka hapa nui o ka radiation dose i loko o nā mahina mua, akā hoʻomau nā hua e hoʻopuka i nā pae haʻahaʻa o ka radiation a hiki i hoʻokahi makahiki. ʻO kēia manawa mālama lōʻihi kekahi kumu e loiloi ʻia ai nā hopena ma luna o nā mahina ma mua o nā pule.

E nānā pū kāu kauka iā ʻoe no nā hopena ʻaoʻao a i ʻole nā pilikia i ka wā o nā kipa ma hope. E loiloi lākou i kāu hana mimi, nā hana ʻōpū, a me ke olakino moe kolohe e hōʻoia e ola maikaʻi ana ʻoe mai ka mālama ʻana.

He aha nā mea pilikia no nā pilikia prostate brachytherapy?

Hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana o nā hopena ʻaoʻao mai ka prostate brachytherapy. ʻO ka hoʻomaopopo ʻana i kēia mau mea pilikia e kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo i ʻike ʻia e pili ana i nā koho lapaʻau a me ka mea e manaʻo ai i ka wā e ola ai.

Hoʻonui nui nā pilikia urinary i mua i kou pilikia o nā pilikia. Inā he pilikia kāu i ka mimi ʻana, ka mimi pinepine ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe e pili ana i ka prostate, hiki i ka brachytherapy ke hoʻonui i kēia mau pilikia. Hiki i nā kāne me nā prostate nui a i ʻole nā ​​hōʻailona urinary koʻikoʻi ke ʻike i nā hopena ʻaoʻao i ʻoi aku ka maopopo.

Hoʻopilikia kou makahiki a me ke olakino holoʻokoʻa i ka maikaʻi o kāu hoʻomanawanui ʻana i ka lāʻau lapaʻau. ʻOiai ua ʻae maikaʻi ʻia ka brachytherapy, ʻoi aku ka nui o nā kāne kahiko a i ʻole nā ​​mea me nā maʻi olakino he nui i ka pilikia o nā pilikia. E loiloi kāu kauka i kou olakino holoʻokoʻa no ke kaʻina hana i ka wā o ka hoʻolālā.

Hiki i nā kaʻina hana prostate mua ke hoʻopilikia i kāu ʻikepili pilikia. ʻO nā kāne i loaʻa i ka ʻoki prostate mua, ʻo ia hoʻi ka transurethral resection of the prostate (TURP), hiki ke hoʻonui i nā pilikia o nā pilikia urinary. Kōkua kāu mōʻaukala ʻoki i kāu kauka e manaʻo i nā pilikia hiki ke loaʻa.

He mea nui ka nui a me ka anatomy o ka prostate i ka holomua o ka lāʻau lapaʻau a me nā pilikia o nā hopena ʻaoʻao. He paʻakikī paha ka mālama ʻana i nā prostate nui loa, ʻoiai ʻo kekahi mau hiʻohiʻona anatomical e hoʻonui i ka pilikia o ka ʻike ʻana i ka radiation i nā ʻōpū kokoke.

He aha nā pilikia hiki ke loaʻa o ka prostate brachytherapy?

ʻO ka hapa nui o nā kāne e ʻae maikaʻi i ka prostate brachytherapy, akā ʻo ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e hoʻomākaukau no ka hoʻōla a ʻike i ka manawa e hoʻopili ai i kāu hui mālama ola. Hiki ke koke nā pilikia, e hana ana i loko o nā lā a i ʻole nā ​​wiki, a i ʻole ka wā lōʻihi, e ulu ana i nā mahina a i ʻole nā ​​makahiki ma hope o ka lāʻau lapaʻau.

ʻO nā pilikia urinary nā hopena ʻaoʻao maʻamau āu e ʻike ai. Hiki ke ʻano mai kēia mau mea mai nā pilikia maʻalahi a i nā pilikia nui e pili ana i kou ola i kēlā me kēia lā:

• Hoʻonui pinepine ʻia ka mimi, ʻoi loa i ka pō
• Pono e mimi a i ʻole ka paʻakikī i ka paʻa ʻana i ka mimi
• Ke kuni a i ʻole ke ʻano ʻeha i ka wā e mimi ai
• He nāwaliwali ke kahawai mimi a i ʻole ka paʻakikī i ka hoʻomaka ʻana i ka mimi
• Ke koko i loko o ka mimi, e hoʻoponopono maʻamau i loko o kekahi mau pule
• ʻAʻole hiki ke mimi, e koi ana i ka hoʻokomo ʻana i ka catheter

ʻO kēia mau hōʻailona urinary e piʻi maʻamau i loko o nā mahina mua ma hope o ka mālama ʻana a hoʻomaikaʻi mālie i ka manawa. ʻO ka hapa nui o nā kāne e ʻike i kā lākou mau hōʻailona hiki ke mālama ʻia me ka lāʻau lapaʻau a me nā hoʻololi ola.

ʻAʻole maʻamau nā pilikia o ka ʻōpū akā hiki ke hana ma muli o ka ʻike ʻana i ka radiation i ka rectum. Hiki iā ʻoe ke ʻike i nā loli i nā hana ʻōpū a i ʻole ka ʻoluʻolu:

• Hoʻonui pinepine ʻia ka neʻe ʻana o ka ʻōpū
• Pono ka rectal a i ʻole ka paʻakikī i ka mālama ʻana i nā neʻe ʻōpū
• Ke kahe ʻana o ke koko a i ʻole ka huhū
• Hemorrhoids a i ʻole ka ʻoluʻolu anal
• Nā hihia kakaʻikahi o ka ʻeha rectal e koi ana i ka hana lapaʻau

Hoʻopilikia nā loli hana moe kolohe i nā kāne he nui ma hope o ka brachytherapy, ʻoiai e ulu pinepine kēia mau hopena i nā mahina a i ʻole nā makahiki. Hiki i ka radiation ke hoʻopilikia i nā kīʻaha koko a me nā aʻalolo e pono ai no ka hana moe kolohe, e alakaʻi ana i ka erectile dysfunction o nā degere like ʻole.

Hiki ke hana ʻia nā pilikia koʻikoʻi akā kakaʻikahi, ʻoiai e pili ana lākou i ka liʻiliʻi ma mua o 1% o nā kāne. Hiki i kēia ke komo i ka neʻe ʻana o nā hua i nā ʻāpana kino ʻē aʻe, ka ʻeha radiation koʻikoʻi i nā ʻōkana a puni, a i ʻole ka maʻi ma ka pūnaewele implantation.

I ka manawa hea wau e ʻike ai i ke kauka no nā hopohopo brachytherapy prostate?

E hoʻokaʻaʻike koke i kāu hui mālama ola inā ʻoe e ʻike i nā hōʻailona koʻikoʻi e hōʻike ana i nā pilikia koʻikoʻi. ʻO ka hiki ʻole ke mimi he pilikia olakino e koi ana i ka nānā koke. Mai kali e ʻike inā hoʻoponopono kēia ma kāna iho.

E ʻimi i ka mālama olakino wikiwiki inā loaʻa iā ʻoe nā hōʻailona o ka maʻi a i ʻole ke kahe ʻana o ke koko. ʻO ke kuni, nā anu, a i ʻole nā ​​hōʻailona e like me ka maʻi flu i loko o nā pule mua ma hope o ka mālama ʻana e hōʻike ana i kahi maʻi e pono ai ka lāʻau antibiotic.

E kelepona i kāu kauka inā loaʻa iā ʻoe kēia mau hōʻailona e pili ana:

• ʻEha nui ʻaʻole e hoʻomaikaʻi me ka lāʻau i kuhikuhi ʻia
• Ke kahe nui ʻana o ke koko i loko o ka mimi ʻaʻole e emi i ka manawa
• Nā hōʻailona o ka maʻi e like me ke kuni, nā anu, a i ʻole ka ʻeha nui
• Hoʻonui koke ʻia nā hōʻailona urinary
• Ka luaʻi mau a i ʻole ka luaʻi ʻana
• Ke kahe nui ʻana o ke koko a i ʻole ka ʻeha

E hoʻonohonoho i nā manawa hālāwai maʻamau e like me ka ʻōlelo a kāu hui mālama ola. Hāʻawi kēia mau kipa ʻana i kāu kauka e nānā i kou ola hou ʻana, e nānā i nā pae PSA, a e kamaʻilio i nā hopohopo ma mua o ka lilo ʻana i pilikia koʻikoʻi.

Mai kānalua e hoʻokaʻaʻike i kāu hui mālama ola me nā nīnau a i ʻole nā ​​hopohopo, ʻoiai inā he mea liʻiliʻi lākou. Makemake kāu hui lapaʻau e hōʻoia i ka loaʻa ʻana o ka hopena maikaʻi loa a me ka ʻike ola hou.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka prostate brachytherapy

Q.1 ʻOi aku ka maikaʻi o ka prostate brachytherapy ma mua o ke ʻoki?

He mau lapaʻau maikaʻi ʻo Prostate brachytherapy a me ke ʻoki ʻana no ka maʻi maʻi prostate localized, akā he mau pōmaikaʻi a me nā mea maikaʻi ʻole. He ʻoi aku ka maikaʻi o ka Brachytherapy no nā kāne e makemake e pale i ke ʻoki nui a i ʻole nā ​​maʻi olakino e pilikia ai ke ʻoki.

ʻO ka maʻamau, ʻo ka brachytherapy e hoʻopilikia i kou ola ma mua o ke ʻoki. Hiki iā ʻoe ke hoʻi i nā hana maʻamau i loko o kekahi mau lā, ʻoiai e lawe ana ke ola ʻana i ke ʻoki i kekahi mau pule. Eia naʻe, hiki i nā hopena ʻaoʻao brachytherapy ke hoʻomohala mālie i nā mahina.

ʻO ke koho ma waena o nā lāʻau lapaʻau e pili ana i kāu mau ʻano maʻi maʻi, ke olakino holoʻokoʻa, ka makahiki, a me nā makemake pilikino. E kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho e pili ana i kāu kūlana.

Nīnau 2. E lilo anei au i mea lekiōaktive ma hope o ka brachytherapy?

ʻAe, e hoʻopuka ana ʻoe i nā pae haʻahaʻa o ka radiation no kekahi mau mahina ma hope o ka hoʻokomo ʻana i nā hua mau, akā he mea liʻiliʻi loa ka pilikia i nā poʻe ʻē aʻe. E emi mau ana ka pae radiation i ka wā e nalowale ai ka lekiōaktivity o nā hua.

E hāʻawi kāu kauka i nā alakaʻi kikoʻī e pili ana i nā hana e mālama ai i nā poʻe ʻē aʻe, ʻo ia hoʻi nā wahine hāpai a me nā keiki ʻōpio. ʻO kēia mau hana e pili ana i ka mālama ʻana i kahi mamao i nā mahina mua a hiki ke komo i ka hiamoe kaʻawale mai kāu hoa no kekahi manawa.

He palekana ka hapa nui o nā hana maʻamau a me nā pilina ma hope koke o ka mālama ʻana. He liʻiliʻi ka ʻike ʻana i ka radiation i nā poʻe ʻē aʻe mai ka pili ʻana a aia i loko o nā palena palekana i hoʻokumu ʻia e nā luna palekana radiation.

Nīnau 3. Pehea ka lōʻihi o ka hana ʻana o nā hua lekiōaktive?

Noho nā hua lekiōaktive no kahi o 10 a 12 mau mahina ma hope o ka hoʻokomo ʻana, ʻoiai lākou e hāʻawi i ka hapa nui o kā lākou mahele radiation i loko o nā mahina mua. E nalowale mālie ana ka lekiōaktivity o nā hua ma hope o ke ʻano i wānana ʻia.

I hoʻokahi makahiki ma hope o ka mālama ʻana, ʻaʻole e hoʻopuka nā hua i ka radiation a ʻaʻole ia he pilikia iā ʻoe a i ʻole nā ​​poʻe ʻē aʻe. Eia naʻe, e noho mau ana nā hua i loko o kou prostate, i hoʻopaʻa ʻia i loko o ka ʻiʻo ʻeha i hana ʻia e ke kaʻina hana hoʻōla maoli o kou kino.

ʻO ka hoʻokuʻu ʻana i ka radiation e hiki ai ke mālama mau i nā cell cancer i ka manawa lōʻihi, ʻoi aku ka maikaʻi ma mua o ka hāʻawi ʻana i ka mahele like i ka manawa hoʻokahi.

Nīnau 4. Hiki iaʻu ke hele ma hope o ka prostate brachytherapy?

Hiki iā ʻoe ke hele ma hope o ka prostate brachytherapy, akā pono ʻoe e lawe i nā palapala e pili ana i kāu mālama ʻana no ka makahiki mua. Hiki i nā scanners palekana kahua mokulele a me nā mea ʻike radiation ʻē aʻe ke ʻohi i nā hua lekiōaktive, no laila ʻo ka loaʻa ʻana o nā palapala lapaʻau e pale ai i nā lohi a i ʻole nā ​​pilikia.

E hāʻawi kāu kauka iā ʻoe i kahi kāleka a i ʻole leka e wehewehe ana i kāu lapaʻau a me ke alo o nā mea radioactive i loko o kou kino. E mālama i kēia palapala me ʻoe i ka wā e hele ai, ʻoiai ma nā kahua mokulele a i ʻole nā wahi ʻē aʻe me nā mea ʻike radiation.

He palekana ka hapa nui o nā hana huakaʻi, akā e kūkākūkā i nā hoʻolālā huakaʻi lōʻihi me kāu hui mālama ola. Loaʻa paha iā lākou nā ʻōlelo paipai kikoʻī e pili ana i kāu holomua hoʻōla a me kahi e hele ai.

Q.5 He aha inā e puka mai kahi hua?

I kekahi manawa, hiki i kahi hua radioactive ke hele i waho o kou kino ma o ka mimi a i ʻole nā neʻe ʻana o ka ʻōpū, ʻoiai i nā pule mua ma hope o ke kanu ʻana. Hana kēia ma kahi o 1-5% o nā kāne a ʻaʻole ia he kumu e hopohopo nui ai.

Inā ʻoe e ʻike i kahi hua, mai hoʻopā pololei me kou mau lima ʻole. E hoʻohana i nā tweezers a i ʻole nā tongs e ʻohi ai, e waiho i loko o kahi pahu liʻiliʻi, a e hoʻokaʻaʻike i kāu hui mālama ola no nā ʻōlelo aʻo e pili ana i ka hoʻihoʻi ʻana me ka palekana.

E nānā kāu kauka i ke kau ʻana o nā hua ma o nā haʻawina kiʻi e pili ana. Inā neʻe kekahi mau hua a i ʻole inā pili ka nalowale ʻana o nā hua i kāu hoʻolālā lapaʻau, hiki i kāu kauka ke ʻōlelo i ka lapaʻau hou a i ʻole ka nānā ʻana.