He aha ka Radiation Therapy no ka maʻi 'aʻai umauma? Ke Kumu, ke kaʻina hana & nā hopena

Hoʻohana ka radiation therapy no ka maʻi 'aʻai umauma i nā kukuna ikaika e luku i nā pūnaewele maʻi 'aʻai e hiki ke noho ma hope o ke ʻoki. He lapaʻau maʻamau a maikaʻi loa ia e kōkua ai i ka pale ʻana i ka maʻi 'aʻai mai ka hoʻi ʻana mai i ka wahi umauma.

Hana kēia lapaʻau ma ka manaʻo i ka wahi kikoʻī kahi i loaʻa ai kāu ʻōpū, me nā ʻiʻo kokoke e loaʻa ana nā pūnaewele maʻi 'aʻai microscopic. Hoʻopōʻino ka radiation i ka DNA i loko o kēia mau pūnaewele, e hiki ʻole ai iā lākou ke ulu a māhele. Hiki i kāu mau pūnaewele olakino ke hoʻoponopono iā lākou iho mai kēia pōʻino, akā ʻaʻole hiki i nā pūnaewele maʻi 'aʻai.

He aha ka radiation therapy no ka maʻi 'aʻai umauma?

ʻO ka radiation therapy he lapaʻau maʻi 'aʻai i manaʻo ʻia e hoʻohana ana i nā kukuna pololei o ka ikehu e hoʻopau i nā pūnaewele maʻi 'aʻai i koe ma hope o ke ʻoki umauma. E noʻonoʻo iā ia he kukuna i kālele ʻia e hiki ke hōʻea i nā wahi liʻiliʻi loa no nā kauka e ʻike ai me ka maka ʻōlohelohe.

ʻO ke ʻano maʻamau i hoʻohana ʻia no ka maʻi 'aʻai umauma ʻo ia ka external beam radiation therapy. I loko o kēia lapaʻau, hoʻohuli kahi mīkini i kapa ʻia he linear accelerator a puni ʻoe, e hāʻawi ana i ka radiation mai nā kihi he nui i ka wahi lapaʻau. Hoʻomaopopo kēia ala i nā pūnaewele maʻi 'aʻai e loaʻa i ka nui piha i ka wā e hōʻemi ana i ka ʻike ʻana i kāu mau ʻōkana olakino.

I kekahi manawa, ʻōlelo nā kauka i ka internal radiation therapy, i kapa ʻia ʻo brachytherapy. Pono kēia i ka waiho ʻana i nā kumu radioactive liʻiliʻi i loko o ka ʻiʻo umauma kahi i wehe ʻia ai ka ʻōpū. Hāʻawi kēia ʻano i ka radiation mai loko mai o kou kino i ka manawa pōkole.

No ke aha i hana ʻia ai ka radiation therapy no ka maʻi 'aʻai umauma?

Hoʻemi nui ka radiation therapy i kou pilikia o ka maʻi 'aʻai umauma e hoʻi ana i ka umauma like a i ʻole nā ​​lymph nodes kokoke. Hōʻike nā haʻawina hiki iā ia ke hoʻohaʻahaʻa i kēia pilikia ma kahi o 70% ke hoʻohana ʻia ma hope o ke ʻoki lumpectomy.

Hiki i kāu kauka ke ʻōlelo aku i ka lāʻau lapaʻau radiation i nā kūlana like ʻole. Ma hope o ka lumpectomy, kōkua ka radiation i ka hōʻoia ʻana ua luku ʻia nā pūnaewele maʻi maʻi microscopic i koe. Hāʻawi kēia hui pū ʻana o ke ʻoki ʻana me ka radiation iā ʻoe i nā helu ola like me ka loaʻa ʻana o ka mastectomy, ʻoiai e ʻae ana iā ʻoe e mālama i kou umauma.

Ma hope o ka mastectomy, hiki ke ʻōlelo ʻia ka radiation inā nui kāu maʻi, inā i loaʻa ka maʻi ma nā lymph nodes he nui, a i ʻole inā i ʻike ʻia nā pūnaewele maʻi ma nā kihi o ka ʻiʻo i wehe ʻia. I kēia mau hihia, aia ka manawa kiʻekiʻe e hiki ke noho nā pūnaewele maʻi ma ka paia o ka umauma a i ʻole nā lymph nodes kokoke.

I kekahi manawa hoʻohana ʻia ka lāʻau lapaʻau radiation ma mua o ke ʻoki ʻana e hōʻemi i nā maʻi nui, e maʻalahi ai ka wehe ʻana. ʻO kēia ala, i kapa ʻia ʻo neoadjuvant radiation, ʻaʻole maʻamau akā hiki ke maikaʻi loa no kekahi mau ʻano maʻi maʻi umauma.

He aha ke kaʻina hana no ka lāʻau lapaʻau radiation?

Hoʻomaka ke kaʻina hana lāʻau lapaʻau radiation me nā kau hoʻolālā akahele i kapa ʻia he mau manawa simulation. I loko o kēia mau kipa, hana kāu hui radiation i kahi hoʻolālā lapaʻau pololei i hana ʻia no kou kino a me kahi maʻi maʻi.

ʻO ka mea mua, e moe ʻoe ma luna o kahi papa lapaʻau ʻoiai e hoʻohana nā technologists i nā scans CT e palapala i kahi kikoʻī e pono ai ka lapaʻau. E hana lākou i nā kaha inika paʻa liʻiliʻi a i ʻole nā peʻa liʻiliʻi ma kou ʻili e hōʻoia i ka paʻi ʻana o nā kukuna radiation i kahi like i kēlā me kēia manawa. ʻO kēia mau kaha ma kahi o ka nui o ka freckle a kōkua i ke alakaʻi ʻana i ka mīkini.

E hana kāu oncologist radiation me nā physicists lapaʻau e helu i ka nui a me nā kihi e pono ai no kāu lapaʻau. Hiki i kēia kaʻina hana hoʻolālā ke lawe i hoʻokahi a ʻelua pule, akā he mea nui ia no ka hōʻoia ʻana e loaʻa iā ʻoe ka lapaʻau maikaʻi loa me nā hopena ʻaoʻao liʻiliʻi.

He mau minuke 15-30 ka lōʻihi o nā kau lapaʻau i kēlā me kēia lā, akā e loaʻa ana iā ʻoe ka radiation no kahi 2-5 mau minuke o ia manawa. ʻO ke koena e pili ana i ka hoʻonoho pono ʻana iā ʻoe a me ka nānā pālua ʻana i nā ana a pau. E moe mālie ʻoe ma luna o ka papa lapaʻau i ka wā e neʻe ai ka mīkini a puni ʻoe, e hāʻawi ana i ka radiation mai nā kihi like ʻole.

Loaʻa ka radiation i ka hapa nui o nā kānaka i nā lā ʻelima o ka pule no 3-6 pule, akā hiki i kekahi mau ʻenehana hou ke hoʻopōkole i kēia i 3-4 pule. ʻAʻohe ʻeha o kēlā me kēia kau - ʻaʻole ʻoe e ʻike, ʻike, a lohe paha i ka radiation ponoʻī.

Pehea e hoʻomākaukau ai no kāu lapaʻau radiation?

ʻO ka hoʻomākaukau ʻana no ka lapaʻau radiation e pili ana i ka mākaukau kino a me ka naʻau. E hāʻawi kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī, akā aia nā ʻanuʻu maʻamau e hiki ke kōkua iā ʻoe e manaʻoʻiʻo a ʻoluʻolu.

Ma mua o ka hoʻomaka ʻana i ka lapaʻau, e ʻai i nā meaʻai momona a e hoʻomaha nui e kōkua i kou kino e mālama i ka therapy. E noho maikaʻi i ka wai a e noʻonoʻo e lawe i kahi multivitamin mālie inā ʻae kāu kauka. E hana ikaika ana kou kino e hoʻōla, no laila, ʻo ka hāʻawi ʻana iā ia i ka wahie kūpono e hana maoli ai.

E hoʻolālā i kāu hana maʻamau i kēlā me kēia lā a puni nā manawa lapaʻau, no ka mea, pono ʻoe e hele mau no kekahi mau pule. Nui ka poʻe i ʻike he mea kōkua ke hoʻonohonoho i nā manawa i ka manawa like i kēlā me kēia lā. E noʻonoʻo e hoʻonohonoho i ka lawe ʻana inā manaʻo ʻoe e luhi, ʻoi aku hoʻi i nā pule hope o ka lapaʻau.

He mea nui ka mālama ʻana i ka ʻili i ka wā o ka lapaʻau radiation. E hoʻohana wale i nā kopa a me nā mea hoʻomaʻemaʻe ʻala ʻole ma ka wahi lapaʻau. E pale i nā lole paʻa a i ʻole nā ​​bras underwire e hoʻonāukiuki ai i ka ʻili. E hāʻawi kāu hui radiation iā ʻoe i nā ʻōlelo aʻoaʻo mālama ʻili.

Ma ka naʻau, he mea maʻamau ka hopohopo e pili ana i ka hoʻomaka ʻana i ka lapaʻau radiation. E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻole lālā ʻohana i kāu mau manawa mua no ke kākoʻo. Nui nā kikowaena maʻi maʻi e hāʻawi pū i nā lawelawe aʻoaʻo a i ʻole nā ​​hui kākoʻo e hiki ke kōkua iā ʻoe e hoʻokele i kēia ʻike.

Pehea e heluhelu ai i nā hopena o kāu lapaʻau radiation?

ʻAʻole like me nā hoʻokolohua koko a i ʻole nā kiʻi kiʻi, ʻaʻole hana ka lapaʻau radiation i nā

Hele pinepine ka luhi me ka mālie a hiki ke hoʻomau no kekahi mau pule ma hope o ka pau ʻana o ka lapaʻau. He ʻokoʻa kēia luhi mai ka luhi maʻamau - ʻo ia ka pane ʻana o kou kino i ke koʻikoʻi o kēlā me kēia lā o ka lapaʻau a me ka hoʻōla. E hoʻomaha i ka wā e pono ai, akā e hoʻāʻo e noho mālie me nā hele wāwae pōkole a i ʻole nā hana māmā.

ʻIke kekahi poʻe i ka pehu ʻana a i ʻole ka ʻeha o ka umauma i ka wā o ka lapaʻau. Hoʻomaikaʻi maʻamau kēia i loko o kekahi mau pule ma hope o ka pau ʻana o ka radiation. Hiki i ka bra i kūpono, kākoʻo ʻole me ka underwire ke kōkua i ka hōʻoluʻolu i kēia manawa.

E hōʻike i kāu hui mālama ola e pili ana i nā hopena ʻaoʻao āu e ʻike ai. Hiki iā lākou ke hāʻawi i nā lāʻau lapaʻau a i ʻole nā lapaʻau e kōkua i ka mālama ʻana i nā hōʻailona a hōʻoia e hōʻoluʻolu ʻoe i ka wā o kāu lapaʻau.

He aha nā mea pilikia no nā pilikia o ka radiation therapy?

Hoʻomanawanui ka hapa nui o nā kānaka i ka radiation therapy, akā hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka ʻike ʻana i nā hopena ʻaoʻao. ʻO ka hoʻomaopopo ʻana i kēia mau mea e kōkua i kāu hui lapaʻau e hoʻolālā i ka lapaʻau palekana loa no ʻoe.

Hoʻonui ka radiation therapy mua i ka wahi umauma i ka pilikia o nā pilikia no ka mea ua hōʻike mua ʻia kou mau ʻiʻo i ka radiation. Hiki paha kēia inā ua mālama ʻia ʻoe no kekahi maʻi maʻi ʻē aʻe i ka wā i hala. E noʻonoʻo pono kāu oncologist radiation i kāu mōʻaukala radiation i ka wā e hoʻolālā ai i ka lapaʻau.

Hiki i kekahi mau maʻi lapaʻau ke paʻakikī i ka radiation therapy. Hiki i nā maʻi autoimmune ikaika e like me ka lupus a i ʻole scleroderma ke hoʻonui i ka ʻili i ka radiation. Hiki i nā pilikia o ka naʻau ke hoʻopili i ka hoʻolālā lapaʻau, ʻoi aku hoʻi no nā maʻi maʻi umauma hema, no ka mea, kokoke ka puʻuwai i ka wahi lapaʻau.

He kuleana ko ka makahiki a me ke olakino holoʻokoʻa i ka maikaʻi o kou hoʻomanawanui ʻana i ka lapaʻau. Hiki i nā mākua kahiko a i ʻole ka poʻe me nā maʻi olakino he nui ke ʻike i ka luhi hou aʻe i ka wā o ka lapaʻau. Eia naʻe, ʻaʻole e pale wale ka makahiki i kekahi mai ka loaʻa ʻana o ka radiation therapy inā olakino lākou.

Hoʻonui nui ka puhi ʻana i ka pilikia o nā pilikia a hoʻolohi i ka hoʻōla. Inā puhi ʻoe, e paipai ikaika kāu hui mālama ola iā ʻoe e haʻalele ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau radiation. Hiki iā lākou ke hāʻawi i nā kumuwaiwai a me ke kākoʻo e kōkua iā ʻoe e haʻalele i ka puhi ʻana.

Hiki i ka nui o ka umauma nui ke hana i ka mālama ʻana i mea paʻakikī ma muli o nā ʻili ʻili a me ka hoʻonui ʻia ʻana o ka lāʻau radiation i ka puʻuwai a i ʻole nā ​​māmā. E hoʻohana kāu hui radiation i nā ʻenehana kūikawā e hōʻemi i kēia mau pilikia me ka hōʻoia ʻana i ka mālama pono.

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

ʻOiai he palekana a maikaʻi ka lāʻau lapaʻau radiation, he mea nui e hoʻomaopopo i nā pilikia maʻamau a me nā pilikia laha ʻole e hiki ke hana. ʻO ka ʻike ʻana e kōkua iā ʻoe e ʻike i ka mea e manaʻo ai a i ka manawa e hoʻopili ai i kāu hui mālama ola.

ʻO nā pilikia pōkole maʻamau e pili ana i ka huhū ʻili e like me ka lā. Hoʻomaka maʻamau kēia i 2-3 mau pule i ka mālama ʻana a hoʻomaikaʻi mālie i nā pule he nui ma hope o ka pau ʻana o ka mālama ʻana. ʻIke kekahi poʻe i ka pehu o ka umauma, ka palupalu, a i ʻole nā ​​hoʻololi i ka nui a i ʻole ke ʻano o ka umauma.

ʻO ka luhi kekahi hopena maʻamau e hiki ke mau no nā pule a i ʻole mau mahina ma hope o ka mālama ʻana. ʻO kēia luhi e manaʻo pinepine ʻokoʻa mai ka luhi maʻamau a hiki ke hele mai a hele ʻole me ka ʻole o ka wānana. Pono e hoʻi mālie kou pae ikehu i ka maʻamau, ʻoiai hiki i kēia kaʻina hana ke lawe i nā mahina he nui.

ʻO nā pilikia liʻiliʻi akā ʻoi aku ka koʻikoʻi e hiki ke hoʻopilikia i ka puʻuwai, ʻoi aku hoʻi no nā maʻi maʻi umauma ma ka ʻaoʻao hema. Ua hōʻemi nui nā ʻenehana radiation hou i kēia pilikia, akā hiki ke hana ʻia nā pilikia o ka puʻuwai lōʻihi i nā makahiki ma hope o ka mālama ʻana. Hoʻohana kāu oncologist radiation i nā ʻenehana hoʻolālā kūikawā e hōʻemi i ka ʻike radiation i kou puʻuwai.

ʻAʻole maʻamau nā pilikia o ka māmā, akā hiki ke komo i ka mumū a i ʻole ka ʻeha o ka ʻiʻo māmā. Hiki i kēia ke hoʻoulu i ka pōkole o ka hanu a i ʻole ka ʻūlū mau. He maʻalahi a hiki ke mālama ʻia kēia mau hopena, akā e nānā kāu kauka i ka hana o kou māmā i nā kipa e hiki mai ana.

I nā manawa kakaʻikahi, hiki i ka lāʻau lapaʻau radiation ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi ʻaʻai lua ma ka wahi i mālama ʻia. He liʻiliʻi loa kēia pilikia - ma lalo o 1% - a maʻamau ka hana ʻana i nā makahiki ma hope o ka mālama ʻana. ʻOi aku ka maikaʻi o nā pōmaikaʻi o ka lāʻau lapaʻau radiation i ka pale ʻana i ka hoʻi hou ʻana o ka maʻi ʻaʻai umauma ma mua o kēia pilikia liʻiliʻi.

Loaʻa i kekahi poʻe nā loli i ke ʻano o ka umauma, me nā ʻokoʻa i ka nui, ke ʻano, a i ʻole ke ʻano i hoʻohālikelike ʻia me ka umauma i mālama ʻole ʻia. He maʻalahi kēia mau loli a hoʻomohala mālie i nā mahina a i ʻole nā makahiki ma hope o ka mālama ʻana.

I ka manawa hea wau e ʻike ai i ke kauka i ka wā o ka lāʻau lapaʻau radiation?

Pono ʻoe e hoʻokaʻaʻike i kāu hui mālama ola inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i ka wā a i ʻole ma hope o ka lāʻau lapaʻau radiation. ʻOi aku ka maikaʻi o ka nīnau ʻana i nā nīnau a loaʻa ka hōʻoia ma mua o ka hopohopo ʻole.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona o ka maʻi i ka wahi lapaʻau, e like me ka ʻulaʻula nui, ka mahana, ka pū, a i ʻole nā kaha ʻulaʻula e hele ana mai ka wahi i mālama ʻia. Pono ka wela, ʻoiai inā he 100.4°F (38°C) a i ʻole ke kiʻekiʻe, i ka nānā ʻana i ka lāʻau lapaʻau.

Pono nā hopena ʻili koʻikoʻi e hoʻoulu ai i ka ʻōpū, nā ʻeha hāmama, a i ʻole ka ʻeha nui i ka loiloi koke ʻia. ʻOiai he maʻamau kekahi ʻili ʻili, pono nā hopena koʻikoʻi i ka mālama kūikawā a me ka hoʻomaha pōkole e ʻae i ka hoʻōla.

Pono e loiloi koke ʻia nā pilikia hanu, me ka pōkole o ka hanu, ka ʻūlū mau, a i ʻole ka ʻeha o ka umauma. Hiki i kēia mau hōʻailona ke hōʻike i ka huhū o ka māmā mai ka radiation a pono paha i ka mālama ʻana a i ʻole ka nānā ʻana.

E kāhea aku i kāu hui mālama ola inā loaʻa iā ʻoe ka ʻeha o ka umauma ʻano ʻē, ʻoiai inā he koʻikoʻi a ʻokoʻa paha mai nā ʻoluʻolu āu i loaʻa ma mua. He mea maʻamau ʻole nā pilikia e pili ana i ka puʻuwai, akā pono e mālama koke ʻia inā loaʻa.

Mai kānalua e kāhea aku no nā hopohopo liʻiliʻi. ʻO ka luhi ʻano ʻē e hoʻopilikia i nā hana o kēlā me kēia lā, ka nausea mau, a i ʻole ke kaumaha o ka naʻau, pono lākou a pau i ka nānā a me ke kākoʻo mai kāu hui mālama ola.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka lāʻau lapaʻau radiation no ka maʻi ʻaʻai umauma

Q.1 He ʻeha anei ka lāʻau lapaʻau radiation?

ʻAʻole ʻeha ka lāʻau lapaʻau radiation - ʻaʻole ʻoe e ʻike i kekahi mea i ka wā o ka mālama ʻana. Ua like ke kaʻina hana me ka loaʻa ʻana o ka X-ray, akā he mau minuke hou aku.

Eia naʻe, hiki i nā hopena ʻaoʻao e like me ka huhū o ka ʻili ke hōʻoluʻolu e ulu mālie i ka wā o ka mālama ʻana. Hiki ke mālama ʻia kēia ʻoluʻolu me ka mālama ʻili kūpono a me nā lāʻau lapaʻau inā pono. Hoʻohālikelike ka hapa nui o nā kānaka iā ia me ka lā e ulu mālie ana a laila mae mālie.

Q.2 E lilo anei au i mea radioactive ma hope o ka lāʻau lapaʻau radiation?

ʻAʻole, ʻaʻole e lilo ʻoe i mea radioactive i ka lāʻau lapaʻau radiation beam waho. Hiki iā ʻoe ke palekana a puni ka ʻohana, nā hoaaloha, nā keiki, a me nā holoholona ma hope koke o kēlā me kēia kau mālama.

Aia ka radiation i nā minuke liʻiliʻi wale nō i ka wā e hoʻā ʻia ai ka mīkini a kuhikuhi ʻia iā ʻoe. Ke pau ka mālama ʻana, ʻaʻole e koe ka radiation i loko o kou kino. ʻAʻole pono ʻoe e hana i nā hana kūikawā me nā poʻe ʻē aʻe.

Q.3 Hiki iaʻu ke hana i ka wā o ka lāʻau lapaʻau radiation?

Nui ka poʻe e hoʻomau i ka hana i ka wā o ka lāʻau lapaʻau radiation, ʻoiai paha e pono ʻoe e hoʻoponopono i kāu papa hana a i ʻole ka hana. He pōkole ka manawa o nā manawa mālama, no laila hiki iā ʻoe ke hoʻonohonoho iā lākou ma mua a ma hope paha o ka hana.

Hiki ke ulu ka luhi i ka wā o ka mālama ʻana, no laila e noʻonoʻo e kūkākūkā i nā hoʻonohonoho hana maʻalahi me kāu mea hana. Manaʻo kekahi poʻe e pono lākou e hōʻemi i kā lākou mau hola a i ʻole e lawe i nā lā hoʻomaha i kekahi manawa, ʻoi aku hoʻi i nā pule hope o ka mālama ʻana.

Q.4 Pehea ka lōʻihi o nā hopena ʻaoʻao ma hope o ka lāʻau lapaʻau radiation?

ʻO ka hapa nui o nā hopena ʻaoʻao mai ka lāʻau lapaʻau radiation he manawa pōkole a hoʻomaikaʻi mālie ma hope o ka pau ʻana o ka mālama ʻana. Hoʻōla maʻamau nā loli ʻili i loko o 2-6 mau pule, ʻoiai e hiki ke lawe i nā mahina e hoʻoponopono piha ai ka luhi.

ʻO kekahi mau loli, e like me nā ʻokoʻa maʻalahi i ke ʻano o ka umauma a i ʻole ke ʻano o ka ʻili, he mau loa paha akā he mea liʻiliʻi maʻamau. E nānā kāu hui mālama ola iā ʻoe no nā hopena lōʻihi i ka wā o nā koho ukali maʻamau.

Q.5 Hiki i ka lāʻau lapaʻau radiation ke hoʻōla i ka maʻi maʻi umauma?

He ʻāpana nui ka lāʻau lapaʻau radiation o ka mālama ʻana i ka maʻi maʻi umauma e hōʻemi nui i ka pilikia o ka hoʻi ʻana mai o ka maʻi maʻi. Ke hui pū ʻia me ke ʻoki a me nā lāʻau lapaʻau ʻē aʻe, kōkua ia i nā helu hoʻōla kiʻekiʻe loa no ka maʻi maʻi umauma i ke kahua mua.

ʻO ka pahuhopu o ka lāʻau lapaʻau radiation ka hoʻopau ʻana i nā cell maʻi maʻi i koe ma hope o ke ʻoki ʻana, kahi e hoʻomaikaʻi nui ai i kou manawa e ola ai i ka wā lōʻihi. Hōʻike nā haʻawina i nā wahine e loaʻa ana ka lāʻau lapaʻau radiation ma hope o ka lumpectomy i nā helu ola e like me ka poʻe i loaʻa i ke ʻoki mastectomy.