He aha te Brachytherapy? Te Whāinga, te Hātepe & ngā Hua

Ko te Brachytherapy tētahi momo rongoā iraruke e whakatakoto ana i ngā pūtake iraruke ki roto tonu, ki te taha tata rānei o te wāhi e rongoatia ana. Kāore i rite ki te iraruke o waho e whiti ana i tō kiri mai i ngā mīhini o waho, ka tukuna e tēnei rongoā te iraruke i te taha o roto o tō tinana. He mea whakamahi noa mō ngā mate pukupuku o te pūkano, te kaki kōpū, te u, me ētahi atu wāhi e taea ai e te whāinga tika te whai pānga nui ki te putanga o tō rongoā.

He aha te brachytherapy?

Ka mahi te Brachytherapy mā te whakatakoto i ngā purapura iraruke iti, ngā waea, ngā taputapu rānei ki te wāhi o te puku. Mā tēnei huarahi ka taea e ngā tākuta te tuku i te horopeta nui o te iraruke ki te wāhi e hiahiatia ana, me te tiaki i ngā kiko hauora e tata ana. Ko te kupu "brachy" nō te reo Kariki, te tikanga "poto te tawhiti," e whakaahua ana i te mahi o tēnei rongoā.

E rua ngā momo matua ka tūtaki pea koe. Ka tukuna e te brachytherapy reiti horopeta tiketike (HDR) te iraruke i te tere mā ngā whakato wā poto ka tangohia i muri i ia wāhanga. Ka whakamahi te brachytherapy reiti horopeta iti (LDR) i ngā whakato pumau e tuku ana i te iraruke i te wā roa i ngā wiki, i ngā marama rānei, kia kore ai e kaha.

Ka whakatau tō tākuta iraruke ko tēhea momo te mea pai mō tō momo mate pukupuku, te wāhi, me te āhua o tō hauora whānui. Ka whakawhirinaki te whiriwhiri ki ngā āhuatanga pēnei i te rahi o te puku, tō tinana, me te pēhea te urupare o tō tinana ki ngā hōtaka iraruke rerekē.

He aha te brachytherapy i mahia ai?

He maha ngā painga o te Brachytherapy e waiho ana hei kōwhiringa pai mō te hunga mate pukupuku. Ko te tika o te tuku iraruke o roto te tikanga ka taea e ngā horopeta nui te tae marie ki ngā pūtau mate pukupuku me te whakaiti i te kino ki ngā okana hauora e tata ana. Ko tēnei huarahi whāinga ka hua i ngā putanga rongoā pai ake me te iti o ngā pānga taha i te iraruke o waho anake.

Ka tohutohu pea tō tākuta i te brachytherapy mēnā he momo mate pukupuku ō koe e pai ana ki tēnei tikanga rongoā. Anei ngā āhuatanga tino noa e whai hua ana tēnei rongoā:

• Te mate pukupuku prostate, ina koa te mate i te wā tuatahi ka taea te whakanoho i ngā kākano mō te wā roa
• Te mate pukupuku cervical, ka taea e ngā taputapu te tuku iraruke ki te kaki kōpū me ngā kiko e tata ana
• Te mate pukupuku u, ina koa i muri i te lumpectomy hei rongoā i te wāhi pokanga
• Te mate pukupuku endometrial, ka taea e ngā taputapu o roto te whai i te arai kōpū
• Ngā mate pukupuku kiri i ngā wāhi ka uaua pea te iraruke o waho
• Ngā mate pukupuku kanohi, ka taea e ngā papa iti te rongoā i ngā puku i te wā e tiaki ana i te tirohanga

I ētahi wā ka whakamahia te brachytherapy me te iraruke kurupae o waho, te pokanga rānei hei wāhanga o te mahere rongoā whānui. Ka kōrero tō rōpū oncology mō te whai hua o tēnei huarahi whakakotahi mō tō āhuatanga motuhake.

He aha te tikanga mō te brachytherapy?

He rerekē te tikanga brachytherapy i runga i te momo whakauru me te wāhi e rongoāhia ana. Ka whakamārama tō rōpū hauora i ngā mahi katoa i mua kia mōhio tika koe ki ngā mea e tūmanakohia ana. Ko te nuinga o ngā tikanga ka mahia i roto i te hōhipera, i te whare rongoā motuhake rānei me te āwhina o te whakaahua hei whakarite i te whakatakoto tika.

I mua i tō tikanga, ka whiwhi koe i ngā tohutohu motuhake mō te kai, te inu, me ngā rongoā. Me whakamutu pea koe i ētahi rongoā whakaheke toto, me whai rānei i ngā aratohu kai motuhake. Ka kōrero anō tō tākuta mō ngā kōwhiringa anesthesia, ka taea te rerekē mai i te whakamomori ā-rohe ki te anesthesia whānui i runga i te uaua o tō rongoā.

Anei te mea e tupu ana i te tikanga:

1. Ka whakatakotoria koe ki runga i tētahi tēpu rongoā, ā, ka horoia, ka whakaritea te wāhi rongoā
2. Ka whakawhiwhia te rongoā whakamoe i runga i tō mahere rongoā
3. Mā te whakamahi i ngā whakaahua pērā i te ultrasound, i ngā CT scan rānei, ka whakatakotoria e tō tākuta ngā pūtake iraruke ki te wāhi tika
4. Mō ngā whakaurunga wā poto, ka honoa ngā pūtake ki tētahi mīhini e whakahaerehia ana e te rorohiko, e tuku ana i te horopeta i whakaritea
5. Mō ngā whakaurunga tūturu, ka whakatakotoria ngā kākano iti, ka noho tonu ki tō tinana
6. Ka tirohia te wāhi rongoā, ā, ka nekehia koe ki tētahi wāhi whakaora

Ka taea e te wā tuku iraruke te roa mai i ētahi meneti ki ētahi hāora, i runga i tō momo rongoā. Ko te whakaurunga kākano tūturu te tikanga ka roa te 1-2 hāora ki te whakatakoto, ā, ko ngā rongoā wā poto pea ka hiahiatia ētahi hui i roto i ētahi rā.

Me pēhea te whakarite mō tō brachytherapy?

Ko te whakarite mō te brachytherapy e hāngai ana ki te taha tinana me te taha kare-ā-roto. Ka whakawhiwhia e tō rōpū hauora ngā tohutohu taipitopito i hangaia mō tō momo rongoā me tō hītori hauora. Mā te whai i ēnei aratohu ka āwhina i te whakatutuki i te hua rongoā pai rawa atu, me te whakaiti i te tūponotanga o ngā raruraru.

Ka uru pea tō whakarite ki ētahi hui hauora i mua i te tukanga. Ka whai pea koe i ngā karapa whakaahua hei āwhina i tō tākuta ki te whakamahere i te whakatakoto tika o ngā pūtake iraruke. Ka hiahiatia pea ngā whakamātautau toto hei tirotiro i tō hauora whānui me te whakarite kei te rite koe mō te tukanga.

Koinei ngā mahi whakarite matua ka hiahia pea koe ki te whai:

• Kati te tango rongoā whakaheke toto i runga i ngā tohutohu a tō tākuta, te tikanga 7-10 rā i mua i te rongoā
• Whaia ngā tohutohu kai motuhake, arā pea ko te karo i ētahi kai, te nohopuku rānei i mua i te tikanga
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te tikanga, tērā pea ka pōuri koe i te rongoā whakamoe
• Whakaotia ngā whakaritenga whekau e hiahiatia ana mēnā kei roto i tō rongoā te wāhi pūwāhi
• Kaukau ki te hopi patu huakita i te ata o tō tikanga
• Mau i ngā kākahu hāneanea, whānui ki tō pōhiri
• Tangohia ngā whakapaipai, ngā niho tēnei, ētahi atu mea whakarewa rānei e pā ana ki te whakaahua

Kaua e whakaroa ki te pātai pātai mō tētahi wāhanga o te whakarite. E hiahia ana tō rōpū hauora kia māia koe, kia rite hoki mō tō rā rongoā.

Me pēhea te pānui i ō hua brachytherapy?

He rerekē te ine i ngā hua brachytherapy i ētahi atu whakamātautau hauora, nā te mea ka puta te whai huatanga o te rongoā i roto i te wā. Ka aroturuki tō tākuta i ō mahi mā ngā pōhiri whai-whai tonu, ngā rangahau whakaahua, me ngā whakamātautau motuhake e pā ana ki tō momo mate pukupuku. Ko te whāinga kia kite i te tohu e urupare ana te mate pukupuku ki te rongoā, me te whakarite kia tiakina ō kiko hauora.

Ka aroturuki tō rōpū hauora i ētahi tohu nui i te wā o tō whakaora me te tiaki whai-whai. Mā ēnei tohu e āwhina te whakatau i te pai o te mahi o te rongoā, me te hiahia kia whakatikatika i tō mahere tiaki. Mā te māramatanga ki ēnei ine e āwhina i a koe kia kaha ake te whai wāhi ki tō haerenga rongoā.

Ka aroturuki tō tākuta i ēnei wāhi matua:

• Te urupare o te puku mā ngā karapa whakaahua pēnei i te CT, MRI, rānei PET i ngā wāhanga auau
• Ngā taumata tohu mate pukupuku i roto i ō toto, he rerekē i runga i te momo mate pukupuku o tō tinana
• Ngā kitenga o te whakamātau tinana i te wāhi rongoā
• Te aromatawai i ngā pānga taha kia mōhio ai kei te pai tō tinana ki te rongoā
• Ngā mehua kounga o te ora hei aro ki ngā āwangawanga mō ngā mahi o ia rā
• Te tirotiro roa mō te hokinga mai o te mate pukupuku, mō ngā mate pukupuku hōu rānei

He rerekē te wā e kite ai i ngā hua i runga i te momo mate pukupuku me te huarahi rongoā. Ka kite ētahi tāngata i te pai ake i roto i ngā wiki, ētahi atu pea me tatari mō ētahi marama kia kite i ngā pānga katoa o te rongoā. Mā tō tākuta e whakamārama ngā mea e tūmanakohia ana mō tō āhuatanga motuhake.

He aha ngā āhuatanga tūpono mō ngā raruraru o te brachytherapy?

Ahakoa te nuinga o te wā he haumaru, he pai te brachytherapy, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki te pānga taha, ki ngā raruraru rānei. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō rōpū hauora ki te whai i ngā whakatūpato tika me te aroturuki i tō ahunga whakamua. Ko te nuinga o ngā raruraru ka taea te whakahaere ina kitea wawe ana, ka rongoatia tonutia.

Kei runga i ētahi āhuatanga whaiaro me ngā āhuatanga e pā ana ki te rongoā tō tūponotanga takitahi. Ka āta aromatawai tō rōpū hauora i ēnei i mua i te tūtohu i te brachytherapy, ā, ka kōrero rātou i ngā āwangawanga motuhake e pā ana ki tō āhuatanga. Mā te mōhio ki ēnei āhuatanga ka āwhina i a koe ki te whakatau whakatau mō tō rongoā.

Koinei ngā āhuatanga tūpono matua ka whakanui i tō tūponotanga ki ngā raruraru:

• Te rongoā iraruke o mua ki te wāhi kotahi, ka piki ake te tairongo ki te iraruke atu
• Ētahi āhuatanga hauora pērā i te mate huka, i ngā mate ārai-a-tinana rānei e pā ana ki te whakaora
• Te pakeke, ahakoa kāore tēnei anake e whakakore i a koe i te rongoā
• Te ngoikore o te hauora whānui, te maha rānei o ngā āhuatanga hauora
• Te kai paipa, ka taea e tēnei te whakaiti i te whakaora me te whakanui i te tūponotanga o te mate
• Te momomo, ka uaua ake te whakatakoto i te whakauru
• Ngā mate pōro toto ka pā ki tō kaha ki te whakaora tika
• Ngā rongoā e aukati ana i tō pūnaha ārai mate

Ka mahi tō tākuta ki a koe ki te whakaiti i ēnei tūponotanga i ngā wā katoa ka taea. Ka uru pea tēnei ki te whakapai ake i tō hauora i mua i te rongoā, te whakatika i ngā rongoā, te whiriwhiri rānei i ngā tikanga motuhake e pai ana mō tō āhuatanga.

He aha ngā raruraru ka puta mai i te brachytherapy?

Ka taea e ngā raruraru brachytherapy te whānui mai i ngā pānga taha ngawari, rangitahi ki ngā take nui ake engari he onge te wā roa. Ko te nuinga o ngā tūroro e pā ana ki ngā pānga taha ka taea te whakahaere, ka pai ake i te wā e ora ana ngā kiko hauora. Ka mātakitaki tata tō rōpū hauora i a koe, ka whakarato i ngā rongoā hei āwhina i te whakahaere i ngā raruraru ka puta.

Ko ngā raruraru motuhake ka pā ki a koe e tino whakawhirinaki ana ki te wāhi rongoā me ō āhuatanga hauora takitahi. Mā te māramatanga ki ngā mea hei mātakitaki ka āwhina i a koe ki te rapu tiaki tika i te wā e puta ana ngā raruraru. Kia mahara, ko te pānga ki ngā pānga taha kāore i te kī kāore e mahi ana tō rongoā.

Koinei ngā raruraru tino noa ka pā ki a koe:

• Te ngenge ka roa pea mo etahi wiki i te wa e ora ana to tinana i te iraruke
• Te riri o te kiri, te huringa ranei i te waahi i rongoatia, tae atu ki te whero, te tairongo ranei
• Te pupuhi i te taha o te waahi whakato, e ngaro ana i roto i nga ra ki nga wiki
• Te mamae rangitahi, te raruraru ranei ka taea te whakahaere me nga rongoa tika
• Nga tohu mimi penei i te auau, te wera ranei mena kei te tata te waahi rongoa ki te pūpū
• Nga huringa whekau tae atu ki te korere, te riri ranei o te rektum mo nga rongoa pelvic
• Nga huringa mahi moepuku, ina koa ki nga rongoa prostate, gynecologic ranei

Ko nga raruraru nui ake engari he onge e hiahia ana kia aro tonu te rongoa. Kei roto pea i enei ko te nui o te toto, nga tohu o te mate penei i te kirika, te rere rereke ranei, te mamae nui ranei kaore e pai ake me nga rongoa kua tohua. Ka hoatu e to roopu rongoa ki a koe nga aratohu motuhake mo te wa e karanga ai koe mo te awhina.

Ahea ahau ka kite i te taote mo nga awangawanga brachytherapy?

Ko te mohio ki te wa ki te whakapā atu ki to roopu hauora i muri i te brachytherapy he mea nui mo to haumaru me te angitu o te maimoatanga. Ahakoa e tumanakohia ana etahi paanga taha, ka taea te whakahaere i te kainga, me hiahia etahi atu kia aro tonu te rongoa. Ka hoatu e to taakuta nga aratohu motuhake mo nga tohu whakatupato hei matakitaki i runga i to momo maimoatanga.

Kaua e mangere ki te toro atu ki to roopu rongoa me nga patai, nga awangawanga ranei, ahakoa kaore koe i te tino mohio he mea nui ranei tetahi mea. He pai ake ki a ratou te rongo mai i a koe mo tetahi take iti i te tatari roa ki te whakatika i tetahi raru nui. Ko te nuinga o nga pokapū maimoatanga he nama whakapā 24-haora mo nga ahuatanga ohorere.

Whakapā atu ki to taakuta inaianei mena ka pa ki a koe etahi o enei tohu whakatupato:

• Te kirika i runga ake i te 101°F (38.3°C) he makariri rānei, he tohu pea tēnei i te mate
• Te nui o te toto mai i te wāhi rongoā, kāore e mutu ahakoa te pēhi marie
• Te mamae nui kāore e pai ake ahakoa ngā rongoā mamae kua whakaritea
• Ngā tohu o te mate pērā i te rere ke, te whero haere, te mahana rānei
• Te uaua ki te mimi, te kore rānei e mimi
• Te whakapairuaki nui, te ruaki rānei e ārai ana i a koe ki te pupuri wai
• Te poto o te manawa ohorere, te mamae rānei o te uma
• Tetahi whakato, purapura rānei e kitea ana kua neke, kua taka rānei

Me whakarite hoki e koe ngā tūpono whai muri i te rongoā ahakoa kei te pai koe. Mā ēnei haerenga e ahei ai tō tākuta ki te aroturuki i tō ahunga whakamua, ki te tirotiro mō ngā take e puta ana, me te whakatika i tō mahere atawhai i te mea e tika ana.

Ngā pātai e pā ana ki te brachytherapy

Q.1 He pai ake te brachytherapy i te iraruke o waho?

He painga motuhake te brachytherapy mō ētahi momo mate pukupuku, engari kāore i te tika kia "pai ake" i te iraruke o waho mō te katoa. Ko te whakanoho i ngā pūtake iraruke ki roto ka ahei ai te nui o te horopeta ki te tae ki ngā pūtau mate pukupuku i te wā e pai ake ana te tiaki i ngā kiko hauora e tata ana. Ko te nuinga o te wā, he iti ake ngā pānga taha, he poto ake hoki ngā akoranga rongoā.

Heoi anō, ko te rongoā pai rawa atu e whakawhirinaki ana ki tō momo mate pukupuku, te wāhi, te wāhanga, me te hauora whānui. Ko ētahi tūroro e whai hua ana i te brachytherapy anake, ētahi atu i te iraruke o waho, me te maha mai i te huinga o ngā rongoā e rua. Mā tō tākuta iraruke e tūtohu te huarahi e whai wāhi ai koe ki te ora me ngā pānga taha e taea ana te whakahaere.

Q.2 Ka iraruke au i muri i te brachytherapy?

Ko te taumata iraruke i muri i te brachytherapy e whakawhirinaki ana ki te momo maimoatanga ka whiwhi koe. Ki nga whakato mo te wa poto, ka iraruke koe i te wa e noho ana nga puna, a karekau he iraruke toenga i muri i te tangohanga. Ki nga whakato purapura pumau, ka tukuna e koe nga taumata iti o te iraruke mo etahi wiki ki nga marama, engari ka heke tenei i te wa.

Ka whakawhiwhia e to roopu hauora nga aratohu motuhake mo nga whakatupatotanga haumaru iraruke ki te tika. Kei roto pea i enei ko te whakaiti i te whakapā tata ki nga wahine hapu me nga tamariki nohinohi, te karo ranei i nga waka a te iwi mo te wa poto. Ko te nuinga o nga turoro ka taea te hoki ki nga mahi noa i roto i nga ra torutoru ki nga wiki, i runga i te momo maimoatanga.

Q.3 Kia pehea te roa o te maimoatanga brachytherapy?

He rereke te roa o te brachytherapy i runga i te momo maimoatanga me te waahi e rongoatia ana. Ko nga whakato purapura pumau te tikanga ka 1-2 haora ki te whakanoho ki roto i te tikanga tuuroro. Ko nga maimoatanga reiti-nui ka hiahia pea kia maha nga huihuinga i roto i nga ra maha, me ia huihuinga e 10-30 meneti te roa mo te tuku iraruke.

Ko nga maimoatanga reiti-iti me nga whakato mo te wa poto ka hiahia pea koe ki te noho ki te hōhipera mo te 1-7 ra i te wa e noho ana nga puna. Ka whakamāramahia e tō tākuta te wā tika mō tō maimoatanga me te āwhina i a koe ki te whakamahere kia rite mō te wā okioki i te mahi, te whakarite rānei i te āwhina i te kāinga.

Q.4 Ka taea e au te haere i muri i te brachytherapy?

Ko nga here haerenga i muri i te brachytherapy e whakawhirinaki ana ki to momo maimoatanga me te wa. Mena he purapura iraruke pumau koe, me karo pea koe i te haerenga rererangi mo etahi wiki na te mea ka taea e nga karapa haumarutanga rererangi te kite i nga mea iraruke. Ka whakawhiwhia koe e tō tākuta ki tētahi kāri pūtea e whakamārama ana i tō maimoatanga ki te tika.

Mō ngā maimoatanga whakauru rangitahi, ka taea e koe te haere i te wā ka ora koe i te tikanga ake, i roto i ngā rā torutoru ki te wiki. Me kōrero tonu ngā mahere haere ki tō rōpū hauora, ina koa kei te whakamahere koe kia ngaro i te wā o tō whakaritenga whai-muri.

Q.5 He mamae te brachytherapy?

Ko te nuinga o ngā tūroru e pā ana ki ētahi mamae i te wā me muri i te brachytherapy, engari he mea noa te mamae nui. Ko te tikanga whakauru i te whakauru ka mahia i raro i te rongoā, nō reira kāore koe e pōuri i te wā o te maimoatanga. Muri iho, ka pā pea koe ki te mamae, te pupuhi, te mamae rānei i te wāhi maimoatanga.

Ka whakarato tō rōpū hauora i ngā rautaki whakahaere mamae tae atu ki ngā rongoā, ngā tikanga tūnga, me ētahi atu tikanga whakamarie. Ko te nuinga o te mamae he ngawari ki te āhua, ka pai ake i roto i ngā rā torutoru ki ngā wiki i te wā e haere ana te whakaora. Kaua e whakaroa ki te tono awhina ki te whakahaere i ngā mamae e pā ana ki a koe.