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Chordoma

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Kordooma

Kordooma gosa hidda lafa raaraan kan miidhamtu yoo taatu, hedduu irra caalaa lafa luguu ykn mataa keessatti argamtu. Hedduu irra caalaa bakka mataan luguu irratti dhaabbatu (baazii mataa) ykn gadi luguu (sakraam) keessatti uumama.

Kordooma selliin yeroo duraa walitti qabamanii, embriyoon guddina keessa jiru keessatti argamanii, akka diskoota luguu ta'an itti fufu keessaa kan jalqabtu. Sellaa kana hedduun isaanii yeroo dhalatte ykn booda baay'ee itti dhaabbatu. Garuu yeroo tokko tokko tokko tokko isaanii hafanii fi, raaraan, hidda ta'uu danda'u.

Kordooma hedduu irra caalaa nama gurguddaa waggaa 40 fi 60 gidduu keessatti uumama, ta'us umurii kamiyyuu uumamuu danda'a.

Kordooma yeroo hedduu gadi aanaa guddata. Wal'aansaanii rakkisaa ta'uu danda'a sababiin isaas hedduu irra caalaa walitti dhiyeenyaan luguu fi qaama barbaachisaa biroo, akka shaambaa, naarsaa ykn sammuu wajjin walitti dhiyeenyaan argamtu.

Qorannoo fi mala qorannoo kordoomaa adda baafachuuf itti fayyadamaniif:

  • Mucaa sellii qorannoo laaboraatoorii irratti (bayoophsii) baasu. Bayoophsii mala mucaa sellii shakkii uumaa qorannoo laaboraatoorii irratti baasuudha. Laaboraatooriitti, doktarota leenjii adda addaa qaban paatoljist jedhaman, maikirooskoop keessatti selliin ilaaluu fi selliin hidda jiru yookiin hin jirre beekuuf.

    Akka bayoophsiin itti raawwatu beekuun karoora of eeggannoo garee fayyaa irraa barbaada. Doktarri bayoophsii raawwachuu qaba, qophii takka hidda baasuuf kan gufachiisu hin taane. Sababa kanaaf, doktarakee gaafadhu garee ogeessotaa muuxannoo guddaa kordoomaa wal'aansuu irratti qabanii.

  • Suuraa bal'aa argachuu. Doktarri kee qorannoo suuraa siif yaaduu danda'a kordoomaa kee ilaaluu fi luguu ykn baazii mataa irraa babal'atee yookiin hin babal'anne beekuuf. Qorannoo MRI ykn CT scan dabalatee ta'uu danda'a.

Mucaa sellii qorannoo laaboraatoorii irratti (bayoophsii) baasu. Bayoophsii mala mucaa sellii shakkii uumaa qorannoo laaboraatoorii irratti baasuudha. Laaboraatooriitti, doktarota leenjii adda addaa qaban paatoljist jedhaman, maikirooskoop keessatti selliin ilaaluu fi selliin hidda jiru yookiin hin jirre beekuuf.

Akka bayoophsiin itti raawwatu beekuun karoora of eeggannoo garee fayyaa irraa barbaada. Doktarri bayoophsii raawwachuu qaba, qophii takka hidda baasuuf kan gufachiisu hin taane. Sababa kanaaf, doktarakee gaafadhu garee ogeessotaa muuxannoo guddaa kordoomaa wal'aansuu irratti qabanii.

Kordoomaa beekamtee booda, doktarri kee karoora wal'aansaa fedhii kee wajjin walsimu, ogeessota dawaata gurra, hirriyaa fi afaan (otolaaringoolooji), hidda (oonkoolooji), fi wal'aansaa sa'aatii (wal'aansaa sa'aatii) ykn qophii waliin mari'atee hojjeta. Gareen kun ogeessota endookriinoolooji, oftalmoolooji fi deebii, akka barbaachisuutti dabalatee ta'uu danda'a.

Wal'aansoon kordoomaa, guddaan fi bakka hiddicha, akkasumas naarsaa ykn qaama biroo qabatee yookiin hin qabne irratti hundaa'a. Filannoon qophii, wal'aansaa sa'aatii, raadiyoosirjariifi dawaa qajeelchaa dabalatee ta'uu danda'a.

Kordoomaan kutaa gadii luguu (sakraam) yoo miidhu, filannoon wal'aansaa dabalataa:

  • Qophii. Kaayyoo qophii hidda luguu sakraam kan ta'e, hidda hundumaa fi qaama fayyaa naannoo isaa tokko baasuudha. Qophiin raawwachuun rakkisaa ta'uu danda'a sababiin isaas hiddichi naannoo qaama barbaachisaa, akka naarsaa fi sharafa dhiigaa wajjin walitti dhiyeenyaan argamtu. Yeroo hiddichi guutummaatti baasuu hin dandeenye, qophiistoota immoo hedduu baasuuf yaaluu danda'u.

  • Wal'aansaa sa'aatii. Wal'aansaa sa'aatii, sharafa humna guddaa, akka X-reyii ykn prootoonii, selliin hidda ajjeesuuf itti fayyadama. Wal'aansaa sa'aatii keessatti, meeziin irratti ciistee maashiinni si naannoo deddeebisu, sharafa luguu kee irratti qabxii sirrii irratti qajeelchu.

    Wal'aansaa sa'aatii qophii dura hidda xiqqeessuuf fi baasuuf salphaa gochuuf itti fayyadamuu danda'a. Ammas qophii booda selliin hidda hafan ajjeesuuf itti fayyadamuu danda'a. Yoo qophiin filannoo hin taane, wal'aansaa sa'aatii itti yaaduu danda'a.

    Wal'aansaa sa'aatii gosa haaraa, akka prootoon terapii, doktarota sharafa sa'aatii guddaa itti fayyadamuu fi qaama fayyaa eeguuf hayyama, kordoomaa wal'aansuu irratti caalaatti bu'aa qabaachuu danda'a.

  • Raadiyoosirjari. Raadiyoosirjari isteriyootaaktik, sharafa sa'aatii hedduu selliin hidda bakka xixiqqaa keessatti ajjeesuuf itti fayyadama. Sharafa sa'aatii tokko tokko humna guddaa hin qabu, garuu bakki sharafa hundinuu walitti dhufan — kordooma irratti — sharafa sa'aatii guddaa selliin hidda ajjeesuuf argata. Raadiyoosirjariin qophii dura ykn booda kordoomaa itti fayyadamuu danda'a. Yoo qophiin filannoo hin taane, raadiyoosirjariin itti yaaduu danda'a.

  • Wal'aansaa qajeelchaa. Wal'aansaa qajeelchaa, dawaa selliin hidda keessatti jiru qaama adda addaa irratti xiyyeeffatu itti fayyadama. Qaama adda addaa kana weeraruun, wal'aansaa dawaa qajeelchaa selliin hidda ajjeesu danda'a. Wal'aansaa qajeelchaa yeroo tokko tokko kordoomaa bakka biroo qaama keessatti babal'ate wal'aansuu itti fayyadama.

Wal'aansaa sa'aatii. Wal'aansaa sa'aatii, sharafa humna guddaa, akka X-reyii ykn prootoonii, selliin hidda ajjeesuuf itti fayyadama. Wal'aansaa sa'aatii keessatti, meeziin irratti ciistee maashiinni si naannoo deddeebisu, sharafa luguu kee irratti qabxii sirrii irratti qajeelchu.

Wal'aansaa sa'aatii qophii dura hidda xiqqeessuuf fi baasuuf salphaa gochuuf itti fayyadamuu danda'a. Ammas qophii booda selliin hidda hafan ajjeesuuf itti fayyadamuu danda'a. Yoo qophiin filannoo hin taane, wal'aansaa sa'aatii itti yaaduu danda'a.

Wal'aansaa sa'aatii gosa haaraa, akka prootoon terapii, doktarota sharafa sa'aatii guddaa itti fayyadamuu fi qaama fayyaa eeguuf hayyama, kordoomaa wal'aansuu irratti caalaatti bu'aa qabaachuu danda'a.

Tuubiin dheeraa, xixiqqaa (endookoop) hidda baasuuf, osoo garaa hin ciraatiin, hirriyaa keessaa itti fayyadama.

Kordoomaan bakka luguun mataa waliin walitti qabatu (baazii mataa) yoo miidhu, filannoon wal'aansaa dabalataa:

  • Qophii. Wal'aansoon yeroo hedduu hojii hidda baasuun jalqaba, qaama fayyaa naannoo isaa miidhuu ykn rakkoo haaraa uumuun, akka miidhaa sammuu ykn luguu. Baasuu guutummaa hin danda'amu yoo hiddichi naannoo qaama barbaachisaa, akka shaambaa karotiid wajjin walitti dhiyeenyaan argamtu.

    Haala tokko tokko keessatti, qophiistoota mala adda addaa, akka qophii endookoopik hidda galchuuf itti fayyadamuu danda'u. Qophiin baazii mataa endookoopik, mala xiqqeessaa ta'e tuubiin dheeraa, xixiqqaa (endookoop) hirriyaa keessaa galchuun hidda galchuudha. Meeshaan adda addaa tuubiin keessa darban hidda baasuuf.

    Raaraan, qophiistoota hojii dabalataa yaaduu danda'u, hidda hedduu baasuuf ykn bakka hiddichi dura ture cituuf.

  • Wal'aansaa sa'aatii. Wal'aansaa sa'aatii, sharafa humna guddaa, akka X-reyii ykn prootoonii, selliin hidda ajjeesuuf itti fayyadama. Wal'aansaa sa'aatii yeroo hedduu qophii booda kordoomaa baazii mataa ajjeesuuf yaadama selliin hidda hafan ajjeesuuf. Yoo qophiin filannoo hin taane, wal'aansaa sa'aatii itti yaaduu danda'a.

    Mala wal'aansaa sa'aatii sirrii qajeelchu doktarota sharafa sa'aatii guddaa itti fayyadamuu hayyama, kordoomaa irratti bu'aa qabaachuu danda'a. Kun prootoon terapii fi raadiyoosirjari isteriyootaaktik dabalata.

  • Wal'aansoo haaraa. Qorannoo klinikaa wal'aansoo haaraa kordoomaa baazii mataa qorata, wal'aansoo haaraa selliin kordoomaa qaama dadhabbii irratti qajeelchu dabalata. Yoo wal'aansoo haaraa kana yaaddu, filannoo doktarakee waliin mari'adhu.

Qophii. Wal'aansoon yeroo hedduu hojii hidda baasuun jalqaba, qaama fayyaa naannoo isaa miidhuu ykn rakkoo haaraa uumuun, akka miidhaa sammuu ykn luguu. Baasuu guutummaa hin danda'amu yoo hiddichi naannoo qaama barbaachisaa, akka shaambaa karotiid wajjin walitti dhiyeenyaan argamtu.

Haala tokko tokko keessatti, qophiistoota mala adda addaa, akka qophii endookoopik hidda galchuuf itti fayyadamuu danda'u. Qophiin baazii mataa endookoopik, mala xiqqeessaa ta'e tuubiin dheeraa, xixiqqaa (endookoop) hirriyaa keessaa galchuun hidda galchuudha. Meeshaan adda addaa tuubiin keessa darban hidda baasuuf.

Raaraan, qophiistoota hojii dabalataa yaaduu danda'u, hidda hedduu baasuuf ykn bakka hiddichi dura ture cituuf.

Wal'aansaa sa'aatii. Wal'aansaa sa'aatii, sharafa humna guddaa, akka X-reyii ykn prootoonii, selliin hidda ajjeesuuf itti fayyadama. Wal'aansaa sa'aatii yeroo hedduu qophii booda kordoomaa baazii mataa ajjeesuuf yaadama selliin hidda hafan ajjeesuuf. Yoo qophiin filannoo hin taane, wal'aansaa sa'aatii itti yaaduu danda'a.

Mala wal'aansaa sa'aatii sirrii qajeelchu doktarota sharafa sa'aatii guddaa itti fayyadamuu hayyama, kordoomaa irratti bu'aa qabaachuu danda'a. Kun prootoon terapii fi raadiyoosirjari isteriyootaaktik dabalata.

Mallattoolee

Bu'uurri lafee dhuunfaa tuumoorri adda addaa mul'isuu fi mallattoowwan adda addaa fiduudha, keessattuu yeroo tuumoorri guddatu. Tuumoorri kun bu'uura lafee dhuunfaa ykn roottota naervaa, sanyii dhiigaa ykn lafee lafee kee miidhuu danda'a. Mallattoowwan fi mallattoowwan kana keessa jiru: Yaaddoo bakka tuumooricha itti guddatu irraa kan ka'e Duwwaa, yeroo baay'ee gara qaama biraa qaama kee itti faca'u Yaaddoo, ho'i, qorraa, fi qorraa garaa xiqqaa Deebii hojii garaa ykn qolaa Socho'uun rakkisaa, yeroo tokko tokko gara kufuu geessisu Duwwaa irraa guyyaa irraa guyyaan hammaataa Yaaddoo ykn humna miiraa dhabuu, keessattuu harka ykn miila kee Humna miiraa dhabuu, kun immoo salphaa ykn hammaataa ta'uu danda'a, qaama adda addaa qaama kee Duwwaan mallattoo jalqabaa tuumoora lafee dhuunfaa dha. Yaaddoon kunis gara qaama kee duwwaa irraa gara quba, miila, miila ykn harkaa itti faca'uu danda'a, yeroo dheeraa booda immoo hammaataa danda'a — waltajjii wajjin immoo. Tuumoorri lafee dhuunfaa sadarkaa adda addaa itti guddataa jira, kan tuumooricha gosa irraa kan hafe. Sababoota duwwaa hedduu jiru, duwwaan hedduun immoo tuumoorra irraa hin ka'u. Garuu, hubannoo jalqabaa fi waltajjiin tuumoora lafee dhuunfaa barbaachisaa waan ta'eef, yoo: Dirqamaa fi itti guddataa ta'e Hojii waliin hin hidhatamne Halkan hammaataa ta'e Seenaa kaansarii qabaata, duwwaa haaraa uuma Mallattoowwan kaansarii biraa qabaata, kan akka dhiphina, luugaa ykn maddii Deebiiwwan fayyaa hatattamaan barbaada yoo: Humna miiraa ykn dhiphina miila ykn harkaa itti guddataa Jijjiirama hojii garaa ykn qolaa

Yeroo itti ogeessa fayyaa argitu

Sababa duwwaa du'aa hedduu jira, fi du'a du'aa hedduun kan dhalate irraa hin ta'u. Garuu, hubannoo fi wal'aansoo qormaata duraa waan barbaachisaa waan ta'eef, yoo: walumaa galaa fi guddinaa ta'e ta'e, sochii waliin hin hidhatamne, halkanitti hammaata, historii kaansarii qabaata, fi du'a du'aa haaraa uuma, mallattoowwan kaansarii biroo qabaata, kan akka dhiphinaa, waraana, ykn madaa, yaalaa fayyaa hatattamaa barbaada yoo: humna fi dhaabbii fiixee fi harka keessatti guddinaa ta'e, jijjiirama hojii garaa ykn qalbii keessatti

Sababoota

Maafuu kan ka baay'inaan tuumootni lafee dhuunfaa uumamuu isaatiif hin beekkamu. Ogeeyyiin jineefi dogoggora qaban gahee akka taphatan yaadu. Garuu, dogoggora genee kana kan dhaalu ykn yeroo dheeraa keessatti uumamuu isaa guutummaatti hin beekkamu. Waan naannoo keessa jiru, kan akka saaxilama keemikaalaa tokkootti saaxilamuun kan uumamu ta'uu danda'a. Haa ta'u malee, haala tokko tokko keessatti, tuumootni lafee dhuunfaa sindroomaa dhaaluu itti beekkamu waliin walitti hidhamu, kan akka neurofibromatosis 2 fi dhukkuba von Hippel-Lindau.

Wantoota balaa fidan

Buufata lafee dhiiga keessatti argaman namoota kana keessatti caalaatti argamu: Neurofibromatosis 2. Dhukkuba dhaaluu dhalootaa kana keessatti, buufata lafee gaarii hin taaneen mirga dhaga'uu wajjin wal qabatan irratti ykn isaan biraatti uumama. Kun dhaga'uu hir'ina adeemsa qabu tokko ykn gurra lamaanitti fiduu danda'a. Namoonni Neurofibromatosis 2 qaban tokko tokko buufata lafee dhiiga keessatti argamanis uumama. Dhukkubbii Von Hippel-Lindau. Dhukkuba muraasa, sirna hedduu qabu kun, buufata lafee dhiiga keessatti argaman (hemangioblastomas) sammuu, ija fi lafee dhiiga keessatti argamanii fi gosa biroo buufata lafee dhiiga keessatti argaman killillee ykn qooda adrenal keessatti argaman waliin wal qabata.

Rakkoolee

Bu'uurri lafee duubaan gara lafee duubatti dhiibbaa geessisuu danda'u, kunis sochii ykn miirri qaama jalaa akka badu taasisa. Yeroo tokko tokko immoo, hojii garaa fi qalbii jijjiira. Miiraa miidhamni waara ta'uu danda'a. Haata'u malee, yoo hatattamaan argamee fi wal'aansa cimaan itti hojjetame, sochii baduu itti fufuu fi hojii miiraa deebii argachuun ni danda'ama. Bakka itti argamuun kan hundaa'e, bu'uuri lafee duubatti dhiibbaa geessisu lubbuu balaa keessa galfachuu danda'a.

Sakatta’iinsa dhukkuba

Bu'uurri lafee dhaabbatti yeroo tokko tokko ilaaluun ni danda'ama, sababiin isaas hin baay'anneefi mallattoonsaanii wajjin wal fakkaatuun haalaa hedduu argamu waan ta'eef. Kanaafuu, doktarri kee seenaa fayyaa kee guutuu akka beeku fi qorannoo qaamaa fi qaamaa shaakkalichaa guutuu akka raawwatu baay'ee barbaachisaadha.

Doktarri kee bu'uura lafee dhaabbatti shakkuu yoo ta'e, qorannoo kanaa gabaabaa sirreeffamaa mirkaneessuu fi bakka bu'uuraa adda baasuuf ni gargaara:

  • Suuraa lafee dhaabbatti magneettiik (MRI). MRI, dirqama magneettii cimaa fi sagalee raadiyoo fayyadamuun, suuraa sirrii lafee dhaabbatti, lafee dhaabbatti fi shaakkalichaa ni uuma. MRI, bu'uura lafee dhaabbatti fi qaama naannoo isaa qorachuuf qorannoo filatamaa ta'e dha. Qoricha walitti qabaa qaama tokko tokko fi caasaa tokko tokko ifa godhuuf gargaaru, yeroo qorannichaa keessa, gara sibiila harkaa kee ykn gubbaa kee keessa ni darbama.

Namoonni tokko tokko MRI keessa xiyyeeffannaa qabaachuu ykn sagalee dhaabbachuu cimaa dhaga'uu ni rakkisa. Garuu, sagalee dhaga'uu si gargaaruuf, yeroo baay'ee, dhaga'aa siif kennama, akkasumas, qorannoo tokko tokko televijiinii ykn dhaga'aa qabaata. Yoo baay'ee yaaddoo qabaatte, nagaa siif kennuuf dawaa hir'inaa gadi fageenya gaafadhu. Haala tokko tokko keessatti, dawaa hir'inaa guutuu barbaachisaa ta'a.

Suuraa lafee dhaabbatti magneettiik (MRI). MRI, dirqama magneettii cimaa fi sagalee raadiyoo fayyadamuun, suuraa sirrii lafee dhaabbatti, lafee dhaabbatti fi shaakkalichaa ni uuma. MRI, bu'uura lafee dhaabbatti fi qaama naannoo isaa qorachuuf qorannoo filatamaa ta'e dha. Qoricha walitti qabaa qaama tokko tokko fi caasaa tokko tokko ifa godhuuf gargaaru, yeroo qorannichaa keessa, gara sibiila harkaa kee ykn gubbaa kee keessa ni darbama.

Namoonni tokko tokko MRI keessa xiyyeeffannaa qabaachuu ykn sagalee dhaabbachuu cimaa dhaga'uu ni rakkisa. Garuu, sagalee dhaga'uu si gargaaruuf, yeroo baay'ee, dhaga'aa siif kennama, akkasumas, qorannoo tokko tokko televijiinii ykn dhaga'aa qabaata. Yoo baay'ee yaaddoo qabaatte, nagaa siif kennuuf dawaa hir'inaa gadi fageenya gaafadhu. Haala tokko tokko keessatti, dawaa hir'inaa guutuu barbaachisaa ta'a.

  • Kompiitara tomografii (CT). Qorannoo kun, sagalee ifa gadi fageenya fayyadamuun, suuraa lafee dhaabbatti bal'aa ni uuma. Yeroo tokko tokko, jijjiirama haala lafee dhaabbatti ykn lafee dhaabbatti ilaaluuf salphaa akka ta'uuf, qoricha walitti qabaa darbamaa wajjin walitti ni qabama. Qorannoo CT, bu'uura lafee dhaabbatti qorachuuf baay'ee hin fayyadamne.
  • Baayoopsii. Gosa bu'uura lafee dhaabbatti sirrii adda baasuuf, karaa tokkicha, qaama xinnoon (baayoopsii) mikrooskoop keessatti qorachuudha. Bu'uura baayoopsii, filannoo wal'aansa murteessuuf ni gargaara.
Yaala

Yeroo gaarii, kaayyoo walitti qabannaa bu'aa lafee dhiibbaa ilaalchisee bu'aa guutummaatti balleessuun dha, garuu kaayyoon kun balaa miidhaa dhaabbatoo fiigicha lafee fi sararoota naannoo itti jiraniif sababa ta'uu danda'a. Doktarri umurii keetii fi fayyaa guutuu keetis yaaduu qaba. Gosa bu'aa fi kan qaama lafee ykn sirreeffama lafee irraa ykn qaama qaama keessaa biraa gara lafee keetiitti babal'ate ta'uusaa murtee walitti qabannaa murteessuuf yaaduu qaba. Tekinikoota mikro-sirjirrii fayyadamuun, bu'aan sirreeffama lafee qoorii keessatti narraa qal'ifamtee baafamti. Walitti qabannaa filannoo bu'aa lafee hedduuf dabalata: - Jirjiirii. Kun yeroo hedduu walitti qabannaa filatamaa bu'aa kan balleessuu danda'u balaa miidhaa fiigicha lafee ykn sararoota naannoo itti jiraniif qabuuf fudhatamaa ta'e dha. Tekinikoota haaraa fi meeshaaleen neurosurjeeronni bu'aa yeroo darbe akka hin argamneetti itti yaadamaniif akka ga'an godha. Maikrooskoophoota humna guddaa mikro-jirjiirii keessatti fayyadamaman bu'aa irraa qaama fayyaa adda baasuuf salphaa godha. Doktarri hojii fiigicha lafee fi sararoota naannoo itti jiraniifi barbaachisoota biroo yeroo jirjiirii ilaaluu danda'u, kanaafuu carraa miidhaa geessisu hir'isuuf. Haala tokko tokko keessatti, sagalee humna guddaa qabu yeroo jirjiirii bu'aa cabsuu fi qaamota sana baasuuf fayyadamuu danda'a. Garuu, guddina teknooloojii haaraa jirjiirii keessatti jiraatutti, bu'oonni hundinuu guutummaatti hin baafamne. Yeroo bu'aan guutummaatti hin baafamne, jirjiiriin walitti qabannaa raadiyeeshinii ykn keemootiraapii ykn lamaanuu itti aanuun danda'a. Deebii jirjiirii lafee torbanoota ykn yeroo dheeraa fudhachuu danda'a, sirna hojii irratti hundaa'uun. Dhiibbaa dhaabbatoo ykn rakkoolee biroo, dhiibbaa fi miidhaa qaama sararoota dabalatee, argachuu dandeessu. Yeroo ilaalichaa, dokterri keetiif yeroo sirrii ta'een CT ykn MRI scan walitti qabannaa bu'aa ilaaluuf yaaduu danda'a. - Walitti qabannaa raadiyeeshinii. Kun bu'oota yeroo jirjiirii booda hafan balleessuuf, bu'oota hojii hin qabne walitti qabuuf ykn bu'oota jirjiiriin balaa guddaa qabuuf walitti qabuuf fayyadamuu danda'a. Qorichoonni dhiibbaa raadiyeeshinii, akka dhiibbaa fi lulumaa, salphisuuf gargaaru danda'a. Yeroo tokko tokko, sirna walitti qabannaa raadiyeeshinii keetiif qaama fayyaa miidhaa geessisu hir'isuuf fi walitti qabannaa kana sirriitti akka ta'u gochuuf sirreessuu danda'a. Sirreessuun kun qophii raadiyeeshinii jijjiiru irraa eegalee, teknooloojii gaarii akka 3-D conformal radiation therapy fayyadamuun ga'a. - Keemootiraapii. Walitti qabannaa qoricha kaansarii hedduuf, keemootiraapii qorichoota seluloota kaansarii balleessuuf ykn guddatu dhaabuuf fayyadama. Dokterri keetiif keemootiraapii fayyadama ta'uu danda'u, ofuma isaatiin ykn walitti qabannaa raadiyeeshinii wajjin, adda baasu danda'a. Dhiibbaan miidhaa daalota, dhiibbaa, lulumaa, balaa infekshinii guddaa fi rifeensa rifeensa dabalata. Qorichoota biroo. Jirjiirii fi walitti qabannaa raadiyeeshinii akkasumas bu'oonni ofuma isaanii keessatti walitti qabannaa fiigicha lafee keessatti uumamuu danda'uuf, dokterri yeroo tokko tokko kortikosterooydoonni yeroo jirjiirii booda ykn yeroo walitti qabannaa raadiyeeshinii keessatti, gad buusuuf qorichiisa. Bilisaan abbonneeffadhuu fi qajeelfama gadi fageenya qabu walitti qabannaa kaansarii wajjin walitti qabannaa, dabalataan odeeffannoo gargaaraa yaada lammaffaa argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf argachuuf 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