Ni iki cyitwa brachytherapy ya prostate? Impamvu, Uburyo & Ibivamo

Brachytherapy ya prostate ni uburyo bwo kuvura hakoreshejwe imirasire aho imbuto ntoya zifite imirasire zishyirwa mu gice cya prostate. Ubu buryo bufasha abaganga gutanga imirasire myinshi neza ku ngirangingo za kanseri mu gihe barengera ibindi bice by'umubiri bifite ubuzima bwiza. Bitekereze nk'aho ushyira umuti neza aho ukenewe, aho kohereza imirasire mu mubiri wawe wose.

Ni iki brachytherapy ya prostate aricyo?

Brachytherapy ya prostate ikubiyemo gushyira imbuto ntoya zifite imirasire, buri imwe ingana n'umuceri, mu ngirangingo za prostate. Izi mbuto zikora imirasire uko igihe kigenda gihita kugira ngo zisenye ingirangingo za kanseri zivuye imbere. Ijambo

Ubu buvuzi bukora neza cyane ku bagabo bafite kanseri ya prostate iri ku kigero gito cyangwa giciriritse. Ushobora kuba umukandida mwiza niba urwego rwawe rwa PSA ruri hasi, amanota yawe ya Gleason agaragaza kanseri ikura gahoro, kandi isesengura ryerekana ko kanseri yigaragambije muri prostate yawe.

Brachytherapy itanga inyungu nyinshi ugereranije n'ubundi buvuzi. Itanga imirasire y'ubuvuzi yerekana mu ngirangingo za kanseri mu gihe igabanya imirasire ku ngingo zikikije nk'urugingo rw'inkari n'umura. Abagabo benshi bahitamo ubu buryo kuko busaba ibikorwa bike byo kuvura ugereranije n'imirasire y'imirasire yo hanze kandi ishobora kugira ingaruka nke zirambye.

Muganga wawe ashobora kandi gushyiraho guhuza brachytherapy n'imirasire y'imirasire yo hanze kuri kanseri iri ku kigero giciriritse cyangwa kinini. Ubu buryo bwo guhuza burashobora kugira akamaro kurusha ubuvuzi bumwe kuri kanseri zimwe na zimwe za prostate.

Ni iki gikorerwa brachytherapy ya prostate?

Uburyo bwa brachytherapy busanzwe bubera mu kigo cyo kubaga cyangwa mu bitaro. Uzahabwa anesthesia ya spinal cyangwa anesthesia rusange kugirango wumve neza muri ubu buryo. Abagabo benshi bataha umunsi umwe, nubwo bamwe bashobora kurara kugirango barebe.

Mbere yo gushyiraho nyabyo, ikipe yawe y'ubuvuzi ikora igenamigambi ryitondewe ikoresheje amasomo yo gusesengura. Bazakoresha ultrasound rimwe na rimwe CT cyangwa MRI kugirango bamenye neza ubunini n'imiterere ya prostate yawe. Iri genamigambi rituma imbuto zishyirwa ahantu heza kugirango zibasire neza ingirangingo za kanseri.

Mugihe cyo gukora, uzaryama ku mugongo wawe amaguru yawe mu gice cyo hejuru, kimwe n'ikizamini cya gynecologique. Muganga wawe azashyira ultrasound probe mu mpera yawe kugirango ayobore ishyirwa ry'imbuto. Hanyuma bazashyira inshinge zoroheje binyuze mumashusho hagati ya scrotum yawe na anus kugirango bagere kuri prostate yawe.

Imbuto za radiyo zishyirwa mu nshinge zigashyirwa ahantu hagenewe mu rwungano rwa prostate. Umubare w'imbuto uratandukana bitewe n'ubunini bwa prostate yawe n'imiterere ya kanseri, ariko akenshi hagati ya 40 na 100 z'imbuto. Gushyira imbuto buri imwe bifata amasegonda make, kandi uburyo bwose busanzwe bufata isaha imwe cyangwa ebyiri.

Nyuma y'uko imbuto zose zishyirwa, muganga wawe azakoresha ishusho kugirango yemeze imiterere ikwiye. Bashobora gukora impinduka ntoya niba bibaye ngombwa kugirango barebe neza ko imirasire ikwira mu gice cya prostate yawe.

Ni gute witegura kubaga prostate yawe?

Imyiteguro yawe itangira mu byumweru byinshi mbere y'uburyo bwo gupima gahunda. Uzakorwa ibizamini byo gushushanya kugirango ukore imiterere ya prostate yawe kandi umenye uburyo bwiza bwo gushyira imbuto. Iki gice cyo gutegura ni ingenzi kugirango uvurwe neza kandi akenshi bikubiyemo ultrasound na CT imaging.

Muganga wawe azatanga amabwiriza yihariye yerekeye imiti n'ibyongerera imbaraga. Ushobora gukenera guhagarika gufata imiti ituma amaraso ataguma mu mubiri nka aspirine cyangwa warfarin iminsi myinshi mbere y'uburyo. Buri gihe ganira urutonde rwose rw'imiti ufata n'ikipe yawe y'ubuzima, harimo ibyongerera imbaraga bitangwa n'abantu bose n'imiti y'ibimera.

Ku munsi wo gukora uburyo, uzakenera gutegura umuntu wo kukujyana mu rugo. Anesthesia n'imiti bizatuma bidashoboka ko utwara imodoka cyangwa ukoresha imashini umunsi wose. Teganya kugira umuntu mukuru ufite inshingano ugumana nawe byibuze amasaha 24 ya mbere nyuma yo kuvurwa.

Ushobora guhabwa amabwiriza yerekeye imyiteguro y'amara, irimo enema cyangwa imirire yihariye umunsi mbere. Muganga wawe ashobora kandi gutegeka imiti yica mikorobe kugirango yirinde kwandura. Kurikiza aya mabwiriza witonze kugirango ugere ku musaruro mwiza.

Zana imyenda yoroshye kandi yagutse yo kwambara ugaruka mu rugo nyuma yo kubagwa. Ushobora kugira ibibazo byo kutoroherwa cyangwa kubyimba, bityo imyenda ifashe cyane yagutera kutoroherwa. Tekereza kuzana ibiryo byo kwidagadura nk'ibitabo cyangwa umuzika mu gihe cyose cyo gutegereza.

Ni gute usoma ibisubizo byawe bya prostate brachytherapy?

Intsinzi ya prostate brachytherapy ipimwa binyuze mu bipimo by'amaraso bya PSA buri gihe. Urwego rwawe rwa PSA rugomba kugabanuka buhoro buhoro nyuma yo kuvurwa, nubwo iki gikorwa gishobora gufata amezi cyangwa imyaka. Bitandukanye no kubagwa, aho PSA igabanuka ako kanya, imiti ikoreshwa mu kuvura itera kugabanuka gake gake.

Muganga wawe azagenzura urwego rwawe rwa PSA buri mezi make mbere na mbere, hanyuma rimwe na rimwe uko igihe gishira. Ubuvuzi bwatsinze akenshi bugaragaza urwego rwa PSA rugabanuka kugera ku rwego rwo hasi cyane, akenshi munsi ya 1.0 ng / mL, nubwo ibisubizo bya buri muntu bitandukanye. Abagabo bamwe bagira PSA yiyongera by'agateganyo mu myaka mike ya mbere, ibyo ntibisobanura ko ubuvuzi butatsinze.

Ibyegeranyo byo gushushanya birashobora gukoreshwa kugirango hasuzumwe uburyo ubuvuzi bwitwara, cyane cyane niba urwego rwa PSA rudagabanuka nkuko byitezwe. Muganga wawe ashobora gushishikariza gukoresha MRI cyangwa izindi shusho kugirango asuzume prostate yawe n'ibice biyikikije. Ibi bizami bifasha kumenya niba kanseri yitwara neza ku buvuzi.

Imirasire iva mu mbuto za brachytherapy ikomeza gukora mu mezi menshi nyuma yo gushyirwaho. Urugero rwinshi rw'imirasire rutangwa mu mezi make ya mbere, ariko imbuto zikomeza gutanga urwego rwo hasi rw'imirasire kugeza ku mwaka. Iki gihe cyo kuvura cyongerewe ni impamvu imwe ituma ibisubizo bisuzumwa mu mezi aho kuba mu byumweru.

Muganga wawe azanagukurikiranira ibibazo byose cyangwa ingorane mugihe cyo gusura. Bazasesengura imikorere yawe y'inkari, imyifatire y'amara, n'ubuzima bwawe bw'imibonano mpuzabitsina kugirango barebe ko urimo gukira neza mu buvuzi.

Ni iki gitera ingaruka mbi kuri prostate brachytherapy?

Ibintu bimwe na bimwe bishobora kongera ibyago byo kugira ingaruka ziterwa na brachytherapy ya prostate. Kumva ibyo bintu byongera ibyago bifasha wowe na muganga wawe gufata ibyemezo bifitiye akamaro ku bijyanye n'uburyo bwo kuvura ndetse no kumenya ibyo witegura mu gihe cyo gukira.

Ibibazo byari bisanzwe byo mu nkari byongera cyane ibyago byo kugira ingorane. Niba usanzwe ugira ingorane zo kunyara, kunyara kenshi, cyangwa ibindi bimenyetso bifitanye isano na prostate, brachytherapy ishobora gukomeza ibyo bibazo. Abagabo bafite prostate nini cyangwa ibimenyetso bikomeye byo mu nkari bashobora kugira ingaruka zikomeye.

Imyaka yawe n'ubuzima bwawe muri rusange bigira uruhare mu buryo uzihanganira kuvurwa. Nubwo brachytherapy muri rusange yihanganirwa neza, abagabo bakuze cyangwa abafite indwara nyinshi bashobora kugira ibyago byinshi byo kugira ingorane. Muganga wawe azasuzuma ubuzima bwawe muri rusange mbere yo gukora icyo gikorwa.

Uburyo bwo kuvura prostate bwakozwe mbere bushobora kugira ingaruka ku byago byawe. Abagabo bagiye babagwa prostate mbere, cyane cyane gukuraho prostate binyuze mu muyoboro w'inkari (TURP), bashobora kugira ibyago byinshi byo kugira ingorane zo mu nkari. Amateka yawe yo kubagwa afasha muganga wawe gutegereza imbogamizi zishobora kuzamo.

Ubunini bwa prostate n'imiterere yayo bigira uruhare rukomeye mu gutsinda kw'ubuvuzi n'ibyago byo kugira ingaruka. Prostate nini cyane birashobora kuba bigoye kuvura neza, mugihe ibintu bimwe na bimwe by'imiterere bishobora kongera ibyago byo guhura n'imirasire ku ngingo zegeranye.

Ni izihe ngorane zishobora guterwa na brachytherapy ya prostate?

Abagabo benshi bafata neza brachytherapy ya prostate, ariko kumva ingorane zishobora kuvuka bifasha kwitegura gukira no kumenya igihe cyo kuvugana n'ikipe yawe y'ubuzima. Ingorane zishobora kuba ako kanya, zikaba nyuma y'iminsi cyangwa ibyumweru, cyangwa igihe kirekire, zikaba nyuma y'amezi cyangwa imyaka nyuma yo kuvurwa.

Ingorane zo mu nkari ni ingaruka zisanzwe ushobora guhura nazo. Izi zishobora kuva ku bibazo byoroheje kugeza ku bibazo bikomeye bigira ingaruka ku buzima bwawe bwa buri munsi:

• Kugira uruhuza rwinshi, cyane cyane nijoro
• Gusaba cyane kwihagarika cyangwa kugorwa no kwihanganira inkari
• Kumva uburyaryate cyangwa kubabara igihe wihagarika
• Uruhererekane rw'inkari rudakomeye cyangwa kugorwa no gutangira kwihagarika
• Amara mu nkari, akenshi akemuka mu byumweru bike
• Kutabasha kwihagarika na gato, bisaba gushyirwaho kateteri

Ibi bimenyetso by'inkari akenshi bigera ku rwego rwo hejuru mu mezi make nyuma yo kuvurwa kandi bigenda bigabanuka uko igihe gihita. Abagabo benshi basanga ibimenyetso byabo bishobora gucungwa n'imiti no guhindura imibereho.

Ingorane z'amara ntizikunze kubaho ariko zishobora guterwa no guhura n'imirasire ku rwagashya. Ushobora guhura n'impinduka mu myifatire y'amara cyangwa kutumva neza:

• Kugira imyifatire y'amara yihuta
• Gusaba cyane kwihagarika cyangwa kugorwa no kugenzura imyifatire y'amara
• Guhara amara cyangwa kuribwa
• Amavunja cyangwa kutumva neza mu kibuno
• Ibimenyetso bidasanzwe byo gukomereka kw'urwagashya bisaba ubufasha bw'abaganga

Impinduka z'imikorere y'imibonano mpuzabitsina zigira ingaruka ku bagabo benshi nyuma yo kuvurwa na brachytherapy, nubwo izi ngaruka akenshi zigaragara buhoro buhoro mu mezi menshi cyangwa imyaka. Imirasire ishobora kugira ingaruka ku miyoboro y'amaraso n'imitsi y'ingenzi ku mikorere y'imibonano mpuzabitsina, bigatuma habaho kutagira ubushobozi bwo gushyira mu bikorwa ku rugero rutandukanye.

Ingorane zikomeye ariko zidasanzwe zishobora kubaho, nubwo zigira ingaruka ku bagabo batarenze 1%. Ibi bishobora kuba birimo kwimuka kw'imbuto ku bindi bice by'umubiri, gukomereka gukomeye kwatewe n'imirasire ku ngingo zikikije, cyangwa indwara ahantu hashyizweho imbuto.

Kuki nkwiriye kubona umuganga ku bijyanye n'ibibazo bya prostate brachytherapy?

Vugana n'ikipe yawe y'ubuvuzi ako kanya niba uhuye n'ibimenyetso bikomeye bishobora kugaragaza ingorane zikomeye. Kutabasha kwihagarika na gato ni ibibazo by'ubuvuzi bisaba ubufasha bwihuse. Ntukagire icyo utegereza kugira ngo urebe niba ibi bikemuka byonyine.

Shaka ubufasha bwihuse bw'abaganga niba ubonye ibimenyetso by'ubwandu cyangwa kuva amaraso bidasanzwe. Umuriro, guhinda umushyitsi, cyangwa ibimenyetso bisa n'ibicurane mu byumweru bike bya mbere nyuma yo kuvurwa bishobora kwerekana ubwandu busaba imiti yica mikorobe.

Hamagara muganga wawe niba ubonye ibi bimenyetso biteye impungenge:

• Urubabare rukabije rutagabanuka n'imiti yandikiwe
• Kuva amaraso menshi mu nkari zitagabanuka uko igihe kigenda
• Ibimenyetso by'ubwandu nk'umuriro, guhinda umushyitsi, cyangwa urubabare rwinshi
• Kuzamba kw'ibimenyetso by'inkari
• Isesemi idahoraho cyangwa kuruka
• Kuva amaraso menshi cyangwa urubabare mu kibuno

Teganya gahunda yo gusuzumwa buri gihe nk'uko byategetswe n'ikipe yawe y'ubuzima. Uru ruzinduko rutuma muganga wawe akurikirana imikorere yawe, akurikirana urwego rwa PSA, kandi akemura ibibazo byose mbere yuko biba ibibazo bikomeye.

Ntugatinye kuvugana n'ikipe yawe y'ubuzima niba ufite ibibazo cyangwa impungenge, kabone niyo byasa nk'ibito. Ikipe yawe y'ubuvuzi irashaka kumenya ko ufite umusaruro mwiza ushoboka kandi ukagira uburambe bwiza bwo gukira.

Ibikunze kubazwa ku bijyanye na prostate brachytherapy

Q.1 Ese prostate brachytherapy iruta kubagwa?

Prostate brachytherapy no kubagwa byombi ni imiti ikora neza ku kanseri ya prostate yibanze, ariko bifite inyungu n'ibibi bitandukanye. Brachytherapy irashobora kuba nziza ku bagabo bifuza kwirinda kubagwa gukomeye cyangwa bafite indwara z'ubuzima zituma kubagwa bigoye.

Brachytherapy mubisanzwe itera imbogamizi ntoya mu buzima bwawe ugereranije no kubagwa. Ubusanzwe ushobora gusubira mu bikorwa bisanzwe mu minsi mike, mugihe gukira kubagwa bifata ibyumweru byinshi. Ariko, ingaruka za brachytherapy zirashobora gutera buhoro buhoro mu mezi menshi.

Gu hitamo hagati y'imiti bitewe n'imiterere yihariye ya kanseri yawe, ubuzima muri rusange, imyaka, n'ibyifuzo byawe bwite. Muganga wawe azagufasha gupima inyungu n'ibibazo bya buri kimwe hashingiwe ku miterere yawe bwite.

Ibibazo 2. Ese nzaba mfite imirasire nyuma ya brachytherapy?

Yego, uzohereza imirasire mike mu gihe cy'amezi menshi nyuma yo gushyirwaho imbuto zihoraho, ariko ibyago ku bandi ni bito cyane. Urwego rw'imirasire rugabanuka buri gihe uko imbuto zitakaza imirasire yazo.

Muganga wawe azatanga amabwiriza yihariye yerekeye ingamba zo gufata ku bandi, cyane cyane abagore batwite n'abana bato. Izi ngamba zikunze gushyiramo kugumana intera mu gihe cy'amezi make ya mbere kandi zirashobora gushyiramo gusinzira ukundi kuva ku mufatanyabikorwa wawe by'agateganyo.

Ibikorwa byinshi bisanzwe n'imibanire birinzwe ako kanya nyuma yo kuvurwa. Imirasire ku bandi kuva ku guhura bisanzwe ni bike kandi biri mu rwego rwo hejuru rw'umutekano washyizweho n'inzego zishinzwe umutekano w'imirasire.

Ibibazo 3. Imbuto zifite imirasire zimara igihe kingana iki zikora?

Imbuto zifite imirasire ziguma zikora mu gihe cy'amezi agera kuri 10 kugeza kuri 12 nyuma yo gushyirwaho, nubwo zitanga urugero rwinshi rw'imirasire yazo mu mezi make ya mbere. Imbuto buhoro buhoro zitakaza imirasire yazo ikurikiza uburyo bwitezwe.

Mu mwaka umwe nyuma yo kuvurwa, imbuto ntizohereza imirasire kandi ntizitera ibyago kuri wowe cyangwa abandi. Ariko, imbuto ubwazo ziguma muri prostate yawe burundu, zikubiye mu gice cy'ibikomere byakozwe n'uburyo umubiri wawe ukira.

Kurekura imirasire buhoro buhoro bituma havurwa buri gihe selile za kanseri mu gihe kirekire, bishobora kugira akamaro kurusha gutanga urugero rumwe icyarimwe.

Ibibazo 4. Nshobora kugenda nyuma ya prostate brachytherapy?

Urashobora kugenda nyuma ya prostate brachytherapy, ariko ugomba kwitwaza inyandiko yerekeye ubuvuzi bwawe mu mwaka wa mbere. Abashinzwe umutekano ku kibuga cy'indege n'ibindi byuma bishinzwe gupima imirasire birashobora gufata imbuto zifite imirasire, bityo kugira inyandiko z'ubuvuzi birinda gutinda cyangwa ibibazo.

Muganga wawe azaguha ikarita cyangwa ibaruwa isobanura ubuvuzi bwawe n'uko hari ibikoresho bifite imirasire mu mubiri wawe. Bika iyi nyandiko igihe uri mu rugendo, cyane cyane unyuze ku bibuga by'indege cyangwa ahandi hantu hakoreshwa ibikoresho bifata imirasire.

Ibikorwa byinshi byo gutembera biratekanye, ariko ganira n'ikipe yawe y'ubuvuzi ku bijyanye n'ingendo ndende. Bashobora kugira inama zihariye zishingiye ku iterambere ryawe ryo gukira n'aho ujya.

Q.5 Bite se niba imbuto isohotse?

Rimwe na rimwe, imbuto ifite imirasire ishobora gusohoka mu mubiri wawe binyuze mu nkari cyangwa mu myanda, cyane cyane mu byumweru bike nyuma yo kuyitera. Ibi bibaho ku bagabo bagera kuri 1-5% kandi akenshi ntibitera impungenge zikomeye.

Niba ubonye imbuto, ntuyikoreho ukoresheje intoki zawe. Koresha utwuma cyangwa utwuma tw'icyuma kugira ngo uyifate, uyishyire mu gakoresho gato, hanyuma uvugishe ikipe yawe y'ubuvuzi kugira ngo baguhe amabwiriza y'uko wayisubiza mu buryo butekanye.

Muganga wawe azagenzura uko imbuto zashyizwemo binyuze mu bushakashatsi bwo gukurikirana. Niba imbuto nyinshi zimuka cyangwa niba gutakaza imbuto bigira ingaruka ku buryo uvurwa, muganga wawe ashobora kugusaba ubuvuzi bwiyongereye cyangwa kugenzurwa.