Chii chinonzi Brachytherapy? Chinangwa, Maitiro & Mhedzisiro

Brachytherapy imhando ye radiation therapy inoisa zvinhu zvine radioactive zvakananga mukati kana pedyo chaizvo nenzvimbo iri kurapwa. Kusiyana ne radiation yekunze inobuda kuburikidza neganda rako kubva kumichina yekunze, kurapwa uku kunopa radiation yakatarisana kubva mukati memuviri wako. Inowanzo shandiswa kumakemba eprostate, cervix, mazamu, uye dzimwe nzvimbo uko kunyatso tarisa kunogona kuita mutsauko chaiwo mumhedzisiro yako yekurapa.

Chii chinonzi brachytherapy?

Brachytherapy inoshanda nekugadzirisa mbeu diki diki dzine radioactive, waya, kana maapplicators zvakananga panzvimbo yetumor. Iyi nzira inobvumira vanachiremba kuti vape huwandu hwakawanda hwe radiation chaipo panodiwa apo vachidzivirira matishu ane hutano ari pedyo. Izwi rekuti "brachy" rinobva kuGreek, richireva "pfupi chinhambwe," izvo zvinotsanangura zvakakwana kuti kurapwa uku kunoshanda sei.

Kune mhando mbiri huru dzaungasangana nadzo. High-dose rate (HDR) brachytherapy inopa radiation nekukurumidza kuburikidza nezvinhu zvekugadzirisa zvekanguva zvinobviswa mushure mechikamu chega chega. Low-dose rate (LDR) brachytherapy inoshandisa zvinhu zvekugadzirisa zvisingaperi zvinoburitsa zvishoma nezvishoma radiation pamusoro pemavhiki kana mwedzi kusvika zvisashande.

Oncologist yako yeradiation ichasarudza kuti ndeipi mhando inoshanda zvakanyanya kune yako chaiyo cancer mhando, nzvimbo, uye hutano hwese. Sarudzo inoenderana nezvinhu zvakaita sehukuru hwe tumor, anatomy yako, uye kuti muviri wako ungaita sei kumaitiro akasiyana eradiation.

Nei brachytherapy ichiitwa?

Brachytherapy inopa zvakanakira zvakawanda zvinoita kuti ive sarudzo yakanaka kune varwere vazhinji vane cancer. Kunyatsoita kwekuendesa radiation yemukati zvinoreva kuti madosi epamusoro anogona kusvika zvakachengeteka maseru ekenza apo vachideredza kukuvadzwa kwenhengo dzakakomberedza dzine hutano. Iyi nzira yakatarisana inowanzoita kuti pave nemhedzisiro iri nani yekurapa iine mashoma mativi emhedzisiro kana ichienzaniswa ne radiation yekunze yega.

Chiremba wako angakurudzira brachytherapy kana uine mhando dzekenza dzinopindura zvakanaka kumaitiro ekurapa aya. Hezvino zviitiko zvakajairika uko kurapa uku kunoratidza kunyanya kushanda:

• Kenza yeguru, kunyanya chirwere chekutanga-stage uko mbeu dzinogona kuiswa zvachose
• Kenza yemuzongo, uko maapplicator anogona kuendesa radiation zvakananga kumuzongo nemativi matishu
• Kenza yemazamu, kunyanya mushure me lumpectomy kurapa nzvimbo yekuvhiya
• Kenza yeEndometrial, uko maapplicator emukati anogona kutarisisa mutsara we uterine
• Kenza yeganda munzvimbo uko radiation yekunze ingave yakaoma
• Kenza yeziso, uko maplaques madiki anogona kurapa tumors vachichengetedza chiono

Dzimwe nguva brachytherapy inoshandiswa pamwe chete ne external beam radiation kana kuvhiyiwa sechikamu chechirongwa chekurapa chakazara. Chikwata chako che oncology chichakurukura kana nzira iyi yekubatanidza ingabatsira mamiriro ako chaiwo.

Ndeipi nzira ye brachytherapy?

Nzira ye brachytherapy inosiyana zvichienderana nerudzi rwe implant uye nzvimbo iri kurapwa. Chikwata chako chekurapa chichakufambisa nhanho imwe neimwe pamberi kuti uzive chaizvo zvaunotarisira. Maitiro mazhinji anoitwa muchipatara kana nzvimbo yekurapa yakakosha ine imaging guidance kuti ive nechokwadi chekuisa kwakaringana.

Usati waita maitiro ako, uchagamuchira mirairo yakatarwa yekudya, kunwa, uye mishonga. Ungangoda kumisa mishonga yekutapudza ropa kana kutevera gwara rekudya rakakosha. Chiremba wako achakurukurawo sarudzo dzeanesthesia, dzinogona kubva pakunyaradza kwenzvimbo kusvika kune general anesthesia zvichienderana nekuoma kwekurapa kwako.

Hezvino zvinowanzoitika panguva yekuita:

1. Muchaiswa zvakanaka pamubhedha wekurapwa, uye nzvimbo yekurapwa ichacheneswa uye kugadzirirwa
2. Anesthesia ichashandiswa zvinoenderana nehurongwa hwekurapa kwako
3. Uchishandisa imaging guidance senge ultrasound kana CT scans, chiremba wako achaisa zvakarurama masosi e radioactive
4. Kune ma implants enguva pfupi, masosi achabatana nemuchina unodzorwa nekombuta unopa chiyero chakarongezwa
5. Kune ma implants echigarire, mbeu diki dzichaiswa uye dzichagara mumuviri wako zvachose
6. Nzvimbo yekurapwa ichaongororwa, uye uchaendeswa kunzvimbo yekupora

Nguva chaiyo yekupa radiation inogona kubva pamaminitsi mashoma kusvika kumaawa akati wandei, zvichienderana nerudzi rwekurapa kwako. Permanent seed implants inowanzo tora 1-2 maawa kuti iiswe, nepo kurapwa kwenguva pfupi kungada masesheni akawanda mumazuva akati wandei.

Maitiro ekugadzirira brachytherapy yako?

Kugadzirira brachytherapy kunosanganisira kugadzirira kwemuviri uye kwepfungwa. Chikwata chako chehutano chichapa mirairo yakadzama yakagadzirirwa kurudzi rwekurapa kwako uye nhoroondo yako yekurapa. Kutevera matungamirirwo aya nekuchenjerera kunobatsira kuona mhedzisiro yakanakisa yekurapa uye kuderedza njodzi yematambudziko.

Kugadzirira kwako kungasanganisira kusangana kwekurapa kwakawanda pamberi peiyo chaiyo nzira. Iwe ungangove uine imaging scans kuti ubatsire chiremba wako kuronga nzvimbo chaiyo yemasosi e radioactive. Kuyedzwa kweropa kunogona kudikanwa kuti utarise hutano hwako hwese uye uone kuti wakagadzirira nzira yacho.

Heano matanho makuru ekugadzirira aunogona kuda kutevera:

• Regai kumwa mishonga inotapisa ropa sezvinotaurwa nachiremba wako, kazhinji mazuva 7-10 pamberi pekurapwa
• Tevedza mirairo chaiyo yekudya, iyo inogona kusanganisira kudzivisa zvimwe zvekudya kana kutsanya pamberi pekuvhiyiwa
• Ronga kuti mumwe munhu akuendesere kumba mushure mekuvhiyiwa, sezvo unogona kunzwa uine hope kubva kumishonga yekuzorodza
• Pedzisa chero kugadzirira ura kunodiwa kana kurapwa kwako kuchibatanidza nzvimbo yepelvic
• Geza nesipo inouraya mabhakitiriya mangwanani ekuvhiyiwa kwako
• Pfeka mbatya dzakasununguka, dzisina kusimba kumusangano wako
• Bvisa zvishongo, mazino ekugadzira, kana zvimwe zvinhu zvesimbi zvinogona kukanganisa mifananidzo

Usazeza kubvunza mibvunzo nezve chero chikamu chekugadzirira. Chikwata chako chekurapa chinoda kuti unzwe uine chivimbo uye wakagadzirira zuva rako rekurapa.

Ungaverenga sei mhedzisiro yako yebrachytherapy?

Mhedzisiro yeBrachytherapy inoyerwa zvakasiyana nemamwe bvunzo zhinji zvekurapa nekuti kubudirira kwekurapa kunozivikanwa nekufamba kwenguva. Chiremba wako achatarisa kufambira mberi kwako kuburikidza nekugadzwa kwekutevera nguva dzose, zvidzidzo zvekuongorora, uye bvunzo dzakakosha dzine chekuita nerudzi rwako rwegomarara. Chinangwa ndechekuona humbowo hwekuti gomarara riri kupindura kurapwa uku uchivimbisa kuti matishu ako ane hutano anoramba akachengetedzwa.

Chikwata chako chehutano chichatevera zviratidzo zvakakosha zvakati wandei panguva yekupora kwako uye kutarisirwa kwekutevera. Zviratidzo izvi zvinobatsira kuona kuti kurapwa kuri kushanda sei uye kana chero shanduko kuchirongwa chako chekutarisira zvichidikanwa. Kunzwisisa zviyero izvi kunogona kukubatsira kuti unzwe wakabatanidzwa murwendo rwako rwekurapa.

Chiremba wako achatarisa nzvimbo idzi dzakakosha:

• Kupindura kwekenza kuburikidza nekuongorora mifananidzo yakaita seCT, MRI, kana PET scans panguva dzose
• Mazinga emakemikari ekenza muropa rako, ayo anosiyana zvichienderana nerudzi rwekenza yako
• Zvakawanikwa pakuongorora muviri panzvimbo yekurapa
• Kuongorora mhedzisiro yezvinhu zvisingadiwi kuti uve nechokwadi chekuti uri kutsungirira kurapwa zvakanaka
• Zviyero zvehupenyu hwakanaka kuti utarise chero zvinonetsa pamusoro pemabasa ezuva nezuva
• Kutarisa kwenguva refu kuti uone kana kenza yadzoka kana kenza itsva

Nguva yekuti uone mhedzisiro inosiyana zvakanyanya zvichienderana nerudzi rwekenza yako uye nzira yekurapa. Vamwe varwere vanoona kuvandudzwa mukati memavhiki, nepo vamwe vangada mwedzi yakati wandei kuti vaone mhedzisiro yakazara yekurapa. Chiremba wako achatsanangura zvekutarisira kune mamiriro ako chaiwo.

Ndezvipi zvinhu zvine njodzi zvekukanganiswa kwebrachytherapy?

Nepo brachytherapy ichiwanzova yakachengeteka uye inotsungirirwa zvakanaka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuwana mhedzisiro yezvinhu zvisingadiwi kana matambudziko. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira iwe nechikwata chako chehutano kutora matanho akakodzera uye kutarisisa kufambira mberi kwako zvakanyanya. Matambudziko mazhinji anogoneka kana akabatwa nekukurumidza uye akarapwa nekukurumidza.

Njodzi yako yega yega inoenderana nezvinhu zvakawanda zvemunhu uye zvine chekuita nekurapa. Chikwata chako chekurapa chichaongorora izvi zvakanyatso chenjerera vasati vachikurudzira brachytherapy uye vachakurukura chero zvinonetsa zvakanyanya zvinoshanda kumamiriro ako ezvinhu. Kuziva izvi zvinhu kunokubatsira kuti uite zvisarudzo zvine ruzivo nezvekurapa kwako.

Heano zvinhu zvine njodzi zvikuru zvinogona kuwedzera mukana wako wekuwana matambudziko:

• Kurapwa nemwaranzi kare munzvimbo imwechete, izvo zvinogona kuwedzera kunzwisiswa kumwaranzi yakawedzerwa
• Mamwe mamiriro ezvinhu ekurapa senge chirwere cheshuga kana zvirwere zvemuviri zvinokanganisa kupora
• Kukwegura, kunyangwe izvi zvega hazvikubvise pakurapwa
• Utano husina kunaka kana mamiriro akawanda ekurapa
• Kusvuta, izvo zvinogona kukanganisa kupora uye kuwedzera njodzi yekutapukirwa
• Kufutisa, izvo zvinogona kuita kuti kuisa implant kuve kwakaoma
• Zvirwere zvekugwamba kweropa zvinogona kukanganisa kugona kwako kupora zvakanaka
• Mishonga inodzvinyirira immune system yako

Chiremba wako achashanda newe kuderedza njodzi idzi pese pazvinogoneka. Izvi zvinogona kusanganisira kuvandudza hutano hwako usati warapwa, kugadzirisa mishonga, kana kusarudza nzira dzakakosha dzinonyatso shanda nemamiriro ako ezvinhu.

Ndezvipi zvipingamupinyi zvinogona kuitika zvebrachytherapy?

Zvipingamupinyi zveBrachytherapy zvinogona kubva kune zvinyoro, zvenguva pfupi mhedzisiro kune zvakanyanya asi zvisingawanzoitiki zvikuru zvikuru. Vazhinji varwere vanowana mhedzisiro inodzoreka inovandudzika nekufamba kwenguva sezvo matishu ane hutano achipora. Chikwata chako chehutano chichakutarisa zvakanyanya uye chichapa kurapwa kubatsira kubata chero zvipingamupinyi zvinomuka.

Zvipingamupinyi zvakakosha zvaungasangana nazvo zvinoenderana zvakanyanya nenzvimbo yekurapa uye hutano hwako hwega. Kunzwisisa zvekutarisa kunokubatsira kutsvaga kutarisirwa kwakakodzera nekukurumidza kana matambudziko akamuka. Rangarira kuti kusangana nemhedzisiro hazvireve kuti kurapwa kwako hakushande.

Heano zvipingamupinyi zvakajairika zvaungasangana nazvo:

• Kuneta kunogona kutora mavhiki akati wandei sezvo muviri wako uchipora kubva kumwaranzi
• Kutsamwa kweganda kana shanduko munzvimbo yakabatwa, kusanganisira kutsvuka kana kunzwa
• Kuzvimba kutenderedza nzvimbo yekuiswa, iyo inowanzo pera mukati memazuva kusvika kumavhiki
• Kurwadziwa kwenguva pfupi kana kusagadzikana kunogona kutarisirwa nemishonga yakakodzera
• Zviratidzo zveweti zvakaita sekugara uchida kuenda chimbuzi kana kupisa kana nzvimbo yekurapa iri pedyo nebladders
• Shanduko dzematumbo kusanganisira manyoka kana kutsamwa kwemukati wemuviri wekurapa pelvic
• Shanduko dzebasa repabonde, kunyanya neprostate kana gynecologic kurapwa

Matambudziko akakomba asi asingawanzoitiki anoda kutariswa kwekurapa nekukurumidza. Izvi zvinogona kusanganisira kubuda ropa zvakanyanya, zviratidzo zvehutachiona zvakaita sefivha kana kubuda zvisina kujairika, kana kurwadziwa kukuru kusingavandudzike nemishonga yakarairwa. Chikwata chako chekurapa chichakupa nhungamiro chaiyo yekuti ungadaidza rini rubatsiro.

Ndingadaidzira rini chiremba nekuda kwekunetseka kwebrachytherapy?

Kuziva kuti ungabatana rini nechikwata chako chehutano mushure mebrachytherapy kwakakosha kuchengeteka kwako uye kubudirira kwekurapa. Nepo mamwe matambudziko achitarisirwa uye achitakurika kumba, mamwe anoda kutariswa kwekurapa nekukurumidza. Chiremba wako achapa nhungamiro chaiyo pamusoro pezviratidzo zvekuchenjerera zvekutarisa zvichibva pamhando yako yekurapa.

Usazeza kusvika kuchikwata chako chekurapa nemibvunzo kana kunetseka, kunyangwe usina chokwadi kana chimwe chinhu chakakomba. Vanoda kunzwa kubva kwauri nezve nyaya diki pane kuti umirire kwenguva refu kuti utarise dambudziko rakakura. Nzvimbo zhinji dzekurapa dzine nhamba dzekubata dzeawa makumi maviri nemana dzemamiriro ekukurumidzira.

Bata chiremba wako nekukurumidza kana uine chero zviratidzo zvekuchenjerera izvi:

• Fiva rinopfuura 101°F (38.3°C) kana kutonhora, izvo zvingaratidza hutachiona
• Kubuda ropa kwakanyanya kubva panzvimbo yekurapa uko kusingamire nekumanikidza zvinyoro nyoro
• Kurwadziwa kwakanyanya kusingavanduki nemishonga yekurwadziwa yakarairwa
• Zviratidzo zvehutachiona senge kubuda zvisinganzwisisike, kuwedzera kutsvuka, kana kudziya
• Kutambudzika kuita weti kana kusakwanisa kuita weti zvachose
• Nyonga kana kurutsa kwakanyanya kunokutadzisa kuchengeta mvura pasi
• Kufema kwemhepo kamwe kamwe kana kurwadziwa muchipfuwa
• Chero chirimwa kana mbeu inoita seinofamba kana kubuda

Unofanirawo kuronga nguva dzekutevera nguva dzose kunyangwe uchinzwa zvakanaka. Kushanya uku kunobvumira chiremba wako kuti atarise kufambira mberi kwako, atarise chero nyaya dziri kukura, uye agadzirise chirongwa chako chekuchengeta sezvinodiwa.

Mibvunzo inowanzo bvunzwa nezve brachytherapy

Q.1 Ko brachytherapy iri nani kupfuura radiation yekunze?

Brachytherapy inopa zvakanakira zvakasiyana zvemamwe marudzi ekenza, asi hazvifanirwe kunzi "zviri nani" kupfuura radiation yekunze kune munhu wese. Kuisa mukati memukati kwemavambo e radioactive kunobvumira madosi akakwirira kuti asvike masero ekenza uku achidzivirira zviri nani matishu ane hutano ari pedyo. Iyi kurongeka kazhinji inoguma nemigumisiro mishoma uye nzira dzekurapa dzakapfupi.

Zvisinei, kurapa kwakanakisisa kunoenderana nerudzi rwako rwekenza, nzvimbo, nhanho, uye hutano hwese. Vamwe varwere vanonyanya kubatsirwa nebrachytherapy yoga, vamwe kubva kuradiation yekunze, uye vazhinji kubva mukubatanidzwa kwekurapa kwese. Chiremba wako we radiation oncologist achakurudzira nzira inokupa mukana wakanakisisa wekurapa nemigumisiro inodzoreka.

Q.2 Ndiri kuzova radioactive here mushure mebrachytherapy?

Mazinga ako e radioactivity mushure me brachytherapy anoenderana nerudzi rwekurapa rwaunogamuchira. Nekuisa zvinhu zvekanguva, iwe unongova radioactive apo masosi aripo, uye hapana radioactivity yasara kana abviswa. Nekuisa mbeu zvachose, iwe uchaburitsa mazinga akaderera e radiation kwemavhiki akati wandei kusvika kumwedzi, asi izvi zvinoderera nekufamba kwenguva.

Chikwata chako chekurapa chichapa gwara rakajeka pamusoro pezvinhu zvekuchengetedza radiation kana zvichidiwa. Izvi zvinogona kusanganisira kudzora kwechinguvana kusangana pedyo nevakadzi vane pamuviri nevana vadiki, kana kudzivirira kutakura veruzhinji kwenguva pfupi. Vazhinji varwere vanogona kutangazve mabasa avo akajairika mukati memazuva mashoma kusvika kumavhiki, zvichienderana nerudzi rwekurapa kwavo.

Q.3 Zvinotora nguva yakareba sei kurapwa kwe brachytherapy?

Kureba kwe brachytherapy kunosiyana zvakanyanya zvichienderana nerudzi rwekurapa uye nzvimbo iri kurapwa. Kuisa mbeu zvachose kunowanzo tora 1-2 maawa kuti iiswe mune imwe nzira yekurapa yekunze. Kurapa kwemazinga epamusoro kunogona kuda zvikamu zvakawanda mumazuva akati wandei, nechikamu chimwe nechimwe chichitora maminitsi gumi kusvika makumi matatu ekuendesa radiation.

Kurapa kwemazinga akaderera nekuisa zvinhu zvekanguva kunogona kukuda kuti ugare muchipatara kwemazuva 1-7 apo masosi anoramba aripo. Chiremba wako achatsanangura nguva chaiyo yekurapa kwako uye kukubatsira kuronga zvinoenderana nenguva yekubva kubasa kana kuronga rubatsiro kumba.

Q.4 Ndingafamba here mushure me brachytherapy?

Zvirambidzo zvekufamba mushure me brachytherapy zvinoenderana nerudzi rwekurapa kwako nenguva. Kana iwe uine mbeu dzinogara dzine radioactive, ungangoda kudzivirira kufamba nendege kwemavhiki mashoma nekuti ma scanner ekuchengetedza panhandare yendege anogona kuona zvinhu zve radioactive. Chiremba wako achakupa kadhi remuhomwe richitsanangura kurapwa kwako kana zvichidiwa.

Pamusoro pekurapa kwechinguvana, unogona kufamba kana wangopora kubva mukurapa kwacho, kazhinji mukati memazuva mashoma kusvika vhiki. Nguva dzose taura zvirongwa zvekufamba nechikwata chako chehutano, kunyanya kana uri kuronga kuenda kure panguva yekutevera-kuona kwako.

Mubvunzo 5. Brachytherapy inorwadza here?

Vazhinji varwere vanonzwa kusagadzikana panguva uye mushure mebrachytherapy, asi kurwadziwa kukuru hakuzivikanwe. Maitiro ekuisa implant anowanzoitwa pasi peanesthesia, saka haufanire kunzwa kurwadziwa panguva yekurapa kwacho. Mushure meizvozvo, unogona kunzwa kurwadziwa, kuzvimba, kana kurwadza panzvimbo yekurapa.

Chikwata chako chehutano chichapa nzira dzekurapa kurwadziwa kusanganisira mishonga, nzira dzekugadzirisa, uye zvimwe zviyero zvekunyaradza. Kusagadzikana kwakawanda kuri nyoro kusvika pakati nepakati uye kunovandudzika mukati memazuva mashoma kusvika kumavhiki sezvo kupora kunofambira mberi. Usazeze kukumbira rubatsiro mukugadzirisa chero kurwadziwa kwaunonzwa.