Chii chinonzi Prostate Brachytherapy? Chinangwa, Maitiro & Mhedzisiro

Prostate brachytherapy imishonga yeradiation inotarisa uko mbeu diki diki dzine radioactive dzinoiswa zvakananga mugland yako yeprostate. Iyi nzira inobvumira vanachiremba kuti vape madosi akakwirira e radiation zvakananga kumasero ekenza vachidzivirira matishu ane hutano ari pedyo. Funga nezvazvo sekumisikidza kurapwa chaizvo kwakakodzera, pane kutumira radiation mumuviri wako wese.

Chii chinonzi prostate brachytherapy?

Prostate brachytherapy inosanganisira kuisa mbeu diki diki dzine radioactive, imwe neimwe yakakura se zviyo zverice, zvakananga mutishu yako yeprostate. Mbeu idzi dzinoburitsa radiation nekufamba kwenguva kuti dziparadze masero ekenza kubva mukati. Izwi rekuti "brachytherapy" rinobva kushoko rechiGiriki rokuti "brachy," rinoreva chinhambwe chipfupi, nekuti radiation inofamba chinhambwe chipfupi chete.

Kune mhando mbiri huru dze prostate brachytherapy. Low-dose rate brachytherapy inoshandisa mbeu dzechigarire dzinogara mune yako prostate nekusingaperi, zvishoma nezvishoma dzichirasikirwa ne radioactivity yavo mumwedzi. High-dose rate brachytherapy inoshandisa macatheter enguva pfupi anopa radiation yakasimba kwemaminitsi mashoma, obva abviswa zvachose.

Mbeu dzechigarire dzinova dzisina basa nekufamba kwenguva uye hadziise njodzi yeradiation kwenguva refu kwauri kana kune vamwe. Muviri wako unozviisa zvakasikwa mutishu remavanga, uko zvinoramba zvisina njodzi kweupenyu hwako hwese.

Nei prostate brachytherapy ichiitwa?

Prostate brachytherapy inorapa kenza yeprostate yakagara munzvimbo imwe chete iyo isina kupararira kupfuura gland yeprostate. Chiremba wako angakurudzira kurapwa uku kana uine kenza yeprostate yematanho ekutanga ine hunhu hwakanaka, zvinoreva kuti kenza inogona kupindura zvakanaka kuradiation therapy.

Kurapa uku kunoshanda zvakanaka kune varume vane gomarara repurostate rine njodzi shoma kusvika pakati nepakati. Ungave uri munhu akakodzera kana mwero wako wePSA wakaderera, chiyero chako cheGleason chinoratidza gomarara rinokura zvishoma, uye mifananidzo inoratidza kuti gomarara rakavharirwa kupurostate yako.

Brachytherapy inopa zvakanakira zvakawanda pamusoro pezvimwe zvirongwa. Inopa radiation zvakananga kumasero egomarara ichideredza kuratidzwa kune nhengo dzakapoteredza dzakadai sebladder yako uye rectum. Varume vazhinji vanosarudza sarudzo iyi nekuti inowanzoita kuti vashandise nzira shoma dzekurapa kupfuura radiation yebazi rekunze uye inogona kuva nemigumisiro mishoma yenguva refu.

Chiremba wako anogona zvakare kukurudzira kubatanidza brachytherapy ne radiation yebazi rekunze yegomarara rine njodzi yepakati kana yepamusoro. Iyi nzira yekubatanidza inogona kushanda zvakanyanya kupfuura chero kurapwa kwega kune mamwe marudzi egomarara repurostate.

Ndeipi nzira ye prostate brachytherapy?

Nzira ye brachytherapy inowanzoitika munzvimbo yekuvhiya yekunze kana muchipatara. Iwe uchagamuchira spinal anesthesia kana general anesthesia kuti uve nechokwadi chekuti unonzwa wakasununguka panguva yese yekuita. Varume vazhinji vanoenda kumba zuva rimwe chete, kunyangwe vamwe vachigona kugara husiku hwese kuti vaone.

Pamberi pekuiswa chaiko, timu yako yezvokurapa inoita kuronga kwakanyatso shandisa zvidzidzo zve imaging. Vachashandisa ultrasound uye dzimwe nguva CT kana MRI scans kuti vatarise saizi chaiyo uye chimiro chepurostate yako. Kuronga uku kunovimbisa kuti mbeu dzinoiswa munzvimbo dzakanaka kuti dzitarise masero egomarara zvinobudirira.

Panguva yekuita, uchavata kumusana wako nemakumbo ako mumastirrups, zvakafanana nenzvimbo yekuongorora gynecological. Chiremba wako achaisa ultrasound probe murectum yako kuti atungamirire kuisa mbeu. Vachabva vaisa tsono dzakatetepa kuburikidza neganda pakati pe scrotum yako ne anus kuti vasvike kupurostate yako.

Mbeu dzinobudisa mheni dzinoiswa mutsono uye dzinochengetwa munzvimbo dzakatarwa muprostate yako. Huwandu hwembeu hunosiyana zvichienderana nehukuru hwe prostate yako uye hunhu hwegomarara, asi kazhinji hunobva pa40 kusvika ku100 mbeu. Kuisa mbeu imwe neimwe kunotora masekondi mashoma, uye maitiro ese anowanzo kutora awa rimwe kana maviri.

Mushure mekunge mbeu dzese dzaiswa, chiremba wako achashandisa mifananidzo kusimbisa nzvimbo yakakodzera. Vanogona kuita zvishoma zvishoma kana zvichidikanwa kuti vave nechokwadi chekuvharwa kwakanaka kwemwaranzi yematishu eprostate yako.

Maitiro ekugadzirira brachytherapy yako yeprostate?

Kugadzirira kwako kunotanga mavhiki akati wandei pamberi pemaitiro nekuronga kwakadzama. Uchapinda zvidzidzo zvekuongorora kuti umepu anatomy yeprostate yako uye utarise nzira yakanakisa yekuiswa kwembeu. Iyi nhanho yekuronga yakakosha kubudirira kwekurapa uye inowanzo sanganisira ultrasound uye CT imaging.

Chiremba wako achapa mirairo chaiyo pamusoro pemishonga uye zvinowedzera. Unogona kuda kumira kutora mishonga inotapira ropa senge aspirin kana warfarin mazuva akati wandei pamberi pemaitiro. Nguva dzose kurukura runyorwa rwako rwemishonga yese nechikwata chako chehutano, kusanganisira zvinowedzera-pamusoro-pe-counter uye mishonga yemakwenzi.

Pazuva remaitiro ako, uchada kuronga kuti mumwe munhu akuendesere kumba. Anesthesia nemishonga zvichaita kuti zvisachengeteke kuti utyairi kana kushandisa michina kwezuva rese. Ronga kuva nemunhu mukuru ane basa anogara newe kwemaawa makumi maviri nemana ekutanga mushure mekurapa.

Unogona kugamuchira mirairo pamusoro pekugadzirira ura, iyo inogona kusanganisira enema kana kudya kwakakosha zuva risati raitwa. Chiremba wako anogonawo kunyora mishonga inorwisa mabhakitiriya kudzivirira hutachiona. Tevedza mirairo iyi nekuchenjerera kuti uve nechokwadi chekuwana mhedzisiro yakanakisa.

Uya nemapfekero akasununguka, akasununguka ekupfeka kumba mushure mekuvhiyiwa. Unogona kusangana nekusagadzikana kana kuzvimba, saka mbatya dzakasimba dzinogona kusagadzikana. Funga kuuya nezvinhu zvekuvaraidza zvakaita semabhuku kana mimhanzi yenguva yekumirira.

Maitiro ekuverenga mhedzisiro yako ye prostate brachytherapy?

Kubudirira kwe prostate brachytherapy kunoyerwa kuburikidza nePSA bvunzo dzeropa nguva dzose. Chiyero chako chePSA chinofanira kudzikira zvishoma nezvishoma mushure mekurapa, kunyangwe maitiro aya anogona kutora mwedzi kusvika kumakore. Kusiyana nekuvhiyiwa, uko PSA inodonha nekukasira, radiation therapy inokonzera kudzikira zvishoma nezvishoma.

Chiremba wako achatarisa mazinga ako ePSA mwedzi mishoma yega yega pakutanga, wobva wava kushoma sezvo nguva ichipfuura. Kurapa kunobudirira kunowanzo ratidza mazinga ePSA achidonha kusvika kumazinga akaderera kwazvo, kazhinji pasi pe1.0 ng/mL, kunyangwe mhedzisiro yemunhu mumwe nemumwe ichisiyana. Vamwe varume vanosangana nekuwedzera kwePSA kwenguva pfupi mumakore mashoma ekutanga, izvo zvisingareve kukundikana kwekurapa.

Zvidzidzo zveImaging zvinogona kushandiswa kuongorora mhinduro yekurapa, kunyanya kana mazinga ePSA asingaderedzi sezvaitarisirwa. Chiremba wako angakurudzira MRI scans kana mamwe mafoto ekuongorora prostate yako uye matishu akapoteredza. Miedzo iyi inobatsira kuona kana kenza iri kupindura kurapa.

Mwenje kubva kumbeu ye brachytherapy inoenderera mberi ichishanda kwemwedzi mushure mekuiswa. Ruzhinji rwemwaranzi inopihwa mukati memwedzi mishoma yekutanga, asi mbeu inoenderera mberi ichibudisa mazinga akaderera emwaranzi kwegore. Iyi nguva yakawedzerwa yekurapa ndiyo imwe chikonzero nei mhedzisiro ichiongororwa pamusoro pemwedzi panzvimbo pemavhiki.

Chiremba wako achakutarisawo chero mhedzisiro kana matambudziko panguva yekushanya kwekutevera. Vachaongorora basa rako reurinary, tsika dzematumbo, uye hutano hwepabonde kuti vaone kuti uri kupora zvakanaka kubva mukurapa.

Ndezvipi zvinhu zvine njodzi zve prostate brachytherapy matambudziko?

Zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuwana mhedzisiro kubva ku prostate brachytherapy. Kunzwisisa izvi zvinhu zvinowedzera njodzi kunobatsira iwe nachiremba wako kuita sarudzo dzine ruzivo pamusoro pezvirongwa zvekurapa uye zvekutarisira panguva yekupora.

Matambudziko atovepo ekuyera weti anowedzera zvakanyanya njodzi yako yematambudziko. Kana iwe ukatove nematambudziko ekuyera weti, kuyera weti kakawanda, kana zvimwe zviratidzo zvine chekuita neprostate, brachytherapy inogona kuwedzera nyaya idzi. Varume vane prostate hombe kana zviratidzo zvakanyanya zvekuita weti vanogona kuwana mhedzisiro yakanyanya.

Zera rako uye hutano hwako hwese hunokanganisa kuti unozotsungirira sei kurapwa. Kunyange brachytherapy ichitsungirirwa zvakanaka, varume vakuru kana avo vane mamiriro akawanda ehutano vanogona kuva nenjodzi yakakwirira yematambudziko. Chiremba wako achaongorora hutano hwako hwese hwekuita maitiro panguva yekuronga.

Maitiro ekare eprostate anogona kukanganisa njodzi yako. Varume vakambovhiwa prostate, kunyanya transurethral resection ye prostate (TURP), vanogona kuwedzera njodzi yematambudziko ekuyera weti. Nhoroondo yako yekuvhiya inobatsira chiremba wako kutarisira matambudziko anogona kuitika.

Saizi yeProstate uye anatomy inotamba basa rakakosha mukubudirira kwekurapa uye njodzi yemhedzisiro. Prostate hombe kwazvo inogona kuva yakaoma kurapa zvinobudirira, nepo zvimwe zvinhu zveanatomical zvinogona kuwedzera njodzi yekuratidzwa kwemwaranzi kumitezo iri pedyo.

Ndezvipi zvinetso zvinogona kuitika zveprostate brachytherapy?

Varume vazhinji vanotsungirira prostate brachytherapy zvakanaka, asi kunzwisisa matambudziko anogona kuitika kunokubatsira kugadzirira kupora uye kuziva kuti ungabatana riini nechikwata chako chehutano. Matambudziko anogona kuva echimbichimbi, achiitika mukati memazuva kana mavhiki, kana kwenguva refu, achikura mwedzi kana makore mushure mekurapa.

Matambudziko ekuyera weti ndiyo mhedzisiro yakajairika yaungawana. Izvi zvinogona kubva kune zvinyoro kusvika kune nyaya dzakakosha dzinokanganisa hupenyu hwako hwezuva nezuva:

• Kuwedzera kuenda chimbuzi kakawanda, kunyanya usiku
• Kukurumidza kuenda chimbuzi kana kuomerwa kubata weti
• Kupisa kana kurwadza panguva yekuenda chimbuzi
• Kushaya simba kweweti kana kuomerwa kutanga kuenda chimbuzi
• Ropa muweti, iro rinowanzo gadzirika mukati memavhiki mashoma
• Kushaya kukwanisa kuenda chimbuzi zvachose, kuchida kuisa catheter

Zviratidzo izvi zveweti zvinowanzoita zvakanyanya mumwedzi mishoma yekutanga mushure mekurapwa uye zvishoma nezvishoma zvinovandudzika nekufamba kwenguva. Varume vazhinji vanowana zviratidzo zvavo zvichigoneka nemishonga uye shanduko dzemararamiro.

Matambudziko ematumbo haawanzoitiki asi anogona kuitika nekuda kwekuratidzwa kwemwaranzi kumatumbo makuru. Unogona kusangana nekuchinja maitiro ematumbo kana kusagadzikana:

• Kuwedzera kuwanda kwemafambiro ematumbo
• Kukurumidza kwematumbo makuru kana kuomerwa kudzora mafambiro ematumbo
• Kubuda ropa mumatumbo makuru kana kutsamwa
• Hemorrhoids kana kusagadzikana kwemuviri
• Zviitiko zvisingawanzoitiki zvekukuvara kwematumbo makuru kuchida kupindira kwekurapa

Kushanduka kwekuita zvepabonde kunokanganisa varume vazhinji mushure mebrachytherapy, kunyangwe mhedzisiro iyi inowanzoitika zvishoma nezvishoma mumwedzi kusvika kumakore. Mwaranzi inogona kukanganisa midzi yeropa nemitsipa yakakosha pakuita zvepabonde, zvichikonzera erectile dysfunction yemadigirii akasiyana.

Matambudziko asingawanzoitiki asi akakomba anogona kuitika, kunyangwe achikanganisa vanhu vashoma vanopfuura 1%. Izvi zvinogona kusanganisira kutama kwembeu kune dzimwe nhengo dzemuviri, kukuvara kwakanyanya kwemwaranzi kune nhengo dzakapoteredza, kana hutachiona panzvimbo yekuiswa.

Ndinofanira kuona chiremba rini nekuda kwekunetseka kweprostate brachytherapy?

Bata timu yako yehutano nekukasira kana ukaona zviratidzo zvakakomba zvinogona kuratidza matambudziko akakomba. Kushaya kukwanisa kuenda chimbuzi zvachose idambudziko rekurapa rinoda kutariswa nekukasira. Usamirira kuti uone kana izvi zvichigadzirika zvega.

Tsvaga rubatsiro rwekurapa nekukurumidza kana ukaona zviratidzo zveutachiona kana kubuda ropa kusinganzwisisike. Fivha, kutonhora, kana zviratidzo zvakaita sefuruwenza mukati memavhiki mashoma ekutanga mushure mekurapwa zvinogona kuratidza utachiona hunoda kurapwa nemishonga inorwisa mabhakitiriya.

Fonera chiremba wako kana ukaona zviratidzo izvi zvinonetesa:

• Kurwadziwa kwakanyanya kusingavanduki nemishonga yakanyorwa
• Kubuda ropa kwakanyanya mumvura yeweti kusingaderedzi nekufamba kwenguva
• Zviratidzo zveutachiona zvakaita sefivha, kutonhora, kana kurwadziwa kwakanyanya
• Kuwedzera kamwe kamwe kwezviratidzo zveweti
• Kusvotwa kana kurutsa kunoramba kuripo
• Kubuda ropa kwakanyanya murectum kana kurwadziwa

Ronga nguva dzekutevera nguva dzose sezvinokurudzirwa nechikwata chako chehutano. Kushanya uku kunobvumira chiremba wako kuti aongorore kupora kwako, kutevera mazinga ePSA, uye kugadzirisa chero zvinonetsa zvisati zvava matambudziko akakomba.

Usazeza kubata chikwata chako chehutano nemibvunzo kana zvinonetsa, kunyangwe zvichioneka zvishoma. Chikwata chako chekurapa chinoda kuona kuti une mhedzisiro yakanaka uye ruzivo rwekupona.

Mibvunzo inowanzo bvunzwa nezve prostate brachytherapy

Q.1 Ko prostate brachytherapy iri nani kupfuura kuvhiyiwa here?

Prostate brachytherapy uye kuvhiyiwa zvese zvinobudirira kurapwa kwekenza yeprostate yakaganhurirwa, asi vane zvakasiyana zvakanakira nezvakaipa. Brachytherapy inogona kunge iri nani kune varume vanoda kudzivisa kuvhiyiwa kukuru kana vane mamiriro ehutano anoita kuti kuvhiyiwa kuve nenjodzi.

Brachytherapy inowanzoita kuti kuvhiringidzika kushoma muhupenyu hwako zvichienzaniswa nekuvhiyiwa. Iwe unowanzoenda kumabasa ako enguva dzose mukati memazuva mashoma, nepo kupora kwekuvhiya kunotora mavhiki akati wandei. Zvisinei, brachytherapy mhedzisiro inogona kukura zvishoma nezvishoma pamusoro pemwedzi.

Sarudzo pakati pekurapa inotsamira pamaitiro ako chaiwo ekenza, hutano hwese, zera, uye zvaunofarira. Chiremba wako achakubatsira kuyera mabhenefiti nenjodzi dzechimwe nechimwe sarudzo zvichienderana nemamiriro ako ega.

Mubvunzo 2: Ndingave ndine radioactive mushure mebrachytherapy here?

Hongu, iwe uchaburitsa mazinga mashoma e radiation kwemwedzi yakati wandei mushure mekuiswa kwembeu dzisingachinji, asi njodzi kune vamwe idiki kwazvo. Iro radiation level rinoderera nguva dzose nekufamba kwenguva sezvo mbeu dzichirasikirwa ne radioactivity yadzo.

Chiremba wako achapa matungamirirwo chaiwo ekuchenjerera kuti utore kune vamwe, kunyanya vakadzi vane pamuviri nevana vadiki. Izvi zvekuchenjerera zvinowanzo sanganisira kuchengetedza imwe nzvimbo mumwedzi mishoma yekutanga uye zvinogona kusanganisira kurara zvakasiyana kubva kumumwe wako kwenguva pfupi.

Zviitiko zvakawanda zvakajairika uye kutaurirana zvakachengeteka pakarepo mushure mekurapa. Iyo radiation exposure kune vamwe kubva mukutaurirana kwenguva pfupi idiki uye mukati memiganhu yakachengeteka yakagadzwa nevakuru vakuru vekuchengetedza radiation.

Mubvunzo 3: Mbeu dzine radioactive dzinogara kwenguva yakareba sei dzichishanda?

Mbeu dzine radioactive dzinoramba dzichishanda kwemwedzi inenge gumi kusvika gumi nemaviri mushure mekuiswa, kunyangwe dzichipa chikamu chikuru che radiation dose yavo mumwedzi mishoma yekutanga. Mbeu dzacho dzinoderera zvishoma nezvishoma radioactivity yavo ichitevera maitiro anofungidzika.

Negore rimwe mushure mekurapa, mbeu dzacho hadzibudisi radiation uye hadziise njodzi kwauri kana kune vamwe. Zvisinei, mbeu dzacho dzinoramba dziri mugland yako yeprostate zvachose, dzakavharirwa munyama yemaronda yakagadzirwa nemuviri wako wekupora kwakajairika.

Kuburitswa kwe radiation zvishoma nezvishoma kunobvumira kurapwa kwakadzama kwemasero ekenza kwenguva yakareba, izvo zvinogona kushanda zvakanyanya pane kupa dose imwechete yese kamwechete.

Mubvunzo 4: Ndingafamba here mushure meprostate brachytherapy?

Unogona kufamba mushure meprostate brachytherapy, asi unofanira kutakura zvinyorwa zvekuti wakaitwa sei kurapwa kwako kwegore rekutanga. Zvinhu zvekuchengetedza zvezviteshi zve ndege uye mamwe ma radiation detectors anogona kutora mbeu dzine radioactive, saka kuva nezvinyorwa zvekurapa kunodzivirira kunonoka kana matambudziko.

Chiremba wako achakupa kadhi kana tsamba inotsanangura kurapwa kwako uye kuvapo kwezvinhu zvine radioactive mumuviri mako. Chengeta gwaro iri newe paunofamba, kunyanya kuburikidza nezviteshi zve ndege kana dzimwe nzvimbo dzine michina yekucherechedza radiation.

Zviitiko zvakawanda zvekufamba zvakachengeteka, asi kurukura chero hurongwa hwekufamba hwakawedzerwa nechikwata chako chekuchengetedza hutano. Vanogona kuve nezvavanokurudzira zvakakosha zvichibva pakufambira mberi kwako mukupora uye kwauri kuenda.

Q.5 Zvakadini kana mbeu ikabuda?

Dzimwe nguva, mbeu ine radioactive inogona kubuda mumuviri wako kuburikidza neweti kana kufamba kwematumbo, kunyanya mumavhiki mashoma ekutanga mushure mekuiswa. Izvi zvinoitika mune vanenge 1-5% yevarume uye kazhinji hachisi chikonzero chekunetseka kukuru.

Kana ukawana mbeu, usaiite zvakananga nemaoko ako asina chinhu. Shandisa tweezers kana tongs kuiisa, uiise mumudziyo mudiki, uye taura nechikwata chako chekuchengetedza hutano kuti uwane mirairo yekuti ungaiendesa sei zvakachengeteka.

Chiremba wako achatarisa kuisa mbeu kuburikidza nekutevera zvidzidzo zve imaging. Kana mbeu dzakawanda dzichifamba kana kurasikirwa kwembeu kuchikanganisa chirongwa chako chekurapa, chiremba wako anogona kukurudzira kurapwa kwakawedzerwa kana kuongorora.