Chii chinonzi Radiation Therapy yeKenza remazamu? Chinangwa, Maitiro & Mhedzisiro

Radiation therapy yekenza remazamu inoshandisa mabhinzi ane simba guru kuparadza maseru ekenza anogona kunge akasara mushure mekuvhiyiwa. Iyi inzira yakajairika uye inoshanda zvakanyanya yekurapa iyo inobatsira kudzivirira kenza kubva pakudzoka munzvimbo yechipfuwo.

Kurapa uku kunoshanda nekunangana nenzvimbo chaiyo yakanga iri bundu rako, pamwe chete nenyama iri pedyo inogona kunge iine maseru ekenza madiki. Radiation inokuvadza DNA mukati memaseru aya, zvichiita kuti zvisakwanise kukura nekukamura. Maseru ako ane hutano anogona kuzvigadzirisa kubva mukukuvadzwa uku, asi maseru ekenza haagoni.

Chii chinonzi radiation therapy yekenza remazamu?

Radiation therapy ndiyo kurapwa kwekenza kunotarwa kunoshandisa mabhinzi chaiwo esimba kubvisa maseru ekenza akasara mushure mekuvhiyiwa kwemazamu. Funga nezvayo semwaranzi yakatarwa inogona kusvika kunzvimbo diki zvekuti vanachiremba havagone kuona nemaziso avo.

Rudzi rwakajairika runoshandiswa kuita kenza remazamu ndiyo external beam radiation therapy. Munguva yekurapa uku, muchina unonzi linear accelerator unokutenderera, uchipa radiation kubva kumakona akawanda kunzvimbo yekurapa. Iyi nzira inovimbisa kuti maseru ekenza anogamuchira dose yakazara uku achideredza kuratidzwa kune nhengo dzako dzine hutano.

Dzimwe nguva vanachiremba vanokurudzira internal radiation therapy, inonziwo brachytherapy. Izvi zvinosanganisira kuisa zvinyorwa zvidiki zveredhiyo zakananga munyama yechipfuwo uko bundu rakabviswa. Iyi nzira inopa radiation kubva mukati memuviri wako kwenguva pfupi.

Nei radiation therapy yekenza remazamu ichiitwa?

Radiation therapy inoderedza zvakanyanya njodzi yako yekuti kenza remazamu ridzoke muchipfuwo chimwe chete kana ma lymph nodes ari pedyo. Zvidzidzo zvinoratidza kuti zvinogona kuderedza njodzi iyi ne70% kana ichishandiswa mushure mekuvhiyiwa kwe lumpectomy.

Chiremba wako angakurudzira kurapwa nemwaranzi mumamiriro akati wandei. Mushure mekuvhiyiwa kwe lumpectomy, mwaranzi inobatsira kuona kuti masero ekenza madiki asara anoparadzwa. Iyi musanganiswa wekuvhiya pamwe nemwaranzi inokupa mitengo yekupona yakafanana nekuva ne mastectomy, uku ichikubvumira kuti uchengete zamu rako.

Kutevera mastectomy, mwaranzi inogona kurudzirwa kana bundu rako raive rakakura, kana kenza yakawanikwa mumalymph nodes akawanda, kana masero ekenza akawanikwa pamativi etishu yakabviswa. Muzviitiko izvi, pane mukana mukuru wekuti masero ekenza anogona kuramba ari mumadziro echipfuva kana ma lymph nodes ari pedyo.

Dzimwe nguva kurapwa nemwaranzi kunoshandiswa pamberi pekuvhiya kuderedza bundu guru, zvichiita kuti zvive nyore kubvisa. Iyi nzira, inonzi neoadjuvant radiation, haisi yakajairika asi inogona kushanda zvakanyanya kune mamwe marudzi ekenza yemazamu.

Ndeipi nzira yekurapa nemwaranzi?

Maitiro ekurapa nemwaranzi anotanga nekugadzirira zvakanyatsonaka zvikamu zvinonzi simulation appointments. Munguva yekushanya uku, timu yako yemwaranzi inogadzira chirongwa chekurapa chakagadzirirwa muviri wako chaiwo uye nzvimbo yekenza.

Kutanga, uchavata patafura yekurapa apo nyanzvi dzinoshandisa CT scans kuti dziratidze nzvimbo chaiyo inoda kurapwa. Vachaita zvidiki zvisingaperi zvemavara einki kana ma tattoo madiki paganda rako kuti vaone kuti mwaranzi inorova nzvimbo imwechete nguva dzese. Zviratidzo izvi zvakakura sefreckle uye zvinobatsira kutungamira muchina.

Oncologist yako yemwaranzi ichashanda nevanachiremba vefizikisi kuti vaverenge chiyero chaihwo uye makona anodiwa pakurapa kwako. Iyi nzira yekuronga inogona kutora vhiki kana maviri, asi yakakosha pakuona kuti unogamuchira kurapwa kunoshanda zvakanyanya nemigumisiro mishoma.

Mishonga yezuva nezuva inowanzoita maminitsi gumi nemashanu kusvika makumi matatu, kunyangwe iwe uchizongogamuchira radiation kwemaminitsi anenge 2-5 emunguva iyoyo. Zvimwe zvese zvinosanganisira kukugadza zvakanaka uye kutarisa kaviri zvese zviyero. Iwe uchavata wakanyarara patafura yekurapa apo muchina unokutenderera, uchipa radiation kubva kumakona akasiyana.

Vanhu vazhinji vanogamuchira radiation mazuva mashanu pavhiki kwemavhiki 3-6, kunyangwe mamwe matekiniki matsva anogona kupfupisa izvi kumavhiki 3-4. Chikamu chega chega hachina kurwadza - hauzonzwe, kuona, kana kunzwa radiation pachayo.

Maitiro ekugadzirira kurapwa kwako kwe radiation?

Kugadzirira kurapwa kwe radiation kunosanganisira kugadzirira kwemuviri uye kwepfungwa. Chikwata chako chehutano chichakupa mirairo chaiyo, asi pane matanho akajairika anogona kukubatsira kuti unzwe wakavimbika uye wakasununguka.

Usati watanga kurapwa, idya chikafu chinovaka muviri uye zorora zvakawanda kuti ubatsire muviri wako kubata kurapwa. Gara wakanyatsogadzirwa nemvura uye funga kutora multivitamin yakapfava kana chiremba wako achibvumira. Muviri wako uchashanda nesimba kupora, saka kuupa mafuta akakodzera kunoita mutsauko chaiwo.

Ronga maitiro ako ezuva nezuva kutenderedza nguva dzekurapa, sezvo uchizofanira kuuya nguva dzose kwemavhiki akati wandei. Vanhu vazhinji vanozviwana zvichibatsira kuronga misangano panguva imwe chete zuva rega rega. Funga kuronga kutakura kana iwe uchifunga kuti unogona kunzwa kuneta, kunyanya mumavhiki ekupedzisira ekurapa.

Kuchengetwa kweganda kunova kwakakosha panguva yekurapwa kwe radiation. Shandisa chete sipo dzakapfava, dzisina hwema uye moisturizers panzvimbo yekurapa. Dzivisa mbatya dzakasimba kana mabhururu ane waya anogona kutsamwisa ganda. Chikwata chako che radiation chichakupa mirairo chaiyo yekuchengetedza ganda.

Pamweya, zvakajairika kunzwa kushushikana nezve kutanga kurapwa kwe radiation. Funga kuunza shamwari kana nhengo yemhuri kumisangano yako yekutanga kuti uwane rutsigiro. Nzvimbo zhinji dzekenza dzinopawo masevhisi ekupa mazano kana mapoka ekutsigira anogona kukubatsira kufamba mune izvi.

Maitiro ekuverenga mhedzisiro yako yeradiation therapy?

Kusiyana nemiedzo yeropa kana imaging scans, radiation therapy haibudisi "mhedzisiro" dzinogona kuverengwa pakarepo mushumo. Panzvimbo pezvo, kubudirira kunoyerwa nekuti kurapwa kunodzivirira sei kenza kubva pakudzoka nekufamba kwenguva.

Oncologist yako yeradiation ichatarisa kufambira mberi kwako kuburikidza nekugadzwa kunotevera nguva dzose. Kushanya uku kunowanzoitika mwedzi mishoma yega yega kwemakore mashoma ekutanga, wobva wava gore negore. Munguva yekugadzwa uku, chiremba wako achaongorora nzvimbo yakarapiwa uye anogona kuraira bvunzo dzekuongorora kuti atarise chero zviratidzo zvekenza kudzoka.

Chiyero chakanyanya kukosha chekubudirira kweradiation therapy ndeyekuramba usina kenza. Zvidzidzo zvinoratidza kuti vanhu vazhinji vanogamuchira radiation therapy mushure me lumpectomy vane mhedzisiro yakanaka kwenguva refu. Vanenge 95% yevakadzi vanoramba vasina kenza muzamu rakarapwa makore mashanu mushure mekurapwa.

Chiremba wako achatarisawo chero mhedzisiro yenguva refu, kunyangwe izvi zviri nyoro. Shanduko dzeganda munzvimbo yakarapiwa dzakajairika asi dzinowanzoita senge dzichipera nekufamba kwenguva. Kazhinji, radiation inogona kukonzera shanduko kumoyo kana mapapu, ndosaka kutarisirwa kunotevera nguva dzose kwakakosha.

Maitiro ekugadzirisa mhedzisiro panguva yeradiation therapy?

Kugadzirisa mhedzisiro kubva kuradiation therapy kunosanganisira kuzvichengeta zvakanaka uye kutevera gwara rechikwata chako chehutano. Mazhinji emhedzisiro ndeyenguva pfupi uye inogoneka nekugadzirisa kwakakodzera.

Shanduko dzeganda ndiyo mhedzisiro yakajairika, yakafanana nezuva rinopisa rinokura zvishoma nezvishoma. Ganda rako munzvimbo yekurapa rinogona kuita tsvuku, kuoma, kana kuzvimba zvishoma. Chengeta nzvimbo iyi yakachena uye yakanyoroveswa nezvigadzirwa zvinokurudzirwa nechikwata chako cheradiation. Dzivisa kuratidzwa nezuva kunzvimbo yakarapiwa uye pfeka mbatya dzakasununguka, dzakapfava.

Kuneta kazhinji kunotanga zvishoma nezvishoma uye kunogona kuramba kwemavhiki akati wandei mushure mekunge kurapwa kwapera. Kuneta uku kwakasiyana nekuneta kwakajairika - ndiko kupindura kwemuviri wako kune kushushikana kwezuva nezuva kwekurapwa nekupora. Zorora paunoda, asi edza kuramba uchishingaira zvinyoro nyoro nekufamba kwemaminitsi mashoma kana mabasa akareruka.

Vamwe vanhu vanonzwa kuzvimba mazamu kana kunzwa kurwadziwa panguva yekurapwa. Izvi zvinowanzoita nani mukati memavhiki mashoma mushure mekunge radiation yapera. Bra yakakodzera, inotsigira isina waya inogona kubatsira kupa nyaradzo panguva ino.

Zivisa timu yako yehutano nezve chero mhedzisiro yaunowana. Vanogona kupa mishonga kana kurapwa kubatsira kutarisira zviratidzo uye kuona kuti unonyatsogara zvakanaka sezvinobvira panguva yekurapwa kwako.

Ndezvipi zvinhu zvinoisa njodzi yekuwana matambudziko kubva kuradiation therapy?

Vanhu vazhinji vanotsungirira radiation therapy zvakanaka kwazvo, asi zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuwana mhedzisiro. Kunzwisisa izvi zvinhu kunobatsira timu yako yezvokurapa kuronga kurapwa kwakachengeteka kwauri.

Radiation therapy yapfuura kunzvimbo yechipfuva inowedzera njodzi yematambudziko nekuti matishu ako akatoiswa kuradiation. Izvi zvinogona kuitika kana wakamborapwa kune imwe cancer kare. Radiation oncologist wako achanyatso funga nezve nhoroondo yako yeradiation paanenge achironga kurapwa.

Zvimwe zvirwere zvinogona kuita kuti radiation therapy ive yakaoma. Zvirwere zve autoimmune zvakaita se lupus kana scleroderma zvinogona kuwedzera ganda rinonzwa kuradiation. Matambudziko emoyo anogona kukanganisa kuronga kurapwa, kunyanya kenza yemazamu kuruboshwe, sezvo moyo uri pedyo nenzvimbo yekurapwa.

Zera uye hutano hwese hunoita basa mukuti unotsungirira sei kurapwa. Vanhu vakuru kana avo vane mamiriro akawanda ehutano vanogona kunzwa kuneta kwakawanda panguva yekurapwa. Zvisinei, zera riri roga haridzivisi mumwe munhu kugamuchira radiation therapy kana vachizara utano.

Kusvuta kunowedzera zvakanyanya njodzi yematambudziko uye kunonotsa kupora. Kana uchisvuta, chikwata chako chekuchengetwa kwehutano chichakurudzira zvakasimba kuti urege kusvuta usati watanga kurapwa nemwaranzi. Vanogona kupa zviwanikwa nerutsigiro rwekukubatsira kurega kusvuta.

Saizi yakakura yemazamu dzimwe nguva inogona kuita kuti kurapwa kuve kwakaoma nekuda kwemakwenzi eganda uye kuwedzera kwehuwandu hwemwaranzi kumoyo kana mapapu. Chikwata chako chemwaranzi chichashandisa nzira dzakakosha kuderedza njodzi idzi uku vachive nechokwadi chekurapa kunoshanda.

Ndezvipi zvingaitika zvinogona kukonzerwa nekurapwa nemwaranzi?

Nepo kurapwa nemwaranzi kazhinji kuri kwakachengeteka uye kunotsungirirwa zvakanaka, zvakakosha kunzwisisa zvese zvakajairika uye zvisingawanzoitiki zvinogona kuitika. Kuziviswa kunokubatsira kuziva zvekutarisira uye kana uchifanira kutaurirana nechikwata chako chekuchengetwa kwehutano.

Matambudziko akajairika enguva pfupi anosanganisira kutsamwa kweganda kunotaridzika uye kunonzwa sekupisa nezuva. Izvi zvinowanzo kutanga mavhiki 2-3 mukati mekurapwa uye zvishoma nezvishoma zvinovandudza pamusoro pemavhiki akati wandei mushure mekurapwa kunopera. Vamwe vanhu vanogonawo kusangana nekuzvimba kwemazamu, kunyorova, kana shanduko muhukuru hwemazamu kana chimiro.

Kuneta ndechimwe chiitiko chakajairika chinogona kugara kwemavhiki akati wandei kana mwedzi mushure mekurapwa. Kuneta uku kazhinji kunonzwa kwakasiyana nekuneta kwakajairika uye kunogona kuuya nekupfuura zvisingatarisirwi. Mazinga ako esimba anofanirwa zvishoma nezvishoma kudzokera kune zvakajairika, kunyangwe maitiro aya anogona kutora mwedzi yakati wandei.

Zvisingawanzoitiki asi matambudziko akakomba anogona kukanganisa moyo, kunyanya kenza yemazamu kuruboshwe. Nzira dzemazuva ano dzemwaranzi dzakaderedza zvakanyanya njodzi iyi, asi matambudziko emoyo enguva refu anogona kuitika zvisingawanzoitiki makore mushure mekurapwa. Chiremba wako wemwaranzi anoshandisa nzira dzakakosha dzekuronga kuderedza kuratidzwa kwemwaranzi kumoyo wako.

Matambudziko emapapu haawanzoitika asi anogona kusanganisira kuzvimba kana kuvharika kwemuviri wemapapu. Izvi zvinogona kukonzera kufema zvishoma kana kukosora kusingaperi. Mhedzisiro iyi inowanzoita nyoro uye inogoneka, asi chiremba wako achatarisa kushanda kwemapapu ako panguva yekutevera kushanya.

Kazhinji, kurapwa nemwaranzi kunogona kuwedzera njodzi yekuvandudza gomarara rechipiri munzvimbo yakarapiwa. Njodzi iyi idiki kwazvo - isingasviki 1% - uye inowanzoitika makore mazhinji mushure mekurapa. Zvakanakira kurapwa nemwaranzi mukudzivirira kudzoka kwegomarara rezamu zvinopfuura njodzi iyi diki.

Vamwe vanhu vanowana shanduko mukuonekwa kwezamu, kusanganisira misiyano muhukuru, chimiro, kana magadzirirwo zvichienzaniswa nezamu risina kurapwa. Shanduko idzi dzinowanzoita zvinyoro uye dzinokura zvishoma nezvishoma pamusoro pemwedzi kana makore mushure mekurapa.

Ndinofanira kuona chiremba rini panguva yekurapwa nemwaranzi?

Unofanira kutaurirana nechikwata chako chehutano kana ukaona chero zviratidzo zvinonetsa panguva kana mushure mekurapwa nemwaranzi. Zviri nani nguva dzose kubvunza mibvunzo uye kuwana chivimbo pane kunetseka zvisina kufanira.

Fonera chiremba wako nekukasira kana ukaona zviratidzo zveutachiona munzvimbo yekurapa, zvakadai sekuwedzera kutsvukisa, kudziya, pus, kana mitsetse mitsvuku ichibva munzvimbo yakarapiwa. Fivha, kunyanya kana iri 100.4°F (38°C) kana kupfuura, inodawo kutariswa kwekurapa nekukurumidza.

Maitiro akakomba eganda anokonzera mablister, maronda akavhurika, kana kurwadziwa kukuru anoda kuongororwa nekukasira. Nepo kumwe kutsamwa kweganda kwakajairika, maitiro akakomba anoda kutarisirwa kwakakosha uye pamwe kuzorora kurapwa kwenguva pfupi kuti kubvumire kupora.

Matambudziko ekufema, kusanganisira kufema zvishoma, kukosora kusingaperi, kana kurwadziwa muchipfuva, anofanira kuongororwa nekukurumidza. Zviratidzo izvi zvinogona kuratidza kutsamwa kwemapapu kubva mumwaranzi uye zvinogona kuda kurapwa kana kutariswa.

Taura nevashandi vako vezvehutano kana uine kurwadziwa kwechipfuva kusinganzwisisike, kunyanya kana kwakanyanya kana kusiyana nekusagadzikana kwawakambove nako. Matambudziko ane chekuita nemoyo haawanzoitiki asi anoda kutariswa nekukurumidza kana akaitika.

Usazeza kutsvaga rubatsiro nezvinhu zvisingakurumidze. Kuneta kusinganzwisisike kunokanganisa mabasa ezuva nezuva, kusvotwa kunoramba kuripo, kana kushushikana kwemanzwiro zvese zvinofanirwa kutariswa nerutsigiro kubva kuvashandi vako vezvehutano.

Mibvunzo inowanzo bvunzwa nezve radiation therapy yekenza yemazamu

M.1 Ko radiation therapy inorwadza here?

Radiation therapy pachayo haina kurwadza zvachose - hauzonzwa chinhu panguva yekurapa chaiko. Maitiro acho akafanana nekuva neX-ray, asi zvinotora maminitsi mashoma.

Zvisinei, mhedzisiro yakaita sekuvava kweganda inogona kukonzera kusagadzikana kunokura zvishoma nezvishoma panguva yekurapa. Kusagadzikana uku kunogona kutariswa nekutarisira ganda rakanaka uye mishonga kana zvichidikanwa. Vanhu vazhinji vanoenzanisa nezuva rinopisa rinokura zvishoma nezvishoma uye rinobva ranyangarika zvishoma nezvishoma.

M.2 Ndichava neradioactive mushure me radiation therapy here?

Aihwa, external beam radiation therapy haikuiti radioactive. Unogona kuva pedyo nemhuri, shamwari, vana, uye mhuka dzinovaraidza nekukurumidza mushure mechikamu chega chega chekurapa.

Radiation iripo chete mumaminitsi mashoma apo muchina unobatidzwa uye wakanangana newe. Kana kurapa kwapera, hapana radiation inoramba iri mumuviri wako. Haufaniri kutora chero matanho akakosha nevamwe.

M.3 Ndingashanda panguva ye radiation therapy here?

Vanhu vazhinji vanoenderera mberi vachishanda panguva ye radiation therapy, kunyangwe iwe ungada kugadzirisa purogiramu yako kana basa rako. Kugadzwa kwekurapa kunowanzo kuva kupfupi, saka unogona kazhinji kuvagadzirisa usati waenda kubasa kana mushure mebasa.

Kuneta kungamuka panguva yekurapwa, saka funga nezvekukurukura kurongeka kwebasa rinoshanduka nemushandi wako. Vamwe vanhu vanowana kuti vanoda kuderedza maawa avo kana kutora mazuva ekuzorora, kunyanya mumavhiki ekupedzisira ekurapwa.

Mubvunzo 4. Zvinogara kwenguva yakareba sei mhedzisiro mushure mekurapa neradiation?

Mhedzisiro yakawanda kubva mukurapa neradiation ndeyenguva pfupi uye inovandudzika zvishoma nezvishoma mushure mekunge kurapwa kwapera. Shanduko dzeganda dzinowanzo pora mukati memavhiki 2-6, nepo kuneta kungatora mwedzi yakati wandei kuti zvinyatsoita.

Dzimwe shanduko, senge misiyano midiki mukuonekwa kwemazamu kana magadzirirwo eganda, anogona kugara asi anowanzoita diki. Chikwata chako chehutano chichakutarisa kune chero mhedzisiro yenguva refu panguva yekutevera nguva dzose.

Mubvunzo 5. Kurapa neradiation kunogona kurapa gomarara rezamu here?

Kurapa neradiation chikamu chakakosha chekurapa gomarara rezamu iro rinoderedza zvakanyanya njodzi yekudzoka kwegomarara. Kana yakasanganiswa nekuvhiyiwa uye mamwe marapirwo, inobatsira kumitengo yepamusoro yekurapa gomarara rezamu rematanho ekutanga.

Chinangwa chekurapa neradiation ndechekuparadza chero maseru egomarara asara mushure mekuvhiyiwa, izvo zvinovandudza zvakanyanya mikana yako yekurarama kwenguva refu. Zvidzidzo zvinoratidza kuti vakadzi vanogamuchira kurapwa neradiation mushure me lumpectomy vane mitengo yekurarama yakaenzana neavo vane mastectomy kuvhiyiwa.