Ngati dokotala wanu akuthandizani kuti mukhale ndi brachytherapy pamapeto pa lumpectomy yanu mukhoza kudabwa kuti ichi ndi chiyani chomwe mungachiyembekezere kuchipatala. Kodi izi zimasiyana bwanji ndi mazira onse a m'mawere? Kodi pali kusiyana pakati pa kupulumuka kapena zotsatira zodzikongoletsera ndi njira iyi? Kodi mungayembekezere chithandizo chisanachitike, chiti, ndi chiti?
Kuchiza Cancer ya Abambo Kumachokera Kwawo
Kuchiza khansara ya m'mawere ndi miyendo yowoneka kunja ndi njira yowonetsera bwino yomwe ingathandize kuchepetsa kubwereza, komanso imakhudza khungu, maonekedwe, mtundu, ndipo pamapeto pake zingasinthe maonekedwe anu.
Brachytherapy yamakono - yomwe imachita minofu ya m'mawere - imakhudza khungu lanu, limachepetsa miyendo ya mazira ndi mawere abwino, ndipo imasiya kusintha kwa mimba pambuyo pa lumpectomy . Koma mbali yochititsa chidwi kwambiri ya bere ya brassytherapy ikhoza kukhala yotheka mu masiku asanu, m'malo mwa masabata 6 mpaka 7 omwe amafunika kuwonetsetsa miyendo yowoneka kunja .
Kafukufuku waposachedwapa akupitiriza kupeza kuti zotsatira zodzikongoletsera ndi ubongo wothandizira ndi zabwino kwambiri, ndipo siziwoneka kuti ndizochepa poyerekeza ndi mazira onse a m'mawere chifukwa cha zaka zisanu zothandizira khansa ya m'mawere, kupulumuka kwa matenda, kapena kupulumuka kwathunthu.
Brachytherapy yamadzimadzi imadziwikanso monga:
chithandizo chamagetsi cha multicatheter, mankhwala opatsirana pogwiritsa ntchito ma radiation, mankhwala othandizira ma radiation, ndi ma radiation brachytherapy.
Kukonzekera Kwa Mimba Yamakono Brechytherapy Chithandizo:
Brachytherapy yamakono imatha kutenga malo akuluakulu a minofu kusiyana ndi kuperewera .
Catheter yambiri ya brachytherapy ikhoza kukhala pambali pa chotupacho, kaya pa nthawi ya lumpectomy kapena mwezi mutatha opaleshoni. Dokotala wanu adzafufuza mosamala mankhwala anu, akukonzekereni malo abwino a catheter ndi kudziwa kuchuluka kwa mankhwala omwe angakuthandizeni. Pamene catheters ayikidwa, dokotala wanu adzayendetsedwa ndi teknolojia yamaganizo monga CAT scan , ultrasound , kapena fluoroscope .
Mutha kukhala otsimikiza kuti dzuwa lidzapangidwira pamalo omwe magulu a khansa akhoza kubisala.
Zimene Muyenera Kuyembekezera Pa Brachytherapy Chithandizo:
Mimba yamkati ya bere imapangidwa kudzera m'machubu yofewa, yotchedwa catheters - yomwe imayikidwa mwapadera m'matumbo anu. Catheter ikhoza kutsegulidwa kumapeto kumapeto kwa mankhwala, choncho mbeu zothamanga zimatha kuikidwa m'matumbo anu kuchipatala. Popeza mungakhale ndi catheters pakati pa 10 ndi 20, mbeu zimatha kukhala ponseponse pakhomo lanu. Dothi lokhazikika litangoperekedwa, mbeu zonse zimachotsedwa ndipo catheters imatsekedwa kachiwiri. Simudzanyamula mbewu zotulutsa mkati mwa iwe pakati pa mankhwala.
Kudzisamalira Pawekha Pa Nthawi Yotchedwa Breast Radiation:
Mutha kukhala ndi zotsatira zochepa pa nthawi ya bere. Samalani chifukwa cha kutopa , kupweteka kwa m'mawere, kapena kutupa. Kuvala brasi wofewa, opanda waya (kapena kupita kosauka) kudzakuthandizani kuti mukhale ndi malo ogona. Mudzatha kuyendetsa galimoto kupita ku maimidwe a ma radiation tsiku ndi tsiku, koma ngati mutakhala bwino ndi kampani, tengani mnzanu wothandizira pamodzi.
Pambuyo pokwaniritsa mankhwala osakaniza a Brachytherapy:
Mukamaliza mankhwala, catheters adzachotsedwa ndipo mudzayamba kuchiritsa.
Mukhale ndi mammogram pa miyezi 4-6 pambuyo pa miyezi yowonjezeramo. Panthawi imodzimodziyo, yesetsani kafukufuku wa m'mawere kuti muone ngati maonekedwe akuoneka bwino, kubwereranso, komanso mavuto ena omwe amabwera kuchokera kuchipatala. Pamene muli pomwepo, auzani dokotala za nkhawa zirizonse zomwe mumakhala nazo pokhudzana ndi chifuwa cha bere. Ngati malo amdima aliwonse akuwonetsa mamimba, musawope pomwepo. Kukhala ndi chifuwa cha m'mawere kumatha kuchotsa malo omwe amapezeka m'mawere a m'mawere ndi necrosis .
Kuchokera kwa Brachytherapy:
Mukhoza kuyembekezera kuti mankhwalawa amatha kupitirira pang'ono, ndipo kuchiza kwathunthu kungatenge pafupifupi zaka ziwiri kwa odwala ambiri.
Ngati matenda okhudzana ndi mankhwalawa amatuluka, mweziwu ukachitika mutatha mankhwala. Ndi zachilendo kukhala ndi ululu wa m'mawere ndi kutupa - koma izi ziyenera kutha nthawi. Chifuwa chanu chikhoza kumverera bwino pambuyo poizonika, monga ma tishu ena amafa. Nthawi zambiri, khungu la m'mawere lingakhale ndi mazira owopsa chifukwa cha mitsempha ya magazi. Dokotala wanu adziŵe ngati zotsatira zake za zotsatira za dzuwa zimakukhudzani.
Osasuta, Chonde!
Kusuta fodya, chisanafike, kapena pambuyo pa mankhwalawa ndizolakwika. Kusuta kungawononge chiopsezo chachikulu chotenga kachilombo koyambitsa matenda ndipo kungayambitse madzi okwanira ndi madzi. Kuchiritsa kungachedwetsedwe ndi kusuta - zilonda zomwe catheters zinalowetsedwa sizizitseka mofulumira. Kusuta kungapangitsenso kuti nkhanambo kapena khungu lakufa lizipanga kuzungulira khalala, zomwe ziyenera kuchotsedwa ndi mankhwala opangira mavitamini kapena opaleshoni. Kusuta kumabweretsanso chiopsezo cha khansa ya m'mawere , choncho chonde funsani kuti musiye kusuta. Thanzi lanu ndi loyenera!
Zotsatira:
Kamrava, M. et al. Zotsatira za Matenda a Khansa ya Amuna Omwe Amagwiridwa ndi Kuthamanga Kwambiri Kwambiri Pamimba Kupyolera Mu MulchatheterInterstitial Brachytherapy: Zolemba Zosungunula Zochitika za Multicatheter Interstitial Sites (PROMIS). Zolemba za Oncology Opaleshoni . 2015. 22 Perekani 3: 404-11.
Strnad, V. et al. Zotsatira za zaka zisanu zazomwe zimapangitsa kuti mazira azitetezedwa mwamsanga pogwiritsira ntchito mazira a multicatheter osakanikirana ndi mazira onse omwe amatha kupatsirana kumapeto kwa mawere pambuyo pochita opaleshoni yoyamwitsa ana omwe ali pachifuwa chachikulu. mayesero. Lancet . 2015 Oct 19. (Epub patsogolo pa kusindikiza).
Wobb, J. et al. Kuyerekeza za tizilombo toyambitsa matenda pakati pa ziwalo za brachytherapy zomwe zimathamanga kwambiri pamtambo. Mimba . 10`5. 24 (6): 739-44.