Miyendo ya mkati imagwiritsidwa ntchito makamaka mu khansa yapakatikati
Brachytherapy ndi mawonekedwe a mankhwala omwe amagwiritsidwa ntchito pochiza khansa. Amapanga tizilombo tating'onoting'ono tomwe timatulutsa tizilombo toyambitsa matenda. Ma pellets ali ambiri kukula kwa mpunga wa mpunga.
Pankhani ya khansa ya prostate , brachytherapy ikhoza kuperekedwa mwa kuika mbewu mwa prostate mwachindunji, kapena kawirikawiri, mwa kuika singano yowonongeka ya dozi mumatumbo omwe amachotsedwapo.
Momwe Brachytherapy Imagwirira Ntchito
Brachytherapy imagwira ntchito polepheretsa maselo a khansa kuti asawerenge mobwerezabwereza. Mosiyana ndi maselo achibadwa, omwe ali ndi nthawi yowonjezera ndi kuperewera kwa nthawi yochepa, maselo a khansa amagawanitsa molakwika ndipo amakhala "osakhoza kufa" (kutanthauza kuti akhoza kupitiriza kuchulukana mpaka atasiya).
Ngakhale maselo ofiira amatha kuonongeka ndi kuwala kwa dzuwa, amatha kudzikonza okha ndikupitiriza kuwonjezeka kawirikawiri chithandizo chitatha. Selo la khansa silingakwanitse kuchita zimenezi.
Njira Zogwiritsira Ntchito Brachytherapy mu Khansara ya Prostate
Ndi khansa ya prostate, kuikidwa kwa mbewu za radioactive kungathe kupha chotupacho kapena kuichotsa kwambiri. Njirayi imagwiritsidwa ntchito kwambiri kwa amuna omwe khansara ndi yochepa komanso ikukula mofulumira.
Nthangazi, zomwe zimayikidwa mu prostate, zimapangidwira kutulutsa mazira kwa milungu ingapo kapena miyezi, malingana ndi kukula kwa misa. Ngati pangakhale chiopsezo kuti khansa ingafalikire ( metastasize ), kunja kwa dzuwa kungagwiritsidwe ntchito.
Brachytherapy singagwire ntchito bwino kwa amuna omwe ali ndi prostate gland . Zikatero, madokotala angayambe ndi mankhwala ena a mahomoni kuti awononge prostate asanayese matenda a brachytherapy.
Kwa amuna omwe ali ndi chotupa chachikulu kwambiri, vuto lapamwamba la mlingo (HDR) la brachytherapy lingapereke chiopsezo chokwanira pa chotupacho.
Pa njirayi, catheter yofewa imayikidwa mu prostate pakati pa khungu ndi anus. Nthano yomwe imakhala ndi nthenda yothamanga kwambiri imayikidwa mkati mwa catheter ndipo imakhala pamenepo kwa mphindi zisanu kapena zisanu. Izi zimabwerezedwa katatu pa masiku awiri.
Ngakhale mosavuta kugwiritsidwa ntchito, HDR brachytherapy imatha kupulumutsa miyendo yamphamvu ku chotupacho pamene ikulepheretsa kuwonongeka kwa minofu yoyandikana nayo.
Zotsatira zoyipa za Brachytherapy
Amuna omwe akudwala nthawi yaitali amatha kulangizidwa kuti asakhale ndi amayi apakati ndi ana ang'onoang'ono kwa milungu ingapo kapena miyezi ingapo pellets idzapitiriza kutulutsa mazira. Mafutawa amawopsa kwambiri, makamaka, kuti azitengedwa ndi zipangizo zoyendera ndege ku madera oyambirira.
Amuna omwe ali ndi brachytherapy kuti awononge kansa ya prostate angakumane ndi zotsatira zina zambiri. Mwa iwo:
- Kusagwedeza kwaubongo ndi vuto lalikulu ndipo nthawi zina kumakhala kovuta. Amuna ena, pakali pano, adzapeza zotsatira zosiyana, kukodza mobwerezabwereza chifukwa cha kukwiya kosalekeza kwa urethra. Ambiri mwa mavutowa amatha kuthetsa ngati mankhwala akutha, ngakhale kuti nthawi zina amatenga miyezi.
- Mavuto oopsa, kuyaka, kutsegula m'mimba, ndi kutuluka magazi kungathenso kuchitika. Matendawa, omwe amadziwika kuti radiation proctitis, sakhala ovuta kwambiri ndipo amawongolera pakapita nthawi.
- Kulephera kugwira ntchito kwa Erectile kumatha kupezeka koma nthawi zambiri kumawoneka mwa amuna akulu omwe akhala akukumana ndi mavuto akale kuti akwaniritse kapena kukwaniritsa. Vuto lirilonse la erectile limene likuchitika mwa anyamata achichepere kapena omwe ali ndi thanzi labwino la kugonana amatha kuthetsa mwamsanga mwamsanga komanso nthawi zonse mankhwala akutha.
> Chitsime:
> Chin, J ;; Kukhumudwa, R .; Kollmeier, M. et al. "Brachytherapy for Patients With Cancer Prostate: American Society of Clinical Oncology / Cancer Care Ontario Zowonjezereka Zowonjezeredwa." Journal of Clinical Oncology. 2017; 35 (15): 1737-1743.