Mmene Njirayi Imayendera Khansa ya M'thupi
Njira yoyamba ya chisamaliro, chithandizo chamankhwala chowombera kunja kwa khansa ya m'mawere, kawirikawiri amatenga masabata asanu kapena asanu ndi awiri. M'malo mwake, mpweya wa catheter wa ballo umatenga masiku asanu kapena asanu okha, ndipo zotsatira zake zimakhala zovuta kwambiri. Werengani za miyala ya catheter yomwe imapindula nayo.
Mazira a Amuna Atatha Lumpectomy
Mankhwalawa amagwiritsidwa ntchito pochiza khansa ya m'mawere atachotsedwa. Ngati mwakhala ndikuchitidwa opaleshoni ya m'mawere ngati lumpectomy , mumatha kupatsirana mazira kuti muwonetsetse kuti maselo a khansa omwe angakhalebe m'mimba akuwonongedwa.
Popeza maselo wathanzi ndi maselo a kansa m'dera la radiation adzakhudzidwa, mazira owonetsa mazira a dzuwa amadza ndi njira zina zenizeni zogwiritsira ntchito matenda anu ndipo samapweteka kwambiri.
Kusiyanitsa pakati pa Mazira akunja ndi Odziwika
Mukhoza kuchizidwa ndi ma radiation akunja kapena kunja, malingana ndi njira yomwe idzagwiritsire ntchito kwambiri pazochitika zanu. Ma radiation akunja amatchedwanso mazira onse a m'mawere ndipo amaperekedwa tsiku lililonse kwa milungu isanu ndi iwiri kuchipatala chomwe chimagwiritsidwa ntchito pa radiology kwa khansa.
Miyendo ya mkati, kapena brachytherapy, imatchedwanso ma radiation a m'mawere. Zimaphatikizapo kuika mbeu zazing'ono m'kati mwa chifuwa chanu. Mbeu yamagetsi imatulutsa mphamvu yoyenera ya chithandizo cha mankhwala ku chifuwa chachikulu komanso minofu yozungulira.
Mtundu Watsopano wa Mazira A M'kati: Mwala wa Catheter Radiation
Dongosolo la Chakudya ndi Mankhwala (FDA) linavomereza luso lamakono la brachytherapy lotchedwa balatoni catheter radiation mu 2002. Kwa ma radiation a m'mawere, njira zina zimagwiritsira ntchito baluni ndipo ena amagwiritsa ntchito chipangizo chomwe chimaphatikiza ngati buluni mukangoikamo mkati. Njira izi zowonjezera mazira a m'mawere akupeza kuvomerezana pakati pa odziwa za matendawa ndipo zingakhale zotheka kwa inu.
Kuchiza kumaperekedwa kwa masiku asanu ndi asanu ndi asanu ndi awiri, kenako catheter imachotsedwa. Chifukwa chakuti mankhwalawa amatenga nthawi yocheperapo kuposa kuwala kwazitsulo zakunja, imatchedwanso kuthamanga kwapadera kwa m'mawere.
Zolinga Zamatenda Zomwe Amachiza Mazira
Cholinga cha mankhwala ndi khalasitiki ya bulon monga MammoSite kapena ClearPath ndikutulutsa minofu m'mimba ndi kuzungulira chifuwacho kuti awononge maselo otsala a khansa pamene akulepheretsa kutsekula kwa mavitamini m'mapapo, mtima, khungu, ndi mafuta.
Catheter ya balloon imapezeka mu mitundu iwiri:
- Chitsime chokha , komwe kathete imodzi yomwe ili ndi mlingo wa radiation
- Zambiri-zowonjezera , kumene makatata angapo ali ndi mankhwala odzola.
Pulogalamu ya Balloon Catheter
Catheter ya baluni ikhoza kukhazikitsidwa nthawi ziwiri: pamapeto a lumpectomy ndondomeko, kapena ndi ululu wa ultrasound kwa chotupa pambuyo pa opaleshoni yachiritsidwa. Chipangizo cha catheter cha ballo chikhoza kuikidwa ndi anesthesia.
Kukonzekera, kusungidwa, ndi kuyeretsa kumatenga pafupifupi mphindi 25. Malo a baluni sangapitirire kufikira atakhala mkati mwako. Pamene mankhwala anu atsirizidwa, catheter ikhoza kugwa, kuchotsedwa, ndi kutsekedwa kwazitsulo ndi zovala ziwiri.
Mankhwala a brachytherapy operekedwa kupyolera mu catheter ya baluni amakonzedwa kawiri pa tsiku kwa sabata imodzi (masiku asanu ndi asanu ndi asanu ndi awiri). Zotsatirapo za njira imeneyi ya poizoni ndi zochepa kwambiri poyerekeza ndi miyendo yowongoka kunja.
Phalasitiki ya Balloon Imafananitsa Zabwino ndi Miyambo Yamtundu
Pali deta yochepa kwambiri pa njira zatsopano za ma radiation, koma maphunziro amasonyeza kuti zoyambirira ndi zotsatira zoyambirira zimawoneka bwino. Kafukufuku wa kafukufuku wokhudza kuti khalala ya balonon yochepa yamatenda amatha, pang'ono imatayika mothandizira, koma zambiri zimapindula mwachangu. Odwala amafotokoza zochepa zochokera ku dzuwa, ndipo nthawi yowonzanso ingakhale yofupika kusiyana ndi mzere wamtundu kapena kunja kwa mbewu.
Zotsatira
Sukulu Yopanga Zamagetsi ku North America. Chotsatira Chotsatira Chachidule cha Balloon Catheters kwa Kachigawo Kamene Kamene Kamayambitsa (PBI) pambuyo pa Lumpectomy kwa Khansa ya m'mimba. Lora D. Barke, DO, et al. November 29 2006.
Msonkhano wa American Sociology for Radiation and Oncology (ASTRO) Msonkhano wa November 2007. Kuyerekezera kwazomwe ma MammoSiteTM ndi ClearPathTM HDR Ma Brechytherapy Devices. Adam Dickler, MD, ndi. Al.
Zolemba Zolemba za American. Zofotokozera ndi zotsatira za njira zowonjezera za cathéter ya bere ya breast brechytherapy mu 1403 odwala omwe analembetsa ku American Societies of Breast Surgeons MammoSite breast brachytherapy registry trial. Zannis V, et al. 2005 Oct; 190 (4): 530-8.