MammoSite breast brachytherapy ndi mtundu wa mankhwala opatsirana kwambiri a m'mawere. Nthawi zina amatchedwa khalati ya catheter, MammoSite amachititsa khansa ya m'mawere m'mimba mwanu masiku asanu-ndi zochepa zochepa kusiyana ndi miyezi isanu ndi umodzi kapena isanu ndi iwiri yopitilira mazira .
Mazira a Amuna Pambuyo Lumpectomy
Mankhwalawa angagwiritsidwe ntchito pochizira khansa ya m'mawere atatha kuchotsa chifuwa chako ndi lumpectomy .
Mankhwala amachiritso amachitidwa kuti asamabwererenso poonetsetsa kuti maselo aliwonse a khansa omwe angakhalebe otupawo akuwonongedwa.
Thandizo la mankhwala a MammoSite, mtundu wa Intracavity brachytherapy , ndi wosiyana ndi kuwala kwapansi kwapansi -kumatulutsa kuwala kuchokera mkati mwa chifuwa chanu ndipo kumakhudza pang'ono chabe minofu yathanzi.
MammSite Breastytherapy
MammoSite anali FDA yomwe inavomerezedwa mu 2002 chifukwa cha matenda opatsirana khansa ya post-lumpectomy. Pulogalamuyi inavomerezedwa mu 2009. MammoSite Radiation Therapy System imagwiritsa ntchito kathetta yapadera, yomwe imayikidwa mu lumpectomy yanu ndipo imayambitsidwa ndi mankhwala a saline. Dokotala wanu angathe kuika kathetta ya MammoSite panthawi ya lumpectomy yanu, kapena ikhoza kuikidwa nthawi ina.
Zopindulitsa Zopindulitsa
- Matenda a mammoni amatha kumaliza masiku asanu ndi asanu ndi asanu ndi awiri , poyerekeza ndi masabata asanu ndi limodzi kapena asanu ndi awiri a ma radiation kunja. Izi zikutanthauza kusokonezeka kwakukulu kwa nthawi yanu, nthawi yochepa yopita, komanso zochepa zothandizira.
- Chifuwa chanu chidzakhala ndi vuto lopaleshoni, koma ngati palibe khungu lililonse limawotcha kapena minofu yambiri yomwe ingachitike ndi ma radiation.
- Gawo laling'ono la feteleza lanu lidzachitidwa ndi ma radiation, ndipo minofu yathanzi idzakhala yosakhudzidwa.
- Mafunde akuluakulu angayambitse kutopa , koma ndi brachytherapy, mudzatha kuyenda moyo wamba.
Kuipa
- Odwala amanena kuti kupewa masewera kwa mlungu ndizovuta.
- Kufuna kukhala ndi baluni wodzazidwa ndi saline mkati mwa m'mawere kungakhale kosamvetsetseka.
- Matendawa amatha kupezeka pa malo a kathetta
- Chifukwa mzere wa catheter udzatuluka m'kati mwako pamene chipangizo chiripo, muyenera kuvala masewera a masewera kapena botolo labwino kuti mulowemo
- Mwina mungafunikire kusintha malo anu ogona kuti mutonthoze.
Zimene Tingayembekezere Panthawi ya Chithandizo
Mankhwala a MammoSite amachitika kawiri pa tsiku kwa masiku asanu otsatira. Kusankhidwa kwanu kwa mankhwala kudzatenga pafupifupi 30 minutes.
Pa mankhwala opatsirana pogwiritsa ntchito mpweya, mpweya wanu wamagetsi udzagwirizanitsa kathete yanu ya MammoSite ndi makina owonetsera mavitamini, ndikuyika mbewu yaing'ono ya radioactive kupyolera mu catheter mu buluni, kumene imatulutsa mpweya wanu. Simudzazimva kutentha kapena kuzunzika panthawi yachipatala. Pamapeto pa gawo lililonse la mankhwala, mbewu imachotsedwa ndipo simungatengere ma radiation mozungulira pakati pa mankhwala. Ngati kansalu iliyonse ya khansa ikupitirira mu minofu kuzungulira mapiritsi anu, ma radiation ayenera kuwapha.
Pambuyo masiku asanu, mphalasitiki wa baluni imatulutsidwa ndi salini ndikuchotsamo kanyumba kakang'ono kamene kamatsekedwa ndi kuvala.
Kubwezeretsa
Mutha kukhala ndi zotsatira zina panthawi ya mankhwala a MammoSite brachytherapy. Izi zidzasamalidwa mosamala, koma onetsetsani kuti mupite ku malo omwe mukutsatira, ndipo dokotala wanu adziwe ngati muli ndi nkhaŵa zowonongeka.
Mukhoza kuyembekezera kufiira kapena kuvulaza malo osungira katheta. Pangakhalenso ululu kapena madzi kuchokera ku chilonda musanachiritse. Samalani kuti malo awa akhale oyera ndi owuma. Azimayi ena amatha kutulutsa khungu kapena kutupa.
Ngati khungu lofiira limapitirizabe, kapena dera limakhala lodzitukumula kapena likuwoneka likuwotcha, penyani dokotala mwamsanga kuti mudziwe ngati muli ndi kachilombo.
MammoSite Ali ndi Mauthenga Abwino Othandizira
Malingana ndi kafukufuku wa 2014 ku International Journal of Radiation Oncology, yomwe inafotokozera amayi oposa 100 omwe anali ndi bulloon brachytherapy, zotsatira zake zasonyeza kuti chiwombankhanga chimawoneka bwino kwa zaka 5.5.
Phunziro lina la 2011 mu Annals of Oncology Opanga Opaleshoni linatsatira amayi pafupifupi 200 omwe anali ndi ma MammoSite omwe amachititsa kuti mazira afupipafupi apite (APBI) kuti athetse ductal carcinoma in situ (DCIS). Zinali zololedwa bwino ndipo chiwerengero cha kubwereranso kumapeto kwa zaka zisanu chinali 3,39 peresenti.
Zofunikira
MammoSite nthawi zambiri amachiza ductal carcinoma in situ (DCIS), yoopsa ya ductal carcinoma (IDC), ndi chotupa chachikulu chomwe chimakhala masentimita 3 kapena kukula kwake.
Dokotala wanu ayenera kuchoka makilogalamu osachepera asanu pakati pa khungu lanu ndi bulloon yokwanira. Komanso, lumpectomy yanu yamakono iyenera kukhala yochuluka ngati ikutheka kuti ikwaniritse buluni; Apo ayi mankhwalawa sangagwire bwino ntchito.
Nthawi zina, chipangizo cha MammoSite chiyenera kukhazikitsidwa kuti chikhale ndi zotsatira zabwino. Sankhani dokotala wochita opaleshoni amene akudziwa bwino kwambiri kuyika chipangizo cha MammoSite, ndikufunseni ngati chipatala chiri ndi zipangizo zonse zoyenera kukhazikitsa ndikuyika kathete.
Zotsatira:
Bensaleh S, Bezak E, & Borg M. Kukambitsirana kwa AmayiSite bracytherapy: Ubwino, kuipa ndi zotsatira zachipatala. Acta Oncol. 2009; 48 (4): 487-94.
Jeruss JS et al. Zotsatira zoyambirira kwa odwala omwe amachitira pa American Society of Breast Surgeons MammoSite mayeso odwala kuchipatala cha ductal carcinoma-in-situ. Ann Surg Oncol, 2006. 13 (7): p. 967-76.
Jeruss JS, Kuerer HM, Beitsch PD, Vicini FA, & Keisch M. Mwatsatanetsatane pa zotsatira za DCIS kuchokera ku American Society of Breast Surgeons Inapita Patsogolo Pachifuwa Chakumapeto kwa Mayendedwe a Registry. Ann Surg Oncol. 2011 Jan; 18 (1): 65-71.
Vargo Ja et al. Zowonjezera (zaka zisanu) zotsatira za kuthamanga kwapadera kwa m'mawere pogwiritsa ntchito bulloon bracytherapy: njira zoperewera, kusankhidwa kwa odwala, ndi dosimetric correlates kwa mochedwa poizoni. Int J Radiat Oncol Biol Phys. 2014 Feb 1; 88 (2): 285-91.