Brachytherapy

Brachytherapy imhando yemukati yeradiation therapy umo mbeu, ribhoni, kana makapulisi ane sosi yemwaranzi anoiswa mukati, mukati kana pedyo nebundu mumuviri wako. Brachytherapy kurapwa kwenzvimbo inongonanga kune imwe chikamu chemuviri. Inowanzoshandiswa kurapa musoro nemutsipa, zamu, cervix, prostate, uye kenza yeziso.

Chii chinoitika usati watanga kurapwa brachytherapy?

Usati watanga brachytherapy, uchave nemusangano weawa imwe chete kana maviri nachiremba wako kana mukoti kuronga kurapwa kwako. Iwe uchave nekuongororwa kwemuviri panguva ino bvunza nezve nhoroondo yako yekurapa, uye pamwe uine mifananidzo yekufungidzira. Mhando yebrachytherapy yakakunakira iwe ichagadziriswa nachiremba wako, zvakanakira uye mhedzisiro, uye nemabatiro aungaita iwe pachako panguva uye mushure mekurapwa. Ipapo iwe unozofunga kana iwe uchifanira kuve ne brachytherapy.

Unogona kuda kuverenga: Mutengo webrachytherapy muIndia

Sei brachytherapy inoiswa munzvimbo?

Yakawanda brachytherapy, inova chubhu yakatetepa, yakatambanudzwa, inoiswa panzvimbo kuburikidza necatheter. Kazhinji, kuburikidza nechirongwa chikuru chinonzi applicator, brachytherapy inoiswa panzvimbo. Nzira iyo brachytherapy inoiswa munzvimbo inoenderana nekenza yako fomu. Usati watanga kurapwa, chiremba wako achaisa catheter kana applicator mumuviri wako.

Brachytherapy nzira dzekuisa dzinosanganisira:

• Yepakati brachytherapy: Imo munobva radiation iri mukati me tumarara. Somuenzaniso, nokuda Kenza yeprotate, nzira iyi inoshandiswa.
• Intracavity brachytherapy: Iyo mairi kunobva mwaranzi inowanikwa mukati medumbu remuviri kana mhango inogadzirwa nekuvhiya. Semuenzaniso, kurapa kenza yemuchibereko kana endometrial, radiation inogona kuiswa mukati memukadzi.
• Episcleral brachytherapy: Imo munobva radiation yakabatana neziso. Iyi nzira inoshandiswa kurapa ziso melanoma.

Iyo sosi ye radiation inoiswa mukati mayo kana iyo catheter kana iyo yekushandisa iri kushanda. Kwemaminetsi mashoma, kwemazuva akati wandei, kana kweakasara ehupenyu hwako, sosi yemwaranzi inogona kuchengetwa iri munzvimbo. Zvichienderana nerudzi rwemwaranzi sosi, mhando yegomarara, iko kenza iri mumuviri wako, hutano hwako, uye mimwe mishonga yekurapa yawakagamuchira, inogara kwenguva yakareba sei.

Unogona kuda kuverenga: Mutengo webrachytherapy muIsrael

Mhando dzebrachytherapy

Kune matatu marudzi ebrachytherapy:

• Low-dose rate (LDR) implants:Iyo sosi yemwaranzi inoramba iri panzvimbo kwemazuva 1 kusvika ku7 nenzira iyi yebrachytherapy. Munguva ino, iwe unogona kunge uri muchipatara. Chiremba wako achabvisa sosi ye radiation uye iyo catheter kana yekushandisa kusvikira kurapwa kwapera.
• Yakakwira-dose rate (HDR) implants:Tsime remwaranzi rinosiiwa panzvimbo kwemaminetsi gumi kusvika makumi maviri panguva imwe muchimiro chebrachytherapy, ndokuzoburitswa. Unogona kutarisira kwemazuva maviri kusvika mashanu kaviri pazuva kana kwemavhiki maviri kusvika mashanu kamwe pasvondo. Zvichienderana necancer fomu, iyo nguva yacho inosiyana. Catheter yako kana mushandi anogona kuramba ari munzvimbo panguva yekurapa, kana inogona kuiswa munzvimbo pamberi pekurapwa kwese. Munguva ino, unogona kunge uri muchipatara kana unogona kushanya kuchipatara kuti uwane kunobva radiation. Sezvakaita maRDR anodyara, kana uchinge wapedza kurapwa, chiremba anogona kubvisa catheter kana mushandisi.
• Zvinogara zviripo:Iyo catheter inobviswa mushure mekunge iro re radiation raiswa munzvimbo. Kweakasara ehupenyu hwako, izvo zvinogara zvinogara mumuviri wako, asi zuva rega rega mwaranzi inowedzera kushomeka. Anenge ese mwaranzi ichaderera sekufamba kwenguva. Ungangoda kudzikamisa nguva yacho nevamwe vanhu kana radiation ichatanga kuiswa, uye tora dzimwe nzira dzekudzivirira. Iva wakangwarira pakusashandisa nguva nevana kana vanaamai vane nhumbu.

Tarisa: Mutengo webrachytherapy muMalaysia

Chii chekutarisira kana iyo catheter yabviswa?

Iyo catheter ichabviswa kusvikira iwe wapedza kuzvibata iwe neRDR kana HDR implants. Zvimwe zvinhu zvekutarisira pano:

• Iwe unozowana mushonga wekutambudzika pamberi pekateti kana yekushandisa wabviswa.
• Iyo nzvimbo iyo iyo catheter kana mushandisi yaigona kunge iri nyoro kwemwedzi mishoma.
• Iko hakuna radiation mumuviri wako mushure mekuti catheter kana yekushandisa yabviswa. Zvakachengeteka kuti vanhu vave padyo newe-kunyangwe vana vadiki uye vakadzi vane nhumbu.

Ungangoda kudzora maitiro anoda basa rakawanda kwevhiki kana maviri. Kumbira chiremba wako kuti ndeapi marudzi ezvinhu akakodzera iwe uye izvo zvaunofanira kudzivirira.

Brachytherapy Inoita Kuti Iwe Upe Kubva Mwaranzi

Iyo radiation radiation mumuviri wako inogona kuburitsa mwaranzi kwechinguva ne brachytherapy. Kana muyero wemwaranzi yaunogashira wakanyanya kwazvo, dzimwe nzira dzekudzivirira dzinogona kuda kutorwa. Matanho akadaro anogona kufukidza:

• Kugara mukamuri repachivande rechipatara kuchengetedza vamwe kubva kumwaranzi inouya kubva mumuviri wako
• Kurapwa nekukurumidza nevanamukoti nevamwe vashandi vepachipatara. Vanozokupa tarisiro yese yaunoda, asi vanogona kumira nechekure, votaura newe vari pamusuwo wemba yako, uye vakapfeka mbatya dzekudzivirira.

Vako vashanyi vanodawo kutevedzera nzira dzekuchengetedza, dzinogona kusanganisira:

• Kusatenderwa kushanya kana radiation ichatanga kuiswa
• Needing yekutarisa nevashandi vepachipatara vasati vaenda kukamuri rako
• Kumira pamusuwo pane kupinda mukamuri rako remuchipatara
• Kuchengeta kushanya kupfupi (30 maminetsi kana mashoma zuva rega rega). Kureba kwekushanya kunoenderana nerudzi rwemwaranzi iri kushandiswa uye chikamu chemuviri wako chiri kurapwa.
• Kusashanyirwa nevakadzi vane nhumbu nevana vadiki pane gore

Paunobuda muchipatara, unenge uchiri kuda kuteerera matanho ekuchengetedza, sekusapedza chero nguva uine vamwe vanhu. Paunoenda kumba, chiremba kana mukoti vachakurukura newe nezvechengetedzo dzaungatora.

Nei brachytherapy yaitwa?

Brachytherapy inoshandiswa kurapa akati wandei kenza, kusanganisira:

• Bhiza rekenza yemarara
• Gomarara repfungwa
• Kansa yepabonde
• Chirwere chemhondi
• Kenza yeEndometrial
• Kenza yesophageal
• Kenza yemaziso
• Kenza yemusoro neyemutsipa
• Kanza yemaperembudzi
• Kenza yepancreatic
• Chirwere cheprostate
• Rectal kansa
• Kanzera reganda
• Gomarara rakapfava
• Kenza yemukadzi

Brachytherapy inogona kushandiswa pachayo kana kusanganiswa nemamwe marapirwo ekenza. Semuenzaniso, mushure mekuvhiyiwa, brachytherapy inowanzo shandiswa kuuraya chero maseru ekenza anogona kusara. Pamwe pamwe nekunze kwedanda radiation, brachytherapy inogona zvakare kushandiswa.

Njodzi dzakabatana nebrachytherapy

Brachytherapy mhedzisiro yakasarudzika kunharaunda iri kurapwa. Sezvo brachytherapy munzvimbo diki yekurapa inotarisana nemwaranzi, ndiyo chete nzvimbo inobatika.

Munzvimbo yekurapwa, unogona kunzwa unyoro uye kuzvimba. Udza chiremba wako izvo zvinogona kutarisirwa kubva pakurapa kwako kwemhedzisiro yakadaro.

Nzira yekugadzirira brachytherapy?

Iwe unofanirwa kushanyira chiremba anonyanya kugadzirisa chirwere chekenza nemwaranzi usati watanga brachytherapy (radiation oncologist). Kuti ubatsire chiremba wako kusarudza chirongwa chako chekuchengeta, iwe unogona zvakare kuongorora.

Pamberi pebrachytherapy, maitiro akadai seX-rays, computerized tomography (CT) kana magnetic resonance imaging (MRI) inogona kuitwa.

Chii chaunogona kutarisira?

Kurapa ne brachytherapy kunoreva kujekesa zvinhu zvine radioactive padyo nekenza mumuviri.

Iko uko chiremba anoisa zvinhu zvine radioactive mumuviri wako zvinoenderana nezvinhu zvakawanda, zvinosanganisira kenza nzvimbo uye hukuru, hutano hwako hwese, uye zvinangwa zvako zvekurapwa.

Mukati memukati memuviri kana munyama yemuviri, kuiswa kwacho kungave:

• Radiation inoiswa mukati memuviri mhango: Sisitimu ine zvinhu zvine radioactive inoiswa mukuvhurwa kwemuviri, senge kombi yemhepo kana nyini, panguva yebracytherapy yemukati. Iyo sisitimu inogona kunge iri chubhu kana humburumbira yakagadzirwa kuti ienderane neyakavhurika chaiwo muviri.

Iyo brachytherapy chishandiso inogona kuiswa nemaoko ne radiation radiation timu kana inogona kushandisa komputa sisitimu kubatsira kuisa chinzvimbo.

Kufungidzira zvishandiso, senge CT scanner kana iyo ultrasound system, inogona kushandiswa kuona kuti michina yakamisikidzwa kwazvinonyanya kushanda.

• Radiation yakaiswa mumuviri munyama:Midziyo ine radioactive zvinhu zvinoiswa mukati memuviri wenyama, senge mukati mechipfuva kana prostate, panguva yepakati brachytherapy.

Munzvimbo yekurapwa, zvishandiso zvinotamisa mwenje yepakati zvinosanganisira tambo, mabharuni uye mhodzi diki saizi yetsanga yemupunga. Zvekubairira jekiseni rebrachytherapy zviridzwa munyama yemuviri, nzira dzakasiyana dzinoshandiswa.

Tsono kana anokosha anonyorera anogona kushandiswa ne radiation radiation timu. Aya machubhu marefu ane mhango, akaita sembeu, anozadzwa nemidziyo yebrachytherapy uye anoiswa munyama munosunungurwa mbeu.

Mune zvimwe zviitiko, panguva yekuvhiyiwa, machubhu machubhu (catheters) anogona kuiswa uye ndokuzadzwa panguva dzebrachytherapy zvikamu zvine radioactive zvemukati.

Kutungamira zvishandiso munzvimbo uye kuona kuti zvakaiswa munzvimbo dzakabudirira kwazvo, CT scan, ultrasound kana imwe nzira yekufungidzira inogona kushandiswa.

Yakakwira-dose-mwero vs. yakaderera-dose-mwero brachytherapy

Munguva yebrachytherapy, izvo zvaunonzwa zvinoenderana nekutarisira kwako chaiko.

Radiation, senge iine yakakwira-dose-chiyero brachytherapy, inogona kupihwa muchidimbu kurapwa chikamu kana inogona kusiiwa munzvimbo kwenguva yakati, sekune yakaderera-dose brachytherapy. Kwayakaitwa nemwaranzi dzimwe nguva kunowanikwa zvachose mumuviri wako.

• Yakakwira-dose-chiyero brachytherapy:Yakakwira-dose brachytherapy iriwo nzira yekurapa, kuona kuti chikamu chega chega chekurapa chiri chipfupi uye hachidi kuti ubvumidzwe kuchipatara. Iyo radioactive chinhu chinoiswa mumuviri wako kwenguva pfupi yenguva panguva yakakwira-dosi-chiyero. brachytherapy, kubva pamaminetsi mashoma kusvika pamaminetsi makumi maviri. Kupfuura kwenguva yemazuva kana vhiki, iwe unogona kutora kamwe kana maviri masangano pazuva, panguva yepamusoro-yedosi-ratidziro brachytherapy, unogona kunyepa munzvimbo yakakodzera. Iyo radiation system ichaiswa neye radiation therapy timu. Iyi inogona kunge iri chubhu yakapfava kana machubhu akaiswa mukati memukati memuviri kana tsono diki dzakaiswa mukati mebundu Uine nerubatsiro rweiyo komputa system, iyo radioactive zvinhu inoiswa mubrachytherapy unit. Munguva yako brachytherapy chikamu, yako radiation kurapwa timu inosiya imba. Vachange vachikutarisa vari mukamuri riri padyo, kwavanogona kukuona uye kukunzwa.

Munguva yebrachytherapy, haufanire kunzwa kusagadzikana, asi kana uchinzwa kusagadzikana kana uine chero mibvunzo, ita shuwa yekuudza vanokutarisira.

Iwe hausi kuzopa radiation kana kuva chepfu kudzamara radioactive zvinhu zvabviswa mumuviri. Iwe hausi tyisidziro kune vamwe vagari, uye iwe unogona kuenderera nezvinhu zvakajairika.

• Low-dose chiyero-brachytherapy:Iyo inoenderera yakaderera dosi yemwaranzi inoburitswa nekufamba kwenguva panguva yakaderera-yedosi-chiyero brachytherapy, kubva kumaawa akati wandei kusvika kumazuva akati wandei. Kazhinji, iwe unogara muchipatara apo radiation iri panzvimbo.

Zvinhu zvine radioactive zvinoiswa mumuviri wako neruoko kana nekombuta. Munguva yekuvhiyiwa, michina yebrachytherapy inogona kuiswa iyo ingangoda anesthesia kana sedation kuti ikubatsire kuramba wakadzikama panguva yekuvhiya uye kudzikisa kurwadziwa.

Munguva yepasi-dhizeti brachytherapy, iwe unogona kazhinji kugara mukamuri yega muchipatara. Pane njodzi diki yekuti inogona kukuvadza vamwe vanhu nekuti radioactive zvinhu zvinogara mukati memuviri. Vashanyi vanozogumira nekuda kwechinangwa ichi.

Muchipatara, vana uye vakadzi vane nhumbu havafanirwe kukushanyira. Vamwe vanogona kushanyira kamwe chete pazuva kana zvakadaro, kwenguva pfupi. Iwe uchagara uchipihwa kurapwa kwaunoda nevashandi vako vezvehutano, asi iyo nguva yavanoshandisa mumba mako inogona kushomeka.

Munguva yepasi-yedosi rate brachytherapy, hausvike kusagadzikana. Zvinogona kunge zvisina kugadzikana kunyarara uye kugara mukamuri rako rechipatara kwemazuva. Zivisa timu yehutano kana iwe uchinge uchinge uchirwadziwa.

Iyo radioactive chinhu chinotorwa kubva mumuviri wako mushure menguva yakatarwa yenguva. Iwe wakasununguka kuva nevashanyi pasina zvirambidzo kana brachytherapy kurapwa kwapera.

• Permanent brachytherapy:Mune zvimwe zviitiko, senge ne brachytherapy yekenza yeprostate, radioactive zvinhu zvinoiswa zvachose mumuviri nerubatsiro rweyedzo yekufungidzira, senge Ultrasound kana CT, iyo radioactive zvinhu inowanzo kuve yakamisikidzwa neruoko. Unogona kunzwa kurwadziwa panguva yekuiswa kwezvinhu zvine radioactive, asi kana zvangove panzvimbo, haufanire kunzwa kusagadzikana, muviri wako uchaburitsa yakaderera madosi emwaranzi kubva mudunhu iri kutanga kurapwa. Njodzi kune vamwe kazhinji idiki uye haidi chero miganho pane vanogona kuve padhuze newe, Mune zvimwe zviitiko iwe unogona kukumbirwa kudzora nguva uye kuwanda kwekushanya kune vakadzi vane nhumbu kana vana kwenguva yakati rebei. Nekufamba kwenguva, huwandu hwemwaranzi mumuviri wako unogona kudzikira, uye zvinorambidzwa zvinomiswa.

Results

Mushure mebrachytherapy, chiremba wako anokwanisa kupa zviyero kuti uone kana kurapwa kwave kubudirira. Zvichienderana nechimiro uye chinzvimbo chekenza yako, mhando dzematanho aunogashira dzinoenderana.

Kazhinji kazhinji, brachytherapy inoshandiswa kurapa kenza yeprostate. Inogona zvakare kushandiswa kurapa gynecological cancer segomarara remuromo wechibereko uye chibereko, pamwe nekenza yemazamu, gomarara remapapu, rectal cancer, gomarara reziso uye gomarara reganda.

Zvakanakira brachytherapy

Iko kushandiswa kweiyo implant inobvumidza iyo yakakwira dosi yemwaranzi mune diki nzvimbo kupfuura zvaizodikanwa neyakajairwa kunze kunze anoshandiswa maradhi ekurapa. Izvi zvinogona kubudirira kubudirira mukuuraya maseru emukenza uku uchideredza kukuvara kune zvakajairika nyama dzakakomberedza.

Iyo mbichana inogara kwenguva yakareba sei mumuviri?

Izvo zvinoiswa zvinogona kuve zvechinguva kana zvechigarire. Kana izvo zvinoiswa zvabviswa asi zvobva zvaiswa zvakare gare gare, iyo catheter inowanzo kusiiwa mukati kusvikira kurapwa kwapera. Iyo catheter inozobviswa panobviswa izvo zvekudyara kwekupedzisira. Maitiro aunogashira brachytherapy zvinoenderana nezvinhu zvinoverengeka, kusanganisira panowanikwa bundu, danho rekenza, uye hutano hwako hwese.

Brachytherapy inoendeswa sei?

Chiremba anonyanya kugadzirisa radiation radiation, inonzi radiation oncologist, anoshandisa tsono kana catheter mune akawanda brachytherapy maitiro ekuisa iyo yakavharirwa radioactive zvinhu zvakananga kana padyo nebundu mukati memuviri. Mune zvimwe zviitiko, chinhu chine radioactive, senge chiuru, chikadzi, kana chibereko, chinoiswa mudumbu. Kune chero ipi yeaya mashandiro, murwere anogara pasi.

Vanachiremba vanoziva sei kana radioactive zvinhu zviri kuenda kurudyi nzvimbo?

Munguva yekugadzirira brachytherapy uye kuendesa, ma radiation oncologists anovimba nehunyanzvi hwekufungidzira senge CT scans uye ultrasound kuona kuti izvo zvakaputirwa zvinhu zvakaiswa nekururama.

Brachytherapy inoda kugara muchipatara here?

Zvinoenderana nekenza yako uye mhando yebrachytherapy iwe yauri kugamuchira: Low Dose Rate (LDR) kana High Dose Rate (HDR). Kazhinji, LDR brachytherapy haidi kugara muchipatara kwehusiku. HDR brachytherapy inogona kusanganisira kugara kuchipatara kwako.

Ndeupi musiyano uripakati peiyo yakaderera dosi rate brachytherapy uye yakakwira yedosi rate brachytherapy?

Iine brachytherapy ine yakaderera dosi mwero (LDR), vanachiremba vanojoinha mbeu diki-ine radiation mukati kana kutenderedza bundu iye murwere ari pasi peanesthesia. Kazhinji, LDR brachytherapy inoda zvishoma kweawa uye haidi kugara muchipatara husiku hwese. Mbeu dzinowanzo kuve dzechigarire, asi zvinokonzeresa kusagadzikana uye mushure memavhiki akati wandei kana mwedzi mishoma, radioactivity yavo inoderera. Mune zvimwe zviitiko, izvo zvinoiswa zvinobviswa mushure memazuva akati wandei, sekurapa mamota eziso

Mune yakakwira dose rate (HDR) brachytherapy, vanachiremba vanowanzo kupa yakanyanyisa radiation radiation kuputika mukati menguva pfupi yenguva. Mhando dzakasiyana dzemapurasitiki (machubhu) anoiswa mukati kana kutenderedza bundu, nemurwere pasi peanesthesia. Iwo maCatheters akabatana nehurongwa iyo muchimiro chema radioactive pellets, inopa chaiwo madosi emwaranzi. Kune kenza yeganda, HDR brachytherapy inoshandisa magetsi anogadzirwa nemagetsi anopihwa paganda pasingade machatheters.

Ko brachytherapy inofananidzwa sei nedzimwe nzira dzekurapwa nemwaranzi?

Brachytherapy yakaratidzirwa kuve inoshanda senge yechinyakare yekunze beam radiation kurapwa uye kuvhiyiwa kwekenza zhinji kana ikashandiswa mushe. Mune varwere vane gomarara risina kupararira kana metastasized, rinonyanya kushandiswa. Munzira dzinoverengeka, brachytherapy, senge stereotactic muviri radiation radiation, iri paired neyekunze-beam radiation radiation kurapwa kuti uwane zvakanakisa mhedzisiro.

Kakawanda sei kurapwa kwebrachytherapy kunopihwa, uye zvikamu zvinotora nguva yakareba sei?

Kune LDR brachytherapy, kwenguva yakareba, masosi emwaranzi anofanirwa kugara mukati kana padyo nekenza. Nekuda kweizvi, kutarisirwa kunowanzo kupihwa pamusoro pehurefu hwevhiki imwe uye kunosanganisira kugara muchipatara.

Kurapa kunopihwa mune kamwe chete kana maviri mapfupi (akakomberedza maminetsi gumi nemashanu) zvikamu zveHRR brachytherapy, kuendesa mwaranzi zvakananga kubundu. Iwo makateti anobviswa mushure mekupedzisira maitiro uye iwe uchadzokera kumba.

Inguvai iyo brachytherapy radiation inogara mumuviri?

Mumuviri wako unokwanisa kupa mashoma emwaranzi kwenguva pfupi mushure mekurapwa. Iwe unozokumbirwa kuti ugare muchipatara kana radiation iri mune yekuisirwa kwenguva pfupi uye uchafanirwa kudzora kubata kwako nevashanyi. Iwe haugone kubvumidzwa kushanyirwa nevakadzi vane pamuviri nevana. Muviri wako hauchakwanise kupa radiation kusvikira iyo yekudyara yabviswa.

Kwemavhiki akati wandei kusvika kumwedzi, zvinogara zvirimo zvinopa mashoma madosi emwaranzi sezvavanopedzisira vadzivisa kupa radiation. Kazhinji, mwaranzi haifambi kure, saka njodzi yekuti vamwe varatidzwe nemwaranzi ishoma kwazvo. Zvakadaro, iwe unogona kukumbirwa kutora matanho sekugara kure nevana vadiki uye vakadzi vane nhumbu, kunyanya chaipo mushure mekurapwa.

Ndeipi mhedzisiro inogona kuitika semhedzisiro yebrachytherapy?

Kuzvimba, kupwanya, kubuda ropa, kana kurwadziwa uye kutsamwiswa panzvimbo iyo radiation yakaiswa inogona kuve mhedzisiro yebrachytherapy. Brachytherapy inogona kutungamira kune epfupi-kwenguva zviratidzo zveweti, kusanganisira kusagadzikana kana kurwadziwa kwekuita weti, kana kuchishandiswa gynecologic kana kenza yeprostate. Dhairrhea, kuvhiringidzika uye kumwe kubuda kweropa rectal kunogona zvakare kuita brachytherapy yeaya kanzira. Dzimwe nguva, prostate brachytherapy inogona kukonzera kusagadzikana kwe erectile.