Ukuba ugqirha wakho ukhuthaze i-brachytherapy ye-interstitial emva kwe- lumpectomy yakho unokuzibuza ukuba yiyiphi na into onokuyilindela ngexesha lotyando. Ihluke njani oku kwiimitha zengxube zomzimba? Ngaba kukho ukuma kwimeko yokuphila okanye umphumo wezonyakatho kunye nale ndlela? Yintoni onokuyilindela ngaphambi, ngexesha, nangemva kwonyango?
Ukunyangwa kweCanscer Breast In Source
Ukwelapha umdlavuza webele we-radiation yangaphandle yinkqubo yonyango enokunceda ukukhusela ukuphindaphinda, kodwa inokuchaphazela ulusu lwebele, ukuthungwa, umbala, kwaye ekugqibeleni kukudala utshintsho kwimeko yakho.
I-brachytherapy ye-interstitial - ethatha izibilini zesifuba ngaphakathi kwebele yakho - ayichaphazeli ulusu lwakho, imida ye-radiation ibe yimizimba yesifuba esempilweni, kwaye ishiya isimo sakho sesisu singatshintshi emva kwe- lumpectomy . Kodwa into ekhangayo kakhulu yebele yebele iya kuba yinto enokuthi yenziwe ngeentsuku ezingama-5, endaweni yeeveki ezi-6 ukuya kwezi-7 ezifunekayo kwiimitha zangaphandle zomlambo zangaphandle .
Izifundo zamuva ziqhubeka zifumanisa ukuba iziphumo zokuziqhenqa kunye ne-brachytherapy ye-interstitial iphezulu kakhulu, kwaye ayibonakali engaphantsi kweyaphinda imisebe yomlomo ngokweminyaka emi-5 yomdlavuza webele, ukusinda kwezifo, okanye ukusinda ngokubanzi.
I-Brachytherapy ye-Interstiti eyaziwayo Njengoko:
ubuchopho be-multicatheter, ukunyanga kwamayeza emitha, unyango lwangaphakathi lwamayeza, kunye ne-radiation brachytherapy.
Ukulungiselela Ukwelashwa kweBrain Brechytherapy:
I-brachytherapy ye-interstiti iyakwazi ukuphatha indawo enkulu yeengxube zesifuba kunokuba i- intracavity .
Uninzi lwezicathisi ze-brachytherapy zinokuthi zibekwe ngapha kwe-tumor cavity, mhlawumbi ngexesha lumpectomy yakho okanye inyanga emva kokuhlinzwa. Ugqirha wakho uya kuhlolisisa iimfuno zakho zonyango ngokucokisekileyo, cwangcisa iindawo eziphambili ze-catheter kwaye ugqibe inani lemirhumo eyokusebenzela. Xa i-catheters ifakwe, udokotela wakho ogqirha uya kukhokelwa ngeteknoloji ye-imaging efana ne- CAT scan , ultrasound , okanye i- fluoroscope .
Unokuqiniseka ukuba i-radiation iya kugxininiswa kwindawo apho iseli somhlaza lingahle lifihle khona.
Yintoni onokuyilindela Ngethuba le-Brachytherapy Treatment:
Ubungqingili bebele lwengxowankulu lwenziwa ngama-tubes amancinci, anqabileyo-abizwa ngokuba yi- catheters - asemgangathweni afakwa kwiisifuba zakho. Ama-catheters angavulelwa ekupheleni kwonyango, ngoko ke imbewu ye-radioactive ingafakwe kwiifunu zakho zonyango. Ekubeni unokuba phakathi kwama-catheters angama-10 no-20, imbewu ingafakwa kuyo yonke i-lumpectomy cavity yakho. Ngokukhawuleza xa kunikezelwa umthamo we-radiation esifanelekileyo, zonke imbewu ziyasuswa kwaye i-catheters ivaliwe kwakhona. Awuyi kuthwala imbewu enomsinga phakathi kwakho phakathi kwonyango.
Ukunyamekela Ngethuba Ngethuba lomhlaza:
Unokuba nemiphumo emibi ngexesha le-brachytherapy yebele. Qaphela ukukhathala , ukunyamezela isifuba, okanye ukuvuvukala. Ukugqithisa ibhotile elithambileyo, engenazicingo (okanye ukuhamba ngesiqhwala) kuya kwenza kube lula kuwe ukuba uhlalise ama-catheters. Uya kuba nakho ukuqhubela kwi-aphoyintimenti yemihla ngemihla ephindwe kabini, kodwa ukuba uzive ungcono kwinkampani, thabatha umhlobo oxhasayo.
Emva kokuzalisa i-Brachytherapy Interstitial Treatment:
Emva kokuba usugqibile unyango, i-catheters iya kususwa kwaye uya kuqala ukuphilisa.
Yiba ne- mammogram kwiinyanga ezi-4-6 emva kokuphuma kwemitha kwinqanaba elitsha. Ngexesha elifanayo, cwangcisa uvavanyo lwebele lweklinikhi ukujonga ukubonakala kwezonyamelo, ukuphindaphinda, kunye naziphi na iingxaki ezivela kwizifo zonyango. Ngethuba ulapho, xelela ugqirha wakho malunga naluphi na uxhalabisayo onalo malunga nokuphindaphinda emva kwesibindi se-breast brachytherapy. Ukuba kukho nayiphi na indawo enomdaka ebonakalayo kwi-mammogram yakho, ungakhathazeki ngokukhawuleza. Ukuba ne- biopsy yebele ikwazi ukuhlaziya ukuphindaphinda kwindawo ye- fat fat necrosis .
Ukubuyiselwa kwi-Brachytherapy:
Unokulindela ukuphuluka kwi-brachytherapy ye-breast to graduate, kwaye ukubuyiswa ngokupheleleyo kuthatha malunga nemibini emibini kwizigulane ezininzi.
Ukuba intsholongwane ehambelana nonyango lwamayeza, kuya kwenzeka rhoqo ngenyanga yokuqala emva kokuba unyango luphelile. Kuyinto eqhelekileyo ukuba neentlungu zesisu kunye nokuvuvukala-kodwa oko kufanele kuphele ixesha. Isifuba sakho sinokuvakalelwa ngakumbi emva kwemitha, njengoko ezinye iiscupu ezinamafutha zifa. Kwiimeko ezinqabileyo, isikhumba semfuba sinokuvelisa iimfumba ezinobungelwa ngenxa yemithanjeni yegazi. Makugqirha ugqirha ukuba ngaba kukho nayiphi na imiphumo emibi emva kwemiphumo ye-radiation.
Akukho Ukutshaya, Kucelwa!
Ukutshaya ngaphambi, ngexesha okanye emva kokunyanga kwamayeza kuyisimo esibi. Ukubhema kunokubangela umngcipheko omkhulu wokusuleleka kwaye kungabangela ukuba i-buildup kunye ne-drainage. Ukuphulukiswa kunokulibaziseka ngokutshaya - amanxeba apho ama-catheters afakwe khona akayi kuvala ngokukhawuleza. Ukubhema kunokubangela ukuba isikhumba okanye i-skin efile ifake i-catheter ukufaka izibazi, ezinokuthi zisuswe nge-enzyme okanye unyango. Ukutshaya kwakhona kuphakamisa umngcipheko wesifo somhlaza wesifuba , ngoko nceda ufumane uncedo lokuyeka ukutshaya. Impilo yakho ifanele umzamo!
Imithombo:
Kamrava, M. et al. Iziphumo zesifo se-Breast Cancer Izigulane ezithathwa ngokukhawuleza kwi-Breast Breast Irradiation nge-MulticatheterInterstal Brachytherapy: I-Registry Pooled ye-Multicatheter Sites Interstitial (PROMIS). I-Annals ye-Oncology yokugada . 2015. 22 Isibonelelo 3: 404-11.
Strnad, V. et al. Iziphumo ezi-5 zeminyaka yokukhawuleza kweengxube zebele zesantya ngokukhawuleza ngokubambisana ne-multicatheter brachytherapy ngokuchasene ne-breast-breast irradiation ngokunyusa emva kokulondolozwa kwengcinezelo yokubeleka kwimeko engaphantsi kwengozi kunye ne-in-situ carcinoma yesifuba sebhinqa: i-randomized, isigaba sesi-3, ityala. Lancet . 2015 Oct 19. (Epub ngaphambi kokuprinta).
Wobb, J. et al. Ukuthelekiswa kwezinto ezinobungozi obungapheliyo phakathi kwe-brachytherapy-based based acceleration partial irradiation and breastbreaking irradiation usebenzisa i-radiotherapy enamandla. Isisu . 10`5. 24 (6): 739-44.