Prostate brachytherapy

Brachytherapy ndi njira yopangira mbewu zamagetsi (ma pellets) mu prostate gland kuti iphe ma cell a khansa ya prostate. Mbeu zimatha kutulutsa poizoniyu wokwera kapena wotsika.

Brachytherapy imatenga mphindi 30 kapena kupitilira apo, kutengera mtundu wa mankhwala omwe muli nawo. Asanachitike, amapatsidwa mankhwala kuti musamve kuwawa. Mutha kulandira:

• Mankhwala ogonetsa omwe amakupangitsani kuti mugone komanso kuti musamamwe mankhwala pa perineum yanu. Awa ndi malo pakati pa anus ndi scrotum.
• Anesthesia: Ndi mankhwala ochititsa dzanzi a msana, umayamba kuwodzera koma kudzuka, ndi dzanzi pansi pa chiuno. Ndi anesthesia wamba, mudzakhala mukugona komanso kumva kupweteka.

Mukalandira dzanzi:

• Dokotala amaika pulogalamu ya ultrasound mu rectum yanu kuti muwone malowa. Kafukufukuyu ali ngati kamera yolumikizidwa ndi chowonera kanema mchipindacho. Catheter (chubu) itha kuyikidwa mu chikhodzodzo kuti muthe kukodza.
• Dokotala amagwiritsa ntchito ultrasound kapena CT scan kuti akonze ndikuyika mbewu zomwe zimatulutsa radiation mu prostate yanu. Mbeuzo zimayikidwa ndi singano kapena zofunikira zina kudzera mu perineum yanu.
• Kuyika mbewu kumatha kupweteka pang'ono (ngati muli maso).

Mitundu ya brachytherapy:

• Brachytherapy yotsika kwambiri ndiyo njira yodziwika kwambiri yothandizira. Mbeu zimakhazikika mkati mwa prostate yanu ndikuzimitsa pang'ono radiation kwa miyezi ingapo. Mumachita chizolowezi chanu ndikukhala ndi mbewu m'malo mwake.
• Brachytherapy yolemera kwambiri imakhala pafupifupi mphindi 30. Dokotala wanu amalowetsa zinthu zotulutsa poizoni mu prostate. Dokotala atha kugwiritsa ntchito loboti yakompyuta kuti achite izi. Zinthu zowulutsa radioactive zimachotsedwa nthawi yomweyo atalandira chithandizo. Njirayi imafunikira chithandizo chamankhwala awiri osiyanitsidwa sabata limodzi.

Brachytherapy imagwiritsidwa ntchito kwa amuna omwe ali ndi khansa ya prostate yomwe imapezeka msanga ndipo ikukula pang'onopang'ono. Brachytherapy imakhala ndi zovuta zochepa komanso zoyipa zochepa kuposa mankhwala wamba. Mufunikanso kuchezeredwa kocheperako ndi othandizira azaumoyo.

Zowopsa za anesthesia iliyonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira

Kuopsa kwa opaleshoni iliyonse ndi:

• Magazi
• Matenda

Kuopsa kwa njirayi ndi:

• Mphamvu
• Zovuta kutaya chikhodzodzo, komanso kufunika kogwiritsa ntchito catheter
• Kuchita mwachangu, kapena kumverera kuti muyenera kukhala ndi matumbo nthawi yomweyo
• Kupsa mtima pakhungu lanu kapena kutuluka magazi kwanu
• Mavuto ena amikodzo
• Zilonda (zilonda) kapena fistula (njira yachilendo) mu rectum, scarring ndi kupindika kwa urethra (zonsezi ndizochepa)

Uzani wothandizira wanu mankhwala omwe mukumwa. Izi zimaphatikizapo mankhwala, zowonjezera, kapena zitsamba zomwe mudagula popanda mankhwala.

Zisanachitike izi:

• Mungafunike kukhala ndi ma ultrasound, ma x-ray, kapena ma CT scan kuti mukonzekere.
• Masiku angapo asanachite izi, atha kukuwuzani kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kugwirana. Mankhwalawa ndi monga aspirin, ibuprofen (Advil), clopidogrel (Plavix), ndi warfarin (Coumadin).
• Funsani mankhwala omwe muyenera kumwa patsiku la opareshoni.
• Ngati mumasuta, yesetsani kusiya. Wopereka wanu atha kuthandiza.

Patsiku la njirayi:

• Mudzafunsidwa kuti musamamwe kapena kudya chilichonse kwa maola angapo musanachite izi.
• Tengani mankhwala omwe mwauzidwa kuti mumamwe pang'ono pokha.
• Mudzauzidwa nthawi yobwera kuchipatala. Onetsetsani kuti mwafika nthawi.

Mutha kukhala kuti mukugona ndipo mukumva kuwawa pang'ono komanso mwachikondi mukatha kuchita.

Mukatha kuchipatala, mutha kupita kunyumba mukangomaliza kupweteka. Nthawi zina, muyenera kukhala masiku 1 mpaka 2 muchipatala. Mukakhala mchipatala, alendo anu amafunika kutsatira njira zodzitetezera ku radiation.

Ngati muli ndi chomera chokhazikika, omwe amakupatsani akhoza kukuwuzani kuti muchepetse nthawi yomwe mumakhala pafupi ndi ana ndi amayi omwe ali ndi pakati. Pakatha milungu ingapo mpaka miyezi ingapo, cheza chakumtunda chatha ndipo sichidzavulaza. Chifukwa cha ichi, palibe chifukwa chotulutsa nthanga.

Amuna ambiri omwe ali ndi khansa yaing'ono ya prostate yomwe ikukula pang'onopang'ono amakhala opanda khansa kapena khansa yawo imawayang'anira kwazaka zambiri chithandizochi. Zizindikiro za mkodzo ndi zam'mbali zimatha miyezi kapena zaka.

Thirani mankhwala - kansa ya prostate; Kukhazikitsidwa kwa mbewu zamagetsi; Thandizo la radiation mkati - Prostate; Kuchuluka kwa ma radiation (HDR)

• Prostate brachytherapy - kutulutsa

D'Amico AV, Nguyen PL, Crook JM, ndi al. Thandizo la radiation kwa khansa ya prostate. Mu: Wein AJ, Kavoussi LR, Partin AW, Peters CA, olemba. Urology wa Campbell-Walsh. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 116.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Khansa ya prostate. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 81.

US National Library of Medicine, tsamba la PubMed. PDQ Adult Treatment Editor Board. Chithandizo cha khansa ya prostate (PDQ): mtundu wa akatswiri azaumoyo. Bethesda, MD: National Cancer Institute; 2002-2019. PMID: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471. (Adasankhidwa)