Chithandizo chonse cha ma radiation

Chithandizo chonse cha radiation cha m'mawere chimagwiritsa ntchito ma x-ray amphamvu kwambiri kupha ma cell a khansa ya m'mawere. Ndi mtundu uwu wamankhwala othandizira radiation, bere lonse limalandira chithandizo cha radiation.

Maselo a khansa amachuluka mofulumira kuposa maselo abwinobwino m'thupi. Chifukwa ma radiation ndi owopsa kumaselo omwe akukula mwachangu, ma radiation amawononga ma cell a khansa kuposa ma cell wamba. Izi zimalepheretsa maselo a khansa kuti akule ndikugawana, ndikupangitsa kufa kwama cell.

Kuchulukaku kumatulutsidwa ndi makina a x-ray omwe amapereka malo enieni a cheza cha m'mawere onse, kapena khoma lachifuwa (ngati atachita pambuyo pa mastectomy). Nthawi zina, ma radiation amathandiziranso ma lymph node m'khwapa kapena m'khosi kapena pansi pa fupa la m'mawere.

Mutha kulandira chithandizo chamankhwala kuchipatala kapena kumalo opumira ma radiation. Mupita kunyumba mukalandira chithandizo chilichonse. Njira yochiritsira imaperekedwa masiku 5 pasabata kwa milungu itatu kapena isanu ndi umodzi. Mukamalandira chithandizo, mtengo wa mankhwala umakhalapo kwa mphindi zochepa. Chithandizo chilichonse chimakonzedwa nthawi yomweyo tsiku lililonse kuti musavutike.

Musanalandire chithandizo chama radiation, mudzakumana ndi oncologist wa radiation. Uyu ndi dokotala yemwe amagwiritsa ntchito mankhwala a radiation.

Magetsi asanaperekedwe pamakhala njira yokonzekera yotchedwa "kuyerekezera" komwe khansa ndi ziwalo zabwinobwino zimapangidwira. Nthawi zina adotolo amalimbikitsa zikopa zazing'ono zotchedwa "ma tattoo" kuti athandizire kuwongolera mankhwala.

• Malo ena amagwiritsa ntchito ma tattoo a inki. Zizindikirozi ndizokhazikika, koma nthawi zambiri zimakhala zazing'ono kuposa mole. Izi sizingatsukidwe, ndipo mutha kusamba ndikusamba mwachizolowezi. Mukalandira chithandizo, ngati mukufuna kuti zilembedwe zichotsedwe, laser kapena opaleshoni itha kugwiritsidwa ntchito.
• Malo ena amagwiritsa ntchito zilembo zomwe zimatha kutsukidwa. Mutha kupemphedwa kuti musasambe malowa munthawi yamankhwala ndipo zilembedwezo zimafunikira kuzikhudza nthawi isanakwane.

Nthawi iliyonse yamankhwala:

• Mudzagona patebulo lapadera, mwina kumbuyo kwanu kapena m'mimba.
• Akatswiri amakukhazikitsani kotero kuti ma radiation azilunjika m'deralo.
• Nthawi zina mayikidwe a x-ray kapena ma scan amatengedwa musanalandire chithandizo kuti muwonetsetse kuti mwayikidwa bwino.
• Malo ena amagwiritsa ntchito makina omwe amatulutsa ma radiation pamalo ena kupuma kwanu. Izi zitha kuthandiza kuchepetsa cheza pamtima ndi m'mapapu. Mutha kupemphedwa kuti musunge mpweya wanu pomwe radiation ikuperekedwa. Mutha kukhala ndi cholankhulira kuti muthandizire kupuma kwanu.
• Nthawi zambiri, mudzalandira chithandizo chama radiation kwa mphindi pakati pa 1 ndi 5. Tsiku lililonse mutha kulowa ndikutuluka kuchipatala pasanathe mphindi 20 pafupifupi.

Pambuyo pa opaleshoni, maselo a khansa amatha kukhalabe m'matumbo kapena ma lymph node. Poizoniyu kungathandize kupha maselo otsala a khansa. Pamene radiation ikuperekedwa pambuyo poti opareshoni yachitidwa, amatchedwa chithandizo cha adjuvant (zowonjezera).

Kuwonjezera mankhwala a radiation kumatha kupha ma cell otsala a khansa ndikuchepetsa chiopsezo kuti khansayo ikukula.

Mankhwala opatsirana pogwiritsa ntchito ma radiation angaperekedwe kwa mitundu ingapo ya khansa:

• Kwa ductal carcinoma in situ (DCIS)
• Kwa khansa ya m'mawere I kapena II, itatha lumpectomy kapena pang'ono mastectomy (opaleshoni yosunga bere)
• Kwa khansa ya m'mawere yotsogola kwambiri, nthawi zina ngakhale itatha msana wathunthu
• Khansara yomwe yafalikira ku ma lymph node (m'khosi kapena m'khwapa)
• Kwa khansa yapakati ya m'mawere, ngati mankhwala ochepetsa nkhawa

Uzani wothandizira zaumoyo wanu mankhwala omwe mukumwa.

Valani zovala zokumasulani popita kuchipatala. Mutha kufunsidwa kuvala bulasi yapadera.

Simuli ndi radiation pambuyo pa chithandizo cha radiation. Ndibwino kukhala pafupi ndi ena, kuphatikiza ana kapena ana. Makinawo akangoyima, kulibenso cheza mchipindamo.

Mankhwala a radiation, monga mankhwala aliwonse a khansa, amathanso kuwononga kapena kupha maselo athanzi. Imfa yamaselo athanzi imatha kubweretsa zovuta. Zotsatirazi zimadalira kuchuluka kwa radiation komanso kuti mumalandira kangati mankhwalawa.

Zotsatira zoyipa zimayamba msanga mukamalandira chithandizo (mkati mwa milungu ingapo) ndikukhala kwakanthawi, kapena atha kukhala zotsatira zoyipa zazitali. Zotsatira zoyipa zimatha kuchitika patatha miyezi kapena zaka.

Zotsatira zoyambirira zomwe zimatha kuyamba masabata 1 mpaka 3 mutalandira chithandizo choyamba mungaphatikizepo:

• Mutha kukhala ndi kutupa kwa m'mawere, kukoma mtima, komanso kuzindikira.
• Khungu lanu pamalo omwe amachiritsidwa limatha kukhala lofiira kapena lakuda, khungu, kapena kuyabwa (mofanana ndi kutentha kwa dzuwa).

Zambiri mwa zosinthazi ziyenera kuchoka patatha milungu 4 mpaka 6 mankhwalawa atatha.

Wothandizira wanu adzafotokozera chisamaliro kunyumba panthawi yamankhwala ndi poizoni.

Zotsatira zakuchedwa (zazitali) zitha kuphatikizira izi:

• Kuchepetsa kukula kwa mawere
• Kuchuluka kulimba kwa bere
• Kufiira kwa khungu ndi kusintha
• Kutupa mu mkono (lymphedema) mwa amayi omwe adachotsedwa ma lymph node apafupi
• Nthawi zambiri, kuthyoka kwa nthiti, mavuto amtima (makamaka ma radiation akumanzere) kapena kuwonongeka kwa minofu yam'mapapo
• Kukula kwa khansa yachiwiri m'deralo (m'mawere, nthiti, kapena minofu ya pachifuwa kapena mkono)

Mankhwala opatsirana pogwiritsa ntchito ma radiation pambuyo pochita opaleshoni yosamalira bere amachepetsa chiopsezo cha khansa kubwerera ndikuchepetsa chiopsezo cha kufa ndi khansa ya m'mawere.

Khansa ya m'mawere - mankhwala cheza; Carcinoma ya m'mawere - mankhwala othandizira ma radiation; Zowonekera kunja kwa radiation - bere; Thandizo la ma radiation mwamphamvu - khansa ya m'mawere; Cheza - lonse bere; WBRT; Radiation m'mawere - owonjezera; Cheza m'mawere

Alluri P, Jagsi R. Postmastectomy radiotherapy. Mu: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, olemba. Chifuwa: Kusamalira kwathunthu kwa matenda a Benign ndi Malignant. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 49.

Tsamba la National Cancer Institute. Chithandizo cha khansa ya m'mawere (Wamkulu) (PDQ) - mtundu wa akatswiri azaumoyo. www.cancer.gov/types/breast/hp/chithandizo-chifupa-pdq. Idasinthidwa pa Seputembara 2, 2020. Idapezeka pa Okutobala 5, 2020.

Tsamba la National Cancer Institute. Thandizo la radiation ndi inu: chithandizo cha anthu omwe ali ndi khansa. www.cancer.gov/publications/patient-education/radiation-therapy-and-you. Idasinthidwa mu Okutobala 2016. Idapezeka pa Okutobala 5, 2020.