Indlela Le Nqubo Yokuphatha Ngomdlavuza Webele Kusuka Ngaphakathi
I-standard yangaphambili yokunakekelwa, ukwelashwa kwemisebe yangaphandle ye-radium yesifo somdlavuza webele, ngokuvamile kuthatha amasonto amahlanu kuya kwangu-7. Esikhundleni salokho, i-balathon catheter imisebe ithatha izinsuku ezinhlanu kuya kwezingu-7 kuphela, ngokuphumelela okukhulu nemiphumela emibi kakhulu. Funda mayelana ne-balloon catheter imisebe nokuthi ingazuzisa kanjani.
I-Breast Radiation Ngemuva kwe-Lumpectomy
I-radiation ivame ukusetshenziselwa ukwelapha umdlavuza webele ngemuva kokuba isisu sakho sisusiwe. Uma uke wahlinzwa ngokubeletha njengebele i- lumpectomy , kungase kuphakanyiswe imisebe ukuze kuqinisekiswe ukuthi amangqamuzana omdlavuza angase ahlale endaweni yesimila abhujiswa.
Njengoba amangqamuzana anempilo namangqamuzana omdlavuza endaweni yomswakama kuzosithinteka, ama-oncologists ama-radiation afike ngezindlela ezithile eziqondile zokwenza izicubu zakho futhi zenze okubi kakhulu.
Umehluko Phakathi kweMisebe yangaphandle neyangaphakathi
Ungase uphathwe ngemisebe yangaphandle noma yangaphakathi, kuye ngokuthi iyiphi indlela ezophumelela kakhulu esimweni sakho esithile. Imisebe yangaphandle ibizwa nangokuthi imisebe yonke yebele futhi ivame ukunikezwa nsuku zonke amaviki ayisihlanu kuya kwangu-7 emtholampilo ngokukhethekile kwi-radiology yomdlavuza.
Imisebe yangaphakathi, noma i-brachytherapy, ibuye ibhekiswe njengemisebe yesikhumba esinqunyiwe. Kuhilela ukubeka imbewu encane ye-radioactive ibe yi-catheters ngaphakathi kwesifuba sakho lapho isisu sasikhona khona. Imbewu enomswakama ikhipha umthamo ofanele wezokwelapha emgodini wesisu kanye nezicubu ezizungezile.
Uhlobo Olusha Lwemiklamo Yangaphakathi: I-Balloon Catheter Radiation
Ukuphathwa Kwezokudla Nezidakamizwa (FDA) kuvumile ubuchwepheshe obusha be-brachytherapy ebizwa ngokuthi i-balloon catheter emisebeni yango-2002. Ukuze uthole ama-radiation esifuba, ezinye izindlela zisebenzisa ibhaluni futhi abanye basebenzisa idivaysi ehamba njengebhaloli uma efakwe ngaphakathi kwebele. Lezi zindlela zemisebe yesikhumba esinqunyiwe zithola ukwamukelwa phakathi kwama-oncologists futhi kungaba yindlela ongakhetha ngayo.
Ukwelashwa kunikezwa ngezinsuku ezingu-5 kuya kwezingu-7, emva kwalokho umcengezi ususwe. Ngenxa yokuthi le ndlela yokwenyuka kwemisebe ithatha isikhathi esingaphansi kweminye imisebe yangaphandle, ibizwa nangokuthi i-irradiation yebele ephuthumayo.
I-Balloon Radiation Treatment Goals
Umgomo wokwelashwa ngedivaysi ye-balathon ye-catheter njengeMammoSite noma i-ClearPath ukukhipha izicubu zesifuba ngaphakathi nangaseduze komzimba wesifo ukuze kubhubhise noma yikuphi amangqamuzana omdlavuza ngenkathi kunciphisa irradiation kuma-tissue enempilo emaphashini, inhliziyo, isikhumba, namafutha akho.
I-balloon catheters iyatholakala kumamodeli amabili:
- Umthombo owodwa , lapho ikhotha elilodwa eliqukethe i-radiation dose
- Imithombo eminingi , lapho ama-catheter amaningana aqukethe ama-radiation.
I-Balloon Catheter Implantation and Cycle Treatment
I-catheter ibhaluni ingafakwa ngezikhathi ezimbili ezihlukene: ekupheleni kwenqubo ye-lumpectomy, noma ngokuqondiswa kwe-ultrasound emgodini we-tumor ngemuva kokuhlinzwa kuye kwaphulukiswa. Idivayisi ye-catheter ibhaluni ingafakwa nge-anesthesia yendawo.
Ukulungiselela, ukubeka, nokuhlanza kuthatha imizuzu engu-25. Indawo ibhaluni ngeke isandiswe ize ibe ngaphakathi kwebele. Uma ukwelashwa kwakho sekuphelile, i-catheter ingakwazi ukuwa kalula, isuswe, futhi ukuchotshozwa kuvaliwe ngeziqu ezimbalwa nokugqoka.
Imithi ye-brachytherapy enikezwe nge-catheter ibhaluni ihlelwe kabili ngosuku ngeviki elilodwa (ezinsukwini eziyisihlanu kuya kwezingu-7). Imiphumela emibi evela kule ndlela yemisebe imincane kakhulu uma iqhathaniswa nemisebe yangaphandle ye-beam.
I-Balloon Catheter iqhathanisa kahle nomswakama wendabuko
Kukhona idatha encane kakhulu kumasu amasha okushisa ama-radiation, kodwa izifundo zibonisa ukuthi imiphumela yokuqala kanye nemiphumela yokuqala ibukeka kahle kakhulu. Imibiko yocwaningo ukuthi nge-balloon catheter ngokwengxenye yemisebe yebele, kancane ilahleka ngokusebenza kahle, kodwa iningi elitholakalayo ngokwemibandela elula. Iziguli zibika imiphumela emincane emisuka emisebeni, futhi isikhathi sokuphumula singase sibe mfushane kunamapulangwe angaphandle noma imisebe yembewu etshalwe.
Imithombo
I-Radiological Society yaseNyakatho Melika. Ukubekwa kwe-Balcony Catheters ebizwa nge-Ultrasound for Bretial Irradiation (PBI) emva kweLumpectomy for Cancer Breast. ULora D. Barke, DO, et al. Novemba 29 2006.
Umhlangano we-American Society we-Therapeutic Radiation and Oncology (ASTRO) Umhlangano kaNovemba 2007. Ukuqhathaniswa kwe-Dosimetric yamaMamSSite kanye ne-ClearPathTM HDR Ama-Breastytherapy Devices Devices. U-Adam Dickler, MD, et. U-Al.
I-American Journal of Surgery. Izincazelo kanye nemiphumela yezici zokufaka i-brachytherapy ibhalon catheter ngeziguli ezingu-1403 ababhalise ku-American Society ye-Breast Surgeons MammoSite breast brachytherapy yokubhaliswa kwecala. Zannis V, et al. 2005 Oct; 190 (4): 530-8.