Uma udokotela wakho ekhuthaze i-brachytherapy ye-interstitial emva kwe- lumpectomy yakho ungase uzibuze ukuthi yikuphi lokhu nokuthi yini ongayilindela ngenkathi ukwelashwa. Lokhu kuhluke kanjani emisebeni yonke yebele? Ingabe kukhona umehluko ekusindeni noma umphumela wezithokozi ngale ndlela? Yini ongayilindela ngaphambi kokwelashwa, ngesikhathi, nangemva kokwelapha?
Ukwelapha Umdlavuza Webele Ngomthombo Walo
Ukwelapha umdlavuza webele ne-radiation yangaphandle yensimu yindlela yokwelashwa ehlolwe kahle engasiza ekuvimbeleni ukuphindaphinda, kodwa futhi ithinta isikhumba sebele, ukuthungwa, umbala, futhi ekugcineni ingabangela ushintsho ekujuleni kwesifuba sakho.
I-brachytherapy ye-interstitial - ethinta izicubu zesifuba ngaphakathi kwesifuba sakho - ayithinti isikhumba sakho, imingcele imisebe ibe yizicubu ezincelisayo zesifuba, futhi ushiya isimo sakho sebele singashintshi ngemuva kwe- lumpectomy . Kodwa isici esithandekayo kakhulu se-brachytherapy yebele kungenzeka ukuthi singenziwa ezinsukwini ezingu-5, esikhundleni samasonto ayisithupha kuya kwangu-7 adingekayo ukuze kusetshenziswe imisebe ejwayelekile yangaphandle yesibhamu .
Ucwaningo lwamuva luqhubeka luthola ukuthi umphumela wezimonyo nge-brachytherapy ye-interstitial ubuhle kakhulu, futhi akubonakali ukuthi ungaphansi kweminye imisebe yesikhumba ngokweminyaka emihlanu yokulawulwa komdlavuza wesifuba, ukusinda okungenasifo, noma ukusinda okuphelele.
I-Brachytherapy ye-Interstitial iyabuye yaziwa njengalokhu:
brachytherapy ye-multicatheter emaphakathi, ukwelashwa kwemishanguzo yokufaka imishanguzo, ukwelashwa kwe-radiation yangaphakathi, kanye ne-brachytherapy emisebeni.
Ukulungiselela Ukwelashwa Kwesibindi Se-Brachytherapy Treatment:
I-brachytherapy ye-interstiti iyakwazi ukuphatha indawo enkulu kakhulu yezincuba zesifuba kunokuthi i- intracavity .
Ama-catheter amaningi e-brachytherapy angasungulwa nxazonke ze-tumor, noma phakathi ne-lumpectomy yakho noma inyanga emva kokuhlinzwa. Udokotela wakho uzozihlola ngokucophelela izidingo zakho zokwelashwa, uhlele izikhundla ezinhle kakhulu ze-catheter futhi unqume inani lemisebe ezosebenza kuwe. Lapho kutholakala ama-catheter, udokotela wakho ohlinzayo uzoqondiswa ubuchwepheshe bokucabanga njengeCAT scan , ultrasound , noma i- fluoroscope .
Ungaqiniseka ukuthi imishanguzo izohloswa endaweni lapho amangqamuzana omdlavuza angase abe khona ukufihla.
Yini Ongayilindela Phakathi Ne-Brachytherapy Treatment:
I-brachytherapy yebele yama-interstiti yenziwa ngamatayipi athambile, amancane-abizwa ngokuthi ama- catheters - ahlelwe ngendlela efanele emathisini akho asebele. I-catheters ingavulwa ekupheleni kwesinye isikhathi ngenkathi ukwelashwa, ngakho imbewu enomsakazo ingafakwa emathisini akho asebele. Njengoba ungase ube nama-catheter angama-10 no-20, imbewu ingahle ibekwe nxazonke zakho ze-lumpectomy cavity. Ngokushesha nje lapho kuhlinzekwa umthamo we-radiation efanele, yonke imbewu isusiwe futhi ama-catheters avaliwe futhi. Ngeke uthwale imbewu enomsakazo phakathi kwakho phakathi kwezokwelapha.
Ukuzikhathalela Phakathi Nesikhala Semisipha:
Ungase ube nemiphumela emibi emkhatsini we-breast brachytherapy. Qaphela ukukhathala , isisu sebele, noma ukuvuvukala. Ukugqoka ibhotela elithambile, elingenawo ucingo (noma ukuhamba ngesihluku) kuzokukwenza kube lula kuwe ukuba uhambisane nalabo abathintekayo. Uzokwazi ukushayela ngokwakho kuma-aphoyintimenti emisebe kabili-nsuku zonke, kodwa uma uzizwa ungcono ngenkampani, thatha umngane osekelayo.
Ngemuva kokugcwalisa izifo zokwelapha nge-brachytherapy:
Uma usuqedile ukwelashwa, ama-catheters azosuswa futhi uzoqala ukuphulukisa.
Yiba ne- mammogram ezinyangeni ezingu-4-6 emva kwemisebe yesisekelo esisha. Ngesikhathi esifanayo, hlela ukuhlolwa kwesifuba semitholampilo ukuhlola ukubukeka kwezimonyo, ukuphindaphinda, nanoma yikuphi ukucindezeleka okuvela emitholampilo . Ngesikhathi ukhona, tshela udokotela wakho nganoma yikuphi ukukhathazeka onakho mayelana nokuphindaphinda ngemuva kwe-brachytherapy yebele. Uma ngabe yiziphi izindawo ezinabantu abanzi kakhulu ezibonakale kumammogram wakho, ungesabi ngaso leso sikhathi. Ukuba ne- biopsy yebele kungabahlehlisa ukuphindaphinda endaweni ye- fat necrosis yebele .
Ukubuyiswa Kokuphuma Kwama-Brachytherapy Engaphakathi:
Ungalindela ukutakula kusuka esibhedlela se-breast-brachytherapy ukuze uhambe kancane, futhi ukutakula ngokugcwele kungathatha cishe iminyaka emibili iziguli eziningi.
Uma ukutheleleka okuhlobene nokuphathwa kwe-radiation kwenzeka, ngokuvamile kuzokwenzeka ngenyanga yokuqala ngemva kokwelashwa sekuphelile. Kuyinto evamile ukuba nobuhlungu besifuba nokuvuvukala - kodwa lokho kufanele kuphele isikhathi. Isifuba sakho singase sibe nomuzwa ojulile emva kwemisebe, njengoba ezinye izicubu ezinamafutha zingase zife. Ezimweni ezingavamile, isikhumba sebele singase sibe nemibhobho eminyene ngenxa yemithwalo yegazi ehlanjululwe. Vumela udokotela wakho wazi ukuthi noma yimiphi imiphumela elandayo emva kwemisebe yomsakazo ibangele ukhathazeke.
Akukho Ukubhema, Sicela!
Ukubhema ngaphambi, ngesikhathi, noma ngemva kokunakekelwa kwemisebe kungumqondo omubi. Ukubhema kungabangela ingozi enkulu yokutheleleka futhi kungabangela ukwakhiwa kwamanzi namanzi. Ukuphulukisa kungabambezeleka ngokubhema - amanxeba lapho ama-catheters afakwe khona ngeke avalwe ngokushesha. Ukubhema kungabangela futhi isikhumba noma isikhumba esifile ukuba senze nxazonke zezinhlayiya zokufaka izikhonkwane, okungase kudingeke zisuswe nge-enzyme zokwelashwa noma ukuhlinzwa. Ukubhema kuphakamisa futhi ingozi yomdlavuza webele , ngakho-ke sicela uthole usizo lokuyeka ukubhema. Impilo yakho iwufanele umzamo!
Imithombo:
Kamrava, M. et al. Imiphumela Yezifo Zomdlavuza Webele Isifo Sengculaza Esibhekene Nesifo Esiphuthumayo Se-Breast Irradiation Nge-MulticatheterInterstitial Brachytherapy: I-Pooled Registry ye-Multicatheter Interstitial Sites (PROMIS) Experience. Ama-Annal of Oncology Yokuhlinza . 2015. 22 Ukusekela 3: 404-11.
Strnad, V. et al. Iminyaka engu-5 imiphumela ye-irradiation ye-breast partial esheshayo esebenzisa i-braticytherapy ye-multicatheter kuphela ye-multicatheter ne-breast-irradiation ngokugcwele emva kokuhlinzwa kokubeletha kwesifuba ngenxa ye-carcinoma engenayo engozini kanye ne-in-situ yesifuba sesifazane: isigaba esingenakulinganiswa, isigaba sesi-3, esingesihle ukuhlolwa. I-Lancet . 2015 Oct 19. (Epub ngaphambi kokuphrinta).
UWobb, J. et al. Ukuqhathaniswa kwezidakamizwa ezingelapheki phakathi kwe-brachytherapy esekelwe ngokusheshisa kwe-breast irradiation kanye ne-irradiation ye-wholebreast usebenzisa i-radiotherapy enomthamo ohanjisiwe. Isisu . 10`5. 24 (6): 739-44.