Kungase kudingeke ukwelashwa kwemisebe yesifuba ngemuva kwe- lumpectomy noma ngemuva kwe- mastectomy uma i-lymph nodes yakho iqukethe amangqamuzana omdlavuza noma isisu sakho singama-5cm noma ngaphezulu. I-radiation yenziwe ukubulala noma yimaphi amangqamuzana omdlavuza angase ahlale esitokisini sakho se-breast, isillary (u-armpit,) noma udonga lwesifuba sakho.
Imithi yokwelashwa ijwayele ukuqhutshwa emtholampilo ngesikhathi sokugula. Amapulangwe we-High-energy X-ray azohloswa endaweni yakho yokwelashwa ukuze abonakalise noma yiliphi i-cell ekhula ngokushesha. I-radiation iphula i-DNA emangqamuzaneni wakho omdlavuza ukuze bakwazi ukuhlukanisa nokuphindaphinda. Amangqamuzana akho angenayo umdlavuza angaphila ukwelashwa kwemisebe.
Ukushiswa kwe-Beam yangaphandle
Iforamu yangaphandle yindlela ejwayelekile kunazo zonke zokwelashwa kwe-ray. Ukusuka ngaphandle komzimba wakho, imisebe ye- collimated yemisebe izobe ihloselwe umshini endaweni yakho yokwelashwa. Ungadinga imishanguzo emathunzini wakho wonke noma endaweni encane kuphela. Uma i- lymph nodes yakho noma udonga lwesifuba udinga ukwelashwa, lezo zingabuye zakhishwa.
Ukwelapha ngeke kuqale kuze kube yilapho usuphulukile ekuhlinzekeni kwebele noma ukhiphe isifo samakhemikhali uma usudinga. Uzodinga ukubeka eceleni isikhathi sokwelapha njalo ngosuku lweviki amasonto ayisithupha noma ayisikhombisa ukuze uthole inkambo ejwayelekile yemithi yokwelashwa kwebele. Isikhathi esidingekayo sokwelapha ngalunye sincane, kodwa vumela isikhathi sokusetha nokubeka ngokucophelela ukuhlinzeka ngempumelelo yokwelapha okuphephile kakhulu.
Ukusheshisa kwe-Breast Irradiation
Kwezinye iziguli, imithi yokwelashwa inganikezwa isikhathi esifushane. Imisebe esheshayo inganikwa sonke isifuba noma nje ingxenye yesifuba sakho, lapho kwenzeka khona ibizwa ngokuthi i-Accelerated Partial Irradiation (APBI) esheshayo.
Ezinye izazi ze-radiologists manje zinikeza ama-radiation amancane kakhulu ngaphezu kwamasonto amathathu, ukusika isigamu sesimiso sesonto eliyisithupha. Le ndlela yokwelashwa kwebele ibonakala isebenza kanye nenqubo ejwayelekile. Uma kunezidakamizwa ezinkulu zemisebe enganikezwa, isiguli singathola isisindo esiphezulu ngaphezu kwezinsuku eziyisihlanu ngokubizwa ngokuthi yi-hypofractionated radiation therapy.
I-Brachytherapy
I-radiation yangaphakathi yebele, noma i-Brachytherapy, yenziwa ngemuva kwe-lumpectomy futhi ukusetshenziswa kuyenziwa ngemuva kwe-lumpectomy futhi isebenzisa imbewu encane noma izipelisi zezinto ezivuthayo ukuze zinikeze umthamo wokukhanya okuvela ngaphakathi kwezicubu zakho zesifuba. Umthamo wokushisa imisebe unikezwa ngqo embhedeni we-tumor futhi kunciphisa kakhulu umonakalo ongase ube khona emathangeni akho asebele asondelene.
Ubungako kanye nendawo yesikhumba sakho kuzonquma ukuthi ngabe awukho yini ukhetho olungcono lwe-brachytherapy. Kunezinhlobo eziningana ze-brachytherapy, kufaka phakathi:
- Intracavitary Brachytherapy
- Brachytherapy engaphakathi
Ukwelashwa kwe-Radiation Radiation
Indlela yokuhlola ye-intraoperative i-radiation therapy (IORT) isemilingo yokuhlolwa emitholampilo e-US IORT isebenzisa umthamo owodwa omkhulu wemisipha - enikezwe ngqo embhedeni we-tumor - ngemuva kokuba isisu sisusiwe nge-lumpectomy futhi ukuvuthwa kusevulekile.
Ngemuva kwalolu hlobo lwemisebe, ukuchotshozwa kwakho kuvaliwe futhi awudingi noma yikuphi ukwelashwa kwemishanguzo eminye. Ukuze ube ngumuntu omele ukhetho lolo hlobo lwezokwelapha, amakhemikhali akho okugqoka kumele ahlanzeke umdlavuza futhi, manje, kufanele uhlanganyele esilingo somtholampilo.
Ukukhetha indlela engcono kakhulu
Ngaphambi noma ngemuva kokuhlinzwa kwakho kwebele, udokotela wakho uzoxoxa ngezinketho zakho zemisebe kanye nawe. Ukuzikhethela kokwelashwa kwemisebe kuzokwenziwa ngemininingwane eminingana yokuxilongwa kwakho.
Chofoza kunoma iyiphi yalezi zixhumanisi ukuze ufunde kabanzi mayelana nokuthi leso sici sisiza kanjani ukunquma izinketho zokwelashwa ezingcono kakhulu kuwe:
- Usayizi we-tumor
- Indawo yesikhumba
- Indawo kanye nobukhulu be-metastasis
- Uhlobo lokuhlinzwa
- Amaphethini wokuhlinza
- Isimo se-lymph node
Ukuzinakekela Kanjani
Ukushiswa komdlavuza webele webele kubhekwa njengokwelashwa kwendawo okuthinta kuphela indawo ephathwayo. Imithi yokwelapha ayibuhlungu futhi ukwelashwa ngalunye kuthatha imizuzu engaba ngu-30.
Ungase ube nemiphumela emibi emisebeni. Kodwa ukunakekela isikhumba sakho futhi ukulungisa udokotela wakho kunoma yiziphi izinkinga zesikhumba kubalulekile ekutheni ululame. Khumbula ukuthi imisebe yebele isinciphisa kakhulu ingozi yokuphindaphinda futhi yandisa ukusinda kwakho.
> Imithombo:
> I-American Cancer Society. Ukwelashwa kwezidakamizwa zeCanscer Breast. Kubuyekezwe 01/15/16.
> I-Memorial Sloan-Kettering Center Cancer. Umdlavuza webele. I-Radiation Therapy.