Ukwelashwa kwama-radiation field (IFRT) igama elisetshenziselwa ukuletha imisebe kuphela kulezo zindawo zomzimba ezihilelekile yi- lymphoma .
Isibonelo, uma i-lymphoma ithinta ohlangothini lwesobunxele entanyeni, i-IFRT izoletha imisebe kuwo wonke ohlangothini lwesobunxele entanyeni. Uma i-lymphoma ithinta izindawo ezimbili ezinjengezintambo kanye nezimpondo, imisebe izohanjiswa kulezi zindawo ezimbili kuphela.
Ukusetshenziswa Nezinzuzo
I-IFRT isetshenziselwa ukuqhathanisa nokwelashwa kweminye imilayezo enwetshiwe , ehambisa imisebe ezindaweni ezinkulu zomzimba, kuhlanganise nezifunda ezingabandakanyeka ngokushesha nge-lymphoma.
Ukwelashwa kwemisebe yensimu eyandisiwe kwasetshenziswa iminyaka eminingi ye-lymphoma. Ngenkathi izinga elihle lokusindiswa kwalowo mgomo lifinyelelekile, ezinye iziguli zizokwazi ukuhlakulela umdlavuza wesibili noma ukulimala kwezinye izitho zabo ezibucayi ngoba imisebe ibuye ithinte izindawo ezizungezile kanye nezitho. Iziguli ezithatha i-EFRT zinamanani aphezulu emdlavuza wesibili endaweni yomzimba oveziwe, ikakhulukazi umdlavuza webele esifundeni sesifazane nomdlavuza emadodeni.
Izifundo zathola ukuphumelela okufanayo kokukhipha insimu kuphela ehilelekile kunokuba yindawo enwetshiwe. Iziguli ezifundwe zinezinga elifanayo lokuphendula okuphelele, ukuqhubeka, ukubuyela emuva nokufa. Kodwa futhi babe nemiphumela emibi embalwa efana nokubalwa kwegazi, isicanucanu, nokushintsha kokunambitheka.
Ngenxa yalezi zinzuzo, kwakukhona ukwemukelwa kwe-IRFT yokusabalalisa imisebe eHodgkin ne-Non-Hodgkin lymphoma.
Nazi ezinye izimo lapho i-IFRT isetshenziswa khona:
- Ukwelashwa kwe-Hodgkin lymphoma - emva kwemijikelezo engu-4 kuya kwangu-8 ye-chemotherapy e-Stage I-II yesigaba.
- Ukwelashwa okungahambi kahle kwe-non-Hodgkin lymphoma - emva kwe-chemotherapy esiteshini se-I nesesibili
- Ukwelashwa kwe-follicular lymphoma - njengokwelapha kuphela esiteshini sesigaba.
- Kunoma yiluphi uhlobo lwe-lymphoma uma kunesisindo esinqunyiwe ngemuva kwe-chemotherapy noma indawo encane yokubuyela emuva ngemva kwesikhathi sokuxolelwa nge-chemotherapy.
Iziningi zokwelapha ezibandakanya ukushisa imisebe yasensimini zigcwaliswa emavikini angu-4 kuya ku-5. Isikhathi sokwelashwa sincike kumthamo owenziwe. Njengoba i-IFRT ivame ukunikezwa emva kwe-chemotherapy, umthamo uvame ukususelwa ekutheni isifo sisala kanjani ngemva kwe-chemotherapy.
Ukwelashwa Kwezaziso ZeSayithi Nokubandakanya Ukwelashwa Kwe-Nodal Radiation
Ngisho nezindawo ezincane zemisebe ziba yizinga eliphakeme nangokwelashwa kwe-radiation site, okuhloswe kuphela kuma-lymph nodes okwakuneziqu ze-Hodgkin ekuqaleni. Lokhu kuthatha i-IFRT yesifo se-Hodgkin kwezinye iziqondiso zomtholampilo kanye nezikhungo.
Kukhona futhi ukubandakanya ama-rayal radiation therapy (INRT). Nakuba i-IFRT igxilisa isifunda sama-lymph nodes, i-INRT igxila kuphela kuma-node ekhulisiwe ngemva kwe-chemotherapy. Ibuye iqhathanise kahle nokuvivinywa kwensimu enwetshiwe kanye nokwelashwa kwemithi yasemayini.
Okukhethwe ukwelashwa
Ukwelashwa okhethwayo kuzoqhubeka nokuguquka ngakho-ke kunomonakalo omncane kumathisheni enempilo ngenkathi usasebenza ngokusebenza ngokumelene nama-lymphomas.
Umgomo ukubulala kuphela amangqamuzana e-lymphoma ngaphandle kokudalula ezinye izindawo emisebeni yomswakama nemiphumela yawo.
Xoxa ngemithi yokwelashwa ngodokotela wakho ukuze uqonde ukuthi kungani izinhlobo ezahlukene zokwelashwa zingasetshenziswa ekwenzeni kwakho.
Imithombo
UMagdalena Witkowska, * u-Agata Majchrzak noPiotr Smolewski. "Indima Ye-Radiotherapy e-Hodgkin's Lymphoma: Yini Eyenziwe Ngempumelelo Phakathi Neminyaka Eyi-50 Egcina?" I-Biomed Res Int. 2015: 485071.
Ukwelapha imithi yesifo seHodgkin, i-American Cancer Society.