Indlela umdlavuza womlomo wesibeletho uphathwa ngayo nge-radiation therapy
Ukwelashwa kwezidakamizwa kusebenzisa izinhlobo ezithile zamandla ukugcoba izicubu noma ukuqeda amangqamuzana omdlavuza. Isebenza ngokulimaza i-DNA yesifo somdlavuza, okwenza ingakwazi ukuphindwa. Nakuba ukwelapha imishanguzo kungaphazamisa amangqamuzana aphilile aseduze, amangqamuzana omdlavuza azwela kakhulu emisebeni futhi efa lapho ephathwa. Amangqamuzana anempilo awonakele ngesikhathi sokushisa imisebe aqinile futhi akwazi ukubuyisela ngokugcwele.
Ukwelashwa kwezidakamizwa kunganikwa yedwa noma kungase kuhambisane ne- chemotherapy , ukuhlinzwa noma kokubili. Isinqumo sokuhlanganisa ukwelashwa kwemisebe nezinye izinhlobo zokwelashwa kuxhomeke esiteji somdlavuza wesibeletho nezinye izici.
Imithi yokwelashwa inganikezwa:
- Ngokwayo njengendlela yokwelapha kuphela
- Ngemuva kokuhlinzwa
- Ngemuva noma ngokuhambisana nokwelashwa kwamakhemikhali. Ezinye izidakamizwa zamakhemikhali, njenge-5-FU ne-cisplatin, zenza amangqamuzana omdlavuza azwele kakhulu emisebeni. Zombili lezi zidakamizwa ze-chemotherapy zisetshenziselwa ukwelapha umdlavuza wesibeletho.
Izinhlobo Zokwelashwa Kwemithi Yayisetshenziselwa Ukwelapha Ingculaza Yesibeletho
Kunezinhlobo ezimbili zokwelashwa kwemishanguzo ezisetshenziselwa ukwelapha umdlavuza wesibeletho: imisebe yangaphandle kanye nemisebe yangaphakathi. Eyodwa noma kokubili izinhlobo zokwelapha imisebe ingasetshenziselwa ukwelapha umdlavuza wesibeletho.
I-radiation yangaphandle ye-Beam - Therapy Therapy
Kanti futhi okuthiwa i-systemic therapy, lolu hlobo lwemisebe lunikezwa ngesineke sesisu. Uhlelo olujwayelekile lwezokwelapha luyizinsuku ezinhlanu ngeviki amasonto ayisithupha kuya kusikhombisa.
Isebenzisa i-ray ray noma i-gamma ray energy ukuletha ukwelashwa endaweni ephethwe. Kwabesifazane abanomdlavuza womlomo wesibeletho, imisebe yangaphandle ye-pelvic inikezwa umshini ofana nomshini we-x-ray kepha unikeza isilinganiso esinamandla kakhulu somswakama. Ukwelashwa ngakunye kudlula imizuzu embalwa nje futhi akubanga neze ubuhlungu.
Ngokuvamile kuhlangene ne-chemotherapy, futhi lo mgomo ubizwa ngokuthi i-chemoradiation ehambisanayo.
Umswakama wangaphakathi - I-Brachytherapy
Lolu hlobo lwe-radiation therapy lubizwa nangokuthi i- brachytherapy . Isebenzisa isitshalo (inhlamvu, i-catheter noma induku) esivininiwe nge-substanceactive radio. Ukufakelwa kufakwe esibelethweni ngokusebenzisa ubulili futhi ukwelashwa kuhanjiswa. I-dose-low dose rate ye-brachytherapy isenziwa ngesifo sokugula, nezinsimbi eziqukethe imisebe endaweni ngezinsuku ezimbalwa. Isiguli sivunyelwe ukushiya ukwelashwa okulandelayo. I-high-dose rate ye-brachytherapy iyindlela yokwelashwa, eyenziwa ngezokwelapha eziningana. Izinto ezisetshenziselwa imithwalo yomsakazo zifakwa isikhathi esifushane bese zisuswa futhi isiguli sibuyele ngesonto noma isikhathi eside senye ukwelashwa. I-brachytherapy ivame ukuqhutshwa nje emva kwemisebe yangaphandle ye-beam.
Imiphumela Ebizayo Yezokwelapha Ze-Radiation
Imiphumela emibi yemisebe ihlukahluka kusuka kwesineke kuya kwesineke. Konke kuncike ekutheni ukwelashwa kunikezwa kaningi futhi ngezinga elingakanani. Imiphumela emibi kakhulu ehlangene kakhulu:
- Ukukhathala
Zonke iziguli zomsakazo zithola izinga lokukhathala ngesikhathi sokwelashwa . Lesi yisikhathi lapho isiguli somdlavuza kufanele sisebenzise uhlelo lwakhe lokusekela ukuze kusize ngemisebenzi yasekhaya, imiraro, ukunakekela izingane kanye neminye imisebenzi emincane. Ukuhamba okuncane nsuku zonke nokuthola ubuthongo obungaphazamiseki ebusuku kwenza umehluko ezingeni lomandla womuntu.
- Izinkinga Zesikhumba
Isikhumba esiye saboniswa ekwelapheni singase sibonakale sibomvu, sishiswe ilanga, sitholile, noma sithukuthele. Isikhumba sizwela kakhulu emisebeni futhi kufanele siphathwe kanjalo. Iziguli kufanele zigweme amakha noma izimbali zomzimba ezinomsoco, izambatho eziqinile, nokuveza indawo endaweni yelanga (ngesikhathi sokwelapha futhi okungenani unyaka owodwa). - Ukulahlekelwa Ukudla
Ukulahlekelwa kwesifiso kungaholela ekukhathaleni nasekuncipheni okunomsoco. Kubaluleke kakhulu ukugcina amandla phakathi kwanoma yiluphi ukwelashwa komdlavuza, futhi ukudla okunomsoco kungenye yezinsiza ezingcono kakhulu zokwenza lokho.
Imithombo:
"Ukwelashwa Kwemithi Yomdlavuza Webelevuza." Umhlahlandlela oningiliziwe: Cancer Cancer. 02/26/2015. I-American Cancer Society.
"Ukwelashwa kwezidakamizwa nawe." 20 APR 2007. iNational Cancer Institute.