Mazai emukati anoshandiswa kunyanya mumutsara wekutanga
Brachytherapy iyo inoratidzwa nehutachiona hwehutachiona hunoshandiswa kurapa mamwe marudzi ekenza. Inogadzirisa zvidimbu zviduku zvinonzi radioactive, zvinonzi mbeu kana kuti mapereti, mune dumbu kana kuti chivako chokuvhiya chakasiyiwa mushure mekunge bundu racho rabviswa. Iyo pellets inowanzoita hukuru hwezviyo zveupunga.
Munyaya yekenza yeprostate , brachytherapi inogona kuendeswa nekuisa mbeu nenzira yakakwana mu prostate kana, zvishoma nezvishoma, nokuisa dhigirii inoshandiswa inodhaka yakawanda inoshandiswa mumarara inenge yabviswa.
Maitiro eBrachytherapy Anoshanda sei
Brachytherapy inoshanda kuburikidza nekudzivirira kenza dzemukenza kubva pakurondedzera zvakajeka. Kusiyana nemasero akajairika, ane mararamiro ekudzokorora uye kurarama kwenguva shoma, masero ekenza anoparadzanisa zvisiri izvo uye ari "kusingafi" (zvinoreva kuti vanokwanisa kuramba vachiwedzera kunze kwekutonga kusvikira vakamira).
Kunyange zvazvo masero matsva anogona kutyiswa nemirairo, vanogona kugadzirisa pachavo uye vanoramba vachiwedzera kazhinji mushure mokunge kurapwa kuchimiswa. Makero emukenza haakwanisi kudaro.
Brachytherapy Options muProstate Cancer
Nekenza yeprotate, kuiswa kwemaruva emagetsi anowanzogona kuuraya chironda ichi kana kuchidzikisa zvakanyanya. Nzira iyi inowanzoshandiswa mumarume avo vane kenza yepamusoro-grade uye inononoka-kukura.
Mbeu, dzakabatanidzwa mu prostate, dzakagadzirirwa kubudisa mashizha kwemavhiki akawanda kana mwedzi, zvichienderana nehukuru hwehukuru. Kana pane ngozi yokuti kenza inogona kupararira ( metastasize ), kunze kwemaawa anogonawo kushandiswa.
Brachytherapy inogona kusashanda pamwe chete nevarume vane prostate yakawedzerwa gland . Mukudaro, vanachiremba vanogona kutanga nekodzero ye hormone therapy kuti inopisa prostate vasati vaedza brachytherapy.
Kune varume vane tumuramu yakanyanyisa, high-dose-rate (HDR) brachytherapy inogona kupa kurwisa kwakanyanya kwechirwere.
Nokuda kweiyi nzira, catheter yakaderera inowanikwa mu prostate pakati pezvinyorwa uye anus. Nete inenge yakawanda-inonzi inonzi radioactive mbeu inobva yaiswa mukati me catheter uye yakachengeterwa imomo kwemaminitsi mashanu kusvika pamaminitsi gumi nemashanu. Izvi zvinowanzodzokidzwa katatu pamazuva maviri.
Kunyange zvazvo zvisingawanzoshandiswa, HDR brachytherapy inokwanisa kukonzera masimba akaoma kusvika kumarara asi ichidzivirira kuipa kune avo vari pedyo, zvisikwa zvipembenene.
Migumisiro Yechirwere yeBrachytherapy
Varume vanogara kwenguva yakareba brachytherapy vanogona kurayirwa kuti vasiye kure nevadzimai vane pamuviri nevana vaduku kwemavhiki akawanda kana mwedzi kubva apo pellets icharamba ichibudisa masikati. Mazuva ano anowanzosimba zvakakwana, chaizvoizvo, kunotorwa nemichina yekuona ndege munzvimbo dzokutanga.
Varume vari kurwara brachytherapy kurapa kenza yeprotate vanogona kuve nemigumisiro yakawanda. Pakati pavo:
- Urinary incontinence idambudziko rakawanda uye dzimwe nguva rinogona kuva rakaoma. Vamwe varume, panguva iyo, vachaona zvakashata zvakashata, vachizorora kakawanda nekuda kwekutsamwirwa kunoramba kuripo kune urethra. Zvakawanda zvezvinetso izvi zvinowanzogadzirisa kana chirwere ichipera, kunyange zvazvo dzimwe nguva chingatora mwedzi.
- Kuora kunorwadza, kupisa, kubuda, uye kubuda ropa kunogonawo kuitika. Mamiriro ezvinhu, anozivikanwa sewadhiation proctitis, haawanzove akaoma uye anowanzovandudza munguva.
- Erectile dysfunction inogonawo kuitika asi inowanzoonekwa mumavarume vakwegura avo vane matambudziko apfuura ekuwana kana kuchengetedza erection. Chero dambudziko re erectile rinowanikwa nevarume vaduku kana avo vane utano hwakanaka hwepabonde vanogadzirisa nekukurumidza uye kamwe zvachose kana kurapwa kwapera.
> Kwakabva:
> Chin, J .; Rumble, R .; Kollmeier, M. et al. "Brachytherapy yevarwere neKenza yeProstate: American Society of Clinical Oncology / Kanzera Care Ontario Joint Guideline Update." Nyaya yeCliniki Oncology. 2017; 35 (15): 1737-1743.