Kana chiremba wako akakurudzira chirwere chebhakirini chepachirwere pashure pekutora lumpectomy yako unogona kushamisika kuti chii ichi uye chii chaunogona kutarisira munguva yekurapa. Izvi zvinopesana sei nehuwandu hwemazamu echando? Kune musiyano mukupona kana chigumisiro chezvipfeko nenzira iyi? Chii chaungatarisira kare, munguva, uye mushure mekurapa?
Kuchengetedza Kenza Yemazamu Pamusoro Payo
Kurapa kenza yemazamu nemirairo yekunze kwemazimbe ndiyo nzira inoshandiswa yakajeka yekurapa inogona kubatsira kudzivirira kudzokorora, asi inobatawo ganda rezamu, ruvara, ruvara, uye zvingaguma kuchinja kuchinja kwemazamu ako.
Brastytherapy - iyo inobata mazamu emvere kubva mukati mako - haibatsiri ganda rako, rinogadzirisa miviri yehutano kuhutano hwemvere, uye inosiya mazamu ako asina kuchinja mushure me lumpectomy . Asi chinonyanya kukosha chemuzamu chechirchytherapy chingave icho chinogona kuitwa mumazuva mashanu, panzvimbo yevhiki 6 kusvika ku7 inodiwa yehutano hwemhepo yakabuda kunze .
Zvidzidzo zvenguva pfupi zvinoramba zvichiwana kuti chigumisiro chezvipfeko nekemikirwo ye brachytherapy yakanaka kwazvo, uye haisi kuonekwa sechiri pasi pehutano hwemazamu wose maererano nemakore mashanu ekudzora kenza yebonde, kuponeswa kwezvirwere, kana kupona zvachose.
Brastytherapy Inobatanidza Izvo Inowanikwawo Se:
interstitial multicatheter brachytherapy, kupisa kwemaawa, kupisa kwemaawa, uye radiation brachytherapy.
Kugadzirira Kubatana Kwepabonde Brachytherapy Treatment:
Brastytherapy dzinogona kumira nzvimbo yakawanda yezvifuva zvemafupa kupfuura kusagadzikana .
Multiple brachytherapy catheters inogona kumira zvakapoteredza tumarara, kana panguva ye lumpectomy yako kana mwedzi mushure mekuvhiyiwa. Chiremba wako anonyatsodzidza zvaunoda kurapwa kwako, ronga zvirongwa zvakanakisisa zvecatheter uye uone huwandu hwehuwandu hwemhepo huchakushandira iwe. Apo catheters inogadzirwa, chiremba wako anokwanisa kutungamirirwa nekombiyuta yekufungidzira yakafanana neCAT scan , ultrasound , kana fluoroscope .
Iwe unogona kuva nechokwadi chokuti mazairo acho achaitirwa panzvimbo apo kenza masero inowanzove yakavanda.
Chii Chingaitarisirwa PaBrachytherapy Treatment:
Interstitial breast brachytherapy inoshandiswa kuburikidza nekanyoro, tsvina yakawanda-inonzi catheters - iyo inogadziriswa yakaiswa muchipfuva chako. Iko catheters inogona kuvhurwa pane imwe mugumo panguva yekurapa, saka mbeu inoshandiswa mumhepo inogona kuiswa mukati memapfupa ako emakwenzi ekurapa. Sezvo iwe unogona kuva ne catheters pakati pe10 ne20, mbeu inogona kumira kumativi ose ako lumpectomy cavity. Pangosvika iyo mazairo akadai mazai akapiwa, mbeu dzose dzinobviswa uye catheters inodzvarwa zvakare. Iwe haugoni kutakura mbeu inopisa mukati mako pakati pemishonga.
Kuzvichengeta Iwe pachako Muhutano hweBeresi:
Iwe unogona kunge uine mamwe madzitiro emhedziso munguva yehaini brachytherapy. Cherechedza kuneta , kuora mwoyo, kana kuzvimba. Kupfeka bhora rakanyorova, kusina tsvina (kana kuenda kunopisa) kuchaita kuti zvive nyore kwauri kuti ugare kune catheters. Iwe uchakwanisa kutyaira iwe pachako-kumiswa kwemazuva ose ezuva, asi kana iwe uchinzwa zviri nani nekambani, tora shamwari inotsigira pamwe chete.
Mushure mekunge mazadzise kubatana kweBrachytherapy Treatments:
Kana wapedza kupora, catheters ichabviswa uye iwe uchatanga kupora.
Ita mamamamiro pamwedzi 4-6 mushure mehutiro yekutanga kwekutanga. Panenge panguva imwe chete, ronga chirongwa chekuchirapa pachipfuva chekuongorora kutaridzika kwemaziso, kudzoka, uye chero zvipingamupinyi zvinobva pamishonga inonzi radiation. Paunenge uripo, udza chiremba wako pamusoro pezvinetso zvako zvaunenge uine pamusoro pekudzoka shure kwechifuva chechirchytherapy. Kana dzimwe nzvimbo dzakaoma dzichiratidzira pane mammamiro ako, usavhunduka pakarepo. Kuva nehadzi yebvudzi kunogona kukonzera kudzokorora kubva munzvimbo yebonde mafuta necrosis .
Kudzoka Kubva Mumagariro eBrachytherapy:
Iwe unogona kutarisira kupora kubva pamakumbo echirwere chechirwere kuti uite zvishoma nezvishoma, uye kuzora zvakakwana kungatora makore anenge maviri kuvarwere vakawanda.
Kana hutachiona hunoenderana nekurapa kwemaawa anoitika, inowanzoitika mumwedzi wokutanga mushure mokurapa kwapera. Zvinowanzoitika kuti uwane kurwadziwa kwepamu uye kuzvidzora - asi izvozvo zvinofanira kupera munguva. Chifuva chako chinogona kunzwa chizere pashure pemasana, sezvo mamwe mafuta anofa angafa. Muzviitiko zvisingawanzoitiki, ganda rezamu rinogona kukura mamwe mavara akaoma pamusana pemidziyo yeropa yakawedzera. Rega chiremba wako azive kana kune imwe nguva inosara pashure pemigumisiro yemasikati inokuita kuti unetseke.
Kwete Kusvuta, Ndapota!
Kuputa kusati kwaitika, panguva, kana mushure mekurapwa kwemishonga ipfungwa yakaipa. Kusvuta kunogona kukonzera njodzi yakawanda yehutachiona uye kunogona kukonzera kushandiswa kwemvura uye mvura. Kuporesa kunogona kunonoka nekusvuta-maronda apo makateti akaiswa mukati haazovhari nekukurumidza. Kusvuta kunogonawo kukonzera ganda kana ganda rakafa kuti rive rakakomberedza catheter kuisa maronda, izvo zvingafanira kubviswa nehutano hwemakemikari kana chirwere. Kusvuta kunomutsawo mungozi yekenza yemazamu , naizvozvo tapota tora rubatsiro kurega kusvuta. Utano hwako hwakakodzera kukosha!
Sources:
Kamrava, M. et al. Migumisiro yeBeast Cancer Varwere Vanotariswa Nekukurumidza Kuparadzaniswa Kwechirwere Chirwerero Ne MulticatheterInterstitial Brachytherapy: Chirongwa chePooled Registry yeM Multicatheter Interstitial Sites (PROMIS) Experience. Annals of Oncology Surgery . 2015. 22 Kubatsira 3: 404-11.
Strnad, V. et al. Makore mashanu emigumisiro yekukurumidza kushandiswa kwemazamu emishonga inoshandiswa uchishandisa chete interstitial multicatheter brachytherapy kupfurikidza ne-breast-irradiation yose nekusimudzira mushure mekuchengetedza mazamu ekuchengetedzwa kwehutachiona husingaoneki uye in-situ carcinoma yehadzi yevakadzi: randomized, phase 3, kwete-inferiority muedzo. Lancet . 2015 Nyaya 19. (Epub mberi kwekudhinda).
Wobb, J. et al. Kuenzaniswa kwechirwere cheshuga pakati peharuytherapy-based inokurumidza kuisa mukana wezamu irradiation uye yesebreast irradiation uchishandisa intensiti modulated radiotherapy. Breast . 10`5. 24 (6): 739-44.