MammoSite breast brachytherapy rudzi rwekuwedzerwa kwehutano hwemazamu. Dzimwe nguva inonzi balloon catheter radiation, MammoSite inobata kenza yemazamu mukati memukaka wako mumazuva mashanu-uye zvishoma nezvimwe zvinokonzera kudarika maitiro matanhatu-kana masvondo manomwe ekunze kwemazhenje .
Chirwere chemuviri Mushure meLumpectomy
Mishonga inogona kushandiswa kurapa kenza yemazamu mushure mokunge tumarara yako yabviswa ne lumpectomy .
Mishonga inopisa mazai inoitwa kuitira kudzivisa kudzokorora kuburikidza nekuvimbisa kuti chero kenza yemukenza inogona kuramba iri mumarara inoparadzwa.
Mushonga weMammoSite radiation, iyo inonzi Intracavity brachytherapy , yakasiyana nemirairo yekunze kwemazimbe-inopa miviri kubva mukati memukaka wako uye inopinda chete chikamu chiduku zvikuru chezvipembenene zvine utano.
MammoSite Breast Brachytherapy
MammoSite yaiva FDA yakagamuchirwa muna 2002 kuitira kurapwa kwekenza yepa-lumpectomy. Bhaluni yakasiyana-siyana yakagamuchirwa muna 2009. MammoSite Radiation Therapy System inoshandisa bhati catheter inokosha, yakaiswa mu lumpectomy yako cavity uye inokonzerwa nesarine solution. Chiremba wako anogona kuisa bhaloni mamamoniSciteter panguva ye lumpectomy yako, kana kuti inogona kuiswa munguva inotevera.
Mikana inobatsira
- MammoSite brachytherapy mishonga inogona kupedzwa mumazuva mashanu kusvika kune manomwe , zvichienzaniswa nematanhatu matanhatu kusvika kune manomwe eekima yemirairo yekunze. Izvi zvinoreva kusavhiringidzwa kwepurogiramu yako, nguva shoma yekufamba, uye zvishomanana kubhadhara.
- Chifuva chako chichava nekuvhara, asi zvisakadaro hapana ganda rinopisa kana kuwedzera kwemavara kunogona kuitika nemirairo yakazara.
- Chine chikamu chiduku chezamu rako chichabatwa nemirairo, uye mishonga ine utano ichange isingabatsiri.
- Miviri inogona kuita kuti utye , asi ne brachytherapy, iwe uchakwanisa kuenda pamusoro pehupenyu sezvaunowanzoita.
Kukanganisika
- Varwere vanoti kuve nekudzivirira mvura inonaya kwevhiki isingabatsiri.
- Inzwi rekuve nebhokisi rine saline mukati mezamu rinogona kunzwa risinganzwisisiki.
- Zvirwere zvinogona kuitika kumativi e-catheter insertion site
- Nemhaka yokuti catheter line ichawedzera kubva pachipfuva chako apo chigadzirwa chiri panzvimbo, iwe uchafanira kupfeka soro yebhosi kana bhuro rakanyatsonaka kuti ugare naro
- Iwe unogona kunge uchida kugadzirisa nzvimbo yako yehope yekunyaradza.
Zvaunotarisira Mukati Mishonga
MamroSite mishonga inoitwa kaviri pazuva kwemazuva mashanu anotevera. Kusarudzwa kwako kurapwa kunotora anenge maminitsi makumi matatu.
Munguva yemishonga inonzi radiation, mazamu enyu oncologist achabatanidza MammoSite catheter yako nemushonga wemasaisai, uye kuisa mbeu shomanana inopinza mumakateti, iyo inotora mazai ako emvura. Iwe haungatongonzwa kupisa kana kuwedzerwa panguva yekurapa. Pakupera kwechidzidzo chega chega, mbeu inobviswa uye iwe haungatakuri miviri yakapoteredza newe pakati pemishonga. Kana chero kenza yemukenza iri kuramba ichifamba mumashuga akakomberedza maruva ako ekugadzirira, mazairo anofanira kuvauraya.
Mushure memazuva mashanu, bhalonti catheter inodururwa ye saline uye inobva yabviswa kuburikidza nekukanda kadiki kakavharwa nekupfeka.
Kudzorera
Iwe unogona kuva nemamwe matambudziko panguva kana mushure meMammoSite brachytherapy. Izvi zvichabva zvakanyatsogadziriswa zvakanaka, asi iva nechokwadi chekuenda kumatevedzeri ako ekutevera, uye rega chiremba wako azive kana une dambudziko pamusoro pokudzoka.
Iwe unogona kutarisira humwe hutsvuku kana kuputika kune katheter kuisa nzvimbo. Ikoko kunogonawo kuva nemarwadzo kana kunyura kubva pachivara asati aporesa. Chenjerera kuchengeta nzvimbo iyi yakachena uye yakaoma. Vamwe vakadzi vanogona kukudziridza ganda kana kuputika.
Kana ruvara rweganda ruchienderera mberi, kana nzvimbo inenge ichizvikudza kana ichiita inopisa, ona chiremba wako pakarepo kuti uone kana iwe unogona kuva nechirwere.
MammoSite ine Rakanaka Rwendo Rwenhoroondo
Maererano nekudzidza kwegore ra2014 mu International Journal Radiation Oncology, iyo yakaongorora vakadzi vanopfuura 100 vaiwana mammoSite balloon brachytherapy, zvigumisiro zvakaratidza zvakanyanya kunaka kwechirwere chetachiona pamusoro pekutsvaga kwemazana emakore mashanu.
Imwe yedzidzo yegore ra2015 muna Annals of Oncology Inotsvakurudza yakatevera vanenge mazana maviri vakadzi vaiwana MammoSite vakakurumidza kushandiswa kwemazamu irradiation (APBI) pakurapa ductal carcinoma in situ (DCIS) -kunge kwema lumpectomy. Yakanga yakanyatsorambidzwa uye kuwedzerwa kwekugara kwemashure pashure pemakore mashanu kwaive ne 3.39 muzana.
Zvinoda
MammoSite inowanzoitirwa kurapwa kwe ductal carcinoma in situ (DCIS), inopisa ductal carcinoma (IDC), uye chiremera chikuru chinenge 3 cm kana chiduku muhukuru.
Chiremba wako anofanira kukwanisa kubuda anenge masendimita manomwe emapfupa pakati peganda rako uye bhaluni rakanyanyisa. Uyewo, lumpectomy yako cavity inoda kunge yakaita seyakagoneka kuti igone bhaluni; kana zvisina kudaro mushonga hauzoshanda zvakanaka.
Mune zvimwe zviitiko, kambani yeMammoSite inofanirwa kuiswazve panzvimbo yakaisvonaka. Sarudza chiremba anovhiya ane ruzivo rwakanyanya pakuisa chikwata cheMammoSite, uye akumbira kana chipatara chacho chine zvese zvakakodzera zvakagadzirirwa kuisa uye kuisa catheter.
Sources:
Bensaleh S, Bezak E, & Borg M. Ongororo yeMammoSite bracytherapy: Kubatsira, kusagadzikana uye zvinokonzerwa nechipatara. Acta Oncol. 2009; 48 (4): 487-94.
Jeruss JS et al. Pakupedzisira zviitiko zvevarwere vanobatwa paAmerican Society ye Breast Surgeons MammoSite kuongororwa kwekliniki ye ductal carcinoma-in-situ yezamu. Ann Surgery Oncol, 2006. 13 (7): p. 967-76.
Jeruss JS, Kuerer HM, Beitsch PD, Vicini FA, & Keisch M. Tsanangudzo paDDCIS Mitsva kubva kuAmerican Society of Breast Surgeons Inokurumidza Kuratidza Chirwere Chechirwere Irradiation Registry Trial. Ann Surgery Oncol. 2011 Jan; 18 (1): 65-71.
Vargo Ja et al. Zvakawedzerwa (makore mashanu) zvikamu zvekukurumidza kushandiswa kwemazamu emishonga kuburikidza neMammoSite balloon bracytherapy: maitiro ekukundikana, kusarudzwa kwevarwere, uye dosimetric correlates yekupedzisira kwehutu. Int J Radiat Oncol Biol Phys. 2014 Feb 1; 88 (2): 285-91.