Iwe unogona kudikanwa mazamu emishonga epamuviri mushure me- lumpectomy kana mushure mekuita mastectomy kana lymph nodes yako ine chekenza masero kana tumarara yako yaiva 5cm kana yakakura. Mishonga inopera kuuraya chero mishonga yemukenza inogona kuramba iri muchipfuva chako, axillary tissue (yako armpit,) kana ruzha rwechifuva.
Mishonga yemishonga inowanzoitwa mumakiriniki pamusana pepfungwa. Simba-guru re X-ray mapuranga richave rakagadzirirwa munzvimbo yako yekurapa kukanganisa chero kenza yemukenza inokurumidza kukura. Mishonga inoputika DNA mumasero ako ekenza kuitira kuti irege kugovana nekuwanda. Masero ako asina kenza anokwanisa kuponeswa miviri yekurapa.
Kunze kweBeam Radiation
Mbiru yekunze ndiyo yakanyanya kufanana nehutachiona hwemazamu. Kubva kunze kwemuviri wako, miviri yakaoma yemirairo ichave yakagadzirirwa nemichina pane nzvimbo yako yekurapwa. Iwe unogona kutsvaga mazaisai kusvika muchifuva chako chose kana kuti kune imwe nzvimbo duku. Kana lymph nodes yako kana ruzha rwamapfupa ruchida kurapwa, izvo zvinogonawo kupiswa.
Mishonga haisati yatanga kusvikira mushure mekunge marapa kubva pakuberekwa mazamu kana kupedzisa chemotherapy kana muchida. Iwe uchada kuisa nguva yekurapa kwevhiki rese kwevhiki yevhiki kana yechinomwe nekuda kwemaitiro akaenzana ekuzora mazamu emishonga. Nguva inobatsira pakurapwa imwe neimwe ifupi, asi svitsa nguva yekugadzirisa uye kunyatsotarisa kugovera kuti iwe ugone kurapa kwakanyanya uye yakachengeteka iwe.
Kurumidzika Breast Irradiation
Kune vamwe varwere, marapirwo emishonga inogona kupiwa pamusoro penguva pfupi. Kuwedzerwa mazai emvura kunogona kupiwa kumuromo wose kana kuti chikamu chemuzamu wako, pane iyo iyo inonzi Accelerated Partial Breast Irradiation (APBI).
Mamwe majini radiologist iye zvino anopa majekiti madiki mashoma kupfuura vhiki nhatu, achicheka hafu yemavhiki matanhatu masvondo. Iyi nzira yehutachiona hunoita seyakashanda pamwe chete nepurogiramu yakazara. Kana huwandu hunoti hwehutachiona hunogona kupiwa, murwere angagamuchira dhiyo rose pamusoro pezuva remazuva mashanu kuburikidza nezvinonzi hypofractionated radiation therapy.
Brachytherapy
Dhiyabythérapie yepakati mukati, kana kuti Brachytherapy, inogadzirwa mushure me lumpectomi uye kushandiswa kunoitwa mushure mekuve ne-lumpectomi uye inoshandisa mbeu shoma kana mapapiro emasipiresi anononoka kuti ape chiro chemavara kubva mukati mako. Nhamba yemirairo inopiwa zvakananga kumubhedha wechipfuva uye inoderedza zvakanyanya kukanganisa kwehupenyu hwako huri hutano hwakanaka.
Ukuru uye nzvimbo yemarara yako ichasarudza kana iwe hausi mukoti akanaka we brachytherapy. Kune marudzi akawanda emhando ye brachytherapy, kusanganisira:
- Intracavitary Brachytherapy
- Interstitial Brachytherapy
Intraoperative Radiation Therapy
Imwe nzira yekuedza inonzi intraoperative rayation therapy (IORT) iri mumatambudziko emakiriniki muU.S. IORT inoshandisa imwe mikuru yakakura yemirairo-inopiwa zvakananga mumubhedha wemarara - mushure mokunge bundu racho rabviswa ne lumpectomy uye kusanganisa kuchiri kuzaruka.
Mushure mekunge rudzi urwu rwemazuva ano, kuvhara kwako kwakapfigwa uye haudi kuwedzerwa mamwe maharavira. Kuti uve mukana wakanaka wemhando iyi yekurapa, mararamiro ako ekugadzirira anofanira kuva akajeka nekenza uye, ikozvino, unofanirwa kutora muchechi yekutongwa.
Kusarudza Nzira Yakanakisisa
Mushure mokunge mushure mokuvhiya kwenyu, chiremba wenyu achakurukura zvamunogona kuita kuti muve nemhepo. Chisarudzo chako chemishonga inonzi radiation chichagadziriswa nemashoko akawanda ekuongorora kwako.
Dzvanya pane imwe yezvibatanidza izvi kuti udzidze zvakawanda pamusoro pekuti chinokonzerwa nei icho chinobatsira kusarudza nzira dzakanakisisa dzokurapa kwauri:
- Tumor size
- Nzvimbo yemarara
- Nzvimbo uye huwandu hwemasastasis
- Rudzi rwekuvhiya
- Kutsvaga margins
- Lymph node mamiriro
Kuzvichengetera Zvakanaka
Mishonga yekenza yebonde inofungidzirwa kuti ndiyo inharaunda yepamunharaunda iyo inobata chete nzvimbo inorapwa. Zvirwere hazvina maturo uye kurapa kumwe kunotora anenge maminitsi makumi matatu.
Iwe unogona kunge wakava nemigumisiro yenyoro kubva pamagetsi. Asi kunyatsocherechedza ganda rako uye kuedza chiremba wako kune chero dambudziko reganda rinokosha kuti iwe uwanezve. Yeuka kuti mazhizha emvere anowedzera kuderedza ngozi yako yekudzoka uye inowedzera kupona kwako.
> Sources:
> America Cancer Society. Radiation Therapy for Breast Cancer. Updated 01/15/16.
> Memorial Sloan-Kettering Cancer Center. Chirwere chepabonde. Radiation Therapy.