SAVI Device For Reducing Breast Cancer Recurrence

by Pam Stephan

Pros uye Cons yeSAVI Brachytherapy Device ye APBI

Kana iwe radiation yako oncologist yakakurudzira chidimbu cheSAVI breast brachytherapy nokuda kwekenza yako yepamu , iwe unogona kunge une mibvunzo yakawanda. Kuwedzera kwemazamu kwemazamu (APBI) ndeimwe nzira kana iwe uine lumpectoma yekenza yepamu. Chii chaunofanira kuziva nezvechigadziri ichi uye chii chaungatarisira kubva mukurapa? Iko inobatsira sei nzira iyi kune dzimwe tsika dzechirwere chetachiona remishonga? Ngatitaurirei nezvekushandiswa kweiyo SAVI brachytherapy device, uye zvingave zvakakosha uye zvisingabatsiri zvaunofanira kufunga paunenge uchiita chisarudzo chako.

Chinangwa chekurapa kwemazuva ano mushure me lumpectomi ndeyekubatsira kudzivisa kudzoka kwekenza yako yepabonde. Iko chaizvoizvo kudzoka kwekenza yemazamu iyo inokonzera kufa kwevakawanda kubva pachirwere. Chirwere-kuchengetedza chirwere chakadai se-lumpectomy hachina kukonzera kupfurikidza nekuita mastectomy uye kunopfurikidza nekuchengetedza chero bedzi inoteverwa nemishonga inopisa mazai kuti iuraye chero chero ipi zvayo inogona kusarudzwa nekenza yemvere. Izvo zvisina kunaka zveizvi, zvisinei, ndeyekuti kurapa kwemaawa kunogona kukuvadza mhuka dzemazuva ose. Brachytherapy, kana kuti mukati-yakagadziriswa mazairo, ndiyo nzira inogona kubvisa mishonga ine utano panguva yekurapa mhuka dziri pedo nechisimba chako cavity.

Kurwisana neChristin Breast Kubva mukati

Chii chinonzi SAVI brachytherapy yekenza yebonde ?. Chikwereti: Istockphoto.com/Stock Photo © Stephanie Zieber

Mishonga inorapwa nekenza yemazamu inogona kupiwa nemirairo yekunze kana mukati.

Dhiyabhorosi yekunze, iyo inonziwo mazamu akazara-mazamu (WBI), inobata mazamu ose kubva kunze, nekutsvaga zvakanyanya kupenya x-rays pachirwere chako.

Breastytherapy , iyo inonziwo interstitial brachytherapy, iyo inopindira yemirasiyo inoshandisa catheters (michina duku duku) kuti ibudise mazai kubva mukati memazamu ako kusvika kumaronda ako uye zvishoma zviduku zvakapoteredza.

Kufambira Mberi Kwechirwere Chirwere (APBI)

Tichave tichitaura nezveSAVI device yekukurumidza kushandiswa kwemazamu (APBI), asi zvakakosha kuziva kuti APBI inogona kuitwa sewomufaro wekubuda kwemazuva, kana sechimiro chemukati wemirairo kana brachytherapy seya device SAVI.

Kunze kwechikamu chemazamu inonzi irradiation inowanzoitwawo dzimwe nguva, kunyange kunyanya kune kenza nzvimbo dzinoitawo brachytherapy APBI. Kuenzaniswa nehutano rose kunze kwehutachiona hwehutachiona, zvidzidzo zvokutanga zvakawanikwa kuti kunze kweAAPBI inobatanidza nehuwandu hwehutano hwekudzoka kwepamunharaunda uyewo mukana mukuru wekenza itsva yepamusoro inokura muchero imwechete sekenza yekutanga.

Kuratidzira kunze kwehutano hwemazamu huri hwose, kunze kweAAPBI inoratidzika kunge inobatanidza nemigumisiro yevarombo yakasviba asi ine ngozi shoma shoma. Mukutsvakurudza, kunze kweAppBI kwaishandiswa kakawanda kuvakadzi vane tumavhu maduku dzaiva node zvisina kunaka, estrogen receptor positive, uye HER2 isina kunaka.

Pamusoro pezvinyorwa zvakanaka, APBI inogona kuitiswa munguva shoma shoma, inoretically inovandudza kuneta uye hupenyu hwehupenyu.

Kunyange zvazvo kushandiswa kwekunze kwe APBI ikozvino kwakapoteredzwa nekukakavara, dzimwe nzvimbo huru dzekenza dziri kudzidza nzira dzekuvandudza kutonga kwemuganhu nerudzi urwu rwemazuva ano.

Ngatitangei tarisa mukati (brachytherapy) APBI pamwe neSAVI device.

SAVI ™ Inokurumidza Kuparadzanisa Chirwere Chirwere (APBI)

SAVI Radiation Applicator. Chikwereti: SAVI Applicator - Mufananidzo © Cianna Medical

VaSavi, iyo yaiva FDA yakagamuchirwa muna 2006, iri mazamu ezuva remazuva ano anogona kunge akambogadzirirwa lumpectomy yako cavity, pasinei nehupi kana chiyero zvingave.

Ichi chigadzirwa ndere bundle yemakatekete maduku, maduku. I SAVI inowanikwa kuburikidza nekwenyoro kadiki, uye chikwata checatheter chinowedzera zvakaenzana, asi chigadzirwa chayo chakasiyana chinoita kuti icho chizarurire nenzira inofanana chaizvo nehukuru uye chimiro chemuviri wako.

Iyo mizizi inonzi inonzi radiation inokwanisa kugadziriswa nemhando imwe neimwe kuburikidza necatheter imwe neimwe, ichibvumira zvakanyatsotarisana neyeroation oncologist. Ichi chigadzirwa chinogadziriswa kupfuura chetsika yebhaloon catheter chida kuitira kuti vakadzi vane mazamu maduku vangave vakakodzera kune rudzi urwu rwemishonga.

Zvaunogona Kutarisira Kubva kuAASVI Applicator

SAVI Radiation Applicator Placement. Chikwereti: Kuiswa - Mufananidzo © Cianna Medical

Chiremba wako anogona kuisa SAVI radiation applicator panguva ye lumpectomy yako, kana inogona kuiswa panguva yekuvhiyiwa yakasiyana. Chengetedzo shoma chete inodiwa, kubvumira kuti compact catheter bundle iiswe mukati memvere rako. Iyo incision nzvimbo ichachengetedzwa nekupfekedzwa, uye chikamu chekanyoro imwe neimwe inowedzera kunze kwemazamu ako kusvikira mushonga wako wapera.

I-catheters inoshanduka chaizvo uye inonyorera, saka inofanira kuva yakanakira iwe mumazuva mashanu kusvika kumanomwe emagetsi. Nzvimbo yako yekushongedza ichashandurwa kaviri pamusi panguva yekurapa, uye inofanira kuchengetwa yakaoma. Kuti udzivirire zvirwere, unogona kupiwa maantibayoti kutora.

Mukati iyi chipangamupinyi madiki mashoma brachytherapy mbeu (radioactive pellets imwe neimwe yehukuru hwehuyo wejunga).

Mazai Okusarura Panguva Mishonga

SAVI Radiation Applicator Dosing. Chikwereti: Kusarura - Mufananidzo © Cianna Medical

Iwe uchataurira kumayeroti yako oncology nzvimbo kanomwe pazuva kwemazuva mashanu kusvika kune manomwe, kuva nemishonga. Rongedza pakushandisa kwemaminitsi makumi matatu ekushanyira imwe neimwe; inenge maminitsi mashanu nemashanu ekugadzwa kwako achashandiswa panguva yekurapwa kwemaawa. Mazai ako emagetsi echeni achaita kuti uve wakagadzikana, uye shandisa SAVI yako mumiririri kumhepo inonzi radiation.

Pakati pekurapwa kwega-rega, tsime remhepo rinotumirwa pasi catheter imwe neimwe panguva. Chimwe chimiro chemazuva ano chichapiwa pane zvakasiyana-siyana pamwe nekureba kwe catheter imwe neimwe. Izvi zvinokupa mukana wepamusoro wezvisikwa zvakagadziriswa, uye kudzivirirwa kwakanyanya kwehutano hwakapoteredza.

Kuzadzisa Mazaisai uye Kubvisa Your SAVI Applicator

SAVI Radiation Applicator Removal. Chikwereti: Kubviswa - Mufananidzo © Cianna Medical

Mushure mekurapwa kwako kwekupedzisira kwemaawa, remhepo yako ye-oncologist inogona kubvisa chimbo che SAVI. Inofanira kutora anenge maminitsi maviri kubvisa chigadzirwa, tsvina yako incision site, uye uvhare ganda nematanda ekubatanidza. Bhanji kana kupfeka zvinogona kuiswa kumusoro, uye iwe uchava wakasununguka kuenda. Iva nechokwadi chekuenda kumhanyiro ako ekutevera, saka chiremba wako anogona kuona kuti kuora kwako kunoporesa zvakanaka.

Kubudirira

Kansa yepabonde. Chikwereti: Chicago Tribune / Contributor / Getty Images

Sezvo chifuva chakakurumidza kushandiswa kwemazamu irradiation (brachytherapy kana APBI) yakatanga kugamuchirwa muna 2002, vanachiremba vakawana kuti kurapwa uku kunopa huwandu hwekuremara kwevaya vane kenza yemazamu epakutanga, uye ndiani akakodzera kushandiswa kwayo.

Inofananidzwa nehutema hunoti huri hunoita kuti 2 muzana mushure mekudiwa kwehutachiona, APBI yakaita kuti kuve nekuita mastectomy ye 4% chete. Shanduro yeSAVI brachytherapy inoratidzika kushanda zvakanaka chaizvo kana ichienzaniswa nemichina yakagadzirwa iye zvino inowanika.

Breastytherapy Makomborero

Breast Radiotherapy. Chikwereti: BSIP / Mupiro / Getty Images

Paunosarudza rudzi rwehutachiona hwehutachiona, zvinogona kubatsira kuburitsa zvakanakira uye kuipa kwemishonga imwe neimwe. Zvechokwadi, zvinowedzera uye hutsinye hazviwanzo zvekukosha zvakaenzana, uye iwe unogona kuguma kusarudza chirongwa chinenge chiine utano hwakawanda kupfuura zvinobatsira. Zvimwe zvezvakanaka zvemuzamu brachytherapy zvinosanganisira:

Kukuvadza kune utano hwakanaka. Yese-mazamu emishonga (kunze kwema rayation) inokanganisa mishonga ine utano pamwe chete nemasero ekenza uye inogona kukonzera migumisiro muhutano hwakanaka. Breastytherapy yakagadzirirwa kuita kuti zvishoma zvikuvadze utano hwakanaka.
Kakawanda kwekurapa. Zvose remishonga yemazamu emishonga inowanzopiwa misi weMuvhuro kusvika Chishanu kwemavhiki matanhatu. Nebhokisi brachytherapy, kurapwa kunogona kupedzerwa mukati ma5 kusvika ku7 zuva. Breastytherapy inobata chikamu chiduku chemuviri wemazamu uye inopa chidimbu chinotarisirwa chemazuva ano kuenda kune yako lumpectomy site.
Nguva yekudzorera. Nguva yekudzorera inowanzokurumidza nehombodo brachytherapy kupfuura iyo yose yemazamu irradiation.
Zvikanganiso. Kazhinji, migumisiro yakadai sokuneta kunenge kusina kunyanya kuve nehadzi inonzi brachytherapy.

Kukanganiswa kweBraast Brachytherapy

Sezvo pane zvakakosha zvezamu bhochytherapy, zvinogona kunge zvisingabatsiri zvakare. Izvi zvinogona kusanganisira:

Dambudziko rekudzoka kwekenza yemazamu. Sezvakataurwa mukubudirira, dambudziko rekudzoka kwepabonde rebele rinowedzera zvishoma nechero brachytherapy. Izvozvo zvakati, parizvino hapana humwe uchapupu hwekuti huwandu hukuru hwekudzoka hunove nemigumisiro pamigumisiro.
Njodzi yehutachiona. Pamusana pekuvapo kwemashupindi anopinda paganda rako, mungozi yehutachiona yakakwirira kudarika mazai ekunze, kunyange ari maduku.
Nyaradzo. Vamwe vanhu vanoona kuti chigadzirwa chacho hachina kugadzikana.
Zuva rekuguma. Iyo yezvigadzirwa zvemazuva mazhinji uye yekupedzisira zvinogona kunge yakanyanya kuwedzera nehaini brachytherapy, kunyange zvazvo inoratidzika ine kanyanyisi yechipfu (chingava mukana wekutsvuka uye rashes).
Kuwanika. Dhiyabhorosi iri kunze kwemahara inowanikwa pane yakawanda kupfuura mukomana brachytherapy.

Ndiyo EASVI Inowanikwa Kwangu Here?

Mukadzi Mukubvunzurudza. Chikwereti: BSIP / Mupiro / Getty Images

SAVI breast brachytherapy inowanikwa munyika yose yeAmerica, asi haisipo pane imwe nzvimbo yekenza. Ichashandira mazamu makuru kana maduku, asi zvimwe zvikonzero zvinogona kuita kuti zvive zvisina kukodzera kune vamwe vanhu. Tarisa nechiremba wako pamusoro pekusarudza kwekuwedzera kwemazamu emhepo.

Shoko Rinobva paSavi Brachytherapy yeBear Cancer

Zvimwe zvakawanda zvitsva zvinogona kuwanikwa pakurapa kenza yemazamu mumakore achangopfuura. Kunyange zvazvo izvi zvichifadza, zvinorevawo zvisarudzo zvakawanda. Zvakakosha kupfuura kare kare kune vanhu vane kenza yekudzidza nezvechirwere chavo uye vanoita basa rinoita basa muboka ravo rekuchengetedza kenza.

Mishonga yose ine njodzi uye inobatsira, uye chii chakanakira munhu mumwe chete chingava cheimwe. Iva iwe pachako mupepeti wekuchengetedzwa kwekenza yako uye sarudza marapirwo anonzwa akanakidzwa kwauri iwe somumwe uye kwete mumwe munhu. Kuita zvisarudzo zvako nezvekurapa kwekenza yemvere ndeimwe nzira yekuzvirumbidza nayo kuburikidza nekurapa uye kupfuura.

> Sources:

> Gabani, P., Cyr, A., Zoberi, J. et al. Migumisiro Yenguva refu yeAppBI kuburikidza ne Multicatheter Interstitial HDR Brachytherapy: Zvigadzirwa zveChirangaridzo Chekunyora-Chikoro Chepamutemo. Brachytherapy . 2017 Oct 28. (Epub mberi kwechinyorwa).

> Hepel, J., Arthur, J., Shaitelman, S. et al. American Brachytherapy Society Mushumo Wekubvumirana neKuparadzaniswa Kwechikamu Chechirwere Chechirwere Nokushandura Mutambo weCharpytherapy. Brachytherapy . 2017. 16 (5): 919-928.

> Hickey, B., Lehman, M., Francis, D., uye A. Ona. Chikamu Chine Chirwere Chirwere Chirwere Chepabonde Chekutanga. Cochrane Database yekuongorora kwakarongeka . 2016. 7: CD007077.pub3.

> Polgar, C., Ott, O., Hildebrandt, G. et al. Zuva Rekupedzisira-Migumisiro uye Zvipfeko Zvokufambisa Kwekuwedzera Kwemazamu Breast Irradiation Nechipatara Brachytherapy Versus Whose-Breast Irradiation Mushure mekunge Breast-Conserving Surgery yeA-Risk Inowanikwa uye In-Situ Carcinoma yeBret. Lancet Oncology . 2017. 18 (2): 259-268.

> Rana, Z., Nasr, N., Ji, H. et al. Kuenzanisa Zvinyorwa Zvitsva Zvokushandisa Kushandiswa Kwakawanda Kwechirwere Chechirwere Kujekesa Pamwe Chetatu Catheter Subtypes. Radiation Oncology . 2015. 10: 160.