
Brachytherapy he ʻano o ka radiation therapy i hoʻohana ʻia e mālama maʻi maʻi prostate. Hoʻopili ia i ka hoʻokomo pono ʻana i nā hua radioactive i loko o ka prostate gland, e hāʻawi ana i ka nui o ka radiation i ka ʻōpū a e hōʻemi ana i ka ʻike ʻana i nā ʻiʻo olakino a puni. Hiki ke hana maikaʻi loa kēia ʻano hana kūloko a hāʻawi paha i nā mea maikaʻi ma mua o nā koho lapaʻau ʻē aʻe e like me ke ʻoki ʻana a i ʻole ka radiation beam waho. He aha ka Brachytherapy no ka maʻi maʻi prostate?Brachytherapy, i ʻike ʻia hoʻi ʻo ka radiation radiation internal, kahi lapaʻau i manaʻo ʻia no maʻi maʻi prostate. Ma kahi o ke kuhikuhi ʻana i ka radiation mai waho o ke kino (external beam radiation), brachytherapy pili i ka waiho ʻana i nā kumu radioactive liʻiliʻi, i kapa pinepine ʻia he ʻanoʻano, i loko pono o ka gland prostate. ʻAe kēia i ka hāʻawi ʻia ʻana o ka nui o ka radiation i nā sela maʻi maʻi ʻoiai e mālama ana i nā ʻiʻo olakino kokoke e like me ka ʻōpū a me ka rectum. Nā ʻano Brachytherapy ʻElua ʻano nui brachytherapy hoʻohana ʻia no lapaʻau maʻi maʻi prostate:ʻO ka Brachytherapy no ka LDR: Ma LDR brachytherapy, nā hua radioactive liʻiliʻi i hana ʻia me ka iodine-125 a i ʻole palladium-103 i hoʻokomo mau ʻia i loko o ka prostate gland. Hoʻokuʻu mālie nā hua i ka radiation no kekahi mau pule a i ʻole mau mahina.ʻO Brachytherapy: HDR brachytherapy pili i ka hoʻokomo ʻana i nā catheters lahilahi i loko o ka prostate. Hoʻokomo ʻia kahi kumu radioactive ikaika (ʻo ia ka iridium-192) i loko o kēlā me kēia catheter no kekahi mau minuke i ka manawa. Wehe ʻia ke kumu ma hope o kēlā me kēia kau lapaʻau, a wehe ʻia nā catheters ma hope o ka pau ʻana o nā kau.Brachytherapy He koho lapaʻau kūpono paha ia no nā kāne me: maʻi maʻi prostate ʻO ka nui o ka prostate liʻiliʻi e noʻonoʻo kāu kauka i kou kūlana pilikino, me kou olakino holoʻokoʻa, makahiki, a me nā hiʻohiʻona maʻi kanesa, e hoʻoholo inā brachytherapy ʻo ia ke koho lapaʻau kūpono iā ʻoe. ʻO ke kaʻina hana Brachytherapy: He aha ka mea e manaʻo ai brachytherapy ʻokoʻa ke kaʻina hana ma muli o ke ʻano (LDR a i ʻole HDR) i hoʻohana ʻia. LDR Brachytherapy ProcedureHoʻomākaukau: E loaʻa iā ʻoe nā ʻōlelo aʻoaʻo no ka hoʻomākaukau ʻana i ka ʻōpū a hāʻawi ʻia paha i nā lāʻau antibiotic e pale ai i ka maʻi.Anesthesia: Hana ʻia ke kaʻina hana ma lalo o ka anesthesia āpau a i ʻole ka spinal.Hoʻokomo i nā hua: Me ka hoʻohana ʻana i ke alakaʻi ultrasound, hoʻokomo ke kauka i nā nila ma ka perineum (ka wahi ma waena o ka scrotum a me ka anus) i loko o ka prostate gland. Hoʻokomo ʻia nā hua radioactive ma o nā nila.Ma hope o ke kaʻina hana: Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ka lā aʻe. Pono ʻoe e mālama i kekahi manawa e hōʻemi i ka ʻike ʻana i ka radiation i nā poʻe ʻē aʻe, e like me ka pale ʻana i ka pilina pili me nā wahine hāpai a me nā keiki ʻōpio.HDR Brachytherapy ProcedureHoʻokomo ʻia ka Catheter: Ma lalo o ka anesthesia, hoʻokomo ʻia nā kola hollow (catheters) ma o ka perineum a i loko o ka gland prostate.Nā Kau Hana: I loko o kekahi mau lā, e loaʻa iā ʻoe nā kau lapaʻau he nui. I loko o kēlā me kēia kau, hoʻokomo ʻia ke kumu radioactive i loko o nā catheters no kahi manawa pōkole.Wehe ʻia ka catheter: Ma hope o ke kau lapaʻau hope loa, wehe ʻia nā catheters. Nā pōmaikaʻi o Brachytherapy no ka maʻi maʻi prostateBrachytherapy hāʻawi i kekahi mau pono kūpono no nā kāne me maʻi maʻi prostate:Lapaʻau i manaʻo ʻia: Hāʻawi i kahi kiʻekiʻe kiʻekiʻe o ka radiation pololei i ke koko, e hōʻemi ana i ka ʻike ʻana i nā ʻiʻo olakino a puni.ʻOi aku ka pōkole o ka mālama ʻana: Pono pinepine ka liʻiliʻi o nā kau lapaʻau i hoʻohālikelike ʻia me ka radiation beam waho.Loaʻa haʻahaʻa o nā hopena ʻaoʻao: Hiki ke hopena i ka liʻiliʻi o nā hopena ʻaoʻao ma mua o nā lāʻau lapaʻau ʻē aʻe, e like me ke ʻoki ʻana a i ʻole ka radiation beam o waho, e pili ana i ka hana mimi a me ka moekolohe.Kaʻina hana maʻi ma waho: LDR brachytherapy hana pinepine ʻia ma ke ʻano he kaʻina maʻi ma waho. Nā hopena ʻaoʻao o BrachytherapyE like me nā lāʻau lapaʻau āpau, brachytherapy hiki ke hana i nā hopena ʻaoʻao. Hiki i nā hopena ʻaoʻao maʻamau ke komo: Nā pilikia urinary (e laʻa, ka mimi pinepine, ka wikiwiki, ke ʻano wela) Nā pilikia o ka ʻōpū (e laʻa, ka maʻi ʻeha, ka ʻeha ʻāʻī) Erectile dysfunction ʻO kēia mau hopena ʻaoʻao he manawa pōkole wale nō a hiki ke mālama ʻia me ka lāʻau lapaʻau a me nā mālama kākoʻo ʻē aʻe. He mea nui e kūkākūkā i nā hopena ʻaoʻao me kāu kauka ma mua o ka hana ʻana brachytherapy.Brachytherapy vs. ʻO nā Lapaʻau Maʻi Prostate ʻē aʻeBrachytherapy ʻo ia kekahi o nā koho lapaʻau no maʻi maʻi prostate. ʻO nā koho ʻē aʻe kekahi: ʻO ka ʻokiʻoki (radical prostatectomy)External beam radiation therapy (EBRT)Active surveillanceHormone therapyChemotherapy ʻO ke koho lapaʻau maikaʻi loa iā ʻoe e hilinaʻi ʻia ma kou kūlana pilikino, me ke kahua a me ka pae o kou maʻi kanesa, kou olakino holoʻokoʻa, a me kāu makemake. E kamaʻilio me kāu kauka e pili ana i nā pilikia a me nā pōmaikaʻi o kēlā me kēia koho lapaʻau e hoʻoholo i ka ʻike. brachytherapy no ka mea maʻi maʻi prostate ʻoi aku ka maikaʻi no nā kāne me ka maʻi maʻi mua. Ua hōʻike nā haʻawina i kēlā brachytherapy hiki ke hana like me ka ʻoki ʻana a i ʻole ka radiation beam waho i ka hoʻomalu ʻana i ka maʻi kanesa a pale i ka hoʻi hou ʻana. ʻOkoʻa ka nui o ka holomua ma muli o nā kumu e like me ka hui pilikia o ka mea maʻi, ka helu Gleason, a me ka pae PSA. E kōkua ke kūkākūkā me ka lāʻau lapaʻau oncologist i ka hoʻomaopopo ʻana i ka wānana e pili ana i nā ʻano maʻi o kēlā me kēia kanaka. brachytherapy no ka mea lapaʻau maʻi maʻi prostate, he mea nui e ʻimi i kahi kauka lāʻau lapaʻau kūpono a ʻike. E ʻimi i ke kauka i hōʻoia ʻia e ka papa a loaʻa ka ʻike nui i ka hana brachytherapy. ʻO ka Shandong Baofa Cancer Research Institute hāʻawi kiʻekiʻe lapaʻau maʻi maʻi prostate komo brachytherapy. Nā Kūlana Hou ma BrachytherapyKe kahua o brachytherapy ke ulu mau nei, me nā ʻenehana a me nā ʻenehana hou e hoʻomohala ʻia e hoʻomaikaʻi i nā hopena a hōʻemi i nā hopena ʻaoʻao. ʻO kekahi mau holomua hou e komo pū ana:Nā ʻenehana kiʻi i hoʻomaikaʻi ʻia: ʻO nā holomua i nā ʻenehana kiʻi, e like me ka MRI a me CT scans, hiki ke hoʻokomo pololei i nā hua radioactive a i ʻole nā catheters.Hoʻolālā Lapaʻau Manawa maoli: ʻO ka hoʻolālā lapaʻau manawa maoli e hiki ai i nā kauka ke hoʻoponopono i ka nui o ka radiation i ka wā o ke kaʻina hana e hoʻomaikaʻi i ka lawe ʻana i ka lāʻau.Nā lāʻau lapaʻau hui: Hoʻohui brachytherapy me nā lāʻau lapaʻau ʻē aʻe, e like me ka hormone therapy a i ʻole ka radiation beam waho, hiki ke hoʻomaikaʻi i nā hopena no kekahi mau maʻi. Shandong Baofa Cancer Research Institute, ua kūpaʻa mākou i ka hāʻawi ʻana i nā mea holomua a maikaʻi loa lapaʻau maʻi maʻi prostate nā koho i loaʻa. Hana pū kā mākou hui o ka radiation oncologists, urologists, a me nā loea ʻē aʻe e hoʻomohala i nā hoʻolālā lapaʻau pilikino no kēlā me kēia maʻi. Hāʻawi mākou iā LDR a me HDR brachytherapy, a me nā lāʻau lapaʻau ʻokiʻoki ʻē aʻe e like me ka intensity-modulated radiation therapy (IMRT) a me ke kiʻi-guided radiation therapy (IGRT). E aʻo hou e pili ana i kā mākou maʻi maʻi prostate polokalamu a e hoʻonohonoho i kahi kūkākūkā, e ʻoluʻolu e kipa i kā mākou pūnaewele a i ʻole e kelepona mai iā mākou i kēia lā.