brachytherapy unyango umhlaza wedlala lobudoda

Brachytherapy luhlobo lonyango lwemitha olusetyenziselwa ukunyanga umhlaza wedlala lesinyi. Kubandakanya ukubeka imbewu ye-radioactive ngokuthe ngqo kwi-prostate gland, ukuhambisa idosi ephezulu yemitha kwi-tumor ngelixa unciphisa ukuvezwa kwizicubu ezinempilo ezingqongileyo. Le ndlela yasekuhlaleni inokusebenza kakhulu kwaye inokubonelela ngeenzuzo ngaphezu kwezinye iindlela zonyango ezifana notyando okanye umqadi wangaphandle ngemitha.Yintoni iBrachytherapy kuMhlaza weProstate?Brachytherapy, ekwaziwa njengonyango lwangaphakathi lweradiation, lunyango ekujoliswe kulo umhlaza wedlala lesinyi. Endaweni yokwalathisa imitha evela ngaphandle komzimba (imitha yemitha yangaphandle), ibrachytherapy kubandakanya ukubeka imithombo emincinane yeradioactive, edla ngokubizwa ngokuba yimbewu, ngqo ngaphakathi kwidlala lengqula. Oku kuvumela idosi ephezulu yokusasazeka kwemitha ukuba isiwe kwiiseli ezinomhlaza ngelixa kugcinwa izihlunu ezikufutshane ezisempilweni njengesinye kunye ne-rectum.Iintlobo zeBrachytherapyZimbini iindidi eziphambili ze ibrachytherapy esetyenziselwa unyango lomhlaza wedlala lesinyi:Iqondo leDosi ePhantsi (LDR) Brachytherapy: Kwi-LDR ibrachytherapy, imbewu encinci ye-radioactive eyenziwe nge-iodine-125 okanye i-palladium-103 ifakwe ngokusisigxina kwi-prostate gland. Imbewu ikhupha imitha kancinane kwiiveki okanye iinyanga ezininzi.I-High-Dose-Rate (HDR) Brachytherapy: HDR ibrachytherapy kubandakanya ukufaka okwethutyana iicatheter ezibhityileyo kwidlala lengqula. Umthombo oqinileyo weradioactive (ngokuqhelekileyo i-iridium-192) ufakwa kwi-catheter nganye imizuzu embalwa ngexesha. Umthombo uyasuswa emva kweseshoni yonyango nganye, kwaye i-catheters iyasuswa emva kokuba zonke iiseshoni zigqityiwe.Ngubani uMviwa oLungileyo we-Prostate Brachytherapy?Brachytherapy inokuba lukhetho olufanelekileyo lonyango lwamadoda ane:Abaqalayo umhlaza wedlala lesinyi ebekwe kwindawo yedlala lobudoda ezantsi ukuya kumanqaku aphakathi eGleason (umlinganiselo wokuba nomhlaza wedlala) Ubuncinci ubukhulu bedlala lobudoda Ugqirha wakho uya kuthathela ingqalelo iimeko zakho, kuquka impilo yakho iyonke, ubudala, kunye neempawu zomhlaza, ukufumanisa ukuba ibrachytherapy lolona khetho lufanelekileyo lonyango kuwe.INkqubo yeBrachytherapy: Yintoni omawuyilindele ibrachytherapy inkqubo iyahluka ngokuxhomekeke kuhlobo (LDR okanye HDR) esetyenziswayo.LDR Brachytherapy ProcedureUkulungiselela: Uya kufumana imiyalelo malunga nokulungiswa kwamathumbu kwaye unokunikwa i-antibiotics ukuthintela usulelo.I-anesthesia: Inkqubo ngokuqhelekileyo yenziwa phantsi komgogodla okanye i-anesthesia jikelele.Ukufakelwa kwembewu: Ukusebenzisa isikhokelo se-ultrasound, ugqirha ufaka iinaliti kwi-perineum (indawo ephakathi kwe-scrotum kunye ne-anus) kwi-prostate gland. Imbewu ye-radioactive emva koko ifakwe ngeenaliti.Inkqubo yasemva: Ngokuqhelekileyo uya kukwazi ukuya ekhaya kwangolo suku okanye ngosuku olulandelayo. Kuya kufuneka uthathe amanyathelo okhuseleko kangangexesha elithile ukuze unciphise ukuba sesichengeni ngemitha kwabanye, njengokunqanda ukudibana ngokusondeleyo nabasetyhini abakhulelweyo kunye nabantwana abancinci. Inkqubo ye-HDR BrachytherapyUkubekwa kweCatheter: Ngaphantsi kwe-anesthesia, iinaliti ezingenanto (i-catheters) zifakwe kwi-perineum kunye ne-prostate gland.Iiseshoni zonyango: Kwiintsuku ezimbalwa, uya kufumana iiseshoni zonyango ezininzi. Ngexesha leseshoni nganye, umthombo we-radioactive ufakwa kwii-catheters ixesha elifutshane.Ukususwa kweCatheter: Emva kweseshoni yokugqibela yonyango, i-catheters iyasuswa.Iinzuzo ze-Brachytherapy ye-Prostate CancerBrachytherapy inikeza izibonelelo ezininzi ezinokubakho kumadoda ane umhlaza wedlala lesinyi:Unyango ekujoliswe kulo: Ihambisa idosi ephezulu yemitha ngokuthe ngqo kwithumba, inciphisa ukuvezwa kwizihlunu ezisempilweni ezingqongileyo.Ubude bexesha loNyango olufutshane: Isoloko ifuna iiseshini zonyango ezimbalwa xa kuthelekiswa nemitha yemitha yangaphandle.UMngcipheko oMncinane weZiphumo eziPhakamileyo: Ingakhokelela kwiziphumo ebezingalindelekanga ezimbalwa kunolunye unyango, olufana noqhaqho okanye ukusasazeka kwemitha yangaphandle, ngakumbi malunga nokuchama kunye nokusebenza ngokwesondo.Inkqubo yezigulana ezingaphandle: LDR ibrachytherapy Ihlala yenziwa njengenkqubo yezigulana ezingalaliswayo.Iimpembelelo ezinokuthi zibe kho zeBrachytherapyNjengalo lonke unyango lomhlaza, ibrachytherapy kunokubangela iziphumo ebezingalindelekanga. Iziphumo ebezingalindelekanga eziqhelekileyo zinokubandakanya:Iingxaki zokuchama (umzekelo, ukuchama rhoqo, ukungxamiseka, ukuvutha komsindo)Iingxaki zamathumbu (umzekelo, urhudo, iintlungu ze-rectal)Ukungasebenzi kakuhle kwe-ErectileLe miphumo emibi idla ngokuba yeyokwexeshana kwaye inokulawulwa ngamayeza kunye nolunye ukhathalelo oluxhasayo. Kubalulekile ukuxoxa ngeziphumo ebezingalindelekanga kunye nogqirha wakho phambi kokuba ungene ibrachytherapy.Brachytherapy vs. Okunye uNyango lweProstate CancerBrachytherapy lolunye nje lweendlela zonyango ezininzi umhlaza wedlala lesinyi. Olunye ukhetho luquka:Utyando (radical prostatectomy)Unyango lwemitha yangaphandle (EBRT)Uvavanyo olusebenzayoUnyango lweHormoneUnyango ngeChemotherapyOlona khetho lulungileyo lonyango lwakho luya kuxhomekeka kwiimeko zakho, kubandakanywa inqanaba kunye nebakala lomhlaza wakho, impilo yakho iyonke, kunye nezinto ozikhethayo. Thetha nogqirha wakho malunga neengozi kunye neenzuzo zokhetho ngalunye lonyango ukwenza isigqibo esinolwazi.Brachytherapy Success RatesAmazinga okuphumelela ibrachytherapy ngenxa umhlaza wedlala lesinyi zilungile kakhulu, ngakumbi kumadoda anesifo sokuqala. Uphando luye lwabonisa ukuba ibrachytherapy inokusebenza njengotyando okanye imitha yemitha yangaphandle ekulawuleni umhlaza kunye nokuthintela ukuvela kwakhona. Amazinga empumelelo ayahluka ngokuxhomekeke kwizinto ezifana neqela lomngcipheko wesigulana, amanqaku eGleason, kunye nenqanaba lePSA. Ukubonisana ne-radiation oncologist kuya kunceda ekuqondeni i-prognosis esekelwe kwiimpawu zesigulana esizimeleyo.Ukufumana iNgcali ye-BrachytherapyUkuba ucinga ibrachytherapy ngenxa unyango lomhlaza wedlala lesinyi, kubalulekile ukufumana i-oncologist enolwazi kunye namava. Khangela ugqirha oqinisekisiweyo webhodi kwaye unamava amaninzi okwenza ibrachytherapy. I IZiko loPhando ngoMhlaza laseShandong Baofa inikeza phambili unyango lomhlaza wedlala lesinyi kuquka ibrachytherapy. Inkqubela phambili yamva nje kwi-BrachytherapyIntsimi ye ibrachytherapy ihlala iguquka, kunye neendlela ezintsha kunye nobuchwepheshe obuphuhliswayo ukuphucula iziphumo kunye nokunciphisa iziphumo ebezingalindelekanga. Ezinye iinkqubela phambili zamva nje ziquka:Iindlela eziphuculweyo zokufanekisa: Inkqubela phambili kubuchwepheshe bomfanekiso, njenge-MRI kunye ne-CT scans, ivumela ukubekwa okuchanekileyo ngakumbi kwembewu ye-radioactive okanye i-catheters.Isicwangciso sexesha loNyango: Ukucwangciswa kwexesha lokwenyani lonyango kuvumela oogqirha ukuba bahlengahlengise idosi yemitha ngexesha lenkqubo yokuphucula ukuhanjiswa konyango.Unyango oludityanisiweyo: Ukudibanisa ibrachytherapy kunye nolunye unyango, olufana nonyango lwehomoni okanye ukusasazeka kwemitha yangaphandle, kunokuphucula iziphumo kwezinye izigulana.Ukhetho loNyango lweProstate Cancer eShandong Baofa Cancer Research InstituteE IZiko loPhando ngoMhlaza laseShandong Baofa, sizimisele ukubonelela ngeyona nto iphambili kwaye isebenzayo unyango lomhlaza wedlala lesinyi iinketho ezikhoyo. Iqela lethu leengcali ze-radiation oncologists, ii-urologists, kunye nezinye iingcali zisebenza kunye ukuphuhlisa izicwangciso zonyango lomntu ngamnye kwisigulana ngasinye. Sinikezela zombini i-LDR kunye ne-HDR ibrachytherapy, kunye nolunye unyango olungxamisekileyo olufana nonyango lweradiation-modulated intensity-modulated radiation (IMRT) kunye nonyango olukhokelwa ngumfanekiso (IGRT). Ukuze ufunde ngakumbi malunga wethu umhlaza wedlala lesinyi inkqubo kunye nokucwangcisa ukubonisana, nceda undwendwele iwebhusayithi yethu okanye uqhagamshelane nathi namhlanje.