Sashin gyaran nono mai raɗaɗi

Brachytherapy don ciwon nono ya haɗa da sanya kayan aikin rediyo kai tsaye a yankin da aka cire kansar nono daga nono.

Kwayoyin cutar kansa sun ninka fiye da na al'ada a jiki. Saboda radiation yafi cutarwa ga kwayoyin halitta masu saurin girma, maganin radiation yana lalata kwayoyin kansar cikin sauki fiye da kwayoyin al'ada. Wannan yana hana kwayoyin cutar kansa girma da rarrabawa, kuma yana haifar da mutuwar kwayar halitta.

Brachytherapy yana ba da maganin radiation kai tsaye zuwa inda ƙwayoyin cutar kansa dake cikin nono suke. Zai iya haɗawa da sanya tushen tushe na rediyo a cikin shafin tiyata bayan likita mai fiɗa ya cire dunƙun nono. Radiyon kawai ya isa wani karamin yanki a kusa da wurin aikin tiyata. Ba ya kula da dukan nono, shi ya sa ake kira shi "juzurar nono" maganin jujjuyawar fata ko ɓangaren ƙwayar mama. Manufar shine a iyakance illa na radiation zuwa ƙaramin ƙaramin abu na al'ada.

Akwai nau'ikan gyaran kafa na gyaran kai. Akwai aƙalla hanyoyi guda biyu don sadar da radiation daga cikin nono.

BRACHYTHERAPY na INSTITITIAL (IMB)

• Ana sanya kananan allurai masu yawa tare da bututu da ake kira catheters a cikin fata a cikin kyallen nono a kewayen wurin lumpectomy. Wannan galibi ana yin shi sati 1 zuwa 2 bayan tiyata.
• Ana amfani da Mammography, duban dan tayi, ko sikanin CT don sanya kayan aikin rediyo a inda zai yi aiki mafi kyau don kashe kansa.
• Ana sanya kayan aikin rediyo a cikin catheters kuma ya rage sati 1.
• Wani lokaci ana iya kawo rediyon sau biyu a rana don kwanaki 5 ta inji mai sarrafa nesa.

INTRACAVITARY BRACHYTHERAPY (IBB)

• Bayan cirewar dunkulen nono, akwai rami inda aka cire kansar. Na'urar da ke dauke da balan-balan na siliki da bututu wanda ke da tashoshi da ke bi ta ciki ana iya saka ta cikin wannan ramin. Bayan 'yan kwanaki bayan sanyawa, radiation a cikin nau'ikan kananan pellets na rediyoaktif zai iya shiga tashoshi, yana isar da radiation daga cikin balon. Ana yin hakan sau biyu a rana har tsawon kwanaki biyar. Wani lokaci ana sanya catheter yayin aikin tiyata na farko yayin da kake bacci.
• Ana amfani da duban dan tayi ko CT scans don jagorantar ainihin sanya kayan rediyo inda zaiyi aiki mafi kyau don kashe kansar yayin kare kyallen takarda.
• Katallar (balan-balan) ya kasance a wurin kusan mako 1 zuwa 2 kuma an cire shi a ofishin mai ba da sabis. Ana iya buƙatar ɗinka don rufe ramin daga inda aka cire catheter ɗin.

Ana iya ba da Brachytherapy a matsayin "ƙananan kashi" ko "babban kashi."

• Wadanda ke karbar magani mai karamin karfi ana ajiye su a asibiti a wani daki. Sannu a hankali ana kawo radiation cikin awanni zuwa kwanaki.
• An bayar da babban magani azaman mara lafiya ta hanyar amfani da injin nesa, kuma yawanci sama da kwana 5 ko ma haka. Wani lokaci ana kawo magani sau biyu a cikin rana guda, rabu da 4 zuwa 6 hours tsakanin zaman. Kowane magani yana ɗaukar minti 15 zuwa 20.

Sauran fasahohin sun haɗa da:

• Tsarin dasa nono na dindindin (PBSI), wanda ake saka tsaba iri-iri ta hanyar allura a cikin ramin nono makonni da yawa bayan lumpectomy.
• Ana gabatar da aikin maganin cikin iska a cikin dakin aiki yayin da kuke bacci bayan an cire kayan nono. An gama maganin cikin ƙasa da awa ɗaya. Wannan yana amfani da babban injin x-ray a cikin ɗakin aiki.

Masana sun koya cewa wasu cututtukan daji suna iya dawowa kusa da wurin aikin tiyata na asali. Sabili da haka, a wasu yanayi, gaba ɗayan nono bazai buƙatar karɓar radiation ba. Sashin fitar nono kawai yana kula da wasu amma ba duka nono ba, yana mai da hankali kan yankin da mai yiwuwa cutar kansa ta dawo.

Magungunan gyaran kafa na mama yana taimakawa hana kansar mama dawowa. Ana ba da farkewar radiation bayan lumpectomy ko ɓangaren mastectomy. Wannan hanyar ana kiranta adjuvant (ƙarin) maganin fure saboda yana ƙara magani fiye da tiyata.

Saboda ba a yi nazarin waɗannan dabarun sosai ba kamar yadda ake amfani da ƙwayar ƙwayar ƙwayar nono duka, babu cikakkiyar yarjejeniya game da wanda zai iya fa'ida.

Nau'o'in cutar sankarar mama da za a iya magance ta tare da jujjuyawar ruwan nono sun haɗa da:

• Carcinoma ductal a cikin yanayi (DCIS)
• Cutar kansa ta mama

Sauran abubuwan da zasu iya haifar da amfani da jarfa sun hada da:

• Girman umanƙasa ƙasa da cm 2 zuwa 3 cm (kimanin inci)
• Ba a cire shaidar kumburi tare da kewayen gefen samfurin ƙari ba
• Magungunan Lymph ba su da kyau don ƙari, ko kuma kumburi ɗaya kawai yana da adadin microscopic

Faɗa wa mai ba ka magungunan da kake sha.

Sanya tufafi masu annashuwa zuwa jiyya.

Hakanan maganin fitila zai iya lalata ko kashe ƙwayoyin rai. Mutuwar ƙwayoyin rai na iya haifar da sakamako masu illa. Wadannan illolin suna dogara ne akan yawan haskakawa, kuma sau nawa kuke samun far.

• Kuna iya samun dumi ko ƙwarewa a kusa da wurin aikin tiyata.
• Kuna iya haifar da ja, taushi, ko ma wata cuta.
• Aljihun ruwa (seroma) na iya bunkasa a cikin wurin tiyata kuma yana iya buƙatar magudanar ruwa.
• Fatar jikinki a wurin da aka kula ta na iya zama ja ko duhu a launi, bawo, ko ƙaiƙayi.

Hanyoyin sakamako na dogon lokaci na iya haɗawa da:

• Rage girman nono
• Firmara ƙarfin nono ko wani asymmetry
• Jan fata da canza launi

Babu wani karatun karatu mai inganci wanda yake kwatanta brachytherapy zuwa ruwan nono gaba daya. Koyaya, sauran nazarin sun nuna sakamakon ya zama daidai ga mata masu fama da cutar sankarar mama.

Ciwon nono - m radiation far; Carcinoma na nono - m radiation far; Brachytherapy - nono; Adjuvant m nono radiation - brachytherapy; APBI - brachytherapy; Celeara hanzarin saka nono cikin iska - brachytherapy; M radiation radiation na farji - brachytherapy; Dashen dashen nono na dindindin; PBSI; Radioananan maganin rediyo - nono; Babban maganin rediyo - nono; Ballon wutar lantarki balan-balan; EBB; Intracavitary brachytherapy; IBB; Hanyar brachytherapy; IMB

Yanar gizo Cibiyar Cancer ta Kasa. Maganin kansar nono (babba) (PDQ) - sigar kwararriyar kiwon lafiya. www.cancer.gov/types/breast/hp/breast-treatment-pdq. An sabunta Fabrairu 11, 2021. An shiga Maris 11, 2021.

Yanar gizo Cibiyar Cancer ta Kasa. Radiation far da ku: tallafi ga mutanen da ke da ciwon daji. www.cancer.gov/publications/patient-education/radiationttherapy.pdf. An sabunta Oktoba 2016. Samun damar Oktoba 5, 2020.

Otter SJ, Holloway CL, O'Farrell DA, Devlin PM, Stewart AJ. Brachytherapy. A cikin: Tepper JE, Foote RL, Michalski JM, eds. Gunderson da Tepper na Clinical Radiation Oncology. 5th ed. Philadelphia, PA: Elsevier; 2021: babi na 20.

Shah C, Harris EE, Holmes D, Vicini FA. Banban nono na musamman: hanzari da aiki cikin ciki. A cikin: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Nono: Cikakken Gudanar da Cutar Marasa Lafiya da Cutar Marasa Lafiya. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 51.