ʻO Prostate brachytherapy

ʻO Brachytherapy kahi hana e hoʻokomo i nā ʻano radioactive (pellets) i loko o ka gland prostate e pepehi i nā cell cancer cancer. Hiki i nā hua ke hāʻawi i nā kiʻekiʻe he nui a haʻahaʻa paha o ka pāhawewe.

Lawe ʻo Brachytherapy i 30 mau minuke a ʻoi paha, ke kaukaʻi ʻia i ke ʻano o ka lāʻau āu. Ma mua o ke kaʻina hana, e hāʻawi ʻia ʻoe i ka lāʻau i ʻole ʻoe e ʻeha. Hiki iā ʻoe ke loaʻa:

• ʻO kahi mea hoʻohiamoe e hoʻonāukiuki ai ʻoe a me ka hōʻino ʻana i ka lāʻau i kāu perineum. ʻO kēia kahi ma waena o ka anus a me ka scrotum.
• Anesthesia: Me ka anesthesia ʻōiwi, e hiamoe ʻoe akā ala hoʻi, a ʻōpala ma lalo o ka pūhaka. Me ka anesthesia laulā, e hiamoe ʻoe a manu ʻole ka ʻeha.

Ma hope o kou loaʻa ʻana i ka anesthesia:

• Hoʻokomo ke kauka i kahi ʻimi ultrasound i loko o kāu polima e nānā ai i kahi. ʻO ka probe e like me ke kāmela i hoʻopili ʻia i kahi nānā wikiō i loko o ka lumi. Hoʻokomo ʻia paha kahi catheter (Tube) i loko o kāu pahu wai e hoʻoliʻiliʻi i ka mimi.
• Hoʻohana ke kauka i ka ultrasound a i ʻole kahi scan CT e hoʻolālā ai a laila kau i nā hua e hāʻawi i ka radiation i kāu prostate. Hoʻokomo ʻia nā ʻanoʻano me nā nila a i ʻole nā ​​mea noi kūikawā ma o kāu perineum.
• Ke hōʻeha iki paha ke kau ʻana i nā hua (inā ʻoe ala.)

Nā ʻano o brachytherapy:

• ʻO ka brachytherapy pae haʻahaʻa haʻahaʻa ka ʻano maʻamau o ka mālama ʻana. Noho nā hua i loko o kāu prostate a kau i kahi liʻiliʻi o ka radiation no kekahi mau mahina. Hele ʻoe i kāu maʻamau maʻamau me nā ʻanoʻano ma kahi.
• ʻO ka brachytherapy uku palena kiʻekiʻe ma kahi o 30 mau minuke. Hoʻokomo kāu kauka i ka mea radioactive i ka prostate. Hiki i ke kauka ke hoʻohana i kahi lopako kamepiula e hana i kēia. Lawe koke ʻia ka mea radioactive ma hope o ka mālama ʻana. Koi pinepine kēia hana i 2 mau lapaau i hoʻokaʻawale ʻia ma kahi o ka pule 1.

Hoʻohana pinepine ʻia ʻo Brachytherapy no nā kāne me ka maʻi ʻaʻai prostate i ʻike ʻia a kakahiaka a ulu lohi. Heʻuʻuku nā pilikia a Brachytherapy ma mua o ka radiation radiation maʻamau. Pono ʻoe i mau kipa liʻiliʻi me ka mea lawelawe olakino.

Nā pilikia o kekahi anesthesia:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu

Nā pilikia o kekahi ʻoki kino:

• Kahena
• Maʻi kīnā

ʻO nā pilikia o kēia kaʻina hana:

• Impotence
• Hōʻalo paʻakikī i kou ʻōpū, a me ka pono e hoʻohana i kahi catheter
• ʻO ka wikiwiki o Rectal, a i ʻole ka manaʻo e pono ai ʻoe i kahi ʻōpū i kēia manawa koke
• ʻO ka huhū o ka ʻili i kāu koleka a i ʻole ke kahe ʻana o ke kō mai kou pā
• Nā pilikia mimi ʻē aʻe
• Ulcer (ʻeha) a i ʻole fistula (ʻāpana kūpono ʻole) i ka poli, scarring a me ka pākī ʻana o ka urethra (he āpau kēia mau mea āpau)

E haʻi i kāu mea hāʻawi i nā lāʻau āu e lawe nei. Hoʻopili kēia i nā lāʻau, nā mea hoʻopihapiha, a i ʻole nā ​​mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

Ma mua o kēia kaʻina hana:

• Pono paha ʻoe e loaʻa i nā ultrasounds, x-ray, a i ʻole CT scans e hoʻomākaukau ai no ke kaʻina hana.
• I kekahi mau lā ma mua o ke kaʻina hana, e haʻi ʻia paha ʻoe iā ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau e paʻakikī i kou kōkō ʻana ke kō. Hoʻopili kēia mau lāʻau i ka aspirin, ibuprofen (Advil), clopidogrel (Plavix), a me warfarin (Coumadin).
• E nīnau i nā lāʻau āu e lawe ai i ka lā o ke ʻoki.
• Inā puhi ʻoe, hoʻāʻo e kū. Hiki i kāu mea hāʻawi ke kōkua.

I ka lā o ke kaʻina hana:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai ʻole i kekahi mea no kekahi mau hola ma mua o ke kaʻina hana.
• E lawe i nā lāʻau i haʻi ʻia iā ʻoe e lawe me kahi wai liʻiliʻi.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila. E hōʻea pono i ka manawa.

He hiamoe paha ʻoe a ʻeha ʻeha a palupalu hoʻi ma hope o ke kaʻina hana.

Ma hope o ke kaʻina hana waho, hiki iā ʻoe ke hoʻi i ka home ke pau ke anesthesia. I nā hihia maʻamau, pono ʻoe e hoʻolilo i 1 a 2 mau lā i ka haukapila. Inā ʻoe e noho i ka haukapila, pono i kāu mau malihini kipa e ukali i nā hana palekana palekana radiation.

Inā loaʻa iā ʻoe kahi mea paʻa paʻa, e haʻi paha kāu mea hāʻawi iā ʻoe e kaupalena i ka manawa āu e hoʻohana ai a puni nā keiki a me nā wahine hāpai. Ma hope o kekahi mau pule i kekahi mau mahina, ua hala ka radiation a ʻaʻole e hana i kekahi ʻeha. Ma muli o kēia, ʻaʻohe pono e lawe i nā ʻanoʻano.

ʻO ka hapa nui o nā kāne me ka maʻi hānai prostate ulu liʻiliʻi e hoʻomau i ka maʻi ʻaʻai ʻole a i ʻole ke kāohi maikaʻi ʻana o kā lākou maʻi ʻaʻa no nā makahiki he nui ma hope o kēia lapaʻau. Mahope o nā mimi a i ʻole mau makahiki ke kuʻikuʻi o ka mimi a me ka hōʻailona.

Implant therapy - maʻi ʻaʻai prostate; Ke kau ʻana i ka hua radioactive; ʻAoʻao radiation radiation - prostate; ʻO ka radiation radiation kiʻekiʻe (HDR)

• ʻO Prostate brachytherapy - hoʻokuʻu

DʻAmico AV, Nguyen PL, Crook JM, et al. ʻO ka radiation radiation no ka maʻi ʻaʻai prostate. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 116.

ʻO Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Maʻi ʻaʻai Prostate. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 81.

Ka Waihona Waihona Lapaʻau o U.S. National Medicine, Pūnaewele PubMed. Papa Hoʻoponopono Hoʻolālā PDQ makua. Hoʻomaʻo Prostate cancer (PDQ): mana ʻoihana olakino. Bethesda, MD: National Cancer Institute; 2002-2019. PMID: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471.