Paʻa umauma brachytherapy

Hoʻopili ʻo Brachytherapy no ka maʻi ʻaʻai umauma i ke kau pololei ʻana i nā mea radioactive i kahi i lawe ʻia aku ai ka maʻi ʻaʻai umauma mai ka umauma mai.

Hoʻonui ka wikiwiki o nā kinikini ma mua o nā hunaola maʻamau i ke kino. No ka mea weliweli loa ka pāhawewe i nā pūnaewele e ulu koke ana, hōʻino ka radiation radiation i nā hunaola maʻi ʻoi aku ka maʻalahi ma mua o nā hunaola maʻamau. Pale kēia i nā hunaola maʻi ʻaʻai mai ka ulu ʻana a me ka hoʻokaʻawale ʻana, a hiki i ka make ʻana o ka cell.

Hāʻawi pololei ʻo Brachytherapy i ka radiation therapy i kahi e loaʻa ai nā hunaola maʻi ʻaʻai i loko o ka umauma. Pili paha ia i ke kau ʻana i kahi kumu radioactive i loko o ka pūnaewele ʻoki kino ma hope o ka hemo ʻana o ka lāʻau lapaʻau i kahi puʻupuʻu umauma. Hiki wale i ka pāhawewe i kahi wahi liʻiliʻi a puni ka wahi ʻoki lāʻau. ʻAʻole ia e mālama i ka umauma holoʻokoʻa, ʻo ia ke kumu i kapa ʻia ai "umauma hapa" radiation radiation a i ʻole hapa brachytherapy umauma. ʻO ka pahuhopu ka palena ʻana i nā hopena o ka radiation i kahi liʻiliʻi o nāʻiʻo maʻamau.

Aia kekahi mau ʻano brachytherapy. ʻElua mau ala e lawe i ka radiation mai loko o ka umauma.

INTERSTITIAL BRACHYTHERAPY (IMB)

• Hoʻokomo ʻia nā nila kuʻikuʻi liʻiliʻi me nā paipu i kapa ʻia nā catheters ma o ka ʻili i loko o nā kiko o ka umauma a puni ka pūnaewele lumpectomy. Hana pinepine ʻia kēia i 1 a 2 mau pule ma hope o ke kaha ʻana.
• Hoʻohana ʻia ka mamamography, ultrasound, a i ʻole CT scans e kau ai i ka mea radioactive kahi e maikaʻi ai ka hana e pepehi i ka maʻi ʻaʻai.
• Hoʻokomo ʻia ka mea radioactive i loko o nā catheters a noho mau no 1 pule.
• I kekahi manawa hiki ke hāʻawi i ka radiation i ʻelua mau manawa i ka lā no 5 mau lā e kahi mīkini mamao mamao.

INDRACAVITARY BRACHYTHERAPY (IBB)

• Ma hope o ka hemo ʻana o ka puʻupuʻu umauma, aia kahi lua kahi i lawe ʻia ai ka maʻi ʻaʻai. ʻO kahi hāmeʻa i loaʻa i kahi pāluna silikone a me ka paipu e loaʻa nā kahawai e holo ana i loko o ia hiki ke hoʻokomo ʻia i loko o kēia lua. I kekahi mau lā ma hope o ke kau ʻana, hiki i ka radiation i ke ʻano o nā pelele radioactive liʻiliʻi ke hele i loko o nā kahawai, e hāʻawi ana i ka radiation mai loko mai o ka baluna. Hana pinepine ʻia kēia i ʻelua mau manawa i ka lā no ʻelima mau lā. I kekahi manawa kau ʻia ka catheter i ka wā o ka ʻoki kino mua ke hiamoe ʻoe.
• Hoʻohana ʻia nā ultrasound a i ʻole CT scans e alakaʻi i ke kau pono ʻana o ka mea radioactive i kahi e hana maikaʻi loa ai e luku i ke kanesa ʻoiai ʻo ka pale ʻana i nā aʻa pili.
• Noho ka catheter (balloon) ma kahi o 1 a 2 mau pule a hemo i ke keʻena o kāu mea lawelawe. Pono paha nā humuhumu e pani i ka lua mai kahi e lawe ʻia ai ka catheter.

Hāʻawi ʻia ʻo Brachytherapy ma ke ʻano he "haʻahaʻa mahele lāʻau" a i ʻole "kaha kiʻekiʻe."

• ʻO ka poʻe e loaʻa ana i ka lāʻau lapaʻau haʻahaʻa e mālama ʻia i ka haukapila i kahi lumi pilikino. Hāʻawi lohi ʻia ka uila i nā hola i nā lā.
• Hāʻawi ʻia kahi lāʻau lapaʻau kiʻekiʻe ma ke ʻano he mea maʻi ma ka hoʻohana ʻana i ka mīkini mamao, ma kahi o 5 mau lā a ʻoi paha. I kekahi manawa hāʻawi ʻia ka lapaʻau i ʻelua manawa i ka lā hoʻokahi, hoʻokaʻawale ʻia e 4 a 6 mau hola ma waena o nā kau. Lawe kēlā me kēia lapaʻau ma kahi o 15 a 20 mau minuke.

ʻO nā ʻenehana ʻē aʻe nā:

• Hoʻokomo ʻia ka hua umauma paʻa (PBSI), kahi i hoʻokomo ʻia ai nā hua lekiō ma o ka nila i loko o ka umauma umauma i mau pule ma hope o ka lumpectomy.
• Lawe ʻia ka radiation radiation Intraoperative i loko o ka lumi lumi ke hiamoe ʻoe ma hope o ka hemo ʻana o kaʻiʻo umauma. Hoʻopau ʻia ka lāʻau ma lalo o hoʻokahi hola. Hoʻohana kēia i kahi mīkini x-ray nui i loko o ka lumi hana.

Ua ʻike ka poʻe loea i ka hoʻi ʻana o kekahi mau maʻi ʻaʻai kokoke i ka pūnaewele ʻaoʻao mua. No laila, i kekahi mau hihia, ʻaʻole pono ka umauma āpau e loaʻa i ka radiation. Mālama wale ka irradiation umauma ʻāpana i kekahi akā ʻaʻole naʻe o ka umauma, e kia ana ma kahi e hoʻi ai ka maʻi ʻaʻai.

Kōkua ka brachytherapy umauma i pale i ka maʻi ʻaʻai o ka umauma mai ka hoʻi ʻana. Hāʻawi ʻia ka radiation radiation ma hope o lumpectomy a i ʻole mastectomy hapa. Kapa ʻia kēia ala i adjuvant (hou) radiation therapy no ka mea ke hoʻohui nei ia i kahi lāʻau ma ʻō aku o ke kaha.

Ma muli o ke aʻo ʻole ʻia ʻana o kēia mau loea e like me ka therapy radiation radiation umauma holoʻokoʻa, ʻaʻohe ʻaelike piha e pili ana i ka mea e pōmaikaʻi ai.

Nā ʻano o ka maʻi ʻaʻai umauma i hiki ke mālama ʻia me ka radiation umauma ʻāpana e komo pū me:

• Carcomaoma ductal ma situ (DCIS)
• Maʻi ʻaʻai maʻi maʻi

ʻO nā kumu ʻē aʻe i alakaʻi i ka hoʻohana ʻana o brachytherapy me:

• Ka nui o ka Tumor ma lalo o 2 cm a 3 cm (ma kahi ʻīniha)
• ʻAʻohe hōʻike o ka tumo ma nā ʻaoʻao o ka ʻōpū i lawe ʻia
• ʻAʻole maikaʻi nā lymph node no ka tumo, a i ʻole hoʻokahi kōkoʻa i loaʻa nā helu microscopic

E haʻi i kāu mea hāʻawi i nā lāʻau āu e lawe nei.

E ʻaahu i nā lole keu i nā lāʻau lapaʻau.

Hiki i ka radiation radiation ke hōʻino a pepehi hoʻi i nā hunaola olakino. Hiki i ka make ʻana o nā hunaola olakino ke alakaʻi i nā hopena ʻaoʻao. Pili kēia mau hopena i ka hopena o ka pāhawewe, a me ka pinepine o kāu loaʻa ʻana o ka lāʻau.

• Loaʻa paha iā ʻoe ka mehana a me ka noʻonoʻo e pili ana i ka pūnaewele ʻoki lāʻau.
• Hiki iā ʻoe ke hoʻomōhala i ka ʻulaʻula, palupalu, a i ʻole i kahi maʻi.
• Hiki ke hoʻomohala i kahi ʻeke wai (seroma) i kahi ʻoki lāʻau a pono paha e ninini ʻia.
• Hiki i kou ʻili ma luna o ka wahi i mālama ʻia ke ʻulaʻula a ʻeleʻele paha i ke kala, ka ʻili, a me ka ʻili.

Pākuʻi ʻia paha nā hopena ʻaoʻao lōʻihi:

• Hoemi i ka nui o ka umauma
• Hoʻonui i ka paʻa o ka umauma a i ʻole kekahi asymmetry
• ʻUlaʻula a me ka discoloration

ʻAʻole i loaʻa nā haʻawina kiʻekiʻe e hoʻohālikelike ana i ka brachytherapy i ka radiation umauma holoʻokoʻa. Eia nō naʻe, ua hōʻike ʻia nā noiʻi ʻē aʻe i nā hopena e like me nā wahine me ka maʻi ʻaʻai umauma kūloko.

Ka maʻi ʻaʻai umauma - radiation radiation therapy; Carcinoma o ka umauma - hapa radiation pāhawewe; Brachytherapy - umauma; Pākuʻi umauma hoʻouluhua Adjuvant - brachytherapy; APBI - brachytherapy; Hōʻeleu i ka irradiation umauma hapa - brachytherapy; Hoʻoikaika radiation radiation umauma - brachytherapy; Hoʻokū paʻa paʻa paʻa; PBSI; ʻO ka radiotherapy haʻahaʻa - umauma; ʻO ka radiotherapy kiʻekiʻe - ka umauma; Uila balloon brachytherapy; EBB; Intracavitary brachytherapy; IBB; Interstitial brachytherapy; IMB

Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai umauma (makua) (PDQ) - mana ʻoihana olakino. www.kanes.gov/types/breast/hp/breast-treatment-pdq. Hoʻohou i Pepeluali 11, 2021. Loaʻa iā Malaki 11, 2021.

Pūnaewele ʻo National Cancer Institute. ʻO ʻoe ka radiation radiation a me ʻoe: kākoʻo no ka poʻe i loaʻa i ka maʻi ʻaʻai. www.cancer.gov/publications/patient-education/radiationttherapy.pdf. Hoʻohou ʻia ʻOkakopa 2016. Loaʻa iā ʻOkakopa 5, 2020.

Otter SJ, Holloway CL, O'Farrell DA, Devlin PM, Stewart AJ. ʻO Brachytherapy. I: Tepper JE, Foote RL, Michalski JM, eds. ʻO Gunderson lāua ʻo Tepper's Clinical Radiation Oncology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 20.

Shah C, Harris EE, Holmes D, Vicini FA. Iradiation umauma hapa: hoʻonui a intraoperative. I: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. ʻO ka umauma: Hoʻoponopono piha o nā maʻi maʻi a me nā maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 51.