Hoʻoikaika radiation radiation umauma - kukuna kūwaho

Hoʻohana ka radiation radiation radiation therapy i nā kukuna uila kiʻekiʻe e hoʻomake i nā hunaola maʻi ʻaʻai. Kāhea ʻia ia he wikiwiki i ka radiation radiation (APBI).

ʻO kahi papa maʻamau o ka mālama ʻana i ka poli o waho i 3 a 6 mau pule. Hiki ke hoʻokō ʻia ʻo APBI ma kahi o 1 a 2 mau pule. Hoʻolālā ʻo APBI i kahi lāʻau kiʻekiʻe o ka pāhawewe ma a i ʻole kahi kokoke i kahi i hemo ai ka tumo umauma. Hōʻalo ia i ka hōʻike ʻana i nā ʻano a puni i ka radiation.

ʻEkolu mau ala maʻamau no APBI:

• Kukuna kūwaho, ke kumuhana o kēia ʻatikala
• Brachytherapy (hoʻokomo i nā kumuwaiwai radioactive i ka umauma)
• Pāhawewe Intraoperative (e hāʻawi ana i ka radiation i ka manawa o ke ʻoki ʻana i ka lumi hana)

Hāʻawi pinepine ʻia ka radiation radiation ma ke kumu ma waho, koe wale no ka radiation radiation intraoperative.

Hoʻohana ʻia nā ʻenehana maʻamau no ka mālama ʻana i ka lāʻau radiation radiation.

• ʻEkolu dimensional kūlike i waho o ka radiation radiation (3DCRT)
• Intensity-modulated radiation therapy (IMRT)

Ma mua o kou mālama ʻana i ka radiation, e hui ʻoe me ka oncologist radiation. He kauka kēia kanaka i loea i ka radiation radiation.

• E kau ke kauka i nā kaha liʻiliʻi ma kou ʻili. Mālama kēia mau māka i kāu hoʻonohonoho pono ʻana i kāu mau mālama ʻana.
• E lilo paha kēia mau māka i mau kaha inika a i kahi peʻa mau. Mai holoi i nā kaha ʻīnika a pau kāu lapaʻau ʻana. E mae lākou i ka hala o ka manawa.

Hāʻawi pinepine ʻia ka lapaʻau i 5 mau lā i ka pule no nā wahi āpau mai 2 a 6 mau pule. Hāʻawi ʻia ʻia i kekahi manawa ʻelua i ka lā (maʻamau me 4 a 6 mau hola ma waena o nā kau.

• I kēlā me kēia kau lapaʻau e moe ʻoe ma ka papa ʻaina kūikawā, ma kou kua a me kou ʻōpū.
• Na nā ʻenehana e hoʻonoho iā ʻoe no laila hoʻomālamalama ka radiation i ka wahi lapaʻau.
• E noi paha ʻoe e hoʻopaʻa i kou hanu i ka manawa e hāʻawi ʻia ana ka radiation. Kōkua kēia i ka palena i ka nui o ka radiation i loaʻa i kou puʻuwai.
• ʻO ka pinepine, e loaʻa iā ʻoe ka hoʻomaʻamaʻa radiation ma waena o 1 a me 5 mau minuke. Ma loko a ma waho o ke kikowaena maʻi ʻaʻai ʻoe ma waena o 15 a 20 mau minuke ma ke kaulike.

E hoʻomaha, ʻaʻole ʻoe i radioactive ma hope o kēia mau ʻano radiation. Palekana ia e puni i nā poʻe ʻē aʻe, me nā pēpē a me nā keiki.

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.

Hōʻalo kēia i ka radiation radiation umauma i ka hana i ka wikiwiki.

Hoʻohana ʻia ʻo APBI i mea e pale aku ai i ka maʻi ʻaʻai o ka umauma mai ka hoʻi ʻana mai. Ke hāʻawi ʻia ka radiation radiation ma hope o ka mālama ʻana i ka poli, mālama ʻia ia adjuvant (hou) radiation therapy.

Hāʻawi ʻia ʻo APBI ma hope o lumpectomy a i ʻole mastectomy ʻāpana (i kapa ʻia he ʻoki mālama mālama umauma) no:

• Carcomaoma ductal ma situ (DCIS)
• ʻO ka maʻi ʻaʻai umauma ʻo I a II paha

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

E ʻaʻahu i nā kapa komo a lahilahi i nā lāʻau.

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 radiation a me ka manawa hea i loaʻa ai iā ʻoe ka lāʻau. Hiki i ka radiation ke loaʻa i nā hopena ʻaoʻao pōkole (koʻikoʻi) a lōʻihi paha (ma hope).

Hiki ke hoʻomaka nā hopena ʻaoʻao pōkole i loko o nā lā a i ʻole mau pule ma hope o ka hoʻomaka ʻana o ka mālama ʻana. ʻO ka hapa nui o nā hopena o kēia ʻano e hele i loko o 4 a 6 mau pule ma hope o ka pau ʻana o ka lāʻau. ʻO nā hopena hopena pōkole e like me:

• Pā ʻulaʻula, palupalu, ʻike
• Pāhū o ka umauma a i ʻole edema
• Pākuʻi maʻi (laha ʻole)

Hoʻomaka paha nā hopena ʻaoʻao lōʻihi ma hope o nā mahina a i ʻole mau makahiki ma hope o ka mālama ʻana a e hoʻopili pū ʻia paha:

• Hoemi i ka nui o ka umauma
• Hoʻonui i ka paʻa o ka umauma
• ʻUlaʻula a me ka discoloration
• I nā hihia maʻamau, nā haʻihaʻi o ka iwi, nā pilikia puʻuwai (ʻoi aku paha no ka radiation umauma hema), a i ʻole ka mumū o ka hū (i kapa ʻia he pneumonitis) a i ʻole nā ​​ʻili ʻili e pili ana i ka hanu
• ʻO ke kūkulu ʻana o ka maʻi ʻaʻai ʻelua i ka umauma a i ʻole ka umauma i mau makahiki a i ʻole he mau makahiki i hala
• Pahu ka lima (edema) - ʻoi aku ka nui inā hoʻopau ʻia nā lymph node a inā mālama ʻia ka armpit me ka radiation

E wehewehe kāu poʻe lawelawe i ka mālama ma ka home i ka wā a ma hope o ka hoʻomaʻamaʻa radiation.

ʻO ka radiation radiation umauma e pili ana i ka mālama ʻana i ka umauma e hoʻoliʻiliʻi i ka hopena o ka maʻi ʻaʻai e hoʻi mai ana, a ʻo ka make paha mai ka maʻi maʻi umauma.

Carcinoma o ka umauma - hapa radiation pāhawewe; Pāhawewe kūwaho kūwaho - umauma; Intensity-modulated radiation therapy - maʻi ʻaʻai umauma; IMRT - umauma maʻi 'aʻai WBRT; Umauma hapa Adjuvant - IMRT; APBI - IMRT; Hōʻeleu i ka irradiation umauma ʻāpana - IMRT; ʻO ka radiation radiation kūwaho kūlike - umauma

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.

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.