Prostate brachytherapy

Brachytherapy inzira yekudyara mbeu ine radioactive (pellets) muprostate gland kuuraya cancer maseru. Mbeu dzinogona kupa yakakwira kana yakaderera huwandu hwemwaranzi.

Brachytherapy inotora maminetsi makumi matatu kana kupfuura, zvinoenderana nerudzi rwekurapa kwauinako. Maitiro acho asati aitwa, iwe unozopihwa mushonga kuitira kuti usanzwe kurwadziwa. Unogona kugamuchira:

• Iyo sedative yekukuita iwe uchikotsira uye kuvevesa mushonga pane yako perineum. Iyi inzvimbo iri pakati peanus uye scrotum.
• Anesthesia: Uine spinal anesthesia, iwe unenge uchitsimwa asi wakamuka, uye une chiveve pazasi pechiuno. Neine anesthesia yakajairika, iwe unenge wakarara uye kurwadziwa pasina.

Mushure mekugamuchira anesthesia:

• Chiremba anoisa probe ye ultrasound mune yako rectum kuti uone nzvimbo yacho. Iyo probe yakafanana nekamera yakabatana nevhidhiyo yekutarisa mukamuri. Catheter (chubhu) inogona kuiswa mudundira rako kubvisa weti.
• Chiremba anoshandisa Ultrasound kana CT scan kuronga uye nekuisa mhodzi dzinounza mwaranzi muprostate. Mbeu dzinoiswa nesingano kana akakosha anoshanda kuburikidza neako perineum.
• Kuisa mbeu kunogona kukuvadza zvishoma (kana iwe wakamuka).

Mhando dzebrachytherapy:

• Low-dose rate brachytherapy ndiyo yakajairika mhando yekurapa. Mbeu dzinogara mukati meprostate yako uye nekuisa shoma shoma remwaranzi kwemwedzi yakati wandei. Iwe unoita nezve zvaunojaira kuita nembeu dziri munzvimbo.
• Yakakwira-dose chiyero brachytherapy inogara ingangoita maminetsi makumi matatu. Chiremba wako anoisa zvinhu zvine radioactive muprostate. Chiremba anogona kushandisa robhoti yekombuta kuita izvi. Iyo radioactive zvinhu zvinobviswa ipapo ipapo mushure mekurapwa. Iyi nzira inowanzo kuda maviri marapirwo akapatsanurwa vhiki imwe yakaparadzana.

Brachytherapy inowanzo shandiswa kuvarume vane gomarara reprostate iro rinowanikwa nekukurumidza uye rinononoka kukura. Brachytherapy ine mashoma matambudziko uye mhedzisiro pane yakajairwa radiation radiation. Iwe zvakare unozoda kushanya kushoma nemubatsiri wehutano.

Njodzi dzechero anesthesia ndeidzi:

• Allergic reaction kumishonga
• Matambudziko ekufema

Ngozi dzekuvhiyiwa chero ndedzipi:

• Kubuda ropa
• Utachiona

Njodzi dzeiyi maitiro ndeiyi:

• Kushaya simba
• Zvakaoma kuburitsa dundira rako, uye kuda kwekushandisa catheter
• Rectal chimbichimbi, kana iko kunzwa kwekuti iwe unofanirwa kuve uine hutumbu kufambisa ipapo ipapo
• Kushatirwa kweganda mune yako rectum kana kubuda ropa kubva kune yako rectum
• Mamwe matambudziko eweti
• Zvironda (maronda) kana fistula (isina kujairika nzira) mureceum, kupora uye kudzikira kwerethra (zvese izvi hazviwanzo)

Udza mupiki wako kuti ndeapi mishonga yauri kutora. Izvi zvinosanganisira mishonga, zvinowedzera, kana mahebhu awakatenga pasina mushonga.

Asati maitiro aya:

• Iwe ungangoda kuve nemagetsi, x-ray, kana CT scans kugadzirira maitiro.
• Mazuva akati wandei maitiro acho asati aitika, unogona kuudzwa kuti usiye kutora mishonga inoita kuti ropa rako rigotsemuka. Iyi mishonga inosanganisira aspirin, ibuprofen (Advil), clopidogrel (Plavix), uye warfarin (Coumadin).
• Bvunza kuti ndeipi mishonga yaunofanira kutora pazuva rekuvhiyiwa.
• Ukasvuta, edza kurega. Mupi wako anogona kubatsira.

Pazuva remaitiro:

• Iwe ungangobvunzwa kuti usamwe kana kudya chero chinhu kwemaawa akati wandei maitiro acho asati aitwa.
• Tora mishonga yawakaudzwa kunwa nekamwe kamvura.
• Unozoudzwa nguva yekuuya kuchipatara. Iva nechokwadi chekusvika nenguva.

Iwe unogona kunge wakarara uye uine kurwadziwa kwakapfava uye hunyoro mushure mekuita.

Mushure mekurapwa kwekunze, unogona kuenda kumba nekukurumidza apo anesthesia yapera. Muzviitiko zvisingawanzo, iwe uchafanirwa kushandisa 1 kusvika mazuva maviri muchipatara. Kana iwe ukagara muchipatara, vashanyi vako vanofanirwa kuteedzera chaiwo ekuchengetedza radiation.

Kana iwe uine chigarire chisingaperi, mupi wako anogona kukuudza iwe kudzikamisa iyo nguva yaunopedza uchitenderedza vana nevakadzi vane nhumbu. Mushure memavhiki mashoma kusvika kumwedzi, mwaranzi yaenda uye haizokonzere chero kukuvara. Nekuda kweizvi, hapana chikonzero chekutora mbeu.

Varume vazhinji vane gomarara reprostate rinokura zvishoma, vanoramba vasina gomarara kana gomarara ravo riri mukutonga kwakanaka kwemakore mazhinji mushure mekurapwa uku. Urinary uye rectal zviratidzo zvinogona kutora kwemwedzi kana makore.

Implant therapy - kenza yeprostate; Radioactive mbeu yekuisa; Yemukati radiation kurapwa - prostate; Yakakwira radiation radiation (HDR)

• Prostate brachytherapy - kubuda

D'Amico AV, Nguyen PL, Crook JM, et al. Radiation kurapwa kwekenza yeprostate. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits. 116.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Kenza yeprostate. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chits. 81.

US National Raibhurari yeMishonga, PubMed webhusaiti. PDQ Yevakuru Kurapa Edhisheni Bhodhi. Prostate cancer kurapwa (PDQ): hutano nyanzvi vhezheni. Bethesda, MD: National Cancer Institute; 2002-2019. PMID: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471.