Yakasarudzika yemazamu radiation radiation - yekunze danda

Yakasarudzika yemazamu radiation kurapa inoshandisa yakakwira-inopihwa x-ray kuuraya kenza yemazamu masero. Iyo inonzi zvakare yakamhanyisa chikamu chemazamu radiation (APBI).

Maitiro akajairika ekunze ekurapa mazamu ekurapa anotora mavhiki matatu kusvika matanhatu. APBI inogona kuzadzikiswa mune mashoma se1 kusvika 2 mavhiki. APBI inotarisa yakakwira mwero wemwaranzi chete pane kana padyo nenzvimbo yakabviswa bundu rebundu. Iyo inodzivirira kufumura iyo yakatenderedza tishu kune radiation.

Pane nzira nhatu dzinowanzoitika dzeAPBI:

• Danda rekunze, iwo musoro wenyaya ino
• Brachytherapy (kuisa ma radioactive masosi muzamu)
• Intraoperative radiation (kuendesa mwaranzi panguva yekuvhiyiwa mukamuri yekushandisa)

Radiation Therapy inowanzo kuendeswa kuchipatara, kunze kwekurapa kwemwaranzi.

Matekinoroji maviri akajairika anoshandiswa pakurapa pachipfuva chemazamu kurapwa kwemwaranzi:

• Zvitatu zvakaenzana zvinowirirana nechokunze danda radiation (3DCRT)
• Kuwedzera-modulated radiation kurapwa (IMRT)

Usati wawana chero radiation kurapwa, iwe unosangana ne radiation radiation. Munhu uyu chiremba ane hunyanzvi hwekurapa nemwaranzi.

• Chiremba anoisa mamaki madiki paganda rako. Aya mavara anovimbisa kuti iwe wakanyatso kumiswa panguva yekurapa kwako.
• Aya mamaki anogona kunge ari mamaki einki kana tattoo inogara. Usashambe inki mabhii kusvikira kurapwa kwako kwapera. Vanozopera nekufamba kwenguva.

Mushonga unowanzo kupihwa mazuva mashanu pasvondo chero kupi kubva pamasvondo maviri kusvika matanhatu. Iyo dzimwe nguva inogona kupihwa kaviri pazuva (kazhinji iine maawa mana kusvika matanhatu pakati pezvikamu).

• Pakati pechikamu chega chega chekurapa unorara patafura yakakosha, kungave kumusana kana mudumbu.
• Iwo matekiniki anokuisa iwe kuitira kuti radiation iratidze nzvimbo yekurapa.
• Iwe unogona kukumbirwa kubata mweya wako apo radiation iri kuunzwa. Izvi zvinobatsira kudzora huwandu hwemwaranzi iyo moyo wako inogamuchira.
• Kazhinji kazhinji, iwe unogashira kurapwa kwemwaranzi kwemaminetsi ari pakati pe1 ne5. Iwe unenge uri mukati nekubuda munzvimbo yegomarara mukati memaminitsi gumi nemashanu kusvika makumi maviri paavhareji.

Ziva chokwadi, iwe hauna radioactive mushure meiyi radiation kurapwa. Kwakachengeteka kuva pakati pevamwe, kusanganisira vacheche nevana.

Nyanzvi dzakadzidza kuti mamwe makenza anowanzo dzoka padyo nenzvimbo yekutanga yekuvhiya. Naizvozvo, mune dzimwe nguva, iro zamu rose rinogona kunge risingade kugamuchira radiation. Chikamu chemazamu chemvura chinongobata mamwe asi kwete ese mazamu, achitarisana nenzvimbo uko cancer ingangodzoka.

Izvi zvakakurumidza kusarura kwemazamu emwaranzi zvinomhanyisa maitiro.

APBI inoshandiswa kudzivirira kenza yemazamu kubva kudzoka. Kana kurapwa nemwaranzi kuchinge kwapiwa mushure mekuvhiyiwa-kuchengetedza zamu, inonzi inonzi adjuvant (yekuwedzera) kurapwa kwemwaranzi.

APBI inogona kupihwa mushure mekuputika kana kukwana mastectomy (inonzi kuvhiya-kuchengetedza zamu) kwe:

• Kunyorera carcinoma in situ (DCIS)
• Chikamu I kana II kenza yemazamu

Udza mupi wako wezvehutano kuti ndeapi mishonga yauri kutora.

Pfeka mbatya dzakasununguka pamushonga.

Radiation therapy inogona zvakare kukuvadza kana kuuraya maseru ane hutano. Kufa kwemasero ane hutano kunogona kutungamira kumhedzisiro. Iyi mhedzisiro inoenderana nedosi yemwaranzi uye kuti une kangani kurapwa. Radiation inogona kuve neyepfupi-pfupi (yakaoma) kana yakareba-term (gare gare) mhedzisiro.

Ipfupi-temu mhedzisiro mhedzisiro inogona kutanga mukati memazuva kana mavhiki mushure mekutanga kurapwa. Yakawanda mhedzisiro yemhando iyi inoenda mukati memasvondo mana kusvika matanhatu mushure mekurapwa kupera. Kazhinji zvinowanzoitika zvenguva pfupi zvinosanganisira:

• Chipfuva kutsvuka, unyoro, kunzwisisika
• Chipfuva kuzvimba kana edema
• Chirwere chepabonde (chisingawanzoitiki)

Yenguva refu-mhedzisiro mhedzisiro inogona kutanga mwedzi kana makore mushure mekurapwa uye inogona kusanganisira:

• Kuderedza kukura kwemazamu
• Kuwedzera kusimba kwezamu
• Ganda kutsvuka uye kushanduka
• Muzviitiko zvisingawanzoitika, kutsemuka kwembabvu, matambudziko emwoyo (zvinowanzoitika pamazamu eruboshwe), kana kuzvimba kwemapapu (kunonzi pneumonitis) kana zvinyama zvinyoro zvinokanganisa kufema
• Iko kukura kwekenza yechipiri muzamu kana chifuva makore kana kunyangwe makumi emakore gare gare
• Kuzvimba kwemaoko (edema) - zvinowanzoitika kana lymph node dzakabviswa nekuvhiyiwa uye kana armpit nzvimbo ikarapwa nemwaranzi

Vako vanokupa vachatsanangura kutarisirwa kumba panguva uye mushure mekurapwa nemwaranzi.

Chikamu chechipfuva chemazamu chinotevera kurapwa kwekurapa kwemazamu kunoderedza njodzi yekenza kudzoka, uye pamwe kutofa nekenza yemazamu.

Carcinoma yezamu - chikamu chemwaranzi kurapwa; Partial zvokunze danda nemwaranzi - zamu; Kuwedzera-modulated radiation kurapwa - kenza yemazamu; IMRT - kenza yemazamu WBRT; Adjuvant chikamu chipfuva - IMRT; APBI - IMRT; Yakawedzera chikamu chikamu chemazamu emiradi - IMRT; Yakafanana yekunze beam radiation - zamu

National Cancer Institute webhusaiti. Kurapa kenza yemazamu (mukuru) (PDQ) - hutano nyanzvi vhezheni. www.cancer.gov/types/breast/hp/breast-treatment-pdq. Yakagadziridzwa Kukadzi 11, 2021. Yakasvika musi waMarch 11, 2021.

National Cancer Institute webhusaiti. Radiation therapy uye iwe: rutsigiro rwevanhu vane cancer. www.cancer.gov/publications/patient-education/radiationttherapy.pdf. Yakagadziridzwa Gumiguru 2016. Yakasvika Gumiguru 5, 2020.

Shah C, Harris EE, Holmes D, Vicini FA. Yakasarudzika yemazamu irradiation: kukurumidza uye intraoperative. Mune: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Chipfuva: Yakakwana Management yeBenign uye Malignant Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 51.