Iprostate brachytherapy

I-Brachytherapy yinkqubo yokufaka imbewu ye-radioactive (pellets) kwi-Prostate gland ukubulala iiseli zomhlaza webele. Imbewu inokukhupha amaxabiso aphezulu okanye asezantsi emitha.

I-Brachytherapy ithatha imizuzu engama-30 okanye ngaphezulu, kuxhomekeke kuhlobo lonyango onalo. Ngaphambi kwenkqubo, uya kunikwa amayeza ukuze ungaziva iintlungu. Unokufumana:

• Ukuthomalalisa ukukwenza wozele kwaye ubethe iyeza kwi-perineum yakho. Lo ngummandla ophakathi kwe-anus kunye ne-scrotum.
• I-Anesthesia: Nge-anesthesia yomqolo, uyokozela kodwa uvuke, kwaye ube ndindisholo ezantsi kwesinqe. Nge-anesthesia ngokubanzi, uya kulala kunye neentlungu.

Emva kokufumana i-anesthesia:

• Ugqirha ubeka iprobe ye-ultrasound kwi-rectum yakho ukujonga indawo. Iprojekhthi ifana nekhamera eqhagamshelwe kwimonitha yevidiyo egumbini. Icatheter (ityhubhu) inokufakwa kwisinyi sakho ukucoca umchamo.
• Ugqirha usebenzisa i-ultrasound okanye i-CT scan ukucwangcisa kwaye emva koko ubeke imbewu ehambisa imitha kwi-prostate yakho. Imbewu ibekwa ngeenaliti okanye izixhobo ezizodwa ngokusebenzisa i-perineum yakho.
• Ukubeka imbewu kunokuba buhlungu kancinci (ukuba uvukile).

Iindidi zonyango lwebrachytherapy:

• I-brachytherapy yedosi ephantsi lolona hlobo luqhelekileyo lonyango. Imbewu ihlala ngaphakathi kweprostate kwaye ikhuphe inani elincinci lemitha kwiinyanga ezininzi. Uhamba ngesiqhelo sakho kunye nembewu kwindawo.
• I-brachytherapy yedosi ephezulu ihlala malunga nemizuzu engama-30. Ugqirha wakho ufaka izinto ezinemitha yeathom kwiprostate. Ugqirha unokusebenzisa irobhothi ekhompyuter ukwenza oku. Izinto ezinemitha yeathom ziyasuswa kwangoko emva konyango. Le ndlela ihlala ifuna unyango olu-2 olwahlulwe ngeveki enye.

I-Brachytherapy ihlala isetyenziselwa amadoda anomhlaza wesibeletho ofunyanwa kwangoko kwaye okhula kancinci. I-Brachytherapy ineengxaki ezimbalwa kunye neziphumo ebezingalindelekanga kunonyango oluqhelekileyo lwe-radiation. Uya kudinga ukutyelelwa okumbalwa kunye nomboneleli wezempilo.

Umngcipheko wayo nayiphi na ianesthesia yile:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla

Iingozi zalo naluphi na utyando zezi:

• Ukopha
• Usulelo

Iingozi zale nkqubo zezi:

• Ukungabi namandla
• Ubunzima bokukhupha isinyi sakho, kunye nemfuneko yokusebenzisa ipayipi
• Ukungxamiseka okungxamisekileyo, okanye imvakalelo yokuba kufuneka ubambe intshukumo kwangoko
• Ukukhathazeka kwesikhumba kwi-rectum yakho okanye ukuphuma kwegazi kwi-rectum yakho
• Ezinye iingxaki zomchamo
• Izilonda (izilonda) okanye i-fistula (indawo engaqhelekanga) kwi-rectum, inqabileyo kunye nokunciphisa i-urethra (zonke ezi zinqabile)

Xelela umboneleli wakho ukuba ngawaphi amayeza owasebenzisayo. Oku kubandakanya amayeza, izongezo, okanye amayeza owathengileyo ngaphandle kommiselo.

Ngaphambi kwale nkqubo:

• Kuya kufuneka ukuba ube nee-ultrasound, ii-x-reyi, okanye ii-CT scans ukulungiselela inkqubo.
• Kwiintsuku ezininzi ngaphambi kwenkqubo, unokuxelelwa ukuba uyeke ukuthatha amayeza enza ukuba kube nzima kwigazi lakho ukuba lijiye. La mayeza abandakanya i-aspirin, ibuprofen (Advil), i-clopidogrel (i-Plavix), kunye ne-warfarin (i-Coumadin).
• Buza ukuba ngawaphi amayeza ekufuneka uwathathe ngosuku lotyando.
• Ukuba uyatshaya, zama ukuyeka. Umboneleli wakho unokunceda.

Ngomhla wenkqubo:

• Uya kucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezininzi ngaphambi kwenkqubo.
• Thatha amayeza oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele. Qiniseka ukuba ufika ngexesha.

Unokuba ulele kwaye unentlungu encinci kunye nokuthamba emva kwenkqubo.

Emva kwenkqubo yezigulana ezingalaliswayo, ungaya ekhaya kwakamsinya emva kokuba i-anesthesia iphelile. Kwiimeko ezinqabileyo, kuya kufuneka uchithe iintsuku ezi-1 ukuya kwezi-2 esibhedlele. Ukuba uhlala esibhedlele, iindwendwe zakho ziya kufuna ukulandela amanyathelo okhuseleko okhuseleko.

Ukuba unokufakelwa ngokusisigxina, umboneleli wakho unokukuxelela ukuba unciphise ixesha olichitha ujikeleze abantwana nabafazi abakhulelweyo. Emva kweeveki ezimbalwa ukuya kwiinyanga, imitha ihambile kwaye ayizukubangela monakalo. Ngenxa yoku, akukho mfuneko yokukhupha imbewu.

Uninzi lwamadoda anomhlaza omncinci, okhula kancinci oprostate uhlala ungenawo umhlaza okanye umhlaza wabo ulawulwa kakuhle iminyaka emininzi emva kolu nyango. Iimpawu ze-Urinary kunye ne-rectal zinokuhlala iinyanga okanye iminyaka.

Ukunyanga unyango - umhlaza webele; Ukubekwa kwembewu eqhumayo; Unyango lwangaphakathi lwemitha - iprostate; Imitha yelanga ephezulu (HDR)

• Prostate brachytherapy - ukukhutshwa

UD'Amico AV, Nguyen PL, uCrook JM, et al. Unyango lwe-radiation kumhlaza wesibeletho. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ii-eds. UCampbell-Walsh Urology. Ngomhla we-11. IPhiladelphia, PA: Elsevier; I-2016: isahluko 116.

UNelson WG, uAntonarakis ES, uCarter HB, uDe Marzo AM, uDeWeese TL. Umhlaza wedlala lobudoda. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahl 81.

Ilayibrari yeSizwe ye-US yamayeza, iwebhusayithi yePapMed. IBhodi yokuHlela yaBantu abaPhezulu yokuNyanga. Unyango lomhlaza webala lesibindi (PDQ): Inguqulelo yezempilo. I-Bethesda, MD: IZiko leSizwe loMhlaza; 2002-2019. IINKCUKACHA: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471.