I-prostate brachytherapy

I-Brachytherapy yinqubo yokufaka imbewu enomsakazo (ama-pellets) ku-prostate gland ukubulala amangqamuzana omdlavuza we-prostate. Imbewu ingakhipha inani eliphezulu noma eliphansi lemisebe.

I-Brachytherapy ithatha imizuzu engama-30 noma ngaphezulu, kuya ngohlobo lokwelashwa onalo. Ngaphambi kwenqubo, uzonikezwa umuthi ukuze ungezwa ubuhlungu. Ungathola:

• Umuthi wokukwenza ukozele nomuthi wokukindishiza ku-perineum yakho. Le ndawo iphakathi kwendunu ne-scrotum.
• I-Anesthesia: Nge-anesthesia yomgogodla, uzokozela kodwa uvuke, futhi ube ndikindiki ngaphansi kokhalo. Nge-anesthesia ejwayelekile, uzobe ulele futhi ungezwa ubuhlungu.

Ngemuva kokuthola i-anesthesia:

• Udokotela ubeka uphenyo lwe-ultrasound engxenyeni yakho ukuze ubuke indawo. Uphenyo lufana nekhamera exhunywe kumqapha vidiyo egumbini. Ipayipi (ishubhu) lingafakwa esinyeni sakho ukuze ukhiphe umchamo.
• Udokotela usebenzisa i-ultrasound noma i-CT scan ukuhlela abese ebeka imbewu eletha imisebe ku-prostate yakho. Imbewu ibekwa ngezinaliti noma izifaki ezikhethekile nge-perineum yakho.
• Ukubeka imbewu kungalimaza kancane (uma uvukile).

Izinhlobo ze-brachytherapy:

• Izinga eliphansi le-brachytherapy luhlobo lokwelashwa oluvame kakhulu. Imbewu ihlala ngaphakathi kwe-prostate yakho bese ikhipha inani elincane lemisebe izinyanga ezimbalwa. Uhamba ngenqubo yakho ejwayelekile nembewu isendaweni.
• Izinga eliphezulu le-brachytherapy lihlala cishe imizuzu engama-30. Udokotela wakho ufaka izinto ezinemisebe e-prostate. Udokotela angasebenzisa irobhothi elenziwe ngekhompyutha ukwenza lokhu. Izinto ezisetshenziswa ngemisebe ziyasuswa ngokushesha ngemuva kokwelashwa. Le ndlela imvamisa idinga ukwelashwa oku-2 kuhlukaniswe iviki eli-1.

I-Brachytherapy ivame ukusetshenziselwa abesilisa abanomdlavuza we-prostate otholakala kusenesikhathi futhi okhula kancane. I-Brachytherapy inezinkinga ezimbalwa nemiphumela emibi kunokwelashwa okujwayelekile kwemisebe. Uzodinga nokuvakashelwa okumbalwa nomhlinzeki wezempilo.

Izingozi zanoma iyiphi i-anesthesia yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula

Izingozi zanoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Izingozi zale nqubo yilezi:

• Ukungabi namandla
• Kunzima ukukhipha isinye sakho, kanye nesidingo sokusebenzisa ipayipi
• Ukuphuthuma okubonakalayo, noma umuzwa wokuthi udinga ukuba nokunyakaza kwamathumbu khona manjalo
• Ukucasuka kwesikhumba ku-rectum yakho noma ukuphuma kwegazi ku-rectum yakho
• Ezinye izinkinga zomchamo
• Izilonda (izilonda) noma i-fistula (indawo engajwayelekile) engxenyeni, ukusikeka nokuncipha kwe-urethra (konke lokhu akuvamile)

Tshela umhlinzeki wakho ukuthi iyiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Ngaphambi kwale nqubo:

• Ungadinga ukuthi ube nama-ultrasound, ama-x-ray, noma ama-CT scan ukuze ulungiselele inqubo.
• Ezinsukwini ezimbalwa ngaphambi kwenqubo, ungatshelwa ukuthi uyeke ukuthatha imishanguzo eyenza kube nzima ngegazi lakho ukuminyana. Le mithi ifaka i-aspirin, ibuprofen (Advil), i-clopidogrel (i-Plavix), ne-warfarin (i-Coumadin).
• Buza ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa.
• Uma ubhema, zama ukuyeka. Umhlinzeki wakho angasiza.

Ngosuku lwenqubo:

• Cishe uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora amaningi ngaphambi kwenqubo.
• Thatha imithi otshelwe ukuthi uyiphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Ungahle ulale futhi ube nobuhlungu obumnene nesisa ngemuva kwenqubo.

Ngemuva kwenqubo yokugula, ungaya ekhaya ngokushesha lapho i-anesthesia iphela. Ezimweni ezingavamile, uzodinga ukuchitha usuku olungu-1 kuya kwezi-2 esibhedlela. Uma uhlala esibhedlela, izivakashi zakho zizodinga ukulandela izinyathelo ezikhethekile zokuphepha kwemisebe.

Uma ufakelwa unomphela, umhlinzeki wakho angakutshela ukuthi unciphise isikhathi osichitha uzungeze izingane nabesifazane abakhulelwe. Ngemuva kwamasonto ambalwa kuye ezinyangeni, imisebe ihambile futhi ngeke idale monakalo. Ngenxa yalokhu, asikho isidingo sokukhipha imbewu.

Iningi labesilisa abanomdlavuza omncane, okhula kancane wendlala yesibeletho bahlala bengenawo umdlavuza noma umdlavuza wabo ulawulwa kahle iminyaka eminingi ngemuva kwalokhu kwelashwa. Izimpawu ze-Urinary ne-rectal zingahlala izinyanga noma iminyaka.

Ukwelashwa kokutshala - umdlavuza wendlala yesinye; Ukubekwa kwenzalo enemisebe; Ukwelashwa kwemisebe yangaphakathi - i-prostate; Imisebe ephezulu (i-HDR)

• I-prostate brachytherapy - ukukhipha

UD'Amico AV, Nguyen PL, uCrook JM, et al. Ukwelashwa ngemisebe yomdlavuza wendlala yabesilisa. Ku: Wein AJ, Kavoussi LR, Partin AW, Peters CA, ama-eds. ICampbell-Walsh Urology. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2016: isahluko 116.

UNelson WG, u-Antonarakis ES, uCarter HB, uDe Marzo AM, uDeWeese TL. Umdlavuza wendlala yesinye. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 81.

ILabhulali Kazwelonke Yezokwelapha yase-U.S., Iwebhusayithi ye-PubMed. IBhodi Yokuhlela Ukwelashwa Kwabantu Abadala ye-PDQ. Ukwelashwa komdlavuza we-Prostate (PDQ): inguqulo yezempilo. I-Bethesda, MD: Isikhungo Somdlavuza Kazwelonke; 2002-2019. I-PMID: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471.