MammoSite nono brachytherapy wani nau'i ne na ci gaba da kulawa da raunin nono. Wasu lokuta ana kiransa radiation radheter radiation, MammoSite yana shayar da ciwon nono daga cikin ƙirjinka cikin kwanaki 5-tare da raƙuman sakamako fiye da yadda za a iya yin watsi da fitilun waje na shida ko bakwai.
Rashin raya ƙwayar ta jiki bayan Lumpectomy
Ana iya amfani da radiation don magance ciwon nono bayan an cire tumɓir ta hanyar lumintomy .
Anyi maganin radiation don hana sake dawowa ta hanyar tabbatar da cewa duk wani kwayar cutar ciwon daji wanda zai iya kasancewa a wuri mai tarin jiki an lalace.
MammoSite radiation far, wani nau'i na Intracavity brachytherapy , ya bambanta da hasken raya ta waje-yana bada radiation daga cikin ƙirjinka kuma yana shafar ƙananan ƙananan nama.
MammoSite Dairy Brachytherapy
MammoSite an amince da FDA a shekara ta 2002 don maganin ciwon nono na baya-baya. An amince da hoton lumen lumen a 2009. MammoSite Radiation Therapy System yana amfani da kullun ballon na musamman, an sanya shi a cikin ɓangaren hankalinka kuma yana dauke da salin saline. Kwararren ku na iya sanya mamba mai suna mammoSite a lokacin da aka yi amfani da shi, ko kuma a saka shi a wani lokaci na gaba.
Amfanin Amfani
- Ana iya cika magunguna na MammoSite a cikin kwanaki biyar zuwa bakwai , idan aka kwatanta da su zuwa shida zuwa bakwai na radiation na waje. Wannan yana nufin ƙananan raguwa da jadawalin ku, ƙayyadad da lokaci na tafiya, da kuɗi kaɗan.
- Zuciyarka tana da wuya, amma in ba haka ba wani fatar jiki ya ƙone ko ƙanshin jikin da zai iya faruwa tare da radiation mai kyau.
- Tsakanin ƙananan ƙwayar ƙirjinka za a bi da ku ta hanyar radiation, kuma kayan lafiya zasu zama marasa lafiya.
- Radiation ta atomatik na iya haifar da gajiya , amma tare da kwarewa, za ku iya yin rayuwa kamar yadda ya saba.
Abubuwa mara kyau
- Magunguna sun ce da ciwon guje wa shawo kan sati daya shine hasara.
- Abin da ake ji daɗin ciwon balloon mai cika jiki a cikin nono zai iya jin dadi.
- Kwayoyin cututtuka na iya faruwa a kusa da shafin yanar gizon catheter
- Domin hanyar layin kafar za ta kara daga ƙirjinka yayin da na'urar ta kasance a wurin, za a buƙaci ka yi wasan motsa jiki ko tagulla mai kyau don saukar da shi
- Kila iya buƙatar daidaita matsayi na barci don ta'aziyya.
Abin da za ku sa ran yayin jiyya
Magunguna MammoSite an yi sau biyu a rana don kwana biyar. Gidawar da za a yi maka zai dauki kimanin minti 30.
A lokacin gyaran cututtukan radiation, likitan dan adam zai iya haɗuwa da layin mahaifa na MammoSite tare da na'ura mai radiation, sa'annan ya sanya karamin kwayar radiyo ta hanyar kullun a cikin zabin, inda ya fitar da yaduwar radiation. Ba za ku ji wani zafi ba ko tsinkaye lokacin magani. A karshen kowane lokutan magani, an cire iri ɗin kuma baza ku ɗaukar radiation tare da ku a tsakanin jiyya ba. Idan kowane kwayar cutar ciwon daji ke kasancewa a cikin jikin da ke kusa da gefen hawan ka, radiation ya kashe su.
Bayan kwanaki 5, ana kwantar da gashin tsuntsu na saline sannan a cire shi ta hanyar karamin ginin da aka rufe tare da gyaran.
Farfadowa
Kuna iya samun wasu illa a yayin ko bayan MammoSite jiyya. Wadannan zasu shafe tare da kulawa mai kyau, amma tabbatar da tafiya zuwa alƙawarinka, kuma sanar da likitanka idan kana damuwa game da sake dawowa.
Kuna iya tsammanin tsomawa ko murkushe kewaye da shafin yanar gizon catheter. Haka kuma akwai ciwo ko malalewa daga wutan kafin ya warke. Yi hankali don kiyaye yankin nan mai tsabta kuma bushe. Wasu mata za su iya ci gaba da yin fata ko rash.
Idan dusar fata ta ci gaba, ko kuma yankin ya zama mai banƙyama ko ya dubi ƙura, duba likitan ku a nan gaba don sanin idan kuna da wata cuta.
MammoSite yana da ladabi mai kyau
Bisa ga binciken da aka gudanar a shekara ta 2014 a cikin Jaridar Labaran Lafiya ta Duniya, wadda ta binciki fiye da 100 matan da ke karkashin mambaSite balloon brachytherapy, sakamakon ya nuna kyakkyawar kulawa da tumowa a kan biyan shekaru 5.5.
Wani binciken na 2011 a Annals of Incology na Yamma ya bi kusan 200 matan da suka mamaye MammoSite sun inganta mummunan nono mai shayarwa (APBI) don maganin ƙwayar karamin motsa jiki a wuri (DCIS) - bayan lumpectomy. An ba da izini sosai kuma sauye-sauye na gida bayan shekaru 5 ya kasance kashi 3.39.
Bukatun
MammoSite shine kullum don kula da ƙwayar carcinoma a cikin wuri (DCIS), ƙwayar ƙwayar ƙarancin ƙwayar cuta (IDC), da ƙananan ciwon da yake da 3 cm ko karami a girman.
Dole likitanka zai iya barin akalla mintimita bakwai na nama a tsakanin fata da ƙwallon ƙafa. Har ila yau, yakinka na lumlightomy yana bukatar zama a duniya kamar yadda zai yiwu don saukar da zauren; in ba haka ba magani ba zai aiki daidai ba.
A wasu lokuta, dole ne a sake mayar da na'urar MammoSite don sakamako mafi kyau. Zabi likita mai likita wanda yake da matukar damuwa a saka na'urar MammoSite, sa'annan ku tambayi idan asibiti yana da kayan aiki masu dacewa da ake buƙata don ginawa da kuma sanya catheter.
Sources:
Bensaleh S, Bezak E, & Borg M. Tunanin MammoSite bracytherapy: Abũbuwan amfãni, rashin amfani da sakamako na asibiti. Dokar Oncol. 2009; 48 (4): 487-94.
Jeruss JS et al. Sakamakon farko ga marasa lafiya da aka bi da su a kan Ƙungiyar Amirka na masu likita kan nono MammoSite jarrabawar gwagwarmayar gwagwarmaya a ciki. Ann Surg Oncol, 2006. 13 (7): p. 967-76.
Jeruss JS, Kuerer HM, Beitsch PD, Vicini FA, & Keisch M. Ɗaukakawa a kan DCIS sakamakon daga Ƙungiyar Amirka ta masu likita kan yara Yau da aka gabatar da jarrabawar Labaran Labaran Yara. Ann Surg Oncol. 2011 Janairu 18 (1): 65-71.
Vargo Ja et al. Sakamakon tsawon shekaru biyar (5-shekara) na ci gaba da kawar da cutar ta jiki ta hanyar amfani da mammoSite balloon bracytherapy: alamu na rashin cin nasara, zaɓi na haƙuri, da kuma dosimetric ya dace don maye gurbin marigayi. Int J Radiat Oncol Biol Phys. 2014 Feb 1; 88 (2): 285-91.