Prostate brachytherapy

Kev kho hlwb yog txoj kev ua kom cog cov noob hluav taws xob (noob pellets) rau hauv cov qog ntshav ua kua ntshav tua qog ntshav. Cov noob yuav muab tawm hluav taws xob ntau lossis tsawg ntawm cov hluav taws xob.

Kev kho mob hlwb siv sijhawm 30 feeb lossis ntau dua, nyob ntawm hom kev kho koj muaj. Ua ntej ntawm txoj kev, koj yuav tau muab tshuaj kom koj tsis txhob hnov ​​mob. Koj tuaj yeem tau txais:

• Qhov ua kom loog kom koj tsaug zog thiab loog cev ntawm koj cov perineum. Nov yog thaj chaw ntawm qhov quav thiab hnoos qeev.
• Tshuaj loog: Nrog tus pob txha caj qaum ua kom tsaug zog, koj yuav tsaug zog tab sis tsaug zog, thiab loog hauv qab ntawm lub duav. Nrog rau kev siv tshuaj loog, koj yuav tsaug zog thiab mob dawb.

Tom qab koj tau txais tshuaj loog:

• Tus kws kho mob tso ib qho kev sojntsuam ultrasound rau hauv koj lub qhov quav kom pom thaj chaw. Qhov kev sojntsuam zoo li lub koob yees duab txuas nrog saib lub vis dis aus hauv chav. Ib txoj raj yas tso rau hauv koj lub zais zis kom tso zis.
• Tus kws kho mob siv ultrasound lossis CT scan los npaj thiab tom qab ntawd muab cov noob uas xa hluav taws xob rau koj lub prostate. Cov noob yog tso nrog rab koob lossis cov neeg thov tshwj xeeb los ntawm koj cov perineum.
• Tso lub noob yuav ua rau mob me ntsis (yog koj tsaug zog).

Hom kev kho mob hlwb:

• Kev qes qis ntawm cov roj ntshav kho kom zoo yog hom kev kho ntau hom. Cov noob nyob hauv koj lub taub kua xoo thiab tawm me me ntawm kev tawg ntev li ob peb lub hlis. Koj mus txog koj ib txwm ua nrog cov noob hauv qhov chaw.
• High-koob tshuaj npaum li cas lub dag lub zog kav txog 30 feeb. Koj tus kws kho mob muab cov khoom siv hluav taws xob tso rau hauv prostate. Tus kws kho mob tej zaum yuav siv lub tshuab computer coj los ua qhov no. Cov khoom siv hluav taws xob tshem tawm sai li sai tau tom qab kev kho mob. Hom no ib txwm tau 2 txoj kev kho mob ib zaug 1 lub lim tiam.

Kev kho hlwb yog feem ntau siv rau cov txiv neej mob qog nqaij hlav cancer uas pom thaum ntxov thiab tab tom qeeb. Kev kho mob hlwb muaj tsawg dua cov kev mob tshwm sim thiab cov kev mob tshwm sim dua li kev kho hluav taws xob. Koj tseem yuav xav tau tsawg dua mus ntsib tus kws kho mob.

Kev phom sij ntawm cov tshuaj loog yog:

• Kev fab tshuaj rau cov tshuaj
• Cov teeb meem ua pa

Kev phom sij ntawm kev phais yog:

• Ntshav
• Kab mob

Kev phom sij ntawm cov txheej txheem no yog:

• Cuam meem txom
• Kev nyuaj muab nchuav koj lub zais zis, thiab qhov yuav tsum tau siv txoj raj yas
• Lub raum ceev, lossis qhov xav tias koj yuav tsum muaj lub plab hnyuv tawm sai li sai tau
• Tawv tawv nqaij hauv koj lub qhov quav lossis tawm ntshav los ntawm koj lub qhov quav
• Lwm qhov teeb meem tso zis
• Mob rau sab hauv (qhov ncauj tawm) lossis lub fistula (txawv txav) hauv lub qhov quav, txoj hlab ntuag thiab txoj hlab ntawm txoj hlab zis (txhua yam no tsis tshua muaj)

Qhia koj tus kws kho mob tias koj noj tshuaj dab tsi. Cov no suav nrog cov tshuaj, tshuaj noj, lossis tshuaj ntsuab uas koj yuav yam tsis muaj daim ntawv yuav tshuaj.

Ua ntej cov txheej txheem no:

• Koj yuav tsum muaj khoom siv, duab hluav taws xob, lossis xoo duab thaij duab los npaj rau txheej txheem.
• Ob peb hnub ua ntej kev kho mob, tej zaum lawv yuav kom koj tsis txhob noj tshuaj uas ua rau koj cov ntshav txhaws. Cov tshuaj no suav nrog cov tshuaj aspirin, ibuprofen (Advil), clopidogrel (Plavix), thiab warfarin (Coumadin).
• Nug cov tshuaj twg koj tseem yuav tsum tau noj nyob rau hnub phais.
• Yog koj haus luam yeeb, sim nres. Koj tus kws khomob tuaj yeem pab.

Hnub ntawm txheej txheem:

• Koj yuav yuav tau hais kom tsis txhob haus dej los yog noj dab tsi rau ob peb teev ua ntej kev ua.
• Noj cov tshuaj uas koj tau hais kom noj nrog lub pas dej me me.
• Luag yuav qhia rau koj paub thaum mus txog hauv tsev kho mob. Nco ntsoov tuaj kom ncav sijhawm.

Koj yuav tsaug tsaug zog thiab tau mob me thiab mob siab tom qab ua tiav txheej txheem.

Tom qab tus txheej txheem sab nrauv, koj tuaj yeem mus tsev sai li sai tau thaum lub sij hawm tso tshuaj loog. Tsawg tsawg zaus, koj yuav tsum siv sijhawm 1 mus rau 2 hnub nyob hauv tsev khomob. Yog tias koj nyob hauv tsev kho mob, koj cov neeg tuaj saib yuav tsum ua raws li kev tiv thaiv kev tiv thaiv hluav taws xob tshwj xeeb.

Yog tias koj muaj qhov cog zis ruaj khov, koj tus kws khomob yuav qhia koj kom txwv sijhawm koj nyob ib puag ncig cov menyuam yaus thiab pojniam uas xeeb tub. Tom qab ob peb lub lis piam mus rau lub hlis, hluav taws xob ploj mus thiab yuav tsis tsim kev puas tsuaj. Vim tias qhov no, tsis tas yuav mus nqa tawm cov noob.

Cov txiv neej feem ntau uas muaj me me, qeeb qeeb prostate qog yuav tseem mob cancer los yog lawv mob qog noj ntshav tau zoo nyob rau ntau xyoo tom qab cov tshuaj no. Cov tsos mob tso zis thiab lub qhov quav yuav nyob ntev rau lub hlis lossis xyoo.

Kev cog hniav kho - prostate cancer; Kev muab cov noob tso tawm; Kev kho hluav taws xob sab hauv - prostate; Koob tshuaj tawg (HDR)

• Prostate brachytherapy - kev tshem tawm

D'Amico AV, Nguyen PL, Crook JM, li al. Kev siv hluav taws xob rau kev kho tus mob prostate. Hauv: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh UrologyCov. 11th ed. Philadelphia, PA: Elsevier; 2016: chap 116.

Nelson WG, Antonarakis ES, Carter HB, De Marzo AM, DeWeese TL. Prostate mob cancer. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 81.

Tebchaws Asmeskas Chaw Qiv Tshuaj ntawm Tshuaj, PubMed lub vev xaib. PDQ Kev Kho Mob Rau Cov Laus Kho Cov Kev Tswj Xyuas. Kev kho mob Prostate cancer (PDQ): cov kws kho mob. Bethesda, MD: Lub Tsev Kawm Ntawv Cancer; Xyoo 2002-2019. PMID: 26389471 www.ncbi.nlm.nih.gov/pubmed/26389471.