
prostettu brackie therapy

chila cancer rogikalkku nalkunna oru tharam radio therapy allengil radiation chikilsayaanu brackie therapy. rund tharatthilulla brackie theraappikalund-uyarnna doses-rettu (echdr), kuranja doses-rettu (ldr). prostettu cancer chikilsikkaan ettavum saadhaaranayaayi upayogikkunna onnaanu ldr brackie therapy. ithine 'vithu implaanteshan' allengil 'pinhole sarjari' ennu vilikkam.
ell. dii. aarr brackie therappiyil, oru daanyam arrie () yude valippamulla cheria radio active kanikakal tumourilekku nerittu allengil valare aduthaayi sthaapikkunnu. eee kanangale 'vithukal' ennu vilikkunnu, avaye izhakalaayi allengil vyakthigathamayi bandhippikkam. vithukal tumourinu chuttumulla saadhaarana aarogyakaramaya koshangale baadhikkathe uyarnna alavilulla vikiranam nalkunnu. parambaraagatha radiation therappiyekkaal eee prakriya doshakaramalla, avide radio active beam sareerathinu purathu ninnu vitharanam cheyyukayum tumouril athunnathinu munbu mattu tissuekaliloode kadannupokukayum venam.
vithukalkku purame, oru puthiya polymer-encapsulated ldr srothass labhyamaan. loow-isad polymerukal upayogichu adangiyirikkunna upakaranathinte muzhuvan neelatthilum uravidam 103pidi avatharippikkunnu. eee srothassinte polymer nirmmanavum rekheeya radio active vitharanavum valare ekeekrithamaaya oru doses vitharanam srishtikkunnu.
ell. dii. aarr prostettu brackie therapy (vithu allengil line sozhs implaanteshan) kuranjathum uyarnnathumaaya prostettu kaansarinulla (cancer prostettinullil adangiyirikkumbol) theliyikkapetta chikilsayaanu.<ref namam = "kupelian paa, kummayanmar ell, khundiya dii thudangiyava. radical prostettektami, 72 jii. aii. yill thaazheyulla ekstenal beam radiotherapy, ekstenal beam radiotherapy ± 72 jii. aii, permanant seed implaanteshan, allengil ghattam tii1-tii2 prostettu kaansarinulla samyojitha vithukal/ekstenal beam radiotherapy. internaashanal jenal oof radiation oongoolaji, biology, physics 2004; oru pothu anasthettikkin keezhil, radio active vithukal phine soochikaliloode nerittu prostettilekku kuthivaykkunnu, angane radio therapic cancer koshangale nasippikkaan kazhiyum. vithukal sthiramaayi nattupidippikkunnu. avaa nilanilkkunnundenkil kaalakramena radio aaktivitti swaabhaavikamaayum surakshithamaayum shayikkunnathinaal kramena nishkriyamaakunnu. parambaraagatha shasthrakriyayil ninnu vyathyasthamayi, ell. dii. aarr brackie therapic murivukalonnum aavasyamilla, ithu saadhaaranayaayi oru autpeshyant (day cases) nadapadikramamaayi nadathunnu. chilappol ashupathriyil otta ratri thaamasikkendivarum. ell. dii. aarr brackie therappiyil ninnu rogikal saadhaaranayaayi vegathil sukham praapikkunnu. mikka purushanmarkkum eathaanum divasangalkkullil joliyilekko saadhaarana dainamdina pravarthanangalilekko madangaan kazhiyum. mattu chikitsa reethikalekkaal ell. dii. aarr brackie therapic asamyamathino vandhyathaykko ulla saadhyatha kurravulla paarshwafalangal kuravaanu. pradhana shasthrakriyaykk (parambaraagatha radical prosttettami allengil laparoscopic (keyhole sarjari) radical prosttettami) oru janapriya badalaanith.
iodine 125 (ardhaayuss 59.4 divasam) palledium 103 (ardhaayuss 17 divasam), seesiyam-131 (ardhaayuss 9.7 divasam) ennivayaanu isodoppukalil upayogikkunnathu.
nadapadikramam.
ell. dii. aarr prostettu brackie therapy (vithu allengil polymer sozhs implaanteshan) nadathumbol, malaashayathilekku (pinbhagam) oru ultraasoundu probe cherkkukayum prostettu grandhiyude valupavum aakruthiyum vilayiruthaan eee probil ninnulla chithrangal upayogikkukayum cheiyunnu. oro rogikkum sariyaaya radiation doses engane mikacha reethiyil nalkaamennu doctorq thirichariyaan vendiyaanu ithu cheiyunnathu. thudarnnu nadapadikramatthinte thudakkathil thiricharinja krithyamaaya sthalangalil vithukal cherkkunnu. ithinu saadhaaranayaayi 1 muthal 2 manikkoor vare edukkum.<ref namam = "salembier sii, lavagnini pii, nicker pii thudangiyava. sthiramaaya prostettu brackie therappiyil tumour taargett volyangalum prostettu brackie theraappiyekkurichulla eestro/eoyu/eortk shupaarshakalkulla oru supplement. radiotherapy oongolajiyum 2007; sasthrakriya murivukalonnum aavasyamilla; pakaram, vrishanathinum malaashayathinum (perinium) edayilulla charmmatthiloode kadannupokunna soochikal upayogichu radio active vithukal prostettu grandhiyil cherkkukayum avaye anthima sthaanathekku krithyamaayi nayikkaan oru ultraasoundu probe upayogikkukayum cheiyunnu. soochikal lakshyasthanangalil vaykkukayum 70 muthal 150 vare vithukal prostettil vaykkukayum cheiyunnu. thudarnnu soochikal neekkam cheiyunnu. soochikale perineal eriyayilekku nayikkaan upayogikkunna grid polulla upakaranam {φεγρανες kaanikkunnu; eee gridillo templatilo ulla kordinettukal allengil 'mapp referenceukal' vithukal sthaapikkenda prostettile krithyamaaya sthaanangal krithyamaayi nirnnayikkaan upayogikkunnu. tumourine lakshyamidunnathinu vithukal engane sthaapichirikkunnuvennu kaanikkunnu. vithukal sariyaaya sthalathaanennu urappakkaan doctor ultraasoundu, ex-reey chithrangal upayogikkunnu. prostettil adangiyirikkunna ellah cancer koshangalum poornnamaayum chikithsichittundenna urappakkaan prostettu grandhi sariyaaya alavil vikiranam kondu poornnamaayum moodiyittundennu urappakkaan oru prathyeka computer software prograam upayogikkunnu.
orikkal, vithukaloo srothassukalo pathukke avayude vikiranam puratthuvaraan thudangunnu. uravidangal sajeevamaanengilum, rogi chila adisthaana munkaruthalukal paalikkanam. yathrayum muthirnnavarumayulla sanbarkkavum nallathaanu; ennirunnaalum, vithu implaanteshanu sheshamulla aadya rund maasangalil, kochukuttikalum garbhinikalum rogiyumaayi deerghaneram nerittu sanbarkkam pulartharuthu-udaaharanathinu, kuttikal rogiyude kaalmuttil kooduthal samayam irikkaruthu. eathaanum aazhchakalkkullil laingikabandham veendum aarambhikkam. valare idaykkide skhalanam cheyyumbol oru vithu beejathil ninnu puranthallaan kazhiyum; ithu sambhavikkukayaanenkil, ithu saadhaaranayaayi aadyathe kurachu skhalanam sambhavikkum, athinaal ldr brackie therapic sesham laingika bandhatthinte aadya rando moonno avasarangalil oru kondam upayogikkunnathu nallathaanu.<ref namam = "aashh dii, fline eiii, battermaan jeey thudangiyava. praadeshikavalkkaricha prostettu kaansarinaayi sthiramaaya vithu implaanteshanekkurichu estro/iii. oo. yuu/eortsy shupaarshakal. radiotherapy oongolajiyum 2000; 57:315-321> <// rafa>
rogikalkku saadhaaranayaayi saadhaarana pravarthanangalilekku madangaanum kurachu divasangalkkullil jolie cheyyaanum kazhiyum. naalo aaroo aazhchakalkk sesham thudarnadapadikalkkaayi avar kaanappedumenn prathekshikkanam, thudarnnu oru varshathekku oro moonnu maasathilum, aarr maasathil ninnu anchu varsham vare, thudarnnu varsham thorum.
soochanakal.
cancer prarambha ghattathilaayirikkukayum (cancer gattangal tii1 muthal tii2 vare) prostettinappuram (praadeshikavalkkaricha rogam) vyaapikkaathirikkukayum cheiyunna rogikalkkulla chikilsayaayi ell. dii. aarr prostettu brackie therapy (vithu allengil polymer sozhs implaanteshan) shupaarsha cheiyunnu. oru rogi ell. dii. aarr brackie therapic anuyojyanaano ennu theerumaanikkaan sahaayikkunnathin doctormar cancer ghattavum grade, pii. ezz. eiii nila, gleason score, moothrathinte ozhukk/moothrasanchiyude shoonyatha parisodhanakal thudangiya gadakangalude samyojanam upayogikkunnu. eee vyathyastha parishodhanakalude falangalekkurichum avar nalkunna chikilsayude tharatthe engane swaadheenikkunnuvennum rogikal avarude doctormarode chodikkanam. pilkkaalakhatta cancer uyarnna psa level gleason score ulla rogikalkku baahya beam radio theraappiyumaayi samyojippichu ldr brackie therapy shupaarsha cheyyaam.
apakadasaadhyathakalum aanukoolyangalum.
1980 kalude madhyathil avatharippichathumuthal, aadyakaala, praadeshikavalkkarikkappedu rogangalulla rogikalkku prostettu brackie therapy oru susthaapitha chikitsa oopshanaayi mariyirikkunnu. amerikkayil prathivarsham arhatayullah 50,000-thiladhikam prostettu cancer rogikalkku eee reethi upayogichu chikitsa nalkunnu. brackie therapy ippol lokamembaadum vyaapakamaayi upayogikkunnu. yukeyil bhooribhaagam cancer kendrangalilum prostettu brackie therapy nalkukayum aayirakkanakkin rogikalkku chikitsa nalkukayum cheythittundu.
klinikkal aanukoolyangal.
aadyakaala prostettu cancer chikilsaykku ldr prostettu brackie therapy svayam valare phalapradamaanennu theliyikkappettittund. ldr brackie therapic sheshamulla sharashari psa alavil vardhanavu undaakaatha athijeevana nirakk baahya beam radiotherapy, radical prosttettami enniva upayogichu nediyathinu samaanamaan. ennirunnaalum ell. dii. aarr brackie therapic mattu chikitsa oopshanukalumaayi bandhapetta chila sankeernathakalkkulla saadhyatha kuravaanu.
paarshwafalangal.
ell. dii. aarr prostettu brachitherapy (vithu allengil polymer sozhs implaanteshan) kuranjathum uyarnnathumaaya apakadasaadyathayulla praadeshika kaansarinulla valare phalapradamaaya chikilsayaanu, rogikal vegathil saadhaarana pravarthanangalilekku madangunnu. implaantinu sheshamulla aadyathe aarumaasamo athiladhikamo rogikalkku moothrasambandhamaaya prasnangal anubhavappedaamenkilum, iva saadhaaranayaayi pariharikkappedukayum shaashvathamaaya prasnangal apoorvamaanu, ithu ekadesham <aii. dii. 1> rogikalil maathrame sambhavikkoo. sankeernathakalil iva ulppedunnu
2006-ll rogikalude jeevithanilavaram nokkunna oru padanatthil, ell. dii. aarr brackie therapy mattu chikitsa oopshanukalumaayi anukoolamaayi thaarathamyam cheythu. oro tharatthilulla chikilsayumaayi bandhapetta kooduthal saadhaaranamaaya paarshwafalangalum iva rogiyude rogamukthi engane badhikkum ennathum samgrahikkunnu.