Radiation Therapy Treatment

This page contains information and frequently asked questions on the Radiation Therapy treatment process. While this information will not necessarily correspond to the exact process adopted by an individual hospital, we hope it will provide general background information and an indication of a typical treatment process.

放射治疗常见问题解答

什么是放射治疗?

Radiation therapy is the treatment of cancer with radiation. This can be done in a variety of ways, depending on the nature of your cancer. The most commonly used method is called external beam therapy (from a machine outside the body), which directs radiation at your tumor.

放射疗法如何工作?

尽管辐射会影响癌症和正常细胞,但它对癌细胞具有更大的影响。bob娱乐官网针对固化的治疗将为癌症区域(安全限制)提供最高剂量的辐射剂量,以试图杀死所有癌细胞。bob娱乐官网有时会使用较小的剂量,目的是减少肿瘤的大小和/或缓解症状。

Who will be looking after me?

A specialist cancer doctor is known as a radiotherapist or radiation oncologist. In this guide we will refer to him/her as an radiation oncologist. The radiation oncologist will plan and oversee your treatment, which will be carried out by radiation therapists. In addition, the team looking after you may include nurses, health care assistants, specialist nurses, counsellors and dietitians, according to your needs during your treatment.

How is the treatment planned?

Every course of radiation therapy is designed to suit the particular needs of the person receiving it, so you will usually be asked to make a preliminary visit to the treatment center to have your course of treatment planned. The radiation oncologist and radiation therapists will do this (in conjunction with x-rays and scans, using a machine called a simulator). Your skin will be marked with coloured pens to define where you will have your treatment. In addition, some minute permanent marks will be made using a special dye and a tiny pin prick.

These marks will enable the radiation therapists to identify exactly the right area at every treatment session. If a head shell has been made for you the guidance marks will be put on the shell rather than on your skin.

如果您对口腔和/或喉咙进行放射疗法,则在此阶段需要进行牙科评估,因为您可能需要一些牙科治疗,然后才能开始放射治疗。

Do I have to stay in hospital?

If you are able to travel to the hospital for treatment there is usually no need for you to be admitted during the course. Most people are treated as outpatients, but your radiation oncologist will tell you if it would be better for you to be admitted.

Will I have any tests during treatment?

During your course of treatment, you may need to have occasional blood test and/or urine test, depending on the part of your body being treated. Some people also have X-rays and/or scans during their course of treatment, which is part of the routine and nothing to worry about.

Are there particular things I should or should not do during my course of treatment?

在整个治疗过程中,尽可能地过着正常的生活 - 尝试将放射疗法视为日常工作的中断,而不是一天中最重要的部分。但是,以下技巧可能会有所帮助:

How is radiation therapy given?

Radiation therapy is given using either a machine called a linear accelerator or, for some skin tumors, a superficial x-ray unit. To receive the radiation therapy, you will lie on a couch under the machine, and be asked to remain still during the actual treatment.

放射疗法会伤害吗?

否。治疗完全无痛。给出时无法看到或感觉到辐射。

Will the treatment make me radioactive?

No. There is no possibility of this whatsoever.

How long will the course of treatment last?

Your radiation oncologist will tell you this once the appropriate treatment for you has been decided. A course can last for anything from a single treatment to five treatments a week for six weeks depending on a number of factors, e.g. the part of your body being treated and the aim of the treatment. Most treatments are carried out daily between Monday and Friday.

每个处理会话有多长?

这个机器与机器之间变化。一些机器operate at a faster rate than others, and it also depends on the plan worked out for you. The length of a treatment session can be anything from five minutes to fifteen minutes. Occasionally a session may take longer, but this will be explained on an individual basis. When you come for your first treatment your radiation therapist will tell you how long each session will take.

Can I carry on working?

如果您觉得自己想继续工作,只要您的放射线肿瘤学家的原因不应该继续进行正常的日常治疗。但是,请问您是否需要建议。

治疗完成后会发生什么?

The immediate side effects of the treatment described above will start to ease off within a week or two of the end of your course. Because of the way radiation therapy works, the full benefit of the course of treatment is not usually reached until some weeks after the last treatment session.

Will I have any check-ups after my treatment?

治疗后,您将再次在医院再次见到您,或者将其转介给您的家庭医生。第一次随访通常是在课程完成后大约4到6周,在您在治疗中心结束之前,将与您讨论此约会。但是,后续安排因人而异以及中心都有不同。您的辐射肿瘤科医生将向您解释如何安排后续约会。

可以radiation therapy cause permanent damage?

Radiation therapy treatment is planned and delivered with the utmost care, but sometimes sensitive parts of the body are damaged. This is because to treat the cancer effectively, it is sometimes necessary to use high doses of radiation, close to the limits that normal tissues can withstand. The bowel, bladder and nervous system are particularly sensitive, but other parts of the body can suffer long term changes.

If you are having radiation therapy aimed at killing your cancer cells, there is about a 5% possibility of side-effects which may seriously affect your lifestyle. However, it is important to balance this against the much higher potential risks to your life, from the cancer getting worse or recurring without the treatment. On the other hand, if you are having radiation therapy to shrink the tumour and/or relieve symptoms, then the much lower doses of radiation used are unlikely to cause any permanent damage.

If the radiation therapy treatment includes the gonads (ovaries in women, testicles in men) this will affect fertility and hormone function. It is important to discuss this with your oncologist before treatment begins.

如果您将来确实有任何困难,您认为可能与放射疗法有关,请随时与您的肿瘤学家或GP联系。如果您的案件中有任何特殊的风险或问题,那么您的肿瘤科医生将与您讨论这一点。请记住,您正在提供放射疗法,因为好处大大超过了风险。

治疗做

Do

  • Drink plenty of fluids every day during treatment, e.g. tea, coffee, milk, fruit juice, water or fizzy drinks (ideally sugar-free).
  • Eat regularly and try to keep a balanced diet. If you don't feel like big meals, try eating little and often. The dietitian can help to plan a diet for you if necessary.
  • Wash, shower or bath as normal during treatment using a simple or baby soap taking care to pat dry the area being treated, rather than rubbing it.

Do not

  • Drink spirits, eat spicy food or very hot or very cold food if you are having treatment to your mouth, neck or chest, but ask the radiographers if you would like more information.
  • Expose the treated area to the sun during a radiation therapy treatment course, as the treated area will burn more easily and take some time to heal. In the future it is advisable always to apply sunscreen to avoid sunburn.
  • Put creams or deodorants on the treated area as these may worsen your skin reaction.

我可能会有副作用吗?

Radiation therapy is a localized treatment, which means that any side effects will depend on the part of the body being treated. Although many people have few, if any, side effects, everyone reacts differently and during your treatment you may experience one or more of the following:

  • 疾病:Depending on the part of your body being treated you may feel nauseous or be sick during your course of treatment. This does not happen to everyone. If you do feel sick, please tell your radiation therapist or nurse as it can be controlled by tablets or diet.
  • Diarrhea:Again, depending on the part of your body being treated, you may experience some diarrhea. Please tell your radiation therapist or nurse if this happens to you as you may need diarrhoea-relieving medication.The dietitian will also be pleased to advise you and help you with an eating plan if necessary.
  • Frequency when passing urine:如果您要对小腹部/骨盆进行治疗,您可能会发现自己经常通过尿液,并且在这样做时可能会感到不适。喝额外的液体会有所帮助,但要避免喝酒,茶和咖啡,因为它们会刺激膀胱。如果您发生这种情况,请告诉工作人员治疗您,以便可以对任何感染进行测试,然后可以通过适当的药物治疗。
  • Sore mouth and throat:This only happens if you are having treatment to this part of your body. If it is likely to be a problem your radiation therapist or nurse will explain how to look after your mouth and throat, or give you advice on chewing and swallowing difficulties. This only happens if you are having treatment to this area. If it is likely to be a problem, your radiation therapist or nurse will explain to you how to look after your mouth and throat during treatment.
  • Hair loss:脱发仅在接受治疗的地方发生。例如,如果治疗头部,您只会失去头发,如果您的胸部受到治疗,那么您只会失去胸毛。它是否再次生长取决于您给出了多少辐射。您的肿瘤学家将解释这对您意味着什么。如果您的头发预计会再次生长,这应该在治疗结束后的几个月内发生。