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Radiation Therapy is a crucial component in the treatment of different types of cancer within the Oncology Department. It can be used on its own or in conjunction with other cancer treatments to enhance their effectiveness. To destroy or completely eradicate cancer cells, Radiation Therapy uses high-energy waves. These waves alter the DNA of cancer cells, inhibiting them from proliferating and creating new cancer cells. Yet, noncancerous cells may occasionally be harmed.
High-energy waves are used in Radiation Therapy to target an affected area, which is frequently the site of a tumour or the area where a tumour was removed during surgery, to eradicate any cancer cells that may still be present. In contrast to treatments like Chemotherapy, which can impact cells throughout the body, this specific therapy is highly efficient as it enables doctors to target specific areas. Healthcare providers frequently use Radiation Therapy for this specific advantage. Each patient's Radiation Therapy experience is unique, as it is tailored to the specific type prescribed by their doctor.
Healthcare providers decide the type of Radiation Therapy that is to be administered based on the general health of the patient, along with considering factors like:
Radiation Therapy involves five fundamental steps: initial consultation, treatment administration, simulation and planning, and weekly evaluation and follow-up consultation with your physician following treatment.
Consultation with the doctor
Look at the results from your checkup and medical records. Learn the good and bad things about radiation treatment. Ask any questions you may have. You may need to visit the doctor many times before starting treatment. Signing a paper called "informed consent" means you understand and agree to move forward.
Planning and simulating treatment
A thermoplastic mask is created to immobilise and ensure consistent alignment during the first Radiation Therapy session. The placement of the tumour is determined through a planning scan. Therapy can begin after 1-2 days of preparation.
Sessions of Radiation Therapy
Make sure to be present for all of the scheduled Radiation Therapy appointments. Wear a gown before receiving any medical attention. Radiation Therapy typically lasts between 1-2 minutes per session, which can range from 10-30 minutes. The treatment is painless and cannot be seen. A technician will operate the machine from a remote location while being observed through a television and intercom system.
Weekly Evaluations
Treatment with radiation lasts five to six weeks, depending on the type of cancer. Every week, your oncologist checks on you to see how you're responding to therapy and modifies it as needed.
Follow-up after Treatment
After treatment, a follow-up visit will be set up to check on your progress. You may ask for certain tests. Over time, fewer patients will visit the Radiation Oncology Department, but doctors are always available to talk and address any concerns.
Radiation Therapy can be administered either externally or internally:
External Radiation Therapy: This is the most common approach. High-energy rays are directed at the cancer from outside the body using a machine called a linear accelerator. These treatments are typically performed on an outpatient basis. Different machines or techniques may be used depending on the tumour's location, whether it's deep within the body or closer to the surface.
Internal Radiation Therapy (Brachytherapy): This involves placing a radioactive source inside the body, either within a body cavity (such as the uterus or rectum) or directly into the tumour. The radioactive material may be in the form of wires, tubes, capsules, or seeds.
Systemic Radiation Therapy: This method involves injecting or swallowing unsealed radioactive materials, such as radioactive iodine. Depending on the type and dose of radiation, hospitalisation may sometimes be required to ensure safety and minimise exposure to others.
Under the guidance of the radiation oncologist, radiation technologists will take as much time as needed to ensure you are properly positioned for your treatment. This could take ten to twenty minutes. The actual radiation "on" time is typically only a minute or two for each treatment field. Although the staff makes every effort to prepare the schedules to keep appointments on time, emergencies or other events may create delays on some days.
The number of sessions varies depending on the type and location of your cancer, as well as the goals of your treatment. Some patients may require daily treatments for several weeks, while others may need fewer sessions. Your radiation oncologist will create a treatment plan tailored to your specific needs.
Possible side effects that are often experienced include:
Weakness: Often lasting for several weeks.
Skin reactions: Areas treated may experience redness, inflammation, or peeling.
Loss of hair: In the affected area.
Vomiting and nausea: Especially in cases of abdominal radiotherapy.
Loss of appetite: This could cause one to lose weight.
Sores in the mouth and throat
Urinary problems
Skin Care: Gently wash the treated area with lukewarm water and mild soap. Avoid scrubbing and pat the skin dry with a soft towel. Protect the area from sun exposure by wearing protective clothing or using a doctor-approved sunscreen.
Rest: Ensure you get enough rest. Fatigue is common, and balancing rest with light activities can help maintain your energy levels.
Nutrition: Maintain a balanced diet to support your body during treatment. If you’re experiencing appetite changes or difficulty eating, consult a dietitian for advice.
Many patients can continue their regular activities during radiation therapy, including work or school. However, some may need to adjust their schedules depending on how they feel.
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