Ma radiosurgery owonera - CyberKnife

Stereotactic radiosurgery (SRS) ndi njira yothandizira poizoniyu yomwe imayang'ana mphamvu yayikulu m'dera laling'ono la thupi. Ngakhale dzina lake, ma radiosurgery ndimachiritso, osati opaleshoni. Zodulira sizidapangidwa pathupi lako.

Mitundu yoposa imodzi yamakina ndi makina amatha kugwiritsidwa ntchito popanga ma radiosurgery. Nkhaniyi ikunena za ma radiosurgery ogwiritsa ntchito pulogalamu yotchedwa CyberKnife.

Zolinga za SRS ndikuchitira malo achilendo. Poizoniyu amayang'ana kwambiri, zomwe zimachepetsa kuwonongeka kwa minofu yabwinobwino yapafupi.

Pa chithandizo:

• Simudzafunika kuti mugone. Mankhwalawa samapweteka.
• Mumagona patebulo lomwe limalowa m'makina omwe amatulutsa ma radiation.
• Dzanja lamaloboti lolamulidwa ndi kompyuta limayenda mozungulira inu. Imayang'ana ma radiation ndendende kudera lomwe akuchiritsidwa.
• Ogwira ntchito zazaumoyo ali mchipinda china. Amatha kukuwonani pamakamera ndikumvera ndikulankhula nanu pama maikolofoni.

Chithandizo chilichonse chimatenga pafupifupi mphindi 30 mpaka maola awiri. Mutha kulandira gawo limodzi lamankhwala, koma nthawi zambiri osapitilira magawo asanu.

SRS imayenera kulimbikitsidwa kwa anthu omwe ali pachiwopsezo chachikulu kuchitidwa opaleshoni yanthawi zonse. Izi zitha kukhala chifukwa cha ukalamba kapena mavuto ena azaumoyo. SRS itha kulimbikitsidwa chifukwa dera lomwe akuyenera kulandira lili pafupi kwambiri ndi zofunikira m'thupi.

CyberKnife imagwiritsidwa ntchito polepheretsa kukula kapena kuwononga kwathunthu zotupa zazing'ono zamaubongo zomwe zimakhala zovuta kuzichotsa nthawi yochita opaleshoni.

Zotupa zamaubongo ndi zamanjenje zomwe zitha kuchiritsidwa pogwiritsa ntchito CyberKnife ndi monga:

• Khansa yomwe yafalikira (metastasized) kupita kuubongo kuchokera mbali ina ya thupi
• Chotupa chokula pang'ono pang'onopang'ono chomwe chimalumikiza khutu ndi ubongo (acoustic neuroma)
• Zotupa za pituitary
• Zotupa za msana

Khansa zina zomwe zitha kuchiritsidwa ndi izi:

• Chifuwa
• Impso
• Chiwindi
• Mapapo
• Miphalaphala
• Prostate
• Mtundu wa khansa yapakhungu (melanoma) yomwe imakhudza diso

Mavuto ena azachipatala omwe amathandizidwa ndi CyberKnife ndi awa:

• Mavuto amitsuko yamagazi monga kupindika kwamitsempha yamagazi
• Matenda a Parkinson
• Kugwedezeka kwamphamvu (kugwedezeka)
• Mitundu ina ya khunyu
• Trigeminal neuralgia (kupweteka kwambiri kwa mitsempha kumaso)

SRS ikhoza kuwononga minofu mozungulira dera lomwe akuchiritsidwa. Poyerekeza ndi mitundu ina ya ma radiation, chithandizo cha CyberKnife sichimatha kuwononga minofu yapafupi.

Kutupa kwaubongo kumatha kupezeka mwa anthu omwe amalandila chithandizo kuubongo. Kutupa nthawi zambiri kumatha popanda chithandizo. Koma anthu ena angafunike mankhwala kuti athetse kutupa uku. Nthawi zambiri, kuchitidwa opareshoni potsegula (opaleshoni yotseguka) kumafunikira kuti ubongo uzitupa chifukwa cha radiation.

Musanalandire chithandizo, mudzakhala ndi ma MRI kapena CT scans. Zithunzizi zimathandiza dokotala kudziwa malo omwe angathandizire.

Kutatsala tsiku limodzi kuti muchite izi:

• Musagwiritse ntchito zonona kapena zodzikongoletsera tsitsi ngati opaleshoni ya CyberKnife imakhudza ubongo wanu.
• Musadye kapena kumwa chilichonse pakati pausiku pokhapokha mutanenedwa ndi dokotala.

Tsiku lanu:

• Valani zovala zabwino.
• Bweretsani mankhwala anu nthawi zonse kuchipatala.
• Osavala zodzikongoletsera, zodzoladzola, zopaka msomali, kapena tsitsi kapena chidutswa chaubweya.
• Mudzafunsidwa kuchotsa magalasi olumikizirana nawo, magalasi amaso, ndi mano.
• Mudzasintha mkanjo wam'chipatala.
• Mzere wolowa mkati (lV) udzaikidwa m'manja mwanu kuti mupereke zosiyana, mankhwala, ndi madzi.

Nthawi zambiri, mutha kupita kunyumba pafupifupi ola limodzi mutalandira chithandizo. Konzani pasadakhale kuti wina adzakufikitsani kunyumba. Mutha kubwereranso ku zomwe mumachita tsiku lotsatira ngati palibe zovuta, monga kutupa. Ngati mukukumana ndi zovuta, mungafunike kugona mchipatala usiku wonse kuti muwunikidwe.

Tsatirani malangizo amomwe mungadzisamalire nokha kunyumba.

Zotsatira za chithandizo cha CyberKnife zitha kutenga milungu kapena miyezi kuti ziwonekere. Kulosera zamankhwala kumadalira momwe akuchiritsira. Wopezayo angayang'anire kupita kwanu patsogolo pogwiritsa ntchito mayeso ojambula monga ma MRI ndi CT.

Stereereactic radiotherapy; SRT; Stereotactic radiotherapy; SBRT; Fractionated radiotherapy; SRS; CyberKnife; Ma radiosurgery a CyberKnife; Ma neurosurgery osagwira; Chotupa chaubongo - CyberKnife; Khansa yaubongo - CyberKnife; Matenda a ubongo - CyberKnife; Parkinson - CyberKnife; Khunyu - CyberKnife; Kugwedezeka - CyberKnife

• Khunyu akuluakulu - zomwe mungafunse dokotala wanu
• Khunyu ana - kumaliseche
• Khunyu mwa ana - zomwe mungafunse dokotala wanu
• Khunyu kapena khunyu - kumaliseche
• Ma stereosactic radiosurgery - kutulutsa

Gregoire V, Lee N, Hamoir M, Yu Y.Mankhwala othandizira ma radiation ndi kasamalidwe ka zotupa za khomo lachiberekero ndi zotupa zoyipa za m'mutu. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 117.

Linskey INE, Kuo JV. Zakale komanso mbiri yakale ya radiotherapy ndi ma radiosurgery. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 261.

Zeman EM, Schreiber EC, Tepper JE. Maziko a radiation radiation. Mu: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, olemba. Chipatala cha Abeloff's Oncology. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: chap 27.