Ma radiosurgery opanga - Gamma Knife

Stereotactic radiosurgery (SRS) ndi njira yothandizira poizoniyu yomwe imayang'ana mphamvu yayikulu m'dera laling'ono la thupi.

Ngakhale dzina lake, ma radiosurgery sindiye njira yochitira opaleshoni - palibe kudula kapena kusoka, koma ndi njira yothandizira ma radiation.

Njira zingapo zimagwiritsidwa ntchito popanga ma radiosurgery. Nkhaniyi ikunena za ma radio a Gamma Knife.

Njira ya Gamma Knife radiosurgery imagwiritsidwa ntchito pochizira khansa kapena zophuka m'mutu kapena kumtunda. Khansa kapena zotupa zimatsikira msana kapena kwina kulikonse mthupi, njira ina yochitira opaleshoni ingagwiritsidwe ntchito.

Musanalandire chithandizo, mumakhala ndi "mutu wamutu." Ili ndi bwalo lazitsulo lomwe limagwiritsidwa ntchito kuti likuyikeni bwino pamakina kuti musinthe molondola ndikuloza kuloza. Chojambulacho chimamangiriridwa kumutu ndi chigaza chanu. Njirayi imagwiridwa ndi neurosurgeon, koma sikutanthauza kudula kapena kusoka.

• Pogwiritsa ntchito mankhwala oletsa ululu am'deralo (monga momwe dokotala angagwiritsire ntchito), mfundo zinayi zalephera pakhungu la khungu.
• Mutu wamutu waikidwa pamutu panu ndipo zikhomo zinayi zazing'ono ndi anangula zimaphatikizidwa. Anangula adapangidwa kuti azisunga mutu wake m'malo mwake, ndipo amapita molimba kudzera pakhungu mpaka pamwamba pa chigaza.
• Mumapatsidwa mankhwala oletsa ululu m'deralo ndipo musamve kuwawa, m'malo mongokakamizidwa. Mumapatsidwanso mankhwala kuti akuthandizeni kupumula munthawi yoyenera.
• Chojambulacho chimakhalabe chomangirizidwa pochita chithandizo chonse, nthawi zambiri kwa maola ochepa, kenako chimachotsedwa.

Chojambulacho chikamangiriridwa pamutu panu, mayeso oyerekeza monga CT, MRI, kapena angiogram amachitika. Zithunzizo zikuwonetsa malo enieni, kukula, ndi mawonekedwe a chotupa chanu kapena malo amavuto ndikuloleza kutsata molondola.

Pambuyo pa kujambula, mudzatengeredwa kuchipinda kuti mukapume pamene madokotala ndi gulu la fizikiya akukonzekera dongosolo la makompyuta. Izi zitha kutenga pafupifupi mphindi 45 mpaka ola limodzi. Kenako, mudzatengeredwa kuchipinda chachipatala.

Njira zatsopano zopanda mawonekedwe zoyika mutu zikuyesedwa.

Pa chithandizo:

• Simusowa kuti mugone. Mupeza mankhwala okuthandizani kupumula. Mankhwalawa sasokoneza.
• Mumagona patebulo lomwe limalowa m'makina omwe amatulutsa ma radiation.
• Chovala chamutu kapena chigoba cha nkhope chimagwirizana ndi makinawo, omwe ali ndi chisoti chokhala ndi mabowo operekera matalikidwe ochepa a radiation molunjika ku chandamale.
• Makinawo amatha kusuntha mutu wanu pang'ono, kuti matanda amagetsi aperekedwe kumalo omwe amafunikira chithandizo.
• Ogwira ntchito zazaumoyo ali mchipinda china. Amatha kukuwonani pamakamera ndikumvera ndikulankhula nanu pama maikolofoni.

Kutumiza kwamankhwala kumatenga kulikonse kuyambira mphindi 20 mpaka maola awiri. Mutha kulandira gawo limodzi la mankhwala. Nthawi zambiri, pamafunika magawo osachepera asanu.

Nyemba zowunikira kwambiri pogwiritsa ntchito njira ya Gamma Knife ndikuwononga malo achilendo. Izi zimachepetsa kuwonongeka kwa minofu yabwinobwino yapafupi. Mankhwalawa nthawi zambiri amakhala njira ina yotsegulira ma neurosurgery.

Gamma Knife radiosurgery itha kugwiritsidwa ntchito pochiza mitundu yotsatirayi ya zotupa zamaubongo kapena zotupa kumtunda:

• 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
• Kukula kwina muubongo kapena msana (chordoma, meningioma)

Gamma Knife imagwiritsidwanso ntchito kuthana ndi mavuto ena amubongo:

• Mavuto amitsuko yamagazi (kupindika kwamitsempha, arteriovenous fistula).
• Mitundu ina ya khunyu.
• Trigeminal neuralgia (kupweteka kwambiri kwa mitsempha kumaso).
• Kunjenjemera kwakukulu chifukwa cha kunjenjemera kofunikira kapena matenda a Parkinson.
• Itha kugwiritsidwanso ntchito ngati othandizira "othandizira" khansa itachotsedwa opaleshoni muubongo, kuti muchepetse kuyambiranso.

Radiosurgery (kapena mtundu uliwonse wa mankhwala pazomwezo), zitha kuwononga minofu kuzungulira malo omwe akuchiritsidwa. Poyerekeza ndi mitundu ina ya mankhwala a radiation, ena amakhulupirira kuti ma Gamma Knife radiosurgery, chifukwa ikupereka chithandizo chamankhwala, sangawononge minofu yapafupi pafupi.

Pambuyo pa radiation kuubongo, kutupa kwanuko, kotchedwa edema, kumatha kuchitika. Mutha kupatsidwa mankhwala musanachitike komanso mutatsata njira zochepetsera izi, komabe ndizotheka. Kutupa nthawi zambiri kumatha popanda kuthandizidwa. Nthawi zambiri, kulandilidwa kuchipatala ndikuchitidwa opaleshoni (maopareshoni otseguka) amafunikira kuthana ndi kutupa kwa ubongo komwe kumachitika chifukwa cha radiation.

Pali zotupa zochepa zomwe zimapangitsa odwala kukhala ndi vuto lakupuma, ndipo pamakhala malipoti okhudza kuwonongeka pambuyo pa ma radiosurgery.

Ngakhale mtundu uwu wamankhwala ndi wowopsa kuposa opaleshoni yotseguka, ukhoza kukhala ndi zoopsa. Lankhulani ndi dokotala wanu za kuopsa kwa chithandizo chamankhwala komanso kuopsa kwakukula kwa chotupa kapena kufalikira.

Zilonda zapakhungu ndi malo omwe mutu wamutu umalumikizidwa ndi khungu lanu ukhoza kukhala wofiira komanso wosamala mukalandira chithandizo. Izi zikuyenera kutha pakapita nthawi. Pakhoza kukhala kuvulaza.

Kutatsala tsiku limodzi kuti muchite izi:

• OGWIRITSA ntchito zonunkhira kapena tsitsi lililonse.
• Musadye kapena kumwa chilichonse pakati pausiku pokhapokha mutanenedwa ndi dokotala.

Tsiku lanu:

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

Nthawi zambiri, mutha kupita kunyumba tsiku lomwelo la chithandizo. Konzani pasadakhale kuti wina adzakufikitsani kunyumba, chifukwa mankhwala omwe mumapatsidwa amatha kukupangitsani kugona. Mutha kubwereranso ku zomwe mumachita tsiku lotsatira ngati palibe zovuta, monga kutupa. Ngati mukukumana ndi zovuta, kapena dokotala akukhulupirira kuti ndikofunikira, mungafunike kugona mchipatala usiku wonse kuti muwunikidwe.

Tsatirani malangizo omwe anapatsidwa ndi anamwino anu momwe mungadzisamalire nokha kunyumba.

Zotsatira za Gamma Knife radiosurgery zitha kutenga milungu kapena miyezi kuti ziwonekere. Kulosera kumatengera momwe akuchiritsira. Wothandizira anu adzawunika momwe mukuyendera pogwiritsa ntchito mayeso ojambula monga ma MRI ndi CT.

Stereereactic radiotherapy; Ma radiosurgery opatsirana; SRT; SBRT; Fractionated radiotherapy; SRS; Mpeni wa Gamma; Mafilimu a Gamma Knife; Ma neurosugery osagwira; Khunyu - Gamma Knife

Baehring JM, Hochberg FH. (Adasankhidwa) Zotupa zoyambirira zamankhwala akuluakulu. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 74.

Brown PD, Jaeckle K, Ballman KV, et al. Zotsatira za ma radiosurgery okha vs ma radiosurgery okhala ndi ubongo wathunthu wamankhwala othandizira kuzindikira kwa odwala omwe ali ndi 1 mpaka 3 metastases yaubongo: mayesero azachipatala. JAMA. 2016; 316 (4): 401-409. PMID: 27458945 adasankhidwa.ncbi.nlm.nih.gov/27458945/.

Dewyer NA, Abdul-Aziz D, Welling DB. Chithandizo cha ma radiation cha zotupa zosaopsa zapansi. 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 181.

Lee CC, DJ wa Schlesinger, Sheehan JP. Njira ya ma radiosurgery. Mu: Winn RH, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 264.