Stereotactic radiosurgery - CyberKnife

Stereotactic radiosurgery (SRS) inzira yekurapa nemwaranzi inotarisa-simba simba munzvimbo diki yemuviri. Kunyangwe iri zita rayo, radiosurgery kurapwa, kwete nzira yekuvhiya. Kucheka (kucheka) hakuitwe pamuviri wako.

Inopfuura imwe chete mhando yemuchina uye system inogona kushandiswa kuita radiosurgery. Ichi chinyorwa chiri pamusoro peiyo radiosurgery uchishandisa iyo system inonzi CyberKnife.

SRS inotarisa uye inobata nzvimbo isina kujairika. Iyo radiation yakanyatso tarisa, iyo inoderedza kukuvara kune iri pedyo noutano nyama.

Panguva yekurapa:

• Hauzodi kuiswa pakurara. Mushonga haukonzeri kurwadziwa.
• Iwe unorara patafura inotsvedza kupinda mumushini unounza radiation.
• Ruoko rwe robhoti runodzorwa nekombuta runofamba zvakakukomberedza. Inotarisa radiation pamhepo iri kurapwa.
• Vanopa hutano mune imwe kamuri. Vanogona kukuona pamakamera uye vanokunzwa uye kutaura newe pamaikorofoni.

Kurapa kwega kwega kunotora maminetsi makumi matatu kusvika kumaawa maviri. Iwe unogona kugashira inopfuura imwechete chikamu chekurapa, asi kazhinji kasingapfuure mashanu zvikamu.

SRS ingangodaro inokurudzirwa kune vanhu vane njodzi yakawandisa yekuvhiyiwa kwakajairika. Izvi zvinogona kukonzerwa nezera kana mamwe matambudziko ehutano. SRS inogona kukurudzirwa nekuti nzvimbo inofanirwa kurapwa iri padhuze nezvivakwa zvakakosha mukati memuviri.

CyberKnife inowanzo shandiswa kudzora kukura kana kuparadza zvese zvidiki, zvakadzika matumbo ehuropi ayo akaoma kubvisa panguva yechinyakare kuvhiyiwa.

Tumota dzehuropi uye huta hunogona kurapwa uchishandisa CyberKnife inosanganisira:

• Kenza yakapararira (metastasized) kuuropi kubva kune chimwe chikamu chemuviri
• Bundu rinokura zvishoma-shoma retsinga rinobatanidza nzeve kuuropi (acoustic neuroma)
• Mamota epituitary
• Spinal tambo tumota

Dzimwe gomarara dzinogona kurapwa dzinosanganisira:

• Chipfuva
• Itsvo
• Chiropa
• Lung
• Pancreas
• Prostate
• Rudzi rwekenza yeganda (melanoma) inosanganisira ziso

Mamwe matambudziko ekurapwa akabatwa neCyberKnife ndeaya:

• Ropa remidziyo matambudziko senge arteriovenous malformations
• Parkinson chirwere
• Kudengenyeka kwakanyanya (kudedera)
• Mamwe marudzi epfari
• Trigeminal neuralgia (kurwadziwa kwakakomba kwemitsipa kwechiso)

SRS inogona kukuvadza nyama dzakakomberedza nzvimbo iri kurapwa. Sezvo zvichienzaniswa nemamwe marudzi e radiation kurapwa, kurapwa kweCyberKnife kuri kushoma mukana kwekukuvadza padyo hutano hwakanaka.

Kuzvimba kwehuropi kunogona kuitika muvanhu vanogamuchira kurapwa kuhuropi. Kuzvimba kunowanzoenda pasina kurapwa. Asi vamwe vanhu vangangoda mishonga yekudzora kuzvimba uku. Muzviitiko zvisingawanzoitika, kuvhiyiwa nema incision (kuvhura kwakavhurika) kunodiwa kuti urape kuzvimba kwehuropi kunokonzerwa nemwaranzi.

Usati warapwa, iwe unenge uine MRI kana CT scans. Iyi mifananidzo inobatsira chiremba wako kuona nzvimbo chaiyo yekurapa.

Zuva risati rasvika maitiro ako:

• Usashandise chero bvudzi rekirimu kana bvudzi rebvudzi kana Kuvhiya kweCyberKnife kunosanganisira huropi hwako.
• Usadya kana kunwa chero chinhu pakati pehusiku kunze kwekunge waudzwa neimwe nzira nachiremba wako.

Zuva remaitiro ako:

• Pfeka mbatya dzakanaka.
• Uyai nemishonga yenyu yamunenge muchinyorerwa muchipatara.
• Usapfeke zvishongo, poda, nzara, kana wigi kana chinhu chebvudzi.
• Iwe unozobvunzwa kuti ubvise malensi ekuonana, magirazi emaziso, uye meno ekuba.
• Unochinja kuita gown repachipatara.
• Mutsetse (lV) mutsetse uchaiswa muruoko rwako kuti ununure zvinhu zvakasiyana, mishonga, uye zvinwiwa.

Kazhinji, unogona kuenda kumba inenge 1 awa mushure mekurapwa. Ronga pamberi penguva yekuti mumwe munhu akutyaire kumba. Iwe unogona kudzokera kumabasa ako ehupenyu zuva rinotevera kana pasina matambudziko, akadai sekuzvimba. Kana uine matambudziko, ungangoda kugara muchipatara husiku kuti utariswe.

Tevedza rairo yekuti ungazvichengete sei kumba.

Mhedzisiro yekurapa kweCyberKnife kunogona kutora mavhiki kana mwedzi kuti ionekwe. Kufungidzira kunoenderana nemamiriro ari kurapwa. Wako mupi angango tarisa kufambira mberi kwako uchishandisa imaging bvunzo dzakadai seMRI uye CT scans.

Stereotactic radiotherapy; SRT; Stereotactic muviri radiotherapy; SBRT; Yakapatsanurwa stereotactic radiotherapy; SRS; CyberKnife; CyberKnife radiosurgery; Isiri-inokanganisa neurosurgery; Bundu rebongo - CyberKnife; Gomarara repfungwa - CyberKnife; Brain metastases - CyberKnife; Parkinson - CyberKnife; Pfari - CyberKnife; Kudedera - CyberKnife

• Pfari muvakuru - chii kubvunza chiremba wako
• Pfari muvana - kubuda
• Pfari muvana - chii kubvunza chiremba wako
• Pfari kana pfari - buditsa
• Stereotactic radiosurgery - kubuda

Gregoire V, Lee N, Hamoir M, Yu Y.Radiation Therapy uye manejimendi emuromo wechibereko lymph node uye ane malignant skull base tumors. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chits. 117.

Linskey ME, Kuo JV. Zvakajairika uye nhoroondo kufunga nezve radiotherapy uye radiosurgery. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 261.

Zeman EM, Schreiber EC, Tepper JE. Basics ye radiation kurapwa. Mune: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical Oncology. 6th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 27.