Stereotactic radiosurgery - Gamma Knife
Stereotactic radiosurgery (SRS) inzira yekurapa nemwaranzi inotarisa-simba simba munzvimbo diki yemuviri.
Kunyangwe iine zita rayo, radiosurgery haisiriyo yekuvhiya - hapana kucheka kana kusona, asi inzira yekurapa radiation.
Inopfuura imwechete sisitimu inoshandiswa kuita radiosurgery. Ichi chinyorwa chiri pamusoro peGamma Knife radiosurgery.
Iyo Gamma Knife radiosurgery system inoshandiswa kurapa kenza kana kukura mumusoro kana kumusoro kwepamusoro nzvimbo. Kune kanzura kana kukura kwakadzika pasi musana kana chero kumwe kunhu mumuviri, imwe yakanyanya kuvhiya system inogona kushandiswa.
Usati warapwa, iwe unogadzirwa ne "musoro furemu." Iyi denderedzwa resimbi iyo inoshandiswa kunyatso kukuisa iwe mumuchina kuti uvandudze kunyatso uye kunongedza kunongedza Iyo furemu yakasungirirwa kumusoro wako uye dehenya. Maitiro acho anoitwa neurosurgeon, asi haidi kutemwa kana kusona.
- Uchishandisa local anesthesia (kunge chiremba wemazino angashandisa), mapoinzi mana akavezwa mukati meganda remusoro.
- Musoro wemusoro wakaiswa pamusoro pemusoro wako uye pini ina diki nembambo dzakabatanidzwa. Iwo ma anchor akagadzirirwa kubata musoro wemusoro munzvimbo, uye enda unosimba kuburikidza neganda kupinda pamusoro pehenya rako.
- Iwe unopihwa anesthetic yemuno uye haufanire kunzwa kurwadziwa, pane kungomanikidzwa chete. Iwe zvakare unowanzo kupihwa mushonga wekukubatsira kuzorora iwe panguva yekukodzera maitiro.
- Iyo furemu inoramba yakanamatira kune ese marapirwo maitiro, kazhinji maawa mashoma, uyezve anozobviswa.
Mushure mekunge furemu yasungirirwa pamusoro wako, bvunzo dzekufungidzira senge CT, MRI, kana angiogram zvinoitwa. Iyo mifananidzo inoratidza iko chaiko nzvimbo, saizi, uye chimiro chebundu rako kana nzvimbo yedambudziko uye kubvumira kunyatso tarisa.
Mushure mekufungidzira, iwe uchaunzwa kukamuri yekuzorora apo vanachiremba neboka refizikiki vachigadzirira hurongwa hwemakomputa. Izvo zvinogona kutora ingangoita maminetsi 45 kusvika paawa. Tevere, iwe uchaunzwa kukamuri yekurapa.
Nyowani dzisina mabhureki masisitimu ekumisa musoro ari kuongororwa.
Panguva yekurapa:
- Haufanire kuradzikwa. Iwe unowana mushonga wekukubatsira kuzorora. Mushonga wacho pachawo haukonzeri kurwadziwa.
- Iwe unorara patafura inotsvedza kupinda mumushini unounza radiation.
- Musoro furemu kana kumeso kumeso kunoenderana nemuchina, uyo une ngowani ine maburi ekusvitsa zvidiki chaizvo zvinyoro zvemwaranzi zvakanangana nechinangwa.
- Mushini unogona kutamisa musoro wako zvishoma, kuitira kuti mapfumo esimba aendeswe kunzvimbo chaidzo dzinoda kurapwa.
- Vanopa hutano mune imwe kamuri. Vanogona kukuona pamakamera uye vanokunzwa uye kutaura newe pamaikorofoni.
Iyo yekurapa kuendesa inotora chero kupi kubva pamaminitsi makumi maviri kusvika kumaawa maviri. Iwe unogona kugamuchira inopfuura imwechete chikamu chekurapa. Kazhinji kazhinji, hapana anodarika mashanu zvikamu anodikanwa.
Yakanyanya kutarisisa mwenje yema radiation uchishandisa iyo Gamma Knife system tarisa uye nekuparadza isina kujairika nzvimbo Izvi zvinoderedza kukuvara kwenyama iri pedyo ine hutano. Iyi kurapwa inowanzo iri imwe nzira yekuvhura neurosurgery.
Gamma Knife radiosurgery inogona kushandiswa kurapa anotevera marudzi ehuropi mamota kana epamusoro musana mamota.
- Kenza yakapararira (metastasized) kuuropi kubva kune chimwe chikamu chemuviri
- Bundu rinokura zvishoma-shoma retsinga rinobatanidza nzeve kuuropi (acoustic neuroma)
- Mamota epituitary
- Kumwe kukura muuropi kana musana (chordoma, meningioma)
Gamma Knife inoshandiswa zvakare kurapa mamwe matambudziko ehuropi:
- Dambudziko reropa reropa (arteriovenous malformation, arteriovenous fistula).
- Mamwe marudzi epfari.
- Trigeminal neuralgia (yakaoma tsinga kurwadziwa kwechiso).
- Kudengenyeka kwakanyanya nekuda kwekudengenyeka kwakakosha kana chirwere cheParkinson.
- Inogona zvakare kushandiswa seimwezve "yekuwedzera" kurapa mushure mekunge kenza yabviswa muuropi, kubatsira kudzikisa njodzi yekudzokazve.
Radiosurgery (kana chero mhando yekurapwa kwechinhu ichocho), inogona kukuvadza nyama dzakakomberedza nzvimbo iri kurapwa. Zvichienzaniswa nedzimwe mhando dzeradiotherapy kurapwa, vamwe vanodavira kuti Gamma Knife radiosurgery, nekuti iri kuendesa kurapwa kwepini, haigone kukuvadza nyama dziri pedyo.
Mushure me radiation kune huropi, kuzvimba kwenzvimbo, kunonzi edema, kunogona kuitika. Unogona kupihwa mishonga usati uye mushure mekuita kuti udzikise njodzi iyi, asi zvichiri kugona. Kuzvimba kunowanzoenda pasina kumwe kurapwa. Muzviitiko zvisingawanzoitika, kugara muchipatara uye kuvhiyiwa nema incision (kuvhiya kwakavhurika) kunodiwa kurapa kuzvimba kwehuropi kunokonzerwa nemwaranzi.
Iko kune zvisingawanzo zviitiko zvekuzvimba zvichikonzera varwere kuve nematambudziko kufema, uye kune mishumo yekufa mushure meradiosurgery.
Kunyange hazvo rudzi urwu rwekurapa rwusinga pindike pane kuvhiya kwakavhurika, runogona kuve nenjodzi. Taura nachiremba wako pamusoro penjodzi dzekurapwa uye nezve njodzi dzekukura kwemarara kana kupararira.
Mavanga eganda nenzvimbo uko musoro wemusoro wakasungirirwa kumusoro wako unogona kunge wakatsvuka uye uchinzwisisa mushure mekurapwa. Izvi zvinofanirwa kuenda nenguva. Panogona kunge paine kupwanya.
Zuva risati rasvika maitiro ako:
- Usashandise chero bvudzi rebvudzi kana bvudzi bvudzi.
- Usadye kana kunwa chero chinhu pakati pehusiku kunze kwekunge waudzwa neimwe nzira nachiremba wako.
Zuva remaitiro ako:
- Pfekai hembe 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.
- Mutsara (IV) uchaiswa muruoko rwako kuti ubudise zvinhu zvakasiyana, mishonga, uye zvinwiwa.
Kazhinji, unogona kuenda kumba musi iwoyo wekurapwa. Ronga kumberi kwenguva kuti mumwe munhu akutakure kuenda kumba, nekuti mishonga yaunopihwa inogona kukukotsira. Iwe unogona kudzokera kumabasa ako ehupenyu zuva rinotevera kana pasina matambudziko, akadai sekuzvimba. Kana uine matambudziko, kana chiremba wako achitenda kuti zvinodikanwa, ungangoda kugara muchipatara husiku kuti utariswe.
Tevedza rairo dzaunopihwa navakoti vako kuti ungazvichengete sei kumba.
Mhedzisiro yeGamma Knife radiosurgery inogona kutora vhiki kana mwedzi kuti ionekwe. Kufungidzira kunoenderana nemamiriro ari kurapwa. Wako mupi anoongorora kufambira mberi kwako uchishandisa imaging bvunzo senge MRI uye CT scans.
Stereotactic radiotherapy; Stereotactic radiosurgery; SRT; SBRT; Yakapatsanurwa stereotactic radiotherapy; SRS; Gamma Knife; Gamma Knife radiosurgery; Isiri-inokanganisa neurosugery; Pfari - Gamma Knife
Baehring JM, Hochberg FH. Chirongwa chekutanga chetsinga tumarara muvanhu vakuru. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 74.
Brown PD, Jaeckle K, Ballman KV, et al. Mhedzisiro yeiyo radiosurgery chete vs radiosurgery neiyo yakazara huro radiation radiation pakurapa kwekuziva kwevarwere vane 1 kusvika ku3 metastases yeuropi. JAMA. 2016; 316 (4): 401-409. PMID: 27458945 pubmed.ncbi.nlm.nih.gov/27458945/.
Dewyer NA, Abdul-Aziz D, Welling DB. Radiation kurapa kwemabenign tumors eiyo cranial base. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 181.
Lee CC, Schlesinger DJ, Sheehan JP. Maitiro eRadiosurgery. Mune: Winn RH, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 264.