Ni iki cyitwa Radiosurgery ya Stereotactic? Intego, Uburyo & Ibivamo

Radiosurgery ya Stereotactic ni uburyo bwo kuvura butagira icyo bukora kandi butagira icyo bukora bukoresha imirasire yibanda kugirango yibasire imitsi idasanzwe mu bwonko bwawe cyangwa umugongo. Nubwo izina ryayo, ntabwo ari uburyo bwo kubaga mu buryo busanzwe - nta gukata cyangwa gukata birimo.

Ubu buhanga buhanitse butanga imirasire yibanda cyane ahantu hihariye cyane mugihe kirengera imitsi yuzuye ikikije. Tekereza nkukoresha ikirahure kinini kugirango wibande kumirasire y'izuba ahantu hamwe, ariko aho gushyushya, abaganga bakoresha imirasire y'imirasire yatekerejwe neza kugirango bavure indwara nka kanseri y'ubwonko, arteriovenous malformations, n'indwara zimwe na zimwe zo mu mutwe.

Ni iki cyitwa radiosurgery ya stereotactic?

Radiosurgery ya stereotactic ihuriza hamwe ikoranabuhanga rigezweho ryo gushushanya hamwe no gutanga imirasire neza kugirango ivure imitsi idasanzwe itagize icyo ikora. Ijambo

Impamvu zisanzwe zitera ubu buvuzi zirimo ibibyimba byo mu bwonko bito cyane cyangwa biri ahantu kubaga bisanzwe byangiza imikorere y'ubwonko y'ingenzi. Bikoreshwa kandi ku bibyimba bitari kanseri nka acoustic neuromas, meningiomas, na pituitary adenomas bishobora kutagomba gukurwaho ariko bikaba bikenera kugenzurwa.

Dore indwara z'ingenzi zishobora kungukira kuri stereotactic radiosurgery:

• Metastases y'ubwonko (kanseri yimukiye mu bwonko iva mu bindi bice by'umubiri)
• Arteriovenous malformations (imitsi y'amaraso idasanzwe)
• Trigeminal neuralgia (ububabare bukomeye mu maso)
• Acoustic neuromas (ibibyimba bitari kanseri bigira ingaruka ku mitima yumva)
• Meningiomas (ibibyimba biva mu bikoresho by'ubwonko)
• Pituitary tumors
• Ubwo bwoko bwa epilepsiya
• Ibyo bibyimba bimwe byo mu mugongo

Muganga wawe ashobora kandi gutanga iyi mvura niba utujuje ibisabwa byo kubagwa bisanzwe bitewe n'imyaka yawe, izindi ndwara, cyangwa niba igibyimba kiri ahantu kubaga byateza ingaruka zikomeye.

Ni iki gikorerwa stereotactic radiosurgery?

Uburyo bwa stereotactic radiosurgery busanzwe bufata amasaha amwe kugeza kuri atanu, bitewe n'ubunini n'ahantu h'igice kivurwa. Ubuvuzi bwinshi burangizwa mu gihe kimwe, nubwo indwara zimwe zishobora gusaba gusura inshuro nyinshi.

Ku munsi wo kuvurwa, ubanza gushyirwaho igikoresho ku gihanga cyawe ukoresheje anesthesia yaho, cyangwa ushobora kwambara mask yihariye ifata umutwe wawe neza. Ibi bikorwa byo guhagarika ni ngombwa kugirango imirasire ikore neza ahantu nyabwo.

Ibi nibyo bibaho mugihe cyo kuvurwa:

1. Uzagenda wakira isesengura ryimbitse ryerekana ishusho (CT, MRI, cyangwa byombi) wambaye igikoresho cyo ku mutwe cyangwa maski
2. Itsinda ryawe ry'abaganga rikoresha aya mashusho kugira ngo rikore gahunda y'imiti y'ukuri
3. Uzarara ku meza yo kuvuriraho yinjira mu mashini ikoreshwa mu kuvura indwara zifashishije imirasire
4. Iyo mashini izenguruka umutwe wawe, itanga imirasire iva mu mpande nyinshi
5. Uzaguma uri maso kandi wumva umeze neza muri icyo gihe cyose
6. Gutanga imirasire nyirizina mubisanzwe bifata iminota 30 kugeza ku masaha 2

Ntuzumva imirasire ubwayo, kandi abantu benshi basanga uburyo bwo kuvurwa bworoshye. Muri rusange ushobora gutaha uwo munsi, nubwo umuntu agomba kukugendera kuko ushobora kumva unaniwe cyangwa ufite umutwe woroshye.

Ni gute witegura kubagwa ukoresheje imirasire ya stereotactic?

Kwitegura kubagwa ukoresheje imirasire ya stereotactic mubisanzwe biroroshye, ariko gukurikiza amabwiriza ya muganga wawe neza bizafasha kugera ku musaruro mwiza. Imyiteguro myinshi irimo gutegura umubiri wawe kugira ngo uvurwe no gusobanukirwa ibyo witeguye.

Muganga wawe ashobora kugusaba kwirinda imiti imwe n'imwe ishobora kongera ibyago byo kuva amaraso, nka aspirine cyangwa imiti igabanya amaraso, mbere y'icyo gikorwa mu gihe cy'icyumweru. Uzanakenera gutegura umuntu uzakugendera nyuma, kuko ushobora kumva unaniwe.

Ibi nibyo ushobora kwitega muri rusange mu myiteguro yawe:

• Reka gufata imiti igabanya amaraso nkuko byategetswe na muganga wawe
• Kogereza umusatsi wawe neza mu ijoro ryo mbere (ushobora kutabasha kuwumesa mu gihe cy'umunsi cyangwa ibiri nyuma)
• Fata ifunguro rito rya mugitondo ku munsi wo kuvurwa
• Wambare imyenda yoroshye kandi yagutse
• Kura imitako yose, amavuta yo kwisiga, n'ibicuruzwa byo mu musatsi
• Zana imiti yose ufite ubu
• Tegura umuntu uzakugendera

Itsinda ry'ubuvuzi ryawe rizatanga amabwiriza asobanutse ashingiye ku miterere yawe bwite. Niba ufite impungenge cyangwa ibibazo bijyanye n'inzira yo kwitegura, ntugatinye guhamagara ibiro bya muganga wawe.

Ni gute usoma ibisubizo byawe bya stereotactic radiosurgery?

Gusobanukirwa ibisubizo byawe bya stereotactic radiosurgery bisaba kwihangana, kuko ingaruka zigenda zigaragara buhoro buhoro mu byumweru kugeza ku mezi aho kugaragara ako kanya. Bitandukanye n'ububaga busanzwe, aho ibisubizo bikunze kugaragara ako kanya, radiosurgery ikora yangiza buhoro buhoro selile zidasanzwe uko igihe kigenda.

Muganga wawe azateganya gahunda yo gusuzuma buri gihe hamwe no gukoresha imashini zigaragaza kugirango akurikirane iterambere ryawe. Isesengura rya mbere akenshi rikorerwa nyuma y'amezi 3-6 nyuma yo kuvurwa, hanyuma mu gihe gito cyane mu myaka myinshi kugirango ukurikirane uburyo ubuvuzi bukora neza.

Intsinzi ikunze gupimwa na:

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• Kugabanuka cyangwa guhagarara kw'umugera (guhagarika gukura)
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• Kugabanya ibimenyetso bifitanye isano n'uburwayi bwawe
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• Gufunga imitsi idasanzwe y'amaraso (kubera imitsi y'amaraso idasanzwe)
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• Kugabanya ibikorwa byo gufatwa (kubera kuvura indwara y'igicuri)
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• Kuvura ububabare (kubera indwara nka trigeminal neuralgia)
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Kubera ibibyimba byo mu bwonko, urwego rw'intsinzi rusanzwe ruri hejuru cyane, hamwe n'urwego rwo kugenzura rukunze kurenga 90% kubera indwara nyinshi. Ariko, ni ngombwa gusobanukirwa ko

Aho uburyo bwo kuvura buri hamwe n'ubunini bw'agace kavurwa ni byo bintu by'ingenzi bitera ibyago. Ubuvuzi bukorerwa hafi y'ibice by'ubwonko by'ingenzi nk'umugongo w'ubwonko, imitsi ireba, cyangwa ahantu hagenzura imvugo n'imigendekere bifite ibyago byinshi byo kugira ingaruka.

Ibintu bishobora kongera ibyago byawe birimo:

• Ubuvuzi bwa mbere bwo gukoresha imirasire ku gice kimwe
• Ubunini bunini bwa kanseri (burenga santimetero 3-4)
• Aho ubuvuzi bukorerwa hafi y'ibice by'ubwonko by'ingenzi
• Uburwayi bumwe na bumwe bugira ingaruka ku gukira
• Ubukure bwinshi (nubwo imyaka yonyine atari ikibazo)
• Kanseri nyinshi zo mu bwonko
• Ubwo bwoko bumwe na bumwe bwa kanseri burwanya imirasire cyane

Itsinda ryawe ry'abaganga rizasesengura neza ibi bintu mbere yo kugusaba ubuvuzi. Bazaganira ku byago byawe byihariye kandi bagufashe gupima inyungu zishoboka n'ibyago.

Ni izihe ngaruka zishoboka zo kubaga hifashishijwe imirasire ya stereotactic?

Ingaruka zituruka ku kubaga hifashishijwe imirasire ya stereotactic muri rusange ni gake kandi akenshi zoroheje iyo zibayeho. Abantu benshi ntibagira ingaruka nke cyangwa ntazo bagira, ariko ni ngombwa kumva ibishoboka kugirango ushobore kumenya no kumenyesha ikipe yawe y'ubuzima ibibazo byose.

Ingaruka zihutirwa, zibaho mu minsi mike ya mbere, akenshi zoroheje kandi z'agateganyo. Ibi bishobora kuba umunaniro, kubabara umutwe gake, cyangwa kubyimba gake ahantu hashyirwa igikoresho cyo ku mutwe niba igikoresho cyakoreshejwe.

Ingaruka zo hambere (mu byumweru cyangwa amezi) zirimo:

• Ukwangirika kw'ubwonko (edema) hafi y'agace kavurwa
• Kuzamba kw'agateganyo kw'ibimenyetso bihari
• Kwigaragambya (gake, ariko bishoboka)
• Isesemi cyangwa ibibazo byo kuringaniza
• Kutagira umusatsi mu gace imirasire yinjiriye (akenshi by'agateganyo)
• Umunaniro ushobora kumara ibyumweru byinshi

Ibyago byo gukomera nyuma, bishobora kuza nyuma y'amezi cyangwa imyaka, ntibisanzwe ariko bishobora kuba bikomeye. Ibi bishobora kuba urugero rw'urupfu rw'uturemangingo tw'ubwonko (urupfu rw'uturemangingo tw'ubwonko buzima), guteza ibimenyetso bishya by'imitsi, cyangwa mu bihe bidasanzwe, guteza igituntu cya kabiri.

Ibyago byo guhura n'ibibazo bikomeye muri rusange biri munsi ya 5% ku bibazo byinshi, kandi ingaruka nyinshi zishobora guhangana nazo neza hakoreshejwe imiti cyangwa izindi nshuti.

Ni ryari nkwiriye kubona umuganga nyuma yo kubagwa mu buryo bwa stereotactic radiosurgery?

Ugomba guhamagara umuganga wawe ako kanya niba uhuye n'ibimenyetso bikomeye cyangwa biteye impungenge nyuma yo kubagwa mu buryo bwa stereotactic radiosurgery. Nubwo abantu benshi bakira nta bibazo bikomeye, ni ngombwa kumenya igihe cyo gushaka ubufasha bw'ubuvuzi.

Hamagara umuganga wawe ako kanya niba ugize umutwe ukabije udasubiza ku miti yo kurwanya ububabare, isesemi ihoraho no kuruka, cyangwa ibimenyetso bishya by'imitsi nk'intege nke, ububabare, cyangwa kugorana kuvuga.

Vugana n'ikipe yawe y'ubuzima ako kanya kuri:

• Umutwe ukabije urushaho gukomera
• Isesemi ihoraho no kuruka
• Intege nke nshya mu maboko cyangwa amaguru
• Impinduka zidasanzwe mu iyerekwa cyangwa imvugo
• Umuturage
• Kuvurungana cyangwa impinduka z'imyitwarire
• Ibimenyetso byo kwandura ahantu hakoreshejwe igikoresho cyo ku mutwe (niba byakoreshejwe)

Ugomba kandi kuvugana niba ufite impungenge ku gukira kwawe cyangwa niba ibimenyetso byoroheje bisa nkaho birushaho gukomera aho gukira uko igihe kigenda.

Ibikunze kubazwa kuri stereotactic radiosurgery

Q.1 Ese kubagwa mu buryo bwa stereotactic radiosurgery biruta kubagwa gakondo?

Kubaga kwa radiyo ya stereotactic ntibisobanura ko ari “byiza” kurusha kubaga gakondo, ariko akenshi bikwiranye neza n'ibihe bimwe na bimwe. Guhitamo biterwa n'ibintu nk'aho ikibazo kiri, ubunini bwacyo, n'ubwoko bw'ikibazo kivurwa, kimwe n'ubuzima bwawe muri rusange n'ibyo ukunda.

Kubaga gakondo bitanga ibisubizo ako kanya no gukuraho burundu ibibyimba, mugihe kubaga kwa radiyo ya stereotactic bitanga kuvurwa buhoro buhoro hamwe n'akaga gato ako kanya kandi nta gihe cyo koroherwa. Kubibyimba bito, byimbitse cyangwa ibibazo biri ahantu hari akaga gakomeye, kubaga kwa radiyo akenshi bitanga ibisubizo byiza hamwe n'ingorane nkeya.

Q.2 Kubaga kwa radiyo ya stereotactic bitera umusatsi kuvaho?

Umusatsi uvaho biturutse ku kubaga kwa radiyo ya stereotactic akenshi ni muto kandi w'agateganyo. Bitandukanye na radiyo ya ubwonko bwose, ishobora gutera umusatsi kuvaho rwose, kubaga kwa radiyo ya stereotactic bigira ingaruka kumusatsi gusa mu turere twihariye imirasire yinjiramo kandi igasohoka mu gihanga cyawe.

Abantu benshi ntibagira umusatsi uvaho cyangwa bakagira umusatsi muto uvaho, kandi umusatsi wose uvaho akenshi wongera kumera mumyaka mike. Imiterere nyayo yo kuvurwa isobanura ko ahantu hanini ho mu gihanga cyawe hatagaragazwa imirasire ikomeye.

Q.3 Bifata igihe kingana iki kugirango ubone ibisubizo byo kubaga kwa radiyo ya stereotactic?

Isubizo riva mu kubaga kwa radiyo ya stereotactic ritera buhoro buhoro uko imyaka igenda, abantu benshi batangira kubona impinduka mumyaka 3-6. Ariko, ingaruka zose zo kuvurwa zirashobora gufata umwaka 1-2 kugirango zigaragare, bitewe n'ikibazo kivurwa.

Kugirango ugabanye ibimenyetso, nk'ukugabanya ububabare muri trigeminal neuralgia, urashobora kubona impinduka muminsi cyangwa mumyaka. Kugirango ugenzure ibibyimba, muganga wawe azagenzura impinduka binyuze mumashusho asanzwe, kandi guhagarara cyangwa kugabanuka akenshi bigaragara mumyaka 6-12.

Q.4 Kubaga kwa radiyo ya stereotactic birashobora gusubirwamo?

Yego, kubaga mu buryo bwa stereotactic radiosurgery rimwe na rimwe birashobora gusubirwamo, ariko ibi biterwa n'ibintu bitandukanye birimo urugero rw'imirasire yatanzwe mbere, aho havuriwe, n'ubuzima bwawe muri rusange. Muganga wawe azasuzuma neza niba kuvura bisubirwamo bifite umutekano kandi bikwiye kubera imiterere yawe yihariye.

Ubuvuzi busubirwamo bukunda gutekerezwa kubera ibibyimba bishya ahantu hatandukanye aho gusubiza ahantu hamwe. Icyemezo gisaba gusuzuma neza urugero rwimirasire yegeranijwe n'ibishobora guteza akaga ku gice cy'umubiri gifite ubuzima.

Q.5 Ese kubaga mu buryo bwa stereotactic radiosurgery birababaza?

Kubaga mu buryo bwa stereotactic radiosurgery ubwabyo ntibibabaza - ntuzumva imirasire y'imirasire mugihe cyo kuvurwa. Akenshi kutumva neza biva mu kugira igikoresho cyo ku mutwe (niba gikoreshwa) cyangwa kuryama utuje igihe kirekire mugihe cyo gukora.

Abantu bamwe barwara umutwe woroshye cyangwa umunaniro nyuma yo kuvurwa, ariko ibi bimenyetso mubisanzwe birashobora guhangana n'imiti iboneka hanze y'urugero rwa muganga no kuruhuka. Imiterere itagira ubushake y'inzira isobanura ko nta bwoba bwo kubaga cyangwa igihe kirekire cyo koroherwa.