Ububaga bwokuvaho igice cy'ubwonko hakoreshejwe imirasire

Radioterapiya ya Stereotaxique (SRS) ikoresha imirasire myinshi yibanze neza mu kuvura imikaya n'ibindi bibazo biri mu bwonko, mu ijosi, mu mwijima, mu gituza, mu mugongo n'ahandi mu mubiri. Si ubuvuzi mu buryo busanzwe kuko nta gukata. Ahubwo, radioterapiya ya stereotaxique ikoresha amashusho ya 3D mu kugera ku mpuzandengo y'imirasire ikomeye mu gice cyangiritse, bitagira ingaruka ku mubiri muzima uri hafi.

Imyaka hafi 50 ishize, ubuvuzi bwa radiosurgery ya stereotactic bwatangiye gukoreshwa nk'ubundi buryo budakora cyane kandi butekanye kurusha ubuvuzi busanzwe bwo mu bwonko (neurosurgery), busaba ko hagabanywa uruhu, igikuta cy'umutwe n'imigambi ikingira ubwonko n'imikaya y'ubwonko. Kuva icyo gihe, ikoreshwa rya radiosurgery ya stereotactic ryakwirakwiriye cyane mu kuvura indwara nyinshi z'imitsi n'izindi ndwara, zirimo: Uburibwe bw'ubwonko. Radiosurgery ya stereotactic, nka Gamma Knife, ikunze gukoreshwa mu kuvura uburibwe bw'ubwonko budatera kanseri (benign) n'ubwateza kanseri (malignant), harimo meningioma, paraganglioma, hemangioblastoma na craniopharyngioma. SRS ishobora kandi gukoreshwa mu kuvura kanseri yamanutse mu bwonko ikomoka mu bindi bice by'umubiri (brain metastases). Arteriovenous malformation (AVM). AVM ni uruvange rudasanzwe rw'imitsi y'amaraso n'imitsi y'amaraso mu bwonko bwawe. Muri AVM, amaraso ava mu mitsi y'amaraso ajya mu mitsi y'amaraso, asize imitsi y'amaraso mito (capillaries). AVM ishobora guhungabanya umujyana usanzwe w'amaraso kandi ikaba itera kuva amaraso (hemorrhage) cyangwa stroke. Radiosurgery ya stereotactic irangiza AVM kandi ituma imitsi y'amaraso ikozweho ifunga buhoro buhoro. Trigeminal neuralgia. Trigeminal neuralgia ni indwara y'ububabare buhoraho bw'umutsi umwe cyangwa bombi ba trigeminal, batwara amakuru y'ubwumva hagati y'ubwonko bwawe n'ibice by'umutwe wawe, ijisho n'umunwa wo hasi. Iyi ndwara y'imitsi itera ububabare bukabije bwo mu maso bumva nk'umuriro w'amashanyarazi. Ubuvuzi bwa radiosurgery ya stereotactic kuri trigeminal neuralgia bugamije imizi y'imitsi kugira ngo buhungabanye ibyo bimenyetso by'ububabare. Acoustic neuroma. Acoustic neuroma (vestibular schwannoma), ni uburibwe budatera kanseri butera ku mutsi mukuru w'uburinganire n'ukumva uvana mu gutwi ryawe ryo imbere ujya mu bwonko bwawe. Iyo uburibwe bwongerera umuvuduko ku mutsi, umuntu ashobora kumva igihombo cy'ukumva, guhindagurika, guta ubushobozi bwo kugendera no guhumurira mu gutwi (tinnitus). Uko uburibwe bukura, bushobora kandi kongera umuvuduko ku mitsi igira uruhare mu bwumva n'imikoreshereze y'imitsi mu maso. Radiosurgery ya stereotactic ishobora guhagarika gukura cyangwa kugabanya ubunini bwa acoustic neuroma nta kaga gakomeye ko kwangiza burundu imitsi. Uburibwe bw'umusemburo wa pituitary. Uburibwe bw'umusemburo ugereranywa n'ibishyimbo biri hasi y'ubwonko (pituitary gland) bushobora gutera ibibazo bitandukanye. Umusemburo wa pituitary ugenzura imisemburo mu mubiri wawe igenzura imikorere itandukanye, nko guhangana n'umunaniro, imikorere y'umubiri, gukura no gukora imibonano mpuzabitsina. Radiosurgery ishobora gukoreshwa mu kugabanya uburibwe no kugabanya guhungabana kw'imisemburo ya pituitary. Kuhindagurika. Radiosurgery ya stereotactic ishobora gukoreshwa mu kuvura kuhindagurika bifitanye isano n'indwara z'imitsi zikora nk'indwara ya Parkinson n'indwara y'imitsi ikomeye. Kanseri izindi. SRS ishobora gukoreshwa mu kuvura kanseri y'umwijima, umutima n'umugongo. Abashakashatsi baracyiga uburyo bwo gukoresha radiosurgery ya stereotactic mu kuvura izindi ndwara, harimo melanoma y'ijisho, kanseri y'amabere, kanseri y'umutima, kanseri ya prostate, indwara y'umwijima n'indwara zo mu mutwe nka obsessive-compulsive disorder.

Ubuvuzi bwa radiosurgery ya stereotactic ntibukubiyemo kubaga, bityo muri rusange nta kaga gafite ugereranyije n'ubuvuzi busanzwe. Mubuvuzi busanzwe, ushobora kugira ibyago byo kugira ingaruka ziterwa n'ibiyobyabwenge byo kubyimba, kuva amaraso no kwandura. Ingaruka cyangwa ibimenyetso byambere bikunze kuba by'igihe gito. Bishobora kuba birimo: Kwumva unaniwe. Kwumva unaniwe no gucika intege bishobora kubaho mu ndwi nke nyuma yubuvuzi bwa radiosurgery ya stereotactic. Kubyimba. Kubyimba mu bwonko ahantu cyangwa hafi y'aho havuriwe bishobora gutera ibimenyetso nka: kubabara umutwe, isereri no kuruka. Muganga wawe ashobora kugutegurira imiti igabanya ububabare (imiti ya corticosteroid) kugira ngo akumirinde ibibazo nk'ibyo cyangwa kuvura ibimenyetso niba bigaragaye. Ibibazo byuruhu no mu mitwe. Uruhu rwawe rushobora kuba rwijimye, rukababaye cyangwa rukagira uburibwe ahantu igikoresho cyashyizwe ku mutwe wawe mu gihe cyo kuvura. Bamwe mu bantu bahomba agaciro gato k'umusatsi by'igihe gito. Gake, abantu bashobora kugira ingaruka zikomeye, nko kugira ibibazo by'ubwonko cyangwa ibindi bibazo by'imitsi, nyuma y'amezi menshi bavuwe.

Itegurwa rya radiosurgery ya stereotactic na radiotherapy ya stereotactic y'umubiri bishobora gutandukana bitewe n'uburwayi n'agace k'umubiri kavurwa, ariko ubusanzwe bikubiyemo intambwe zikurikira:

Radiochirurgie stéréotaxique ni ubundi buryo bwo kuvura abantu badafite ibibazo bikomeye, ariko igikorwa cyose kizafata umunsi wose. Ushobora kugirwa inama yo kuzana umuntu wo mu muryango wawe cyangwa incuti izahora ikurimwe muri uwo munsi kandi ikaguherekeza iwanyu. Ushobora gushyirwaho umuyoboro utuma amazi agenda mu mubiri wawe (umuyoboro w'imiti mu mubiri, cyangwa IV) kugira ngo ugumane amazi ahagije umunsi wose, niba utemerewe kurya cyangwa kunywa igihe cy'ubuvuzi. Igishishwa kiri ku mpera ya IV gishyirwa mu mutsi, akenshi mu kuboko kwawe.