Chii chinonzi Brain Stereotactic Radiosurgery? Chinangwa, Maitiro & Mhedzisiro

Brain stereotactic radiosurgery imishonga yakarurama, isingapindi inoshandisa mabhinzi e radiation akatarisana kuti atarise nzvimbo dzakatarwa muuropi hwako. Pasinei nezita rayo, haisi chaizvo kuvhiyiwa mupfungwa yechinyakare - hapana kucheka kana kucheka kunobatanidzwa. Panzvimbo pezvo, iyi nzira yepamusoro inopa radiation yakanyanya kuwanda kuti irape tumors, kusagadzikana kwemidzi yeropa, uye mamwe mamiriro ehuropi nekururama kunoshamisa.

Funga nezvazvo sekushandisa laser pointer yakanyatsojeka, asi panzvimbo pechiedza, vanachiremba vanoshandisa mabhinzi e radiation anoungana panzvimbo chaiyo muuropi hwako. Iyi nzira yakatarisana inobvumira timu yako yezvokurapa kurapa nzvimbo dzine matambudziko vachidzivirira tishu yehuropi ine hutano yakavapoteredza.

Chii chinonzi brain stereotactic radiosurgery?

Brain stereotactic radiosurgery inobatanidza tekinoroji yepamusoro yekufungidzira nekupa radiation yakarurama kurapa mamiriro ehuropi pasina kuvhiyiwa kwechinyakare. Chikamu che

Chiremba wako angakurudzira stereotactic radiosurgery kana uine mamiriro emuropi akaoma kurapa nekuvhiya kwechinyakare kana kuvhiya kune njodzi zhinji. Kurapa uku kunopa imwe nzira yakachengeteka kune varwere vazhinji vasingave vakakodzera kuvhiyiwa kwemuropi.

Zvikonzero zvakajairika zvinosanganisira kurapa bundu remuropi, zvese zvine kenza uye zvisina kenza. Izvi zvinogona kunge zviri bundu rekutanga rakatanga muuropi hwako kana bundu rechipiri rakapararira kubva kune dzimwe nhengo dzemuviri wako. Kururama kwekurapa uku kunoita kuti kushande zvakanyanya kumabundu madiki kusvika pakati nepakati.

Kunze kwemabundu, kurapa uku kunogona kugadzirisa arteriovenous malformations (AVMs), izvo zviri zvisina kujairika zvemidzi yeropa muuropi hwako. Inoshandiswawo kune trigeminal neuralgia, mamiriro anokonzera kurwadziwa kwakanyanya kwechiso, uye dzimwe nguva kune zvimwe zvirwere zvemaitiro kana mamiriro epfungwa apo mamwe marapirwo asina kushanda.

Chikwata chako chekurapa chingasarudza nzira iyi kana nzvimbo inoda kurapwa iri muchikamu chakakosha cheuropi hwako chinodzora mabasa akakosha sekutaura, kufamba, kana kuona. Kururama kunobatsira kuchengetedza nzvimbo idzi dzakakosha uchiri kurapa dambudziko.

Ndeipi nzira yeuropi stereotactic radiosurgery?

Nzira yacho inowanzoitika mumatanho akati wandei mukati mezuva rimwe kana mashoma, zvichienderana nechirongwa chako chekurapa. Varwere vazhinji vanogamuchira kurapwa kwavo sevasingabhadharisi, zvinoreva kuti unogona kuenda kumba zuva rimwe chete.

Kutanga, chikwata chako chekurapa chichada kugadzira mepu yakadzama yeuropi hwako uchishandisa mifananidzo yepamusoro. Izvi zvinowanzo sanganisira kuwana furemu yakakosha yemusoro yakabatana nekenza yako ine mapini madiki - usanetseka, iwe uchagamuchira anesthesia yemuno kuti inyore nzvimbo dzinoita kuti furemu ibatane. Mamwe masisitimu matsva anoshandisa mask yakagadzirwa-tsika panzvimbo yefuremu.

Zvadaro, uchava neMRI kana CT scans zvakadzama uchipfeka furemu kana mask. Mifananidzo iyi inobatsira vanachiremba vako kugadzira chirongwa chekurapa chakanyatsojeka, vachiverenga chaizvo kwakafanira kuti mitsara yeradiation iende uye kuti radiation yakawanda sei inofanira kupiwa.

Panguva yekurapa chaiko, ucharara patafura yekurapa apo muchina weradiation uchifamba-famba mumusoro mako. Furemu kana mask inochengeta musoro wako wakanyatso mira panguva yekurapa. Hauzonzwe radiation pachayo, kunyangwe iwe ungazonzwa muchina uchiita ruzha sezvaunofamba.

Nguva yekurapa inogona kusiyana kubva pamaminitsi gumi nemashanu kusvika kumaawa akati wandei, zvichienderana nehukuru nenzvimbo yenzvimbo iri kurapwa. Zvimwe zvirwere zvinoda chikamu chimwe chete, nepo zvimwe zvingada kurapwa kwakawanda mumazuva akati wandei kana mavhiki.

Nzira yekugadzirira stereotactic radiosurgery yeuropi yako?

Kugadzirira stereotactic radiosurgery kunosanganisira kugadzirira kwemuviri nepfungwa, uye timu yako yezvokurapa ichakutungamira kuburikidza nechinhu chimwe nechimwe. Maitiro ekugadzirira anowanzo kutanga mazuva akati wandei kana mavhiki asati asvika zuva rako rekurapa.

Chiremba wako anogona kukukumbira kuti urege kutora mishonga yakati wandei, kunyanya zvinoderedza ropa, kwenguva yakati rebei usati warapwa. Iwe unozofanirwawo kudzivisa doro kwemaawa angangoita makumi maviri nemana usati waita maitiro. Kana iwe uchitora mishonga yezvimwe zvirwere, bvunza chiremba wako kuti ndeapi aunofanira kuramba uchitora.

Pazuva rekurapa, unoda kudya chikafu chakareruka usati wasvika kuchipatara. Pfeka mbatya dzakanaka, dzakasununguka uye dzivisa kupfeka zvishongo, makeup, kana zvigadzirwa zvebvudzi. Ungada kuuya neshamwari kana nhengo yemhuri kuti ikutsigire, sezvo maitiro acho anogona kutora maawa akati wandei.

Timu yako yezvokurapa ichakurukurawo zvekutarisira panguva uye mushure mekurapa. Izvi zvinosanganisira mhedzisiro inogona kuitika uye paunofanira kuvabata kana uine zvinokunetsa. Kuva neruzivo urwu pamberi penguva kunogona kubatsira kuderedza kushushikana uye kuona kuti wakagadzirira mupfungwa.

Kana uchinzwa kushushikana pamusoro pekuvhiyiwa, usazeza kukurukura izvi nechikwata chako chehutano. Vanogona kupa rumwe rutsigiro kana mushonga wekudzikamisa kana zvichidikanwa kuti akubatsire kunzwa wakasununguka panguva yekurapa.

Maitiro ekuverenga mhedzisiro yako ye stereotactic radiosurgery yehuropi?

Kunzwisisa mhedzisiro yako ye radiosurgery kunoda kutarisa zvese zviri kuitika nekukurumidza uye kwenguva refu, sezvo mhedzisiro yekurapa uku ichikura zvishoma nezvishoma nekufamba kwenguva. Kusiyana nekuvhiyiwa kwechinyakare, uko mhedzisiro inowanzoonekwa nekukurumidza, stereotactic radiosurgery inoshanda zvishoma nezvishoma sezvo radiation ichikanganisa zvishoma nezvishoma tishu yakanangana.

Chiremba wako achaita nguva yekugadzwa yekutevera nguva dzose nekudzidza kwemifananidzo, kazhinji kutanga 3-6 mwedzi mushure mekurapa. Izvi zvinobatsira kutarisa kuti kurapa kuri kushanda sei uye kutarisa chero shanduko munzvimbo yakanangana.

Kune bundu rehuropi, kubudirira kunowanzo kuyerwa nekuti bundu rinomira kukura kana kutanga kudzikira. Kupera zvachose hakusi nguva dzose chinangwa - dzimwe nguva kumisa kukura kunoonekwa semhedzisiro yakanaka. Chiremba wako achienzanisa ma scans ako ekutevera nemifananidzo yekurapa isati yatanga kuongorora kufambira mberi.

Kana iwe wakarapwa ne arteriovenous malformation, kubudirira zvinoreva kuti midziyo yeropa isina kujairika inovharika zvishoma nezvishoma pamusoro pe1-3 makore. Kune trigeminal neuralgia, kubudirira kunoyerwa nekurerukirwa kwemarwadzo, izvo zvingatanga mukati memazuva mashoma kusvika kumavhiki asi zvinogona kutora mwedzi yakati wandei kuti ikure zvizere.

Chikwata chako chekurapa chichatsanangura kuti ndeapi chaiwo shanduko dzekutarisa mune yako kesi uye chii chinofanira kutarisirwa. Vachakurukurawo chero mamwe marapirwo anogona kudiwa kana mhedzisiro yekutanga isiri sezvaitarisirwa.

Ndezvipi zvinhu zvine njodzi zvematambudziko e stereotactic radiosurgery yehuropi?

Nepo stereotactic radiosurgery kazhinji yakachengeteka kupfuura kuvhiyiwa kwehuropi kwetsika, zvimwe zvinhu zvinogona kuwedzera njodzi yako yematambudziko. Kunzwisisa izvi zvinhu zvinokonzera njodzi kunobatsira iwe nechikwata chako chekurapa kuti muite zvisarudzo zvakanakisisa zvekutarisirwa kwemamiriro ako chaiwo.

Nzvimbo yekurapa inotamba basa rakakosha mukuziva njodzi. Nzvimbo dziri pedyo nemaitiro akakosha ehuropi anotonga kutaura, kufamba, kana kuona zvinotakura njodzi huru yemigumisiro yenguva pfupi kana yechigarire. Chiremba wako achanyatso kuyera izvi njodzi pamwe chete nemabhenefiti anogona kubva mukurapa.

Kurapa kwemwaranzi kwakamboitwa kumusoro wako kana uropi kunogona kuwedzera njodzi yematambudziko kubva mukuratidzwa kwemwaranzi yakawedzerwa. Chikwata chako chekurapa chichaongorora nhoroondo yako yekurapa yakazara kuti ive nechokwadi chekuti huwandu hwemwaranzi hunoramba huri mukati memiganhu yakachengeteka.

Zvimwe zvirwere zvinogonawo kukanganisa chimiro chako chenjodzi. Izvi zvinosanganisira kusagadzikana kweropa, sitiroko dzakapfuura, kana mamiriro anokanganisa hutano hwemidzi yeropa. Zera rinogona kuva chinhu zvakare, sezvo varwere vakuru vangave vane njodzi yakakwirira yematambudziko akati wandei, kunyangwe varwere vakawanda vakuru vachiri kuwana kurapwa kunobudirira.

Saizi nerudzi rwemamiriro ari kurapwa zvinokanganisawo njodzi. Nzvimbo huru dzekurapa kana mamwe marudzi etumors anogona kuva nemaprofiles akasiyana enjodzi. Chikwata chako chekurapa chichakurukura zvinhu zvako zvakananga zvinokonzera njodzi uye marongero avanoita kuderedza matambudziko anogona kuitika.

Ndezvipi zvipingamupinyi zvinogona kuitika zvehuropi stereotactic radiosurgery?

Matambudziko kubva kuhuropi stereotactic radiosurgery haawanzoitiki, asi zvakakosha kunzwisisa zvingaitika kuitira kuti uzive zviratidzo uye utsvage rubatsiro kana zvichidikanwa. Mazhinji emigumisiro ndeyenguva pfupi uye inogoneka nekutarisirwa kwakakodzera kwekurapa.

Zvimwe zvinokonzera zvinowanzoitika zvinosanganisira kurwadziwa nemusoro, kusvotwa, uye kuneta, izvo zvinowanzoita zvakanaka mukati memazuva mashoma kusvika kumavhiki. Vamwe varwere vanonzwa kuzvimba kwenguva pfupi munzvimbo yekurapa, izvo zvinogona kukonzera zviratidzo zvakaita sedzungu kana shanduko mukufunga izvo zvinowanzoita zvakanaka nekufamba kwenguva.

Heano matambudziko akakura anogona kuitika, kunyangwe asinga wanzwani:

• Shanduko dzenguva pfupi kana dzechigarire mukushanda kwehuropi, zvichienderana nenzvimbo yekurapa
• Kutambudzika, kunyanya muvarwere vasina kuva nazvo vasati vapiwa kurapwa
• Kunzwa shanduko kana matambudziko ekuyera kana nzvimbo yekurapa iri pedyo nezvivakwa izvi
• Shanduko dzekuona kana kurapwa kuchibatanidza nzvimbo dziri pedyo nemitsipa yekuona
• Matambudziko ekutaura kana mutauro kana nzvimbo dzemutauro dziri pedyo nenzvimbo yekurapa
• Kuyeuka kana shanduko dzekuziva, kazhinji kwenguva pfupi asi dzimwe nguva dzichiramba

Matambudziko asingawanzoitiki asi akakomba anosanganisira radiation necrosis, uko tishu yehuropi ine hutano inokuvadzwa nemwaranzi, uye kukura kwetumota idzva makore gare gare nekuda kwekuratidzwa kwemwaranzi. Matambudziko aya anoitika muvanhu vashoma vanopfuura 5% asi anoda kuenderera mberi nekuongorora.

Chikwata chako chekurapa chichakurukura njodzi yako chaiyo zvichienderana nemamiriro ako uye chirongwa chekurapa. Vachapawo mirairo yakadzama yezviratidzo zvekutarisa uye nguva yekuvabata nekukurumidza.

Ndingafonera chiremba rini mushure mekuvhiyiwa kwehuropi stereotactic radiosurgery?

Unofanira kubata chikwata chako chekurapa nekukurumidza kana ukaona kurwadziwa kwemusoro kwakanyanya kusingavanduki nemishonga yakarairwa, kunyanya kana ichiperekedzwa nekusvotwa, kurutsa, kana shanduko mukuona. Zviratidzo izvi zvinogona kuratidza kuwedzera kumanikidzwa muuropi hwako kana mamwe matambudziko anoda kutariswa nekukurumidza.

Kutanga kana kuipa kwezvirwere zvepfungwa ndechimwe chikonzero chekutsvaga rubatsiro rwekurapa nekukurumidza. Kana usati wambove nezvirwere zvepfungwa uye ukawana chimwe mushure mekurapwa, izvi zvinoda kuongororwa nekukurumidza. Saizvozvowo, kana iwe unowanzoita zvirwere zvepfungwa asi zvinowedzera kuwanda kana kuoma, fonera chiremba wako nekukurumidza.

Kuchinja mukufunga kwako, kutaura, kana kugona kufamba zvakajairika kunofanirwawo kukonzera kufona kuchikwata chako chehutano. Kunyange zvazvo zvimwe zvishoma zvekuchinja zvingatarisirwa, kuchinja kamwe kamwe kana kwakanyanya mune izvi mabasa kunoda kuongororwa kuti uone kana akabatana nemigumisiro yekurapa kana mamwe matambudziko.

Mukuwedzera, tarisa zviratidzo zvehutachiona panzvimbo dzekubatanidza furemu kana iwe waive nefuremu yemusoro panguva yekurapa. Izvi zvinosanganisira kuwedzera kutsvuka, kuzvimba, kubuda, kana fivha. Kunyange zvazvo hutachiona husingawanzoitiki, hunoda kurapwa nekukurumidza kana hukaitika.

Chikwata chako chekurapa chichapa gwara rakajeka remamiriro ako ezvinhu, kusanganisira ruzivo rwekubata nekukurumidza uye mirairo yekunze kwemaawa. Usazeze kubata kana usina chokwadi kana chiratidzo chichida kutariswa nekukurumidza - zvinogara zviri nani kutarisa nevapi vehutano vako.

Mibvunzo inowanzo bvunzwa nezve brain stereotactic radiosurgery

Q.1 Ko brain stereotactic radiosurgery yakanaka here kune bundu repfungwa?

Brain stereotactic radiosurgery inoshanda zvakanyanya kune akawanda marudzi ebundu repfungwa, kunyanya madiki kusvika pakati nepakati. Zvidzidzo zvinoratidza mitengo yakanaka yekudzora yemapundu asina njodzi semeningiomas uye acoustic neuromas, nemitengo yekubudirira inowanzoita kupfuura 90% pamusoro pe5-10 makore.

Kune bundu rine hutsinye, kushanda kunoenderana nerudzi rwe bundu uye saizi. Metastatic tumors (avo vanopararira kubva kune dzimwe nhengo dzemuviri) vanopindura zvakanaka kune stereotactic radiosurgery, nemitengo yekudzora yemuno ye80-95%. Primary brain tumors senge gliomas inogonawo kurapwa, kunyangwe nzira yacho ingave yakasiyana.

Kururama kwekurapa uku kunoita kuti kuve kwakakosha zvakanyanya kune bundu riri munzvimbo dzakakosha dzehuropi uko kuvhiyiwa kwechinyakare kwaizova kwakanyanya njodzi. Chiremba wako weoncologist achafunga nezvezvinhu zvakaita se saizi yebundu, nzvimbo, uye mhando kana achisarudza kana stereotactic radiosurgery ndiyo sarudzo yakanakisa yemamiriro ako chaiwo.

Mubvunzo 2. Ko brain stereotactic radiosurgery inokonzera matambudziko ekuyeuka here?

Matambudziko ekuyeuka mushure me brain stereotactic radiosurgery anogoneka asi anonyanya kuvimba nenzvimbo uye saizi yenzvimbo yekurapa. Kana kurapa kuchibatanidza nzvimbo dziri pedyo ne hippocampus kana dzimwe nzvimbo dzehuropi dzine hukama nekuyeuka, pane njodzi yakakwira yekuchinja kwekuyeuka.

Vazhinji varwere vanowana shanduko dzekuyeuka vanozviona zvishoma nezvishoma mumwedzi panzvimbo yekare pakarepo mushure mekurapa. Shanduko idzi dzinogona kusanganisira kuoma kuumba ndangariro itsva kana matambudziko ekuyeuka zviitiko zvichangoburwa. Zvisinei, varwere vazhinji havawani matambudziko akakosha ekuyeuka, kunyanya kana nzvimbo yekurapa iri kure nenzvimbo dzekuyeuka.

Chikwata chako chekurapa chinoshandisa nzira dzakagadzirirwa dzepamberi kuderedza kuratidzwa kwemwaranzi kunzvimbo dzakakosha dzekuyeuka pese pazvinogoneka. Vachakurukura njodzi yako chaiyo zvichienderana nechirongwa chako chekurapa uye vachatarisa basa rako rekuziva panguva yekushanya kwekutevera.

Mubvunzo 3. Zvinotora nguva yakareba sei kupora kubva ku brain stereotactic radiosurgery?

Kupora kubva ku brain stereotactic radiosurgery kunowanzo kukurumidza kupfuura kuvhiyiwa kwehuropi kwechinyakare sezvo pasina kucheka kana maronda ekuvhiya ekupora. Vazhinji varwere vanogona kudzokera kuzviitiko zvakajairika mukati memazuva mashoma kusvika vhiki mushure mekurapa.

Unogona kuwana kuneta, kurwadziwa kwemusoro, kana kusvotwa kwemazuva mashoma ekutanga, asi zviratidzo izvi zvinowanzo gadzirisa nekukurumidza. Kana iwe waive nechimiro chemusoro chakabatana, nzvimbo dzepini dzinowanzo pora mukati mevhiki nekuchengetwa kwakakodzera.

Mhedzisiro yekurapa inozvigadzira zvishoma nezvishoma pamavhiki kusvika kumwedzi. Unozoda kugara uchienda kunoona chiremba kuti uone kufambira mberi, asi hauzotadziswa kubva muzviitiko zvakawanda zvenguva dzose panguva ino. Chiremba wako achapa gwara rakajeka rekuti unogona kudzokera kubasa, kurovedza muviri, nezvimwe zviitiko rini.

Mubvunzo 4: Radiosurgery ye stereotactic yehuropi inogona kudzokororwa here?

Radiosurgery ye stereotactic yehuropi dzimwe nguva inogona kudzokororwa, asi chisarudzo ichi chinoda kufunga zvakanyanya nezvehuwandu hweradiation iyo tishu yehuropi yako inogona kutsungirira zvakachengeteka. Chikwata chako chekurapa chichaongorora zvinhu zvakaita se nguva kubva pakurapwa kwako kwekare, nzvimbo yechinetso chitsva kana chiri kudzoka, uye hutano hwako hwese.

Kana uchida kurapwa kudzokororwa, zvinowanzoita kana nguva yakakwana yapfuura kubva pakurapwa kwako kwekutanga uye huwandu hweradiation hunoramba huri mukati memiganhu yakachengeteka. Nguva pakati pekurapa inowanzoita kuti ive mwedzi mishoma kusvika kumakore, zvichienderana nemamiriro ako chaiwo.

Vanachiremba vako vachashandisa mifananidzo yakadzama uye kuronga kurapa kuti vave nechokwadi chekuti kurapwa kudzokororwa kunogona kupiwa zvakachengeteka. Vanogonawo kufunga nezvemamwe marapirwo kana radiosurgery yekudzokorora isingakurudzirwe nekuda kwekuganhurirwa kweradiation.

Mubvunzo 5: Ndeipi mhedzisiro yekubudirira ye radiosurgery ye stereotactic yehuropi?

Mhedzisiro yekubudirira ye radiosurgery ye stereotactic yehuropi inowanzoita yakanyanya, asi inosiyana zvichienderana nemamiriro ari kurapwa. Kune bundu risina njodzi senge meningiomas uye acoustic neuromas, mitengo yekudzora kwenguva refu inowanzoita kubva pa90-98% pamusoro pemakore 5-10.

Kune arteriovenous malformations, mitengo yekuvharwa kwakakwana inowanzoita 70-90% mukati memakore 2-3 mushure mekurapa. Varwere vane trigeminal neuralgia vanowana zororo rinokosha remarwadzo muzviitiko zve70-90%, kunyangwe vamwe vachida mamwe marapirwo nekufamba kwenguva.

Tumor dzemuongo dzinopararira dzine mwero wekudzora we80-95%, zvinoreva kuti tumor yakabatwa inogumisa kukura kana kudzikira. Kubudirira kwako chaiko kunoenderana nezvinhu zvakaita serudzi rwetumor, saizi, nzvimbo, uye hutano hwako hwese. Chikwata chako chekurapa chichakurukura zvinotarisirwa zvechokwadi zvichibva pamamiriro ako ega ega.