Chii chinonzi Stereotactic Radiosurgery? Chinangwa, Maitiro & Mhedzisiro

Stereotactic radiosurgery imishonga yakarurama, isingapindi inoshandisa mabhuru emwaranzi akatarisana kuti atarisire tishu isina kujairika muuropi hwako kana musana. Pasinei nezita rayo, haisi chaizvo kuvhiyiwa mupfungwa dzechinyakare - hapana kucheka kana kucheka kunobatanidzwa.

Iyi nzira yepamusoro inopa mwaranzi yakanyanya kuwanda kunzvimbo dzakanyatsojeka ichidzivirira tishu ine hutano yakavapoteredza. Funga nezvazvo sekushandisa girazi rinokudza kuti riise chiedza chezuva panzvimbo imwe chete, asi panzvimbo yekupisa, vanachiremba vanoshandisa mabhuru emwaranzi akanyatsoverengwa kurapa mamiriro akadai semamota muuropi, arteriovenous malformations, uye zvimwe zvirwere zvepfungwa.

Chii chinonzi stereotactic radiosurgery?

Stereotactic radiosurgery inobatanidza tekinoroji yepamusoro yekufungidzira nekupa mwaranzi yakarurama kurapa tishu isina kujairika pasina kuita chero kucheka kuvhiya. Izwi rekuti "stereotactic" rinoreva iyo-matatu-dimensional coordinate system iyo inobatsira vanachiremba kunongedzera chaizvo kwokunanga mwaranzi.

Panguva yekurapa, mabhuru akawanda emwaranzi anosangana panzvimbo yacho kubva kumakona akasiyana. Buri rega rega rine simba rakati rebei, asi kana akasangana panzvimbo yacho, anogadzira dose yakakwira yemwaranzi inogona kuparadza masero asina kujairika. Tishu ine hutano yakavapoteredza inogamuchira mwaranzi shoma nekuti inongoratidzwa kuburi rimwe panguva.

Iyi nzira inonyanya kushandiswa kune mamiriro epfungwa, kunyangwe ichigonawo kurapa zvimwe zvikamu zvemusana. Kururama kwemazuva ano stereotactic radiosurgery masisitimu anobvumira vanachiremba kuti vatarise nzvimbo diki semamilimita mashoma.

Nei stereotactic radiosurgery ichiitwa?

Vanachiremba vanokurudzira stereotactic radiosurgery kana uine mamiriro akaoma kurapa nekushanda kwechinyakare kana kana kuvhiyiwa kungave kwakanyanya njodzi. Zvinobatsira zvikuru kurapa matambudziko munzvimbo dzakaoma kusvika muuropi kana musana.

Zvikonzero zvinowanzoitika zvekurapa uku zvinosanganisira bundu rehuropi idiki zvakanyanya kana kuwanikwa munzvimbo idzo kuvhiyiwa kwetsika kungakuvadza mabasa akakosha ehuropi. Zvakare rinoshandiswa kune bundu risina njodzi senge acoustic neuromas, meningiomas, uye pituitary adenomas izvo zvingasada kubviswa asi zvinoda kudzora.

Heano mamiriro makuru anogona kubatsirwa ne stereotactic radiosurgery:

• Brain metastases (gomarara rakapararira kuenda kuuropi kubva kune dzimwe nhengo dzemuviri)
• Arteriovenous malformations (matangles asina kujairika emidzi yeropa)
• Trigeminal neuralgia (kurwadziwa kwakanyanya kwechiso)
• Acoustic neuromas (bundu risiri gomarara rinokanganisa tsinga dzekunzwa)
• Meningiomas (bundu rinobva kumavharo ehuropi)
• Pituitary tumors
• Mamwe marudzi eepilepsy
• Mamwe bundu remuzongoza

Chiremba wako angakurudzirawo kurapwa uku kana usiri munhu akakodzera kuvhiyiwa kwetsika nekuda kwezera rako, mamwe mamiriro ehutano, kana kana bundu riri munzvimbo iyo kuvhiyiwa kungakonzera mhedzisiro yakakosha.

Ndeipi nzira ye stereotactic radiosurgery?

Nzira ye stereotactic radiosurgery inowanzoitika mumasesheni imwe kusvika mashanu, zvichienderana nehukuru nenzvimbo yenzvimbo iri kurapwa. Kurapa kwakawanda kunopedzwa mune imwe chete session, kunyangwe mamwe mamiriro angada kushanya kwakawanda.

Pazuva rekurapa, iwe unotanga kuve nehead frame yakabatanidzwa kudehenya rako uchishandisa local anesthesia, kana iwe unogona kupfeka mask yakagadzirwa-yakagadzirwa inobata musoro wako zvakakwana. Iyi immobilization yakakosha pakuona kuti radiation inorova chaizvo nzvimbo chaiyo.

Hezvino zvinoitika panguva yenzira:

1. Uchagamuchira maimaging scans akadzama (CT, MRI, kana ese ari maviri) uchipfeka furemu yemusoro kana mask
2. Chikwata chako chekurapa chinoshandisa mifananidzo iyi kugadzira chirongwa chekurapa chakanyatsojeka
3. Ucharara patafura yekurapa inofamba ichipinda mumuchina weradiosurgery
4. Muchina unotenderera uchitenderera nemusoro wako, uchipa mitsinga yeradiation kubva kumakona akawanda
5. Ucharamba wakamuka uye wakasununguka panguva yese yacho
6. Kupa radiation chaiko kunowanzo tora maminitsi makumi matatu kusvika kumaawa maviri

Haugone kunzwa radiation pachayo, uye vanhu vazhinji vanowana maitiro acho achishiviririka zvakanyanya. Unogona kuenda kumba zuva rimwe chete, kunyangwe mumwe munhu achifanira kukutyaira sezvo unogona kunzwa wakaneta kana kuva nekurwadziwa nemusoro kudiki.

Nzira yekugadzirira sei stereotactic radiosurgery yako?

Kugadzirira stereotactic radiosurgery kazhinji kwakananga, asi kutevera mirairo yachiremba wako zvakanyatsonaka kuchabatsira kuona mhedzisiro yakanaka. Kugadzirira kwakawanda kunosanganisira kugadzirira muviri wako kurapwa uye kunzwisisa zvekutarisira.

Chiremba wako anogona kukukumbira kuti udzivise mishonga yakati wandei inogona kuwedzera njodzi yekubuda ropa, senge aspirin kana zvinoderedza ropa, kwevhiki imwe isati yaitwa. Iwe unozofanirwa kuronga kuti mumwe munhu akutyairire kumba mushure, sezvo unogona kunzwa wakaneta.

Hezvino zvaunogona kutarisira mukugadzirira kwako:

• Regedza kutora mishonga inoderedza ropa sezvakarairwa nachiremba wako
• Geza bvudzi rako zvakanyatsonaka husiku hwekare (unogona kusakwanisa kurigeza kwezuva kana maviri mushure)
• Idya kudya kwemangwanani kuri nyore pazuva rekurapa
• Pfeka mbatya dzakasununguka, dzisina kusimba
• Bvisa zvishongo zvese, makeup, uye zvigadzirwa zvebvudzi
• Uya nemishonga iripo newe
• Ronga kuti mumwe munhu akutyairire kumba

Vashandi venyu vezveutano vachapa mirairo yakatarwa zvichienderana nemamiriro ako ezvinhu. Kana uine chero zvinokunetsa kana mibvunzo pamusoro pekugadzirira, usazeza kufonera hofisi yachiremba wako.

Ungaverenga sei mhedzisiro yako ye stereotactic radiosurgery?

Kunzwisisa mhedzisiro yako ye stereotactic radiosurgery kunoda moyo murefu, sezvo mhedzisiro ichikura zvishoma nezvishoma pamavhiki kusvika kumwedzi panzvimbo pekukurumidza. Kusiyana nekuvhiyiwa kwechinyakare, uko mhedzisiro inowanzoonekwa pakarepo, radiosurgery inoshanda nekukuvadza zvishoma nezvishoma maseru asina kujairika nekufamba kwenguva.

Chiremba wako achaita maapointments ekutevera nguva dzose nekuongorora imaging kuti aongorore kufambira mberi kwako. Kuongorora kwekutanga kunowanzoitwa mwedzi mitatu kusvika mitanhatu mushure mekurapa, wobva wazviita nguva dzose kwemakore akati wandei kuti uone kuti kurapa kuri kushanda sei.

Kubudirira kunowanzo kuyerwa ne:

• Kuderera kana kugadzikana kwetumor (kumisa kukura)
• Kuderedzwa kwezviratidzo zvine chekuita nemamiriro ako
• Kuvharwa kwekubatana kwetsinga dzisina kujairika (kune vascular malformations)
• Kuderedzwa kwechiitiko chekuzvidya mwoyo (yekurapa gomarara)
• Kurerukirwa kwemarwadzo (kune mamiriro akaita se trigeminal neuralgia)

Kune bundu rehuropi, mitengo yekubudirira inowanzoita yakanyanya, ine mitengo yekudzora inowanzo pfuura 90% yemamiriro mazhinji. Zvisinei, zvakakosha kunzwisisa kuti "kudzora" hakurevi nguva dzose kuti bundu rinonyangarika zvachose - rinogona kungomira kukura kana kuderedza zvakanyanya.

Ndezvipi zvinhu zvine njodzi zve stereotactic radiosurgery matambudziko?

Nepo stereotactic radiosurgery ichiwanzoita yakachengeteka, zvimwe zvinhu zvinogona kuwedzera njodzi yako yekuwana mhedzisiro kana matambudziko. Kunzwisisa izvi zvinhu zvine njodzi kunobatsira iwe nachiremba wako kuita sarudzo dzakanakisa dzekurapa mamiriro ako chaiwo.

Nzvimbo uye saizi yenzvimbo iri kurapwa ndizvo zvinhu zvine njodzi zvikuru. Kurapa pedyo nenzvimbo dzakakosha dzehuropi dzakadai semuti wehuropi, tsinga dzeoptic, kana nzvimbo dzinodzora kutaura nekufamba zvinotakura njodzi huru yemigumisiro.

Zvimwe zvinhu zvinogona kuwedzera njodzi yako zvinosanganisira:

• Kurapa kwemwaranzi kwakamboitwa kunzvimbo imwechete
• Saizi hombe yegomarara (inopfuura 3-4 sentimita)
• Nzvimbo yekurapa pedyo nenzvimbo dzakakosha dzehuropi
• Mamwe mamiriro ezvinhu ekurapa anokanganisa kupora
• Zera repamusoro (kunyangwe zera rega harina kurambidzwa)
• Metastases dzakawanda dzehuropi
• Mamwe marudzi ematumo anopesana nemwaranzi

Chikwata chako chekurapa chichanyatsoongorora izvi zvikonzero chisati charumbidza kurapwa. Vachakurukura nezve njodzi yako yega yega uye vachakubatsira kuyera mabhenefiti anogona kuitika pamusoro penjodzi.

Ndezvipi zvipingamupinyi zvinogona kuitika zve stereotactic radiosurgery?

Zvipingamupinyi kubva ku stereotactic radiosurgery zvinowanzoitika uye kazhinji zvakapfava kana zvikaitika. Vanhu vazhinji vanowana mashoma kana kusina migumisiro, asi zvakakosha kunzwisisa zvinogoneka kuitira kuti uzive uye utaure chero zvinonetsa kuchikwata chako chehutano.

Migumisiro yekare, iyo inoonekwa mukati memazuva mashoma ekutanga, inowanzoita nyoro uye yenguva pfupi. Izvi zvinogona kusanganisira kuneta, kurwadziwa nemusoro, kana kuzvimba zvishoma panzvimbo dzekubatanidza furemu yemusoro kana furemu yakashandiswa.

Zvipingamupinyi zvepakutanga (mukati memavhiki kusvika kumwedzi) zvinogona kusanganisira:

• Kuzvimba kwehuropi (edema) kutenderedza nzvimbo inorapwa
• Kuwedzera kwenguva pfupi kwezviratidzo zviripo
• Kutapukirwa (kashoma, asi zvinogoneka)
• Nausea kana matambudziko ekuyera
• Kurasikirwa nebvudzi munzvimbo iyo mwaranzi yakapinda (kazhinji yenguva pfupi)
• Kuneta kunogona kugara mavhiki akati wandei

Matambudziko anozononoka, ayo anogona kukura mwedzi mishoma kusvika kumakore gare gare, haawanzoitiki asi anogona kuva akakomba. Izvi zvinogona kusanganisira radiation necrosis (kufa kwemaseru ehuropi ane hutano), kukura kwezviratidzo zvitsva zvepfungwa, kana, mumamiriro ezvinhu asingawanzoitiki, kukura kwechibereko chechipiri.

Njodzi yematambudziko akakomba kazhinji iri pasi pe5% yezvinhu zvakawanda, uye matambudziko mazhinji anogona kubatwa zvakanaka nemishonga kana mamwe marapirwo.

Ndingafonera chiremba rini mushure me stereotactic radiosurgery?

Unofanira kubata chiremba wako nekukasira kana ukaona chero zviratidzo zvakakomba kana zvinonetsa mushure me stereotactic radiosurgery. Kunyange vanhu vazhinji vachipora vasina matambudziko akakosha, zvakakosha kuziva kuti ungatsvaga rini rubatsiro rwekurapa.

Fonera chiremba wako nekukasira kana ukaona kurwadziwa kwemusoro kwakanyanya kusingapinduri kumishonga yekurwadziwa inowanikwa pasina mushonga, kusvotwa nekuhukura zvisingapere, kana chero zviratidzo zvitsva zvepfungwa zvakaita seutsika, kupera simba, kana kuoma kutaura.

Bata timu yako yehutano nekukasira kuti:

• Kurwadziwa kwemusoro kwakanyanya kunowedzera
• Kusvotwa nekuhukura zvisingapere
• Utsika hutsva mumaoko kana makumbo
• Kuchinja kamwe kamwe mukuona kana kutaura
• Kutapukirwa
• Kuvhiringidzika kana kuchinja kwehunhu
• Zviratidzo zveutachiona panzvimbo dzefuremu yemusoro (kana ichishandiswa)

Unofanirawo kubata kana uine zvinokunetsa nezvekupora kwako kana kana zviratidzo zvishoma zvinoita sezviri kuwedzera pane kuvandudza nekufamba kwenguva. Chikwata chako chekurapa chiripo kuti chikutsigire kuburikidza nemaitiro ese.

Mibvunzo inowanzo bvunzwa nezve stereotactic radiosurgery

Q.1 Ko stereotactic radiosurgery iri nani pane kuvhiyiwa kwechinyakare here?

Radiosurgery ye stereotactic haisi nguva dzose "iri nani" pane kuvhiyiwa kwechinyakare, asi kazhinji yakakodzera mamiriro akati wandei. Sarudzo inoenderana nezvinhu zvakaita se nzvimbo, saizi, uye mhando yechirwere chiri kurapwa, pamwe chete nehutano hwako hwese uye zvaunofarira.

Kuvhiyiwa kwechinyakare kunopa mhedzisiro nekukurumidza uye kubviswa kwakakwana kwemaviri, nepo radiosurgery ye stereotactic ichipa kurapwa zvishoma nezvishoma rine njodzi shoma nekukurumidza uye hapana nguva yekupora. Kune maviri madiki, akadzika-akagara kana mamiriro ari panzvimbo dzine njodzi, radiosurgery inowanzo kupa mhedzisiro iri nani ine matambudziko mashoma.

Q.2 Radiosurgery ye stereotactic inokonzera kurasikirwa kwebvudzi here?

Kurasikirwa kwebvudzi kubva ku radiosurgery ye stereotactic kazhinji kushoma uye kwenguva pfupi. Kusiyana nekurapa kwese-uropi radiation, iyo inogona kukonzera kurasikirwa kwakakwana kwebvudzi, radiosurgery ye stereotactic inongokanganisa bvudzi munzvimbo dzakatarwa uko mitsara yeradiation inopinda nekubuda paganda remusoro wako.

Vanhu vazhinji havawanzorasikirwi nebvudzi, uye chero bvudzi rinodonha rinowanzo kukura zvakare mukati memwedzi mishoma. Maitiro chaiwo ekurapa zvinoreva kuti nzvimbo huru dzeganda remusoro wako hadzina kuratidzwa kune radiation yakakosha.

Q.3 Zvinotora nguva yakareba sei kuona mhedzisiro kubva ku radiosurgery ye stereotactic?

Mhedzisiro kubva ku radiosurgery ye stereotactic inokura zvishoma nezvishoma nekufamba kwenguva, nevazhinji vanhu vachitanga kuona kuvandudzwa mukati memwedzi mitatu-6. Zvisinei, mhedzisiro yakazara yekurapa inogona kutora 1-2 makore kuti ive pachena, zvichienderana nemamiriro ari kurapwa.

Kuti ubatsirwe nezviratidzo, zvakadai sekuderedzwa kwemarwadzo mu trigeminal neuralgia, unogona kuona kuvandudzwa mukati memavhiki kusvika kumwedzi. Kuti udzore tumor, chiremba wako achatarisa shanduko kuburikidza nekuongorora kwenguva dzose, uye kugadzikana kana kudzikira kunowanzooneka pamusoro pemwedzi 6-12.

Q.4 Radiosurgery ye stereotactic inogona kudzokororwa here?

Hongu, stereotactic radiosurgery dzimwe nguva inogona kudzokororwa, asi izvi zvinoenderana nezvinhu zvakawanda zvinosanganisira huwandu hweradiation yakambopihwa, nzvimbo yekurapa, uye hutano hwako hwese. Chiremba wako achanyatsoongorora kana kurapwa kwekudzokorora kwakachengeteka uye kwakakodzera kune mamiriro ako chaiwo.

Kurapa kwekudzokorora kunowanzo fungwa nezve tuma tumor itsva munzvimbo dzakasiyana pane kurapa nzvimbo imwechete. Sarudzo iyi inoda kufunga zvakanyanya nezve cumulative radiation dose uye njodzi dzinogona kuitika kune matishu ane hutano akapoteredza.

Q.5 Stereotactic radiosurgery inorwadza here?

Stereotactic radiosurgery pachayo haina kurwadza - hauzonzwe radiation beams panguva yekurapa. Kusagadzikana kukuru kunowanzo kubva pakuve nehead frame yakabatanidzwa (kana ichishandiswa) kana kurara wakanyarara kwenguva yakareba panguva yekuita.

Vamwe vanhu vanonzwa kurwadziwa kwemusoro kudiki kana kuneta mushure mekurapa, asi zviratidzo izvi zvinowanzo manejwa nemishonga yekurwadziwa isingatengeswe uye kuzorora. Maitiro ekusapinda emukati emaitiro zvinoreva kuti hapana kurwadziwa kwekuvhiya kana nguva refu yekupora.