Thaum ib tug neeg qhia peb tias lawv muaj qog hauv hlwb, peb ntshai heev. Qhov tom ntej uas peb xav txog yog kev phais hlwb loj. Txawm li cas los xij, nrog kev nce qib ntawm kev kho mob, nws tsis tas yuav tsum qhib lub taub hau thiab ua kev phais. Hnub no peb yuav tham txog txoj kev kho mob tshwj xeeb uas tuaj yeem kho cov qog me me thiab lwm qhov chaw muaj teeb meem hauv lub hlwb siv cov teeb pom kev zoo heev, tsis muaj kev phais.
Hais yooj yim xwb, Stereotactic Radiosurgery (SRS) yog dab tsi?
Txawm hais tias nws muaj lo lus "phais" nyob rau hauv nws lub npe, nws tsis yog kev phais ib txwm uas koj xav txog kev siv riam lossis txiab. Stereotactic Radiosurgery (SRS) yog ib hom kev kho mob hluav taws xob siab heev. Yog xav kom meej, nws cuam tshuam nrog kev siv lub tshuab tshwj xeeb los xa cov hluav taws xob ntau, me me mus rau qhov chaw tseeb ntawm lub qog hauv lub hlwb.
Xav txog tias muaj ntau lub teeb, zoo li lub teeb laser me me uas los ntawm ntau qhov kev taw qhia, sib tshuam ntawm tib qho chaw, uas yog, qhov chaw uas lub qog nyob. Tom qab ntawd, thaum lub qog tau txais ntau tshaj plaws ntawm cov hluav taws xob, qhov kev puas tsuaj rau cov ntaub so ntswg hlwb noj qab haus huv thiab zoo nyob ib puag ncig nws yog qhov tsawg heev. Qhov no yog qhov zoo tshaj plaws ntawm kev kho mob no.
Txawm hais tias lub npe hais tias 'phais mob' los, qhov tseeb tsis muaj qhov phais. Yog li ntawd, qhov kev pheej hmoo ntawm kev phais mob ib txwm muaj qis dua.
Cov kev kho mob no feem ntau siv rau cov xwm txheej twg?
Yog tias koj muaj qog nqaij hlav hauv hlwb, tab sis nws muaj kev pheej hmoo heev uas yuav tsum tau phais mob ib txwm, koj tus kws kho mob yuav pom zoo kom siv SRS. Piv txwv li, qog nqaij hlav yuav nyob tob hauv lub hlwb, lossis nws yuav nyob ze ntawm cov hlab ntsha tseem ceeb lossis cov hlab ntsha. Hauv cov xwm txheej zoo li no, kev kho mob tsis mob no muaj kev nyab xeeb heev. Qee zaum nws kuj siv los rhuav tshem cov hlwb qog nqaij hlav uas tseem tshuav tom qab phais.
Cov kws kho mob siv txoj kev SRS no rau cov qog nqaij hlav thiab cov qog nqaij hlav tsis yog qog nqaij hlav (benign).
| Cov mob uas feem ntau kho nrog SRS | |
|---|---|
| Acoustic neuroma | Chordoma |
| Craniopharyngioma | Glioblastoma |
| Glioma | Hemangioblastoma |
| Meningioma | Cov qog nqaij hlav hauv lub hlwb uas kis mus rau lwm qhov (cov qog nqaij hlav uas tau kis mus rau lub hlwb los ntawm mob qog nqaij hlav lwm qhov) |
| Pineoblastoma | Pituitary adenoma (mob qog ntawm lub qog pituitary) |
Ntxiv rau, txoj kev SRS no yog siv los tiv thaiv kev pheej hmoo ntawm kev los ntshav vim yog cov hlab ntsha tsis sib xws hauv lub hlwb (arteriovenous malformation), thiab los tiv thaiv cov cim qhia mob kom tsis txhob mus txog lub hlwb hauv cov hlab ntsha mob hnyav xws li trigeminal neuralgia .
Qee zaum cov txheej txheem no kuj siv los kho cov qog nqaij hlav sab nraum lub hlwb. Piv txwv li, cov qog nqaij hlav hauv lub siab, lub ntsws, lossis lub txiav. Qhov no hu ua Stereotactic Body Radiation Therapy (SBRT) .
Kuv yuav tsum npaj li cas ua ntej kho mob?
Koj pab neeg kho mob yuav npaj koj zoo rau qhov no. Feem ntau lawv yuav ua cov hauv qab no:
- Kev tshuaj xyuas koj keeb kwm kev kho mob tag nrho.
- Piav qhia txog cov txheej txheem kho mob thiab yam uas yuav tshwm sim rau hauv txoj kev uas koj nkag siab tau.
- Qhia cov neeg mob txog thaum twg yuav tsum tsis txhob noj thiab haus ua ntej kho mob.
- Cov lus qhia txog seb koj puas yuav tsum tsis txhob noj tshuaj ua ntej kho mob.
- Muab cov lus qhia txog yuav ua li cas npaj rau hnub kho mob (piv txwv li, tsis txhob hnav cov hniav nyiaj hniav kub lossis pleev kom zoo nkauj).
Muaj dab tsi tshwm sim thaum lub sijhawm kho mob?
Thaum lub sijhawm kho mob SRS, koj nyob hauv chav uas lub tshuab nyob. Koj pab neeg kho mob nyob hauv ib chav sib cais thiab tswj lub tshuab siv lub khoos phis tawj. Vim tias lub vijtsam khoos phis tawj qhia meej meej qhov chaw koj lub qog hlwb nyob, lawv tuaj yeem xa cov hluav taws xob mus rau nws lub hom phiaj.
Kev kho mob uas koj tau txais yuav txawv me ntsis nyob ntawm hom tshuab siv. Muaj peb hom tseem ceeb.
| Hom tshuab SRS | Nws tshwm sim li cas |
|---|---|
| Gamma Knife® | Koj yuav pw saum ib lub txaj tshwj xeeb thiab hnav ib lub thav duab tshwj xeeb lossis lub npog ntsej muag kom koj lub taub hau nyob twj ywm. Tom qab ntawd lub txaj yuav nkag mus rau hauv lub tshuab (tsuas yog lub taub hau xwb). Lub tshuab yuav xa cov teeb ci mus rau lub qog. |
| Linear Accelerator (LINAC) | Hauv txoj kev kho mob no, koj yuav pw saum txaj nrog ib lub thav duab kom koj lub taub hau nyob twj ywm. Ib sab caj npab uas txuas rau lub tshuab yuav tig ib ncig ntawm koj ua ib lub voj voog, coj cov hluav taws xob mus rau qhov mob qog. Hom no qee zaum hu ua Cyberknife® . |
| Kev Kho Mob Proton | Qhov no yog ib txoj kev kho mob tshiab thiab tsis tshua muaj uas siv ib lub teeb ntawm cov protons muaj zog heev rau ntawm qhov mob qog noj ntshav. |
Cov kauj ruam ntawm kev kho mob
1. Kev Piav Qhia: Lawv qhia koj tias koj tuaj yeem tham nrog pab pawg kho mob txhua lub sijhawm los ntawm lub intercom system.
2. Kev Tso Chaw: Koj yuav raug muab tso rau saum txaj thiab muab tso rau hauv lub hau npog taub hau (lub thav duab lossis lub npog ntsej muag). Nws yog ib qho tseem ceeb uas yuav tsum nyob twj ywm kom tsis txhob raug hluav taws xob rau cov nqaij noj qab haus huv.
3. Kev Ntsuas: Muaj ntau qhov kev ntsuas, xws li MRI thiab CT scans , raug ua kom pom qhov chaw tseeb ntawm lub qog.
4. Kev npaj kho mob: Raws li cov txiaj ntsig ntawm kev luam theej duab no, pab pawg kho mob siv cov khoos phis tawj los npaj kom meej tias yuav tsum xa cov teeb hluav taws xob li cas. Lawv kuj txiav txim siab seb puas yuav muab cov tshuaj ntau ntau ib zaug lossis muab me me rau ob peb hnub.
5. Kev Kho Mob: Lub tshuab yuav xa kev kho mob raws li tau npaj tseg. Koj yuav tsis hnov mob dab tsi thaum lub sijhawm no. Txawm li cas los xij, koj yuav hnov qee lub suab nrov thaum lub tshuab ua haujlwm.
Feem ntau, tag nrho cov txheej txheem no tuaj yeem siv sijhawm li 1-4 teev.
Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?
Feem ntau cov neeg tuaj yeem mus tsev tom qab kho mob lawm. Txawm li cas los xij, qee zaum koj yuav tsum nyob hauv tsev kho mob ob peb teev kom paub seb puas muaj cov kev mob tshwm sim. Cov kev mob tshwm sim feem ntau muaj xws li:
- Kev qaug zog
- Mob taub hau
- Xeev siab thiab ntuav
- Plaub hau poob (ntawm qhov chaw kho mob)
- Kev hloov pauv ntawm daim tawv nqaij
Cov tsos mob no feem ntau yuav ploj mus li ob peb hnub lossis ob mus rau peb lub lis piam. Yog tias cov plaub hau poob lawm, nws yuav rov qab loj hlob tuaj li ob mus rau peb lub hlis. Koj tus kws kho mob yuav sau tshuaj los pab tswj cov tsos mob no.
Lawv yuav qhia koj kom rov qab los li ib hlis tom ntej no los xyuas koj tus mob. Tom qab ob peb hlis, lawv yuav ua dua ib qho kev soj ntsuam kom pom tias muaj dab tsi tshwm sim rau lub qog. Cov qog mob qog yuav me me hauv ob peb hlis. Nws yuav siv sijhawm ib lossis ob xyoos kom pom qhov txawv ntawm cov qog uas tsis yog qog.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Yog tias muaj cov tsos mob txawv txawv tseem muaj lossis muaj cov tsos mob tshiab tom qab kho mob, nco ntsoov qhia rau koj tus kws kho mob. Qee zaum cov mob xws li lub hlwb o tuaj yeem tshwm sim. Cov tshuaj xws li corticosteroids yuav raug sau rau qhov no. Tsis tas li ntawd, kev kho mob hais lus thiab kev kho mob ua haujlwm yuav raug pom zoo raws li qhov xav tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob Stereotactic Radiosurgery (SRS) tsis yog kev phais mob ib txwm muaj. Nws yog ib txoj kev kho mob qog hlwb uas siv hluav taws xob tsom mus rau qhov chaw mob yam tsis tas phais.
- Cov txheej txheem no ua rau muaj kev puas tsuaj me ntsis rau cov ntaub so ntswg ntawm lub hlwb noj qab haus huv, yog li muaj tsawg dua kev pheej hmoo thiab cov kev mob tshwm sim dua li kev phais mob ib txwm muaj.
- Tsis muaj mob thaum lub sijhawm kho mob. Feem ntau, kev kho mob tiav hauv ib hnub thiab koj tuaj yeem mus tsev.
- Nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab txog hom kev kho mob no. Tham nrog koj tus kws kho mob txog tej lus nug lossis kev txhawj xeeb uas koj muaj. Lawv yuav piav qhia txhua yam rau koj thiab muab kev nplij siab rau koj.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus