We pɔsin tɛl wi se i gɛt bren tumbu, wi kin fred bad bad wan. Di nɛks tin we wi kin tink bɔt na big ɔpreshɔn pan wi bren. Bɔt we di sayɛns bɔt mɛrɛsin dɔn go bifo, i nɔ kin nid fɔ opin di ed ɔltɛm ɛn du ɔpreshɔn. Tide wi go tɔk bɔt wan spɛshal tritmɛnt we kin mɛn smɔl smɔl tumbu ɛn ɔda prɔblɛm dɛn na di bren we wi de yuz raytin bim dɛn we dɛn kin tɔk bɔt bad bad wan, we nɔ gɛt ɛni say we dɛn kɔt am.
Fɔ tɔk am simpul wan, wetin na Stereotactic Radiosurgery (SRS)?
Pan ɔl we i gɛt di wɔd "ɔpareshɔn" na in nem, nɔto di tradishɔnal ɔpreshɔn we yu kin tink bɔt fɔ yuz nɛf ɔ siza. Stereotactic Radiosurgery (SRS) na wan we we rili advans fɔ yuz redyushɔn. Fɔ tɔk di kɔrɛkt tin, i min fɔ yuz spɛshal mashin fɔ kɛr sɔm ay doz, rili fayn bim dɛn we gɛt raytin to di rayt say we di tumbu de na di bren.
Imajin se bɔku bim dɛn, lɛk fayn fayn laser bim dɛn we de kɔmɔt na difrɛn say dɛn, kin miks na di sem say, dat na usay di tumbu de. Dɔn, pan ɔl we di tumbu kin gɛt di maksimal raytin, di damej we kin apin to di wɛlbɔdi, gud bren tisu we de rawnd am nɔ kin bɔku. Dis na di big big bɛnifit fɔ dis tritmɛnt.
Pan ɔl we di nem se ‘ɔpareshɔn’, fɔ tru, nɔ insishɔn nɔ de insay. So, di risk dɛn we pɔsin kin gɛt we dɛn du ɔpreshɔn we dɛn kin du ɔltɛm, kin smɔl pasmak.
Us sityueshɔn dɛn kin yuse dis tritmɛnt fɔ mɔ?
If yu gɛt bren tumbu, bɔt i tu risky fɔ pul am wit standad ɔpreshɔn, yu dɔktɔ kin tɛl yu fɔ du SRS. Fɔ ɛgzampul, di tumbu kin de dip dip wan na di bren, ɔ i kin de nia wan impɔtant blɔd vesel ɔ nerv. Insay dɛn kayn tin ya, dis tritmɛnt we nɔ de ambɔg pɔsin kin rili sef. Sɔntɛnde, dɛn kin yuz am bak fɔ pwɛl ɛni kansa sɛl we lɛf afta dɛn dɔn du di ɔpreshɔn.
Dɔktɔ dɛn kin yuz dis SRS we fɔ ɔl tu di tɔŋ dɛn we gɛt kansa ɛn we nɔ gɛt kansa (benign).
| Kɔmɔn kɔndishɔn dɛn we dɛn kin trit wit SRS | |
|---|---|
| Akɔstik nyuroma | Chordoma we gɛt di sik |
| Kraniofarinjiɔma we de na di bɔdi | Glioblastoma we gɛt di sik |
| Glioma we dɛn kɔl Glioma | Ɛmanjiɔblastoma we dɛn kɔl ɛmanjiɔblastoma |
| Meningioma we gɛt di sik | Metastatic brain tumors (tכmכro dεm we dεn spre to di bren frכm kεnsar כdasay) . |
| Pineoblastoma we dɛn kɔl Pineoblastoma | Pituitary adenoma (pituitary gland tכmכro) . |
pan tap dat, dεn de yuz dis SRS mεtכd fכ stכp di risk fכ blכd bikoz fכ abnכmal bכdi vεsεl tכngl dεm na di bren (arteriovenous malformation), εn fכ stכp di pen signal fכ rich di bren insay siriכs nεv pen lεk trigeminal nyuraljia .
Sɔntɛnde dɛn kin yuz dis tɛknik bak fɔ trit tumbu dɛn we de na do na di bren. Fɔ ɛgzampul, tumbu dɛn na di liva, lɔng, ɔ pankrias. Dɛn kɔl dis Stereotactic Body Radiation Therapy (SBRT) .
Aw a fɔ pripia bifo a gɛt tritmɛnt?
Yu mɛdikal tim go rɛdi yu fayn fayn wan fɔ dis. Bɔku tɛm, dɛn go du dɛn tin ya:
- Rivyu yu kɔmplit mɛdikal istri.
- Ɛksplen di tritmɛnt prɔses ɛn wetin fɔ ɛkspɛkt di we aw yu go ɔndastand.
- Fɔ tɛl di wan dɛn we sik bɔt ustɛm fɔ stɔp fɔ it ɛn drink bifo dɛn gɛt tritmɛnt.
- Advays fɔ no if yu fɔ stɔp fɔ tek ɛni mɛrɛsin bifo yu gɛt tritmɛnt.
- Fɔ gi instrɔkshɔn bɔt aw fɔ rɛdi fɔ di de fɔ tritmɛnt (e.g., nɔ fɔ wɛr jɔyri ɔ mek-ap).
Wetin kin apin we dɛn de trit am?
We dɛn de du SRS tritmɛnt, yu de na di rum usay di mashin de. Yu mɛdikal tim de na wan sɛpret rum ɛn dɛn de yuz kɔmpyuta fɔ kɔntrol di mashin. Bikɔs di kɔmpyuta skrin de sho klia wan usay yu bren tumbu de, dɛn kin ebul fɔ dayrɛkt di raytin prɛsishɔn to di say we i want.
Di tritmɛnt we yu kin gɛt kin difrɛn smɔl fɔ di kayn mashin we yu de yuz. Tri men kayn dɛn de.
| SRS mashin tayp | Aw i kin apin |
|---|---|
| Gamma Naif® we dɛn kin yuz | Yu go ledɔm pan spɛshal bed ɛn wɛr spɛshal freym ɔ mask fɔ mek yu ed stil. Dɔn di bed go go insay di mashin (na di ed pat nɔmɔ). Di mashin go dayrɛkt di raytin bim to di tɔŋ. |
| Linear Aksilarator (LINAC) we de mek di . | Insay dis prosidur, yu go ledɔm pan bed we gɛt freym fɔ mek yu ed stil. Wan an we dɛn tay pan di mashin go rɔta rawnd yu insay ark, ɛn dayrɛkt raytin to di tumbu. Sɔntɛnde dɛn kin kɔl dis kayn Cyberknife® . |
| Prɔtɔn Tɛrapi | dis na nyu εn sכmtεm we nכ kin apin we wan bim we gεt hכy εnεji protכn patikyula dεm de dayrεkt to di tכmכro. |
Step dɛm fɔ tritmɛnt
1. Ɛksplen: Dɛn de sho yu se yu kin tɔk to di mɛdikal tim ɛnitɛm tru intakɔm sistɛm.
2. Pozishɔn: Dɛn go put yu pan bed ɛn put yu na say fɔ stɔp yu ed (frɛm ɔ mask). I impɔtant fɔ de stil fɔ mek yu nɔ put di wɛlbɔdi tisu pan raytin.
3. Skan: Dɛn kin du bɔku skan dɛn lɛk MRI ɛn CT skan , fɔ no usay di tumbu de.
4. Fɔ plan aw fɔ trit am: Frɔm dɛn skan rizɔlt ya, di mɛdikal tim kin yuz kɔmpyuta fɔ plan di rayt we aw dɛn fɔ gi di raytin bim dɛn. Dɛn kin disayd bak if dɛn fɔ gi am ay doz wan tɛm ɔ fɔ gi am smɔl smɔl fɔ sɔm dez.
5. Tritmɛnt: Di mashin go gi di tritmɛnt lɛk aw dɛn bin dɔn plan. Yu nɔ go fil ɛni pen dis tɛm. Bɔt yu go yɛri sɔm nɔys we di mashin de wok.
Tipikli, dis ol prכsεs kin tek lεk 1-4 awa.
Wetin kin apin afta dɛn dɔn trit am?
Bɔrku pipul kin go na os afta tritmɛnt. Bɔt sɔntɛnde, yu kin nid fɔ de na ɔspitul fɔ sɔm awa fɔ chɛk fɔ si if yu gɛt di bad tin dɛn we kin apin to yu. Di kɔmɔn sayd ɛfɛkt dɛn na:
- Taya
- Ed de at
- Nɔs ɛn vɔmit
- Di ia we de lɔs (na di say we dɛn de trit am) .
- Skin kin chenj
Dɛn sayn ya kin dɔn insay sɔm dez ɔr tu to tri wik. If di ia dɔn lɔs, i go gro bak insay tu to tri mɔnt. Yu dɔktɔ go gi yu mɛrɛsin fɔ ɛp fɔ kɔntrol dɛn sik ya.
Dɛn go tɛl yu fɔ kam bak insay lɛk wan mɔnt so fɔ chɛk yu kɔndishɔn. Afta sɔm mɔnt, dɛn go du ɔda skan fɔ si wetin dɔn apin to di tumbu. Di tumbu dɛn we gɛt kansa kin smɔl insay sɔm mɔnt. I kin tek wan ɔ tu ia fɔ si difrɛns pan di tumbu dɛn we nɔ gɛt kansa.
Ustɛm yu fɔ go to dɔktɔ?
If ɛni ɔda sayn we nɔ kɔmɔn de kɔntinyu ɔ nyu wan kam afta yu dɔn trit yu, mek shɔ se yu tɛl yu dɔktɔ. Sɔmtɛm tin dɛn lɛk we yu bren de swel kin apin. Dɛn kin gi mɛrɛsin lɛk kɔtikosterɔyd fɔ dis. Dɔn bak, dɛn kin tɛl yu fɔ du tritmɛnt fɔ tɔk ɛn fɔ mɛn yu wok if nid de.
Mɛsej we dɛn kin kɛr go na os
- Stereotactic Radiosurgery (SRS) nɔto tradishɔnal ɔpreshɔn. Na wan advans we fɔ trit di bren tumor wit ay targeted redyushɔn we nɔ gɛt insayshɔn.
- Dis we aw dɛn kin du am nɔ kin pwɛl di bren we gɛt wɛlbɔdi, so di prɔblɛm dɛn ɛn di bad tin dɛn we kin apin to am nɔ kin bɔku pas di kɔmɔn ɔpreshɔn.
- Nɔ pen nɔ de we dɛn de du di tritmɛnt. Bɔrku tɛm, dɛn kin dɔn di tritmɛnt insay wan de ɛn yu kin go na os.
- Na nɔmal tin fɔ fil fɔ fred ɛn wɔri bɔt dis kayn tritmɛnt. Tɔk opin wan wit yu dɔktɔ bɔt ɛni kwɛstyɔn ɔ tin we de mɔna yu. Dɛn go ɛksplen ɔltin to yu ɛn gi yu di kɔmfɔt we yu nid na yu maynd.
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