Mukuchita mantha ndi opaleshoni ya Gamma Knife? Tiyeni tikambirane mwachidule!

Mukamva mawu akuti 'Gamma Knife Surgery', kodi mumaganizanso za opaleshoni yochitidwa ndi mpeni? Ngakhale dzinalo limati 'mpeni', kwenikweni sigwiritsa ntchito mpeni kapena chocheka. Ndiye ndi chiyani? Mwachidule, ndi chithandizo chapamwamba kwambiri, chowunikira kwambiri cha radiation. Monga kuwala kwa laser, imatha kulunjika kokha kudera lovuta la ubongo, popanda kuwononga minofu yathanzi yozungulira. Tiyeni tikambirane za zonsezi lero.

Kodi chithandizo cha Gamma Knife kwenikweni n'chiyani?

Tangoganizirani kuti muli ndi chotupa chaching'ono m'dera laling'ono komanso lovuta kwambiri la ubongo wanu. Ngati mutachichotsa ndi opaleshoni yanthawi zonse, muyenera kudula mbali zathanzi za ubongo kuti mufike pamenepo. Zimenezi zimakhala zoopsa pang'ono. Pamenepo ndi pamene ukadaulo wotchedwa Gamma Knife umakhala wothandiza kwambiri.

Izi zimaphatikizapo mazanamazana a ma gamma ray amphamvu kwambiri, olamulidwa ndi ukadaulo wa makompyuta, omwe amangoyang'ana maselo omwe ali ndi vuto muubongo nthawi imodzi. Ma ray amodzi ndi ofooka kwambiri okha, kotero savulaza minofu yathanzi ikadutsa muubongo. Koma mazanamazana a ma ray amenewa akakhazikika pamalo amodzi, komwe kuli chotupa, amapanga mphamvu zokwanira kuwononga maselo amenewo. Zili ngati kugwiritsa ntchito galasi lokulitsa kuti liyang'ane kuwala kwa dzuwa ndikuyatsa pepala. Ndicho chifukwa chake limatha kupanga zotsatira za 'opaleshoni' , popanda kuduladula kulikonse. Izi zili m'gulu lotchedwa 'Stereotactic Radiosurgery' .

Ndi matenda ati omwe angachiritsidwe ndi chithandizochi?

Cholinga chachikulu cha chithandizo cha Gamma Knife ndikukhazikitsa, kuchepetsa, kapena kuwononga kotheratu chotupa kapena vuto lina muubongo. Nthawi zambiri imagwiritsidwa ntchito pamavuto ang'onoang'ono a ubongo.

Makamaka, izi ndi zina mwazochitika zomwe mankhwalawa amagwiritsidwa ntchito:

• Zotupa za muubongo: Izi zitha kukhala khansa komanso zopanda khansa.
• Kusakhazikika kwa mitsempha yamagazi: Matenda omwe mitsempha yamagazi muubongo imasokonekera.
• Kusakhazikika kwa mitsempha: Matenda ena opweteka okhudzana ndi mitsempha.

Gome ili m'munsimu likuwonetsa zina mwa matenda omwe amagwiritsidwa ntchito kwambiri pochiza Gamma Knife.

Mpeni wa Gamma ndi njira yabwino ngati muli ndi chotupa chomwe chili mkati kwambiri muubongo chomwe sichingathe kuchitidwa opaleshoni yachizolowezi, kapena ngati simungathe kuchitidwa opaleshoni pazifukwa zina zaumoyo. Nthawi zina, chithandizochi chimagwiritsidwanso ntchito poletsa chotupa kuti chisabwererenso mutachita opaleshoni yachizolowezi.

Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?

Musanayambe chithandizochi, muyenera kuonana ndi dokotala wa opaleshoni ya mitsempha ndi katswiri wa khansa ya radiation. Adzakuyesani. Pakadali pano, ngati muli ndi zipangizo zilizonse zoyikidwa m'thupi, monga pacemaker, cochlear implant, mankhwala opopera, kapena cholimbikitsa mitsempha , muyenera kuuza dokotala wanu za izi.

Adzakufunsaninso za ziwengo zilizonse zomwe muli nazo. Mudzapemphedwa kugona chagada kwa mphindi 30-60 panthawi ya chithandizochi. Ngati muli ndi vuto la m'mapapo kapena m'mero, zingakhale zovuta kugona pansi. Uzaninso dokotala wanu za izi.

Gulu lachipatala lidzakupatsani malangizo omveka bwino okhudza zomwe muyenera kutsatira kuyambira tsiku lisanafike chithandizo chanu. Nthawi zambiri, malangizo awa angaphatikizepo:

• Musadye kapena kumwa chilichonse kuyambira pakati pausiku tsiku lisanafike chithandizo.
• Ngati muli ndi mankhwala aliwonse oti mumwe m'mawa, amwe ndi madzi pang'ono. Bweretsani mankhwala onse omwe mumagwiritsa ntchito (kuphatikizapo opumira) kuchipatala.
• Sambitsani mutu wanu bwino usiku wonse musanalandire chithandizo ndipo ukhale woyera.
• Musamaike ma clip, ma pini, kapena ma band mu tsitsi lanu patsiku la chithandizo. Siyani tsitsi lanu lomasuka.
• Valani zovala zomasuka komanso nsapato zosavuta kuvala ndi kuvula. Pewani zovala zomwe zingakupangitseni kuphimba mutu wanu.
• Onetsetsani kuti mwabweretsa munthu woti akuperekezeni popita ndi pobwera kuchipatala.

Kodi Chimango ndi Chopanda Chimango n'chiyani?

Pali njira ziwiri za Gamma Knife.

1. Njira ya chimango: Mu njira iyi, chimango chachitsulo (nthawi zambiri chopangidwa ndi aluminiyamu) chimagwiritsidwa ntchito chomwe chimamangiriridwa kumutu kwanu. Chimango ichi chimasunga mutu wanu pamalo amodzi panthawi ya chithandizo ndipo chimathandiza kutsogolera kuwala kwa gamma komwe kukufunika.

2. Njira yopanda chimango: Mu njira iyi, chigoba cha thermoplastic kapena ukonde umayikidwa pankhope panu. Izi zimamangiriridwa ku chimango chomwe chili pabedi la chithandizo, zomwe zimathandiza kuti mutu wanu ukhale chete.

Anthu ena angaope akamva kuti chimango ichi chikulumikizidwa kumutu kwanu. Koma musaope. Chimangochi chisanalumikizidwe ku chigaza chanu ndi ma pini anayi ang'onoang'ono, amabayidwa mankhwala oletsa ululu m'malo onse anayi kuti asachite dzanzi. Kuti musamve kupweteka kulikonse. Mungamve kupsinjika pang'ono. Ndipo simukuyenera kumeta mutu wanu.

Momwe chithandizochi chimagwirira ntchito pang'onopang'ono

Pa tsiku la chithandizo, njira izi nthawi zambiri zimatsatiridwa:

Kukonzekera musanalandire chithandizo

• Kuyika mzere wa IV: Mzere wa IV udzaikidwa mu mtsempha womwe uli m'dzanja lanu. Udzakupatsani madzi apadera (chosakaniza) kuti akuthandizeni ndi ma scan ndipo, ngati pakufunika, mankhwala ochepetsa ululu kuti akutonthozeni. Kwa ana aang'ono, angapatsidwe mankhwala oletsa ululu.
• Kujambula: Kujambula kwa CT ndi/kapena MRI ya ubongo wanu kudzachitika. Izi zithandiza kudziwa kukula, mawonekedwe, ndi malo enieni a malo oti chithandizo chichitike. Izi zitenga pafupifupi mphindi 30.
• Kukonzekera chithandizo: Pambuyo powunikira malipoti a scan, dokotala wa opaleshoni ya mitsempha, katswiri wa khansa ya radiation, katswiri wa sayansi ya zamankhwala, ndi ena amagwira ntchito limodzi pa kompyuta kuti akonze chithandizo chanu. Apa ndi pomwe amasankha komwe angachiritse, kuchuluka kwa radiation komwe angapereke, komanso momwe angayang'anire kuwala kuti mupeze zotsatira zabwino. Izi zitha kutenga pafupifupi ola limodzi.

Chimachitika ndi chiyani panthawi ya chithandizo

1. Mudzatengedwera ku chipinda chochiritsira ndipo chimango kapena chigoba chopanda chimango chidzayikidwa pamutu panu.

2. Kenako mudzagonekedwa pabedi la makina ochiritsira.

3. Bedi pang'onopang'ono limalowa mu makina a Gamma Knife.

4. Makinawo ayamba kupereka kuwala. Pa nthawiyi, makinawo adzasuntha pang'onopang'ono bedi lanu ndi mutu wanu kuti ayang'ane kuwala komwe mukufuna kuchokera mbali zonse.

5. Pamene mankhwala atha, bedi limatulukanso mu makina.

6. Kenako, chimango kapena chigoba chomwe chili pamutu chimachotsedwa. Mzere wa IV womwe uli m'dzanja umachotsedwanso.

Kodi chithandizochi chimapweteka?

Ayi. Simudzamva kupweteka kapena kusasangalala panthawi ya chithandizo. Makinawa sadzatulutsa kutentha kapena phokoso lililonse. Anthu ambiri adzagona panthawiyi.

Kodi zitenga nthawi yayitali bwanji?

Chithandizocho chimatenga mphindi 30 mpaka maola awiri. Zimatengera kukula, mawonekedwe, ndi malo a chilonda chanu. Komabe, ndi bwino kuyembekezera kukhala m'chipatala tsiku lonse (pafupifupi maola 12) ndi chilichonse kuyambira kusanthula mpaka kukonzekera.

Kodi chimachitika ndi chiyani mukalandira chithandizo?

Mukamaliza kulandira chithandizo, mungamve ngati muli ndi tulo komanso ulesi. Choncho ndikofunikira kukhala ndi munthu woti akutengereni kunyumba. Pokhapokha ngati dokotala wanu atakuuzani mwanjira ina, mutha kupita kunyumba tsiku lomwelo. Nthawi zambiri mutha kuyambiranso ntchito zanu zachizolowezi (monga kupita kuntchito kapena kusukulu) tsiku lotsatira .

Ngati mugwiritsa ntchito chimango, pali zinthu zingapo zomwe muyenera kutsatira kunyumba:

• Kwa pafupifupi sabata imodzi, sungani mutu wanu mmwamba pang'ono pogwiritsa ntchito mapilo awiri pogona.
• Tsiku lotsatira, chotsani mabandeji omwe adayikidwa pomwe chimangocho chidalumikizidwa.
• Tsukani malo amenewo kawiri patsiku ndipo pakani mafuta ochepa ophera maantibayotiki kwa masiku atatu kapena anayi.
• Mukhoza kutsuka tsitsi lanu patatha maola 48.
• Ngati muli ndi ululu kapena kusapeza bwino, tengani mankhwala ochepetsa ululu (monga Ibuprofen, Acetaminophen) omwe dokotala wanu wakupatsani.

Kodi ubwino ndi zoopsa zake ndi ziti?

Monga chithandizo chilichonse chamankhwala, ichi chili ndi ubwino ndi zoopsa zazing'ono.

Kutupa kwa ubongo kumatha kuchitika nthawi yomweyo mutalandira chithandizo kapena miyezi ingapo pambuyo pake. Pofuna kupewa izi, gulu lanu lachipatala lidzakupatsani mankhwala musanayambe kulandira chithandizo komanso mutalandira chithandizo.

Nthawi yoti mukaonane ndi dokotala

Mukapita kunyumba mukatha kulandira chithandizo, muyenera kudziwa chochita ngati pakhala vuto lililonse.

Ngati muli ndi zizindikiro zotsatirazi, imbani dokotala wanu:

• Ngati mukumva kutentha mukakhudza malo omwe chimangocho chalumikizidwa.
• Ngati madzi onunkhira ngati nkhalango atuluka m'malo amenewo.
• Ngati muli ndi malungo.

Ngati muli ndi zizindikiro zotsatirazi, pitani ku Dipatimenti Yodzidzimutsa Yachipatala (ETU) yapafupi nthawi yomweyo:

• Kusanza kwambiri kapena kusanza
• Mutu waukulu kwambiri
• Kusintha kwa masomphenya
• Kuvuta kulankhula
• Kukhala ndi khunyu
• Zizindikiro zina zilizonse zomwe mukuganiza kuti sizodabwitsa

Zimatenga nthawi yayitali bwanji kuti mudziwe zotsatira zake?

Funso limene anthu ambiri amafunsa ndi ili. Zingatenge milungu, miyezi, kapena chaka chimodzi kapena kuposerapo kuti muwone zotsatira zonse za chithandizo. Zimatengera vuto lomwe likuchiritsidwa.

• Pa vuto lopweteka monga trigeminal neuralgia , lingatenge tsiku limodzi mpaka miyezi 6 kuti ululu uchepe. Anthu ambiri amapeza mpumulo mkati mwa mwezi umodzi.
• Pankhani ya zotupa za khansa , zimatha kukhazikika kapena kuchepa mkati mwa milungu ingapo kapena miyezi ingapo.
• Zotupa zopanda khansaNthawi zambiri, ngakhale itasiya kukula, siimachepa.
• Matenda monga arteriovenous malformations (AVM) angatenge zaka ziwiri kapena zitatu kuti achire mokwanira.

Kuti aone momwe chithandizochi chakukhudzirani, dokotala wanu adzakujambulaninso CT kapena MRI nthawi ndi nthawi.