Munthu akatiuza kuti ali ndi chotupa muubongo, timachita mantha. Chinthu chotsatira chomwe timaganizira ndi opaleshoni yayikulu yaubongo. Komabe, chifukwa cha kupita patsogolo kwa sayansi ya zamankhwala, sikofunikira nthawi zonse kutsegula mutu ndikuchita opaleshoni. Lero tikambirana za njira yapadera yothandizira yomwe ingachiritse zotupa zazing'ono ndi madera ena ovuta muubongo pogwiritsa ntchito kuwala kwa radiation komwe kumawunikira kwambiri, popanda kuduladula kulikonse.
Mwachidule, kodi Stereotactic Radiosurgery (SRS) ndi chiyani?
Ngakhale dzina lake lili ndi mawu oti "opaleshoni", si opaleshoni yachikhalidwe yomwe mungaganizire pogwiritsa ntchito mpeni kapena lumo. Stereotactic Radiosurgery (SRS) ndi njira yapamwamba kwambiri yochizira ndi ma radiation. Kunena zoona, imafuna kugwiritsa ntchito makina apadera kuti apereke ma radiation ambiri komanso ochepa kwambiri pamalo enieni a chotupacho muubongo.
Tangoganizani kuti matabwa ambiri, monga matabwa a laser ochokera mbali zosiyanasiyana, amakumana pamalo omwewo, komwe kuli chotupacho. Kenako, ngakhale chotupacho chimalandira mphamvu zambiri za kuwala, kuwonongeka kwa minofu ya ubongo yathanzi komanso yabwino yozungulira icho kumakhala kochepa. Uwu ndiye ubwino waukulu wa chithandizochi.
Ngakhale dzinalo limati 'opaleshoni', kwenikweni palibe kudula komwe kumachitika. Chifukwa chake, zoopsa za opaleshoni yanthawi zonse zimakhala zochepa kwambiri.
Kodi chithandizochi chimagwiritsidwa ntchito pazochitika ziti nthawi zambiri?
Ngati muli ndi chotupa cha muubongo, koma n’koopsa kuchichotsa ndi opaleshoni yokhazikika, dokotala wanu angakulangizeni SRS. Mwachitsanzo, chotupacho chingakhale mkati mwa ubongo, kapena chingakhale pafupi ndi mtsempha wofunikira wamagazi kapena mitsempha. Pazochitika zotere, chithandizo chosavulaza ichi ndi chotetezeka kwambiri. Nthawi zina chimagwiritsidwanso ntchito kuwononga maselo otsala a khansa mutachita opaleshoni.
Madokotala amagwiritsa ntchito njira ya SRS iyi pa zotupa zonse za khansa komanso zosakhala khansa (zosavulaza).
| Matenda omwe amachiritsidwa ndi SRS | |
|---|---|
| Acoustic neuroma | Chordoma |
| Craniopharyngioma | Glioblastoma |
| Glioma | Hemangioblastoma |
| Meningioma | Matenda a ubongo omwe afalikira kuchokera ku khansa kupita ku ubongo kwina (metastatic brain tumors) |
| Pineoblastoma | Chotupa cha pituitary gland (adenoma ya pituitary gland) |
Kuphatikiza apo, njira iyi ya SRS imagwiritsidwa ntchito poletsa chiopsezo cha kutuluka magazi chifukwa cha kusokonekera kwa mitsempha yamagazi muubongo (arteriovenous malformation), komanso kuletsa zizindikiro za ululu kufika muubongo chifukwa cha ululu waukulu wa mitsempha monga trigeminal neuralgia .
Nthawi zina njira imeneyi imagwiritsidwanso ntchito pochiza zotupa kunja kwa ubongo. Mwachitsanzo, zotupa m'chiwindi, m'mapapo, kapena m'chifuwa. Izi zimatchedwa Stereotactic Body Radiation Therapy (SBRT) .
Kodi ndiyenera kukonzekera bwanji ndisanalandire chithandizo?
Gulu lanu lachipatala lidzakukonzekeretsani bwino pa izi. Nthawi zambiri amachita izi:
- Kuwunikanso mbiri yanu yonse yachipatala.
- Kufotokoza njira yochizira ndi zomwe mungayembekezere mwanjira yomwe mungamvetse.
- Kudziwitsa odwala nthawi yoti asiye kudya ndi kumwa asanayambe kulandira chithandizo.
- Malangizo okhudza ngati muyenera kusiya kumwa mankhwala aliwonse musanalandire chithandizo.
- Kupereka malangizo a momwe mungakonzekerere tsiku la chithandizo (monga, kusavala zodzikongoletsera kapena zodzoladzola).
Kodi chimachitika ndi chiyani panthawi ya chithandizo?
Pa nthawi ya chithandizo cha SRS, mumakhala m'chipinda chomwe makinawo ali. Gulu lanu lachipatala limakhala m'chipinda china ndipo limayang'anira makinawo pogwiritsa ntchito kompyuta. Chifukwa chakuti kompyutayo imasonyeza bwino komwe kuli chotupa cha muubongo wanu, amatha kutsogolera kuwala kwa dzuwa mwachindunji kumalo omwe akufuna.
Chithandizo chomwe mumalandira chingasiyane pang'ono kutengera mtundu wa makina omwe agwiritsidwa ntchito. Pali mitundu itatu ikuluikulu.
| Mtundu wa makina a SRS | Momwe zimachitikira |
|---|---|
| Gamma Knife® | Mudzagona pabedi lapadera ndikuvala chimango chapadera kapena chigoba kuti mutu wanu ukhale chete. Kenako bedilo lidzalowa mu makina (gawo la mutu lokha). Makinawo adzatsogolera kuwala kwa radiation pa chotupacho. |
| Chotsatsira Cholumikizira cha Linear (LINAC) | Mu njira iyi, mudzagona pabedi ndi chimango kuti mutu wanu ukhale chete. Mkono wolumikizidwa ku makinawo udzazungulira mozungulira inu ngati ma arcs, kutsogolera kuwala ku chotupacho. Mtundu uwu nthawi zina umatchedwa Cyberknife® . |
| Chithandizo cha Proton | Iyi ndi njira yatsopano komanso yosowa kwambiri pomwe kuwala kwa tinthu ta proton tokhala ndi mphamvu zambiri kumalunjika ku chotupacho. |
Njira zochizira
1. Kufotokozera: Amakuwonetsani kuti mutha kulankhula ndi gulu lachipatala nthawi iliyonse kudzera mu intercom system.
2. Malo Oyikira: Mudzaikidwa pabedi ndikuyikidwa mu chotchingira mutu (chimango kapena chigoba). Ndikofunikira kukhala chete kuti mupewe kuwononga minofu yathanzi.
3. Kujambula: Kujambula kangapo, monga MRI ndi CT scans , kumachitika kuti adziwe komwe chotupacho chili.
4. Kukonzekera chithandizo: Kutengera zotsatira za scan izi, gulu lachipatala limagwiritsa ntchito makompyuta kukonzekera bwino momwe kuwala kwa radiation kuyenera kuperekedwera. Amasankhanso ngati apereke mlingo waukulu nthawi imodzi kapena apereke mlingo wochepa kwa masiku angapo.
5. Chithandizo: Makinawa apereka chithandizo monga momwe anakonzera. Simudzamva kupweteka kulikonse panthawiyi. Komabe, mungamve phokoso pamene makinawo akugwira ntchito.
Kawirikawiri, njira yonseyi imatha kutenga pafupifupi maola 1-4.
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Anthu ambiri amatha kupita kunyumba akalandira chithandizo. Komabe, nthawi zina mungafunike kukhala m'chipatala kwa maola angapo kuti muwone ngati pali zotsatirapo zake. Zotsatirapo zoyipa zomwe zimachitika nthawi zambiri zimaphatikizapo:
- Kutopa
- Mutu
- Kusanza ndi kusanza
- Kutaya tsitsi (pamalo ochizira)
- Kusintha kwa khungu
Zizindikiro zimenezi nthawi zambiri zimatha patatha masiku ochepa kapena milungu iwiri kapena itatu. Ngati tsitsi latayika, lidzameranso patatha miyezi iwiri kapena itatu. Dokotala wanu adzakupatsani mankhwala othandizira kuchepetsa zizindikirozi.
Adzakuuzani kuti mubwererenso pakatha mwezi umodzi kuti mudzaone momwe mulili. Pakatha miyezi ingapo, adzakujambulaninso kuti aone chomwe chachitika ndi chotupacho. Zotupa za khansa zimachepa pakatha miyezi ingapo. Zingatenge chaka chimodzi kapena ziwiri kuti muwone kusiyana kwa zotupa zomwe si khansa.
Kodi muyenera kupita kwa dokotala liti?
Ngati zizindikiro zachilendo zikupitirira kapena zatsopano zitayamba kuonekera mutalandira chithandizo, onetsetsani kuti mwadziwitsa dokotala wanu. Nthawi zina matenda monga kutupa kwa ubongo amatha kuchitika. Mankhwala monga corticosteroids angalembedwe pa izi. Komanso, chithandizo cha kulankhula ndi chithandizo cha ntchito chingalimbikitsidwe ngati pakufunika.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni ya Radiosurgery ya Stereotactic (SRS) si opaleshoni yachikhalidwe. Ndi njira yapamwamba yochizira matenda a muubongo pogwiritsa ntchito radiation yolunjika kwambiri popanda kuduladula.
- Njira imeneyi siiwononga kwambiri minofu ya ubongo yathanzi, kotero pali zoopsa zochepa komanso zotsatirapo zochepa poyerekeza ndi opaleshoni yachizolowezi.
- Palibe ululu womwe umabwera panthawi ya chithandizo. Nthawi zambiri, chithandizocho chimatha tsiku limodzi ndipo mutha kupita kunyumba.
- Ndizachibadwa kuchita mantha komanso kuda nkhawa ndi mtundu uwu wa chithandizo. Kambiranani momasuka ndi dokotala wanu za mafunso kapena nkhawa zilizonse zomwe mungakhale nazo. Adzakufotokozerani zonse ndikukupatsani chitonthozo chamaganizo chomwe mukufuna.
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