Kubaga Gamma Knife si ukubaga hakoreshejwe icyuma!

Ni ibisanzwe kumva ufite ubwoba bwinshi iyo muganga wawe akubwiye ko ufite ikibyimba cyangwa ikibazo mu bwonko bwawe. Ubwo bwoba burushaho kwiyongera iyo wumvise amagambo agira ati "Ngiye kubagwa." Ariko se wari uzi ko hari uburyo bugezweho cyane bushobora kuvura ibintu nk'ibibyimba byo mu bwonko hatabayeho gukoresha icyuma, hatabayeho gukata? Ibyo ni byo twita Gamma Knife Surgery. Nubwo izina rivuga "kubaga" na "icyuma," ubu ntabwo ari ukubaga hakoreshejwe icyuma.

None se iyi Knife ya Gamma ni iki?

Muri make, Gamma Knife ni uburyo bwo kuvura bukoresha imirasire ifite ingufu nyinshi. Ubu kandi ni ubwoko bw'ubuvuzi bushingiye ku mirasire. Ariko umwihariko ni uko bushobora kwerekezwa neza kandi neza ku ntego. Niyo mpamvu ijambo "icyuma" rikoreshwa. Nk'uko umuganga ubaga atema neza akoresheje icyuma, imirasire ya gamma ikoreshwa mu kuvura gusa agace k'ubwonko gafite ikibazo mu buryo bumwe, ariko nta gukata.

Tekereza, ni nko gukoresha ikirahuri gikurura kugira ngo ushyire urumuri ku rupapuro. Urupapuro ntirushya hose, ahubwo ruhita aho rwibanze gusa. Uburyo bwa gamma knife burasa. Imirasire ya gamma igera kuri 200 idakomeye ijya ku kibyimba cyangwa agace karwaye mu bwonko icyarimwe. Kubera ko buri rumuri rudakomeye ubwarwo, ntabwo rwangiza uturemangingo tw’ubwonko tuzima. Ariko aho imirasire yose 200 ihurira, ni ukuvuga aho ikibyimba giherereye, ikora ingufu nyinshi kandi igasenya utwo turemangingo. Ubu buryo ni ubwo mu bwoko bwa stereotactic radiosurgery.

Ni izihe ndwara ubuvuzi bwa Gamma Knife bukoreshwa?

Intego nyamukuru y'ubuvuzi bwa Gamma Knife ni ukugabanya, guhagarika gukura cyangwa gusenya burundu ikibyimba cyangwa ikindi kibazo mu bwonko. Ni igisubizo cyiza cyane ku bibazo biri mu bwonko, akenshi bigorana kugerwaho no kubagwa.

Hari igihe ubu buryo bwo kuvura bukoreshwa ku bantu badashobora kubagwa buri gihe, cyangwa kugira ngo hirindwe ko ikibyimba kigaruka nyuma yo kubagwa.

Ni gute nakwitegura mbere yo kuvurwa?

Mbere yo gutangira ubu buvuzi, uzahura n'umuganga w'imitsi n'inzobere mu kuvura kanseri y'imirasire. Bazagusuzuma. Muri iki gihe, ugomba kubwira muganga wawe ibikoresho byose ufite mu mubiri wawe, nka pacemaker, cochlear implant, cyangwa pompe y'imiti.

Nanone, babwire ibyerekeye ubwivumbure ubwo aribwo bwose ufite. Bazakubaza niba ushobora kuryama ntuje mu gihe cy'iminota 30-60 mu gihe cy'ubuvuzi. Ibi bishobora kugorana ku bantu bafite indwara y'ibihaha cyangwa indwara yo kuruhuka mu muhogo.

Ubusanzwe, inama uhabwa zishobora kumera gutya:

• Ntukarye cyangwa ngo unywe ikintu icyo ari cyo cyose nyuma ya saa sita z'ijoro umunsi umwe mbere y'uko uvurwa.
• Niba ufite imiti ugomba gufata mu gitondo, uyinywe n'amazi make gusa. Zana imiti yawe yose, harimo n'imashini ikoreshwa mu guhumeka, mu bitaro.
• Karaba umutwe wawe neza mu ijoro ryabanjirije iri kandi uwusukure.
• Ntugashyireho udupira, udupira cyangwa imishumi ku musatsi wawe ku munsi wo kuvurwa.
• Ambara inkweto zoroshye gukuramo no kwambara imyenda idafite ishingiro.
• Ni ngombwa gutegura umuntu uzakugeza kwa muganga akagusubiza mu rugo .

Ubu buryo bubiri ni ubuhe, Frame na Frameless?

Hari uburyo bubiri bwo kugumisha umutwe ahantu hamwe mu gihe cyo kuvurwa na Gamma Knife.

1. Uburyo bwa Frame:Muri ibi, icyuma cyoroshye gifatanye n'umutwe wawe. Ibi nibyo bituma umutwe wawe udahagarara kandi bigayobora imirasire neza ku ntego. Udupira tune duto dukoreshwa mu gufata iyi shusho ku mutwe wawe. Ariko ntugahangayike, ntuzumva ububabare ubwo aribwo bwose kuko umuti wo kugabanya ububabare uterwa muri ibyo bice bine. Ushobora kumva urimo gukanda gato.

2. Uburyo butagira fremu: Muri ubu buryo, hakoreshwa agapfukamunwa kadasanzwe cyangwa igikoresho gisa n'urushundura cyakozwe kugira ngo gikwirane n'isura yawe. Aka gapfukamunwa gashyirwa ku buriri bwo kuvurirwamo kandi gatuma umutwe wawe uhagarara neza.

Nubwo ubu buryo bwombi bushobora gusa n'aho buteye ubwoba gato, muganga azaguha imiti nibiba ngombwa kugira ngo utuze.

Uburyo bwo kuvura bukorwa bute?

Ku munsi wo kuvurwa, hari intambwe nyinshi.

• IV: Kanula ya IV ishyirwa mu mutsi uri mu kuboko kwawe. Aha niho irangi ritandukanye rikenewe mu isuzuma ry’ishusho, kandi nibiba ngombwa, hatangwa umuti wo kugutuza. Ku bana bato, ibi bikunze gukorwa nyuma yo gusinzira burundu basanzwe basinzirijwe n’ikinya rusange.
• Ibizamini byo Gupima: Hanyuma, uzakorerwa isuzuma rya CT cyangwa MRI ry'ubwonko bwawe. Ibi bizagufasha kumenya ingano nyayo, imiterere, n'aho ikibyimba cyangwa igisebe kiri.
• Gutegura uburyo bwo kuvura: Ubu ni cyo gice cy'ingenzi cyane. Itsinda rigizwe n'umuganga w'imitsi, inzobere mu by'imirasire, n'umuganga w'imiti bakorana kugira ngo bategure uburyo bwose bwo kuvura bakoresheje mudasobwa bakoresheje amashusho yo muri scan. Aha niho ibintu byose bifatwa neza cyane, harimo n'ingano y'imirasire igomba gutanga n'ingufu igomba kwerekeza.
• Gutanga ubuvuzi: Iyo gahunda irangiye, uzajyanwa mu cyumba kirimo imashini ya Gamma Knife. Uzihambiraho agapfukamunwa cyangwa agapfukamunwa ku mutwe wawe hanyuma uryame ku buriri bw'imashini. Hanyuma igitanda kizagenda buhoro buhoro kijya muri iyo mashini.

Iyo ubuvuzi burangiye, uzakurwa mu mashini hanyuma agapfukamunwa cyangwa agapfukamunwa kazakurwaho. Ubuvuzi bwose buzamara hagati y'iminota 30 n'amasaha abiri, bitewe n'uko umurwayi ameze.

Ni iki kibaho nyuma yo kuvurwa? Kandi ni izihe nyungu?

Ushobora kumva usinziriye gato nyuma yo kuvurwa. Niyo mpamvu ukeneye umuntu wo kugutwara mu modoka. Akenshi, ushobora gutaha uwo munsi. Ushobora gutangira imirimo yawe isanzwe umunsi ukurikiyeho. Iki ni kimwe mu byiza bikomeye by'ubu buryo bwo kuvura.

Ibyiza by'ingenzi byo kuvura Gamma Knife:

• Nta gukata uruhu: nta gukata uruhu, nta gupfuka umutwe.
• Ifite umutekano: Ishobora kuvura ahantu heza ho mu bwonko hatagerwaho n'ubuvuzi busanzwe.
• Nibyo: Kwangirika kw'ingingo nzima zikikije ni bike cyane.
• Gukira vuba: Nta mpamvu yo kumara iminsi mu bitaro. Ushobora gusubira mu buzima busanzwe vuba.
• Uburyo bwo kuvura icyarimwe: Ahantu henshi hashobora kuvurirwa icyarimwe.

Ese hari ingaruka cyangwa ibyago bishobora guterwa n'iyi ndwara?

Ingaruka zijyanye n'ubu buvuzi ni nke cyane, ariko rimwe na rimwe ingaruka mbi nke zishobora kubaho.

Bitwara igihe kingana iki kugira ngo umenye ibisubizo?

Ibi si ibisubizo byihuse. Bishobora gufata ibyumweru, amezi, cyangwa umwaka cyangwa irenga kugira ngo haboneke ingaruka zose z’ubuvuzi. Ibibyimba bya kanseri bishobora kugabanuka cyangwa bikareka gukura mu mezi make. Ibibyimba bitari kanseri bishobora kureka gukura ariko bishobora kugabanuka mu bunini. Kubwibyo, ni ngombwa cyane gukomeza gukurikirana no gupima nk'uko muganga abivuga.