Kana mumwe munhu akatiudza kuti ane bundu remuuropi, tinotya. Chinhu chinotevera chatinofunga nezvacho kuvhiyiwa kukuru kweuropi. Zvisinei, nekufambira mberi kwesainzi yezvekurapa, hazvidiwi nguva dzose kuvhura musoro woita oparesheni. Nhasi tichataura nezvenzira yakakosha yekurapa inogona kurapa bundu diki nedzimwe nzvimbo dzine matambudziko muuropi tichishandisa mwaranzi yakanyanya kunangwa, pasina cheki.
Zvichitaurwa zviri nyore, chii chinonzi Stereotactic Radiosurgery (SRS)?
Kunyangwe iine izwi rekuti "kuvhiyiwa" muzita rayo, haisi nzira yekuvhiyiwa yechinyakare yaungafunga nezvekushandisa banga kana chigero. Stereotactic Radiosurgery (SRS) inzira yepamusoro-soro yekurapa nemwaranzi. Kutaura chokwadi, inosanganisira kushandisa muchina wakakosha kuendesa nhevedzano yemwaranzi yakawanda, yakapfava kwazvo kunzvimbo chaiyo yebundu muuropi.
Fungidzira kuti matanda akawanda, semarambi madiki elaser anobva kumativi akasiyana, anobatana panzvimbo imwe chete, ndiko kuti, pane bundu. Zvadaro, bundu richiwana huwandu hwakanyanya hwemwaranzi, kukuvara kwetsinga dzeuropi dzakanaka uye dzakaripoteredza kushoma. Iri ndiro mukana mukuru wekurapa uku.
Kunyange zvazvo zita racho richinzi 'kuvhiyiwa', hapana cheni inochekwa. Saka, njodzi dzekuvhiyiwa kwakajairika dzakaderera zvikuru.
Mushonga uyu unonyanya kushandiswa mumamiriro api ezvinhu?
Kana uine bundu remuuropi, asi zvine njodzi kuribvisa nekuvhiyiwa kwakajairika, chiremba wako anogona kukurudzira SRS. Semuenzaniso, bundu iri rinogona kunge riri mukati meuropi, kana kuti ringave riri pedyo netsinga yeropa kana tsinga inokosha. Muzviitiko zvakadaro, kurapwa uku kusingakuvadzi kwakachengeteka zvikuru. Dzimwe nguva kunoshandiswawo kuparadza chero masero egomarara asara mushure mekuvhiyiwa.
Vanachiremba vanoshandisa nzira iyi yeSRS pamabundu ane kenza uye asina kenza (asina kuipa).
| Matambudziko akajairika anorapwa neSRS | |
|---|---|
| Acoustic neuroma | Chordoma |
| Craniopharyngioma | Glioblastoma |
| Glioma | Hemangioblastoma |
| Meningioma | Matumbu emuuropi akapararira kubva kukenza kune dzimwe nzvimbo kuenda kuuropi |
| Pineoblastoma | Pituitary adenoma (bundu remudumbu repituitary) |
Pamusoro pezvo, nzira iyi yeSRS inoshandiswa kumisa njodzi yekubuda ropa nekuda kwekusangana kwetsinga dzeropa zvisina kujairika muuropi (arteriovenous malformation), uye kumisa zviratidzo zvekurwadziwa kusvika kuuropi mukurwadziwa kwetsinga kwakanyanya senge trigeminal neuralgia .
Dzimwe nguva nzira iyi inoshandiswawo kurapa bundu riri kunze kweuropi. Semuenzaniso, bundu riri muchiropa, mumapapu, kana pancreas. Izvi zvinonzi Stereotactic Body Radiation Therapy (SBRT) .
Ndinofanira kugadzirira sei ndisati ndarapwa?
Chikwata chako chezvekurapa chichakugadzirira zvakanaka izvi. Vanowanzoita zvinotevera:
- Kuongorora nhoroondo yako yese yezvekurapa.
- Kutsanangura maitiro ekurapwa uye zvekutarisira nenzira yaunogona kunzwisisa.
- Kuzivisa varwere nezvenguva yekurega kudya nekunwa vasati varapwa.
- Mazano ekuti unofanira kurega kutora mishonga here usati warapwa.
- Kupa mirairo yekuti ungagadzirira sei zuva rekurapwa (semuenzaniso, kusapfeka zvishongo kana kupoda).
Chii chinoitika panguva yekurapwa?
Panguva yekurapwa kweSRS, unenge uri mukamuri rine muchina. Chikwata chako chekurapa chiri mukamuri rakasiyana uye chinodzora muchina uchishandisa komputa. Nekuti skrini yekombuta inoratidza zvakajeka kuti bundu reuropi hwako riri kupi, vanogona kutungamira mwaranzi yacho zvakananga kune chinangwa chayo.
Kurapwa kwaunowana kunogona kusiyana zvishoma zvichienderana nerudzi rwemuchina washandiswa. Kune mhando nhatu huru.
| Rudzi rwemuchina weSRS | Maitikiro azvo |
|---|---|
| Gamma Knife® | Ucharara pamubhedha wakasarudzika wopfeka furemu kana chifukidziro chakasarudzika kuti musoro wako usanyanye kugadzikana. Ipapo mubhedha uchapinda mumuchina (chikamu chemusoro chete). Muchina uchatungamira mwaranzi yemwaranzi pabundu. |
| Linear Accelerator (LINAC) | Mukuita uku, ucharara pamubhedha une furemu kuti musoro wako urambe wakadzikama. Ruoko rwakabatanidzwa pamuchina ruchatenderera rwakakupoteredza mu arcs, ruchitungamira mwaranzi kune bundu. Rudzi urwu dzimwe nguva runonzi Cyberknife® . |
| Kurapa kweProton | Iyi inzira itsva uye isingawanzoitiki apo danda remapurotoni ane simba rakawanda rinonangidzirwa pabundu. |
Matanho ekurapwa
1. Tsananguro: Vanokuratidza kuti unogona kutaura nechikwata chekurapa chero nguva uchishandisa sisitimu yeintercom.
2. Kuisa zvinhu panzvimbo yazvo: Uchaiswa pamubhedha woiswa mumusoro (furemu kana chifukidziro). Zvakakosha kuti urambe wakamira kudzivirira kuisa nyama ine hutano panjodzi yemwaranzi.
3. Kuongororwa: Kuongororwa kwakawanda, kwakadai seMRI neCT scans , kunoitwa kuti paonekwe nzvimbo chaiyo yebundu.
4. Kuronga kurapwa: Zvichibva pane zvakabuda muongororo iyi, timu yezvekurapa inoshandisa makombiyuta kuronga nemazvo kuti mwaranzi yemwaranzi inofanira kuendeswa sei. Vanosarudzawo kana vopa mushonga wakawanda panguva imwe chete kana kuti voupa muhuwandu hudiki kwemazuva akati wandei.
5. Kurapa: Muchina uchapa mushonga sezvawakaronga. Hauzonzwi kurwadziwa panguva ino. Zvisinei, unogona kunzwa ruzha pamuchina uchishanda.
Kazhinji, maitiro ese aya anogona kutora anenge maawa 1-4.
Chii chinoitika mushure mekurapwa?
Vanhu vazhinji vanogona kudzokera kumba mushure mekurapwa. Zvisinei, dzimwe nguva ungangoda kugara muchipatara kwemaawa mashoma kuti utarise migumisiro yakaipa. Migumisiro inowanzo sanganisira:
- Kuneta
- Musoro
- Kusvotwa nekurutsa
- Kudonha kwebvudzi (panzvimbo yekurapwa)
- Kuchinja kweganda
Zviratidzo izvi zvinowanzopera mukati memazuva mashoma kana mavhiki maviri kusvika matatu. Kana bvudzi rikadonha, rinokura zvakare mumwedzi miviri kusvika mitatu. Chiremba wako achakupa mishonga yekubatsira kudzora zviratidzo izvi.
Vachakuudza kuti udzoke mushure memwedzi mumwe chete kuti utarise mamiriro ako ezvinhu. Mushure memwedzi mishoma, vachaita imwe scan kuti vaone kuti chii chakaitika kugomarara iri. Magomarara anodzikira mumwedzi mishoma. Zvinogona kutora gore rimwe kana maviri kuti uone mutsauko mumagomarara asiri egomarara.
Unofanira kuona chiremba rini?
Kana zviratidzo zvisingawanzoitiki zvikaramba zviripo kana zvimwe zvitsva zvikaonekwa mushure mekurapwa, iva nechokwadi chekuudza chiremba wako. Dzimwe nguva zvirwere zvakaita sekuzvimba kweuropi zvinogona kuitika. Mishonga yakaita secorticosteroids inogona kunyorerwa izvi. Uyewo, kurapwa nekutaura uye kurapwa nebasa zvinogona kukurudzirwa sezvinodiwa.
Mharidzo Yekuenda Nayo Kumba
- Kuvhiyiwa kweStereotactic Radiosurgery (SRS) hakusi kuvhiyiwa kwechinyakare. Inzira yepamusoro yekurapa bundu remuuropi nemwaranzi yakanyanya pasina kuchekwa.
- Maitiro aya haakonzeri kukuvara kudiki kwehuropi hwakanaka, saka njodzi nemigumisiro yakaderera pane kuvhiyiwa kwakajairika.
- Hapana kurwadziwa panguva yekurapwa. Kazhinji, kurapwa kunopera muzuva rimwe chete uye unogona kuenda kumba.
- Zvakajairika kuti unzwe kutya uye kunetseka nezverudzi urwu rwekurapwa. Taura pachena nachiremba wako nezvemibvunzo kana zvinokunetsa. Vachakutsanangurira zvese uye vachakupa nyaradzo yepfungwa yaunoda.
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