Uyoyika ngotyando lweGamma Knife? Masithethe ngayo ngokulula!

Xa usiva igama elithi 'Gamma Knife Surgery', ngaba ucinga nangotyando olwenziwa ngemela? Nangona igama lisithi 'imela', alisebenzisi imela okanye isikrweqe. Ngoko ke yintoni? Ngamafutshane, lunyango oluphambili kakhulu, olujoliswe kakhulu kwimitha. Njengomqadi welaser, lunokujoliswa kuphela kwindawo enengxaki yengqondo, ngaphandle kokubangela umonakalo kwizicubu eziphilileyo ezijikelezileyo. Ngoko masithethe ngayo yonke le nto namhlanje.

Yintoni kanye kanye unyango lweGamma Knife?

Khawuthelekelele ukuba unethumba elincinci kwindawo encinci kakhulu nentsonkothileyo yobuchopho bakho. Ukuba ubungalisusa ngotyando oluqhelekileyo, kuya kufuneka unqumle iindawo eziphilileyo zobuchopho ukuze ufikelele kulo. Oko kuyingozi kancinci. Kulapho ke iteknoloji ebizwa ngokuba yiGamma Knife iba luncedo kakhulu.

Oku kubandakanya amakhulu emitha ye-gamma enamandla kakhulu, elawulwa bubuchwepheshe bekhompyutha, ejoliswe kwiiseli ezinengxaki ebuchotsheni ngaxeshanye. Umtha we-1 ubuthathaka kakhulu ngokwawo, ngoko ke awuzilimazi izicwili eziphilileyo njengoko udlula ebuchotsheni. Kodwa xa amakhulu emitha ye-gamma exinene kwindawo enye, kanye apho kukho khona ithumba, adala amandla aneleyo okutshabalalisa ezo seli. Kufana nokusebenzisa iglasi yokukhulisa ukuze ugxile kwimitha yelanga kwaye utshise iphepha. Yiyo loo nto inokuvelisa isiphumo 'sotyando' , ngaphandle kokusikwa. Oku kukwicandelo elibizwa ngokuba yi -'Stereotactic Radiosurgery' .

Zeziphi iimeko ezinokunyangwa ngolu nyango?

Injongo ephambili yonyango lweGamma Knife kukuzinzisa, ukunciphisa, okanye ukutshabalalisa ngokupheleleyo ithumba okanye ezinye izinto ezingaqhelekanga engqondweni. Idla ngokusetyenziselwa iingxaki zobuchopho ezincinci.

Ngokuyintloko, nazi ezinye zeemeko apho olu nyango lusetyenziswa khona:

• Iithumba zobuchopho: Ezi zinokuba ngumhlaza kwaye azinawo umhlaza.
• Ukungahambi kakuhle kwemithambo yegazi: Iimeko apho imithambo yegazi engqondweni ibhidana khona.
• Ukuphazamiseka kwemithambo-luvo: Ezinye iimeko ezibuhlungu ezinxulumene nemithambo-luvo.

Itheyibhile engezantsi ibonisa ezinye zezona meko zixhaphakileyo ezisetyenziselwa unyango lweGamma Knife.

IGamma Knife lukhetho oluhle ukuba unethumba elinzulu kakhulu engqondweni ukuba lingafikelelwa ngotyando oluqhelekileyo, okanye ukuba awukwazi ukwenza utyando ngenxa yezinye izizathu zempilo. Ngamanye amaxesha, olu nyango lukwasetyenziselwa ukuthintela ithumba ukuba lingabuyi emva kotyando oluqhelekileyo.

Ndingazilungiselela njani ngaphambi konyango?

Ngaphambi kolu nyango, kuya kufuneka ubone ugqirha wemithambo-luvo kunye nogqirha we-radiation oncologist. Baza kukuhlola. Ngeli xesha, ukuba unezixhobo ezifakelweyo, ezifana ne-pacemaker, i-cochlear implant, i-medication pump, okanye i-nerve stimulator , ngokuqinisekileyo kufuneka uxelele ugqirha wakho ngazo.

Baza kukubuza nangayiphi na i-allergies onayo. Uza kucelwa ukuba ulale ngecala imizuzu engama-30-60 ngeli xesha lonyango. Ukuba unesifo semiphunga okanye i-esophageal reflux, kunokuba nzima ukulala phantsi. Xelela ugqirha wakho ngale nto.

Iqela lezonyango liza kukunika imiyalelo ecacileyo malunga noko kufuneka ukulandele ukususela ngosuku olungaphambi konyango lwakho. Ngokwesiqhelo, le miyalelo ingabandakanya:

• Musa ukutya okanye ukusela nantoni na ukususela ezinzulwini zobusuku ngosuku olungaphambi konyango.
• Ukuba unamayeza omawuwasele kusasa, wasele namanzi. Zisa onke amayeza owasebenzisayo (kuquka nee-inhaler) esibhedlele.
• Hlamba intloko yakho kakuhle ngobusuku bangaphambi konyango uze uyigcine icocekile.
• Musa ukufaka naziphi na iikliphu, iiphini, okanye iibhanti ezinweleni zakho ngomhla wonyango. Shiya iinwele zakho zikhululekile.
• Nxiba impahla ekhululekileyo kunye nezihlangu ezilula ukuzinxiba nokuzikhulula. Ziphephe iimpahla ezinokugquma intloko yakho.
• Qiniseka ukuba uza nomntu ekhaya xa usiya naxa usiya kunyango.

Yintoni iFrame kunye neFrameless?

Kukho iindlela ezimbini zeGamma Knife.

1. Indlela yesakhelo: Kule ndlela, kusetyenziswa isakhelo sesinyithi (esidla ngokuba yi-aluminium) esinamathele entlokweni yakho. Esi sakhelo sigcina intloko yakho ikwindawo enye ngexesha lonyango kwaye sinceda ekuqondiseni imisebe ye-gamma ngqo kwindawo ekujoliswe kuyo.

2. Indlela engenafreyimu: Kule ndlela, imaski ye-thermoplastic okanye inethi ibekwa phezu kobuso bakho. Le nto incamathiselwa kwifreyimu ebhedini yonyango, nto leyo enceda ukugcina intloko yakho ingashukumi.

Abanye abantu basenokoyika xa besiva ukuba esi sakhiwo sinamathele entlokweni yakho. Kodwa ungoyiki. Ngaphambi kokuba esi sakhiwo sinamathele ekhayeni lakho ngeepini ezine ezincinci, kufakwa isibulali-zintlungu kwindawo nganye kuzo zone iindawo ukuze zingasebenzi kakuhle. Ngoko awuyi kuva ntlungu. Usenokuziva ucinezelekile kancinci. Kwaye akufuneki uchebe intloko yakho.

Indlela unyango olusebenza ngayo inyathelo ngenyathelo

Ngosuku lonyango, la manyathelo adla ngokulandelwa:

Ukulungiselela ngaphambi konyango

• Ukufaka umgca we-IV: Umgca we-IV uza kufakwa emthanjeni ongalweni yakho. Uza kukunika ulwelo olukhethekileyo (i-contrast agent) ukunceda kwiiskeni kwaye, ukuba kuyimfuneko, isithomalalisi sokuthomalalisa umsindo. Kubantwana abancinci, banokunikwa i-anesthesia eqhelekileyo.
• Iiskeni: Kuya kwenziwa i-CT scan kunye/okanye i-MRI scan yengqondo yakho. Oku kuya kunceda ekumiseleni ubungakanani, imilo, kunye nendawo echanekileyo yendawo eza kunyangwa kuyo. Oku kuya kuthatha malunga nemizuzu engama-30.
• Ucwangciso lonyango: Emva kokujonga iingxelo zeskeni, ugqirha wezifo zengqondo, ingcali yomhlaza wemitha, isazinzulu sezonyango, kunye nabanye basebenzisana kwikhompyutha ukucwangcisa unyango lwakho. Kulapho bagqiba khona ukuba banyange phi, banike imitha engakanani, kwaye bajonge njani imisebe ukuze bafumane iziphumo ezilungileyo. Oku kungathatha malunga neyure.

Kwenzeka ntoni ngexesha lonyango

1. Uza kusiwa kwigumbi lonyango kwaye imaski engenafreyimu okanye engenafreyimu iza kufakwa entlokweni yakho.

2. Emva koko uza kulaliswa ebhedini yomatshini wonyango.

3. Ibhedi ingena kancinci kancinci kumatshini weGamma Knife.

4. Umatshini uza kuqala ukuhambisa imitha. Kule ndawo, umatshini uza kuyishukumisa kancinci ibhedi yakho kunye nentloko ukuze ujolise imitha kwindawo ekujoliswe kuyo ukusuka macala onke.

5. Xa unyango lugqityiwe, ibhedi iphuma kwakhona ematshinini.

6. Emva koko, ifreyimu okanye imaski enamathele entloko iyasuswa. Umgca we-IV engalweni nawo uyasuswa.

Ingaba olu nyango lubuhlungu?

Hayi. Awuyi kuva ntlungu okanye ukungakhululeki ngexesha lonyango. Umatshini awuzukuvelisa ubushushu okanye wenze ngxolo. Abantu abaninzi baza kulala ngeli xesha.

Ingaba iza kuthatha ixesha elingakanani?

Unyango ngokwalo luthatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiiyure ezimbini. Luxhomekeke kubukhulu, imilo, kunye nendawo ekuyo isilonda sakho. Nangona kunjalo, kungcono ukulindela ukuba usesibhedlele usuku lonke (malunga neeyure ezili-12) yonke into ukusuka kwiskeni ukuya ekucwangcisweni.

Kwenzeka ntoni emva konyango?

Emva konyango, ungaziva ulele kancinci kwaye ucotha. Ngoko ke kubalulekile ukuba nomntu oza kukusa ekhaya. Ngaphandle kokuba ugqirha wakho ekuxelela ngenye indlela, ungaya ekhaya ngaloo mini inye. Ngokwesiqhelo ungaqhubeka nemisebenzi yakho yesiqhelo (njengokuya emsebenzini okanye esikolweni) ngosuku olulandelayo .

Ukuba usebenzise isakhelo, kukho izinto ezimbalwa ekufuneka uzilandele ekhaya:

• Kangangeveki, gcina intloko yakho iphakanyisiwe kancinci ngokusebenzisa imiqamelo emibini xa ulele.
• Ngosuku olulandelayo, susa iibhandeji ezazibekwe apho isakhelo sasinamathele khona.
• Coca ezo ndawo kabini ngemini uze uthambise isixa esincinci seoyile yokubulala iintsholongwane kangangeentsuku ezintathu ukuya kwezine.
• Ungazihlamba iinwele zakho emva kweeyure ezingama-48.
• Ukuba uneentlungu okanye ukungakhululeki, thatha isithomalalisi sentlungu (umz., i-Ibuprofen, i-Acetaminophen) esicetyiswa ngugqirha wakho.

Zithini iingenelo kunye neengozi?

Njengalo naluphi na unyango lwezonyango, olu luneengenelo kunye neengozi ezincinci.

Ukudumba kobuchopho kunokwenzeka kwangoko emva konyango okanye emva kweenyanga. Ukuthintela oku, iqela lakho lezonyango liza kukunika amayeza ngaphambi nasemva konyango.

Ufika nini kugqirha

Xa ubuyela ekhaya emva konyango, kufuneka wazi ukuba wenze ntoni xa kuvela naziphi na iingxaki.

Ukuba unezi mpawu zilandelayo, fowunela ugqirha wakho:

• Ukuba uziva ubushushu xa uchukumisa iindawo apho ifreyimu inamathele khona.
• Ukuba kuvela ulwelo olunuka kakubi nolufana nehlathi kwezo ndawo.
• Ukuba unomkhuhlane.

Ukuba unezinye zeempawu ezilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko:

• Isicaphucaphu okanye ukuhlanza okukhulu
• Intloko ebuhlungu kakhulu
• Utshintsho lombono
• Ubunzima bokuthetha
• Ukuba nokuxhuzula
• Naziphi na ezinye iimpawu ocinga ukuba aziqhelekanga

Kuthatha ixesha elingakanani ukwazi iziphumo?

Lo ngumbuzo obuzwa ngabantu abaninzi. Kungathatha iiveki, iinyanga, okanye unyaka okanye nangaphezulu ukubona iziphumo ezipheleleyo zonyango. Kuxhomekeke kwimeko enyangwayo.

• Kwimeko ebuhlungu efana ne -trigeminal neuralgia , kungathatha naphi na ukusuka kusuku ukuya kwiinyanga ezi-6 ukuba intlungu iphele. Uninzi lwabantu lufumana isiqabu kwinyanga.
• Kwimeko yeethumba ezinomhlaza , kulindeleke ukuba zihlale okanye zinciphe kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa.
• Izimila ezingezizo ezomhlazaIxesha elininzi, nokuba ayikhuli, ayinciphi.
• Iimeko ezifana nee -arteriovenous malformations (AVM) zingathatha iminyaka emibini ukuya kwemithathu ukuze ziphiliswe ngokupheleleyo.

Ukuze abone indlela olu nyango olukuchaphazele ngayo, ugqirha wakho uza kwenza ii-CT okanye ii-MRI scans eziphindaphindwayo rhoqo.