Xa usiva igama elithi 'Gamma Knife Surgery', ungacinga ngotyando olukhulu olwenziwe ngemela. Enyanisweni, nangona igama elithi "Knife" likwigama, akukho mela isetyenziswayo, kwaye akukho sikhumba sinqunyulweyo. Ngoko ke yintoni le Gamma Knife? Ngaba ngokwenene lutyando?
Ngamafutshane, yintoni le Gamma Knife?
Utyando lweGamma Knife luhlobo lonyango lweradiation olungenalo utyando , oluphucukileyo kakhulu. Ngokukodwa, yindlela elawulwa yikhompyutha yokunyanga amathumba kunye nezinye izifo ezikwingqondo nakumnqonqo ophezulu.
Oku kuquka ukudibanisa imisebe ye-gamma enamandla kakhulu ibe ngumqadi omncinci kwaye uyiqondise kuphela kwizicubu ezinesifo ekujoliswe kuzo . Oku kubangela umonakalo omncinci kwizicubu eziphilileyo ezijikelezileyo.
Igama elithi “imela” kweli gama libhekisa kwindlela ugqirha otyandayo ayenza ngayo ngokuchanekileyo nangokuchanekileyo i-incision ngemela, kunye nendlela le mitha ye-gamma enokuthi ijoliswe ngayo kwindawo ekujoliswe kuyo. Ngamanye amazwi, kufana notyando ngaphandle kokunqumla umzimba. Oku kukwabizwa ngokuba yi-Stereotactic Radiosurgery .
Zeziphi izifo ezisetyenziselwa unyango lweGamma Knife?
Injongo ephambili yonyango lweGamma Knife kukuthintela ukukhula, ukunciphisa, okanye ukutshabalalisa ngokupheleleyo ithumba okanye ezinye izicwili ezingaqhelekanga engqondweni. Olu nyango ludla ngokusetyenziselwa iingxaki ezincinci engqondweni.
Itheyibhile engasezantsi ingakuchaza ngakumbi oku.
| Uhlobo lwemeko yezonyango | Izifo ezithile ezinyangiweyo (imizekelo) |
|---|---|
| Iithumba zobuchopho (ezinomhlaza nezingengomhlaza) |
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| Ukungaqhelekanga kwimithambo yegazi | Iingxaki zemithambo yegazi (AVM) – ukuvaleka okungaqhelekanga kwemithambo yegazi kunye nemithambo yegazi |
| Izifo ze-neurological |
|
Ngamanye amaxesha, indlela yeGamma Knife iluncedo kakhulu ekunyangeni iithumba ezinzulu engqondweni kwaye ezingenakufikelela kuzo ngotyando oluqhelekileyo. Kwakhona lukhetho oluhle ukuba, ngesizathu esithile, awukwazi ukwenza utyando phantsi kwe-anesthesia .
Ulungiselela njani olu nyango?
Ngaphambi konyango, kuya kufuneka ubone ugqirha wezifo zengqondo kunye/okanye ingcali yomhlaza wemitha. Baza kukuhlola baze bakunike naluphi na uncedo olufunekayo.
Izinto onokuzixelela ugqirha wakho:
- Emzimbeni wakhoUkuba ufake isixhobo, esifana ne-pacemaker, i-cochlear implant, i-medication pump, okanye i-nerve stimulator, ngokuqinisekileyo kufuneka usikhankanye.
- Sixelele nge-allergies zakho.
- Ukuba unengxaki yokuhlala ume nkqo imizuzu engama-30-60 ngexesha ngenxa yeemeko ezifana nesifo semiphunga okanye i-esophageal reflux, nceda usazise kwangaphambili.
Ingcebiso eqhelekileyo:
- Musa ukutya okanye ukusela nantoni na emva kweentsuku ezinzulwini zobusuku ngosuku olungaphambi konyango.
- Sela amayeza akho asekuseni ngamanzi amancinci. Zisa onke amayeza akho, kuquka nee-inhalers, esibhedlele.
- Hlamba iinwele kakuhle ngobusuku bangaphambi konyango.
- Musa ukufaka iikliphu, iiphini, okanye iibhendi ezinweleni zakho ngomhla wonyango.
- Nxiba izihlangu ezilula ukuzikhulula nempahla ekhululekileyo. Ziphephe iimpahla ezinokutsalwa phezu kwentloko yakho zize zisuswe.
- Qiniseka ukuba ulungiselela ukuba umntu akuse esibhedlele aze akubuyisele ekhaya .
Isakhelo osibeka entlokweni yakho, imaski... yintoni le?
Ngexesha lonyango lweGamma Knife, kusetyenziswa isixhobo esikhethekileyo ukugcina intloko yakho ingashukumi. Oku kuza ngeendlela ezimbini.
1. Isakhelo: Kule ndlela, isakhelo sesinyithi esikhaphukhaphu sincamatheliswa entlokweni yakho. Oku kunceda ukugcina intloko yakho ingashukumi kwaye kukhokelela imisebe ye-gamma ngqo kwindawo ekujoliswe kuyo.
2. Akukho freyimu: Kule nto, imaski okanye i-mesh eyenziwe ngokwezifiso igqunywa ebusweni bakho.
Usenokoyika kancinci xa usiva ukuba olu phahla lufakelwa entlokweni yakho. Kodwa ungakhathazeki. Iqela lezonyango lenza oku ngolu hlobo:
- Okokuqala, kufakwa i-anesthetic yasekuhlaleni ngaphambili, emacaleni, nangasemva kwentloko yakho ukuze ingabi nantlungu . Ngoko awuyi kuva ntlungu.
- Emva koko, isakhelo siqiniswa ekhakhayini kusetyenziswa iiphini ezine ezincinci ezibekwe kwiindawo ezingenanto. Usenokuziva uxinzelelo oluncinci, kodwa akukho ntlungu.
- Akukho mfuneko yokukhathazeka ngale nto.
Ngendlela yeFrameless, akukho mvakalelo injalo yokuhlaba. Oogqirha baza kukunika amayeza ukuba kuyimfuneko ukuze uhlale uzolile ngexesha lonyango.
Kwenzeka ntoni ngexesha lonyango?
Kukho amanyathelo aliqela ngaphambi kokuba unyango luqale.
- Ukufakwa kwe-IV: I-IV cannula iya kufakwa emthanjeni ongalweni yakho. Oku kuya kusetyenziselwa ukukunika amayeza okukunceda uphumle, ukuba kuyimfuneko, kwaye kukunike idayi yokulinganisa xa uskena .
- Uvavanyo lokufota: Kuya kwenziwa i-CT scan kunye/okanye i-MRI scan ukuze kubonwe ukuba iphi kwaye ingakanani na isifo sakho sengqondo esikhoyo.
- Ucwangciso lonyango: Emva kokujonga iingxelo zeskeni, iqela lakho lezonyango (ugqirha wemithambo-luvo, ingcali yezonyango ngemitha, ingcali yefiziksi yezonyango) liza kusebenzisa ikhompyutha ukucwangcisa unyango lwakho. Kulapho baya kugqiba khona ukuba ingakanani imitha ekufuneka bayinike kwaye bayinike phi.
Emva koko unyango luqala. Uza kulala etafileni efakwa kumatshini. Awuyi kuva ntlungu, ubushushu okanye ingxolo ngexesha lonyango. Uninzi lwabantu luza kulala ngeli xesha. Iqela lezonyango liza kuhlala likujongile lingaphandle. Kukho imakrofoni yakho ukuba ufuna ukuthetha.
Xa unyango lugqityiwe, ifreyimu okanye imaski iyasuswa kwaye i-IV iyasuswa. Lonke unyango lungathatha naphi na ukusuka kwimizuzu engama-30 ukuya kwiiyure ezimbini.
Kwenzeka ntoni emva konyango? Iingenelo kunye nemiphumo emibi
Usenokuziva ulele kancinci emva konyango. Kwiimeko ezininzi, ungaya ekhaya ngaloo mini inye uze uqhubeke nemisebenzi yakho yesiqhelo ngosuku olulandelayo.
| Iingenelo kunye neengozi zonyango lweGamma Knife | |
|---|---|
| Iingenelo eziphambili |
|
| Iziphumo ebezingalindelekanga ezincinci ezinokubakho |
|
| Iingxaki ezingaqhelekanga ezinzulu |
|
Into ebalulekileyo kukuba kungathatha iiveki, iinyanga, okanye unyaka okanye nangaphezulu ukubona iziphumo zonyango. Kuxhomekeke kwimeko yakho. Ngoko ke kubalulekile ukuba nomonde.
Ufanele uye nini kugqirha?
Emva konyango, ukuba ufumana ezi mpawu zilandelayo, fowunela ugqirha wakho.
- Ukuba uziva ubushushu xa uchukumisa iindawo apho isakhelo sinamathele khona.
- Ukuba ulwelo olufana nobovu olunuka kakubi luphuma kwezo ndawo.
- Ukuba unomkhuhlane.
Ukuba kuvela ezi mpawu zilandelayo ezinzulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko:
- Isicaphucaphu okanye ukuhlanza okukhulu
- Intloko ebuhlungu kakhulu
- Utshintsho lombono
- Ubunzima bokuthetha
- Ukuba nokuxhuzula
Umyalezo Wokuya Ekhaya
- IGamma Knife ayisiyonkqubo yotyando eyenziwa ngemela. Yindlela yonyango lwemitha ephucukileyo nechanekileyo engasikeki ulusu.
- Oku kusetyenziselwa ukunyanga iimeko ezifana neethumba, iingxaki zemithambo yegazi, kunye nezifo zemithambo-luvo ebuchotsheni nakumnqonqo ophezulu.
- Akukho ntlungu ngexesha lonyango. Ixesha lokuchacha lifutshane kakhulu. Kwiimeko ezininzi, ungaqhubeka nemisebenzi eqhelekileyo ngosuku olulandelayo.
- Kungathatha iiveki, iinyanga, okanye iminyaka ukubona iziphumo ezipheleleyo zonyango, ngoko ke umonde ubalulekile.
- Ukuba unemibuzo okanye iinkxalabo malunga nolu nyango, thetha ngazo ngokukhululekileyo nogqirha wakho.
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