Xa umntu esixelela ukuba unethumba lobuchopho, siyoyika. Into elandelayo esicinga ngayo lutyando olukhulu lobuchopho. Nangona kunjalo, ngokuhambela phambili kwesayensi yezonyango, akusoloko kuyimfuneko ukuvula intloko nokwenza utyando. Namhlanje siza kuthetha ngendlela ekhethekileyo yonyango enokunyanga iithumba ezincinci kunye nezinye iindawo ezinengxaki engqondweni sisebenzisa imisebe yemitha ejolise kakhulu, ngaphandle kokusika.
Ngamafutshane, yintoni i-Stereotactic Radiosurgery (SRS)?
Nangona inegama elithi "utyando" egameni layo, asilulo utyando lwendabuko onokucinga ngalo ngokusebenzisa imela okanye isikere. I-Stereotactic Radiosurgery (SRS) luhlobo oluphambili kakhulu lonyango lwemitha. Ukuchaneka, kubandakanya ukusebenzisa umatshini okhethekileyo ukuhambisa uthotho lwemitha yemitha enomlinganiselo ophezulu, emincinci kakhulu kwindawo echanekileyo yethumba ebuchotsheni.
Khawuthelekelele ukuba imisebe emininzi, njengemisebe yelaser emincinci evela kumacala ahlukeneyo, idibana kwindawo enye, oko kukuthi, apho ithumba likhoyo. Emva koko, ngelixa ithumba lifumana ubuninzi bemitha, umonakalo kwizicubu zengqondo eziphilileyo nezilungileyo ezijikelezileyo uncinci. Le yeyona nzuzo inkulu yolu nyango.
Nangona igama lisithi 'utyando', akukho kusikwa okubandakanyekileyo. Ke ngoko, iingozi zotyando oluqhelekileyo ziphantsi kakhulu.
Ziziphi iimeko olu nyango lusetyenziswa kakhulu kuzo?
Ukuba unethumba lobuchopho, kodwa kuyingozi kakhulu ukulisusa ngotyando oluqhelekileyo, ugqirha wakho unokucebisa i-SRS. Umzekelo, ithumba lisenokuba nzulu engqondweni, okanye linokuba kufutshane nomthambo wegazi obalulekileyo okanye umthambo-luvo. Kwiimeko ezinjalo, olu nyango lungangenisi lukhuselekile kakhulu. Ngamanye amaxesha lusetyenziselwa ukutshabalalisa naziphi na iiseli zomhlaza eziseleyo emva kotyando.
Oogqirha basebenzisa le ndlela ye-SRS kwiithumba ezinomhlaza kunye nezingengomhlaza (ezingenobungozi).
| Iimeko eziqhelekileyo ezinyangwa nge-SRS | |
|---|---|
| I-acoustic neuroma | I-Chordoma |
| I-Craniopharyngioma | I-Glioblastoma |
| IGlioma | I-Hemangioblastoma |
| I-Meningioma | Iithumba zobuchopho ezisasazekayo (iithumba ezisasazeke engqondweni zisuka kumhlaza kwenye indawo) |
| I-Pineoblastoma | I-pituitary adenoma (ithumba le-pituitary gland) |
Ukongeza, le ndlela ye-SRS isetyenziselwa ukunqanda umngcipheko wokopha ngenxa yokuxinana kwemithambo yegazi okungaqhelekanga engqondweni (i-arteriovenous malformation), kunye nokuthintela imiqondiso yentlungu ukuba ingafikeleli engqondweni xa kukho intlungu yemithambo-luvo enzima efana ne -trigeminal neuralgia .
Ngamanye amaxesha le ndlela ikwasetyenziswa ukunyanga iithumba ezingaphandle kwengqondo. Umzekelo, iithumba esibindini, emiphungeni, okanye kwi-pancreas. Oku kubizwa ngokuba yi -Stereotactic Body Radiation Therapy (SBRT) .
Ndingazilungiselela njani ngaphambi konyango?
Iqela lakho lezonyango liza kukulungiselela kakuhle oku. Bahlala besenza oku kulandelayo:
- Ukuphonononga imbali yakho epheleleyo yezonyango.
- Ukuchaza inkqubo yonyango kunye noko ungakulindela ngendlela onokuyiqonda.
- Ukwazisa izigulane malunga nexesha lokuyeka ukutya nokusela ngaphambi konyango.
- Ingcebiso yokuba kufuneka uyeke na ukuthatha amayeza ngaphambi kokuba unyango luqale.
- Ukunika imiyalelo yendlela yokulungiselela usuku lonyango (umz., ukunganxibi izacholo okanye i-makeup).
Kwenzeka ntoni ngexesha lonyango?
Ngexesha lonyango lwe-SRS, ukwigumbi apho kukho umatshini. Iqela lakho lezonyango likwigumbi elahlukileyo kwaye lilawula umatshini lisebenzisa ikhompyutha. Ngenxa yokuba isikrini sekhompyutha sibonisa ngokucacileyo apho kukho ithumba lobuchopho bakho, banokuqondisa imitha ngqo kwindawo ekujoliswe kuyo.
Unyango olufumanayo lunokwahluka kancinci ngokuxhomekeke kuhlobo lomatshini osetyenzisiweyo. Kukho iintlobo ezintathu eziphambili.
| Uhlobo lomatshini we-SRS | Kwenzeka njani oku |
|---|---|
| I-Gamma Knife® | Uza kulala ebhedini ekhethekileyo uze unxibe ifreyimu ekhethekileyo okanye imaski ukuze intloko yakho ingashukumi. Emva koko ibhedi iza kungena ematshinini (inxalenye yentloko kuphela). Umatshini uza kuqondisa umsebe wemitha kwithumba. |
| I-Linear Accelerator (LINAC) | Kule nkqubo, uza kulala ebhedini enesakhelo sokugcina intloko yakho ingashukumi. Ingalo enamathele kumatshini iya kukujikeleza ikujikeleze ngee-arcs, iqondise imitha kwithumba. Olu hlobo ngamanye amaxesha lubizwa ngokuba yiCyberknife® . |
| Unyango lweProton | Le yinkqubo entsha nengaqhelekanga apho umqadi wee-proton ezinamanzi aphezulu ujoliswe khona kwithumba. |
Amanyathelo onyango
1. Ingcaciso: Bakubonisa ukuba ungathetha neqela lezonyango nangaliphi na ixesha ngenkqubo ye-intercom.
2. Indawo oza kubekwa kuyo: Uza kubekwa ebhedini uze ufakwe isithintelo sentloko (ifreyimu okanye imaski). Kubalulekile ukuba ungashukumi ukuze ungazichaphazeli izicubu eziphilileyo kwimitha yelanga.
3. Iiskeni: Iiskeni ezininzi, ezifana nee -MRI kunye nee-CT scans , zenziwa ukuze kufunyanwe indawo echanekileyo yethumba.
4. Ucwangciso lonyango: Ngokusekelwe kwezi ziphumo zeskeni, iqela lezonyango lisebenzisa iikhompyutha ukucwangcisa ngokuchanekileyo indlela imisebe yemitha emele ihanjiswe ngayo. Bakwagqiba kwelokuba banike idosi ephezulu ngaxeshanye okanye bayinike ngeedosi ezincinci kwiintsuku ezimbalwa.
5. Unyango: Umatshini uza kunika unyango njengoko bekucwangcisiwe. Awuyi kuva ntlungu ngeli xesha. Nangona kunjalo, ungava ingxolo ethile njengoko umatshini usebenza.
Ngokwesiqhelo, yonke le nkqubo ingathatha malunga neyure eli-1 ukuya kwezi-4.
Kwenzeka ntoni emva konyango?
Uninzi lwabantu lunokubuyela ekhaya emva konyango. Nangona kunjalo, ngamanye amaxesha kunokufuneka uhlale esibhedlele iiyure ezimbalwa ukuze ujonge iziphumo ebezingalindelekanga. Iziphumo ebezingalindelekanga eziqhelekileyo ziquka:
- Ukudinwa
- Intloko ebuhlungu
- Isicaphucaphu nokuhlanza
- Ukulahleka kweenwele (kwindawo yonyango)
- Utshintsho lolusu
Ezi mpawu zihlala ziphela kwiintsuku ezimbalwa okanye kwiiveki ezimbini ukuya kwezintathu. Ukuba uboya bulahlekile, buya kukhula kwakhona kwiinyanga ezimbini ukuya kwezintathu. Ugqirha wakho uza kukunika amayeza okunceda ukulawula ezi mpawu.
Baza kukuxelela ukuba ubuye emva kwenyanga ukuze ujonge imeko yakho. Emva kweenyanga ezimbalwa, baza kwenza olunye uvavanyo ukuze babone ukuba kwenzeke ntoni kwithumba. Iithumba ezinomhlaza ziyancipha kwiinyanga ezimbalwa. Kungathatha unyaka okanye emibini ukubona umahluko kwiithumba ezingezizo ezomhlaza.
Ufanele uye nini kugqirha?
Ukuba kukho naziphi na iimpawu ezingaqhelekanga eziqhubekayo okanye kuvela ezintsha emva konyango, qiniseka ukuba uxelele ugqirha wakho. Ngamanye amaxesha iimeko ezifana nokudumba kwengqondo zinokubakho. Amayeza anjengee -corticosteroids anokumiselwa oku. Kwakhona, unyango lokuthetha kunye nonyango lomsebenzi lunokucetyiswa njengoko kufuneka.
Umyalezo Wokuya Ekhaya
- Utyando lwe-Stereotactic Radiosurgery (SRS) alulotyando lwendabuko. Luyindlela ephucukileyo yokunyanga iithumba zobuchopho ngemitha ejolise kakhulu ngaphandle kokusikwa.
- Le nkqubo ayibangeli monakalo mkhulu kwizicubu zobuchopho ezisempilweni, ngoko ke zimbalwa iingozi kunye nemiphumo emibi kunotyando oluqhelekileyo.
- Akukho ntlungu ngexesha lonyango. Kwiimeko ezininzi, unyango lugqitywa ngosuku olunye kwaye ungagoduka.
- Kuqhelekile ukuziva usoyika kwaye uxhalabile ngolu hlobo lonyango. Thetha ngokukhululekileyo nogqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Baza kukuchazela yonke into baze bakunike intuthuzelo yengqondo oyifunayo.
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