Kuvamile ukuzizwa wesaba kakhulu lapho udokotela wakho ekutshela ukuthi unesimila noma kukhona okungahambi kahle ebuchosheni bakho. Lokho kwesaba kuyanda nakakhulu uma uzwa, "Kuzodingeka ngihlinzwe." Kodwa bewazi ukuthi kukhona indlela ethuthuke kakhulu engelapha izinto ezifana nezimila zobuchopho ngaphandle kokusebenzisa ummese, ngaphandle kokwenza noma yikuphi ukusikwa? Yilokho esikubiza ngokuthi i-Gamma Knife Surgery. Nakuba igama lisho "ukuhlinzwa" kanye "nommese," lokhu empeleni akuyona ukuhlinzwa okwenziwa ngommese.
Ngakho-ke uyini lo Mese weGamma?
Kalula nje, iGamma Knife iyindlela yokwelapha esebenzisa imisebe enamandla aphezulu. Lolu futhi uhlobo lokwelashwa ngemisebe. Kodwa okukhethekile ukuthi ingaqondiswa ngokunembile nangokuqondile endaweni okuqondiswe kuyo. Yingakho kusetshenziswa igama elithi "ummese". Njengoba nje udokotela ohlinzayo esika ngommese, imisebe ye-gamma isetshenziselwa ukwelapha indawo enenkinga yobuchopho ngokunemba okufanayo, kodwa ngaphandle kokusikwa.
Cabanga nje, kufana nokusebenzisa ingilazi yokukhulisa ukukhanya ephepheni. Iphepha alishi yonke indawo, kuphela lapho ligxile khona. Indlela yommese we-gamma iyafana. Cishe imisebe ye-gamma ebuthakathaka engu-200 iqondiswa esimila noma endaweni enesifo ebuchosheni ngesikhathi esisodwa. Njengoba umsebe ngamunye ubuthakathaka ngokwawo, awulimazi izicubu zobuchopho eziphilile ezizungezile. Kodwa lapho yonke imisebe engu-200 ihlangana khona, okungukuthi, lapho isimila sitholakala khona, ikhiqiza amandla aphezulu futhi ibhubhise lawo maseli. Le ndlela ingeyehlobo lokuhlinzwa kwe-stereotactic radiosurgery.
Yiziphi izifo ezisetshenziswa ekwelashweni kweGamma Knife?
Umgomo oyinhloko wokwelashwa nge-Gamma Knife ukunciphisa, ukuvimba ukukhula, noma ukubhubhisa ngokuphelele isimila noma esinye isimo ebuchosheni. Kuyisisombululo esisebenza kahle kakhulu sezinkinga ezijulile ebuchosheni, ngokuvamile okunzima ukuzifinyelela ngokuhlinzwa.
| Uhlobo lwesimo sezokwelapha | Ezinye izimo zezokwelapha eziphathwe (izibonelo) |
|---|---|
| Izimila Zobuchopho (umdlavuza kanye nongewona umdlavuza) |
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| Ukukhubazeka Kwemithambo Yegazi |
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| Ukukhubazeka Kwezinzwa |
|
Ngezinye izikhathi lokhu kwelashwa kusetshenziselwa abantu abangakwazi ukuhlinzwa njalo, noma ukuvimbela isimila ukuthi singabuyi ngemva kokuhlinzwa.
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Ngaphambi kokuqala lokhu kwelashwa, uzohlangana nodokotela ohlinza izinzwa kanye nodokotela ohlinzayo we-radiation oncologist. Bazokuhlola. Ngalesi sikhathi, kufanele utshele udokotela wakho nganoma yimaphi amadivayisi onawo emzimbeni wakho, njenge-pacemaker, i-cochlear implant, noma ipompo yemithi.
Futhi, batshele nganoma yikuphi ukungezwani komzimba onakho. Bazobuza nokuthi ungalala unganyakazi yini imizuzu engama-30-60 ngesikhathi sokwelashwa. Lokhu kungaba nzima kubantu abanesifo samaphaphu noma i-esophagus reflux.
Ngokuvamile, iseluleko ositholayo singase sibukeke kanje:
- Ungadli noma uphuze lutho ngemva kwamabili ngosuku olwandulela ukwelashwa.
- Uma unemithi okufanele uyiphuze ekuseni, yiphuze kanye namanzi kuphela. Letha yonke imithi yakho, kuhlanganise ne-inhaler yakho, esibhedlela.
- Geza ikhanda lakho kahle ngobusuku obandulele bese uligcina lihlanzekile.
- Ungafaki noma yiziphi iziqeshana, amaphini, noma amabhande ezinweleni zakho ngosuku lokwelashwa.
- Gqoka izicathulo okulula ukuzikhumula nezingubo ezikhululekile.
- Kubalulekile ukuhlela ukuthi othile akuyise esibhedlela bese ubuyela ekhaya .
Yiziphi lezi zindlela ezimbili, i-Frame kanye ne-Frameless?
Kunezindlela ezimbili zokugcina ikhanda endaweni eyodwa ngesikhathi sokwelashwa nge-Gamma Knife.
1. Indlela yohlaka:Kulokhu, uhlaka lwensimbi olulula lunamathiselwe ekhanda lakho. Yilokhu okugcina ikhanda lakho linganyakazi futhi kuqondise imisebe ngqo esivikelweni. Kusetshenziswa amaphini amane amancane ukunamathisela loluhlaka ekhanda lakho. Kodwa ungakhathazeki, ngeke uzwe ubuhlungu ngoba umuthi wokubulala izinzwa wendawo ufakwa kulezo zindawo ezine. Ungase uzizwe ucindezelwe kancane.
2. Indlela engenafreyimu: Kule ndlela, kusetshenziswa imaski ekhethekile noma idivayisi efana ne-mesh eyenzelwe ukulingana nobuso bakho. Le maski inamathiselwe embhedeni wokwelapha futhi igcina ikhanda lakho linganyakazi.
Nakuba zombili lezi zindlela zingase zibonakale ziyesabisa kancane, udokotela uzokunikeza imithi uma kudingeka ukuze akugcine uzolile.
Kwenziwa kanjani ukwelashwa?
Ngosuku lokwelashwa, kunezinyathelo eziningana.
- IV: I-IV cannula ifakwa emthanjeni engalweni yakho. Yilapho kunikezwa khona idayi yokungafani edingekayo ekuhlolweni kwesithombe, futhi uma kudingeka, umuthi wokukuthulisa. Ezinganeni ezincane, lokhu kuvame ukwenziwa ngemva kokuba sezilele ngokuphelele ngaphansi kwe-anesthesia ejwayelekile.
- Ukuhlolwa Kwezithombe: Okulandelayo, uzobe uhlolwe ubuchopho bakho nge-CT scan noma nge-MRI scan. Lokhu kuzosiza ekunqumeni usayizi oqondile, ukuma, kanye nendawo yesimila noma isilonda.
- Ukuhlela ukwelashwa: Manje yingxenye ebaluleke kakhulu. Ithimba elihlanganisa udokotela wezinzwa, isazi se-radiology, kanye nesazi se-physics yezokwelapha basebenzisana ukuhlela ukwelashwa konke besebenzisa ikhompyutha besebenzisa izithombe ezivela kuma-scan. Yilapho konke kunqunywa khona ngokunembe kakhulu, kufaka phakathi ukuthi imisebe kufanele inikezwe malini nokuthi kufanele iqondiswe ngayiphi indlela.
- Ukunikeza ukwelashwa: Uma ukuhlela sekuqediwe, uzoyiswa ekamelweni lapho kukhona khona umshini we-Gamma Knife. Uhlaka noma imaski kuzonamathiselwa ekhanda lakho bese ulala embhedeni womshini. Umbhede uzongena kancane kancane emshinini.
Into ebaluleke kakhulu ukuthi ngeke uzwe ubuhlungu, umsindo noma ukushisa phakathi nalokhu kwelashwa. Kukhona imakrofoni eduze ukuze ukwazi ukukhuluma. Ithimba lezokwelapha lizoqhubeka nokukubheka lingaphandle. Abantu abaningi balala phakathi nalesi sikhathi.
Uma ukwelashwa sekuqediwe, uzokhishwa emshinini bese kususwa uhlaka noma imaski. Ukwelashwa konke kuzothatha imizuzu engama-30 kuya emahoreni amabili, kuye ngesimo sesiguli.
Kwenzekani ngemva kokwelashwa? Futhi yiziphi izinzuzo?
Ungase uzizwe ulele kancane ngemva kokwelashwa. Yingakho udinga umuntu ozokushayela ekhaya. Ezimweni eziningi, ungaya ekhaya ngalolo suku. Ungaqala imisebenzi yakho evamile ngosuku olulandelayo. Lokhu kungenye yezinzuzo ezinkulu zalokhu kwelashwa.
Izinzuzo eziyinhloko zokwelashwa nge-Gamma Knife:
- Akukho ukusikwa: akukho ukusikwa kwesikhumba, akukho ukuvuleka kwesikhumba sekhanda.
- Kuphephile: Kungalapha ngokuphephile izindawo ezijulile zobuchopho ezingenakufinyelelwa ngokuhlinzwa okuvamile.
- Kulungile: Umonakalo ezicutshini ezizungezile ezinempilo mncane kakhulu.
- Ukululama okusheshayo: Asikho isidingo sokuhlala esibhedlela izinsuku eziningi. Ungabuyela empilweni evamile ngokushesha.
- Ukwelashwa ngasikhathi sinye: Izindawo eziningi zingelashwa ngasikhathi sinye.
Ingabe ikhona imiphumela emibi noma izingozi?
Izingozi ezihlobene nalokhu kwelashwa ziphansi kakhulu, kodwa ngezinye izikhathi imiphumela emibi emincane ingase ivele.
| Uhlobo lomphumela ongemuhle | Incazelo |
|---|---|
| Izinto ezivamile ezingenzeka |
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| Izimo ezibucayi ezingavamile kakhulu |
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Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima, ikakhulukazi ubunzima bokuphefumula, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU).
Kuthatha isikhathi esingakanani ukwazi imiphumela?
Lokhu akuwona umphumela osheshayo. Kungathatha amasonto, izinyanga, noma ngisho unyaka noma ngaphezulu ukubona imiphumela ephelele yokwelashwa. Izimila ezinomdlavuza zingancipha noma ziyeke ukukhula zingakapheli izinyanga ezimbalwa. Izimila ezingezona ezomdlavuza zingase ziyeke ukukhula kodwa zingase zinganciphi ngobukhulu. Ngakho-ke, kubaluleke kakhulu ukuqhubeka nokuya kokuhlolwa nokuhlolwa njengoba udokotela wakho encoma.
Umlayezo Wokuya Nawe Ekhaya
- Ummese weGamma awuhlinzwa ngommese. Uyindlela yokwelapha ngemisebe.
- Lokhu kuhilela ukwelashwa okunembile kakhulu kwendawo enesifo yobuchopho kuphela, ngaphandle kokusikwa.
- Lokhu kusebenza kahle kakhulu ekwelapheni izindawo okunzima ukuzifinyelela ngokuhlinzwa okuvamile.
- Akukho buhlungu ngesikhathi sokwelashwa. Isikhathi sokululama sifushane kakhulu. Ungabuyela emisebenzini evamile ngosuku olulandelayo.
- Kungathatha izinyanga noma iminyaka ukubona imiphumela, ngakho-ke kubalulekile ukulandela imiyalelo kadokotela wakho futhi uqhubeke nokuhlolwa njalo.
- Uma uneminye imibuzo mayelana nalokhu, ungesabi ukukhuluma nodokotela wakho.
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