Ukwesaba ngokuhlinzwa kommese we-Gamma? Ake sixoxe ngakho kalula!

Uma uzwa igama elithi 'Gamma Knife Surgery', ucabanga nangokuhlinzwa okwenziwa ngommese? Nakuba igama lithi 'ummese', empeleni alisebenzisi ummese noma i-incision. Ngakho-ke kuyini? Kalula nje, kuyindlela yokwelapha ngemisebe ethuthukisiwe kakhulu, eqondiswe kakhulu. Njengomsebe we-laser, ingaqondiswa kuphela endaweni enenkinga yobuchopho, ngaphandle kokulimaza izicubu ezinempilo ezizungezile. Ngakho ake sixoxe ngakho konke namuhla.

Kuyini ngempela ukwelashwa ngeGamma Knife?

Ake sithi unesimila esincane endaweni encane kakhulu neyinkimbinkimbi yobuchopho bakho. Uma ubungasisusa ngokuhlinzwa okuvamile, kuzodingeka usike izingxenye zobuchopho ezinempilo ukuze usifinyelele. Lokho kuyingozi kancane. Yilapho ubuchwepheshe obubizwa ngokuthi iGamma Knife buba usizo kakhulu.

Lokhu kuhilela amakhulu emisebe ye-gamma enamandla kakhulu, elawulwa ubuchwepheshe bekhompyutha, eqondiswe kumaseli anenkinga ebuchosheni ngesikhathi esisodwa. Umsebe owodwa ubuthakathaka kakhulu ngokwawo, ngakho awulimazi izicubu ezinempilo njengoba udlula ebuchosheni. Kodwa uma amakhulu ale misebe egxile endaweni eyodwa, lapho kukhona khona isimila, adala amandla anele okubhubhisa lawo maseli. Kufana nokusebenzisa ingilazi yokukhulisa ukuze ugxilise imisebe yelanga bese ushisa iphepha. Yingakho kungaveza umphumela 'wokuhlinzwa' , ngaphandle kokusikwa. Lokhu kungokwesigaba esibizwa ngokuthi 'i-Stereotactic Radiosurgery' .

Yiziphi izimo ezingalapheka ngalolu hlobo lokwelashwa?

Umgomo oyinhloko wokwelashwa nge-Gamma Knife uwukuzinzisa, ukunciphisa, noma ukubhubhisa ngokuphelele isimila noma okunye ukukhubazeka ebuchosheni. Ngokuvamile isetshenziselwa izinkinga ezincane zobuchopho.

Ngokuyinhloko, lezi ezinye zezimo lapho kusetshenziswa khona lokhu kwelashwa:

• Izimila zobuchopho: Lezi zingaba umdlavuza kanye nokungabi umdlavuza.
• Ukuphazamiseka kwemithambo yegazi: Izimo lapho imithambo yegazi ebuchosheni ihlangana khona.
• Ukukhubazeka kwemizwa: Ezinye izimo ezibuhlungu ezihlobene nemizwa.

Ithebula elingezansi libonisa ezinye zezimo ezivame kakhulu lapho kusetshenziswa khona ukwelashwa nge-Gamma Knife.

Ummese weGamma uyindlela enhle uma unesimila esijule kakhulu ebuchosheni ukuba singafinyelelwa ngokuhlinzwa okuvamile, noma uma ungakwazi ukuhlinzwa ngezinye izizathu zempilo. Ngezinye izikhathi, lokhu kwelashwa kusetshenziselwa nokuvimbela isimila ukuthi singabuyi ngemva kokuhlinzwa okuvamile.

Ngingalungiselela kanjani ngaphambi kokwelashwa?

Ngaphambi kwalokhu kwelashwa, kuzodingeka ubone udokotela ohlinzayo wezinzwa kanye nodokotela ohlinzayo we-radiation oncologist. Bazokuhlola. Ngalesi sikhathi, uma unemishini efakwe, njenge -pacemaker, i-cochlear implant, i-drug pump, noma i-nerve stimulator , kufanele utshele udokotela wakho ngazo.

Bazobuza nanganoma yikuphi ukungezwani komzimba onakho. Uzocelwa ukuthi ulale ngomhlane imizuzu engama-30-60 phakathi nalokhu kwelashwa. Uma unesifo samaphaphu noma i-esophagus reflux, kungaba nzima ukulala phansi. Tshela udokotela wakho ngalokhu futhi.

Ithimba lezokwelapha lizokunikeza isethi ecacile yemiyalelo mayelana nokuthi yini okudingeka uyilandele kusukela ngosuku olungaphambi kokwelashwa kwakho. Ngokuvamile, le miyalelo ingafaka:

• Ungadli noma uphuze lutho kusukela phakathi kwamabili ngosuku olwandulela ukwelashwa.
• Uma unemithi okufanele uyiphuze ekuseni, yiphuze namanzi. Letha yonke imithi oyisebenzisayo (kufaka phakathi ama-inhaler) esibhedlela.
• Geza ikhanda lakho kahle ngobusuku bangaphambi kokwelashwa bese uligcina lihlanzekile.
• Ungafaki noma yiziphi iziqeshana, amaphini, noma amabhande ezinweleni zakho ngosuku lokwelashwa. Shiya izinwele zakho zikhululekile.
• Gqoka izingubo ezikhululekile nezicathulo okulula ukuzigqoka nokuzikhumula. Gwema izingubo ezingadonseka ekhanda lakho.
• Qiniseka ukuthi uletha othile ekhaya noma ekhaya uma uya ekwelashweni noma ubuya.

Kuyini Uhlaka kanye Nokungenafreyimu?

Kunezindlela ezimbili zeGamma Knife.

1. Indlela yohlaka: Kule ndlela, kusetshenziswa uhlaka lwensimbi (ngokuvamile i-aluminium) olunamathiselwe ekhanda lakho. Loluhlaka lugcina ikhanda lakho lisendaweni eyodwa ngesikhathi sokwelashwa futhi lusiza ekuqondiseni imisebe ye-gamma ngqo endaweni eqondiwe.

2. Indlela engenafreyimu: Kule ndlela, kufakwa imaski ye-thermoplastic noma inethi phezu kobuso bakho. Lokhu kunamathiselwe ohlakeni olusembhedeni wokwelapha, okusiza ukugcina ikhanda lakho linganyakazi.

Abanye abantu bangase besabe uma bezwa ukuthi lolu hlaka luxhunywe ekhanda lakho. Kodwa ungesabi. Ngaphambi kokuba lolu hlaka luxhunywe ekhanda lakho ngezikhonkwane ezine ezincane, kufakwa umuthi wokubulala izinzwa wendawo kuzo zonke izindawo ezine ukuze ubaqede amandla. Ngakho ngeke uzwe ubuhlungu. Ungase uzizwe ucindezelwe kancane. Futhi akudingeki uphuce ikhanda lakho.

Indlela ukwelashwa okusebenza ngayo isinyathelo ngesinyathelo

Ngosuku lokwelashwa, lezi zinyathelo zivame ukulandelwa:

Ukulungiselela ngaphambi kokwelashwa

• Ukufaka umugqa we-IV: Umugqa we-IV uzofakwa emthanjeni ongalweni yakho. Uzokunikeza uketshezi olukhethekile (i-contrast agent) ukusiza nge-scan, futhi uma kudingeka, umuthi wokudambisa ukuze uzole. Ezinganeni ezincane, zingase zinikezwe i-anesthesia ejwayelekile.
• Ukuskena: Kuzokwenziwa ukuskena kwe-CT kanye/noma i-MRI yobuchopho bakho. Lokhu kuzosiza ekutholeni usayizi oqondile, ukuma, kanye nendawo yendawo okufanele ilashwe. Lokhu kuzothatha cishe imizuzu engama-30.
• Ukuhlela ukwelashwa: Ngemva kokubukeza imibiko yokuskena, udokotela wezinzwa, isazi somdlavuza wemisebe, isazi sesayensi yezokwelapha, nabanye basebenzisana kukhompyutha ukuhlela ukwelashwa kwakho. Yilapho benquma khona ukuthi bazokwelapha kuphi, ukuthi bazokunikeza imisebe engakanani, nokuthi bazoyiqondisa kanjani imisebe ukuze bathole imiphumela emihle kakhulu. Lokhu kungathatha cishe ihora.

Kwenzekani ngesikhathi sokwelashwa

1. Uzoyiswa ekamelweni lokwelashwa bese kufakwa ifreyimu noma imaski engenafreyimu ekhanda lakho.

2. Ngemuva kwalokho uzolaliswa embhedeni womshini wokwelapha.

3. Umbhede ungena kancane kancane emshinini we-Gamma Knife.

4. Umshini uzoqala ukuletha imisebe. Kuleli qophelo, umshini uzohambisa kancane umbhede wakho nekhanda lakho ukuze uqondise imisebe endaweni eqondiwe kuzo zonke izinkomba.

5. Uma ukwelashwa sekuqediwe, umbhede uyaphuma emshinini futhi.

6. Bese kususwa uhlaka noma imaski enamathiselwe ekhanda. Umugqa we-IV engalweni nawo uyasuswa.

Ingabe lokhu kwelashwa kubuhlungu?

Cha. Ngeke uzwe ubuhlungu noma ukungakhululeki ngesikhathi sokwelashwa. Umshini ngeke ukhiqize ukushisa noma wenze umsindo. Abantu abaningi bazolala phakathi nalesi sikhathi.

Kuzothatha isikhathi esingakanani?

Ukwelashwa ngokwako kuthatha imizuzu engama-30 kuya emahoreni amabili. Kuncike kusayizi, ukuma, kanye nendawo yesilonda sakho. Kodwa-ke, kungcono ukulindela ukuba sesibhedlela usuku lonke (cishe amahora ayi-12) kukho konke kusukela ekuhlolweni kuya ekuhleleni.

Kwenzekani ngemva kokwelashwa?

Ngemva kokwelashwa, ungase uzizwe ulele kancane futhi uvilapha. Ngakho-ke kubalulekile ukuba nomuntu ozokuthatha akuyise ekhaya. Ngaphandle kokuthi udokotela wakho akutshele ngokuqondile ukuthi akunjalo, ungaya ekhaya ngalolo suku. Ngokuvamile ungaqhubeka nemisebenzi yakho evamile (njengokuya emsebenzini noma esikoleni) ngosuku olulandelayo .

Uma usebenzise uhlaka, kunezinto ezimbalwa okudingeka uzilandele ekhaya:

• Cishe isonto lonke, gcina ikhanda lakho liphakeme kancane ngokusebenzisa imicamelo emibili uma ulele.
• Ngosuku olulandelayo, susa amabhandeji ayebekwe lapho uhlaka lwalunamathele khona.
• Hlanza lezo zindawo kabili ngosuku bese ufaka inani elincane lomuthi wama-antibiotic izinsuku ezintathu kuya kwezine.
• Ungageza izinwele zakho ngemva kwamahora angu-48.
• Uma uzwa ubuhlungu noma ukungakhululeki, thatha umuthi wokuqeda ubuhlungu (isib. i-Ibuprofen, i-Acetaminophen) onconywe udokotela wakho.

Yiziphi izinzuzo nezingozi?

Njenganoma yiluphi uhlobo lokwelashwa, lolu lunezinzuzo kanye nezingozi ezincane.

Ukuvuvukala kobuchopho kungenzeka ngokushesha ngemva kokwelashwa noma ngisho nangemva kwezinyanga. Ukuze uvimbele lokhu, ithimba lakho lezokwelapha lizokunikeza imithi ngaphambi nangemva kokwelashwa.

Uzobona nini udokotela

Uma ubuyela ekhaya ngemva kokwelashwa, udinga ukwazi ukuthi wenzeni uma kuvela izinkinga.

Uma unezimpawu ezilandelayo, shayela udokotela wakho:

• Uma uzwa ukushisa lapho uthinta izindawo lapho uhlaka lunamathele khona.
• Uma kuvela uketshezi olunuka kabi, olufana nehlathi kulezo zindawo.
• Uma unomkhuhlane.

Uma unezinye zezimpawu ezilandelayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha:

• Isicanucanu noma ukuhlanza okukhulu
• Ikhanda elibuhlungu kakhulu
• Izinguquko zombono
• Ubunzima bokukhuluma
• Ukuba nokuquleka
• Noma yiziphi ezinye izimpawu ocabanga ukuthi azivamile

Kuthatha isikhathi esingakanani ukwazi imiphumela?

Lona umbuzo abantu abaningi abawubuzayo. Kungathatha amasonto, izinyanga, noma ngisho unyaka noma ngaphezulu ukubona imiphumela ephelele yokwelashwa. Kuya ngesimo eselashwayo.

• Esimweni esibuhlungu njenge -trigeminal neuralgia , kungathatha noma yikuphi kusukela osukwini kuya ezinyangeni eziyisithupha ukuthi ubuhlungu buphele. Iningi labantu lithola impumuzo phakathi nenyanga.
• Uma kwenzeka izimila ezinomdlavuza , kulindeleke ukuthi ziqine noma zinciphe phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa.
• Izimila ezingezona ezomdlavuzaEsikhathini esiningi, noma ngabe iyeka ukukhula, ayinciphi.
• Izimo ezifana nokukhubazeka kwemithambo yegazi (i-AVM) zingathatha iminyaka emibili kuya kwemithathu ukuze zelapheke ngokuphelele.

Ukuze abone ukuthi ukwelashwa kukuthinte kanjani, udokotela wakho uzokwenza ukuhlolwa kwe-CT noma i-MRI okuphindaphindiwe ngezikhathi ezithile.