Uma uzwa igama elithi 'Gamma Knife Surgery', ungase ucabange ngokuhlinzwa okukhulu okwenziwe kusetshenziswa ummese. Eqinisweni, yize igama elithi "Knife" lisegameni, akukho mmese osetshenziswayo, futhi akukho sikhumba esisikiwe. Ngakho-ke uyini lo Mmese weGamma? Ingabe ngempela ukuhlinzwa?
Kalula nje, uyini lo Mese weGamma?
Ukuhlinzwa kweGamma Knife kuyindlela yokwelapha ngemisebe engeyona eyokuhlinzwa , esezingeni eliphezulu kakhulu. Ngokukhethekile, kuyindlela elawulwa yikhompyutha yokwelapha izimila nezinye izimo ebuchosheni nasemgogodleni ongaphezulu.
Lokhu kuhilela ukuhlanganisa imisebe ye-gamma enamandla kakhulu ibe umsebe omncane bese uyiqondisa kuphela ezicutshini ezigulayo eziqondiwe . Lokhu kuholela ekulimaleni okuncane ezicutshini eziphilile ezizungezile.
Igama elithi “ummese” egameni libhekisela endleleni udokotela ohlinzayo ayenza ngayo i-incision ngommese, nokuthi le misebe ye-gamma ingaqondiswa kanjani ngqo endaweni eqondiwe. Ngamanye amazwi, kufana nokuhlinzwa ngaphandle kokusikwa komzimba. Lokhu kubizwa nangokuthi i-Stereotactic Radiosurgery .
Yiziphi izifo ezisetshenziswa ekwelashweni kweGamma Knife?
Umgomo oyinhloko wokwelashwa nge-Gamma Knife ukuvimbela ukukhula, ukunciphisa, noma ukubhubhisa ngokuphelele isimila noma esinye izicubu ezingavamile ebuchosheni. Lokhu kwelashwa kuvame ukusetshenziselwa izinkinga ezincane ebuchosheni.
Ithebula elingezansi lingachaza lokhu kabanzi.
| Uhlobo lwesimo sezokwelapha | Izifo ezithile ezilashwayo (izibonelo) |
|---|---|
| Izimila zobuchopho (ezinomdlavuza kanye nezingezona umdlavuza) |
|
| Ukungahambi kahle emithanjeni yegazi | Ukukhubazeka kwemithambo yegazi (AVM) – ukuvaleka okungavamile kwemithambo yegazi kanye nemithambo yegazi |
| Izifo ze-neurological |
|
Ngezinye izikhathi, indlela yeGamma Knife nayo iwusizo kakhulu ekwelapheni izimila ezijulile ebuchosheni futhi ezingenakufinyelelwa ngokuhlinzwa okuvamile. Futhi kuyindlela enhle uma, ngesizathu esithile, ungakwazi ukuhlinzwa ngaphansi kwe-anesthesia .
Ulungiselela kanjani lokhu kwelashwa?
Ngaphambi kokwelashwa, kuzodingeka ubone udokotela ohlinza izinzwa kanye/noma udokotela ohlinzayo we-radiation oncologist. Bazokuhlola futhi bakunike noma yisiphi iseluleko esidingekayo.
Izinto okufanele uzitshele udokotela wakho:
- Emzimbeni wakhoUma unedivayisi efakiwe, njenge-pacemaker, i-cochlear implant, i-drug pump, noma i-nerve stimulator, kufanele nakanjani uyisho.
- Sitshele ngezinkinga zakho zokungezwani komzimba.
- Uma unenkinga yokuhlala uqonde phezulu imizuzu engama-30-60 ngesikhathi ngenxa yezimo ezifana nesifo samaphaphu noma i-esophageal reflux, sicela usazise kusenesikhathi.
Iseluleko esivamile:
- Ungadli noma uphuze lutho ngemva kwamabili ngosuku olwandulela ukwelashwa.
- Phuza imithi yakho yasekuseni ngamanzi amancane. Letha yonke imithi yakho, okuhlanganisa ne-inhaler, esibhedlela.
- Geza izinwele kahle ngobusuku obandulela ukwelashwa.
- Ungafaki iziqeshana, amaphini, noma amabhande ezinweleni zakho ngosuku lokwelashwa.
- Gqoka izicathulo okulula ukuzikhumula nezingubo ezikhululekile. Gwema izingubo ezingadonswa phezu kwekhanda lakho bese zisuswa.
- Qiniseka ukuthi uhlela ukuthi othile akuyise esibhedlela bese ubuyela ekhaya .
Uhlaka olufake ekhanda lakho, imaski... kuyini lokhu?
Ngesikhathi sokwelashwa ngeGamma Knife, kusetshenziswa ithuluzi elikhethekile ukugcina ikhanda lakho linganyakazi. Lokhu kuza ngezindlela ezimbili.
1. Uhlaka: Kule ndlela, uhlaka lwensimbi olulula lunamathiselwa ekhanda lakho. Lokhu kusiza ukugcina ikhanda lakho linganyakazi futhi kuqondisa imisebe ye-gamma ngqo esitsheni.
2. Okungenafreyimu: Kulokhu, kufakwa imaski noma i-mesh eyenziwe ngokwezifiso ebusweni bakho.
Ungase wesabe kancane uma uzwa ukuthi lolu hlaka lufakwa ekhanda lakho. Kodwa ungakhathazeki. Ithimba lezokwelapha lenza kanje:
- Okokuqala, kufakwa umuthi wokubulala izinzwa wendawo ngaphambili, ezinhlangothini, nangemuva kwekhanda lakho ukuze ungabi namizwa . Ngakho ngeke uzwe ubuhlungu.
- Ngemuva kwalokho, uhlaka luqiniswa ekhanda kusetshenziswa izikhonkwane ezine ezincane ezibekwe ezindaweni ezingenalutho. Ungase uzizwe ucindezelekile kancane, kodwa akukho buhlungu.
- Akunasidingo sokukhathazeka ngalokhu.
Ngendlela ye-Frameless, ayikho into ebuhlungu kangaka. Odokotela bazokunikeza imithi uma kudingeka ukuze uhlale uzolile ngesikhathi sokwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
Kunezinyathelo eziningana ngaphambi kokuba ukwelashwa kuqale.
- Ukufakwa kwe-IV: I-IV cannula izofakwa emthanjeni ongalweni yakho. Lokhu kuzosetshenziselwa ukukunikeza umuthi wokukusiza uphumule, uma kudingeka, nokukunikeza idayi yokuhlukanisa ukuze uhlolwe .
- Ukuhlolwa kwezithombe: Kuzokwenziwa i-CT scan kanye/noma i-MRI scan ukuze kubonakale ukuthi isifo sakho sobuchopho sikuphi nokuthi singakanani.
- Ukuhlela ukwelashwa: Ngemva kokubukeza imibiko yokuskena, ithimba lakho lezokwelapha (udokotela ohlinza izinzwa, uchwepheshe wezokwelapha ngemisebe, isazi sesayensi yezokwelapha) lizosebenzisa ikhompyutha ukuhlela ukwelashwa kwakho. Yilapho lizonquma khona ukuthi lingakanani imisebe okufanele liyinikeze nokuthi liyinikeze kuphi.
Ngemuva kwalokho ukwelashwa kuyaqala. Uzolala etafuleni elifakwa emshinini. Ngeke uzwe ubuhlungu, ukushisa noma umsindo ngesikhathi sokwelashwa. Iningi labantu lizolala phakathi nalesi sikhathi. Ithimba lezokwelapha lizohlala likuqapha lingaphandle. Kukhona imakrofoni yakho uma ufuna ukukhuluma.
Uma ukwelashwa sekuqediwe, uhlaka noma imaski kuyasuswa bese kususwa i-IV. Ukwelashwa konke kungathatha noma yikuphi kusukela kumaminithi angu-30 kuya emahoreni amabili.
Kwenzekani ngemva kokwelashwa? Izinzuzo nemiphumela emibi
Ungase uzizwe ulele kancane ngemva kokwelashwa. Ezimweni eziningi, ungaya ekhaya ngalolo suku bese uqhubeka nemisebenzi yakho evamile ngosuku olulandelayo.
| Izinzuzo kanye nezingozi zokwelashwa nge-Gamma Knife | |
|---|---|
| Izinzuzo eziyinhloko |
|
| Imiphumela emibi emincane engaba khona |
|
| Izinkinga ezingavamile ukuba zimbi kakhulu |
|
Into ebalulekile ukuthi kungathatha amasonto, izinyanga, noma ngisho unyaka noma ngaphezulu ukubona imiphumela yokwelashwa. Kuya ngesimo sakho. Ngakho-ke kubalulekile ukubekezela.
Kufanele ubonane nini nodokotela?
Ngemva kokwelashwa, uma uhlangabezana nezimpawu ezilandelayo, shayela udokotela wakho.
- Uma uzwa ukushisa uma uthinta izindawo lapho uhlaka lunamathele khona.
- Uma kuvela uketshezi olufana nobovu olunuka kabi kulezo zindawo.
- Uma unomkhuhlane.
Uma kuvela izimpawu ezilandelayo ezimbi, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha:
- Isicanucanu noma ukuhlanza okukhulu
- Ikhanda elibuhlungu kakhulu
- Izinguquko zombono
- Ubunzima bokukhuluma
- Ukuba nokuquleka
Umlayezo Wokuya Nawe Ekhaya
- Ummese weGamma empeleni akuyona inqubo yokuhlinzwa eyenziwa ngommese. Uyindlela yokwelapha ngemisebe esezingeni eliphezulu nenembile engasiki isikhumba.
- Lokhu kusetshenziselwa ukwelapha izimo ezifana nezimila, ukukhubazeka kwemithambo yegazi, kanye nezifo zezinzwa ebuchosheni nasemgogodleni ongaphezulu.
- Akukho ubuhlungu ngesikhathi sokwelashwa. Isikhathi sokululama sifushane kakhulu. Ezimweni eziningi, ungaqhubeka nemisebenzi evamile ngosuku olulandelayo.
- Kungathatha amasonto, izinyanga, noma ngisho neminyaka ukubona imiphumela ephelele yokwelashwa, ngakho-ke ukubekezela kubalulekile.
- Uma unemibuzo noma ukukhathazeka mayelana nalokhu kwelashwa, xoxa ngakho ngokukhululekile nodokotela wakho.
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