Uma othile esitshela ukuthi unesimila sobuchopho, siyesaba kakhulu. Into elandelayo esicabanga ngayo ukuhlinzwa kobuchopho okukhulu. Kodwa-ke, ngokuthuthuka kwesayensi yezokwelapha, akudingeki ngaso sonke isikhathi ukuvula ikhanda nokwenza ukuhlinzwa. Namuhla sizokhuluma ngendlela ekhethekile yokwelapha engelapha izimila ezincane nezinye izindawo eziyinkinga ebuchosheni kusetshenziswa imisebe yemisebe eqondiswe kakhulu, ngaphandle kokusikwa.
Kalula nje, kuyini i-Stereotactic Radiosurgery (SRS)?
Nakuba inegama elithi "ukuhlinzwa" egameni layo, akuyona indlela yokuhlinzwa yendabuko ongase ucabange ngayo ngokusebenzisa ummese noma isikele. I-Stereotactic Radiosurgery (SRS) iyindlela ethuthuke kakhulu yokwelapha ngemisebe. Ukuze kube sobala, ihilela ukusebenzisa umshini okhethekile ukuletha uchungechunge lwemisebe emincane kakhulu, enemithamo ephezulu endaweni eqondile yesimila ebuchosheni.
Cabanga ngemishayo eminingi, njengemishayo ye-laser emincane evela ezindleleni ezahlukene, ihlangana endaweni efanayo, okungukuthi, lapho kutholakala khona isimila. Khona-ke, ngenkathi isimila sithola inani elikhulu lemisebe, umonakalo ezicutshini zobuchopho ezinempilo nezinhle ezizungezile mncane kakhulu. Lena inzuzo enkulu yalokhu kwelashwa.
Nakuba igama lithi 'ukuhlinzwa', empeleni akukho ukusikwa okuhilelekile. Ngakho-ke, izingozi zokuhlinzwa okuvamile ziphansi kakhulu.
Yiziphi izimo lokhu kwelashwa okuvame ukusetshenziswa kuzo?
Uma unesimila sobuchopho, kodwa kuyingozi kakhulu ukusisusa ngokuhlinzwa okuvamile, udokotela wakho angase akuncome i-SRS. Isibonelo, isimila singase sibe sijule ebuchosheni, noma singase sibe seduze nomthambo wegazi obalulekile noma inzwa. Ezimweni ezinjalo, lokhu kwelashwa okungahlaseli kuphephile kakhulu. Ngezinye izikhathi kusetshenziselwa nokubhubhisa noma yimaphi amangqamuzana omdlavuza asele ngemva kokuhlinzwa.
Odokotela basebenzisa le ndlela ye-SRS kokubili izimila ezinomdlavuza kanye nezingenawo umdlavuza (ezingenobungozi).
| Izimo ezivamile eziphathwa nge-SRS | |
|---|---|
| I-neuroma ye-acoustic | I-Chordoma |
| I-Craniopharyngioma | I-Glioblastoma |
| I-Glioma | I-Hemangioblastoma |
| I-Meningioma | Amathumba obuchopho asakazeke ebuchosheni (amathumba asakazekele ebuchosheni evela kumdlavuza kwenye indawo) |
| I-Pineoblastoma | I-pituitary adenoma (isimila se-pituitary gland) |
Ngaphezu kwalokho, le ndlela ye-SRS isetshenziselwa ukuvimba ingozi yokopha ngenxa yokuxinana kwemithambo yegazi okungavamile ebuchosheni (ukukhubazeka kwemithambo yegazi), kanye nokuvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni lapho ubuhlungu obukhulu bemizwa bukhona njenge- trigeminal neuralgia .
Ngezinye izikhathi le ndlela isetshenziswa futhi ekwelapheni izimila ezingaphandle kobuchopho. Isibonelo, izimila esibindini, emaphashini, noma kuma-pancreas. Lokhu kubizwa ngokuthi i-Stereotactic Body Radiation Therapy (SBRT) .
Ngingalungiselela kanjani ngaphambi kokwelashwa?
Ithimba lakho lezokwelapha lizokulungisela kahle lokhu. Ngokuvamile lizokwenza okulandelayo:
- Ukubukeza umlando wakho wezokwelapha ophelele.
- Ukuchaza inqubo yokwelashwa nokuthi yini ongayilindela ngendlela ongayiqonda.
- Ukwazisa iziguli ngokuthi kufanele ziyeke nini ukudla nokuphuza ngaphambi kokwelashwa.
- Iseluleko sokuthi kufanele uyeke yini ukuthatha noma yimiphi imithi ngaphambi kokwelashwa.
- Ukunikeza imiyalelo yokuthi ungalungiselela kanjani usuku lokwelashwa (isib., ukungagqoki ubucwebe noma izimonyo).
Kwenzekani ngesikhathi sokwelashwa?
Ngesikhathi sokwelashwa nge-SRS, usegumbini lapho kukhona khona umshini. Ithimba lakho lezokwelapha lisegumbini elihlukile futhi lilawula umshini lisebenzisa ikhompyutha. Ngenxa yokuthi isikrini sekhompyutha sibonisa ngokucacile ukuthi kukhona isimila sobuchopho bakho, bangaqondisa imisebe ngqo esihlosweni sayo.
Ukwelashwa okutholayo kungahluka kancane kuye ngohlobo lomshini osetshenziswayo. Kunezinhlobo ezintathu eziyinhloko.
| Uhlobo lomshini we-SRS | Kwenzeka kanjani |
|---|---|
| I-Gamma Knife® | Uzolala embhedeni okhethekile bese ugqoka uhlaka noma imaski ekhethekile ukuze ikhanda lakho linganyakazi. Umbhede uzongena emshinini (ingxenye yekhanda kuphela). Umshini uzoqondisa umsebe wemisebe esigaxeni. |
| I-Linear Accelerator (i-LINAC) | Kule nqubo, uzolala embhedeni onohlaka lokugcina ikhanda lakho linganyakazi. Ingalo exhunywe emshinini izokuzungeza ngama-arcs, iqondise imisebe esigaxeni. Lolu hlobo ngezinye izikhathi lubizwa ngokuthi i-Cyberknife® . |
| Ukwelashwa kweProton | Lena inqubo entsha futhi engavamile lapho umsebe wezinhlayiya zeproton ezinamandla aphezulu uqondiswa khona esigaxeni. |
Izinyathelo zokwelapha
1. Incazelo: Bakukhombisa ukuthi ungakhuluma nethimba lezokwelapha nganoma yisiphi isikhathi ngohlelo lwe-intercom.
2. Indawo: Uzobekwa embhedeni bese ufakwa ekhanda (uhlaka noma imaski). Kubalulekile ukuhlala unganyakazi ukuze ugweme ukudalula izicubu ezinempilo emisebeni.
3. Ukuskena: Kuyenziwa ukuskena okuningana, njenge -MRI kanye ne-CT scan , ukuze kutholakale indawo eqondile yesimila.
4. Ukuhlela ukwelashwa: Ngokusekelwe kule miphumela yokuskena, ithimba lezokwelapha lisebenzisa amakhompyutha ukuhlela ngokunembile ukuthi imisebe yemisebe kufanele ilethwe kanjani. Baphinde banqume ukuthi banikeze umthamo ophezulu ngesikhathi esisodwa noma bawunikeze ngemithamo emincane ezinsukwini eziningana.
5. Ukwelashwa: Umshini uzokunikeza ukwelashwa njengoba kuhleliwe. Ngeke uzwe ubuhlungu ngalesi sikhathi. Kodwa-ke, ungase uzwe umsindo njengoba umshini usebenza.
Ngokuvamile, yonke le nqubo ingathatha cishe amahora angu-1-4.
Kwenzekani ngemva kokwelashwa?
Iningi labantu lingaya ekhaya ngemva kokwelashwa. Kodwa-ke, ngezinye izikhathi kungadingeka uhlale esibhedlela amahora ambalwa ukuze uhlole imiphumela emibi. Imiphumela emibi evamile ihlanganisa:
- Ukukhathala
- Ikhanda elibuhlungu
- Isicanucanu nokuhlanza
- Ukulahlekelwa izinwele (endaweni yokwelashwa)
- Izinguquko zesikhumba
Lezi zimpawu zivame ukuphela zingakapheli izinsuku ezimbalwa noma amasonto amabili kuya kwamathathu. Uma izinwele zilahleka, zizokhula futhi ezinyangeni ezimbili kuya kwezintathu. Udokotela wakho uzokunikeza imithi yokusiza ukulawula lezi zimpawu.
Bazokutshela ukuthi ubuye cishe ngenyanga ukuzohlola isimo sakho. Ngemva kwezinyanga ezimbalwa, bazokwenza esinye isikeni ukuze babone ukuthi kwenzekeni kulesi simila. Izimila ezinomdlavuza ziyancipha ezinyangeni ezimbalwa. Kungathatha unyaka noma emibili ukubona umehluko ezimila ezingezona ezomdlavuza.
Kufanele ubonane nini nodokotela?
Uma kukhona izimpawu ezingavamile eziqhubeka noma kuvela ezintsha ngemva kokwelashwa, qiniseka ukuthi utshela udokotela wakho. Ngezinye izikhathi izimo ezifana nokuvuvukala kobuchopho zingase zivele. Imithi efana ne -corticosteroids ingase inikezwe lokhu. Futhi, ukwelashwa kokukhuluma kanye nokwelashwa komsebenzi kunganconywa uma kudingeka.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa Kwemisebe Ye-Stereotactic (SRS) akuyona indlela yokuhlinzwa yendabuko. Kuyindlela ethuthukisiwe yokwelapha izimila zobuchopho ngemisebe eqondiswe kakhulu ngaphandle kokusikwa.
- Le nqubo ibangela umonakalo omncane kakhulu ezicutshini zobuchopho ezinempilo, ngakho-ke kunezingozi nemiphumela emibi embalwa kunokuhlinzwa okuvamile.
- Akukho buhlungu ngesikhathi sokwelashwa. Ezimweni eziningi, ukwelashwa kuqedwa ngosuku olulodwa bese ungaya ekhaya.
- Kuvamile ukuzizwa wesaba futhi ukhathazekile ngalolu hlobo lokwelashwa. Khuluma ngokukhululekile nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bazokuchazela konke futhi bakunike induduzo yengqondo oyidingayo.
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