Ama-radiosurgery we-stereotactic - ICyberKnife

I-stereosactic radiosurgery (i-SRS) iyindlela yokwelashwa kwemisebe egxila emandleni amakhulu amandla endaweni encane yomzimba. Ngaphandle kwegama layo, i-radiosurgery iyindlela yokwelapha, hhayi inqubo yokuhlinzwa. Ukusikeka (ukusikeka) akwenziwa emzimbeni wakho.

Kungasetshenziswa izinhlobo ezingaphezu komunye zomshini nohlelo ukwenza imisebe ye-radiosurgery. Lo mbhalo ukhuluma ngemisebe ye-radiosurgery kusetshenziswa uhlelo olubizwa ngeCyberKnife.

I-SRS ihlose futhi iphathe indawo engajwayelekile. Imisebe igxile ngokuqinile, enciphisa ukulimala kwezicubu ezinempilo eziseduze.

Ngesikhathi sokwelashwa:

• Ngeke udinga ukulala. Ukwelashwa akubangeli ubuhlungu.
• Ulele etafuleni elingena emshinini ohambisa imisebe.
• Ingalo eyirobhothi elawulwa yikhompyutha ihamba eduze kwakho. Igxila emisebeni ncamashi endaweni elashwa.
• Abahlinzeki bezempilo bakwelinye igumbi. Bayakubona kumakhamera bakuzwe futhi bakhulume nawe ngemibhobho.

Umuthi ngamunye uthatha cishe imizuzu engama-30 kuya emahoreni ama-2. Ungathola isikhathi esingaphezu kwesisodwa sokwelashwa, kepha imvamisa ungabi ngaphezu kwezikhathi ezinhlanu.

I-SRS kungenzeka ukuthi inconywe kubantu abasengozini enkulu kakhulu yokuhlinzwa okuvamile. Lokhu kungabangelwa yiminyaka yobudala noma ezinye izinkinga zempilo. Kunganconywa i-SRS ngoba indawo ezokwelashwa isondele kakhulu ezakhiweni ezibalulekile ngaphakathi komzimba.

ICyberKnife ivame ukusetshenziselwa ukunciphisa ukukhula noma ukubhubhisa ngokuphelele izicubu ezincane, ezijulile zobuchopho okunzima ukuzikhipha ngesikhathi sokuhlinzwa okuvamile.

Izimila zobuchopho kanye nohlelo lwezinzwa olungelashwa kusetshenziswa iCyberKnife zifaka:

• Umdlavuza osabalele (metastasized) uye ebuchosheni kusuka kwenye ingxenye yomzimba
• Isimila esikhula kancane senzwa exhuma indlebe ebuchosheni (i-acoustic neuroma)
• Izilonda zesikhumba
• Izicubu zomgogodla

Amanye umdlavuza ongelashwa afaka:

• Isifuba
• Izinso
• Isibindi
• Amaphaphu
• Amapancreas
• Indlala yesinye
• Uhlobo lomdlavuza wesikhumba (i-melanoma) okubandakanya iso

Ezinye izinkinga zezokwelapha eziphathwe ngeCyberKnife yilezi:

• Izinkinga zemithambo yegazi njengokungahleleki kahle kwemithambo yegazi
• Isifo se-Parkinson
• Ukuzamazama okukhulu (ukuthuthumela)
• Ezinye izinhlobo zesifo sokuwa
• I-trigeminal neuralgia (ubuhlungu obukhulu bezinzwa ebusweni)

I-SRS ingalimaza izicubu ezungeze indawo elashwa. Uma kuqhathaniswa nezinye izinhlobo zokwelashwa ngemisebe, ukwelashwa kweCyberKnife kuncane kakhulu kokulimaza izicubu ezinempilo eziseduze.

Ukuvuvukala kobuchopho kungenzeka kubantu abathola ukwelashwa ebuchosheni. Ukuvuvukala kuvame ukuphela ngaphandle kokwelashwa. Kepha abanye abantu bangadinga imithi yokulawula lokhu kuvuvuka. Ezimweni ezingavamile, ukuhlinzeka ngemisiko (ukuhlinzwa okuvulekile) kuyadingeka ukwelapha ukuvuvukala kobuchopho okudalwa yimisebe.

Ngaphambi kokwelashwa, uzoba nezikena ze-MRI noma ze-CT. Lezi zithombe zisiza udokotela wakho ukuthi anqume indawo ethile yokwelashwa.

Ngosuku olungaphambi kwenqubo yakho:

• Ungasebenzisi noma yiluphi ukhilimu wezinwele noma isifutho sezinwele uma ukuhlinzwa kweCyberKnife kuhilela ubuchopho bakho.
• Ungadli noma uphuze noma yini ngemuva kwamabili ngaphandle kokuthi utshelwe ngenye indlela ngudokotela wakho.

Usuku lwenqubo yakho:

• Gqoka izingubo zikanokusho.
• Letha imithi yakho ejwayelekile kadokotela esibhedlela.
• Ungafaki ubucwebe, izimonyo, ipholishi yezipikili, noma iwigi noma okokuthaya izinwele.
• Uzocelwa ukuthi ususe amalensi wokuxhumana, izibuko zamehlo, namazinyo okufakelwa.
• Uzoshintsha ugqoke isibhedlela.
• Umugqa we-intravenous (lV) uzofakwa engalweni yakho ukuletha okokusebenza okuhlukile, imithi, noketshezi.

Imvamisa, ungabuyela ekhaya cishe ihora elilodwa ngemuva kokwelapha. Hlela kusengaphambili umuntu ozokushayela ngemoto aye ekhaya. Ungabuyela emisebenzini yakho ejwayelekile ngosuku olulandelayo uma kungekho zinkinga, njengokuvuvukala. Uma unezinkinga, kungadingeka ukuthi uhlale esibhedlela ubusuku bonke ukuze ubhekwe.

Landela imiyalo yokuthi ungazinakekela kanjani ekhaya.

Imiphumela yokwelashwa kweCyberKnife kungathatha amasonto noma izinyanga ukubonwa. Isibikezelo sincike esimweni eselashwa. Umhlinzeki wakho kungenzeka aqaphe inqubekelaphambili yakho usebenzisa izivivinyo zemifanekiso efana nezikena ze-MRI ne-CT.

Ukwelashwa ngemisebe ye-stereotactic; I-SRT; I-radiotherapy yomzimba we-stereotactic; SBRT; I-radiotherapy eqhekekile ehlukanisiwe; Ama-SRS; ICyberKnife; Imisebe ye-CyberKnife; I-neurosurgery engahlaseli; Isigaxa sobuchopho - ICyberKnife; Umdlavuza wobuchopho - ICyberKnife; I-Brain metastases - ICyberKnife; IParkinson - ICyberKnife; Isifo sokuwa - ICyberKnife; Ukuthuthumela - ICyberKnife

• Isifo sokuwa kubantu abadala - okufanele ubuze udokotela wakho
• Isifo sokuwa ezinganeni - ukukhipha
• Isifo sokuwa ezinganeni - yini ongayibuza udokotela wakho
• Isithuthwane noma isithuthwane - ukukhipha
• Ama-radiosurgery we-stereotactic - ukukhishwa

UGregoire V, Lee N, Hamoir M, Yu Y. Ukwelashwa kwemisebe nokuphathwa kwama-lymph node wesibeletho kanye nezicubu ezibucayi zokhakhayi. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 117.

ILinskey ME, Kuo JV. Ukucatshangelwa okujwayelekile nomlando we-radiotherapy kanye ne-radiosurgery. Ku: Winn HR, ed. Ukuhlinzwa Kwe-Youmans neWinn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 261.

UZeman EM, uSchreiber EC, uTepper JE. Izisekelo zokwelashwa ngemisebe. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, abahleli. I-Abeloff’s Clinical Oncology. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 27.