I-radiosurgery yestereotactic- ICyberKnife

I-radiosurgery ye-Stereotactic (i-SRS) luhlobo lonyango lwe-radiation olujolise kumandla amakhulu kwindawo encinci yomzimba. Ngaphandle kwegama layo, i-radiosurgery lunyango, hayi inkqubo yotyando. Ukusikwa (ukusika) akwenziwa emzimbeni wakho.

Ngaphezulu kolunye uhlobo lomatshini kunye nenkqubo enokusetyenziselwa ukwenza iiradiosurgery. Eli nqaku limalunga neeradiosurgery kusetyenziswa inkqubo ebizwa ngokuba yiCyberKnife.

Iithagethi ze-SRS kunye nokunyanga indawo engaqhelekanga. Imitha egxile ngokuqinileyo, enciphisa ukonakala kwizihlunu ezisondeleyo ezikufutshane.

Ngexesha lonyango:

• Awuyi kufuna ukulala. Unyango alubangeli zintlungu.
• Ulele phezu kwetafile etyibilika kumatshini ohambisa imitha.
• Ingalo yerobhothi elawulwa yikhompyuter iyakujikeleza. Ijolisa kwimitha ngokuthe ngqo kwindawo enyangiweyo.
• Ababoneleli ngezempilo bakwelinye igumbi. Banokubona kwiikhamera kwaye bakuva kwaye bathetha nawe kwii-microphone.

Unyango ngalunye luthatha malunga nemizuzu engama-30 ukuya kwiiyure ezimbini. Unokufumana ngaphezulu kweseshoni yonyango, kodwa ihlala ingekho ngaphezulu kweseshoni ezintlanu.

I-SRS kunokwenzeka ukuba icetyiswe kubantu abasemngciphekweni omkhulu kakhulu kotyando oluqhelekileyo. Oku kunokuba ngenxa yobudala okanye ezinye iingxaki zempilo. Kunokucetyiswa i-SRS kuba indawo ekufuneka inyangwe isondele kakhulu kwizakhiwo ezibalulekileyo emzimbeni.

ICyberKnife ihlala isetyenziselwa ukunciphisa ukukhula okanye ukutshabalalisa ngokupheleleyo amancinci amancinci amathumbu obuchopho ekunzima ukuwasusa ngexesha lotyando oluqhelekileyo.

Ukudumba kwengqondo kunye nenkqubo yovalo enokunyangwa kusetyenziswa iCyberKnife ibandakanya:

• Umhlaza osele usasazekile (uhle metastasised) ukuya kwingqondo usuka kwelinye ilungu lomzimba
• I-tumor ekhula ngokukhawuleza yentsholongwane edibanisa indlebe kwingqondo (acoustic neuroma)
• Amathumba ebhinqa
• Izilonda zomqolo

Eminye imihlaza enokuthi inyangwe ibandakanya:

• Isifuba
• Izintso
• Isibindi
• Imiphunga
• Iipancreas
• Indlala
• Uhlobo lomhlaza wolusu (melanoma) olubandakanya iliso

Ezinye iingxaki zonyango eziphathwe ngeCyberKnife zezi:

• Iingxaki zemithambo yegazi ezinje ngokungahleleki kakuhle kwemithambo
• Isifo seParkinson
• Ukuthuthumela okukhulu (ukugubha)
• Ezinye iintlobo zokuxhuzula
• I-trigeminal neuralgia (iintlungu ezinzima zobuso ebusweni)

I-SRS inokonakalisa izicubu ezijikeleze indawo ekunyangwa kuyo. Xa kuthelekiswa nezinye iintlobo zonyango lwe-radiation, unyango lweCyberKnife luncinci kakhulu kunokonakalisa izicubu ezisempilweni ezikufutshane.

Ukudumba kwengqondo kunokwenzeka kubantu abafumana unyango kwingqondo. Ukudumba kuhlala kuhamba ngaphandle konyango. Kodwa abanye abantu banokufuna amayeza ukulawula oku kudumba. Kwiimeko ezinqabileyo, utyando olunezicucu (utyando oluvulekileyo) luyafuneka ukunyanga ukudumba kwengqondo okubangelwa yimitha.

Ngaphambi konyango, uya kuba ne-MRI okanye i-CT scans. Le mifanekiso inceda ugqirha wakho amisele indawo ethile yonyango.

Usuku ngaphambi kwenkqubo yakho:

• Sukusebenzisa nayiphi na ikhrimu yeenwele okanye ukutshiza iinwele ukuba utyando lweCyberKnife lubandakanya ingqondo yakho.
• Musa ukutya okanye usele nantoni na emva kobusuku ngaphandle kokuba uxelelwe ngugqirha wakho ngenye indlela.

Umhla wenkqubo yakho:

• Nxiba iimpahla ezintle.
• Yiza namayeza akho esiqhelo amiselweyo esibhedlele.
• Musa ukunxiba ubucwebe, izithambiso, iinzipho, okanye iwigi okanye isihlangu seenwele.
• Uya kucelwa ukuba ususe iilensi zonxibelelwano, iiglasi zamehlo kunye nokufakelwa.
• Uza kutshintsha ube yingubo yasesibhedlele.
• Umgca we-intravenous (lV) uya kufakwa engalweni yakho ukuhambisa izinto ezahlukileyo, amayeza kunye nolwelo.

Rhoqo, ungagoduka malunga neyure enye emva konyango. Lungiselela kwangaphambili ukuba umntu akugoduse. Ungabuyela kwimisebenzi yakho yesiqhelo ngosuku olulandelayo ukuba akukho ngxaki, njengokudumba. Ukuba unengxaki, unokufuna ukuhlala esibhedlele ubusuku bonke ukuze uhlolwe.

Landela imiyalelo yendlela yokuzikhathalela ekhaya.

Iziphumo zonyango lweCyberKnife zinokuthatha iiveki okanye iinyanga ukuba zibonwe. Ukuxela kwangaphambili kuxhomekeke kwimeko yokunyangwa. Umboneleli wakho uya kuthi abeke esweni inkqubela yakho usebenzisa iimvavanyo zokucinga ezinje ngeMRI kunye neCT scan.

I-radiotherapy yestereotactic; I-SRT; Stereotactic umzimba radiotherapy; I-SBRT; I-radiotherapy eqhekezayo; I-SRS; ICyberKnife; ICyberKnife radiosurgery; I-neurosurgery engafunekiyo; Ithumba lobuchopho - ICyberKnife; Umhlaza wobuchopho - iCyberKnife; Ubunzima be-metastases -CyberKnife; IParkinson - ICyberKnife; Ukuxhuzula - ICyberKnife; Ukungcangcazela -CyberKnife

• Ukuxhuzula kubantu abadala - yintoni ekufuneka uyibuze kugqirha wakho
• Ukuxhuzula ebantwaneni - ukubhobhoza
• Ukuxhuzula ebantwaneni-yintoni ekufuneka uyibuze kugqirha wakho
• Ukuxhuzula okanye ukuxhuzula - ukubhobhoza
• I-radiosurgery yestereotactic-ukukhutshwa

UGregoire V, uLee N, uHamoir M, uY Yu Y.Unyango lwemitha kunye nolawulo lwee-lymph node zomlomo wesibeleko kunye nezidumba ezinobungozi. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahl 117.

ILinskey ME, Kuo JV. Ukuqwalaselwa ngokubanzi kunye nembali ye-radiotherapy kunye ne-radiosurgery. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 261.

UZeman EM, uSchreiber EC, uTepper JE. Isiseko sonyango lwemitha. Ku: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, ii-eds. I-Oncology yeklinikhi yase-Abeloff. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 27.