Gamma knife - chii ichocho? Gamma Knife Treatment

Apo murwere anonzwa kubva kunachiremba kuongororwa kwe "kenza yeuropi", zvinonzwika kwaari semutsara. Manzwiro ekutanga anotora munhu munhu akavhiringidzwa, kutya, kutya. Mibvunzo yakawanda inomuka pakarepo. Nei ini? Chii chandinofanira kuita? Nzira yekurapa sei? Ndichava noutano hwakanaka here?

Kushanda pasina ropa

Nhasi, vanhu vakawanda vakatarisana nezvinetso vanogona kuva nechokwadi chokuti chirwere chacho chinopora. Iko gamma knife ichauya kununura - chigoni chinogona kunzi chishamiso chemazana zana remakore makumi maviri. Nheyo yepamusoro-shanduko inobva pane zvinoitwa neGamma radiation.

Pasinei nezita rayo rinotyisa, iro ndiro risina ropa. Nzira yekurapa nemubatsiro wayo haibatsiri kupindira kwokuvhiya. Icho chiri chechikamu chekuvhiyiwa kwe stereotaxic, ndiko kuti, kurapwa kwehupfungwa hwehupomberi kunoitika pasina kujekeswa uye kuputika kwehenya. Inyanzvi iyi yakagadzirwa mumakumi matanhatu emakore ekupedzisira. Ikuenderera mberi ndeyevanyori veSweden uye yakatanga kushandiswa mumakiriniki ega muStockholm.

Pfungwa ye stereotaxic method

Chii chinonzi gamma knife? Icho chinonyanya kushandiswa kwehutano hwemishonga inonzi radiosurgical ndiyo inonyatsokonzera mazaisai emagetsi panzvimbo yakakanganiswa yeuropi. Kusiyana kwakakosha pakati pezvinhu zvitsva uye tsika dzekodheseti ndeyekuti irradiation haisi imwe chete yemhepo inopisa, asi nhamba yakawandisa yemiti inotendeuka pane imwe nzvimbo. Pamusana peizvi, huwandu hwekutungidzika kwechiedza chechiedza chinowira pane chinangwa chechirwere, uye zvikamu zvakapoteredza zvinoramba zvisingatauriki. Kubudirira kwehuwandu hwekutendeseka kunogona kuitika nekuda kwekuti kuiswa kunopa kukanganisa kusingapfuuri chetatu chemamirimita.

Kushanda ne gamma knife kunobvumira vanachiremba kuti vashandise kunyange nzvimbo dzisingawanikwi dzehuropi dzisina kuchinja hutano hwakanaka. Uchishandisa nzira yehurojisoriki, zvinogoneka kubudirira zvakaenzana kubvisa zviremara zveimwe nzvimbo inenge iri pachigaro chechiPituitary kana chiTurkey. Kwemakore akawanda ekushandiswa muitiro wepasi, zvibereko zvakaisvonaka zvemagumisiro emasitadhi akave akaonekwa. Nekubudirira kwakafanana kurapwa kwezvakasiyana siyana zvevascular anomalies we musoro, dzimwe zvirwere zveziso zvinowanikwa.

Mabatsiro ekurapa

Gamma-knife inopa simba rakafanana mumigumisiro yaro nekupindira kwokuvhiya. Asi ine zvakakosha zvakasiyana:

• Kuvhiya kunoitwa pasi pesimba reanesthesia yemo ;
• Kurapa kunoitwa mukati mezuva rimwe chete;
• Hapana hutachiona hwehutachiona uye kubuda ropa;
• Hapana hofari inotarisirwa;
• Iyo nzira haina zera yemiganhu kune varwere;
• Inoita kuti zvioneke;
• Kurapa mari kune imwe yechitatu pasi pane yekuvhiya.

Zviratidzo zvemafirimu

Nzira inonzi Stereotactic inopa huwandu hukuru mumamiriro ezvinhu apo kuvhara kwechigoni hakupfuuri masentimita matatu. Kana nzvimbo yevarwere yakakura, saka nyanzvi dzinogona kusarudza kubvisa chikamu chechirwere chirwere. Zvadaro zvinotanga kushanda raiyoresurgery. Gamma-knife inogona kushandiswawo pamwe chete nekemotherapy uye, kana zvichifanira, kakawanda. Kurwisa kwemuviri nemutambo uyu kunowanikwa mune zviduku zvishoma uye, sekutonga, hakuiti kukanganisa kwehupenyu. Kuti zvive nemigumisiro yakanakisisa mukurwisana nechirwere ichi, pane nguva dzose inofanira kunge iine hukama hwepedyo pakati pe radiotherapy vanachiremba uye neurosurgeons.

Mukurapa kweuropi metastases, matambudziko ekutsvaga kwemazuva ano kwemaharasiyoriya kune mamwe mapepa anoonekwa. Mumamiriro ezvinhu akadaro, kubudirira kwemishonga kunowedzera nehuwandu hwenzira. Iko inoratidzirwa mufananidzo we radial banga Perfexion inogona kukonzera makumi mashoma makumi emasikirini emasero europi.

Gamma banga ndeimwe nzira kana kuti paneceaa?

Nzira dzemazuva ano dzekufungidzira kusina kuparadza dzinoita kuti vanachiremba vanyatsoongorora, zvichienderana nezvinofanira kugadzirisa maitiro ekurapa, kusanganisira kurumbidza kushandiswa kwema gamma knife. Maonero uye mafungiro eurouroguroni maererano nerudzi urwu rwemishonga inoderedzwa kusvika pachokwadi ichi ichi chisati chiri chirongwa chepakati. Inofanira kushandiswa chete kune zvimwe zviratidzo. Chigumisiro chekushanda uku kuchave kugadzirisa chirwere chechirwere. Mune zvimwe zviitiko pane kuderera kwehukuru hwechiremera. Ivha inonzi radial inobata basa rinokosha pakuita kuchengetedza hupenyu hwehupenyu. Kuchengetedza chirwere ichi mukurudzirwa kwayo, iyo nzira inopa vanachiremba nguva uye mukana wekusarudza imwezve mazano ekurapa.

Ivha rakasvibiswa sei?

Kurapa kwemazuva ano kunoitwa mune imwe sangano uye kunosanganisira zvikamu zvakasiyana.

1. Pazuva rakasarudzwa, chirongwa che stereotactic chinoiswa pamusoro wemurwere. Nekugadzirisa kwakarurama uye kuti urege kurwadziwa, anesthesia yemunharaunda inoitwa. Kugadzirisa kwakaoma hakuregi basa remurwere.
2. Zvadaro nzira yekugadzirisa zvibatanidza zvakakwana zvechirwere zvinoitika. Nokuda kweizvi, shandisai tomographs inokosha: yakakwirira-kugadzirisa magnetic resonance uye makombiyuta akawanda. Mharaja yeGamma inotumirwa nemapurisa inotarisa pane chirwere chepfungwa, ichigadzirisa nzvimbo yacho. Chikanganiso chinogamuchirwa munyaya ino haisi mamiriyoni mana.
3. Kubva pane data yakagadzirwa, kombiyuta yepakombiyuta yekurapa iri kuuya irikudziridzwa. Basa rokugadzirira rinotora anenge maawa maviri uye rinotungamirirwa nekubatanidzwa kwechiremba physicist uye chiremba weuropeurgeon. Kana zvichidiwa, boka racho rinosanganisira radiation oncologist. Murwere anofanira kupora panguva ino.
4. Chinotevera chinouya gamma knife, kurapwa nayo kunotora anenge awa. Mumatambudziko akaoma, nguva yechikamu ichiwedzera. Mune nzira yekurapa, murwere anoziva uye haanzwi kushungurudzika. Kana zvichidikanwa panguva yekurapa, kupfupika kwakagadzirwa kune mumwe munhu wose.

Mushure mekuguma kwehutachiona huripo, fomu kubva mumusoro wemurwere inobviswa uye bhanhire rinoshandiswa. Murwere haafaniri kugara muchipatara, zuva rimwe chete raunogona kuenda kumba.

Vanhu vakawana nzira yekurapa yeGamma Knife kwenguva yakareba inowanikwa nevana vekambani. Vanachiremba vanoongorora mitsva yekuita kurapwa kwekufamba kwenguva, vachicherechedza dynamics yekuchinja mumakumbo epfungwa. Zvichienderana nekuoma kwechirwere ichi, kuongororwa kwekuongorora kunoitwa mukati megore kubva kune imwe kusvika kane.

Zvinetso zvinogona kuitika mushure mekushandisa gamma knife

Iyo nzira yehutachiona, iyo inofanana nemamwe marudzi ekurapa, inogona kukonzera huwandu hwezvinetso zvakananga. Imwe yemhando dzakawanda dzinogona kuva kuonekwa kwekudzimba mukati mehutano hwehuputi dziri mune imwe nzvimbo pedyo nenharaunda yakakanganiswa. Chinokonzera kukanganiswa uku nderimwe irradiation ine madhara maduku emarma. Kunyanya kutarisa edema hakuwanzodi uye kunopedza zvachose mukati memwedzi.

Mamwe maitiro ehutano hwehutano muuropi inogona kuvimba nemhando yechipfuva, nzvimbo, ukuru, uye humwe unhu hwemuviri.

Apo gamma-knife mishonga inoitwa

Nhasi, kubudirira kwekushandiswa kwe radiotherapy mune mazana matatu emakirini ezvokurapa pasi pose zvakataurwa. Imwe midziyo midziyo midziyo muUnited States of America, Britain neJapan - inenge mazana maviri zvikamu zvemichina. MuRussia, makore gumi chete apfuura pane mukana wekutenga nekuisa gamma knife. Burdenko Research Institute yeNeurosurgery ndiyo yakatanga kuzarura dhipatimendi re stereotactic rayation. Zuva rimwe nerimwe, vanhu vatatu kusvika kuchina vanotambira kurapwa kwehurogiyori pamubatanidzwa.

Zvishandiso zvemhepo zvakaiswawo muSt. Petersburg. Yaiva ipapo iyo bazi rechipiri, rainzi Gamma Knife, rakavhurwa. Simba rakaoma, uko Centre of Oncology, Radiosurgery uye Stereotactic Radiotherapy iripo. Sergei Berezin, atove atapwa pane kuiswa kwevarwere vanopfuura 1 500.

Mari inodhura zvakadini

Iko mari yepamusoro yemidziyo haisati yatipa mukana wekutenga kune dzimwe nyika dzeCIS uye pedyo nekunze kwenyika. Nokudaro, vagari vomuUkraine, Belarus, neBaltic, nyika dzeTranscaucasia dzinokumbira zvipatara zveRussia kuti dzibatsirwe.

Mishonga ine stereotactic radiosurgery inokwanisika. Munyika dzakawanda mari yehutano hwepamusoro yakakwirira kwazvo. Somuenzaniso, mune imwe kliniki yeChirungu yega, chirongwa chekurapa chichatora murwere chiyero chakaenzana nemadhora makumi mana emadhora. MuUnited States, nzira yegamma inodhura makumi matatu. Mutengo wakakosha zvikuru muRussia nzvimbo: kuMoscow "Gamma-knife" Burdenko uye muSt. Petersburg. Pano hurumende inobhadhara mari inopfuura madhora zviuru zvitanhatu.