Stereotactic radiosurgery - CyberKnife

Stereotactic radiosurgery (SRS) yog ib hom kev kho hluav taws xob uas tsom rau lub zog hluav taws xob ntau rau thaj chaw me me ntawm lub cev. Txawm hais tias nws lub npe, radiosurgery yog kev kho mob, tsis yog kev phais mob. Kev txiav txim siab (txiav) tsis yog ua rau ntawm koj lub cev.

Ntau tshaj ib hom tshuab thiab tshuab siv tau los ua hluav taws xob hluav taws xob. Kab lus no yog hais txog kev siv hluav taws xob los siv qhov system hu ua CyberKnife.

SRS lub hom phiaj thiab kho tau thaj chaw tsis meej. Txoj kev xoo hluav taws xob tau mob siab rau qhov hluav taws xob, uas tsawg kawg nkaus kom puas tsuaj rau cov nqaij mos noj qab haus huv nyob ze.

Thaum kho:

• Koj yuav tsis tau tso pw. Cov kev kho mob tsis ua rau mob.
• Koj dag rau ntawm lub rooj uas zes rau hauv lub tshuab uas xa hluav taws xob.
• Caj npab robotic tswj los ntawm lub koos pis tawj txav ntawm koj ib ncig. Nws tsom rau hluav taws xob nyob ntawm thaj chaw kho kom zoo.
• Cov kws kho mob hauv lwm chav. Lawv tuaj yeem pom koj ntawm cov koob yees duab thiab hnov ​​koj thiab tham nrog koj ntawm microphones.

Txhua yam kev kho mob yuav siv sijhawm li 30 feeb txog 2 teev. Tej zaum koj yuav tau txais ntau tshaj ib zaug kev kho mob, tab sis feem ntau tsis ntau tshaj tsib ntu.

SRS yog qhov zoo dua rau kev pom zoo rau cov neeg uas muaj kev pheej hmoo siab heev rau kev phais mob tam sim no. Qhov no tuaj yeem vim hnub nyoog lossis lwm yam teebmeem mob. Yuav pom zoo SRS vim hais tias thaj chaw yuav tsum tau kho zoo dhau rau qhov tseem ceeb hauv lub cev.

CyberKnife feem ntau siv los qeeb txoj kev loj hlob ntawm lossis ua kom puas cov leeg me me, lub hlwb sib sib zog uas nyuaj rau tshem tawm thaum phais mob.

Lub qog ntawm lub hlwb thiab cov hlab ntsha tuaj yeem kho mob siv CyberKnife suav nrog:

• Kab mob khees-xaws uas tau kis (metastasized) rau lub hlwb los ntawm lwm qhov ntawm lub cev
• Ib lub qog qeeb ntawm cov hlab ntsha uas txuas rau lub pob ntseg mus rau lub hlwb (acoustic neuroma)
• Pituitary hlav
• Cov pob txha caj qaum

Lwm yam mob cancer uas tuaj yeem kho tau yog:

• Lub mis
• Raum
• Lub siab
• Lub ntsws
• Qos Yis
• Cem plab
• Ib hom mob cancer ntawm daim tawv (melanoma) uas cuam tshuam rau lub qhov muag

Lwm yam teeb meem kev kho mob uas tau kho nrog CyberKnife yog:

• Cov hlab ntsha teeb meem xws li cov hlab ntsha tsis ua haujlwm
• Kab mob Parkinson
• Kev tshee heev (tshee hnyo)
• Qee hom qaug dab peg
• Trigeminal neuralgia (mob hnyav ntawm lub ntsej muag)

SRS yuav ua rau cov nqaij mob nyob ib puag ncig raug kho. Raws li muab piv rau lwm yam kev siv hluav taws xob kho, CyberKnife kev kho mob muaj ntau tsawg dua kev puas tsuaj cov ntaub so ntswg noj qab haus huv nyob ze.

Lub hlwb o tuaj yeem tshwm sim hauv cov neeg uas tau txais kev kho mob rau lub hlwb. Feem ntau o o tuaj yog tsis tau kho. Tab sis qee tus neeg kuj xav tau tshuaj los tswj kev o. Muaj qee zaus, kev phais mob nrog phais (qhib phais) xav tau los kho lub hlwb o vim los ntawm hluav taws xob.

Ua ntej kev kho mob, koj yuav muaj MRI lossis CT scan. Cov duab no pab koj tus kws kho mob txiav txim siab txog thaj chaw kho mob tshwj xeeb.

Hnub ua ntej koj txoj kev ua:

• Tsis txhob siv cov plaub hau plaub hau lossis tshuaj tsuag plaub hau yog tias CyberKnife phais cuam tshuam koj lub hlwb.
• Tsis txhob noj lossis haus dab tsi tom qab ib tag hmo tshwj tsis yog hais los ntawm koj tus kws kho mob.

Hnub ntawm koj txheej txheem:

• Hnav khaub ncaws xis nyob.
• Nqa koj cov tshuaj uas koj niaj hnub noj nrog koj mus rau tsev kho mob.
• Tsis txhob hnav cov hniav nyiaj hniav kub, pleev, ntsia thawv rau plaub hau, los yog cov plaub hau lossis cov plaub hau.
• Yuav kom koj tshem lub tsom iav, tsom iav, thiab lo hniav looj.
• Koj yuav hloov mus rau hauv lub tsho tshaj sab hauv tsev kho mob.
• Kev tso dej (lV) kab yuav muab tso rau hauv koj txhais caj npab kom xa cov khoom sib thooj, tshuaj, thiab dej ntws.

Feem ntau, koj tuaj yeem mus tsev tom qab 1 teev tom qab kho tas. Npaj sij hawm ua ntej rau ib tug neeg tsav koj lub tsev. Koj tuaj yeem rov mus koj txoj kev ua si li ib hnub tom ntej yog tias tsis muaj kev cuam tshuam, xws li o. Yog tias koj muaj teeb meem, koj yuav tsum tau pw hauv tsev kho mob thaum hmo ntuj kom tau saib xyuas.

Ua raws li cov lus qhia saib yuav tu koj li cas nyob hauv tsev.

Qhov cuam tshuam ntawm kev kho mob CyberKnife tej zaum yuav siv sijhawm ntau lub lim tiam lossis ntau hli kom pom. Kev kuaj pom yog nce raws li kev mob kev kho. Koj tus kws kho mob yuav yuav soj ntsuam koj qhov ua tau zoo uas siv kev ntsuas xws li MRI thiab CT scan.

Stereotactic radiotherapy; SRT; Stereotactic lub cev radiotherapy; SBRT; Fractionated stereotactic radiotherapy; SRS; CyberKnife; CyberKnife radiosurgery; Tsis yog-tus neeg mob hlwb; Lub qog hlwb - CyberKnife; Kev mob hlwb - CyberKnife; Lub hlwb metastases - CyberKnife; Parkinson - CyberKnife; Qaug dab peg - CyberKnife; Ua Dab Neeg - CyberKnife

• Kev mob vwm rau cov neeg laus - dab tsi yuav nug koj tus kws kho mob
• Epilepsy hauv menyuam yaus - kev tso tawm
• Kev mob vwm rau menyuam yaus - yuav hais dab tsi ntawm koj tus kws kho mob
• Epilepsy lossis qaug dab peg - paug
• Stereotactic radiosurgery - tso tawm

Gregoire V, Lee N, Hamoir M, Yu Y. Kev kho hluav taws xob thiab kev tswj hwm ntawm lub ncauj tsev menyuam thiab mob pob txha taub hau loj. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 117.

Linskey ME, Kuo JV. Kev txiav txim siab dav dav thiab keeb kwm ntawm kev siv hluav taws xob ntau thiab hluav taws xob ntau. Hauv: Winn HR, ed. Youmans thiab Winn Neurological phaisCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 261.

Zeman EM, Schreiber EC, Tepper JE. Cov hauv paus ntawm kev siv hluav taws xob. Hauv: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. Abeloff's Clinical OncologyCov. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 27.