Stereotactic radiosurgery - Gamma Riam

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 tsis yog qhov kev phais mob tiag tiag - tsis muaj kev txiav los yog xaws, es nws yog hluav taws xob kho kev kho.

Ntau tshaj ib qhov system raug siv los ua kev ntsuas radiosurgery. Kab lus no yog hais txog Gamma Riam radiosurgery.

Qhov hluav taws xob Gamma Riam siv los kho qog nqaij hlav lossis hlav loj hauv lub taub hau lossis sab qaum sab. Rau mob qog nqaij hlav lossis loj hlob qis qis hauv qhov nqaj qaum lossis lwm qhov chaw hauv lub cev, lwm yam kev siv phais mob tuaj yeem siv.

Ua ntej kev kho mob, koj tau haum nrog "taub hau xwm yeem." Qhov no yog lub voj voos hlau uas siv los ua kom ncaj qha rau koj mus rau hauv lub tshuab kom txhim kho qhov raug thiab qhov ntsuas tsis tau. Tus ncej yog txuas rau koj cov tawv taub hau thiab pob txha taub hau. Cov txheej txheem ua tiav los ntawm neurosurgeon, tab sis tsis tas yuav txiav los yog xaws.

• Siv cov tshuaj loog hauv zos (zoo li kws kho hniav yuav siv), plaub lub ntsiab lus yuav loog ntawm daim tawv taub hau.
• Lub taub hau kab lus muab tso rau saum koj lub taub hau thiab plaub tus pins me me thiab pob ntseg. Cov ncab qaum yog tsim los tuav lub taub hau kab hauv qhov chaw, thiab ua kom nruj los ntawm daim tawv nqaij mus rau saum koj pob txha taub hau.
• Koj tau muab rau lub zos kom loog thiab yuav tsum tsis txhob hnov ​​mob, es tsuas yog siab. Koj kuj tau muab tshuaj rau kom pab koj so lub sij hawm ua raws li txoj kev.
• Tus ncej yuav nyob txuas rau tag nrho cov txheej txheem kev kho mob, feem ntau yog ob peb teev, thiab tom qab ntawd nws yuav raug muab tshem tawm.

Tom qab tus thav ntawv txuas nrog koj lub taub hau, kev ntsuam xyuas cov duab xws li CT, MRI, lossis angiogram tau ua. Cov duab ntawv qhia qhov tseeb chaw, qhov loj me, thiab cov duab ntawm koj cov qog lossis thaj chaw teeb meem thiab tso cai rau kev ntsuas phiaj.

Tom qab ntsuas, koj yuav raug coj mus rau hauv chav so thaum cov kws kho mob thiab pab pawg physics npaj lub computer txoj kev npaj. Uas yuav siv sijhawm li 45 feeb txog ib teev. Tom ntej no, koj yuav raug coj mus rau chav kho mob.

Cov txheej txheem tshiab tsis muaj txheej txheem rau kev muab lub taub hau tau raug ntsuas.

Thaum kho:

• Koj tsis tas yuav muab tso pw. Koj yuav tau txais cov tshuaj los pab koj so. Txoj kev kho nws tus kheej tsis ua rau mob.
• Koj dag rau ntawm lub rooj uas zes rau hauv lub tshuab uas xa hluav taws xob.
• Lub taub hau los yog lub ntsej muag lub ntsej muag kho kom haum nrog lub tshuab, uas muaj lub kaus mom hlau nrog lub qhov kom xa tau cov kab teeb me me rau hluav taws xob ncaj qha rau lub hom phiaj.
• Lub tshuab yuav txav koj lub taub hau me ntsis, kom lub zog hluav taws xob xa mus rau cov npliag uas xav tau kho.
• 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.

Txoj kev kho mob yuav siv txhua qhov chaw los ntawm 20 feeb txog 2 teev. Koj tuaj yeem tau txais ntau dua ib zaug kev kho mob. Feem ntau, tsis pub tshaj 5 zaug xav tau.

Ua kom pom tseeb tawg taum tawg paj siv cov Gamma Riam qhov system phiaj thiab rhuav tshem thaj chaw tsis meej. Qhov no minimizes kev puas tsuaj rau cov nqaij mos noj qab haus huv nyob ze. Qhov kev kho no feem ntau yog lwm txoj hauv kev los qhib kev mob hlwb.

Gamma Riam radiosurgery tuaj yeem siv los kho cov qog hlav ntawm cov qog hlwb los yog qog qaum qaum:

• 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
• Lwm txoj kev loj hlob hauv lub hlwb lossis tus txha caj qaum (chordoma, meningioma)

Gamma Riam kuj tseem siv los kho lwm yam teeb meem hauv lub hlwb:

• Cov hlab ntsha teeb meem (arteriovenous malformation, arteriovenous fistula).
• Qee hom qaug dab peg.
• Trigeminal neuralgia (mob hnyav ntawm lub ntsej muag).
• Kev tshee heev vim yog qhov tseem ceeb tshee lossis kab mob Parkinson.
• Nws kuj tseem siv tau los ua kev kho ntxiv "tom qab" tom qab mob qog nqaij hlav tau phais tawm ntawm lub hlwb, kom pab txo qis kev pheej hmoo.

Kev xoo hluav taws xob (lossis txhua yam kev kho mob rau qhov xwm txheej ntawd), tuaj yeem ua kev puas tsuaj ntawm cov nqaij mos ncig thaj chaw kho. Piv nrog rau lwm hom kev kho hluav taws xob, qee tus ntseeg tias Gamma Riam radiosurgery, vim tias nws tau xa cov kev kho mob pinpoint, tsis tshua muaj kev puas tsuaj nyob ze cov nqaij zoo.

Tom qab hluav taws xob mus rau lub hlwb, txhaws hauv zos, hu ua edema, tej zaum yuav tshwm sim. Tej zaum koj yuav tau muab tshuaj rau ua ntej thiab tom qab cov txheej txheem kom txo tau qhov kev pheej hmoo no, tab sis nws tseem muaj peev xwm. Feem ntau o o tuaj yam tsis tau txais kev kho mob ntxiv. Muaj qee zaus, pw hauv tsev kho mob thiab phais nrog phais (qhib phais) xav tau los kho lub paj hlwb o tuaj vim tawg los ntawm hluav taws xob.

Muaj qee yam tshwm sim ntawm kev o tuaj yeem ua rau cov neeg mob muaj teeb meem ua pa, thiab muaj cov ntaub ntawv ntawm cov neeg tuag taus tom qab kev xoo hluav taws xob.

Thaum hom kev khomob no tsis tshua muaj tus mob ntau dua li kev phais mob, nws tseem tuaj yeem muaj kev pheej hmoo. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev kho thiab qhov txaus ntshai rau kev hlav lossis nthuav dav.

Cov tawv nqaij mob thiab thaj chaw uas lub taub hau txuas nrog koj cov tawv taub hau yuav liab thiab rhiab tom qab kho. Qhov no yuav tsum ploj mus nrog lub sijhawm. Tej zaum yuav muaj qee qhov nqaij doog.

Hnub ua ntej koj txoj kev ua:

• TSIS TXHOB siv tshuaj zawv plaub hau lossis tshuaj tsuag plaub hau.
• 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 coj hniav nyiaj hniav kub, pleev, ntsia thawv rau plaub hau, lossis 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 (IV) kab yuav muab tso rau hauv koj txhais caj npab kom xa cov khoom sib luag, tshuaj, thiab dej.

Feem ntau, koj tuaj yeem mus tsev nyob tib hnub ntawm kev kho mob. Npaj ua ntej lub sij hawm rau ib tus neeg tsav koj lub tsev, vim tias cov tshuaj uas koj muab tau tuaj yeem ua rau koj tsaug zog. 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, lossis koj tus kws kho mob ntseeg tias nws yuav tsum tau ua, koj yuav tsum tau pw hauv tsev kho mob thaum hmo ntuj kom tau saib xyuas.

Ua raws cov lus qhia los ntawm koj tus kws tu neeg mob hais txog kev saib xyuas koj tus kheej hauv tsev.

Qhov cuam tshuam ntawm Gamma Riam radiosurgery yuav siv sijhawm ntau lub lis piam lossis ntau hli kom pom. Tus mob yog raws li kev kho mob. Koj tus kws kho mob yuav soj ntsuam koj qhov ua tau zoo uas siv kev ntsuas xws li MRI thiab CT scan.

Stereotactic radiotherapy; Cov kab sib deev hauv tshuab hlwb hlau; SRT; SBRT; Fractionated stereotactic radiotherapy; SRS; Gamma Riam; Gamma Riam radiosurgery; Tsis yog-tus yeeb ncuab; Epilepsy - Gamma Riam

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Xim av PD, Jaeckle K, Ballman KV, li al. Qhov cuam tshuam ntawm radiosurgery ib leeg vs radiosurgery nrog tag nrho lub hlwb kev kho hluav taws xob ntawm kev txawj ntse ua haujlwm rau cov neeg mob nrog 1 txog 3 lub hlwb metastases: kev sim kho mob sib kis. JAMACov. 2016; 316 (4): 401-409. PMID: 27458945 pubmed.ncbi.nlm.nih.gov/27458945/.

Dewyer NA, Abdul-Aziz D, Welling DB. Kev siv hluav taws xob los kho cov qog hlav ntshav ntawm lub hauv paus cranial. 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 181.

Lee CC, Schlesinger DJ, Sheehan JP. Radiosurgery cov txheej txheem. Hauv: Winn RH, ed. Youmans thiab Winn Neurological phaisCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 264.