Gamma ummese - kuyini? ukwelashwa Gamma Knife

Uma isiguli ezwa ukuxilongwa udokotela sika "umdlavuza ubuchopho", kuzwakala sengathi isigwebo sentambo ngaye. Imizwa oba nayo ngemva yokuqala sibamba indoda - kungcono ukudideka, ukwesaba, bethukile. Uma kukhona imibuzo eminingi. Kungani yenzeka kimi? Yini okumelwe uyenze? Kanjani ukuba zilulame? Ingabe ngiba okunempilo?

Ngaphandle kwegazi

Namuhla, iningi labantu, sibhekene nenhlekelele, ungaqiniseka ukuthi sifo siyelapheka. Basisize ye-gamma ummese - ithuluzi ukuthi kungenziwa ngokuthi isimangaliso zomhlaba kwekhulu lamashumi amabili. Umgomo we operation ye amasu eziphambili esekelwe isinyathelo gamma emisebeni ye.

Naphezu igama kwangethusa, kuba ummese kwegazi. Indlela yokwelapha uyisebenzisa akubandakanyi ukuhlinzwa. It kungokwalabo esigabeni lokuhlinzwa stereotactic, ie ekwelapheni izifo ubuchopho kwenzeka ngaphandle ukusikeka kanye kokuvula ugebhezi. Ubuchwepheshe yasungulwa sixties kwekhulu elidlule. Ukuthuthukiswa kungokwenkampani ochwepheshe Swedish, futhi kwase kuqala asetshenziswa umtholampilo yangasese Stockholm.

Isimiso ezisebenza indlela stereotactic

Uyini Gamma Knife? Ingqikithi yalo radiosurgical ukwelashwa indlela umthelela eqondile ray emisebeni ingxenye ethintekile zobuchopho. Umehluko eliyisisekelo ezivamile nokwelashwa ngamakhemikhali emisha liqukethe yokuthi ngemisebe akuyona ekusakazeni olulodwa lemisebe kanye nenombolo amaningi lwemishayo bebuthanela ngesinye isikhathi. Ngenxa yalokhu emakamu esiphezulu yokucucuza elikhanyayo uwela kusayithi isifo nezicubu ezizungezile cishe isetshenzwe. Sifinyelele izinga eliphakeme lokunemba kungaba ngenxa yokuthi ukufakwa unika nephutha ukuthi ingeqi ingxenye eyodwa kwezintathu a milimitha.

Ukusebenza Gamma Knife ivumela odokotela ukuba nomthelela ngisho ezindaweni ezikude kakhulu zaleli ingqondo ngaphandle ukubhujiswa inyama ephilile. Ukusebenzisa radiosurgical ndlela ngempumelelo alinganayo balahle iyiphi impahla izimila lisendaweni pituitary noma sella. Eminyakeni eminingi ukusetshenziswa ku Ezweni eligcwele imiphumela emihle kakhulu ngesikhathi umthelela izilonda metastatic. Nge impumelelo efanayo wenza ukwelapha anomalies ahlukahlukene semithambo ikhanda, ezinye izifo iso.

Izinzuzo ukuphathwa

Gamma Knife ikunika nomphumela ofanayo emiphumeleni yayo ukuhlinzwa. Kodwa kunezinzuzo eziningana:

• msebenzi wenziwa ngaphansi kwethonya wendawo izinzwa amagugu;
• ukwelashwa wenziwa ngosuku olulodwa;
• Azikho izingozi ukutheleleka ukopha;
• awudingi esibhedlela;
• indlela ayinakho komkhawulo ngeminyaka ubekezele;
• Linikeza ukubekezelelana evamile;
• okubiza ukwelashwa eyodwa esingaphansi nge ukuhlinzwa.

Izici radiosurgery

indlela Stereotactic kunikeza umphumela esiphezulu ezimweni lapho ububanzi we lesion ingeqi ngamasentimitha amathathu. Uma isayithi nesineke likhulu, ochwepheshe bangase banqume ukususa ingxenye yesimila ngu ukuhlinzwa. Kube sekulandela ukusebenza radiosurgery. Gamma Knife ingaphinda isetshenziswe ekuhlanganisweni nokwelashwa ngamakhemikhali futhi ngokuphindaphindiwe lokho uma kudingekile. I ngemisebe umzimba ngale ndlela kwenzeka ngemithamo emincane futhi ngokuvamile akakubangeli Ukuwohloka impilo. Ukuze uthole imiphumela emihle ekulweni nesifo njalo kufanele kube khona eduze ukubambisana phakathi kodokotela ehilelekile ukwelashwa ngemisebe futhi neurosurgery.

Ekwelapheni metastases ubuchopho kwaba nezigameko kanyekanye njalo yokuchayeka emisebeni ye radiosurgical at foci amaningi. Ezimweni ezinjalo, ukwanda ukwelashwa kahle nge isikhathi inqubo. Innovative imodeli Perfexion ummese ugongolo uyakwazi iwukudambisa amashumi amaningana ubuchopho metastatic foci.

Gamma Knife - kuyinto panacea noma enye?

izindlela zesimanje imaging non-koda kufanele uvumele odokotela ukuba ubeke ukuxilongwa esinembile, owawuthi ukunquma inqubomgomo ukwelashwa, kuhlanganise ukuncoma ukusetshenziswa ummese gamma. Amazwana kanye nemibono neurosurgeons maqondana lolu hlobo ukwelashwa ziyancipha yokuthi kusenzima hhayi panacea. Sebenzisa-ke kufanele kube kuphela izinkomba ezithile. Waba yini umphumela wesibindi isicelo esinjalo uzoyeka inqubo isifo. Kwezinye izimo, ukwehla ngobukhulu lwesimila. Knife radiotherapy ifeza indima ebaluleke kakhulu ekuqinisekiseni ukulondolozwa kwalezo izinga lempilo. Imisa sifo ekuthuthukisweni yayo, indlela unika odokotela isikhathi ithuba lokukhetha yesikhathi esizayo ukwelashwa.

Kanjani ukuphathwa ugongolo ummese

ukwelashwa Radiosurgical Kwenziwa esidakayo zilandelana futhi unezigaba eziningana.

1. Ngosuku lwalo mhlangano isiguli efakwe stereotactic ikhanda uzimele. Ukuze kokungathembeki olunembile futhi ugweme ubuhlungu eyenziwa izinzwa wendawo. nenkanuko edlulele Ngesandla Esiqinile akukhawuleli umsebenzi lesiguli.
2. Khona-ke inqubo yokufaka izixhumanisi eqondile yesimila. Ngenxa yale njongo zisebenzisa scanner ekhethekile: MRI vysokopolny futhi multislice ngekhompyutha. Gamma sasikhipha imisebe yidivayisi, ukugxila iphuzu sokugembula, ukulungisa isikhundla salo. Ohlangothini iphutha kulokhu - akukho engaphezu kweyodwa milimitha.
3. Ngokusekelwe kulezi idatha athuthukile uhlelo kukhompyutha ukwelashwa oluzayo. Umsebenzi wokulungiselela kuthatha cishe amahora amabili futhi iqhutshwa ngokuhlanganyela physics yezokwelapha futhi udokotela ohlinza izinzwa, udokotela. Uma kudingekile, iqembu kufaka oncologist ngemisebe. Isiguli ngalesi sikhathi kufanele uphumule.
4. Kube sekulandela ukusebenza ukwelashwa gamma ummese kanye kuthatha cishe ihora. Ezimweni eziyinkimbinkimbi, le seseshini luyanda. Phakathi ukwelashwa, isiguli bayazi futhi engazizwa yimuphi kabi. Uma kudingeka, phakathi kwenqubo yokwelapha ihlabe ikhefu omcane uphumule umuntu.

Ngemva kokuphela radiotherapy ukwelashwa nge ikhanda Uhlaka lesiguli kuyinto ekhishiwe kanye ibhandishi. Ukuze sihlale esibhedlela isiguli akudingekile, ngosuku olufanayo ungaya ekhaya.

Abantu abaye zabhekana inqubo yokwelapha ukufaka ummese gamma, isikhathi eside okuphawulwe odokotela isikhungo. Odokotela ukuhlola imiphumela yenqubo yokululama ngokuhamba kwesikhathi, siphawula Dynamics ushintsho izilonda eqondile. Kuye yinkimbinkimbi ukuhlolwa zokunqanda izifo eyenziwa phakathi nonyaka, omunye kane.

yezinkinga ezingenzeka ngemuva kokusebenzisa Gamma Knife

amasu Radiosurgical kanye nezinye izinhlobo zokwelashwa kungadala ezinye yezinkinga ezithile. Omunye kwezinhlobo ezivamile kungenzeka ukubukeka edema e nezicubu ingqondo etholakala iseduze endaweni ethintekile. Imbangela yale yinkinga lokhu ukuchayeka of ngemithamo emincane gamma emisebeni ye. siqhubeke sihlola yena ukuvuvukala akavamile zidinga ngokuphelele sihamba enyangeni edlule.

Ezinye izinhlobo yezinkinga zezinzwa ebuchosheni kungaya ngohlobo lwesimila, indawo, usayizi, futhi izici ngamunye umzimba.

Lapho ukwelashwa gamma ummese

Namuhla kuphawulwe umsebenzi ngempumelelo amayunithi osabalalayo emakhulwini amathathu nezikhungo zezokwelapha emhlabeni wonke. I enkulu imishini ubuchwepheshe is baphawula e-United States, izwe laseBrithani nelase-Japan - kungathi izingalo ezingamakhulu amabili izingcezu imishini. iminyaka eyishumi kuphela edlule kwakungekho ithuba ukuthenga futhi ifake Gamma Knife eRussia. Burdenko Isikhungo Neurosurgery kuqala uvule ihhovisi ngemisebe stereotactic. Daily ukwelashwa radiosurgical kuleso sikhungo kunabantu ezintathu noma ezine.

imishini Ray kuphinde ifakiwe Petersburg. Kulapho egatsheni wesibili, ngokuthi "Gamma Knife" wavulwa. Sand Village, iphi isikhungo of Oncology, radiosurgery futhi radiotherapy stereotactic DTC IIBS kubo. Sergei Berezin, ngichithe ekwelashweni ukubeka ezingaphezu kwenkulungwane iziguli.

Kanjani ukwelashwa okuningi

Izindleko eziphezulu zokuthola izidingo imishini akukuniki wakhe ithuba ukuthola amanye amazwe CIS futhi aphesheya. Ngakho-ke, Russian Centre usizo turning abantu base-Ukraine, eBelarus, emazweni aseBaltic, emazweni South eCaucasus.

Ukwelashwa nge radiosurgery stereotactic ikhokhwe. Emazweni amaningi, izindleko kuqhathaniswa eliphezulu kwezinsizakalo zokwelashwa. Ngokwesibonelo, ku-English yangasese ukwelashwa kwasesibhedlela session izobiza isiguli in isamba okulingana zamadola yizinkulungwane ezingamashumi amane. E-US, inqubo-gamma izobiza izinkulungwane ezingamashumi amathathu. Intengo ezingabizi kakhulu izihloko Russian: Moscow "Gamma Knife" Burdenko futhi Petersburg. ukusebenza Kukhona ugongolo izobiza zamadola angaphezu kwayisithupha ayizinkulungwane.