Mahlaseli a kotsi a stereotactic - CyberKnife

Stereotactic radiosurgery (SRS) ke mofuta oa kalafo ea radiation e shebileng matla a phahameng sebakeng se senyenyane sa 'mele. Leha e na le lebitso la eona, radiosurgery ke kalafo, eseng mokhoa oa ho buoa. Ho sehoa (ho seha) ha ho etsoe 'meleng oa hau.

Ho ka sebelisoa mefuta e fetang e le 'ngoe ea mochini le sistimi ho etsa li-radiosurgery. Sengoliloeng sena se bua ka li-radiosurgery ho sebelisoa sistimi e bitsoang CyberKnife.

SRS e shebile ebile e sebetsana le sebaka se sa tloaelehang. Mahlaseli ana a tsepamisitsoe hantle, a fokotsang tšenyo ea lisele tse haufi tse phetseng hantle.

Nakong ea kalafo:

• Ha ho hlokahale hore u robale. Kalafo ha e bake bohloko.
• O robala tafoleng e thellang mochining o fanang ka radiation.
• Letsoho la liroboto le laoloang ke k'homphieutha lea u potoloha. E shebile mahlaseli hantle sebakeng se phekotsoeng.
• Bafani ba tlhokomelo ea bophelo ba kamoreng e 'ngoe. Ba ka u bona lik'hamera 'me ba u utloa' me ba bua le uena ka li-microphone.

Kalafo ka 'ngoe e nka metsotso e ka bang 30 ho isa ho lihora tse peli. U ka fumana nako e fetang e le 'ngoe ea kalafo, empa hangata ha e fete linako tse fetang tse hlano.

Ho ka etsahala hore SRS e khothalletsoe batho ba kotsing e kholo ea ho buuoa ka tloaelo. Sena se ka bakoa ke botsofali kapa mathata a mang a bophelo. SRS e kanna ea khothaletsoa hobane sebaka se lokelang ho phekoloa se haufi haholo le likarolo tsa bohlokoa kahare ho mmele.

CyberKnife hangata e sebelisetsoa ho liehisa kholo kapa ho senya lihlahala tse nyane tse tebileng tsa boko tse thata ho li tlosa nakong ea ts'ebetso e tloaelehileng.

Lihlahala tsa boko le methapo e ka alafshoang u sebelisa CyberKnife li kenyelletsa:

• Kankere e hasaneng (metastasized) ho ea bokong ho tsoa karolong e ngoe ea 'mele
• Hlahala e holang butle ea methapo e kopanyang tsebe le boko (acoustic neuroma)
• Lihlahala tsa pituitary
• Lihlahala tsa mokokotlo

Mefuta e meng ea mofetše e ka alafsoang e kenyelletsa:

• Letswele
• Liphio
• Sebete
• Lung
• Mekhanya
• Tšoelesa ea senya
• Mofuta oa mofets'e oa letlalo (melanoma) o amang leihlo

Mathata a mang a bongaka a phekotsoeng ka CyberKnife ke:

• Mathata a methapo ea mali joalo ka ho senyeha ha methapo
• Lefu la Parkinson
• Ho thothomela ho matla (ho thothomela)
• Mefuta e meng ea lefu la sethoathoa
• Trigeminal neuralgia (bohloko bo boholo ba sefahleho)

SRS e ka senya lisele tse potileng sebaka se alafshoang. Ha e bapisoa le mefuta e meng ea kalafo ea radiation, kalafo ea CyberKnife ha e na monyetla oa ho senya lisele tse haufi tse phetseng hantle.

Ho ruruha ha bongo ho ka etsahala ho batho ba fumanang kalafo bokong. Ho ruruha hangata ho fela ntle le kalafo. Empa batho ba bang ba kanna ba hloka meriana ho laola ho ruruha hona. Maemong a sa tloaelehang, ho hlokahala opereishene e nang le maqhubu (ts'ebetso e bulehileng) ho phekola ho ruruha ha boko ho bakoang ke radiation.

Pele o fumana kalafo, o tla ba le litlhahlobo tsa MRI kapa CT. Litšoantšo tsena li thusa ngaka ea hau ho fumana sebaka se khethehileng sa kalafo.

Letsatsi pele ho ts'ebetso ea hau:

• Se ke oa sebelisa setlolo sa moriri kapa setlhare sa moriri haeba ts'ebetso ea CyberKnife e ama boko ba hau.
• U se ke ua ja kapa ua noa letho kamora khitla ntle leha u bolelloa ke ngaka e ngoe.

Letsatsi la ts'ebetso ea hau:

• Apara liaparo tse ntle.
• Tlisa meriana ea ngaka e tloahelehileng eo u e fuoang ke ngaka sepetlele.
• Se ke oa roala mabenyane, litlolo, polishe ea manala, kapa wiki kapa karolo ea moriri.
• O tla kopuoa ho tlosa lilense tsa puisano, likhalase tsa mahlo le meno a maiketsetso.
• U tla fetola mose oa sepetlele.
• Ho tla kenngoa mohala o kenang methapong (lV) letsohong la hau ho fana ka lisebelisoa tse fapaneng, meriana le maro.

Hangata, o ka ea hae nako e ka etsang hora e le 'ngoe ka mor'a kalafo. Lokisetsa esale pele hore motho e mong au khannele hae. U ka khutlela mesebetsing ea hau e tloaelehileng letsatsing le hlahlamang haeba ho se na mathata, joalo ka ho ruruha. Haeba u na le mathata, u kanna ua hloka ho robala sepetlele bosiu bo le bong ho lekola.

Latela litaelo tsa hore na u ka itlhokomela joang lapeng.

Litlamorao tsa kalafo ea CyberKnife li ka nka libeke kapa likhoeli ho bonoa. Phatlalatso e latela boemo ba kalafo. Mofani oa hau o kanna a lekola tsoelo-pele ea hau a sebelisa liteko tsa ho nka litšoantšo tse kang MRI le CT.

Stereotactic radiotherapy; SRT; Stereotactic radiotherapy ea 'mele; SBRT; Radiotherapy e arotsoeng ka likaroloana; SRS; CyberKnife; Lisebelisoa tsa CyberKnife; Phekolo ea methapo ea pelo e sa hlaseleng; Hlahala ea boko - CyberKnife; Kankere ea boko - CyberKnife; Metastase ea boko - CyberKnife; Parkinson - CyberKnife; Sethoathoa - CyberKnife; Ho thothomela - CyberKnife

• Sethoathoa ho batho ba baholo - seo u lokelang ho se botsa ngaka ea hau
• Sethoathoa ho bana - ho tsoa
• Sethoathoa ho bana - seo u lokelang ho se botsa ngaka ea hau
• Sethoathoa kapa ho oa - ho tsoa
• Stereotactic radiosurgery - ho tsoa

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Linskey ME, Kuo JV. Kakaretso le nalane ea nalane ea radiotherapy le radiosurgery. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 261.

Zeman EM, Schreiber EC, Tepper JE. Metheo ea kalafo ea radiation. Ka: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, bahlophisi. Abeloff's Clinical Oncology. La 6th. Philadelphia, PA: Elsevier; 2020: khaolo ea 27.