Nā radiosurgery Stereotactic - CyberKnife

ʻO ka radiosurgery Stereotactic (SRS) kahi ʻano o ka radiation radiation e kia ana i ka ikehu kiʻekiʻe ma kahi wahi liʻiliʻi o ke kino. ʻOiai kona inoa, he lāʻau lapaʻau ka radiosurgery, ʻaʻole kahi kaʻina ʻoki. ʻAʻole hana ʻia nā ʻokiʻoki (ʻoki) i kou kino.

Hiki ke hoʻohana ʻia ma mua o hoʻokahi ʻano mīkini a me ka ʻōnaehana e hana i ka radiosurgery. ʻO kēia ʻatikala e pili ana i nā radiosurgery e hoʻohana nei i ka ʻōnaehana i kapa ʻia ʻo CyberKnife.

Mālama a mālama ʻo SRS i kahi wahi kūpono ʻole. Hoʻopili paʻa ʻia ka pāhawewe, kahi e hoʻoliʻiliʻi ai i ka poino o nā mea olakino kokoke.

Ma ka lapaau:

• ʻAʻole pono ʻoe e hiamoe. ʻAʻole mālama ka lāʻau i kaʻeha.
• Moe ʻoe i ka papa e heʻe i loko o kahi mīkini e hāʻawi i ka pāhawewe.
• ʻO kahi lima robotic e kāohi ʻia e kahi kamepiula e neʻe a puni ʻoe. Nānā pololei ia i ka radiation ma ka wahi e mālama ʻia.
• Aia nā mea mālama ola i kahi lumi ʻē aʻe. Hiki iā lākou ke ʻike iā ʻoe ma nā kāmela a hoʻolohe iā ʻoe a kamaʻilio pū me ʻoe ma nā microphone.

Lawe kēlā me kēia lapaʻau ma kahi o 30 mau minuke i 2 mau hola. Loaʻa paha iā ʻoe ma mua o hoʻokahi kau kau, akā maʻamau ʻaʻole ʻoi aku ma mua o ʻelima mau kau.

Hoʻohālikelike ʻia ʻo SRS no ka poʻe i nui ka makaʻu no ka ʻoki maʻamau. Pili paha kēia i nā makahiki a i ʻole nā ​​pilikia olakino ʻē aʻe. Noi paha ʻo SRS no ka mea ʻo ka wahi e mālama ʻia ua kokoke loa ia i nā hanana nui i loko o ke kino.

Hoʻohana pinepine ʻia ʻo CyberKnife e hoʻolohi i ka ulu ʻana a i ʻole luku loa paha i nā tumors lolo hohonu e paʻakikī e hemo i ka wā o ke ʻoki maʻamau.

ʻO nā tumors o ka lolo a me ka ʻōnaehana ʻōnaehana i hiki ke mālama ʻia me CyberKnife pū kekahi:

• Ua pālahalaha ka maʻi ʻaʻai (metastasized) i ka lolo mai kekahi ʻāpana o ke kino
• ʻO kahi tumo ulu ulu o ke aʻalolo e hoʻopili i ka pepeiao i ka lolo (neuro acoustic)
• Nā hikina pituitary
• Nā Tumors kaula iwi kuamoʻo

ʻO nā maʻi ʻē aʻe i hiki ke mālama ʻia me:

• Umauma
• Hakuʻala
• Akepaʻa
• Lung
• ʻO Pancreas
• Moekolohe
• Ke ʻano o ka maʻi ʻaʻai ʻili (melanoma) pili i ka maka

ʻO nā pilikia olakino ʻē aʻe i mālama ʻia me CyberKnife:

• ʻO nā pilikia o ke kīʻaha koko e like me nā malformations arteriovenous
• Maʻi ʻo Parkinson
• Haʻalulu nui (haʻalulu)
• Kekahi mau ʻano epilepsy
• ʻO ke neuralgia Trigeminal (ʻehaʻeha o ke alo o ke alo)

Hiki paha i ka SRS ke hōʻino i nā mea a puni ka wahi e mālama ʻia. I ka hoʻohālikelike ʻia me nā ʻano radiation radiation, CyberKnife lapaʻau ʻoi aku ka liʻiliʻi o ka hōʻino ʻana i nā mea olakino kokoke.

Hiki ke ulu ka lolo i ka poʻe i loaʻa ka lāʻau i ka lolo. Hele pinepine ka ʻōhū me ka ʻole o ka lapaʻau. Akā makemake paha kekahi poʻe i nā lāʻau e kāohi ai i kēia pehu. I nā hihia maʻamau, pono ke kīpoki me nā ʻokiʻoki (ʻoki ākea) e mālama i ka ʻōpala o ka lolo i hoʻokumu ʻia e ka radiation.

Ma mua o ka mālama ʻana, loaʻa iā MRI a i ʻole CT scans. Kōkua kēia mau kiʻi i kāu kauka e hoʻoholo i ka wahi mālama pilikino.

ʻO ka lā ma mua o kāu kaʻina hana:

• Mai hoʻohana i kekahi kalima lauoho a i ʻole ka ʻehu lauoho inā ʻo CyberKnife ke kahakaha ʻana i kou lolo.
• Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe inā ʻaʻole haʻi ʻia e kāu kauka.

ʻO ka lā o kāu kaʻina hana:

• E komo i nā lole ʻoluʻolu.
• Lawe pū i kāu mau lāʻau lapaʻau i kau ʻia i ka haukapila.
• Mai hoʻokomo i nā mea hoʻonaninani, nā mea hoʻonani, nā kui kui, a i ka wig a i ʻole ka lauoho.
• E noi ʻia ʻoe e hemo i nā aniani kelepona, nā aniani aniani, a me nā niho.
• E hoʻololi ʻoe i ke kapa komo no ka haukapila.
• E hoʻokomo ʻia kahi laina intravenous (lV) i loko o kou lima e hāʻawi i nā mea like ʻole, nā lāʻau, a me nā wai.

ʻO ka pinepine, hiki iā ʻoe ke hoʻi i ka home ma kahi o 1 mau hola ma hope o ka mālama ʻana. E hoʻonohonoho i mua o ka manawa no kekahi e hoʻokele iā ʻoe i kou home. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka lā aʻe inā ʻaʻohe pilikia, e like me ka pehu. Inā loaʻa iā ʻoe nā pilikia, pono paha ʻoe e noho i ka haukapila i ka pō no ka nānā ʻana.

E hāhai i nā ʻōkuhi pehea e mālama ai iā ʻoe iho ma ka home.

ʻO nā hopena o ka mālama ʻana iā CyberKnife he mau pule a mau mahina paha e ʻike ʻia. Pili ka Prognosis i ke ʻano o ka mālama ʻana. E nānā paha kāu mea hāʻawi i kāu holomua me ka hoʻohana ʻana i nā hoʻokolohua kiʻi e like me MRI a me CT scans.

ʻO radiotherapy Stereotactic; SRT; ʻO ka radiotherapy kino Stereotactic; SBRT; ʻO radiotherapy stereotactic haʻihaʻi; SRS; CyberKnife; CyberKnife radiosurgery; ʻO ke neurosurgery non-invasive; Tumo lolo - CyberKnife; Ka maʻi ʻaʻai lolo - CyberKnife; Nā metastases lolo - CyberKnife; Parkinson - CyberKnife; Epilepsy - CyberKnife; Tremor - CyberKnife

• Epilepsy i nā mākua - he aha e nīnau aku ai i kāu kauka
• Epilepsy i nā keiki - hoʻokuʻu
• Epilepsy i nā keiki - he aha e nīnau aku ai i kāu kauka
• Epilepsy a i ʻole ka hopu ʻana - hoʻokuʻu
• ʻO radiosurgery Stereotactic - hoʻokuʻu

Gregoire V, Lee N, Hamoir M, Yu Y. Hoʻomaʻamaʻa uila a me ka mālama ʻana i nā lymph node cervical a me nā tumors kumu iwi poʻo kino. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 117.

Linskey ME, Kuo JV. Nā manaʻo nui a me nā mōʻaukala o ka radiotherapy a me ka radiosurgery. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 261.

Zeman EM, Schreiber EC, Tepper JE. Nā kumu o ka radiation radiation. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 27.