{"id":77748,"date":"2017-02-13T12:09:14","date_gmt":"2017-02-13T12:09:14","guid":{"rendered":"http:\/\/humanitasnet-new.local\/cure\/radiohirurgija-upotrebom-gama-nozha\/"},"modified":"2017-02-13T12:09:14","modified_gmt":"2017-02-13T12:09:14","slug":"radiohirurgija-upotrebom-gama-nozha","status":"publish","type":"cure","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/treatments\/radiohirurgija-upotrebom-gama-nozha\/","title":{"rendered":"Radiohirurgija upotrebom gama no\u017ea"},"content":{"rendered":"

Radiohirurgija upotrebom gama no\u017ea<\/h1>\n

 <\/p>\n

Primena radiohirurgije gama no\u017eem predstavlja tehniku intrakranijalne stereotakti\u010dke radiohirurgije. Korisna je u le\u010denju duboko postavljenih lezija kada klasi\u010dni operativni pristup nije mogu\u0107e primeniti.<\/p>\n

 <\/p>\n

\u0160ta predstavlja radiohirurgija gama no\u017eem?<\/h2>\n

Radiohirurgija upotrebom gama no\u017ea predstavlja\u00a0 tehniku intrakranijalne stereotakti\u010dke radiohirurgije.<\/p>\n

Napredna aparatura omogu\u0107ava aplikaciju\u00a0 visokih doza zra\u010denja uz ekstremnu preciznost na ciljanu strukturu lobanje (nerv, ganglion ili podru\u010dje mozga) uz o\u010duvanje okolnih struktura. Primenom ove tehnike mogu\u0107e je precizno fokusiranje na pojedina\u010dnu ciljanu promenu\/strukturu sa talasima od 201 gama zraka. Radioaktivni izvor jeste kobalt.<\/p>\n

Terapeutski pristup podrazumeva \u010detiri koraka:<\/p>\n

Aplikaciju stereotakti\u010dkog sistema (u cilju ograni\u010davanja tretirane regije).<\/p>\n

Mapiranje mozga upotrebom radiolo\u0161kih metoda kao \u0161to su MRI, CT i cerebralna angiografija (u cilju odre\u0111ivanja oblika, veli\u010dine i lokalizacije\u00a0 tretirane regije).<\/p>\n

Terapeutski plan (uz modifikacije od strane specijalista na osnovu individualnih karakterisitka i potreba pacijenta)<\/p>\n

Le\u010denje: pacijent zauzima relaksiran polo\u017eaj sa aplikovanom podr\u017enom kacigom konektovanom za stereotakti\u010dki sistem gama no\u017e aparata. Pacijent je budan\/svestan tokom celog toka operativne procedure. Trajanje samog tretmana varira na osnovu lokalizacije tretiranog podru\u010dja.<\/p>\n

 <\/p>\n

Kako se izvodi radiohirurgija upotrebom gama no\u017ea?<\/h2>\n

Pacijent je u slaboj sedaciji nakon aplikovanja lokalne anestezije, nakon plasiranja stereotakti\u010dnog okvira radi dobijanja snimaka odre\u0111enih regija mozga (MRI mozga primenom gadolinijuma, CT sken mozga). Imid\u017eing omogu\u0107ava specijaisti detaljnije planiranje same hirur\u0161ke procedure. Nakon toga, pacijent sa fiksiranim stereotakti\u010dkim ramom plasira se na krevet gama ure\u0111aja. Operativni zahvat traje od jednog do \u0161est sati, zavisno od individualnog stanja pacijenta i ciljane regije.<\/p>\n

 <\/p>\n

Koje su prednosti primene radiohirurgije gama no\u017eem u tretmanu kavernoma?<\/h2>\n

Radiohirurgija gama no\u017eem predstavlja minimalno invazivnu procedure, koja se vr\u0161i u jednom aktu. Procedura je bezbolna po pacijenta i ne ostavlja o\u017eiljne promene. Vr\u0161i se u ambulantnim uslovima te pacijent istog dana biva otpu\u0161ten iz bolnice. (jedno dnevna hirugija).<\/p>\n

 <\/p>\n

Da li je primena radiohirurgije gama no\u017eem bolna i\/ili opasna metoda?<\/h2>\n

Sama procedura je bezbolna, iako pacijent mo\u017ee ose\u0107ati bol tokom pozicioniranja \u010detiri manje metalne igle radi stabilizacije za\u0161titne kacige. Intraoperativno, pacijent izvodi pokrete glave manjeg obima, bez bola ili zvuka.<\/p>\n

 <\/p>\n

Kod kojih oboljenja je indikovana radiohirugija gama no\u017eem?<\/h2>\n

Pacijenti sa prisutnim metastazama mozga, meningiomima, pituitarnim adenomima, arteriovenskim malformacijama (AVM), akusti\u010dkim neuromima, trigeminalnim neuralgijama, uvealnim melanomima, kavernoznim angiomom kao i poreme\u0107ajima pokreta kandidati su za le\u010denje ovom metodom.<\/p>\n

Primena\u00a0 gama no\u017ea kod mo\u017edanih metastaza<\/p>\n

Primena\u00a0 gama no\u017ea kod meningioma<\/p>\n

Primena\u00a0 gama no\u017ea kod pituitarnih adenoma<\/p>\n

Primena gama no\u017ea kod arteriovenskih malformacija<\/p>\n

Primena gama no\u017ea kod akusti\u010dkog neuroma<\/p>\n

Primena gama no\u017ea kod trigeminalne neuralgije\u00a0 i bola facijalne regije druge etiologije<\/p>\n

Priemna gama no\u017ea kod uvealnog melanoma<\/p>\n

Primena gama no\u017ea kod kavernoznog angioma<\/p>\n

Primena no\u017ea kod poreme\u0107aja pokreta<\/p>\n

 <\/p>\n

Kontrolni pregled i pra\u0107enje<\/h2>\n

Rezultati operativnog le\u010denja nisu odmah dostupni.\u00a0 Pacijent \u0107e biti informisan u slu\u010daju\u00a0 neophodnosti dodatnih ispitivanja nakon otpusta. Efekat operativnog gama zra\u010denja mo\u017ee postati delotvoran tek nakon nekoliko meseci\/godina. U odre\u0111enim slu\u010dajevima, mo\u017ee postojati potreba za dodatnim le\u010denjem; ako tumor nastavlja proces rasta uz perzistiranje simptomatologije., bilo neposredno nakon le\u010denja uz prolongirani period trajanja. U tom slu\u010daju dalje le\u010denje mo\u017ee zahtevati kombinaciju hirurgije i primenu frakcionisane radioterapije.<\/p>\n

 <\/p>\n

Koje su preoperativne pripreme od vitalnog zna\u010daja?<\/h2>\n

Nekoliko dana pre zakazane operacije, pacijent \u0107e biti primljen u Humanitas radi preoperativne evaluacije radi provere krvne slike, elektrokardiograma (EKG), provere slu\u0161nog aparata kao i op\u0161teg medicinskog pregleda radi sticanja uvida u op\u0161te zdravstveno stanje.Neophodno je da pacijent obavesti medicinsko osoblje o postojanju alergije na lekove i kontrastne agense, ili prisustvo klaustrofobije. Na dan operacije, pacijent bi trebalo da bude u pratnji \u010dlanova porodice ili prijatelja. Dan pre operacije zabranjeno je jesti. Ve\u010de pre zakazane operacije, pacijent bi trebalo da se okupa dezinfekcionim \u0161amponom (hlorheksidin na primer). Tako\u0111e se ne preporu\u010duju no\u0161enje nakita: bro\u0161eva, nakita za kosu, \u0161minke, preparat za kosu, ve\u0161ta\u010dkih noktiju. Ode\u0107a i obu\u0107a bi trebalo da bude komforna, po mogu\u0107stvu sa dugmadima ili \u0161licem.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-77748","cure","type-cure","status-publish","hentry"],"yoast_head":"\nRadiohirurgija upotrebom gama no\u017ea - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Radiohirurgija upotrebom gama no\u017ea - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Radiohirurgija upotrebom gama no\u017ea   Primena radiohirurgije gama no\u017eem predstavlja tehniku intrakranijalne stereotakti\u010dke radiohirurgije. 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