Preparing for 伽玛刀 Treatment
的 伽玛刀 对于中小型原发性或转移性患者是否需要高级放射治疗 脑部肿瘤, abnormal blood vessel formations called arteriovenous malformations, 癫痫, trigeminal neuralgia这是一种引起慢性疼痛和其他神经系统疾病的神经疾病.
Despite its name, the device isn't a knife. It precisely delivers a single, very finely focused, high dose of radiation to its target, while causing little or no damage to surrounding tissue.
伽玛刀 treatment consists of six basic steps:
- 准备
- Applying the frame
- Imaging studies
- Treatment planning
- 伽玛刀 treatment
- 复苏
准备
你将在伽玛刀手术前一到两天去十大赌博平台排行榜 血液测试 and to meet with the doctors who will perform the procedure. UCSF伽玛刀放射外科计划将通过邮件向您发送预约时间表. 请让我们知道你是否在过去一年中进行了任何必要的测试. If so, please bring copies of the test results with you.
You will meet with a neurosurgeon and a radiation oncologist. Each doctor will record your medical history, 进行身体检查并征得您的同意进行伽玛刀手术. 您将有机会参观伽玛刀治疗室,并询问有关程序和预期结果的问题. 我们建议您在预约前写下您的问题,以确保您不会忘记.
的 Night Before Treatment
If you live outside of the San Francisco area, please stay in a hotel or guesthouse near UCSF Medical Center. Do not eat after 2 a.m. 在手术前一天和手术当天早上服用常规药物,并加少量水.
的 Morning of Treatment
一般来说,你只会在手术当天住院. Bring your medications so you can take them during the day as needed. Slipper-socks and robes are provided. 请携带阅读材料、音乐cd或磁带或视频在候诊区观看. 记住把贵重物品,如珠宝和大笔现金,留在家里.
Please arrive at the hospital at 505 Parnassus Ave. between 6 and 6:30 a.m. Go to the Outpatient Surgical Waiting Area in room M-104J. 的 room is located on the first floor to the right of the lobby. An escort will meet you there. 的 phone number for the waiting area is (415) 353-1626.
An escort will take you to the fourth floor pre-operative area. A family member or friend may accompany you there. 你会被要求穿上病号服,护士会开始静脉注射(IV),在手术过程中,你会通过静脉注射液体和轻微的镇静剂. 同样的静脉注射用于成像研究的造影剂. If you have dentures, you may wear them. Please remove eyeglasses and other personal belongings.
Applying the Frame
立体定向框架放置在你的头部,而在一个坐姿. It is applied in the pre-operative area. 该框架作为一个指南,以找到大脑病变的确切位置. Your head will not be shaved. 你的神经外科十大赌博平台排行榜会在你的头皮上的四个地方注射局部麻醉,或者说是固定框架的“针点”. 在注射过程中,你可能会感到一些短暂的不适,可以要求更多的药物来帮助你放松. 你可能会感到一些压力后,头部框架连接,但这将消退. You may fall asleep after the frame is attached.
儿童在框架连接之前给予全身麻醉,并在伽玛刀手术过程中保持睡眠状态. 神经麻醉师给你麻醉,并在整个过程中陪伴着你的孩子.
Imaging Studies
Before the procedure, you will undergo imaging studies, such as magnetic resonance imaging (MRI) or computerized tomography (CT) 扫描或 cerebral angiogram. During the studies, 我们要求家属或朋友回到门诊手术等候区. 他或她可以在影像学检查完成后,在治疗之前返回. 这些研究可以帮助十大赌博平台排行榜定位与立体定向框架相关的脑损伤.
Treatment Planning
After the imaging studies are performed, you will be taken to a waiting room while your treatment is planned. 如果您想带录像带,房间里有盒式录像机. If your pin sites cause any pain, please inform your unit nurse. 他或她会打电话给伽玛刀护士,她会在针的位置注射局部麻醉.
根据目标区域的大小和形状,治疗计划需要一到几个小时. 你的十大赌博平台排行榜将使用计算机软件和你的成像研究数据在三维空间中定位大脑病变. 您的头部在头盔中的位置,辐射剂量和治疗时间将决定.
伽玛刀 Treatment
After the doctors plan your treatment, 你会被带到伽玛刀区,放在治疗床上, lying on your back. 在整个治疗过程中,我们都会监测你的血压和脉搏. 立体定向框架将安装在钢盔上并固定在位置上. 当治疗准备开始时,十大赌博平台排行榜会离开房间,通过摄像机观察你,并通过对讲机与你交谈.
When treatment starts, you will move into a large shielded sphere. 钢盔将与球体内另一个装有辐射源的钢盔互锁. Only your head will be inside the sphere. During treatment, you won't feel, see or hear anything unusual. Each "shot" of radiation will last one to several minutes. At the end of each shot, 钢盔从内盔中解锁,床移出球体. 大多数情况下,自动病人定位系统会把你移到下一个体位. 在某些情况下,十大赌博平台排行榜有必要在每次射击时手动将你安置在头盔中. 整个治疗可能包括一次或几次放射治疗.
从框架应用到治疗完成的整个过程通常需要花费一天的大部分时间.
复苏
治疗后,立体定向框架将被移除,您将被转移到恢复室. 你可能会头痛,而且一整天没吃东西可能会加重你的不适. Medication for the headache will be provided as needed. You will be monitored, including your blood pressure and pulse. In most cases, patients are discharged later the same day. You may resume normal activities and eat and drink as you feel able.
孩子们被转移到儿科康复室,在那里父母可以陪着他们的孩子直到准备出院. Most children return home at the end of the day.
Follow-up instructions will be provided before you leave the hospital. If you need more medication, you will receive a prescription. 如果您在治疗当天服用了任何药物,您必须安排乘车回家. If you have any concerns or questions after the procedure, please call the 伽玛刀 nurse at (415) 353-9325.
Contact Information
To contact the UCSF 伽玛刀 Radiosurgery Program, please call (415) 353-7500.
加州大学旧金山分校健康 medical specialists have reviewed this information. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.