ʻAʻole ʻo ke ʻoki ʻana i ka pahi Gamma he hana i hana ʻia me ka pahi!

He mea maʻamau ke manaʻo nui i ka makaʻu ke haʻi aku kāu kauka iā ʻoe he puʻupuʻu kou a i ʻole kekahi mea hewa me kou lolo. Hoʻonui hou aku kēlā makaʻu ke lohe ʻoe, "Pono wau e hana i ke ʻoki." Akā ua ʻike anei ʻoe aia kekahi ʻano hana holomua loa e hiki ai ke mālama i nā mea e like me nā puʻupuʻu lolo me ka hoʻohana ʻole ʻana i ka pahi, me ka ʻole o ka hana ʻana i kekahi ʻoki? ʻO ia ka mea a mākou e kapa nei he Gamma Knife Surgery. ʻOiai ke ʻōlelo nei ka inoa "ʻoki" a me "pahi," ʻaʻole kēia he ʻoki maoli i hana ʻia me ka pahi.

No laila he aha kēia Gamma Knife?

I ka ʻōlelo maʻalahi, ʻo Gamma Knife kahi ʻano lapaʻau e hoʻohana ana i ka radiation ikehu kiʻekiʻe. He ʻano radiation therapy nō hoʻi kēia. Akā ʻo ka mea kūikawā, hiki ke kuhikuhi pololei ʻia i ka pahuhopu. ʻO ia ke kumu i hoʻohana ʻia ai ka huaʻōlelo "pahi". E like me ke kauka ʻokiʻoki e hana ana i kahi ʻoki pololei me ka pahi, hoʻohana ʻia nā kukuna gamma e mālama wale i ka wahi pilikia o ka lolo me ka pololei like, akā me ka ʻole o nā ʻoki.

E noʻonoʻo, ua like ia me ka hoʻohana ʻana i ke aniani hoʻonui e hoʻopololei i ke kukui ma kahi ʻāpana pepa. ʻAʻole e puhi ka pepa ma nā wahi āpau, ma kahi wale nō e hoʻopololei ʻia ai. Ua like ke ʻano o ka pahi gamma. Ma kahi o 200 mau kukuna gamma nāwaliwali e kuhikuhi ʻia ana i ka puʻupuʻu a i ʻole kahi maʻi i loko o ka lolo i ka manawa hoʻokahi. ʻOiai he nāwaliwali kēlā me kēia kukuna iā ia iho, ʻaʻole ia e hōʻino i ka ʻiʻo lolo olakino a puni. Akā ma kahi e hui pū ai nā kukuna 200 a pau, ʻo ia hoʻi, kahi i loaʻa ai ka puʻupuʻu, hoʻopuka lākou i ka ikehu kiʻekiʻe a luku i kēlā mau cell. No kēia ʻano hana kekahi ʻano o ka radiosurgery stereotactic.

He aha nā maʻi e hoʻohana ʻia ai ka lāʻau Gamma Knife?

ʻO ka pahuhopu nui o ka lāʻau lapaʻau Gamma Knife ka hoʻēmi ʻana, ka hoʻōki ʻana i ka ulu ʻana, a i ʻole ka luku loa ʻana i kahi puʻupuʻu a i ʻole kekahi kūlana ʻē aʻe i loko o ka lolo. He hopena kūpono loa ia no nā pilikia i loko o ka lolo, kahi mea paʻakikī ke hiki aku me ke ʻoki ʻana.

I kekahi manawa hoʻohana ʻia kēia lāʻau lapaʻau no ka poʻe hiki ʻole ke hana i ke ʻoki kino maʻamau, a i ʻole e pale i ka hoʻi hou ʻana mai o ka puʻupuʻu ma hope o ke ʻoki kino.

Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?

Ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, e hālāwai ʻoe me kahi neurosurgeon a me kahi oncologist radiation. E nānā lākou iā ʻoe. I kēia manawa, pono ʻoe e haʻi i kāu kauka e pili ana i nā mea hana āu i loko o kou kino, e like me ka pacemaker, cochlear implant, a i ʻole ka pamu lāʻau lapaʻau.

Eia kekahi, e haʻi iā lākou e pili ana i nā maʻi ʻaleka āu e loaʻa ai. E nīnau pū lākou inā hiki iā ʻoe ke moe mālie no 30-60 mau minuke i ka wā o ka mālama ʻana. He mea paʻakikī paha kēia no ka poʻe me ka maʻi māmā a i ʻole ka reflux esophageal.

ʻO ka maʻamau, penei paha ke ʻano o ka ʻōlelo aʻoaʻo āu e loaʻa ai:

• Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka lā ma mua o ka lāʻau lapaʻau.
• Inā he lāʻau lapaʻau kāu e lawe ai i ke kakahiaka, e lawe me kahi wai liʻiliʻi wale nō. E lawe mai i nā lāʻau lapaʻau a pau āu e hoʻohana ai, ʻoiai kāu inhaler, i ka haukapila.
• E holoi pono i kou poʻo i ka pō ma mua a mālama i ka maʻemaʻe.
• Mai kau i nā ʻūmiʻi, nā pine, a i ʻole nā ​​kāʻei ma kou lauoho i ka lā o ka mālama ʻana.
• E ʻaʻahu i nā kāmaʻa maʻalahi e wehe a me nā lole palupalu.
• He mea nui e hoʻonohonoho i kekahi e lawe iā ʻoe i ka haukapila a hoʻihoʻi iā ʻoe i ka home .

He aha kēia mau ʻano hana ʻelua, ʻo Frame a me Frameless?

ʻElua ala e mālama ai i ke poʻo ma kahi hoʻokahi i ka wā o ka mālama ʻana me ka Gamma Knife.

1. ʻAno hana hoʻonohonoho:Ma kēia, ua hoʻopili ʻia kahi kiʻikuhi metala māmā i kou poʻo. ʻO kēia ka mea e hoʻopaʻa mālie ai i kou poʻo a kuhikuhi pololei i nā kukuna i ka pahuhopu. Hoʻohana ʻia ʻehā mau pine liʻiliʻi e hoʻopili i kēia kiʻikuhi i kou poʻo. Akā, mai hopohopo, ʻaʻole ʻoe e ʻeha no ka mea ua hoʻokomo ʻia kahi anesthetic kūloko i loko o kēlā mau wahi ʻehā. Hiki iā ʻoe ke ʻike i kahi ʻūmiʻi iki.

2. Ke ʻano hana ʻole: Ma kēia ʻano hana, hoʻohana ʻia kahi pale maka kūikawā a i ʻole kahi mea like me ka ʻupena i hana ʻia e kūpono i kou helehelena. Hoʻopili ʻia kēia pale maka i ka moena lapaʻau a mālama i kou poʻo i ka mālie.

ʻOiai paha he mea weliweli iki kēia mau ʻano hana ʻelua, e hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau inā pono e hoʻomālielie iā ʻoe.

Pehea e hana ʻia ai ka lāʻau lapaʻau?

I ka lā o ka mālama ʻana, aia kekahi mau hana.

• IV: Hoʻokomo ʻia kahi cannula IV i loko o kahi aa koko ma kou lima. ʻO kēia kahi e hāʻawi ʻia ai ka dye contrast e pono ai no ka hoʻāʻo kiʻi a, inā pono, lāʻau lapaʻau e hōʻoluʻolu iā ʻoe. No nā keiki ʻōpio, hana pinepine ʻia kēia ma hope o ko lākou hiamoe loa ʻana ma lalo o ka anesthesia laulā.
• Nā Hoʻāʻo Kiʻi: ʻO ka mea aʻe, e loaʻa iā ʻoe kahi scan CT a i ʻole MRI o kou lolo. E kōkua kēia i ka hoʻoholo ʻana i ka nui, ke ʻano, a me kahi kikoʻī o ka puʻupuʻu a i ʻole ka lesion.
• Hoʻolālā lapaʻau: ʻO kēia ka ʻāpana koʻikoʻi loa. Hana pū kahi hui e komo pū ana me kahi neurosurgeon, kahi radiologist, a me kahi physicist lapaʻau e hoʻolālā i ka lapaʻau holoʻokoʻa me ka hoʻohana ʻana i kahi kamepiula e hoʻohana ana i nā kiʻi mai nā scans. Maanei e hoʻoholo pono ʻia ai nā mea āpau, me ka nui o ka radiation e hāʻawi ai a ma ke kihi hea e kuhikuhi ai.
• Ke hāʻawi ʻana i ka lāʻau lapaʻau: Ke pau ka hoʻolālā ʻana, e lawe ʻia ʻoe i ka lumi kahi i loaʻa ai ka mīkini Gamma Knife. E hoʻopili ʻia kahi kiʻi a i ʻole ka pale maka i kou poʻo a e moe ʻoe ma luna o ka moena mīkini. A laila e neʻe mālie ka moena i loko o ka mīkini.

A pau ka mālama ʻana, e lawe ʻia ʻoe mai loko mai o ka mīkini a e wehe ʻia ke kiʻi a i ʻole ka pale maka. E lawe ʻia ka mālama holoʻokoʻa ma waena o 30 mau minuke a me ʻelua hola, ma muli o ke kūlana o ka mea maʻi.

He aha ka mea e hana ʻia ma hope o ka mālama ʻana? A he aha nā pōmaikaʻi?

Hiki paha iā ʻoe ke hiamoe iki ma hope o ka mālama ʻana. ʻO ia ke kumu e pono ai ʻoe i kekahi e hoʻokele iā ʻoe i ka home. I ka hapa nui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hiki iā ʻoe ke hoʻomaka i kāu mau hana maʻamau i ka lā aʻe. ʻO kēia kekahi o nā pono nui o kēia mālama ʻana.

ʻO nā pono nui o ka mālama ʻana me ka Gamma Knife:

• ʻAʻohe ʻoki ʻia: ʻaʻohe ʻoki ʻana o ka ʻili, ʻaʻohe wehe ʻana o ke poʻo.
• Palekana: Hiki iā ia ke mālama palekana i nā wahi hohonu o ka lolo i hiki ʻole ke hiki ʻia e ke ʻoki kino maʻamau.
• Pololei: Ka liʻiliʻi loa ka hōʻino ʻana i nā ʻiʻo olakino a puni.
• Hoʻōla koke: ʻAʻohe pono e noho i ka haukapila no nā lā. Hiki iā ʻoe ke hoʻi koke i ke ola maʻamau.
• Lapaʻau like: Hiki ke mālama ʻia nā wahi he nui i ka manawa like.

Aia kekahi mau hopena ʻaoʻao a i ʻole nā ​​​​pilikia?

He haʻahaʻa loa nā pilikia e pili ana i kēia lāʻau lapaʻau, akā i kekahi manawa hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi.

ʻEhia ka lōʻihi e ʻike ai i nā hopena?

ʻAʻole kēia he hopena koke. Hiki ke hala i nā pule, nā mahina, a i ʻole hoʻokahi makahiki a ʻoi aku paha e ʻike i nā hopena piha o ka lāʻau. Hiki i nā puʻupuʻu kanesa ke emi a oki paha i ka ulu ʻana i loko o kekahi mau mahina. Hiki i nā puʻupuʻu ʻaʻole kanesa ke oki i ka ulu ʻana akā ʻaʻole paha e emi ka nui. No laila, he mea nui loa ia e hoʻomau i ka hele ʻana no nā hahai ʻana a me nā scan e like me ka ʻōlelo a kāu kauka.