Ke lohe ʻoe i ka huaʻōlelo 'Gamma Knife Surgery', ke noʻonoʻo nei hoʻi ʻoe i ke ʻoki ʻana i hana ʻia me ka pahi? ʻOiai ke ʻōlelo nei ka inoa 'pahi', ʻaʻole ia e hoʻohana maoli i ka pahi a i ʻole ka ʻoki ʻana. No laila he aha ia? I ka ʻōlelo maʻalahi, he ʻano lapaʻau radiation holomua loa ia, i kuhikuhi nui ʻia. E like me ke kukuna laser, hiki ke kuhikuhi wale ʻia i ka wahi pilikia o ka lolo, me ka ʻole o ka hōʻino ʻana i nā ʻiʻo olakino a puni. No laila e kamaʻilio kākou e pili ana i nā mea āpau i kēia lā.
He aha maoli ka lāʻau lapaʻau Gamma Knife?
E noʻonoʻo he puʻupuʻu liʻiliʻi kou ma kahi ʻāpana liʻiliʻi a paʻakikī o kou lolo. Inā ʻoe e wehe iā ia me kahi hana maʻamau, pono ʻoe e ʻoki i nā ʻāpana olakino o ka lolo e hiki ai iā ia. He mea pilikia iki kēlā. ʻO ia ka manawa e lilo ai kahi ʻenehana i kapa ʻia ʻo Gamma Knife i mea pono loa.
Hoʻokomo kēia i nā haneli o nā kukuna gamma ikehu kiʻekiʻe loa, i kāohi ʻia e ka ʻenehana kamepiula, e kuhikuhi wale ʻia ana i nā cell pilikia i loko o ka lolo i ka manawa like. He nāwaliwali loa kahi kukuna hoʻokahi iā ia iho, no laila ʻaʻole ia e hōʻino i nā ʻiʻo olakino i kona hele ʻana ma o ka lolo. Akā i ka wā e hoʻopili ʻia ai nā haneli o kēia mau kukuna ma kahi hoʻokahi, ma kahi pono o ka puʻupuʻu, hana lākou i ka ikehu lawa e luku ai i kēlā mau cell. Ua like ia me ka hoʻohana ʻana i kahi aniani hoʻonui e kālele i nā kukuna o ka lā a hoʻā i kahi ʻāpana pepa. ʻO ia ke kumu e hiki ai iā ia ke hana i kahi hopena 'ʻoki' , me ka ʻole o nā ʻoki. No loko kēia o kahi māhele i kapa ʻia ʻo 'Stereotactic Radiosurgery' .
He aha nā kūlana e hiki ke ho'ōla ʻia me kēia lāʻau lapaʻau?
ʻO ka pahuhopu nui o ka lāʻau lapaʻau Gamma Knife, ʻo ia ke hoʻopaʻa, hoʻēmi, a luku loa paha i kahi puʻupuʻu a i ʻole kekahi mea ʻē aʻe i loko o ka lolo. Hoʻohana pinepine ʻia ia no nā pilikia liʻiliʻi o ka lolo.
ʻO ka mea nui, eia kekahi o nā hihia kahi e hoʻohana ʻia ai kēia lāʻau lapaʻau:
- Nā puʻupuʻu lolo: Hiki i kēia ke lilo i maʻi kanesa a me nā maʻi ʻole.
- Nā ʻano ʻē o nā kīʻaha koko: Nā kūlana e hihia ai nā kīʻaha koko i loko o ka lolo.
- Nā ʻano ʻeha o ke aʻalolo: Kekahi mau ʻano ʻeha e pili ana i ke aʻalolo.
Hōʻike ka papa ma lalo nei i kekahi o nā kūlana maʻamau e hoʻohana ʻia ai ka lāʻau lapaʻau Gamma Knife.
| Māhele maʻi | Nā Laʻana |
|---|---|
| Nā puʻupuʻu lolo |
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| Nā kūlana maʻamau ʻē aʻe |
He koho maikaʻi loa ka Gamma Knife inā he puʻupuʻu kou i hohonu loa i loko o ka lolo e hiki ʻole ke hiki ʻia e ke ʻoki maʻamau, a inā ʻaʻole hiki iā ʻoe ke hana i ke ʻoki no nā kumu olakino ʻē aʻe. I kekahi manawa, hoʻohana ʻia kēia lāʻau lapaʻau e pale aku i ka hoʻi hou ʻana mai o kahi puʻupuʻu ma hope o ke ʻoki maʻamau.
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
Ma mua o kēia lāʻau lapaʻau, pono ʻoe e ʻike i kahi neurosurgeon a me kahi oncologist radiation. E nānā lākou iā ʻoe. I kēia manawa, inā he mau mea hana i hoʻokomo ʻia iā ʻoe, e like me ka pacemaker, cochlear implant, pump lāʻau lapaʻau, a i ʻole ka mea hoʻoulu nerve , pono ʻoe e haʻi i kāu kauka e pili ana iā lākou.
E nīnau pū lākou e pili ana i kekahi mau maʻi ʻaleka āu e loaʻa ai. E noi ʻia ʻoe e moe ma kou kua no 30-60 mau minuke i ka wā o kēia mālama ʻana. Inā loaʻa iā ʻoe kahi maʻi māmā a i ʻole ka reflux esophageal, he mea paʻakikī paha ke moe i lalo. E haʻi pū i kāu kauka e pili ana i kēia.
E hāʻawi aku ke kime lapaʻau iā ʻoe i kahi hoʻonohonoho maopopo o nā kuhikuhi e pili ana i nā mea e pono ai ʻoe e hahai mai ka lā ma mua o kāu mālama ʻana. ʻO ka maʻamau, hiki i kēia mau kuhikuhi ke komo pū me:
- Mai ʻai a inu paha i kekahi mea mai ke aumoe o ka lā ma mua o ka lāʻau lapaʻau.
- Inā he mau lāʻau lapaʻau kāu e lawe ai i ke kakahiaka, e lawe iā lākou me kahi wai. E lawe mai i nā lāʻau lapaʻau āpau āu e hoʻohana ai (me nā mea hoʻoheheʻe) i ka haukapila.
- E holoi pono i kou poʻo i ka pō ma mua o ka mālama ʻana a mālama i ka maʻemaʻe.
- Mai kau i nā ʻūmiʻi, nā pine, a i ʻole nā kāʻei i kou lauoho i ka lā o ka mālama ʻana. E waiho i kou lauoho me ka wehe ʻole.
- E ʻaʻahu i nā lole palupalu a me nā kāmaʻa e maʻalahi ke komo a wehe. E pale i nā lole e hiki ke huki ʻia ma luna o kou poʻo.
- E hōʻoia e lawe pū mai i kekahi me ʻoe i ka lāʻau lapaʻau a me ka home.
Inā he mau nīnau kāu, makaʻu, a kānalua paha e pili ana i kēia lāʻau lapaʻau, e nīnau i ke kauka e pili ana i ia mea ke ʻike ʻoe iā ia. He mea hōʻoluʻolu nui nō hoʻi ia nou.
He aha ka Frame a me ka Frameless?
ʻElua mau ʻano hana o ka Gamma Knife.
1. ʻAno hana mōlina: Ma kēia ʻano hana, hoʻohana ʻia kahi mōlina metala (ʻo ka maʻamau alumini) i hoʻopili ʻia i kou poʻo. Mālama kēia mōlina i kou poʻo ma kahi hoʻokahi i ka wā o ka mālama ʻana a kōkua i ke kuhikuhi pololei ʻana i nā kukuna gamma i ka pahuhopu.
2. Ke ʻano hana ʻole: Ma kēia ʻano hana, ua kau ʻia kahi pale maka thermoplastic a ʻupena paha ma luna o kou maka. Hoʻopili ʻia kēia i kahi kiʻi ma luna o ka moena lapaʻau, kahi e kōkua ai i ka noho mālie o kou poʻo.
E makaʻu paha kekahi poʻe ke lohe lākou e hoʻopili ʻia ana kēia kiʻi i kou poʻo. Akā, mai makaʻu. Ma mua o ke kau ʻia ʻana o kēia kiʻi i kou iwi poʻo me nā pine liʻiliʻi ʻehā, ua hoʻokomo ʻia kahi lāʻau hoʻomaʻemaʻe kūloko i nā wahi ʻehā e hoʻomāʻū iā lākou. No laila, ʻaʻole ʻoe e ʻeha. E ʻike paha ʻoe i kahi ʻūmiʻi iki. A ʻaʻole pono ʻoe e kahi i kou poʻo.
Pehea e hana ai ka lāʻau lapaʻau i kēlā me kēia ʻanuʻu
I ka lā o ka mālama ʻana, e hahai pinepine ʻia kēia mau hana:
Hoʻomākaukau ma mua o ka mālama ʻana
- Ke kau ʻana i kahi laina IV: E kau ʻia kahi laina IV i loko o kahi aa koko ma kou lima. E hāʻawi ia iā ʻoe i kahi wai kūikawā (mea hoʻohālikelike) e kōkua me nā scan a, inā pono, kahi mea hoʻomaha e hōʻoluʻolu iā ʻoe. No nā keiki ʻōpio, hiki ke hāʻawi ʻia iā lākou ka anesthesia laulā.
- Nā scan: E hana ʻia kahi scan CT a/a i ʻole MRI o kou lolo. E kōkua kēia i ka hoʻoholo ʻana i ka nui, ke ʻano, a me ka wahi o ka wahi e mālama ʻia ai. E lawe kēia ma kahi o 30 mau minuke.
- Hoʻolālā lapaʻau: Ma hope o ka nānā ʻana i nā hōʻike scan, hana pū ke kauka neurosurgeon, ka radiation oncologist, ka physicist lapaʻau, a me nā poʻe ʻē aʻe ma kahi kamepiula e hoʻolālā i kāu lapaʻau. Maanei lākou e hoʻoholo ai i kahi e mālama ai, pehea ka nui o ka radiation e hāʻawi ai, a pehea e kuhikuhi ai i nā kukuna no nā hopena maikaʻi loa. Hiki i kēia ke hala ma kahi o hoʻokahi hola.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana
1. E lawe ʻia ʻoe i ka lumi lapaʻau a e hoʻokomo ʻia ka pale maka frame a i ʻole frameless i kou poʻo.
2. A laila e hoʻomoe ʻia ʻoe ma luna o ka moena o ka mīkini lapaʻau.
3. Neʻe mālie ka moena i loko o ka mīkini Gamma Knife.
4. E hoʻomaka ka mīkini e hāʻawi i ka radiation. I kēia manawa, e hoʻoneʻe mālie ka mīkini i kou wahi moe a me ke poʻo e kuhikuhi i nā kukuna i ka pahuhopu mai nā ʻaoʻao a pau.
5. Ke pau ka mālama ʻana, puka hou mai ka moena mai loko mai o ka mīkini.
6. A laila, wehe ʻia ke kiʻikuhi a i ʻole ka pale maka i hoʻopili ʻia i ke poʻo. Wehe ʻia hoʻi ke kaula IV ma ka lima.
ʻOiai aia ka hui lapaʻau ma waho i loko o kahi lumi kaʻawale i ka wā o ka mālama ʻana, ke nānā mau nei lākou iā ʻoe ma o nā kāmela a me nā microphone. Inā pono ʻoe e kamaʻilio, hiki iā ʻoe ke kamaʻilio me lākou ma o ka microphone āu. No laila, ʻaʻole ʻoe hoʻokahi.
He ʻeha anei kēia lāʻau lapaʻau?
ʻAʻole. ʻAʻole ʻoe e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha i ka wā o ka mālama ʻana. ʻAʻole e hoʻopuka ka mīkini i kekahi wela a hana i kekahi walaʻau. E hiamoe ka poʻe he nui i kēia manawa.
Pehea ka lōʻihi?
ʻO ka lōʻihi o ka mālama ʻana mai 30 mau minuke a ʻelua hola. Aia ia i ka nui, ke ʻano, a me kahi o kou ʻeha. Eia nō naʻe, ʻoi aku ka maikaʻi o ka manaʻo e noho ma ka haukapila no ka lā holoʻokoʻa (ma kahi o 12 mau hola) me nā mea āpau mai nā scan a hiki i ka hoʻolālā.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka lāʻau lapaʻau, hiki paha iā ʻoe ke hiamoe iki a palaualelo. No laila he mea nui e loaʻa kekahi e lawe iā ʻoe i ka home. Inā ʻaʻole haʻi pololei kāu kauka iā ʻoe, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau (e like me ka hele ʻana i ka hana a i ke kula paha) i ka lā aʻe .
Inā ʻoe e hoʻohana i kahi mōlina, aia kekahi mau mea e pono ai ʻoe e hahai ma ka home:
- No hoʻokahi pule paha, e hoʻokiʻekiʻe iki i kou poʻo ma ka hoʻohana ʻana i ʻelua uluna i ka wā e hiamoe ana.
- I kekahi lā aʻe, e wehe i nā kāʻei i kau ʻia ma kahi i hoʻopili ʻia ai ke kiʻi.
- E hoʻomaʻemaʻe i kēlā mau wahi ʻelua i ka lā a kau i kahi liʻiliʻi o ka ʻaila antibiotic no ʻekolu a ʻehā mau lā.
- Hiki iā ʻoe ke holoi i kou lauoho ma hope o 48 mau hola.
- Inā loaʻa iā ʻoe kekahi ʻeha a ʻoluʻolu ʻole paha, e lawe i kahi lāʻau hoʻopau ʻeha (e like me Ibuprofen, Acetaminophen) i ʻōlelo ʻia e kāu kauka.
He aha nā pono a me nā pilikia?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia kekahi nā pōmaikaʻi a me nā pōʻino liʻiliʻi.
| Nā pono o ka mālama ʻana |
|---|
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| Nā Pōʻino a me nā Hopena ʻAoʻao |
Nā hanana liʻiliʻi a maʻamau:
Nā pilikia koʻikoʻi, akā kakaikahi loa:
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Hiki ke pehu koke ka lolo ma hope o ka mālama ʻana a i ʻole nā mahina ma hope. I mea e pale ai i kēia, e hāʻawi kāu hui lapaʻau iā ʻoe i ka lāʻau lapaʻau ma mua a ma hope o ka mālama ʻana.
I ka manawa hea e ʻike ai i ke kauka
Ke hoʻi ʻoe i ka home ma hope o ka mālama ʻana, pono ʻoe e ʻike i ka mea e hana ai inā kū mai kekahi mau pilikia.
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e kāhea i kāu kauka:
- Inā ʻoe e manaʻo i ka wela i ka wā e hoʻopā ai i nā wahi i hoʻopili ʻia ai ke kiʻikuhi.
- Inā puka mai kahi wai pilau e like me ka nahele mai kēlā mau wahi.
- Inā he kuni kou.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hele koke i ka haukapila Emergency Department (ETU) kokoke loa:
- Ka luaʻi nui a i ʻole ka luaʻi ʻana
- ʻEha poʻo nui loa
- Nā loli o ka ʻike
- Paʻakikī i ka ʻōlelo ʻana
- Loaʻa i kahi hopu ʻana
- ʻO nā hōʻailona ʻē aʻe āu i manaʻo ai he mea ʻē
ʻEhia ka lōʻihi e ʻike ai i nā hopena?
He nīnau kēia a nā poʻe he nui e nīnau ai. 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 lapaʻau. Aia ia i ke kūlana e mālama ʻia nei.
- No kahi ʻano ʻeha e like me ka neuralgia trigeminal , hiki ke hala i hoʻokahi lā a i ʻeono mahina no ka emi ʻana o ka ʻeha. Loaʻa ka hapa nui o ka poʻe i ka hōʻoluʻolu i loko o hoʻokahi mahina.
- I ke ʻano o nā maʻi ʻaʻai , hiki ke manaʻo ʻia e paʻa a emi paha i loko o kekahi mau pule a i kekahi mau mahina.
- Nā puʻupuʻu ʻaʻole maʻi kanesaʻO ka hapa nui o ka manawa, ʻoiai inā e pau kona ulu ʻana, ʻaʻole ia e liʻiliʻi.
- Hiki i nā kūlana e like me nā arteriovenous malformations (AVM) ke hala i ʻelua a ʻekolu mau makahiki e ho'ōla piha ai.
No ka ʻike ʻana i ke ʻano o ka hopena o ka lāʻau lapaʻau iā ʻoe, e hana hou kāu kauka i nā scan CT a i ʻole MRI i nā manawa maʻamau.
Leka Lawe-Home
- ʻAʻole ʻo Gamma Knife he ʻoki kino i hana ʻia me ka pahi maoli. He lāʻau ia e hoʻohana ana i nā kukuna radiation i kuhikuhi pono ʻia me ka ʻole o nā ʻoki.
- Hiki i kēia ke mālama palekana i nā puʻupuʻu a me nā pilikia ʻē aʻe i loko o ka lolo i hiki ʻole ke hoʻokō ʻia e ke ʻoki kino maʻamau.
- ʻAʻohe ʻeha i ka wā o ka mālama ʻana. He pōkole loa ka manawa hoʻōla, a hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i ka lā aʻe.
- Hiki ke hala nā mahina a i ʻole nā makahiki e ʻike i nā hopena piha o ka lāʻau lapaʻau, no laila he mea nui e hoʻomanawanui.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio ākea me kāu kauka e pili ana i ia mea.
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