Ke lohe ʻoe i ka huaʻōlelo 'Gamma Knife Surgery', manaʻo paha ʻoe i kahi hana nui i hana ʻia me ka hoʻohana ʻana i ka pahi. ʻOiaʻiʻo, ʻoiai aia ka huaʻōlelo "Knife" ma ka inoa, ʻaʻohe pahi i hoʻohana ʻia, a ʻaʻohe ʻili i ʻoki ʻia. No laila he aha kēia Gamma Knife? He ʻoki maoli anei ia?
I ka ʻōlelo maʻalahi, he aha kēia Gamma Knife?
ʻO ke ʻoki ʻana o ka pahi Gamma he ʻano lapaʻau radiation holomua loa, ʻaʻole me ke ʻoki ʻana . ʻO ke ʻano kikoʻī, he ʻano ia i kāohi ʻia e ka kamepiula no ka mālama ʻana i nā ʻōpū a me nā kūlana ʻē aʻe ma ka lolo a me ke kuamoʻo o luna.
ʻO kēia ka hoʻohui ʻana i nā kukuna gamma ikehu kiʻekiʻe loa i loko o kahi kukuna maikaʻi a kuhikuhi wale iā lākou i nā ʻiʻo maʻi i kuhikuhi ʻia . ʻO ka hopena, he liʻiliʻi ka pōʻino i nā ʻiʻo olakino a puni.
ʻO ka huaʻōlelo "pahi" ma ka inoa e pili ana i ke ʻano pololei a me ka pololei o ka hana ʻana o ke kauka ʻoki i kahi ʻoki me ka pahi, a pehea e hiki ai ke kuhikuhi pololei i kēia mau kukuna gamma i ka pahuhopu. I nā huaʻōlelo ʻē aʻe, ua like ia me ke ʻoki ʻana me ka ʻole o ka ʻoki ʻana i ke kino. Ua kapa ʻia hoʻi kēia ʻo Stereotactic Radiosurgery .
He aha nā maʻi e hoʻohana ʻia ai ka lāʻau Gamma Knife?
ʻO ka pahuhopu nui o ka lāʻau lapaʻau Gamma Knife, ʻo ia ke kāohi i ka ulu ʻana, hoʻēmi, a luku loa paha i kahi puʻupuʻu a i ʻole nā ʻiʻo ʻē aʻe i loko o ka lolo. Hoʻohana pinepine ʻia kēia lāʻau lapaʻau no nā ʻano ʻē liʻiliʻi i loko o ka lolo.
Hiki i ka papa ma lalo nei ke wehewehe hou aku i kēia.
| ʻAno o ke kūlana olakino | Nā maʻi kikoʻī i mālama ʻia (nā laʻana) |
|---|---|
| nā puʻupuʻu lolo (cancerous a me noncancerous) |
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| Nā ʻano ʻē i loko o nā kīʻaha koko | Nā malformations Arteriovenous (AVM) - ka hoʻopili ʻana o nā aʻa a me nā veins ma ke ʻano kūpono ʻole. |
| Nā maʻi neurological |
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I kekahi manawa, he mea pono loa ke ʻano hana Gamma Knife no ka mālama ʻana i nā puʻupuʻu i loko o ka lolo a ʻaʻole hiki ke hiki ʻia e ke ʻoki kino maʻamau. He koho maikaʻi nō hoʻi inā, no kekahi kumu, ʻaʻole hiki iā ʻoe ke hana i ke ʻoki kino ma lalo o ka anesthesia .
Pehea ʻoe e hoʻomākaukau ai no kēia lāʻau lapaʻau?
Ma mua o ka mālama ʻana, pono ʻoe e ʻike i kahi neurosurgeon a/a i ʻole radiation oncologist. E nānā lākou iā ʻoe a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
Nā mea e haʻi aku i kāu kauka:
- I loko o kou kinoInā loaʻa iā ʻoe kahi mea i hoʻokomo ʻia, e like me ka pacemaker, cochlear implant, ka pamu lāʻau lapaʻau, a i ʻole ka mea hoʻoulu nerve, pono ʻoe e haʻi aku.
- E haʻi mai iā mākou e pili ana i kou mau maʻi allergies.
- Inā pilikia ʻoe e noho pololei no 30-60 mau minuke i ka manawa ma muli o nā kūlana e like me ka maʻi māmā a i ʻole ka reflux esophageal, e ʻoluʻolu e hoʻomaopopo mai iā mākou ma mua.
ʻŌlelo aʻoaʻo maʻamau:
- Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka lā ma mua o ka lāʻau lapaʻau.
- E lawe i kāu lāʻau lapaʻau kakahiaka me ka wai liʻiliʻi. E lawe mai i kāu mau lāʻau lapaʻau a pau, me nā mea hoʻoheheʻe, i ka haukapila.
- E holoi pono i ka lauoho i ka pō ma mua o ka mālama ʻana.
- Mai kau i nā ʻūmiʻi, nā pine, a i ʻole nā kāʻei i kou lauoho i ka lā o ka mālama ʻana.
- E ʻaʻahu i nā kāmaʻa e maʻalahi ke wehe a me nā lole palupalu. E pale i nā lole e hiki ke huki ʻia ma luna o kou poʻo a wehe ʻia.
- E hoʻonohonoho pono i kekahi e lawe iā ʻoe i ka haukapila a hoʻi i ka home .
ʻO ke kiʻi āu i kau ai ma kou poʻo, ka pale maka... he aha kēia?
I ka wā o ka mālama ʻana i ka Gamma Knife, hoʻohana ʻia kahi mea hana kūikawā e hoʻopaʻa i kou poʻo. Loaʻa kēia i ʻelua ʻano.
1. Mōlina: Ma kēia ʻano hana, ua hoʻopili ʻia kahi mōlina metala māmā i kou poʻo. Kōkua kēia i ka noho mālie ʻana o kou poʻo a kuhikuhi pololei i nā kukuna gamma i ka pahuhopu.
2. Frameless: Ma kēia, ua kau ʻia kahi pale maka thermoplastic i hana ʻia a i ʻole mesh ma luna o kou maka.
E makaʻu iki paha ʻoe ke lohe ʻoe e pili ana i kēia kiʻikuhi e hoʻokomo ʻia ana i kou poʻo. Akā, mai hopohopo. Hana ke kime lapaʻau penei:
- ʻO ka mea mua, ua hoʻokomo ʻia kahi anesthetic kūloko i ke alo, nā ʻaoʻao, a me ke kua o kou poʻo e hoʻomāno iā ia . No laila, ʻaʻole ʻoe e ʻeha.
- A laila, hoʻopaʻa ʻia ke kiʻikuhi i ka iwi poʻo me ka hoʻohana ʻana i ʻehā mau pine liʻiliʻi i kau ʻia ma nā wahi mae. Hiki iā ʻoe ke manaʻo i kahi kaomi iki, akā ʻaʻohe ʻeha.
- ʻAʻohe pono e hopohopo no kēia.
Me ke ʻano Frameless, ʻaʻohe manaʻo ʻeha e like me ia. E hāʻawi nā kauka iā ʻoe i ka lāʻau lapaʻau inā pono e hoʻomālielie iā ʻoe i ka wā o ka mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Aia kekahi mau hana ma mua o ka hoʻomaka ʻana o ka lāʻau lapaʻau.
- Hoʻokomo IV: E kau ʻia kahi cannula IV i loko o kahi aa koko ma kou lima. E hoʻohana ʻia kēia e hāʻawi iā ʻoe i ka lāʻau lapaʻau e kōkua iā ʻoe e hoʻomaha, inā pono, a e hāʻawi iā ʻoe i ka dye contrast no nā scans .
- Nā hoʻāʻo kiʻi: E hana ʻia kahi scan CT a me/a i ʻole MRI scan e ʻike pono i kahi a me ka nui o kou maʻi lolo.
- Hoʻolālā lapaʻau: Ma hope o ka nānā ʻana i nā hōʻike scan, e hoʻohana kāu hui lapaʻau (neurosurgeon, radiation therapist, medical physicist) i kahi kamepiula e hoʻolālā i kāu lapaʻau. Maanei lākou e hoʻoholo ai i ka nui o ka radiation e hāʻawi a me kahi e hāʻawi ai.
A laila hoʻomaka ka lāʻau lapaʻau. E moe ʻoe ma luna o kahi papaʻaina e komo ana i loko o ka mīkini. ʻAʻole ʻoe e ʻike i kekahi ʻeha, wela a walaʻau paha i ka wā o ka lāʻau lapaʻau. E hiamoe ka hapa nui o ka poʻe i kēia manawa. E nānā mau ana ka hui lapaʻau iā ʻoe mai waho. Aia kahi microphone nou inā makemake ʻoe e kamaʻilio.
A pau ka mālama ʻana, wehe ʻia ke kiʻi a i ʻole ka pale maka a wehe ʻia ka IV. Hiki i ka mālama holoʻokoʻa ke hala ma waena o 30 mau minuke a ʻelua hola.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? Nā pono a me nā hopena ʻaoʻao
Hiki paha iā ʻoe ke hiamoe iki ma hope o ka mālama ʻana. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a hoʻomau i kāu mau hana maʻamau i ka lā aʻe.
| Nā pono a me nā pilikia o ka mālama ʻana i ka Gamma Knife | |
|---|---|
| Nā pono nui |
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| Nā hopena ʻaoʻao liʻiliʻi paha |
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| Nā pilikia koʻikoʻi kākaʻikahi |
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ʻO ka mea nui, hiki ke hala nā pule, nā mahina, a i ʻole hoʻokahi makahiki a ʻoi aku paha e ʻike i nā hopena mai ka lāʻau lapaʻau. Aia ia i kou kūlana. No laila he mea nui e hoʻomanawanui.
Āhea ʻoe e ʻike ai i ke kauka?
Ma hope o ka mālama ʻana, inā ʻike ʻoe i nā hōʻailona aʻe, e kāhea i kāu kauka .
- Inā ʻoe e manaʻo i ka wela ke hoʻopā ʻoe i nā wahi i hoʻopili ʻia ai ke kiʻikuhi.
- Inā puka mai kahi wai ʻala pilau e like me ka pus mai kēlā mau wahi.
- Inā he kuni kou.
Inā loaʻa nā hōʻailona koʻikoʻi ma lalo nei, 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
Leka Lawe-Home
- ʻAʻole ʻo Gamma Knife he hana ʻoki kino i hana ʻia me ka pahi. He ʻano lapaʻau radiation holomua loa ia a pololei hoʻi ʻaʻole e ʻoki i ka ʻili.
- Hoʻohana ʻia kēia e mālama i nā kūlana e like me nā puʻupuʻu, nā ʻano kīnā o ke kīʻaha koko, a me nā maʻi neurological i loko o ka lolo a me ke kuamoʻo kiʻekiʻe.
- ʻAʻohe ʻeha i ka wā o ka mālama ʻana. He pōkole loa ka manawa hoʻōla. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i ka lā aʻe.
- Hiki ke hala nā hebedoma, nā mahina, a i ʻole nā makahiki e ʻike ai i nā hopena piha o ka lāʻau lapaʻau, no laila he mea nui ke ahonui.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia lāʻau lapaʻau, e kūkākūkā ākea me kāu kauka.











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