Ke manaʻo nei ʻoe i kekahi manawa ua ʻoluʻolu ʻole ʻoe me kou mau lima e haʻalulu ana, ʻaʻole hiki ke paʻa pono i ke kīʻaha kī? A i ʻole ke loaʻa nei kekahi āu i ʻike i kēia maʻi? ʻAʻohe huaʻōlelo e wehewehe i ka ʻeha a me ka ʻoluʻolu ʻole āu e manaʻo ai ke hiki ʻole iā ʻoe ke hana i nā mea maʻalahi e like me ke kau inoa ʻana i kahi palapala a i ʻole ke kau ʻana i kahi meaʻai i loko o kou waha. ʻO ka hapa nui o ka manawa, loaʻa i kekahi poʻe ka hōʻoluʻolu mai nā lāʻau lapaʻau i hāʻawi ʻia no kēia, akā no kekahi poʻe, ʻaʻole hana kēlā mau lāʻau. No laila, ʻo ka mea aʻe nā mea e like me ke ʻoki lolo. Akā ʻo wai ka mea makaʻu ʻole i ka wā e pili ana i ke ʻoki? Akā, mai makaʻu, i kēia lā e kamaʻilio mākou e pili ana i ke ʻano lapaʻau hou loa a kupaianaha loa no kēia haʻalulu hiki ke hana me ka ʻole o ke ʻoki ʻana, me ka ʻole o nā ʻoki.
He aha ke ʻano o ka ultrasound i alakaʻi ʻia e MR?
He mea paʻakikī paha kēia inoa, akā he mea maʻalahi loa ia. I ka ʻōlelo maʻalahi, he lāʻau lapaʻau ia e hoʻohui i ʻelua mau ʻenehana.
1. MR (Magnetic Resonance) Imaging: ʻO kēia ke kiʻi MRI āu i ʻike ai. Ua like ia me kahi palapala ʻāina maopopo loa e hōʻike ana i nā alanui a me nā hale i loko o ko kākou lolo. Hiki i nā kauka ke nānā i kēia mau kiʻi MRI a loaʻa kahi kikoʻī i loko o ka lolo e mālama ai, a hiki i ka millimeter . Kōkua pū ia iā lākou e hōʻoia i ka holo pono ʻana o nā mea āpau i ka wā o ka mālama ʻana.
2. Ultrasound Kūleʻa: He nalu leo alapine kiʻekiʻe ka Ultrasound i hiki ʻole iā kākou ke lohe. E like me kou wā kamaliʻi, e hoʻopololei ʻoe i ka lā ma kahi ʻāpana pepa a puhi iā ia. Hoʻopololei kēia ʻenehana i nā nalu leo he 1,000 a ʻoi aku i ka manawa like ma kahi pahuhopu liʻiliʻi i loko o ka lolo. ʻO kahi wale nō kahi i hoʻopololei ʻia ai kēia mau kukuna leo e wela ai, e luku ana i nā cell pilikia ma laila. ʻO ka mea kupanaha, ʻaʻole i hōʻino ʻia nā cell lolo olakino a puni lākou.
ʻO ia hoʻi, me ka wehe ʻole ʻana i ke poʻo, hoʻouna ʻia nā nalu kani mai waho mai a mālama ʻia wale nō kahi i loaʻa ai kahi pilikia i loko o ka lolo.
No wai kēia lāʻau lapaʻau maikaʻi? No nā ʻano maʻi hea?
Ua ʻāpono ka US Food and Drug Administration (FDA) i kēia lāʻau lapaʻau no ʻelua mau kūlana.
- Haʻalulu koʻikoʻi: He ʻano kēia i loaʻa i nā kānaka he nui e hoʻoluliluli ai i ko lākou mau lima, ke poʻo, a i ʻole ka leo. He ikaika loa ka haʻalulu ke hoʻāʻo nei lākou e hana i kekahi mea. Loaʻa kēia lāʻau lapaʻau no ka poʻe hiki ʻole ke kāohi i ko lākou haʻalulu me ka lāʻau lapaʻau .
- ʻO ka maʻi Parkinson i hoʻomalu ʻia e ka haʻalulu: ʻOiai he nui nā hōʻailona o ka maʻi Parkinson, no kekahi poʻe, ʻo ka haʻalulu ka hōʻailona nui. He kūpono hoʻi kēia lāʻau no ia poʻe.
He mea nui: Ke hana nei kēia lāʻau lapaʻau i ke kahua noiʻi no nā maʻi neurological ʻē aʻe (e like me ka multiple sclerosis, epilepsy), no laila ʻaʻole paha e kūpono no nā kānaka āpau.
Pehea e hōʻemi ai kēia ʻano hana i ka haʻalulu?
He moʻolelo hoihoi loa kēia. Aia kekahi ʻāpana o ko kākou lolo i kapa ʻia ʻo thalamus . Ua like kēia me ke kikowaena hoʻololi kelepona nui ma ko kākou ʻāina. Hoʻouna ʻia nā hōʻailona motor a me nā sensory mai nā ʻāpana like ʻole o ke kino i nā ʻāpana ʻē aʻe o ka lolo mai ʻaneʻi.
He kīnā liʻiliʻi ko ka poʻe me ka haʻalulu koʻikoʻi a me ka maʻi Parkinson i nā kaapuni o ka thalamus. ʻO ia ke kumu e hoʻouna ʻia ai nā hōʻailona hewa a hoʻomaka nā lima e haʻalulu.
ʻO kēia lāʻau lapaʻau e pili ana i ke kuhikuhi pololei ʻana i ke kukuna ultrasound i kahi o nā hōʻailona hewa a hana i kahi ʻeha liʻiliʻi ma laila. Ua like ia me ka hoʻopau ʻana i kahi kuapo hewa. Hoʻōki ke kahe ʻana o nā hōʻailona hewa, a emi koke a pau loa paha nā haʻalulu .
Kaʻina hana lapaʻau ʻanuʻu
ʻAe, e nānā kākou i ka mea e hana ʻia ke pau kēia lāʻau lapaʻau. ʻAʻohe mea e hopohopo ai, ʻaʻohe ʻoki a palapū paha.
1. Hoʻomākaukau: I ke kakahiaka o ka lāʻau lapaʻau, e kahi ʻia kou lauoho a pau. ʻO kēia no ka mea pono e pili nā nalu ultrasound i kou poʻo. A laila, e nānā ʻia kou puʻuwai a me ke koko.
2. Kiʻikuhi Poʻo: E kau ʻia kahi kiʻikuhi kūikawā ma kou poʻo e pale aku i kou poʻo mai ka neʻe iki ʻana. I loko o kēia manawa, e hāʻawi ʻia ʻoe i kahi lāʻau liʻiliʻi ma o kahi aʻa e kōkua iā ʻoe e hōʻoluʻolu iki.
3. I loko o ka mīkini MRI: A laila e hoʻouna ʻia ʻoe i loko o ka mīkini MRI. ʻAʻole hiki iā ʻoe ke hoʻoneʻe i kou poʻo ma muli o ke kiʻikuhi i hoʻopili ʻia i kou poʻo. E lawe nā kauka i nā scan o kou lolo a koho i kahi kūpono e mālama ai.
4. Hoʻāʻo ʻana: Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e noi aku ke kime lapaʻau iā ʻoe e kahakiʻi i nā pōʻai, e kākau i kou inoa, a i ʻole e hana i kekahi mau mea me kou mau manamana lima. E ana kēia i ke koʻikoʻi o kou haʻalulu.
5. Hoʻomaka i ka lāʻau lapaʻau: ʻO kēia kahi e hoʻomaka ai ka hana maoli. ʻO ka mea mua, hoʻouna ʻia nā nalu ultrasound haʻahaʻa ikehu i ka pahuhopu e hōʻoia i kona wahi kūpono. Ma hope o ka hōʻoia ʻana me kahi MRI, hoʻonui mālie ʻia ka ikehu.
6. Kāu pane: Ua ala ʻoe i ka wā e hana ana i kēia mau mea a pau. Hiki iā ʻoe ke kamaʻilio me ka hui lapaʻau. E nīnau mau lākou iā ʻoe pehea kou manaʻo. E noi pū lākou iā ʻoe e hana i nā mea like āu i hana ai ma mua, e like me ke kaha kiʻi a me ke kākau ʻana. E ʻike ʻoe e emi ana ka haʻalulu ma laila.
7. Pihi hoʻōki ulia pōpilikia: Aia kahi pihi hoʻōki ulia pōpilikia ma kou lima hiki iā ʻoe ke kaomi i ka wā o ka mālama ʻana. Inā ʻoe e manaʻo i kekahi ʻeha, e pau ka mālama ʻana i ka wā e kaomi ai ʻoe.
8. Pau:Ke kāohi maikaʻi ʻia nā haʻalulu, hoʻouna ʻia nā nalu ultrasound i ka ikaika kūpono e hōʻailona piha i ka pahuhopu. ʻO ke kaʻina holoʻokoʻa e lawe ma kahi o 3-4 mau hola. Ma hope o kēlā, wehe ʻia nā mea hana a pau mai kou poʻo a hoʻoneʻe ʻia ʻoe i kahi keʻena nānā.
Nā hopena a me nā pono a me nā hemahema
ʻO ka mea maikaʻi loa e pili ana i kēia lāʻau lapaʻau, hiki iā ʻoe ke ʻike koke i nā hopena. Ua hōʻike ʻia e ka noiʻi ua emi koke ka haʻalulu o ka poʻe he nui ma 50% - 60%.
| He aha nā pōmaikaʻi o kēia lāʻau lapaʻau? | He aha kēlā manaʻo? |
|---|---|
| ʻAʻohe ʻoki. | ʻAʻole ʻoki ʻia ka ʻili a ʻaʻole hoʻi i hou ʻia ke poʻo. No laila, ʻaʻohe ʻeha a humuhumu paha. |
| ʻAʻohe komo ʻana o nā lako | ʻAʻohe mea e like me nā electrodes i hoʻokomo ʻia i loko o ka lolo. |
| ʻAʻohe radioactivity. | He mau nalu kani kēia, ʻaʻole ka pāhawewe e like me nā kukuna X. |
| ʻAʻohe anesthesia piha. | ʻAʻole ia e hoʻopau loa iā ʻoe. Ua ala ʻoe, no laila hiki iā ʻoe ke ʻike koke i nā hopena. |
| Haʻahaʻa ka pilikia o ka maʻi | Ma muli o ka ʻole o kahi ʻoki ʻia, ʻaʻohe pilikia o ke kahe ʻana o ke koko a i ʻole ka maʻi ʻeha. |
Ua maikaʻi nā mea a pau? ʻAʻohe hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau hopena ʻaoʻao a me nā pilikia, akā ʻo ka hapa nui o lākou he manawa pōkole .
- Ka luaʻi a me ke poʻo (i ka wā o ka mālama ʻana)
- Ka mae wale ʻana o ka manamana lima a i ʻole nā lehelehe no ka manawa pōkole
- ʻO ka palaualelo iki i ka wā e hele ana, nā pilikia kaulike (manawa pōkole)
- Paʻakikī i ka ʻōlelo ʻana a i ʻole ke ale ʻana (manawa pōkole)
Aia kekahi mau pilikia lōʻihi .
- Hiki ke hoʻi hou nā haʻalulu i nā mahina a i ʻole nā makahiki ma hope o ka lāʻau lapaʻau.
- I kekahi manawa, ʻaʻole paha e emi iki nā haʻalulu.
- I nā hihia kakaikahi loa (ma kahi o 10-15% o nā kānaka), hiki ke mau loa ka nāwaliwali o nā ʻiʻo a me ka maneo.
ʻO ka mea nui loa: Hoʻomalu wale kēia lāʻau i nā hōʻailona o ka haʻalulu, akā , ʻaʻole ia e ho'ōla i ka maʻi kumu (essential tremor a i ʻole Parkinson's). ʻAʻole ia e hoʻōki i ka holomua o ka maʻi.
No wai kēia lāʻau lapaʻau i kūpono ʻole?
ʻAʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. ʻAʻole kūpono ia no ka poʻe me nā kūlana penei:
- ʻO nā kānaka me nā mea hao i loko o ko lākou kino (e like me nā pacemakers, nā koʻokoʻo spinal, nā implants joint) no ka mea, hana ʻia kēia i loko o kahi mīkini MRI.
- Nā kānaka me nā ʻōpala nui ma ko lākou poʻo.
- Nā kānaka me nā puʻupuʻu lolo.
- ʻO nā kānaka me ka hāʻule ʻana o nā puʻupaʻa e hana ʻia ana i ka dialysis .
- ʻO nā kānaka me nā maʻi koʻikoʻi a i ʻole nā maʻi i hiki ʻole ke kaohi.
- ʻO nā kānaka hiki ʻole ke noho mālie ma ke kūlana like no 3-4 mau hola.
- ʻO ka poʻe hiki ʻole ke hoʻōki i ka lawe ʻana i ka antiplatelet a i ʻole ka anticoagulation therapy .
No laila, pehea ʻoe e ʻike ai inā kūpono kēia lāʻau lapaʻau iā ʻoe?
ʻO kēia ka mea nui loa. ʻAʻole hiki iā ʻoe ke hoʻoholo wale i kēia. Pono ʻoe e kamaʻilio me kāu kauka neurologist e pili ana i kēia.
Ma keʻano laulā, he moho maikaʻi paha ʻoe no kēia,
- Inā ua hōʻoia pololei ʻia ʻoe me ka Essential Tremor a i ʻole ka maʻi Tremor-dominant Parkinson .
- Inā ʻaʻole i kāohi ʻia kou mau haʻalulu e ka lāʻau lapaʻau i kuhikuhi ʻia nou.
- Inā ke hoʻopilikia nei kēia haʻalulu i kāu mau hana o kēlā me kēia lā (e like me ka ʻai ʻana, ke kākau ʻana, ka inu ʻana i ka wai) a hiki i kahi hiki ʻole iā ʻoe ke hana .
E nānā pono kāu kauka iā ʻoe, e hana i nā hoʻokolohua hou aʻe inā pono, a e wehewehe iā ʻoe inā ʻo kēia lāʻau lapaʻau, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe e like me Deep Brain Stimulation (DBS), ka mea kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ke ultrasound i alakaʻi ʻia e MR kahi ʻano lapaʻau hou no nā haʻalulu lima i hana ʻia me ke ʻoki ʻole a ʻoki ʻole paha.
- Hoʻohana kēia i ka ʻenehana MRI e ʻike i ka wahi kikoʻī ma ka lolo a mālama wale i kēlā wahi me nā nalu kani ultrasound.
- ʻIke koke ʻia nā hopena. He palekana ia no ka hapa nui o nā kānaka.
- E kāohi kēia i nā haʻalulu, akā, ʻaʻole ia e ho'ōla loa i ka maʻi.
- Me nā pono o kēia lāʻau lapaʻau, aia kekahi mau pilikia a me nā hopena ʻaoʻao.
- ʻO ʻoe wale nō a me kāu kauka ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe, no laila e kamaʻilio pono me lākou e pili ana i ia mea.
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