Loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā haʻalulu? I kekahi manawa hiki ke hoʻoluhi loa kēia a hiki ʻole iā ʻoe ke paʻa pono i ke kīʻaha kī a kau inoa paha i kahi palapala. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau hou e hiki ke hana me ka ʻole o ke ʻoki ʻana no ka poʻe i pilikia i ka kaohi ʻana i kēia kūlana ʻoiai ke lawe nei i ka lāʻau lapaʻau. Ua kapa ʻia kēia ʻo MR-Guided Focused Ultrasound.
He aha ka MR-Guided Focused Ultrasound (MRgFUS)?
I ka ʻōlelo maʻalahi, he hui pū ʻana kēia o nā ʻano hana ʻelua. E noʻonoʻo iā ia he hana a ʻelua mau hui akamai loa e hana pū ana.
- Imaging Magnetic Resonance (MR): ʻO kēia ka mea e hōʻike ana i ke ala. Ua ʻike mākou a pau e hiki i nā scan MRI ke kiʻi i nā kiʻi maopopo a kikoʻī o nā ʻōpū i loko o ko mākou kino. I loko o kēia lāʻau lapaʻau, kōkua kēia mau kiʻi MRI i nā kauka e ʻike pono i kahi o ka lolo e pono ai lākou e mālama, a nānā pū inā e holo pono ana nā mea āpau i ka wā o ka lāʻau lapaʻau.
- ʻO ke Ultrasound i kālele ʻia: ʻO kēia ke kanaka nāna e hana i ka lāʻau lapaʻau. He nalu leo alapine kiʻekiʻe ka Ultrasound i hiki ʻole i ko mākou mau pepeiao ke lohe. Hiki i kēia mau nalu leo ke hele ma waena o nā ʻiʻo e like me ko mākou ʻili, ka momona , a me ka iwi. Ma kēia lāʻau lapaʻau, ua hui pū ʻia ma mua o 1,000 mau kukuna ultrasound a kālele ʻia ma kahi pahuhopu liʻiliʻi i loko o ka lolo i ʻike ʻia e MRI. A laila, ʻo ia wahi i kālele ʻia wale nō e wela, e hana ana i kahi kuni liʻiliʻi (ʻeha). Hoʻopau kēia i nā ʻiʻo ʻē. Akā, ʻaʻole i hōʻeha ʻia nā ʻiʻo olakino a puni .
Pehea e hōʻemi ai kēia lāʻau i ka haʻalulu?
Aia kekahi ʻāpana o ko kākou lolo i kapa ʻia ʻo ka thalamus. Ua like ia me kahi hui kaʻaahi. Hoʻouna ia i nā hōʻailona e pili ana i ka neʻe ʻana o ko kākou kino a me nā manaʻo i mua a i hope. I nā maʻi e like me ka Essential Tremor a me Parkinson's, lilo ka hana o kēia thalamus i mea ʻē. ʻO ia ke kumu o ka haʻalulu .
Ma kēia lāʻau lapaʻau, hana nā kukuna ultrasound i kahi ʻeha liʻiliʻi ma ka thalamus o ka lolo, kahi e hoʻopilikia ai i ke kaapuni hana kūpono ʻole. Ke hana ʻia kēlā hoʻopilikia, e emi koke ana nā haʻalulu.
| Nā kūlana i ʻae ʻia no ka mālama ʻana | ʻIke koʻikoʻi |
|---|---|
| Haʻalulu Koʻikoʻi | No nā kūlana i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau. Pono ma luna o 22 mau makahiki. Ua ʻae ʻia e mālama i nā ʻaoʻao ʻelua o ke kino. |
| ʻO ka maʻi Parkinson i hoʻomalu ʻia e ka haʻalulu | No nā poʻe maʻi o Parkinson nona ka hōʻailona nui he haʻalulu. Pono lākou ma luna o 30 mau makahiki. |
| Nā kūlana ma lalo o ka hoʻokolokolo ʻia | Aia nō kēia ʻenehana i ke kahua noiʻi no ka mālama ʻana i nā haʻalulu, ka maʻi epilepsy, ka ʻeha neuropathic, a me nā ʻōpū lolo e pili ana me ka sclerosis maha (MS). |
E aʻo kākou e pili ana i ka hana o ka lāʻau lapaʻau.
He mea weliweli iki paha kēia, akā he hana i hoʻolālā maikaʻi ʻia a palekana hoʻi. E ala mau ʻoe i ka manawa holoʻokoʻa, no laila hiki iā ʻoe ke kamaʻilio me ka hui lapaʻau.
1. Hoʻomākaukau: I ke kakahiaka o ka lāʻau lapaʻau, e kahi ʻia kou poʻo. ʻO kēia no ka mea pono e pili nā kukuna ultrasound i kou ʻili. E nānā mau ʻia kou puʻuwai a me ke koko .
2. Kiʻikuhi Poʻo: A laila, e hoʻopaʻa ʻia kou poʻo i loko o kahi kiʻikuhi kūikawā e pale aku ai i kona neʻe ʻana. E hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻomaha ai iā ʻoe i kēia manawa, no laila ʻaʻohe mea e hopohopo ai.
3. ʻŌnaehana hoʻoluʻu: Hoʻohana ʻia kahi membrane silicone e hoʻohele i ka wai anuanu ma waena o kou iwi poʻo a me ka hāmeʻa ultrasound. Kōkua kēia i ka pale ʻana i kou poʻo mai ka wela nui ʻana.
4. I loko o ka mīkini MRI: E hoʻomoe ʻia ʻoe ma luna o ka moena MRI. E hoʻopaʻa ʻia kou poʻo i ka moena i hiki ʻole iā ʻoe ke hoʻoneʻe i kou poʻo. A laila, e hana ʻia kekahi mau scan lolo e hōʻoia i ka wahi kikoʻī o ka lāʻau lapaʻau.
5. Hoʻomaka i ka lāʻau lapaʻau: Ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau, e loiloi ʻia kou haʻalulu a e hāʻawi ʻia iā ʻoe kekahi mau hana liʻiliʻi e hana ai, e like me ke kaha kiʻi ʻana i nā pōʻai a me ke kākau ʻana i kou inoa. E hana hou ʻia kēia mau hana i ka wā o ka lāʻau lapaʻau e ʻike ai inā e emi ana kou haʻalulu.
6.Kaohi a me ka palekana: ʻO ka mea mua, hoʻouna ʻia ka ultrasound haʻahaʻa-ikaika e hōʻoia i ka pololei o ka pahuhopu. A laila, hoʻonui mālie ʻia ka ikehu. Nānā ʻia ka lolo me ka MRI i nā manawa a pau. Inā loaʻa iā ʻoe kahi pilikia a i ʻole ʻoluʻolu ʻole paha, aia kahi pihi ma kou lima e hiki ai iā ʻoe ke hoʻōki i ka lāʻau i kēlā me kēia manawa .
Ke pau ka mālama ʻana, e wehe ʻia nā lako āpau mai kou poʻo a e hoʻoneʻe ʻia ʻoe i ka lumi mālama no ka nānā ʻana. ʻO ka maʻamau, ʻo ke kaʻina hana holoʻokoʻa ma kahi o 3-4 mau hola.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, loaʻa i kēia kekahi mau pono a me kekahi mau pilikia.
| Nā Pōmaikaʻi | Nā hopena ʻaoʻao a me nā pilikia |
|---|---|
| Hoʻokahi manawa pinepine:
Nā pilikia hiki ke loaʻa:
|
E ho'ōla loa anei kēia i koʻu maʻi?
He pilikia kēia i loaʻa i nā kānaka he nui. ʻAʻole, minamina, ʻaʻole kēia e ho'ōla loa i kou maʻi. He lāʻau lapaʻau wale nō kēia no ka maʻi. ʻO ia hoʻi, hoʻomalu ia i nā haʻalulu, he hōʻailona ia o ka maʻi, akā ʻaʻole hiki i kēia lāʻau lapaʻau ke mālama i ke kumu o ka maʻi a i ʻole ke kāohi i ka holomua o ka maʻi.
ʻO wai ka mea kūpono ʻole no kēia lāʻau lapaʻau?
ʻAʻole kūpono kēia ʻano lapaʻau no kekahi poʻe.
- Inā he mau mea hao i hoʻokomo ʻia i loko o kou kino i kūlike ʻole me ka MRI (e like me nā pacemakers, kekahi mau pani hono).
- Inā he mau ʻeha e like me ka nahu ma ke poʻo.
- Inā he mau puʻupuʻu i loko o ke poʻo.
- Inā he mea maʻi ʻoe e hana ʻia ana i ka dialysis.
- Inā loaʻa iā ʻoe nā maʻi koʻikoʻi i kaohi ʻole ʻia a i ʻole nā maʻi ʻē aʻe.
- Inā ʻaʻole hiki iā ʻoe ke noho mālie ma kahi like no 4 mau hola.
- Inā ʻaʻole hiki iā ʻoe ke hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko.
ʻO ka hoʻoholo hope loa inā kūpono kēia lāʻau lapaʻau iā ʻoe e hana ʻia e kāu kauka a me kāna hui lapaʻau. E nānā pono lākou i kou kūlana a kūkākūkā me ʻoe i ka lāʻau lapaʻau kūpono loa iā ʻoe.
Leka Lawe-Home
- ʻO ka MR-Guided Focused Ultrasound kahi lāʻau lapaʻau ʻokiʻoki ʻole no ka haʻalulu koʻikoʻi a me ka maʻi Parkinson i hiki ʻole ke kāohi ʻia me ka lāʻau lapaʻau.
- ʻAe kēia i ka mālama ʻana i ka ʻāpana kūpono o ka lolo me ka hoʻohana ʻana i nā kukuna ultrasound, i alakaʻi ʻia e ka ʻenehana MRI, me ka wehe ʻole ʻana i ka iwi poʻo.
- ʻAʻole kēia he lāʻau lapaʻau no ka maʻi, akā he lāʻau lapaʻau wale nō ia e kaohi ai i ka hōʻailona o ka haʻalulu.
- ʻOiai he nui nā pono o kēia lāʻau lapaʻau, hiki iā ia ke hana i nā hopena ʻaoʻao no ka manawa pōkole, a me nā pilikia mau loa, he mea kākaʻikahi loa.
- No ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, pono ʻoe e kūkākūkā me kāu kauka a hoʻoholo ma hope o ka hoʻokolokolo olakino piha.
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