Ke haʻi mai kekahi iā mākou he puʻupuʻu lolo ko lākou, makaʻu mākou. ʻO ka mea aʻe a mākou e noʻonoʻo ai, ʻo ia ka hana ʻoki lolo nui. Eia nō naʻe, me ka holomua o ka ʻepekema lapaʻau, ʻaʻole pono mau ka wehe ʻana i ke poʻo a hana i ke ʻoki. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā e hiki ai ke ho'ōla i nā puʻupuʻu liʻiliʻi a me nā wahi pilikia ʻē aʻe i loko o ka lolo me ka hoʻohana ʻana i nā kukuna radiation i kuhikuhi nui ʻia, me ka ʻole o nā ʻoki.
I ka ʻōlelo maʻalahi, he aha ka Stereotactic Radiosurgery (SRS)?
ʻOiai aia ka huaʻōlelo "ʻoki kino" ma kona inoa, ʻaʻole ia ke ʻoki kino kuʻuna āu e noʻonoʻo ai e hoʻohana ana i ka pahi a i ʻole ka ʻokiʻoki. ʻO Stereotactic Radiosurgery (SRS) kahi ʻano holomua loa o ka radiation therapy. I ka pololei, pili ia i ka hoʻohana ʻana i kahi mīkini kūikawā e hāʻawi i kahi moʻo o nā kukuna radiation kiʻekiʻe a maikaʻi loa i kahi kikoʻī o ka puʻupuʻu i loko o ka lolo.
E noʻonoʻo i nā kukuna he nui, e like me nā kukuna laser maikaʻi e hele mai ana mai nā ʻaoʻao like ʻole, e hui pū ana ma kahi like, ʻo ia hoʻi, kahi i loaʻa ai ka puʻupuʻu. A laila, ʻoiai e loaʻa ana i ka puʻupuʻu ka nui o ka radiation, ʻo ka pōʻino i ka ʻiʻo lolo olakino a maikaʻi a puni ia mea he liʻiliʻi loa ia. ʻO kēia ka pōmaikaʻi nui loa o kēia lāʻau lapaʻau.
ʻOiai ke ʻōlelo nei ka inoa ʻo 'ʻoki', ʻaʻohe ʻoki i pili. No laila, ʻoi aku ka haʻahaʻa o nā pilikia o kahi ʻoki maʻamau.
No nā kūlana hea e hoʻohana pinepine ʻia ai kēia lāʻau?
Inā loaʻa iā ʻoe kahi puʻupuʻu lolo, akā he mea weliweli loa ia e wehe iā ia me kahi hana maʻamau, hiki i kāu kauka ke ʻōlelo aku iā SRS. No ka laʻana, aia paha ka puʻupuʻu i loko o ka lolo, a kokoke paha i kahi kīʻaha koko koʻikoʻi a i ʻole ke aʻalolo. I ia mau hihia, palekana loa kēia lāʻau lapaʻau ʻaʻole invasive. I kekahi manawa hoʻohana ʻia hoʻi ia e luku i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.
Hoʻohana nā kauka i kēia ʻano SRS no nā puʻupuʻu maʻi kanesa a me nā puʻupuʻu ʻaʻole maʻi kanesa (benign).
| Nā kūlana maʻamau i mālama ʻia me SRS | |
|---|---|
| ʻO ka neuroma leo | ʻO Chordoma |
| ʻO ke Craniopharyngioma | ʻO Glioblastoma |
| ʻO Glioma | ʻO ka maʻi ʻōpū |
| ʻO ka Meningioma | ʻO nā puʻupuʻu lolo metastatic (nā puʻupuʻu i pālahalaha i ka lolo mai ke kanesa ma kahi ʻē aʻe) |
| ʻO ka Pineoblastoma | ʻO ka adenoma pituitary (ʻōpū o ke kelepa pituitary) |
Eia kekahi, hoʻohana ʻia kēia ʻano hana SRS e hoʻōki i ka pilikia o ke kahe ʻana o ke koko ma muli o nā hihia ʻino o nā kīʻaha koko i loko o ka lolo (arteriovenous malformation), a e hoʻōki i nā hōʻailona ʻeha mai ka hiki ʻana i ka lolo i ka ʻeha nui o ke aʻalolo e like me ka trigeminal neuralgia .
I kekahi manawa hoʻohana ʻia kēia ʻano hana e mālama i nā puʻupuʻu ma waho o ka lolo. No ka laʻana, nā puʻupuʻu i loko o ke ake, nā māmā, a i ʻole ka pancreas. Ua kapa ʻia kēia ʻo Stereotactic Body Radiation Therapy (SBRT) .
Pehea e hoʻomākaukau ai ma mua o ka mālama ʻana?
E hoʻomākaukau maikaʻi kāu hui lapaʻau iā ʻoe no kēia. E hana pinepine lākou i kēia mau mea:
- Ke nānā hou nei i kāu mōʻaukala lapaʻau piha.
- Ke wehewehe nei i ke kaʻina hana lapaʻau a me nā mea e manaʻo ai ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.
- Ke hoʻomaopopo nei i nā mea maʻi e pili ana i ka wā e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana ma mua o ka mālama ʻana.
- Nā ʻōlelo aʻoaʻo no ka pono e hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau ma mua o ka mālama ʻana.
- Ke hāʻawi nei i nā ʻōlelo kuhikuhi no ka hoʻomākaukau ʻana no ka lā o ka mālama ʻana (e laʻa, ʻaʻole e komo i nā mea hoʻonani a me nā mea hoʻonani).
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
I ka wā o ka mālama ʻana iā SRS, aia ʻoe i loko o ka lumi kahi o ka mīkini. Aia kāu hui lapaʻau i loko o kahi lumi ʻokoʻa a hoʻokele i ka mīkini me ka hoʻohana ʻana i kahi kamepiula. Ma muli o ka hōʻike maopopo ʻana o ka pale kamepiula i kahi o kou puʻupuʻu lolo, hiki iā lākou ke kuhikuhi pololei i ka radiation i kāna pahuhopu.
ʻOkoʻa iki paha ka lapaʻau āu e loaʻa ai ma muli o ke ʻano o ka mīkini i hoʻohana ʻia. ʻEkolu mau ʻano nui.
| ʻAno mīkini SRS | Pehea e hana ai |
|---|---|
| ʻO ka pahi Gamma® | E moe ʻoe ma luna o kahi moena kūikawā a e ʻaʻahu i kahi kiʻi kūikawā a i ʻole ka pale maka e hoʻopaʻa i kou poʻo. A laila e komo ka moena i loko o ka mīkini (ʻo ke poʻo wale nō). E kuhikuhi ka mīkini i ke kukuna radiation i ka puʻupuʻu. |
| Mea Hoʻolalelale Linear (LINAC) | Ma kēia kaʻina hana, e moe ʻoe ma luna o kahi moena me kahi kiʻikuhi e hoʻopaʻa ai i kou poʻo. E wili ana kahi lima i hoʻopili ʻia i ka mīkini a puni ʻoe i nā ʻāʻī, e kuhikuhi ana i ka radiation i ka puʻupuʻu. I kekahi manawa ua kapa ʻia kēia ʻano ʻo Cyberknife® . |
| Lapaʻau Proton | He hana hou kēia a he kakaikahi iki kahi e kuhikuhi ʻia ai kahi kukuna o nā ʻāpana proton ikehu kiʻekiʻe i ka puʻupuʻu. |
Nā ʻanuʻu o ka mālama ʻana
1. Wehewehe: Hōʻike lākou iā ʻoe hiki iā ʻoe ke kamaʻilio me ka hui lapaʻau i kēlā me kēia manawa ma o kahi ʻōnaehana intercom.
2. Ke kūlana: E kau ʻia ʻoe ma luna o kahi moe a kau ʻia i loko o kahi pale poʻo (kikowaena a pale maka paha). He mea nui e noho mālie e pale aku i ka hōʻike ʻana i nā ʻiʻo olakino i ka radiation.
3. Nā scan: Hana ʻia kekahi mau scan, e like me MRI a me CT scan , e ʻike i kahi kikoʻī o ka puʻupuʻu.
4. Hoʻolālā lapaʻau: Ma muli o kēia mau hopena scan, hoʻohana ka hui lapaʻau i nā kamepiula e hoʻolālā pololei i ke ʻano o ka hāʻawi ʻana i nā kukuna radiation. Hoʻoholo pū lākou inā e hāʻawi i kahi mahele nui i ka manawa hoʻokahi a i ʻole e hāʻawi iā ia i nā mahele liʻiliʻi i loko o kekahi mau lā.
5. Lapaʻau: E hāʻawi ka mīkini i ka lāʻau e like me ka hoʻolālā. ʻAʻole ʻoe e ʻeha i kēia manawa. Eia nō naʻe, lohe paha ʻoe i kekahi walaʻau i ka wā e hana ana ka mīkini.
ʻO ka maʻamau, hiki i kēia kaʻina holoʻokoʻa ke lawe ma kahi o 1-4 mau hola.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home ma hope o ka mālama ʻana. Eia nō naʻe, i kekahi manawa pono ʻoe e noho i ka haukapila no kekahi mau hola e nānā i nā hopena ʻaoʻao. ʻO nā hopena ʻaoʻao maʻamau:
- Luhi
- ʻEha poʻo
- Ka luaʻi a me ka luaʻi
- Ka nalowale o ka lauoho (ma kahi mālama ʻia)
- Nā loli ʻili
ʻO ka maʻamau, e nalowale kēia mau hōʻailona i loko o kekahi mau lā a i ʻole ʻelua a ʻekolu pule. Inā nalowale ka lauoho, e ulu hou ia i loko o ʻelua a ʻekolu mahina. E kuhikuhi kāu kauka i ka lāʻau lapaʻau e kōkua i ka mālama ʻana i kēia mau hōʻailona.
E haʻi aku lākou iā ʻoe e hoʻi mai i loko o hoʻokahi mahina e nānā i kou kūlana. Ma hope o kekahi mau mahina, e hana hou lākou i kahi scan e ʻike i ka mea i hana ʻia i ka puʻupuʻu. Hoʻemi nā puʻupuʻu kanesa i loko o kekahi mau mahina. Hiki ke hala i hoʻokahi a ʻelua paha makahiki e ʻike ai i kahi ʻokoʻa ma nā puʻupuʻu ʻaʻole kanesa.
Āhea ʻoe e ʻike ai i ke kauka?
Inā hoʻomau kekahi mau hōʻailona ʻē a i ʻole nā hōʻailona hou ma hope o ka mālama ʻana, e hōʻoia e haʻi i kāu kauka. I kekahi manawa hiki ke loaʻa nā kūlana e like me ka pehu ʻana o ka lolo. Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e like me corticosteroids no kēia. Eia kekahi, hiki ke ʻōlelo ʻia ka hoʻōla ʻōlelo a me ka hoʻōla hana inā pono.
Leka Lawe-Home
- ʻAʻole ʻo Stereotactic Radiosurgery (SRS) he ʻoki kuʻuna. He ʻano holomua ia no ka mālama ʻana i nā ʻōpū o ka lolo me ka radiation i kuhikuhi nui ʻia me ka ʻole o kahi ʻoki.
- ʻAʻole nui ka hōʻino ʻana o kēia kaʻina hana i nā ʻiʻo lolo olakino, no laila ua emi nā pilikia a me nā hopena ʻaoʻao ma mua o ke ʻoki kino maʻamau.
- ʻAʻohe ʻeha i ka wā o ka mālama ʻana. I ka hapanui o nā hihia, hoʻopau ʻia ka mālama ʻana i hoʻokahi lā a hiki iā ʻoe ke hoʻi i ka home.
- He mea maʻamau ka makaʻu a me ka hopohopo e pili ana i kēia ʻano lapaʻau. E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E wehewehe lākou i nā mea āpau iā ʻoe a hāʻawi iā ʻoe i ka hōʻoluʻolu noʻonoʻo āu e pono ai.
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