We yu yɛri di wɔd ‘Gamma Knife Surgery’, yu kin tink bak bɔt ɔpreshɔn we dɛn kin du wit nɛf? Pan ɔl we di nem se ‘naif’, i nɔ rili yuz nɛf ɔ say we dɛn kɔt am. So wetin na am? Fɔ tɔk am simpul wan, na wan tritmɛnt we rili advans, we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt raytin. Lɛk lɛsa bim, i kin jɔs go na di say we gɛt prɔblɛm na di bren, ɛn i nɔ kin mek ɛni damej pan di wɛlbɔdi tisu we de rawnd am. So lɛ wi tɔk bɔt ɔl dis tide.
Wetin rili na Gamma Naif tritmɛnt?
Imajin se yu gɛt smɔl tumbu na wan rili smɔl, kɔmpleks eria na yu bren. If yu fɔ pul am wit nɔmal ɔpreshɔn, yu go gɛt fɔ kɔt pat dɛn na yu bren we gɛt wɛlbɔdi fɔ mek yu go ebul fɔ du am. Dat na smɔl risky. Na da tɛm de wan teknɔlɔji we dɛn kɔl Gamma Knife kin rili yusful.
Dis kin min se bɔku bɔku gama rayt dɛn we gɛt bɔku ɛnaji, we kɔmpyuta tɛknɔlɔji kin kɔntrol, we dɛn kin aim fɔ jɔs di prɔblɛm sɛl dɛn na di bren di sem tɛm. wan singl rayt kin wik fכ insεf, so i nכ de ambɔg di hεlty tisu dεm we i de pas na di bren. Bɔt we bɔku bɔku pan dɛn rayt ya kin gɛda na wan ples, jɔs usay di tumbu de, dɛn kin mek inof ɛnaji fɔ pwɛl dɛn sɛl dɛn de. I tan lɛk se yu de yuz magnifying glas fɔ fos di san in rayt ɛn put faya pan wan pepa. Na dat mek i kin mek ‘ɔpareshɔn’ ifɛkt, we nɔ gɛt ɛni insishɔn. Dis de pan wan kategori we dεn kכl ‘Stiriotaktik Rediosurgery’ .
Us kɔndishɔn dɛn kin mɛn wit dis tritmɛnt?
Di men gol fɔ Gamma Naif tɛrapi na fɔ stebul, shrink, ɔ pwɛl kpatakpata wan tumbu ɔ ɔda abnɔmal tin na di bren. Dɛn kin yuse am fɔ smɔl smɔl prɔblɛm dɛn we kin apin na yu bren.
Mainly, dis na sɔm pan de kes dɛm wae dɛn kin yuse dis tritmɛnt:
- Bren tumor: Dɛn tin ya kin bi kansa ɛn nɔ kin gɛt kansa.
- Blɔd vesel abnɔmaliti: Na tin dɛn we di blɔd vesel dɛn na di bren kin tandul.
- Nεv abnɔmaliti: Sɔm kayn pen wae gɛt fɔ du wit nerv.
Di tebul we de dɔŋ ya de sho sɔm pan di kɔmɔn tin dɛm we dɛn kin yuz Gama Naif tɛrapi fɔ.
| Di sik kategori | Ɛgzampul dɛn |
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| Bren Tumɔs dɛn |
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| Ɔda tin dɛn we kin apin to pɔsin |
Gamma Naif na fayn opshɔn if yu gɛt tumbu we tu dip na yu bren fɔ mek dɛn ebul fɔ du am wit kɔmɔn ɔpreshɔn, ɔ if yu nɔ ebul fɔ du ɔpreshɔn fɔ ɔda wɛlbɔdi rizin. Sɔntɛnde, dɛn kin yuz dis tritmɛnt bak fɔ mek di tumbu nɔ kam bak afta dɛn dɔn du di kɔmɔn ɔpreshɔn.
Aw a fɔ pripia bifo a gɛt tritmɛnt?
Bifo dis tritmɛnt, yu go nid fɔ go to nyurosɔjɔn ɛn wan dɔktɔ we de mɛn di raytin ɔnkɔlɔji. Dɛn go chɛk yu. Dis tɛm, if yu gɛt ɛni tin we dɛn put insay yu bɔdi, lɛk pesmɛka, kɔklia implant, mɛrɛsin pɔmp, ɔ nerve stimulator , yu fɔ rili tɛl yu dɔktɔ bɔt dɛn.
Dɛn go aks bak bɔt ɛni alɛji we yu gɛt. Dɛn go aks yu fɔ ledɔm pan yu bak fɔ 30-60 minit we dɛn de du dis tritmɛnt. If yu gɛt prɔblɛm wit yu lɔng ɔ yu gɛt ɛsophageal reflux, i kin at fɔ ledɔm. Tɛl yu dɔktɔ bɔt dis bak.
Di mɛdikal tim go gi yu klia instrɔkshɔn bɔt wetin yu nid fɔ fala frɔm di de bifo yu tritmɛnt. Bɔku tɛm, dɛn instrɔkshɔn ya kin bi:
- Nɔ it ɔ drink ɛnitin frɔm midulnɛt di de bifo di tritmɛnt.
- If yu gɛt ɛni mɛrɛsin fɔ tek na mɔnin, tek am wit wan sip wata. Briŋ ɔl di mɛrɛsin dɛn we yu de yuz (inklud di wan dɛn we de inhala) na ɔspitul.
- Wash yu ed fayn fayn wan di nɛt bifo di tritmɛnt ɛn kip am klin.
- Nɔ put ɛni klip, pin, ɔ band na yu ia di de we dɛn de trit yu. Lɛf yu ia lɔs.
- Wear klos we nɔ tayt ɛn sus we izi fɔ wɛr ɛn pul. Nɔ wɛr klos we yu kin pul oba yu ed.
- Mek shɔ se yu kam wit pɔsin fɔ go ɛn kam bak na tritmɛnt ɛn os.
If yu gɛt ɛni kwɛstyɔn, fred, ɔr dawt bɔt dis tritmɛnt, aks di dɔktɔ bɔt am we yu si am. I go rili mek yu fil fri bak.
Wetin na Fram ɛn Framlɛs?
Tu we dɛn de we dɛn kin yuz Gamma Naif.
1. Fram we: Insay dis we, dɛn kin yuz mɛtal (bɔku tɛm na aluminiɔm) freym we dɛn kin tay pan yu ed. Dis freym de kip yu ed na wan ples we yu de du di tritmɛnt ɛn i de ɛp fɔ dayrɛkt di gama rayt prɛsishɔn to di target.
2. We we nɔ gɛt freym: Insay dis we, dɛn kin put tɛmplastik mask ɔ nɛt oba yu fes. Dɛn kin tay dis pan wan freym na di tritmɛnt bed, we kin ɛp fɔ mek yu ed stil.
Sɔm pipul dɛn kin fred we dɛn yɛri se dɛn de tay dis freym na yu ed. Bɔt nɔ fred. Bifo dɛn tay dis freym na yu skel wit 4 smɔl pin dɛn, dɛn kin injɛkt wan lokal anestetik na ɔl di 4 ples dɛn fɔ mek dɛn nɔ gɛt bɛtɛ trɛnk. So yu nɔ go fil ɛni pen. Yu kin fil se yu de pinch smɔl. Ɛn yu nɔ nid fɔ sheb yu ed.
Aw di tritmɛnt de wok stɛp bay stɛp
Di de we dɛn de trit am, dɛn kin fala dɛn tin ya:
Fɔ pripia bifo dɛn gɛt tritmɛnt
- Fɔ put IV layn: Dɛn go put IV layn insay wan vein na yu an. I go gi yu spɛshal likwid (kɔntrast ɛjɛn) fɔ ɛp wit di skan dɛn ɛn if nid de, i go gi yu wan mɛrɛsin we de mek yu fil kol. Fɔ yɔŋ pikin dɛn, dɛn kin gi dɛn jenɛral anestezi.
- Skan: Dɛn go du CT skan ɛn/ɔ MRI skan fɔ yu bren. Dis go ɛp fɔ no di rayt sayz, shep, ɛn usay di say we dɛn fɔ trit de. Dis go tek lɛk 30 minit so.
- Fɔ plan aw fɔ trit yu: Afta dɛn dɔn luk di skan ripɔt dɛn, di nyurosɔjɔn, di dɔktɔ we de mɛn di rɛdyushɔn ɔnkɔlɔjis, di dɔktɔ we de mɛn fizik, ɛn ɔda pipul dɛn kin wok togɛda na kɔmpyuta fɔ plan di tritmɛnt we yu go gɛt. Dis na di say we dɛn kin disayd usay fɔ trit, ɔmɔs raytin fɔ gi, ɛn aw fɔ aim di rayt fɔ gɛt di bɛst rizɔlt. Dis kin tek lɛk wan awa so.
Wetin kin apin we dɛn de trit am
1. Dɛn go kɛr yu go na di tritmɛnt rum ɛn dɛn go fit di freym ɔ mask we nɔ gɛt freym na yu ed.
2. Dɔn dɛn go mek yu ledɔm na di bed fɔ di tritmɛnt mashin.
3. Di bed de muf sloslo insay di Gamma Naif mashin.
4. Di mashin go bigin fɔ gi raytin. Na dis tɛm ya, di mashin go muv yu bed smɔl smɔl ɛn ed fɔ aim di rayt to di target frɔm ɔl di say dɛn.
5. We di tritmɛnt dɔn, di bed de kɔmɔt na di mashin bak.
6. Dɔn, dɛn kin pul di freym ɔ mask we dɛn tay pan di ed. di IV layn na di an dεm dεn de pul am bak.
Pan ɔl we di mɛdikal tim de na do na wan sɛpret rum we dɛn de du di tritmɛnt, dɛn de wach yu ɔltɛm tru kamɛra ɛn maykrofon. If yu nid fɔ tɔk, yu kin tɔk to dɛn tru di maykrofon we yu gɛt. So nɔto yu wan de.
Dis tritmɛnt de mek pɔsin fil pen?
Nɔ, yu nɔ go fil ɛni pen ɔ nɔ fil fayn we yu de du di tritmɛnt. Di mashin nɔ go mek ɛni ɔt ɔ mek ɛni nɔys. Bɔku pipul dɛn go slip insay dis tɛm.
Aw lɔng i go tek?
Di tritmɛnt insɛf kin tek ɛnisay frɔm 30 minit to tu awa. I dipen pan di sayz, shep, ɛn usay yu lɛsin de. Bɔt i bɛtɛ fɔ ɛkspɛkt fɔ de na ɔspitul fɔ di wan ol de (lɛk 12 awa) wit ɔltin frɔm skan to planin.
Wetin kin apin afta dɛn dɔn trit am?
Afta di tritmɛnt, yu kin fil lɛk se yu de slip smɔl ɛn yu nɔ go ebul fɔ du natin. So i rili impɔtant fɔ gɛt pɔsin we go kɛr yu go na os. If yu dɔktɔ tɛl yu fɔ du ɔda tin, yu kin go na os di sem de. Bɔku tɛm, yu kin bigin fɔ du yu nɔmal tin dɛn bak (lɛk fɔ go wok ɔ skul) di nɛks de .
If yu yuz freym, sɔm tin dɛn de we yu fɔ fala na os:
- Fɔ lɛk wan wik so, kip yu ed ɔp smɔl bay we yu de yuz lɛk tu pilo dɛn we yu de slip.
- Di nɛks de, pul di bandej dɛn we dɛn bin dɔn put usay dɛn tay di freym.
- Klin dɛn say dɛn de tu tɛm insay di de ɛn put smɔl antibayɔtik ɔntmɛnt fɔ tri to 4 dez.
- Yu kin was yu ia afta 48 awa.
- If yu gɛt ɛni pen ɔr nɔr fil fayn, tek wan mɛrɛsin wae de mek yu nɔr fil pen (e.g., Ibuprofen, Acetaminophen) wae yu dɔktɔ tɛl yu fɔ du.
Wetin na di bɛnifit ɛn prɔblɛm dɛn we kin apin?
Lɛk ɛni mɛrɛsin, dis wan gɛt bɛnifit ɛn smɔl prɔblɛm dɛn.
| Di bɛnifit dɛn we pɔsin kin gɛt we i gɛt tritmɛnt |
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| Risk & Sayd Ifɛkt dɛn |
Smɔl tin dɛn ɛn tin dɛn we kin apin:
Siriɔs, bɔt we nɔ kin apin so ɔltɛm:
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Bren kin swel jɔs afta dɛn dɔn trit am ɔ ivin sɔm mɔnt afta dat. Fɔ mek dis nɔ apin, yu mɛdikal tim go gi yu mɛrɛsin bifo ɛn afta tritmɛnt.
Ustɛm fɔ go to dɔktɔ
We yu go na os afta yu dɔn gɛt tritmɛnt, yu nid fɔ no wetin fɔ du if ɛni prɔblɛm kam.
If yu gɛt dɛn sik ya, kɔl yu dɔktɔ:
- If yu fil ɔt we yu tɔch di say dɛn we di freym tay.
- If wata we de smɛl fayn ɛn we tan lɛk fɔrɛst kɔmɔt na dɛn ples dɛn de.
- If yu gɛt fiva.
If yu gɛt ɛni wan pan dɛn sik ya, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm:
- Siriɔs nɔs ɔ vɔmit
- Rili bad bad ed pen
- Vishɔn kin chenj
- I nɔ izi fɔ tɔk
- Fɔ gɛt wan sik we de mek pɔsin sik
- Ɛni ɔda sayn we yu tink se nɔ kɔmɔn
Aw lɔng i kin tek fɔ no di tin dɛn we kin apin?
Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. E kin tek sɔm wik, mɔnt, ɔr ivin wan ia ɔr mɔr fɔ si di ful rizulyt fɔ di tritmɛnt. I dipen pan di kɔndishɔn we dɛn de trit.
- Fɔ wan sik we de mek yu fil pen lɛk trigeminal neuralgia , i kin tek ɛnisay frɔm wan de to 6 mɔnt fɔ mek di pen stɔp. Bɔrku pipul dɛn kin fil fayn insay wan mɔnt.
- If na kansa tumor , dɛn kin tink se dɛn go stebul ɔ shrink insay sɔm wiks to sɔm mɔnt.
- Tumɔs dɛn we nɔ gɛt kansaBɔku tɛm, ivin if i stɔp fɔ gro, i nɔ kin smɔl.
- di kכndishכn dεm lεk di arteriovenous malformations (AVM) kin tek tu to tri ia fכ fulכp fכ hεl.
Fɔ si aw di tritmɛnt dɔn afɛkt yu, yu dɔktɔ go du CT ɔ MRI skan ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Gamma Naif nɔto ɔpreshɔn we dɛn kin du wit rial naif. Na tritmɛnt we de yuz redyushɔn bim dɛn we dɛn kin tɔch bad bad wan ɛn we nɔ gɛt ɛni say we dɛn kɔt am.
- Dis kin trit tumbu ɛn ɔda prɔblɛm dɛn we de dip dip wan na di bren we dɛn nɔ kin ebul fɔ rich bay kɔmɔn ɔpreshɔn.
- Nɔ pen nɔ de we dɛn de du di tritmɛnt. Di tɛm fɔ wɛl kin shɔt, ɛn bɔku tɛm yu kin bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.
- E kin tek mɔnt ɔr ia fɔ si di ful rizulyt fɔ di tritmɛnt, so i impɔtant fɔ peshɛnt.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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