We yu yɛri di wɔd ‘Gamma Knife Surgery’, yu kin tink bɔt wan big ɔpreshɔn we dɛn kin du wit naif. Infakt, pan ɔl we di wɔd "Naif" de insay di nem, dɛn nɔ de yuz naif, ɛn dɛn nɔ de kɔt ɛni skin. So wetin na dis Gamma Naif? Yu tink se na ɔpreshɔn fɔ rili du am?
Fɔ tɔk am simpul wan, wetin na dis Gamma Naif?
Gamma Naif ɔpreshɔn na wan we we nɔto ɔspitul , we rili advans fɔ yuz redyushɔn tɛrapi. Speshal, na wan we we kɔmpyuta kin kɔntrol fɔ trit tumbu ɛn ɔda tin dɛn we de apin na di bren ɛn di ɔpa spayna.
dis involv fכ kכmbayn vεri hכy εnεji gama ray dεm to wan fayn bim εn dayrεkt dεm nכmכ pan di sik tisu we dεn t כk bכt. dis kin mek di tisu we de rawnd di hεlty tisu dεm nכ de pwεl bכku.
Di wɔd “naif” we de na di nem de tɔk bɔt aw prɛsis ɛn prɛsis we dɔktɔ we de du ɔpreshɔn kin kɔt am wit nɛf, ɛn aw prɛsis we dɛn gama rayt ya kin dayrɛkt to di pɔsin we dɛn want fɔ kɔt. In ɔda wɔd dɛn, i tan lɛk ɔpreshɔn we dɛn nɔ kɔt di bɔdi. Dɛn kin kɔl dis bak Stereotactic Radiosurgery .
Us sik dɛn dɛn kin yuz Gamma Naif tritmɛnt fɔ?
Di men gol fɔ Gamma Naif tɛrapi na fɔ stɔp di grow, shrink, ɔ pwɛl kpatakpata wan tumor ɔ ɔda abnɔmal tisu na di bren. Dɛn kin yuse dis tritmɛnt fɔ smɔl smɔl tin dɛm wae nɔr kin fayn na di bren.
Di tebul we de dɔŋ ya kin ɛksplen dis mɔ.
| Tayp fɔ di mɛdikal kɔndishɔn | Spɛshal sik dɛn we dɛn kin trit (ɛgzampul dɛn) . |
|---|---|
| Bren tumor (kansa ɛn nɔ gɛt kansa) . |
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| Abnɔmal tin dɛn we de na di blɔd vesel dɛn | Arteriovenous malformations (AVM) – abnכmal εntanglement fכ di atεri dεm εn di vein dεm |
| Nyurolɔjik sik dɛn |
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Sɔntɛnde, di Gamma Knife we dɛn kin yuz kin rili yus bak fɔ trit di tumbu dɛn we de dip insay di bren ɛn we dɛn nɔ kin ebul fɔ rich wit kɔmɔn ɔpreshɔn. I fayn bak if, fɔ sɔm rizin, yu nɔ ebul fɔ du ɔpreshɔn ɔnda anestezi .
Aw yu kin rɛdi fɔ dis tritmɛnt?
Bifo yu trit yu, yu go nid fɔ go to nyurosɔjɔn ɛn/ɔ redyushɔn ɔnkɔlɔjis. Dɛn go chɛk yu ɛn gi yu ɛni advays we yu nid.
Tin dɛn fɔ tɛl yu dɔktɔ:
- Insay yu bɔdiIf yu gɛt wan tin we dɛn dɔn instɔl, lɛk pesmɛka, kɔklia implant, mɛrɛsin pɔmp, ɔ nerve stimulator, yu fɔ rili tɔk bɔt am.
- Tɛl wi bɔt yu alɛji dɛn.
- If yu gɛt prɔblɛm fɔ de tinap fɔ 30-60 minit wan tɛm bikɔs ɔf tin dɛn lɛk lɔng sik ɔ ɛsophageal riflɔks, duya mek wi no bifo tɛm.
Advays we dɛn kin gi:
- Nɔ it ɔ drink ɛnitin afta midnayt di de bifo di tritmɛnt.
- Tek yu mɔnin mɛrɛsin wit smɔl wata. Briŋ ɔl yu mɛrɛsin dɛn, ivin di wan dɛn we de inhala, na ɔspitul.
- Wash yu ia fayn fayn wan di nɛt bifo yu trit yu.
- Nɔ put klip, pin, ɔ band na yu ia di de we dɛn de trit yu.
- Wear sus we izi fɔ pul ɛn klos klos. Nɔ wɛr klos we yu kin pul oba yu ed ɛn pul am.
- Mek shɔ se yu arenj fɔ mek pɔsin kɛr yu go na ɔspitul ɛn go bak na os .
Di freym we yu put pan yu ed, di mask... wetin na dis?
We dɛn de trit Gamma Knife, dɛn kin yuz spɛshal tin fɔ mek yu ed stil. Dis kin kam insay tu we dɛn.
1. Fram: Insay dis we, dɛn kin tay layt mɛtal freym na yu ed. Dis kin ɛp fɔ mek yu ed stil ɛn i kin dayrɛkt di gama rayt prɛsishɔn to di target.
2. Framless: Insay dis, dɛn kin wɛr wan kɔstɔm-mɛd tɛmplastik mask ɔ mɛsh oba yu fes.
Yu kin fred smɔl we yu yɛri se dɛn fit dis freym na yu ed. Bɔt nɔ wɔri. Di mɛdikal tim de du am lɛk dis:
- Fɔs, dɛn kin injekt wan lokal anestetik na yu ed bifo, sayd, ɛn bak fɔ mek i nɔ gɛt bɛtɛ trɛnk . So yu nɔ go fil ɛni pen.
- Dɔn, dɛn kin fiks di freym na di skel bay we dɛn de yuz 4 smɔl pin dɛn we dɛn kin put na di say dɛn we nɔ gɛt bɛtɛ trɛnk. Yu kin fil smɔl prɛshɔn, bɔt nɔ pen nɔ de.
- No nid fɔ wɔri bɔt dis.
Wit di Frameless method, no so stinging sensation de. Di dɔktɔ dɛn go gi yu mɛrɛsin if nid de fɔ mek yu nɔ gɛt kol at we dɛn de du di tritmɛnt.
Wetin kin apin we dɛn de trit am?
Bɔku tin dɛn de we yu fɔ du bifo dɛn rili bigin fɔ tek di tritmɛnt.
- IV insay: Dɛn go put IV kanula insay wan vein na yu an. Dɛn go yuz dis fɔ gi yu mɛrɛsin fɔ ɛp yu fɔ rilaks, if nid de, ɛn fɔ gi yu kɔntrast day fɔ skan .
- Imej tɛst: Dɛn go du CT skan ɛn/ɔ MRI skan fɔ si ustɛm ɛn ɔmɔs pan yu bren sik de.
- Plɛnti tritmɛnt : Afta yu dɔn rivyu di skan ripɔt dɛm, yu mɛdikal tim (nyurosɔjɔn, redyushɔn tɛrapist, mɛdikal fiziks) go yuz kɔmpyuta fɔ plan yu tritmɛnt. Dis na di say we dɛn go disayd ɔmɔs raytin fɔ gi ɛn usay fɔ gi am.
Dɔn di tritmɛnt kin bigin. Yu go ledɔm pan tebul we de go insay di mashin. Yu nɔ go fil ɛni pen, ɔt ɔ nɔys we yu de du di tritmɛnt. Bɔku pipul dɛn go slip insay dis tɛm. Di mɛdikal tim go de wach yu ɔltɛm frɔm do. Maykrofon de fɔ yu if yu want fɔ tɔk.
We di tritmɛnt dɔn, dɛn kin pul di freym ɔ mask ɛn pul di IV. Di ɔl tritmɛnt kin tek ɛnisay frɔm 30 minit to tu awa.
Wetin kin apin afta dɛn dɔn trit am? Benefit ɛn sayd ɛfɛkt dɛn
Yu kin fil smɔl fɔ slip afta di tritmɛnt. Bɔku tɛm, yu kin go na os di sem de ɛn bigin fɔ du yu nɔmal tin dɛn bak di nɛks de.
| Benefit ɛn risk dɛm fɔ Gamma Naif tritmɛnt | |
|---|---|
| Men advantej dɛn |
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| Sɔm smɔl sayd ɛfɛkt dɛn we pɔsin kin gɛt |
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| Rirely siriɔs kɔmplikeshɔn |
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De impɔtant tin na dat e kin tek sɔm wik, mɔnt, ɔr ivin wan ia ɔr mɔr fɔ si di rizulyt frɔm tritmɛnt. I dipen pan yu kɔndishɔn. So i impɔtant fɔ peshɛnt.
Ustɛm yu fɔ go to dɔktɔ?
Afta yu dɔn gɛt tritmɛnt, 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 tan lɛk pus we de smɛl fayn kɔmɔt na dɛn say dɛn de.
- If yu gɛt fiva.
If dɛn siriɔs sayn ya apin, 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
Mɛsej we dɛn kin kɛr go na os
- Gamma Naif nɔto rili ɔpreshɔn we dɛn kin du wit naif. Na wan we we rili advans, we gɛt prɛsis raytin tritmɛnt we nɔ de kɔt di skin.
- Dɛn kin yuse dis fɔ trit tin dɛm lɛk tumor, blɔd vesel abnɔmal, ɛn nyurolɔjik sik dɛm na di bren ɛn ɔpa spayna.
- Nɔ pen nɔ de we dɛn de du di tritmɛnt. Di tɛm we pɔsin kin wɛl kin rili shɔt. Bɔku tɛm, yu kin bigin fɔ du tin dɛn we yu nɔ bin de du di nɛks de.
- I kin tek sɔm wik, mɔnt, ɔ ivin ia fɔ si di ful rizulyt fɔ di tritmɛnt, so i impɔtant fɔ peshɛnt.
- If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt dis tritmɛnt, tɔk bɔt am opin wan wit yu dɔktɔ.
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