Gamma Knife Surgery hi i hlau em? A awlsam zawngin sawi ila!

‘Gamma Knife Surgery’ tih thumal i hriat hian chemte hmanga surgery tih pawh i ngaihtuah em? A hmingah ‘Knife’ tih ni mah se, a takah chuan chem emaw, incision emaw a hmang lo. Chuti a nih chuan eng nge ni? A awlsam zawngin sawi ila, radiation treatment hmasawn tak, target sang tak nei a ni. Laser beam ang bawkin thluaka harsatna awmna hmunah chauh a kal thei a, a chhehvela tissue hriselte chu engmah tichhe lovin. Chuvangin vawiinah hian i sawi vek ang u.

Gamma Knife hmanga enkawlna hi eng nge ni tak tak?

I thluak hmun tenau tak, buaithlak takah tumor te tak te i nei tih han ngaihtuah teh. Operation pangngai hmanga i paih chhuah chuan, chu chu i thlen theih nan thluak hmun hrisel tak takte chu i cut a ngai dawn a ni. Chu chu a risky deuh. Chutih lai tak chuan Gamma Knife an tih technology chu a tangkai hle ta a ni.

Hei hian chakna sang tak nei gamma rays za tam tak, computer technology hmanga control, thluaka harsatna cell awmte chauh chu a ruala beih a huam a ni. Ray pakhat chauh hi a mah chauhin a chak lo hle a, chuvangin thluaka a kal lai hian tissue hrisel tak tak a tichhe lo. Mahse heng êng za tam tak hi hmun khatah, tumor awmna hmun chiahah an awm khawm chuan, chu cell-te tichhe thei khawpa chakna a siam a ni. Magnifying glass hmanga ni êng focus a, lehkha phek pakhata mei alh ang mai a ni. Chuvang chuan 'surgery' effect a siam thei a, incision engmah a awm lo. Hei hi ‘Stereotactic Radiosurgery’ tih category-ah a tel a ni.

He enkawlna hmang hian eng dinhmun nge tihdam theih?

Gamma Knife therapy tum ber chu thluaka tumor emaw thil danglam dang emaw awm chu tihngheh, tihtlem emaw, tihchhiat vek emaw a ni. Thluak lama harsatna tenau te tan hman a ni tlangpui.

A bik takin, hengte hi he damdawi hmanna hmun thenkhat chu an ni:

• Brain tumors: Hengte hi cancer leh cancer ni lo pawh a ni thei.
• Thisen kalna kawng dik lo: Thluaka thisen kalna kawng hrang hrang a inzawm khawmna dinhmun.
• Nerve abnormalities: Nerve nena inzawm natna thenkhat.

A hnuaia table-ah hian Gamma Knife therapy hman dan tlangpui thenkhat tarlan a ni.

Gamma Knife hi thluaka thuk lutuk, conventional surgery hmanga thlen theih loh tumor i neih chuan, emaw, hriselna lam thil dang avanga surgery i tih theih loh chuan a tha hle. A châng chuan, he enkawlna hi operation pangngai hnua tumor a lo kir leh loh nan pawh hman a ni.

Engtin nge enkawl hmain ka inbuatsaih ang?

Hetianga enkawl hma hian neurosurgeon leh radiation oncologist te i hmuh hmasak phawt a ngai dawn a ni. An enfiah ang che. Hetih lai hian, thil dah luh i neih chuan, pacemaker, cochlear implant, damdawi pump, emaw nerve stimulator , i neih chuan i doctor hnenah i hrilh ngei ang.

Tin, allergy i neih apiang an zawt bawk ang. He enkawlna chhung hian minute 30-60 chhung hnungzang chunga mu turin an ti ang che. Lung condition emaw esophageal reflux emaw i neih chuan mut a harsa mai thei. Hei hi i doctor hnenah pawh hrilh bawk ang che.

Medical team chuan i enkawl hma ni atang khan i zawm tur chungchangah thupek chiang tak an pe ang che. A tlangpuiin, heng thupekte hian:

• Enkawl hma ni khatah zanlai atang khan engmah ei leh in loh tur.
• Zing lama damdawi ei tur i neih chuan tui in rualin ei thin ang che. Damdawi i hman zawng zawng (inhalers telin) damdawi inah rawn keng vek rawh.
• Enkawl hma zan khan uluk takin lu sil la, fai takin vawng rawh.
• I sam enkawl ni hian clip, pin, band engmah dah suh. I sam chu a hring vek ang.
• Thawmhnaw loose-fitting leh pheikhawk hak leh phelh awlsam tak tak ha rawh. I lu chunga hrual theih thawmhnaw chu pumpelh rawh.
• Enkawlna leh in lama kal leh haw tur mi keng tel ngei ang che.

Frame leh Frameless tih hi eng nge ni?

Gamma Knife hman dan pahnih a awm a.

1. Frame method: Hetiang method-ah hian metal (a tlangpuiin aluminum) frame hman a ni a, chu chu i lu-ah i bun a ni. He frame hian enkawlna chhungin i lu chu hmun khatah a dah a, gamma rays chu target-ah chiang taka direct turin a pui bawk.

2. Frameless method: Hetiang method ah hian thermoplastic mask emaw net emaw i hmai chungah dah a ni. Hei hi treatment bed-a frame-ah dah a ni a, hei hian i lu chu a ding reng thei a ni.

Mi thenkhat chuan he frame hi i lu-ah an inbun tih an hriat chuan an hlau mai thei. Mahse, hlau suh. He frame hi i luruh-ah pin te tak te pali hmanga i dah hmain hmun paliah hian local anesthetic inject vek a ni a, chu chuan a rilru a ti na hle. Chuvang chuan engmah hrehawm i nei lovang. I rilru a hah deuh mai thei. Tin, i lu i tan pawh a ngai lo.

Enkawlna hnathawh dan step khat hnu step khatin

Enkawlna ni-ah chuan hengte hi zawm a ni tlangpui:

Enkawl hmaa inbuatsaihna

• IV line dah: I kut chhunga vein pakhatah IV line dah a ni ang. Scan-na atana pui turin liquid (contrast agent) bik a pe ang che a, a tul chuan i rilru tih hahdamna tur sedative a pe bawk ang. Naupang tê tê tan chuan general anesthesia pek theih an ni.
• Scans: I thluak CT scan leh/ emaw MRI scan a ni ang. Hei hian enkawl tur hmun lian leh te, a pianzia leh a awmna tur dik tak hriat theih nan a pui ang. Hei hian minute 30 vel a la ngai dawn a ni.
• Enkawl dan tur ruahmanna: Scan report-te an enfiah hnuah neurosurgeon, radiation oncologist, medical physicist leh mi dangte chuan computer hmangin i enkawl dan tur ruahmanna siamin an thawk ho a ni. Hei hi khawiah nge enkawl tur tih te, radiation engzat nge pek tur tih te, result tha ber tur atana rays te aim dan tur te an rel thin. Hei hian darkar khat vel a daih thei.

Enkawlna hun chhunga thil thleng

1. Treatment room-ah hruai i ni ang a, i lu-ah frame emaw frameless mask emaw i dah ang.

2. Tichuan treatment machine khumah mu turin siam i ni ang.

3. Khum chu zawi zawiin Gamma Knife machine chhungah a lut a.

4. Machine hian radiation a pe tan ang. Hetih lai hian machine chuan i khum chu zawi zawiin a sawn ang a, kawng tinreng atanga target lam pan turin rays chu a aim ang.

5. Treatment an tih zawh chuan khum chu machine atang chuan a rawn chhuak leh thin.

6. Tichuan, lu chunga frame emaw mask emaw inbun chu lakchhuah a ni. Arm chhunga IV line pawh a la chhuak bawk.

He enkawlna hi a hrehawm em?

No. Enkawl chhung hian natna leh hrehawmna engmah i nei lovang. Machine hian lumna a siam lo vang a, thawm pawh a siam lo vang. Hemi hun chhung hian mi tam tak an muhil ang.

Eng chen nge a daih ang?

Enkawlna ngei pawh hi minute 30 atanga darkar hnih chhung a ni. I lesion lian leh te, a pianzia leh a awmna hmunah a innghat. Mahse, ni khat chhung (darkar 12 vel) chhung chu damdawi inah scan atanga ruahmanna siam thlengin beisei a tha ber.

Enkawl hnuah eng nge thleng?

Enkawl zawhah chuan mut a hah deuh a, i rilru a hah deuh mai thei. Chuvangin in lama hruai tur che neih a pawimawh hle. I doctor-in a bik taka a hrilh che loh chuan chu ni vek chuan i haw thei bawk. I thiltih pangngai (hnathawh emaw, sikul kal emaw ang chi) chu a tuk zingah i thawk leh thei tlangpui .

Frame i hman chuan in lama i zawm tur tlemte a awm a:

• Kar khat vel chu mut laiin pillow pahnih vel hmangin i lu chu tlem han chawi sang la.
• A tuk zingah chuan frame dahna hmuna bandage dah kha la chhuak rawh.
• Chu hmun chu ni khatah vawi hnih silfai la, antibiotic ointment tlemte ni thum atanga ni li chhung hnawih thin ang che.
• Darkar 48 hnuah i sam i sil thei.
• Natna emaw, hrehawmna emaw i neih chuan i doctor-in a rawt angin natna tidamtu (e.g., Ibuprofen, Acetaminophen) ei thin ang che.

Eng nge a hlawkna leh a hlauhawmna?

Damdawi dang ang bawkin he damdawi hian hlawkna leh hlauhawmna tenau tak a nei a ni.

Enkawl zawh veleh emaw, thla tam tak hnuah pawh thluak a na thei. Hei hi ven nan i medical team te chuan enkawl hma leh enkawl hnuah damdawi an pe ang che.

Doctor hmuh hun tur

Inenkawl zawha in lama i haw hunah harsatna a awm chuan eng nge i tih tur tih i hriat a ngai a ni.

A hnuaia symptoms te hi i neih chuan doctor ko rawh:

• Frame inbunna hmunte i khawih hian lumna i hriat chuan.
• Chu hmun atang chuan tui rimchhia, ramngaw ang maia tui a lo chhuah chuan.
• Khawsik i neih chuan.

A hnuaia symptoms te hi i neih chuan damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh:

• Nausen nausea emaw, luak chhuak emaw
• Lu na na tak a ni
• Vision a danglam thin
• Thusawi harsa
• Seizure neih a ni
• Symptom dang i ngaihtuah chuan thil danglam tak a awm

A result hriat nan eng chen nge hun a duh?

Hei hi mi tam takin an zawh thin a ni. Enkawlna result kimchang hmuh theih nan kar tam tak, thla tam tak, kum khat emaw a aia rei emaw pawh a ngai thei. Enkawl mek dinhmunah a innghat.

• Trigeminal neuralgia ang chi natna khirh tak tan chuan a natna a reh theih nan ni khat atanga thla 6 thleng a ngai thei. Mi tam zawk chuan thla khat chhungin hahdamna an tawng thin.
• In the case of cancerous tumors , kar tlemte atanga thla engemaw zat chhungin an stabilize emaw shrink emaw beisei theih a ni.
• Cancer nei lo tumor teA tam zawkah chuan a lo thang tawh lo a nih pawhin a te zawk lo.
• Arteriovenous malformations (AVM) ang chi natna hi a dam kim theih nan kum hnih atanga kum thum vel a ngai thei.

Enkawlnain engtin nge a nghawng che tih hriat nan i doctor chuan a hun takah CT emaw MRI scan emaw a ti leh ang.