‘Gamma Knife Surgery’ tih thumal i hriat hian chemte hmanga operation lian tak tih i ngaihtuah mai thei. Dik tak chuan "Knife" tih thumal hi a hmingah awm mah se, chemte hman a ni lo va, vun pawh a tan lo. Chuti a nih chuan he Gamma Knife hi eng nge ni? Surgery a ni tak tak em?
A awlsam zawngin, he Gamma Knife hi eng nge ni?
Gamma Knife surgery hi non-surgical , radiation therapy hmasawn tak a ni. A bik takin, computer hmanga thluak leh upper spine-a tumor leh natna dangte enkawl dan a ni.
Hei hian chakna sang tak nei gamma rays te chu beam tha takah dah khawm a, targeted diseased tissue lam chauh direct a huam a ni. Hei hian a chhehvel tissue hrisel te chu a tichhe tlem hle.
A hminga “knife” tih thumal hian surgeon-in chemte hmanga incision a siam dan dik leh dik tak a kawk a, heng gamma rays te hi target lam pan theih dan dik tak a ni. Phên dangin sawi ila, taksa tikehsawm lova surgery ang a ni. Hei hi Stereotactic Radiosurgery an ti bawk .
Gamma Knife hmanga enkawlna hi eng natna atan nge hman?
Gamma Knife therapy tum ber chu thluaka tumor emaw, tissue dang danglam tak emaw, a lo thang lian zel tur tihtawp, tihtlem emaw, tihchhiat vek emaw hi a ni. He enkawlna hi thluaka thil danglam tenau te tan hman a ni tlangpui.
A hnuaia table hian hei hi a sawifiah belh thei a ni.
| Damdawi lam dinhmun chi hrang hrang | Natna bik enkawl (entirnan) . |
|---|---|
| Thluaka natna hrik (cancer nei leh cancer nei lo) . |
|
| Thisen kalna kawng hrang hranga thil dik lo awm | Arteriovenous malformations (AVM) – thisen kalna kawng leh thisen kalna kawng dik lo taka inzawm |
| Neurological natna a awm thei |
|
A chang chuan Gamma Knife method hi thluak thuk tak, conventional surgery hmanga thlen theih loh tumor enkawlna atan pawh a tangkai hle. Eng emaw chhan vanga anesthesia hmanga operation i tih theih loh chuan duhthlan tur tha tak a ni bawk .
He enkawlna atan hian engtin nge i inbuatsaih?
Enkawl hmain neurosurgeon leh/ emaw radiation oncologist i hmuh hmasak phawt a ngai ang. An enfiah ang che a, thurawn tul apiang an pe ang che.
I doctor hnena hrilh tur thilte:
- I taksaahDevice i install a nih chuan, pacemaker, cochlear implant, medication pump, nerve stimulator te hi i sawi tel ngei tur a ni.
- I allergy te min hrilh teh.
- Lung disease emaw esophageal reflux ang chi condition avanga vawi khatah minute 30-60 vel ding thei tura harsatna i neih chuan min hriattir hmasa phawt ang che.
Thurawn tlanglawn tak tak:
- Enkawl hma ni khatah zanlai hnuah engmah ei leh in loh tur.
- Zing damdawi ei tur chu tui tlem nen ei la. I damdawi zawng zawng, inhaler telin damdawi inah rawn keng vek rawh.
- Enkawl hma zanah sam uluk takin silfai thin ang che.
- I sam enkawl ni hian clip, pin, band emaw dah suh.
- Kekawr phelh awlsam leh thawmhnaw phelh tur bun la. I lu chunga hrual theih leh hlih theih thawmhnaw chu pumpelh rawh.
- Damdawi in lama hruai tur leh in lama hruai haw tur che tur ruahmanna siam ngei ang che .
I lu chunga frame i dah kha, mask kha... hei hi eng nge ni?
Gamma Knife treatment lai hian i lu chu a ding reng theih nan hmanraw bik hman a ni. Hei hi chi hnih a awm a.
1. Frame: Hetiang hian i lu-ah thir frame rit lo tak i bun a. Hei hian i lu chu a ding reng thei a, gamma rays chu target-ah chiang takin a kaihruai bawk.
2. Frameless: Hemiah hian i hmai chungah custom-made thermoplastic mask emaw mesh emaw i bun thin.
He frame hi i lu-ah an fit tih i hriat chuan i hlau deuh mai thei. Mahse, lungngai suh. Medical team hian hetiang hian an ti thin:
- A hmasa berin, i lu hma lam, a sir lam, leh hnung lamah local anesthetic an inject a, chu chu a rilru a buai theih nan . Chuvang chuan engmah hrehawm i nei lovang.
- Tichuan, frame chu luruh-ah pin te te pali dahin, numb area-ah an dah a ni. Pressure tlem i nei thei a, mahse na a awm lo.
- Hemi chungchang hi ngaihtuah buai a ngai lo.
Frameless method hmang hian chutiang stinging sensation chu a awm lo. Doctor ten a tul chuan damdawi an pe ang che, enkawl chhungin i rilru a hahdam theih nan.
Enkawl lai hian eng nge thleng?
Enkawlna a tan tak tak hmain step engemaw zat a awm.
- IV insertion: I kut chhunga vein pakhatah IV cannula dah a ni ang. Hei hi i rilru hahdam theihna tur damdawi pekna atan hman a ni ang a, a tul chuan, scans atan contrast dye pekna atan pawh hman a ni ang .
- Imaging tests: I thluak natna awmna hmun leh engzat nge awm tih chiang takin CT scan leh/ emaw MRI scan tih a ni ang.
- Enkawl dan tur ruahmanna : Scan report te an enfiah hnuah i medical team (neurosurgeon, radiation therapist, medical physicist) te chuan computer hmangin i enkawlna tur ruahmanna an siam ang. Hei hi radiation engzat nge pek tur tih leh khawiah nge pek tur tih chiang takin an rel ang.
Tichuan enkawlna chu a tan ta a ni. Machine chhunga lut tur dawhkan chungah i mu ang. Enkawl lai hian natna, lumna leh thawm i nei lovang. Hemi hun chhung hian mi tam zawk chu an muhil ang. Medical team chuan pawn lam atangin an lo enkawl reng ang che. Thusawi i duh chuan i tan microphone a awm a.
Enkawlna a zawh chuan frame emaw mask emaw chu lakchhuah a ni a, IV chu lakchhuah a ni. Enkawlna zawng zawng hi minute 30 atanga darkar hnih thleng a ni thei.
Enkawl hnuah eng nge thleng? A thatna leh a side effects te
Enkawl zawhah chuan mut a hah deuh mai thei. A tam zawkah chuan chu ni vek chuan in lamah i haw thei a, a tuk zingah i thil tih pangngai chu i thawk leh thei bawk.
| Gamma Knife hmanga enkawlna hlawkna leh hlauhawmna | |
|---|---|
| A thatna ber |
|
| Side effect tenau tak tak awm thei |
|
| Complication na tak tak a awm fo lo |
|
A pawimawh ber chu enkawlna atanga result hmuh theih nan kar tam tak, thla tam tak, kum khat emaw a aia tam emaw pawh a ngai thei a ni. I dinhmun a zirin a ni. Chuvangin dawhtheih a pawimawh.
Engtikah nge doctor i hmuh ang?
Enkawlna i neih zawh chuan a hnuaia chhinchhiahnate hi i neih chuan i doctor ko rawh .
- Frame awmna hmun i khawih hian lumna i hriat chuan.
- Chu hmun atang chuan zu rimchhia ang chi tui a chhuak a nih chuan.
- Khawsik i neih chuan.
A hnuaia symptom na tak tak te hi a lo awm a nih chuan damdawi in hnai ber Emergency Department (ETU) pan nghal tur a ni:
- Nausen nausea emaw, luak chhuak emaw
- Lu na na tak a ni
- Vision a danglam thin
- Thusawi harsa
- Seizure neih a ni
Take-Home Thuchah a ni
- Gamma Knife hi a takah chuan chemte hmanga surgery tih a ni lo. Radiation hmanga enkawlna kawng hmasawn tak, dik tak a ni a, vun a tikehsawm lo.
- Hei hi tumor, thisen kalna kawng dik lo, thluak leh upper spine-a thluak lam natna te enkawlna atan hman a ni.
- Enkawl chhungin natna a awm lo. Recovery period hi a rei lo hle. A tam zawkah chuan a tuk zingah thil pangngai i thawk leh thei a ni.
- Enkawlna result kimchang hmuh theih nan kar tam tak, thla tam tak, kum tam tak pawh a ngai thei a, chuvangin dawhtheihna a pawimawh hle.
- He enkawlna chungchangah hian zawhna emaw, ngaihtuahna emaw i neih chuan i doctor nen zalen takin sawipui rawh.











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh