I thianpa chu a thluak hmun buaithlak tak takah tumor pakhat lakchhuah tumin operation a nei niin han ngaihtuah teh. Doctor te hian operation an tih danah an fimkhur hle a ni. Mahse, engtin nge tumor chu lak chhuah vek a nih leh nih loh emaw, a hnah te tak te a la awm em tih emaw chiang taka an hriat theih ang? Operation zawhah ni engemaw zat hnuah scan i tih leh chuan chiang takin i hre thei ang. Tlemte pawh a la awm chuan operation dang i tih leh a ngai dawn a ni lawm ni? Tunlaia kan sawi tak technology bik hi chutiang harsatna sutkian nan hman a ni.
A awlsam zawngin iMRI chu eng nge ni?
iMRI hming kimchang chu Intraoperative Magnetic Resonance Imaging tih a ni. "Intraoperative" tih awmzia chu "operation neih laiin" tihna a ni. Hei hian a awmzia chu MRI scan a ni tihna a ni a , chu chu operation an tih laiin tih a ni . Hei hian i surgical team te chuan operation an tih lai hian i taksa chhunga taksa peng hrang hrang, tissue leh thil dangte chu chiang takin a hmu thei a ni.
Doctor pakhatin thluak aṭanga tumor a lak chhuah lai han mitthla teh. Tumor lakchhuah hnu lawkah, operation zawh hmain MRI scan a ti thei a, "Tumor chu ka la chhuak vek em? A nih loh leh a chi te te a la awm em?" Scan-ah chuan a tlem a la awm tih a hriat chuan chu hmun chu a la chhuak nghal thei a ni.
Hei hi a thatna lian ber chu operation hnua tumor hmun thenkhat a la awm tih hriat hian operation vawi hnihna neih a ngaihna chu nasa takin a tihziaawm thei a ni.
MRI pangngai leh iMRI hi eng nge an danglamna?
An pahnih inthlauhna ber leh awmchhun chu tih hun chhung hi a ni .
- MRI pangngai: Hei hi natna hriat chian nan emaw, zai dan tur ruahmanna siam nan emaw tih a ni. A hma ang bawkin MRI machine-ah i lut a, he scan hi i nei a.
- An iMRI: Hei hi surgery an tih laiin tih a ni , operation theater chhungah ngei.
A awlsam zawngin pakhat chu operation hmaa tih a ni a, pakhat chu operation chhung ngeia tih a ni.
Engvangin nge doctor-te hian operation an tih laiin he technology hi an hman?
Surgery thenkhat, a bik takin thluak surgery hi a buaithlak hle. Millimeter inthlauhna pawh hian nghawng lian tak a nei thei. Doctor chuan an mit ngeia emaw, microscope hmanga an hmuh theih aiin operation an neih laiin thlalak chiang zawk, chiang zawk a mamawh a ni. Chutah chuan iMRI hlutna chu a chiang ta a ni.
iMRI technology hman dan tlangpui thenkhat chu hetiang hi a ni:
| Surgery chi hrang hrang | iMRI atanga tanpuina |
|---|---|
| Brain Tumor tihbo dan tur | Tumor chu lakchhuah vek a nih leh nih loh finfiah nan, a nih loh leh a hmun tam zawk chu tissue hrisel tichhe lovin lakchhuah theih a nih leh nih loh finfiah nan. Hei hi tumor glioma ang chi ah chuan a pawimawh hle . |
| Pituitary natna (pituitary) a awm | Thluak peng sensitive tak pituitary gland chhehvela tumor te lakchhuah hian a bula nerve pawimawh leh thisen kalna kawng pawimawh tak tak te a chhiat leh chhiat loh enfiah nan. |
| Thluak thuk tak tihchak (DBS) . | Parkinson’s disease ang chi dinhmun atan thluak chhung thuk takah electrode dah luh hunah , hmun dik takah dah a nih theih nan. |
| Epilepsy Surgery neih a ni | Epilepsy thlentu thluak hmun dik lo dik tak hriatchhuah a, lakchhuah vek a nih leh nih loh enfiah. |
| Craniotomy tih a ni | Thluak nena inzawm surgery complex eng pawhah, surgery tawp lama thluak dinhmun (swelling, bleeding) enfiah turin. |
He iMRI machine hian engtin nge hna a thawh?
MRI scan hi magnet leh radio wave hmanga taksa chhung lam thlalak lakna machine a ni. Chu chu iMRI-ah chuan a thleng thin. Anesthesia hnuaia i awm a, a tam zawkah chuan hriat loh vek i nih avangin i hre lovang.
A hnathawh dan chu hetiang hi a ni, a awlsam zawngin:
Kan taksa chanve aia tam hi tui atanga siam a ni. Tui hi hydrogen leh oxygen atom atanga siam a ni. He hydrogen atom chhungah hian proton an tih particle pakhat a awm a . Heng proton te hian electrical charge an nei a, an inher bawk.
MRI machine hian i taksa kaltlangin magnetic field chak tak a thawn chhuak thin. Thil thleng chu i taksa chhunga heng proton zawng zawng hi kawng khatah an line vek a, hmar lam hawia compass needle ang maiin an awm vek a ni.
Tichuan, MRI machine chuan he magnetic field hmang hian radio wave wave a thawn chhuak ta a ni. Hei hi camera shutter-in thlalak a lak ang mai a ni. Heng radio wave te hian proton te alignment chu rei lo te chhung atan a tibuai thin. Radio wave te a tawp chuan proton te chu an alignment hmasa ah an kir leh thin. He inthlak danglamna hi machine chhunga scanner hmangin a pickup thin. Data chu computer-ah thawn a ni a, chu chuan three-dimensional (3D) image chiang tak a siam a ni.
Engtin nge iMRI atan ka inbuatsaih ang?
Dik tak chuan iMRI hi i surgery lai a thleng thin avangin i inbuatsaih a ngai lo. I tih tur chu i surgery atan uluk taka inbuatsaih mai tur a ni. I doctor thupek chu an hrilh ang chiah chein zawm rawh.
Procedure neih chhung hian anesthesia hnuaiah i awm dawn a, chuvangin i muhil mai thei. MRI machine hnathawh lai hian thawm engemaw zat a awm ang a, mahse anesthesia avang hian i hre lo ang. A châng chuan, harh chhuahna (awake procedure) a awm ṭhin. Chutiang hunah chuan medical team chuan procedure atan an buatsaih ang che a, scan laiin i hlim em tih an enfiah ang.
Operation hmaa doctor hnena i hrilh ngei tur thilte:
- Chu chu, naupai i nih chuan .
- I taksaah metallic implanted i neih chuan. Entirnan, pacemaker, taksa chhunga metal plate dah, artificial joint, etc. MRI-a magnet chak tak takte hian hengte hi a ti che emaw, a thawk tha lo emaw a ni thei. Hei hi a hlauhawm hle. Chuvangin, hemi chungchang hi hriattir lawk i nih chuan medical team-in a tul anga himna tur ruahmanna an siam ang.
- Operation i tih hmain i taksa aṭanga thir thil zawng zawng, i underwear-a jewelry, bengbeh, hairpin, leh thir wire te chu i paih vek tur a ni .
iMRI hian eng nge a thatna?
iMRI technology hman hian thatna pawimawh tak tak a nei a.
- Thlalak chiang tak tak: Taksa zai lai hmun chu chiang tak leh chipchiar takin hmuh theih a ni.
- Real-time information: Heng thlalak te hi operation neih laiin en theih a ni a, chu chuan thutlukna siam pawh a tikhawtlai lo.
- Hrilhfiahna tehna: Surgery neih laiin (e.g. tumor lakchhuah hnuah) hmun a inthlak dan chu i hmu nghal thei ang.
- Harsatna awm thei venna: Heng thlalak chiang tak takte hian operation hnua harsatna awm thei te chu nasa takin a tihziaawm thei a ni.
- Non-radioactive: MRI technology hian X-ray emaw CT scan angin radiation a hmang lo va, chuvangin taksa a tichhe lo.
Doctor chuan heng result te hi scan atanga second tlemte chhungin a hmu thei a, chu chuan tihkhawtlai lohvin surgery step dang a pan thei a ni.
Take-Home Thuchah a ni
- iMRI chu MRI scan bik a ni a, operation neih laiin tih a ni.
- Hei hian a tum ber chu surgery titu doctor-te chu taksa chhungril chiang tak leh nung thei tura hun remchang pek a ni.
- Hei hian tumor chu lakchhuah vek a nih leh nih loh finfiah nghal turin a pui a, a bik takin thluaka tumor lakchhuah ang chi operation buaithlak takah chuan.
- Hei hian operation vawi hnihna neih ngai chu nasa takin a ti tlem a ni.
- iMRI hmanga operation i neih dawn chuan i taksaa metallic device, pacemaker ang chi i dah tawh zawng zawng chu i doctor hnenah hriattir hmasak phawt ang che.
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