Ina rongo koe i te kupu 'Pokanga Maripi Gamma', ka whakaarohia anō hoki e koe te pokanga e mahia ana me te maripi? Ahakoa e kī ana te ingoa 'maripi', kāore e whakamahia he maripi, he tapahi rānei. He aha rā? Ki te kī noa, he maimoatanga irahiko tino matatau, he tino arotahi. Pērā i te hihi laser, ka taea anake te tuku ki te wāhi raruraru o te roro, me te kore e kino ki te kiko hauora e karapoti ana. Nō reira, me kōrero tātou mō tēnei mea katoa i tēnei rā.
He aha rawa te maimoatanga mā te Gamma Knife?
Whakaarohia he pukupuku iti tōu kei roto i tētahi wāhi tino iti, matatini hoki o tō roro. Mēnā ka tangohia e koe mā te pokanga noa, me tapahi e koe ngā wāhanga hauora o te roro kia tae atu ai. He ahua mōrearea tēnā. Ko te wā tēnā ka tino whai hua ai te hangarau e kiia nei ko te Gamma Knife.
Kei roto i tēnei ko ngā rau o ngā hihi gamma tino kaha, e whakahaerehia ana e te hangarau rorohiko, e aro ana ki ngā pūtau raruraru anake i roto i te roro i te wā kotahi. He tino ngoikore te hihi kotahi i a ia anō, nō reira kāore e kino ki te kiko hauora i a ia e haere ana i roto i te roro. Engari ina kohikohia ngā rau o ēnei hihi ki te wāhi kotahi, ki te wāhi tonu kei reira te pukupuku, ka hangaia e rātou he kaha hei whakangaro i aua pūtau. He rite ki te whakamahi i te karāhe whakanui hei arotahi i ngā hihi o te rā, hei tahu i tētahi pepa. Koia te take ka taea ai e ia te whakaputa i tētahi pānga 'pokanga' , me te kore he tapahi. Kei roto tēnei i tētahi kāwai e kiia nei ko te 'Pokanga Irirangi Stereotactic' .
He aha ngā āhuatanga ka taea te rongoā mā tēnei maimoatanga?
Ko te whāinga matua o te rongoā Gamma Knife he whakau, he whakaiti, he whakangaro katoa rānei i tētahi pukupuku, i tētahi atu āhuatanga rerekē rānei o te roro. He mea whakamahi noa mō ngā raruraru roro iti.
Ko te nuinga o ngā wā, koinei ētahi o ngā whakamahinga o tēnei maimoatanga:
- Ngā pukupuku roro: Ka taea e ēnei te mate pukupuku, ka taea hoki e rātou te kore mate pukupuku.
- Ngā rerekētanga o ngā oko toto: Ngā āhuatanga e rarau ai ngā oko toto i roto i te roro.
- Ngā rerekētanga o te io: Ētahi āhuatanga mamae e pā ana ki te io.
Kei te ripanga i raro nei ētahi o ngā āhuatanga e whakamahia whānuitia ana mō te rongoā Gamma Knife.
| Kāwai mate | Ngā tauira |
|---|---|
| Ngā Pūngāwerewere Roro |
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| Ētahi atu āhuatanga noa |
He kōwhiringa pai te Gamma Knife mēnā he puku kei roto i te roro e kore e taea te toro atu mā te pokanga tikanga, mēnā rānei kāore e taea te pokanga mō ētahi atu take hauora. I ētahi wā, ka whakamahia hoki tēnei maimoatanga hei ārai i te hokinga mai o te puku i muri i te pokanga tikanga.
Me pēhea taku whakarite i mua i te maimoatanga?
I mua i tēnei maimoatanga, me toro atu koe ki tētahi taote pokanga roro me tētahi tohunga mate pukupuku irahiko. Ka tirohia koe e rātou. I tēnei wā, mēnā he taputapu kua whakatōkia ki roto i a koe, pērā i te taputapu whakatere, te taputapu whakatō kokoru, te papu rongoā, te whakaoho io rānei , me kōrero koe ki tō tākuta mō ēnei mea.
Ka pātai atu hoki rātou mō ō mate pāwera. Ka tonoa koe kia takoto ki runga i tō tuara mō te 30-60 meneti i te wā o tēnei maimoatanga. Mena he mate pūkahukahu tōu, he mate pūkahukahu rānei, tera pea he uaua ki te takoto. Kōrerohia atu hoki tēnei ki tō tākuta.
Mā te tīma hauora koe e hoatu he huinga tohutohu mārama mō ngā mea me whai e koe i te rā i mua i tō maimoatanga. Ko te tikanga, ko ēnei tohutohu ka uru atu ki:
- Kaua e kai, kaua e inu i tetahi mea mai i waenganui pō o te rā i mua i te maimoatanga.
- Ki te mea he rongoā āu hei tango i te ata, me inu tahi me te wai. Kawea mai ngā rongoā katoa e whakamahia ana e koe (tae atu ki ngā mea whakangote) ki te hōhipera.
- Horoia tō upoko kia tino mā i te pō i mua i te maimoatanga, kia mau hoki te ma.
- Kaua e tāpirihia he topenga, he pine, he here rānei ki ō makawe i te rā o te maimoatanga. Waiho kia mahorahora ō makawe.
- Kia mau ki ngā kākahu me ngā hu e kore e tau ki te tinana, e ngāwari ana te mau me te tango. Āta karohia ngā kākahu e taea te kumea ki runga i tō mahunga.
- Kia mahara ki te kawe mai i tētahi atu hei hoa mōu ki te haere ki te maimoatanga me te hoki mai ki te kāinga.
Mena he pātai, he wehi, he ruarua rānei āu mō tēnei maimoatanga, pātai atu ki te tākuta ina kite koe i a ia. He tino whakamarie hoki tēnei mōu.
He aha te Anga me te Kore-Anga?
E rua ngā tikanga o te maripi Gamma.
1. Tikanga anga: I tēnei tikanga, ka whakamahia he anga whakarewa (konumohe te nuinga) ka whakapirihia ki tō mahunga. Mā tēnei anga ka noho tō mahunga ki te wāhi kotahi i te wā e rongoatia ana, ā, ka āwhina ki te tuku tika i ngā hihi gamma ki te ūnga.
2. Tikanga kore-anga: I tēnei tikanga, ka whakatakotoria he kopare kirihou wera, he kupenga rānei ki runga i tō mata. Ka tāpirihia tēnei ki tētahi anga i runga i te moenga maimoatanga, hei āwhina i te pupuri i tō mahunga kia marino.
Tērā pea ka mataku ētahi ina rongo rātou kei te whakapirihia tēnei anga ki tōu mahunga. Kaua e mataku. I mua i te whakapiringa o tēnei anga ki tōu angaanga me ngā titi iti e whā, ka werohia he rongoā whakamoe ki ngā wāhi e whā hei whakangāwari i a rātou. Nō reira, kāore koe e rongo i te mamae. Tērā pea ka paku pēhia koe. Ā, kāore koe e hiahia ki te heu i tōu mahunga.
Me pēhea te mahi a te maimoatanga i te taahiraa i te taahiraa
I te rā o te maimoatanga, ko ēnei mahi te tikanga e whaihia ana:
Te whakarite i mua i te maimoatanga
- Te whakauru i te raina IV: Ka whakaurua he raina IV ki roto i tētahi uaua i tō ringa. Ka hoatu he wai motuhake (he rongoā whakawhiti) hei āwhina i ngā matawai, ā, ki te tika, he rongoā whakangāwari hei whakamarie i a koe. Mō ngā tamariki nohinohi, ka tukuna pea he rongoā whakamoe whānui ki a rātou.
- Ngā Matawai: Ka mahia he matawai CT me/ranei he matawai MRI o tō roro. Mā tēnei ka āwhina ki te whakatau i te rahi, te āhua, me te wāhi tika o te wāhi e rongoatia ana. E 30 meneti pea te roa o tēnei.
- Te whakamahere maimoatanga: Whai muri i te arotake i ngā pūrongo matawai, ka mahi tahi te taote pokanga roro, te tohunga matepukupuku irahiko, te tohunga ahupūngao hauora, me ētahi atu i runga i te rorohiko ki te whakamahere i tō maimoatanga. Koinei te wāhi e whakatau ai rātou ko tēhea te wāhi hei rongoā, te nui o te irahiko hei hoatu, me pēhea te arotahi i ngā hihi kia pai ai ngā hua. Ka roa pea tēnei mō te haora pea.
Ngā mea ka tupu i te wā e maimoatanga ana
1. Ka haria koe ki te rūma maimoatanga, ā, ka tāpirihia te kopare anga, te kopare kore-anga rānei ki tō mahunga.
2. Kātahi ka meinga koe kia takoto ki runga i te moenga o te mīhini maimoatanga.
3. Ka neke mārire te moenga ki roto i te mīhini Maripi Gamma.
4. Ka tīmata te mīhini ki te tuku i te hihi. I tēnei wā, ka āta nekehia e te mīhini tō moenga me tō pane ki te arotahi i ngā hihi ki te ūnga mai i ngā taha katoa.
5. Kia oti te maimoatanga, ka puta anō te moenga i te mīhini.
6. Kātahi ka tangohia te anga, te kopare rānei e piri ana ki te māhunga. Ka tangohia hoki te aho IV i te ringa.
Ahakoa kei waho te tīma hauora i roto i tētahi rūma motuhake i te wā e rongoatia ana, kei te mātakitaki tonu rātou i a koe mā roto i ngā kāmera me ngā hopuoro. Ki te hiahia koe ki te kōrero, ka taea e koe te kōrero ki a rātou mā roto i te hopuoro kei a koe. Nō reira, kāore koe i te mokemoke.
He mamae tēnei maimoatanga?
Kāo. Kāore koe e rongo i te mamae, i te kore whakamarie rānei i te wā e rongoatia ana. Kāore te mīhini e whakaputa wera, e haruru rānei. He tokomaha ka moe i tēnei wā.
Kia pēhea te roa?
Ko te roa o te maimoatanga tonu mai i te 30 meneti ki te rua hāora. Kei te rahi, te āhua, me te wāhi o tō whara. Heoi, he pai ake te tumanako kia noho koe ki te hōhipera mō te rā katoa (tata ki te 12 hāora) me ngā mea katoa mai i ngā matawai ki te whakamahere.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, tera pea ka hiamoe koe, ka puhoi hoki. Nō reira, he mea nui kia whiwhi koe i tētahi hei kawe i a koe ki te kāinga. Ki te kore e kīia atu e tō tākuta tētahi atu mea, ka taea e koe te hoki ki te kāinga i taua rā anō. I te nuinga o te wā ka taea e koe te tīmata anō i ō mahi o ia rā (pēnei i te haere ki te mahi, ki te kura rānei) i te rā e whai ake nei .
Mena i whakamahia e koe he anga, me whai koe i ētahi mea i te kāinga:
- Mō te wiki pea, kia teitei ake tō mahunga mā te whakamahi i ngā urunga e rua i a koe e moe ana.
- I te aonga ake, tangohia ngā takai i whakatakotoria ki te wāhi i piri ai te anga.
- Horoia aua wāhi e rua i te rā, ka pania he iti o te hinu paturopi mō ngā rā e toru ki te whā.
- Ka taea e koe te horoi i ō makawe i muri i te 48 hāora.
- Ki te pāngia koe e te mamae, te kore rānei e pai, me tango he rongoā whakamamae mamae (hei tauira, Ibuprofen, Acetaminophen) i tūtohutia e tō tākuta.
He aha ngā painga me ngā mōrearea?
Pērā i ngā maimoatanga hauora katoa, he painga, he iti noa hoki ngā mōrearea o tēnei.
| Ngā painga o te maimoatanga |
|---|
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| Ngā Tūponotanga me ngā Pānga Taha |
Ngā mea iti me ngā mea noa:
Ngā raruraru kino, engari he tino onge:
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Ka pupuhi pea te roro i muri tonu i te maimoatanga, i muri rānei i ētahi marama. Hei ārai i tēnei, ka hoatu e tō tīma hauora he rongoā ki a koe i mua atu, ā, i muri hoki i te maimoatanga.
Āhea te wā e kite ai i te tākuta
Ina hoki koe ki te kāinga i muri i te maimoatanga, me mōhio koe ki te aha me mahi mēnā ka puta he raruraru.
Mena kei a koe ēnei tohu e whai ake nei, waea atu ki tō tākuta:
- Ki te mea ka pā te wera ki a koe ina pā atu koe ki ngā wāhi e piri ana te anga.
- Ki te puta mai he wai kakara kino, rite tonu ki te ngahere i aua wāhi.
- Ki te mea he kirika tōu.
Mena kei a koe ētahi o ngā tohu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera:
- Whakapairuaki nui, ruaki rānei
- He tino mamae te upoko
- Ngā huringa tirohanga
- Te uaua ki te kōrero
- He mate hopuhopu
- Ētahi atu tohu e whakaaro ana koe he rerekē
Kia pēhea te roa ka mōhiotia ai ngā hua?
He pātai tēnei e pātaihia ana e te tini tāngata. Tērā pea ka roa ngā wiki, ngā marama, tae atu ki te tau, neke atu rānei, kia kitea ai ngā hua katoa o te maimoatanga. Kei te āhua o te mate e rongoatia ana.
- Mō te mate mamae pēnei i te neuralgia trigeminal , ka roa pea te mamae mai i te kotahi rā ki te ono marama. Ko te nuinga o te tangata ka kite i te whakaoranga i roto i te kotahi marama.
- Mēnā he pukupuku matepukupuku , e tika ana kia noho pūmau, kia mimiti rānei i roto i ētahi wiki, ētahi marama rānei.
- Ngā pukupuku kore-matepukupukuI te nuinga o te wā, ahakoa ka mutu te tipu, kāore e iti haere.
- E rua ki te toru tau pea te roa o te ora katoa mō ngā āhuatanga pēnei i te arteriovenous malformations (AVM) .
Hei tirotiro i te pānga o te maimoatanga ki a koe, ka whakahaerehia e tō tākuta he matawai CT, MRI rānei i ngā wā auau.
Karere Tangohia ki te Kāinga
- Ehara te Maripi Gamma i te pokanga e whakamahia ana he maripi tūturu. He maimoatanga e whakamahi ana i ngā hihi irahiko e tino arotahi ana, kāore he tapahi.
- Ka taea e tēnei te rongoā haumaru i ngā pukupuku me ētahi atu raruraru o te roro e kore e taea te rongoā mā te pokanga tikanga.
- Kāore he mamae i te wā e rongoatia ana. He poto noa te wā whakaora, ā, ka taea e koe te hoki anō ki ō mahi o ia rā i te aonga ake.
- Ka roa pea ngā marama, ngā tau rānei kia kitea ai ngā hua katoa o te maimoatanga, nō reira he mea nui kia manawanui.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kōrero mārire ki tō tākuta.
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