ʻOki kino o ka lolo

ʻO ke kahakaha lolo kahi hana e mālama i nā pilikia i ka lolo a me nā hale e pili ana.

Ma mua o ke kaha ʻana, e kahi ʻia ka lauoho o ka ʻāpana o ka ʻili a hoʻomaʻemaʻe ʻia ka wahi. Hoʻokipa ke kauka i kahi ʻokiʻoki ma loko o ka ʻili. Aia ka wahi o kēia ʻoki i ka wahi o ka pilikia ma ka lolo.

Hoʻokumu ka mea lapaʻau i kahi puka i ka iwi poʻo a hemo i ka iwi iwi.

Inā hiki, e hana ka mea hoʻolāʻau i kahi puka liʻiliʻi a hoʻokomo i kahi paipu me kahi kukui a me ka pahu paʻi kiʻi ma ka hopena. Kapa ʻia kēia he endoscope. E hana ʻia ke kaha me nā pono hana i hoʻonoho ʻia ma o ka endoscope. MRI a i ʻole CT scan hiki ke kōkua i ke kauka i kahi kūpono i ka lolo.

I ka wā o ke kahakaha ʻana,

• E hoʻopau i kahi aneurysm e pale ai i ke kahe ʻana o ke kahe
• Wehe i kahi tumo a i ʻole ʻāpana tumo no kahi biopsy
• Wehe i ka lolo lolo ʻole
• Hoʻokahe i ke koko a i ʻole kahi maʻi
• E hoʻokuʻu i kahi aʻalolo
• Lawe i kahi laʻana o ka lolo e kōkua i ke kuhi ʻana i nā maʻi ʻōnaehana

Hoʻololi pinepine ʻia ka pale iwi ma hope o ke kaha ʻana, me ka hoʻohana ʻana i nā pā metala liʻiliʻi, nā sutures, a i ʻole nā ​​uea. Kapa ʻia kēia ʻōpala lolo he craniotomy.

ʻAʻole paha e hoʻihoʻi ʻia ka pale iwi inā pili kāu ʻoki kino i kahi tumo a i ʻole kahi maʻi, a inā paha ua pehu ka lolo. Kapa ʻia kēia ʻōpala lolo he craniectomy. E hoʻihoʻi ʻia ka pale iwi i kahi hana e hiki mai ana.

ʻO ka manawa no ka ʻoki ʻana pili i ka pilikia e mālama ʻia.

Hiki ke hana ʻia ke kahakaha lolo inā ʻoe:

• Tumo lolo
• Kahe ʻana o ka hanu (hemorrhage) i ka lolo
• Hoʻopaʻa koko (hematomas) i ka lolo
• Nāwaliwali i nā kīʻaha koko (hoʻoponopono aneurysm lolo)
• Nā kīʻaha koko kūpono ʻole i ka lolo (malformations arteriovenous; AVM)
• Poino i nāʻaʻaʻa e uhi ana i ka lolo (dura)
• Nā maʻi i ka lolo (abscesses o ka lolo)
• ʻEhaʻeha a i ʻole ʻeha ʻeha (e like me neuralgia trigeminal, a i ʻole tic douloureux)
• Haki iwi poʻo
• Kaomi ma ka lolo ma hope o kahi ʻeha a hahau paha
• Epilepsy
• ʻO kekahi mau maʻi lolo (e like me ka maʻi Parkinson) hiki ke kōkua ʻia me kahi mea uila i hoʻokomo ʻia
• Hydrocephalus (lolo ʻōhū)

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Pilikia i ka hanu ʻana
• Kahe ʻana o ke kahe, ke koko, maʻi

ʻO nā pilikia i hiki i ka ʻoki ʻana o ka lolo ka:

• Nā pilikia me ka haʻiʻōlelo, ka hoʻomanaʻo, ka nāwaliwali o nā mākala, ke kaulike, ka ʻike, ka hoʻonohonoho ʻana, a me nā hana ʻē aʻe. Pōkole paha kēia mau pilikia a ʻaʻole paha e hele.
• Koko koko a hoʻokahe paha i ka lolo.
• Ka hopu ʻana i nā maʻi.
• Hahau.
• Koma
• ʻO ka maʻi i ka lolo, ʻeha, a iwi poʻo paha.
• Huʻi lolo.

E nānā ana kāu kauka iā ʻoe, a kauoha paha i nā hoʻokolohua a me nā hoʻokolohua kiʻi.

E haʻi i kāu kauka a kahu maʻi paha:

• Inā hiki iā ʻoe ke hāpai
• He aha nā lāʻau āu e lawe nei, a ʻo nā lāʻau, nā mea hoʻopiha, nā wikamina, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau
• Inā inu nui ʻoe i ka waiʻona
• Inā ʻoe e lawe i ka aspirin a i ʻole nā ​​lāʻau anti-inflammatory e like me ibuprofen
• Inā loaʻa ʻoe i nā maʻi āpau a i ʻole nā ​​hopena i nā lāʻau a iodine paha

I nā lā ma mua o ke kaha ʻana:

• E noi ʻia paha ʻoe e haʻalele no ka lawe manawa ʻana i ka aspirin, ibuprofen, warfarin (Coumadin), a me nā lāʻau hoʻomāliʻi koko ʻē aʻe.
• E nīnau i kāu kauka i nā lāʻau e pono ai ʻoe e lawe i ka lā o ke ʻoki.
• E hoʻāʻo e hōʻoki i ka puhipaka. Hiki i ka puhihihi ke hoʻolohi i ka hoʻōla ma hope o kāu hana. E noi i kāu kauka no ke kōkua.
• E noi paha kāu kauka a kahu hānai paha iā ʻoe e holoi i kou lauoho me kahi shampoo kūikawā i ka pō ma mua o ke kahakaha ʻana.

I ka lā o ke kaha:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai paha i kekahi mea no 8 a 12 mau hola ma mua o ke kaha ʻana.
• E lawe i nā lāʻau a kāu kauka i haʻi aku ai iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E hōʻea i ka haukapila i ka manawa.

Ma hope o ke kahakaha ʻana, e nānā pono ʻia ʻoe e kāu hui mālama ola e hōʻoia i ka hana pono ʻana o kou lolo. E nīnau paha ke kauka a kahu paha iā ʻoe, e hoʻomālamalama i kou mau maka, a noi iā ʻoe e hana i nā hana maʻalahi. Pono ʻoe i oxygen no kekahi mau lā.

E mālama ʻia ke poʻo o kou wahi moe e kōkua ai i ka hoʻēmi ʻana i kou maka a poʻo paha. Kūleʻa ka ʻōhū ma hope o ke kaha ʻana.

E hāʻawi ʻia nā lāʻau e hōʻoluʻolu ai i ka ʻeha.

Noho mau ʻoe i ka haukapila no 3 a 7 mau lā. Hiki paha iā ʻoe ke hoʻōla kino (rehabilitation).

Ma hope o kou hoʻi ʻana i ka home, e hāhai i nā ʻōkuhi mālama pilikino i hāʻawi ʻia iā ʻoe.

Maikaʻi ʻoe e hana ai ma hope o ka ʻoki ʻana o ka lolo ma muli o ke ʻano o ka mālama ʻia, kou olakino laulā, kahi hapa o ka lolo e pili ana, a me ke ʻano o ke ʻoki.

Craniotomy; ʻOki kino - lolo; Neurosurgery; Craniectomy; Craniotomy Stereotactic; Biopsy lolo lolo Stereotactic; Endoscopic craniotomy

• Hoʻoponopono ka lolo aneurysm - hoʻokuʻu
• ʻOki kino o ka lolo - hoʻokuʻu
• Ke mālama nei i ka spasticity muscle a i ʻole nā ​​spasms
• Ke kamaʻilio nei me kekahi me ka aphasia
• Ke kamaʻilio nei me kekahi me ka maʻi disarthria
• Epilepsy i nā mākua - he aha e nīnau aku ai i kāu kauka
• Epilepsy i nā keiki - hoʻokuʻu
• Epilepsy i nā keiki - he aha e nīnau aku ai i kāu kauka
• Epilepsy a i ʻole ka hopu ʻana - hoʻokuʻu
• Hahau - hoʻokuʻu
• Pilikia i nā pilikia

• Ma mua a ma hope o ka hoʻoponopono ʻana o ka hematoma
• Craniotomy - moʻo

Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurosurgery. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 67.

Zada G, Attenello FJ, Pham M, Weiss MH. ʻO ka hoʻolālā ʻōpala: kahi nānā. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 18.