Nā radiosurgery Stereotactic - Pahi Gamma
ʻO ka radiosurgery Stereotactic (SRS) kahi ʻano o ka radiation radiation e kia ana i ka ikehu kiʻekiʻe ma kahi wahi liʻiliʻi o ke kino.
ʻOiai kona inoa, ʻaʻole ka radiosurgery he hana ʻoki pono - ʻaʻohe ʻoki a me ka humuhumu, akā he ʻano hana hoʻomaʻamaʻa radiation radiation.
Hoʻohana ʻia ma ʻō aku o kahi ʻōnaehana e hana ai i ka radiosurgery. ʻO kēia ʻatikala e pili ana i ka radiosurgery Gamma Knife.
Hoʻohana ʻia ka ʻōnaehana radiosurgery Gamma Knife e mālama ai i nā maʻi ʻaʻai a i ʻole nā ulu ulu ʻana ma ke poʻo a i ʻole ka ʻāʻī o luna. No nā kanesa a i ʻole nā ulu ulu i lalo i ka iwikuamoʻo a i ʻole ma nā wahi ʻē aʻe o ke kino, hiki ke hoʻohana ʻia kahi ʻōnaehana ʻoki poʻomanaʻo ʻē aʻe.
Ma mua o ka mālama ʻana, ua hoʻokau ʻia ʻoe me kahi "poʻo poʻo." He pōʻai hao kēia i hoʻohana ʻia e hoʻonohonoho pololei iā ʻoe i loko o ka mīkini e hoʻomaikaʻi ai i ka pololei a me ka māka kikoʻī. Hoʻopili ʻia ke kiʻi i kou poʻo a me ka iwi poʻo. Hana ʻia ke kaʻina e ka neurosurgeon, akā ʻaʻole koi ka ʻoki a humuhumu paha.
- Ke hoʻohana nei i kahi anesthesia kūloko (e like me ka hoʻohana ʻana o ka dentist), ʻehā mau helu i helu ʻia i ka ʻili o ka ʻili.
- Kau ʻia ke poʻo poʻo ma luna o kou poʻo a ʻehā mau kui liʻiliʻi a hoʻopili ʻia nā heleuma. Hoʻolālā ʻia nā heleuma e hoʻopaʻa i ke poʻo poʻo i kahi, a hele paʻa i waena o ka ʻili i ka papa o kou iwi poʻo.
- Hāʻawi ʻia ʻoe i kahi anesthetic kūloko a ʻaʻole pono ʻoe e ʻeha, akā kaomi wale. Hāʻawi pinepine ʻia ʻoe i ka lāʻau e kōkua e hōʻoluʻolu iā ʻoe i ke kaʻina hana kūpono.
- E hoʻopili ʻia ke kiʻina no ke kaʻina hana lapaʻau holoʻokoʻa, maʻa mau i kekahi mau hola, a laila e hemo ai.
Ma hope o ka hoʻopili ʻana o ke kino i kou poʻo, hoʻopau ʻia nā hōʻike kiʻi e like me CT, MRI, a angiogram paha. Hōʻike nā kiʻi i kahi kikoʻī, ka nui, a me ke ʻano o kou tumo a i ʻole ka wahi pilikia a ʻae i ka pololei kikoʻī.
Ma hope o ke kiʻi, lawe ʻia ʻoe i kahi keʻena e hoʻomaha ai ʻoiai hoʻomākaukau nā kauka a me nā hui physics i ka hoʻolālā kamepiula. Lōʻihi paha ma kahi o 45 mau minuke i hoʻokahi hola. A laila, lawe ʻia ʻoe i ke keʻena lapaʻau.
Loiloi ʻia nā ʻōnaehana ʻaʻa hou ʻole no ke hoʻonohonoho ʻana i ke poʻo.
Ma ka lapaau:
- ʻAʻole pono ʻoe e hiamoe. E loaʻa iā ʻoe ka lāʻau e kōkua ai iā ʻoe e hoʻomaha. ʻAʻole mālama ka lāʻau iā ia iho i ʻeha.
- Moe ʻoe i ka papa e heʻe i loko o kahi mīkini e hāʻawi i ka pāhawewe.
- Kūlike ke poʻo poʻo a i ʻole ka pale maka me ka mīkini, nona ka mahiole me nā puka e lawe pololei i nā kaola o ka pāhawewe i ka pahuhopu.
- E neʻe iki paha ka mīkini i kou poʻo, i hāʻawi ʻia nā kaola ikehu i nā kiko kikoʻī e pono ai ka lāʻau.
- Aia nā mea mālama ola i kahi lumi ʻē aʻe. Hiki iā lākou ke ʻike iā ʻoe ma nā kāmela a hoʻolohe iā ʻoe a kamaʻilio pū me ʻoe ma nā microphone.
Lawe ka lawe ʻana i kahi lāʻau mai nā wahi 20 a 2 mau hola. Loaʻa paha iā ʻoe ma mua o hoʻokahi kau kau. ʻO ka pinepine, ʻaʻole ʻoi aku ma mua o 5 mau kau e pono ai.
ʻO ka pīni radiation nui e kia ana me ka hoʻohana ʻana i ka ʻōnaehana Gamma Knife a hānai i kahi wahi ʻino. Hoʻoemi kēia i ka hōʻino ʻana i nā mea olakino kokoke. ʻO kēia maʻamau he mea ʻokoʻa e wehe i nā neurosurgery.
Hiki ke hoʻohana i ka radiosurgery Gamma Knife e mālama ai i nā ʻano aʻe o nā tumors lolo a i ʻole nā ʻiwi ʻōiwi luna.
- Ua pālahalaha ka maʻi ʻaʻai (metastasized) i ka lolo mai kekahi ʻāpana o ke kino
- ʻO kahi tumo ulu ulu o ke aʻalolo e hoʻopili i ka pepeiao i ka lolo (neuro acoustic)
- Nā hikina pituitary
- ʻO nā ulu ʻē aʻe i ka lolo a i ʻole ka iwi kuamoʻo (chordoma, meningioma)
Hoʻohana ʻia ʻo Gamma Knife e mālama i nā pilikia ʻē aʻe o ka lolo.
- Nā pilikia o ke kīʻaha koko (malformation arteriovenous, arteriovenous fistula).
- Kekahi mau ʻano epilepsy.
- ʻO ke neuralgia Trigeminal (ʻehaʻeha o ke alo o ka maka).
- Nā haʻalulu nui ma muli o ka haʻalulu nui a i ʻole maʻi Parkinson.
- Hiki ke hoʻohana ʻia ia ma ke ʻano he "adjuvant" therapy hou aʻe ma hope o ka hemo ʻana o ka maʻi ʻaʻai mai ka lolo, e kōkua i ka hōʻemi ʻana i ka hopena o ke kū hou ʻana.
Radiosurgery (a i ʻole kekahi ʻano o ka mālama ʻana no ia mea), e hōʻino paha i nā mea a puni ka wahi i mālama ʻia. Hoʻohālikelike ʻia me kekahi ʻano o ka radiation therapy, manaʻo kekahi kekahi ʻo Gamma Knife radiosurgery, no ka mea ke hāʻawi nei i ka lāʻau pinpoint, ʻoi aku ka liʻiliʻi o ka hōʻino ʻana i nā mea olakino kokoke.
Ma hope o ka pāhawewe ʻana i ka lolo, kū paha ka pehu kūloko, i kapa ʻia ʻo edema. Hāʻawi ʻia ʻoe i ka lāʻau i mua a ma hope o ke kaʻina hana e hoʻohaʻahaʻa ai i kēia pilikia, akā hiki nō naʻe. Hele pinepine ka ʻōhū me ka ʻole o ka lapaʻau hou aʻe. I nā hanana kakaʻikahi, pono ka haukapila a me ke ʻoki ʻana me nā ʻokiʻoki (ʻoki ākea) e pono ai e mālama i ka lolo i pehu ʻia e ka radiation.
Aia kekahi mau hihia maʻamau o ka pehu ʻana e loaʻa nā pilikia i nā poʻe maʻi i ka hanu ʻana, a aia kekahi mau hōʻike no ka make ma hope o ka radiosurgery.
ʻOiai ʻoi aku ka liʻiliʻi o kēia ʻano lapaʻau ma mua o ke kaha hāmama, hiki nō ke loaʻa nā pōpilikia. E kamaʻilio me kāu kauka e pili ana i nā hopena o ka mālama ʻana a me nā makaʻu no ka ulu ʻana o ka tumo a pāhola paha.
ʻO nā ʻeha o ka ʻili a me nā wahi kahi e hoʻopili ai ke poʻo poʻo i kou poʻo i ʻulaʻula a maʻalahi paha ma hope o ka lapaʻau. E hele kēia me ka manawa. ʻEkea paha e ʻeha.
ʻO ka lā ma mua o kāu kaʻina hana:
- Mai hoʻohana i kekahi kalima lauoho a i ʻole ka ʻehu lauoho.
- Mai ʻai a inu paha i kekahi mea ma hope o ke aumoe inā ʻaʻole haʻi ʻia e kāu kauka.
ʻO ka lā o kāu kaʻina hana:
- E komo i nā lole ʻoluʻolu.
- Lawe pū i kāu mau lāʻau lapaʻau i kau ʻia i ka haukapila.
- Mai hoʻokomo i nā mea hoʻonaninani, nā mea hoʻonaninani, nā kui kui, a i ka wig a i ʻole ka lauoho.
- E noi ʻia ʻoe e hemo i nā aniani kelepona, nā aniani aniani, a me nā niho.
- E hoʻololi ʻoe i ke kapa komo no ka haukapila.
- E hoʻokomo ʻia kahi laina intravenous (IV) i loko o kou lima e hāʻawi i nā mea like ʻole, nā lāʻau, a me nā wai.
ʻO ka pinepine, hiki iā ʻoe ke hoʻi i ka hale i ka lā like o ka mālama ʻana. E hoʻonohonoho i mua o ka manawa no kekahi e hoʻokele iā ʻoe i ka home, no ka mea ʻo nā lāʻau i hāʻawi ʻia iā ʻoe hiki ke hiamoe. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka lā aʻe inā ʻaʻohe pilikia, e like me ka pehu. Inā loaʻa iā ʻoe nā pilikia, a i ʻole manaʻo paha kāu kauka ua koi ʻia, pono ʻoe e noho i ka haukapila i ka pō no ka nānā ʻana.
E hāhai i nā ʻōlelo aʻo i hāʻawi ʻia iā ʻoe e kāu poʻe kahu maʻi pehea e mālama ai iā ʻoe iho ma ka home.
Hiki i nā hopena o ka radiosurgery Gamma Knife ke hala i mau hebedoma a i ʻole mau mahina e ʻike ʻia. Pili ka wānana i ke ʻano o ka mālama ʻana. E mālama kāu mea hāʻawi i kāu holomua me ka hoʻohana ʻana i nā hoʻokolohua kiʻi e like me MRI a me CT scans.
ʻO radiotherapy Stereotactic; Radiosurgery Stereotactic; SRT; SBRT; ʻO radiotherapy stereotactic haʻihaʻi; SRS; Pahi Gamma; ʻO radiosurgery pahi ʻo Gamma Knife; Neuroosugery hoʻopilikia ʻole; Epilepsy - Pahi Gamma
Baehring JM, Hochberg FH. ʻO nā tumors ʻōnaehana mua i nā mākua. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 74.
Brown PD, Jaeckle K, Ballman KV, a me al. ʻO ka hopena o ka radiosurgery wale nō vs radiosurgery me ka radiation radiation therapy holoʻokoʻa ma ka hana noʻonoʻo i nā mea maʻi me 1 i ka 3 lolo metastases: kahi hoʻokolohua hoʻokolohua kaulike ʻole. JAMA. 2016; 316 (4): 401-409. PMID: 27458945 pubmed.ncbi.nlm.nih.gov/27458945/.
Dewyer NA, Abdul-Aziz D, Welling DB. ʻO ka radiation radiation o nā maʻi puʻupuʻu o ke kumu cranial. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 181.
ʻO Lee CC, ʻo Schlesinger DJ, ʻo Sheehan JP. Pāʻālani radiosurgery. I: Winn RH, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 264.