Mea Kākau: Gregory Harris
Lā O Ka Hana: 15 Apelila 2021
HōʻAno Hou I Ka Lā: 27 Okakopa 2024
Anonim
Nā radiosurgery Stereotactic - Pahi Gamma - Kino PaʻA
Nā radiosurgery Stereotactic - Pahi Gamma - Kino PaʻA

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.

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