Nā Waihona Ommaya
Anter
He aha kahi waihona wai ʻo Ommaya?
ʻO kahi reservoir Ommaya kahi mīkini lula i hoʻokomo ʻia ma lalo o kou poʻo. Hoʻohana ʻia ia e hāʻawi i ka lāʻau i kāu wai cerebrospinal (CSF), kahi wai maʻemaʻe i kou lolo a me ka iwi kuamoo. Hāʻawi nō hoʻi ia i kāu kauka e lawe i nā laʻana o kāu CSF me ka hana ʻole ʻana i ka lolo uila.
Hoʻohana pinepine ʻia nā waihona wai o Ommaya e lawelawe i ka lāʻau chemotherapy. Aia i kou lolo a me ka iwi kuamoʻo kahi hui o nā kīʻaha koko e hana i kahi pale pale i kapa ʻia ʻo ka pale lolo-lolo. ʻAʻole hiki i ka Chemotherapy ke hāʻawi ʻia ma o kou kahawai keʻa i kēia pale e hiki i nā hunaola maʻi ʻaʻai. Hāʻawi kahi waihona Ommaya i ka lāʻau e kāpae i ka pale o ka lolo-lolo.
ʻO ka reservoir Ommaya ponoʻī i hana ʻia i ʻelua ʻāpana. ʻO ka ʻāpana mua kahi ipu liʻiliʻi i hoʻohālikelike ʻia e like me ka dome a hoʻonoho ʻia ma lalo o kou poʻo. Pili kēia ipu i kahi catheter i hoʻonoho ʻia ma kahi ākea i loko o kou lolo i kapa ʻia he ventricle. Ke hele nei ʻo CSF i loko o kēia ākea a hāʻawi i kou lolo me nā mea momona a me kahi cushion.
No ka lawe ʻana i kahi laʻana a lawelawe ʻana i ka lāʻau, e hoʻokomo kāu kauka i kahi nila ma o ka ʻili o kou poʻo e kiʻi ai i ka waihona.
Pehea e kau ai?
Hoʻokomo ʻia kahi reservoir Ommaya e kahi neurosurgeon ʻoiai ʻoe ma lalo o ka anesthesia ākea.
Hoʻomākaukau
Pono ka loaʻa ʻana o kahi waihona i loko o Ommaya i kahi hoʻomākaukau, e like me:
- inu ʻole i ka waiʻona ke hoʻonohonoho ʻia ke kaʻina hana
- ʻaʻole e lawe i nā mea hoʻohui vitamin E ma loko o 10 mau lā o ke kaʻina hana
- ʻaʻole lawe i ka aspirin a i ʻole nā lāʻau i loaʻa ka aspirin i loko o ka pule ma mua o ke kaʻina hana
- e haʻi ana i kāu kauka e pili ana i nā lāʻau hou aʻe a i ʻole nā mea hoʻopili lāʻau āu e lawe ai
- ka hāhai ʻana i nā kuhikuhi a kāu kauka e pili ana i ka ʻai ʻana a me ka inu ma mua o ke kaʻina hana
Ke Kaʻina Hana
No ke kanu ʻana i ka waihona wai ʻo Ommaya, e hoʻomaka kāu kauka lāʻau ma ke kahi ʻana i kou poʻo a puni ka pūnaewele i hoʻokomo ʻia. A laila, e hana lākou i kahi ʻoki liʻiliʻi i kou poʻo e hoʻokomo i ka waihona. Hoʻopili ʻia ka catheter ma o kahi puka liʻiliʻi i kou iwi poʻo a kuhikuhi ʻia i loko o ka ventricle i kou lolo. E wahī, e pani lākou i ka ʻokiʻoki me nā staples a i ʻole nā kuʻi.
ʻO ke ʻoki ponoʻī ma kahi o 30 mau minuke wale nō, akā hiki i ke kaʻina holoʻokoʻa ke hana ma kahi o hoʻokahi hola.
Hoʻoiho
Ke kau ʻia ke kahawai ʻo Ommaya, ʻike ʻoe i kahi puʻupuʻu liʻiliʻi ma luna o kou poʻo i kahi o ka waihona wai.
Pono paha ʻoe i kahi CT scan a i ʻole kahi scan MRI ma loko o kahi lā o kou ʻoki e ʻike pono kau pono ʻia. Inā pono e hoʻoponopono, pono ʻoe i kahi kaʻina hana ʻelua.
ʻOiai ʻoe e ola hou, e mālama i ka wahi a puni ka incision maloʻo a maʻemaʻe a hiki i ka lawe ʻia ʻana o kāu staples a i ʻole nā kuʻi. E ʻike pono i kāu kauka e pili ana i nā hōʻailona o ka maʻi, e like me:
- he kuni
- ʻeha poʻo
- ʻulaʻula a palupalu paha e kokoke ana i ka pūnaewele incision
- e kahe ana ma kahi o ka pūnaewele incision
- ka luaʻi
- ʻoʻoleʻa ʻāʻī
- luhi
Ke hoola ʻoe mai ke kaʻina hana, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau. ʻAʻole koi nā waihona wai oʻOmmaya i kahi mālama a mālama paha.
Palekana anei?
Palekana lākou i nā waihona wai o Ommaya. Eia nō naʻe, ke kaʻina hana e kau iā lākou i nā mea like like me nā ʻoki ʻē aʻe e pili ana i kou lolo, e like me:
- maʻi maʻi
- e kahe ana ke koko i kou lolo
- pohō hapa o ka hana lolo
I mea e pale aku ai i ka maʻi, e kauoha paha kāu kauka iā ʻoe i nā lāʻau antibiotic e pili ana i ke kaʻina hana. E kamaʻilio me kāu kauka e pili ana i kāu hopohopo e pili ana i nā pilikia. Hiki iā lākou ke hele pū me ʻoe a haʻi iā ʻoe e pili ana i nā hanana hou aʻe a lākou e lawe ai e hoʻohaʻahaʻa i kou makaʻu i ka loaʻa ʻana o nā pilikia.
Hiki iā ia ke hemo?
ʻAʻole hoʻoneʻe pinepine ʻia nā waihona wai o Ommaya ke ʻole lākou e hoʻopilikia i nā pilikia, e like me ka maʻi. ʻOiai ma kekahi manawa i ka wā e hiki mai ana ʻaʻole ʻoe e pono hou i kāu waihona wai Ommaya, ʻo ke kaʻina hana e wehe iā ia e halihali i nā mea like me ke kaʻina e hoʻokomo iā ia. ʻO ka maʻamau, hemo ʻole ka waiwai.
Inā loaʻa kahi loko wai o Ommaya a ke manaʻo nei ʻoe e hemo ia, e ʻike pono e hele pū me kāu kauka.
Ke laina lalo
ʻAe nā waihona wai o Ommaya i kāu kauka e lawe maʻalahi i nā laʻana o kāu CSF. Hoʻohana ʻia lākou e lawelawe i nā lāʻau i kāu CSF. Ma muli o nā pilikia e pili ana i ka hemo ʻana, ʻaʻole lawe pinepine ʻia nā waihona wai o Ommaya ke ʻole lākou e hoʻopilikia i ka lāʻau.
ManaʻO Mākou
Pegaspargase injection
