Kānāwai kamepiula i ka ʻoki lolo

I loko o ka ʻoki lolo i kōkua ʻia e kamepiula, hoʻohana nā kauka ʻoki i nā ʻenehana kiʻi e hana i kahi hoʻohālike 3D o ka lolo. Hiki i ke kiʻi ke komo pū me ka magnetic resonance imaging (MRI), intraoperative MRI, computerized tomography (CT) a me nā scan positron emission tomography (PET). ʻAe nā polokalamu hoʻohui kūikawā i ka hoʻohana ʻana i nā ʻano kiʻi he nui. Hiki ke hana ʻia ke kiʻi ma mua o ka ʻoki a hana ʻia i kekahi manawa i ka wā o ka ʻoki.

Hoʻohana ʻia ka ʻoki lolo me ke kōkua o ka kamepiula e mālama i nā ʻano maʻi like ʻole e pili ana i ka lolo. ʻO nā maʻi e komo pū ana, ʻo ia nā ʻōpū lolo, ka maʻi Parkinson, ka haʻalulu nui, ka maʻi ʻepelepsi a me nā maʻi arteriovenous malformations. Inā loaʻa iā ʻoe kahi ʻōpū lolo, hiki i kāu kauka ʻoki ke hoʻohui i ka ʻoki ʻana me ke kōkua o ka kamepiula me ka ʻoki lolo ʻana i ka wā e ala ana. Hoʻohana pū nā kauka lolo i nā ʻenehana kōkua kamepiula i ka wā e hoʻohana ana i nā kukuna radiation i hoʻonohonoho pono ʻia, i ʻike ʻia ʻo stereotactic radiosurgery. Hiki ke hoʻohana ʻia ka stereotactic radiosurgery e mālama i nā ʻōpū lolo, nā maʻi arteriovenous malformations, ka trigeminal neuralgia a me nā maʻi ʻē aʻe. Hiki ke hoʻohana ʻia ka ʻoki ʻana me ke kōkua o ka kamepiula i ka wā e hoʻokomo ai i nā electrodes no ka hoʻoulu ʻana i ka lolo hohonu a i ʻole ka responsive neurostimulation. Hiki i kāu poʻe kauka ke hoʻohana i nā MRI a i ʻole nā ​​CT scans—a i ʻole kekahi manawa ʻelua—e kōkua i ka hoʻolālā ʻana i kou lolo a me ka hoʻolālā ʻana i ka waiho ʻana o nā electrodes. Hiki ke hana ʻia kēia inā loaʻa iā ʻoe ka haʻalulu nui, ka maʻi Parkinson, ka maʻi ʻepelepsi, ka dystonia a i ʻole ka obsessive-compulsive disorder.

Kōkua ka ʻoki lolo me ke kōkua o ka kamepiula e hoʻoemi i nā pilikia o nā ʻoki. Ma ke kūkulu ʻana i kahi kumu hoʻohālike 3D o kou lolo, hiki i kāu kauka lolo ke hoʻolālā i ke ala palekana loa e mālama ai i kou kūlana. Kōkua pū ke kōkua kamepiula e alakaʻi i kāu kauka i nā wahi kūpono o ka lolo e pono ai ka mālama. Eia naʻe, aia kekahi pilikia i kēlā me kēia ʻoki. He kakaikahi nā pilikia o ka stereotactic radiosurgery, a he mau manawa pōkole nā hopena ʻaoʻao. Hiki iā lākou ke komo pū me ka luhi nui, a me ka ʻeha a me ka pehu ma ka wahi mālama. Hiki pū i nā hopena ʻaoʻao ke komo pū me ka huhū ʻana o ke poʻo. ʻAʻole pinepine, hiki ke loli ke lolo ma hope o kekahi mau mahina ma hope o ka ʻoki. Loaʻa pū kekahi nā pilikia o ka hoʻoulu hohonu o ka lolo, me ka maʻi, ka koko, nā ʻeha a me ka hahau. Inā lawe ʻia kekahi hapa o ka iwi poʻo no ka ʻoki, ʻo nā pilikia e hiki ke komo pū me ke koko, ka pehu a i ʻole ka maʻi.

E hahai i nā kuhikuhi mai kāu hui mālama ola e pili ana i nā mea e hana ai i nā lā a me nā hola ma mua o ka ʻoki lolo. Pono paha ʻoe e hoʻōki i kekahi mau lāʻau ma mua o ka ʻoki. No ka laʻana, hoʻolohi nā lāʻau hoʻoemi koko i ke kaʻina hana hoʻopaʻa koko. Hiki i kēia mau lāʻau ke hoʻonui i ka pilikia o ke kahe koko. E kamaʻilio me kāu hui mālama ola e pili ana i ka pono e hoʻōki i ka lawe ʻana i ka lāʻau hoʻoemi koko ma mua o ka ʻoki a pehea ka lōʻihi.

ʻO ka mea e hana ai i ka wā o ka ʻoki lolo i kōkua ʻia e kamepiula e hilinaʻi ana i ke ʻano o ka ʻoki lolo āu e loaʻa nei. Hoʻohana pinepine ʻia ka lāʻau lapaʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe, i ʻike ʻia ʻo ka anesthesia laulā, i ka ʻoki lolo i kōkua ʻia e kamepiula. Inā loaʻa iā ʻoe ka ʻoki lolo ala, hāʻawi ʻia ʻoe i nā lāʻau lapaʻau e hoʻomaha a pale aku i ka ʻeha akā e hoʻomau i kou ala. Hāʻawi kēia iā ʻoe e launa pū me ka hui ʻoki lolo e hoʻonui i ka palekana i ka wā o ka ʻoki lolo. I kekahi manawa, wehe ʻia kahi ʻāpana o ka iwi poʻo e hana ai i ka lolo. I nā ʻoki lolo ʻē aʻe, e like me ka stereotactic radiosurgery, ʻaʻohe ʻoki ʻia. Ma kahi o kēlā, kuhikuhi ʻia ka radiation i ka wahi o ka lolo e pono ai ka mālama. Hiki i kāu neurosurgeon ke lawe i nā kiʻi scan i ka wā o ka ʻoki lolo, i ʻike ʻia ʻo intraoperative MRI a i ʻole CT me ka hoʻohana ʻana i ka mīkini CT lawe lima. Aia paha ka mīkini kiʻi i hoʻohana ʻia e lawe i nā kiʻi i loko o ka lumi hana a lawe ʻia mai iā ʻoe no ke kiʻi ʻana. A i ʻole, aia paha ia i loko o ka lumi kokoke a lawe ʻia ʻoe i ka mīkini no nā kiʻi.