Hoʻohana ka stereotactic radiosurgery (SRS) i nā kukuna radiation i kuhikuhi pono ʻia e mālama i nā tumors a me nā pilikia ʻē aʻe i loko o ka lolo, ka ʻāʻī, nā māmā, ke ate, ka spine a me nā ʻāpana ʻē aʻe o ke kino. ʻAʻole ia he ʻoki kino ma ke ʻano kuʻuna no ka mea ʻaʻohe ʻokiʻoki. Ma kahi o ia mea, hoʻohana ka stereotactic radiosurgery i ka 3D imaging e kuhikuhi i nā nui kiʻekiʻe o ka radiation i ka wahi i pilikia me ka hopena iki i nā pūnaewele olakino a puni.
Ma kahi o 50 mau makahiki i hala aku nei, ua hoʻomaka ʻia ka stereotactic radiosurgery ma ke ʻano he ʻano hana ʻoi aku ka liʻiliʻi a me ka palekana ma mua o ka hana lolo maʻamau (neurosurgery), kahi e pono ai nā ʻokiʻoki ma ka ʻili, iwi poʻo, a me nā membrane e hoʻopuni ana i ka lolo a me ka lolo. Mai ia manawa mai, ua hoʻonui nui ʻia ka hoʻohana ʻana i ka stereotactic radiosurgery e mālama i nā ʻano neurological a me nā kūlana ʻē aʻe, e komo pū ana: ʻO ka maʻi ʻaʻai lolo. Hoʻohana pinepine ʻia ka stereotactic radiosurgery, e like me Gamma Knife, e mālama i nā maʻi ʻaʻai lolo ʻaʻohe kanesa (benign) a me ka maʻi ʻaʻai (malignant), e komo pū ana i ka meningioma, paraganglioma, hemangioblastoma a me craniopharyngioma. Hiki nō hoʻi ke hoʻohana ʻia ka SRS e mālama i nā maʻi ʻaʻai i pālahalaha i ka lolo mai nā ʻāpana ʻē aʻe o ke kino (brain metastases). Arteriovenous malformation (AVM). ʻO nā AVM he mau ʻano ʻano ʻole o nā arteries a me nā veins i loko o kou lolo. I loko o kahi AVM, ke kahe pololei nei ke koko mai kou mau arteries i nā veins, e hala ana i nā kīʻaha koko liʻiliʻi (capillaries). Hiki i nā AVM ke hoʻopilikia i ke kahe maʻamau o ke koko a alakaʻi i ke kahe koko (hemorrhage) a i ʻole ka hahau. Hoʻopau ka stereotactic radiosurgery i ka AVM a hoʻopili i nā kīʻaha koko i pilikia i ka pani ʻana ma hope o kekahi manawa. Trigeminal neuralgia. ʻO ka trigeminal neuralgia he maʻi ʻeha mau loa o kekahi a i ʻole nā nerves trigeminal ʻelua, kahi e hoʻouna ai i ka ʻike sensory ma waena o kou lolo a me nā wahi o kou lae, papalina a me ka ihu lalo. ʻO kēia maʻi nerve e hoʻokumu i ka ʻeha helehelena nui e like me ka uila. Hoʻopili ka mālama ʻana o ka stereotactic radiosurgery no ka trigeminal neuralgia i ke aʻa nerve e hoʻopilikia i kēia mau hōʻailona ʻeha. Acoustic neuroma. ʻO ka acoustic neuroma (vestibular schwannoma), he maʻi ʻaʻai ʻole ia e ulu ana ma ka nerve kaulike a me ka lohe nui e alakaʻi ana mai kou pepeiao i loko i kou lolo. Ke kau ke maʻi ma luna o ka nerve, hiki i ke kanaka ke ʻike i ka nalowale o ka lohe, dizziness, nalowale o ke kaulike a me ka kani ʻana i ka pepeiao (tinnitus). Ke ulu aʻe ka maʻi, hiki iā ia ke kau i ka puʻe ma luna o nā nerves e hoʻopilikia ana i nā manaʻo a me ka neʻe ʻana o nā ʻiʻo ma ka helehelena. Hiki i ka stereotactic radiosurgery ke hoʻōki i ka ulu ʻana a i ʻole ke hoʻemi i ka nui o ka acoustic neuroma me ka liʻiliʻi o ka pilikia o ka pōʻino mau loa o ka nerve. Pituitary tumors. Hiki i nā maʻi ʻaʻai o ka gland nui o ka pīni ma ke kumu o ka lolo (pituitary gland) ke hoʻokumu i nā pilikia like ʻole. Ke kaohi nei ka pituitary gland i nā hormones i loko o kou kino e kaohi i nā hana like ʻole, e like me kou pane kaumaha, metabolism, ulu a me ka hana moekolohe. Hiki ke hoʻohana ʻia ka radiosurgery e hoʻemi i ka maʻi ʻaʻai a hoʻemi i ka hoʻopilikia ʻana o ka hoʻoponopono hormone pituitary. Tremors. Hiki ke hoʻohana ʻia ka stereotactic radiosurgery e mālama i nā tremors e pili ana i nā maʻi neurological hana e like me ka maʻi Parkinson a me ka essential tremor. ʻO nā maʻi ʻaʻai ʻē aʻe. Hiki ke hoʻohana ʻia ka SRS e mālama i nā maʻi ʻaʻai o ke ate, māmā a me ke kua. Ke noiʻi nei nā mea noiʻi i ka hoʻohana ʻana i ka stereotactic radiosurgery e mālama i nā kūlana ʻē aʻe, e komo pū ana i ka melanoma o ka maka, maʻi ʻaʻai umauma, maʻi ʻaʻai māmā, maʻi ʻaʻai prostate, epilepsy a me nā maʻi noʻonoʻo e like me ka obsessive-compulsive disorder.
ʻAʻole pili ka radiosurgery stereotactic i nā ʻoki kino, no laila, ʻoi aku ka liʻiliʻi o ka pilikia ma mua o ka ʻoki kino maʻamau. Ma ka ʻoki kino maʻamau, hiki iā ʻoe ke loaʻa nā pilikia o nā pilikia me ka anesthesia, ka koko a me ka maʻi. ʻO nā pilikia a i ʻole nā hopena ma mua he mau manawa wale nō. Hiki iā lākou ke komo pū me: Ka luhi. Hiki ke loaʻa ka luhi a me ka luhi no nā pule mua ma hope o ka radiosurgery stereotactic. ʻO ka pehu. Hiki i ka pehu ʻana o ka lolo ma a kokoke paha i ka wahi lapaʻau ke hoʻoulu i nā hōʻailona a me nā hōʻailona e like me ke poʻo ʻeha, ka ʻōpū a me ka luaʻi. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau anti-inflammatory (nā lāʻau lapaʻau corticosteroid) e pale aku i kēlā mau pilikia a i ʻole e mālama i nā hōʻailona inā ʻike ʻia. Nā pilikia o ke poʻo a me ka lauoho. Hiki ke ʻulaʻula, huhū a i ʻole nāwaliwali paha kou poʻo ma nā wahi i hoʻopili ʻia ai kahi mea hana i kou poʻo i ka wā o ka mālama ʻana. Loaʻa i kekahi poʻe ka nalowale o ka lauoho liʻiliʻi no kekahi manawa. ʻAʻole pinepine, hiki i nā kānaka ke ʻike i nā hopena ma hope, e like me nā pilikia ʻē aʻe o ka lolo a i ʻole nā pilikia neurological, mau mahina ma hope o ka mālama ʻana.
ʻO ka hoʻomākaukau no ka stereotactic radiosurgery a me ka stereotactic body radiotherapy e loli paha ma muli o ke kūlana a me ka ʻāpana o ke kino e mālama ʻia ana, akā maʻamau e komo pū me kēia mau ʻanuʻu:
ʻO ka radiosurgery stereotactic maʻamau he hana ma waho, akā, e lawe ka hana holoʻokoʻa i ka hapa nui o ka lā. Hiki paha ke aʻo ʻia ʻoe e loaʻa i kahi lālā ʻohana a i ʻole hoaaloha e hiki ke noho pū me ʻoe i ka lā a e hiki ke lawe iā ʻoe i ka home. Hiki paha iā ʻoe ke loaʻa i kahi tubo e hoʻolako ana i nā wai i kāu kahe koko (intravenous, a i ʻole IV, line) e mālama iā ʻoe i ka wai i ka lā inā ʻaʻole ʻae ʻia ʻoe e ʻai a inu i ka wā o ke kaʻina hana. Hoʻokomo ʻia kahi nila ma ka hopena o ka IV i loko o kahi vein, ʻoi aku ka nui ma kou lima.
Hoʻomaka mālie ka hopena o ka lāʻau lapaʻau stereotactic radiosurgery, ma muli o ke kūlana e mālama ʻia nei: nā ʻōpū maikaʻi (me ka vestibular schwannoma). Ma hope o ka stereotactic radiosurgery, hiki i ka ʻōpū ke emi i loko o ka manawa he 18 mahina a ʻelua mau makahiki paha, akā ʻo ka pahuhopu nui o ka mālama ʻana i nā ʻōpū maikaʻi, ʻo ia ke pale aku i ka ulu hou ʻana o ka ʻōpū. Nā ʻōpū ʻino. Hiki i nā ʻōpū kanesa (ʻino) ke emi koke aku, pinepine i loko o kekahi mau mahina. Arteriovenous malformations (AVMs). Hoʻokumu ka radiation therapy i nā kīʻaha koko kūpono ʻole o ka lolo AVM e mānoanoa a pani. Hiki i kēia kaʻina hana ke lawe i ʻelua mau makahiki a ʻoi aku paha. Trigeminal neuralgia. Hana ʻo SRS i kahi lesion e kāohi i ka hoʻoili ʻana o nā hōʻailona ʻeha ma ka ʻiʻo trigeminal. He nui ka poʻe e ʻike i ka hōʻoluʻolu ʻeha i loko o kekahi mau pule, akā hiki ke lawe i kekahi mau mahina. E loaʻa iā ʻoe nā ʻōlelo aʻo no nā hoʻokolokolo hahai kūpono e nānā i kou holomua.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
Hana ʻia i India, no ka honua