He aha ka Radiosurgery Stereotactic? Ke Kumu, ke Kaʻina Hana & Nā Hopena

ʻO ka radiosurgery stereotactic he lapaʻau pololei, ʻaʻole invasive e hoʻohana ana i nā kukuna radiation i kālele ʻia e kuhikuhi i ka ʻiʻo abnormal i loko o kou lolo a i ʻole ke kuamoʻo. ʻOiai kona inoa, ʻaʻole ia he ʻoki maoli ma ke ʻano kuʻuna - ʻaʻohe ʻoki a ʻoki paha i komo.

Hāʻawi kēia ʻenehana holomua i ka radiation i kālele ʻia i nā wahi kikoʻī loa me ka pale ʻana i ka ʻiʻo olakino a puni lākou. E noʻonoʻo e like me ka hoʻohana ʻana i ke aniani hoʻonui e kālele i ka lā ma kahi hoʻokahi, akā ma kahi o ka wela, hoʻohana nā kauka i nā kukuna radiation i helu ʻia e mālama i nā kūlana e like me nā maʻi lolo, nā malformations arteriovenous, a me kekahi mau maʻi neurological.

He aha ka radiosurgery stereotactic?

Hoʻohui ka radiosurgery stereotactic i ka ʻenehana kiʻi holomua me ka hāʻawi ʻana i ka radiation pololei e mālama i ka ʻiʻo abnormal me ka hana ʻole i nā ʻoki ʻoki. ʻO ka huaʻōlelo

ʻO nā kumu maʻamau no kēia lapaʻau, ʻo ia nā maʻi maʻi lolo i liʻiliʻi loa a i ʻole i nā wahi kahi e hiki ai i ka ʻoki kuʻuna ke hōʻino i nā hana lolo koʻikoʻi. Hoʻohana ʻia nō hoʻi no nā maʻi maʻi maikaʻi e like me nā acoustic neuromas, meningiomas, a me nā pituitary adenomas i ʻole e pono ke wehe ʻia akā pono e mālama ʻia.

Eia nā maʻi nui e pōmaikaʻi ai mai ka stereotactic radiosurgery:

• Nā metastases lolo (ka maʻi maʻi i laha i ka lolo mai nā wahi ʻē aʻe o ke kino)
• Nā malformations arteriovenous (nā ʻōpala abnormal o nā kīʻaha koko)
• Trigeminal neuralgia (ʻeha nui o ka maka)
• Acoustic neuromas (nā maʻi maʻi ʻaʻole maʻi e pili ana i nā aʻalolo lohe)
• Meningiomas (nā maʻi maʻi e puka mai ana mai nā uhi lolo)
• Nā maʻi maʻi pituitary
• Nā ʻano epilepsy
• Nā maʻi maʻi spinal

Hiki nō hoʻi i kāu kauka ke ʻōlelo aku i kēia lapaʻau inā ʻaʻole ʻoe he moho maikaʻi no ka ʻoki kuʻuna ma muli o kou makahiki, nā kūlana olakino ʻē aʻe, a i ʻole inā aia ka maʻi maʻi ma kahi e hiki ai i ka ʻoki ke hana i nā hopena ʻaoʻao nui.

He aha ke kaʻina hana no ka stereotactic radiosurgery?

ʻO ke kaʻina hana stereotactic radiosurgery e lawe maʻamau i hoʻokahi a ʻelima mau kau, ma muli o ka nui a me kahi o ka wahi e mālama ʻia nei. Hoʻopau ʻia ka hapa nui o nā lapaʻau i hoʻokahi kau, ʻoiai e pono paha kekahi mau kūlana i nā kipa he nui.

I ka lā o ka lapaʻau, e hoʻopili mua ʻia kahi kiʻi poʻo i kou iwi poʻo me ka hoʻohana ʻana i ka anesthesia kūloko, a i ʻole e ʻaʻahu paha ʻoe i kahi pale i hana ʻia e paʻa pono ai kou poʻo. He mea nui kēia immobilization no ka hōʻoia ʻana e paʻi pololei ka radiation i kahi kūpono.

Eia ka mea e hana ʻia i ka wā o ke kaʻina hana:

1. E loaʻa iā ʻoe nā kiʻi kikoʻī (CT, MRI, a i ʻole nā mea ʻelua) i ka wā e ʻaʻahu ana i ke kiʻi poʻo a i ʻole ka pale
2. Hoʻohana kāu hui lapaʻau i kēia mau kiʻi e hana i kahi hoʻolālā lapaʻau pololei
3. E moe ʻoe ma luna o kahi papa lapaʻau e neʻe ana i loko o ka mīkini radiosurgery
4. E huli ka mīkini a puni kou poʻo, e hāʻawi ana i nā kukuna radiation mai nā kihi he nui
5. E noho ala a ʻoluʻolu ʻoe i ke kaʻina hana
6. ʻO ka hāʻawi ʻana i ka radiation maoli e lawe maʻamau i 30 mau minuke a 2 mau hola

ʻAʻole ʻoe e ʻike i ka radiation ponoʻī, a ʻike ka hapa nui o nā kānaka i ke kaʻina hana. Hiki iā ʻoe ke hele i ka home i ka lā hoʻokahi, ʻoiai pono e hoʻokele kekahi iā ʻoe no ka mea e luhi paha ʻoe a i ʻole he poʻo liʻiliʻi.

Pehea e hoʻomākaukau ai no kāu stereotactic radiosurgery?

He maʻalahi ka hoʻomākaukau ʻana no ka stereotactic radiosurgery, akā ʻo ka hahai ʻana i nā ʻōlelo a kāu kauka e kōkua i ka hōʻoia ʻana i ka hopena maikaʻi loa. ʻO ka hapa nui o ka hoʻomākaukau ʻana e pili ana i ka hoʻomākaukau ʻana i kou kino no ka lapaʻau a me ka hoʻomaopopo ʻana i ka mea e manaʻo ai.

E noi paha kāu kauka iā ʻoe e pale i kekahi mau lāʻau lapaʻau e hiki ke hoʻonui i ka pilikia o ke koko, e like me ka aspirin a i ʻole nā mea hoʻoheheʻe koko, no kahi pule ma mua o ke kaʻina hana. Pono nō hoʻi ʻoe e hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope, no ka mea, e luhi paha ʻoe.

Eia ka mea āu e manaʻo ai i kāu hoʻomākaukau:

• E hooki i ka lawe ʻana i nā lāʻau lapaʻau e hoʻoheheʻe i ke koko e like me ke kuhikuhi a kāu kauka
• E holoi pono i kou lauoho i ka pō ma mua (ʻaʻole paha ʻoe e hiki ke holoi iā ia no hoʻokahi a ʻelua paha lā ma hope)
• E ʻai i ka ʻaina kakahiaka māmā i ka lā o ka lapaʻau
• E ʻaʻahu i nā lole ʻoluʻolu a me nā lole
• Wehe i nā mea nani, nā mea hoʻonani, a me nā huahana lauoho
• E lawe mai i nā lāʻau lapaʻau i kēia manawa me ʻoe
• E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home

E hāʻawi kāu hui mālama ola i nā ʻōlelo kikoʻī e pili ana i kou kūlana pilikino. Inā he hopohopo a nīnau paha kāu e pili ana i ke kaʻina hana hoʻomākaukau, mai kānalua e kelepona i ke keʻena o kāu kauka.

Pehea e heluhelu ai i nā hopena o kāu radiosurgery stereotactic?

Pono ka hoʻomaopopo ʻana i nā hopena o kāu radiosurgery stereotactic i ke ahonui, no ka mea, e ulu mālie nā hopena i nā pule a i nā mahina ma mua o ka manawa koke. ʻAʻole like me ke ʻoki kuʻuna, kahi e ʻike pinepine ʻia ai nā hopena i ka manawa koke, hana ka radiosurgery ma ka hōʻino mālie ʻana i nā cell abnormal i ka manawa.

E hoʻonohonoho kāu kauka i nā manawa hālāwai maʻamau me nā scans kiʻi e nānā i kou holomua. Hana ʻia ka scan mua ma kahi o 3-6 mau mahina ma hope o ka mālama ʻana, a laila ma nā manawa maʻamau no kekahi mau makahiki e nānā i ka maikaʻi o ka hana ʻana o ka mālama ʻana.

Hoʻohālikelike ʻia ka holomua e:

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• Hoʻemi a paʻa paha ka ʻōpū (e hooki i ka ulu)
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• Hoʻemi i nā hōʻailona e pili ana i kou kūlana
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• Ka pani ʻana o nā pilina koko abnormal (no nā malformations vascular)
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• Hoʻemi i ka hana ʻana o ka hopu ʻana (no ka mālama ʻana i ka epilepsy)
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• Hoʻomaha ʻeha (no nā kūlana e like me ka trigeminal neuralgia)
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No nā ʻōpū lolo, kiʻekiʻe loa nā helu holomua, me nā helu mana e ʻoi aku ana i ka 90% no nā kūlana he nui. Eia naʻe, he mea nui e hoʻomaopopo ʻaʻole ʻo ka

ʻO ka wahi a me ka nui o ka wahi e mālama ʻia ana nā mea pilikia nui loa. ʻO nā lapaʻau kokoke i nā hale lolo koʻikoʻi e like me ka lolo, nā aʻalolo optic, a i ʻole nā wahi e mālama ana i ka ʻōlelo a me ka neʻe ʻana e lawe i nā pilikia kiʻekiʻe o nā hopena ʻaoʻao.

ʻO nā mea e hoʻonui ai i kou pilikia e komo pū ana:

• ʻO ka lāʻau lapaʻau radiation mua i ka wahi like
• Nui ka nui o ka maʻi (ʻoi aku ma mua o 3-4 kenimika)
• Wahi lapaʻau kokoke i nā hale lolo koʻikoʻi
• Nā kūlana olakino e pili ana i ka hoʻōla
• ʻO ka makahiki kiʻekiʻe (ʻoiai ʻaʻole he hōʻailona kūʻē ka makahiki wale nō)
• Nui nā metastases lolo
• Nā ʻano maʻi maʻi e kūʻē ana i ka radiation

E loiloi pono kāu hui lapaʻau i kēia mau mea ma mua o ka ʻōlelo ʻana i ka lapaʻau. E kūkākūkā lākou i kāu ʻikepili pilikia pilikino a kōkua iā ʻoe e kaupaona i nā pōmaikaʻi kūpono e kūʻē i nā pilikia.

He aha nā pilikia hiki ke loaʻa o ka radiosurgery stereotactic?

He mea maʻamau ka loaʻa ʻana o nā pilikia mai ka radiosurgery stereotactic a maʻamau ka maʻalahi ke loaʻa. ʻAʻole nui ka poʻe e ʻike i nā hopena ʻaoʻao, akā he mea nui e hoʻomaopopo i ka mea e hiki ai i hiki iā ʻoe ke ʻike a hōʻike i nā hopohopo i kāu hui mālama ola.

ʻO nā hopena ʻaoʻao koke, e hiki mai ana i loko o nā lā mua, he maʻalahi a he manawa pōkole. Hiki i kēia ke komo i ka luhi, ke poʻo maʻalahi, a i ʻole ka pehu iki ma nā wahi hoʻopili o ke poʻo inā hoʻohana ʻia kahi kiʻi.

ʻO nā pilikia mua (i loko o nā pule a i nā mahina) e komo pū ana:

• Ka pehu ʻana o ka lolo (edema) a puni ka wahi i mālama ʻia
• ʻO ka hōʻino manawa pōkole o nā hōʻailona e kū nei
• Nā hopu (rare, akā hiki)
• Nausea a i ʻole nā pilikia kaulike
• Ka nalowale o ka lauoho ma ka wahi i komo ai nā kukuna radiation (maʻamau ka manawa pōkole)
• Luhi e hiki ke mau i nā pule he nui

ʻO nā pilikia hope, hiki ke ulu i nā mahina a i ʻole nā makahiki ma hope mai, ʻaʻole maʻamau akā hiki ke ʻoi aku ka koʻikoʻi. Hiki i kēia ke komo i ka necrosis radiation (ka make ʻana o ka ʻiʻo lolo olakino), ka ulu ʻana o nā hōʻailona neurological hou, a i ʻole i nā hihia kakaikahi loa, ka ulu ʻana o kahi maʻi lua.

ʻO ka pilikia o nā pilikia koʻikoʻi ma lalo o 5% no ka hapa nui o nā maʻi, a hiki ke mālama pono ʻia nā hopena ʻaoʻao me nā lāʻau lapaʻau a i ʻole nā lāʻau lapaʻau ʻē aʻe.

I ka manawa hea wau e ʻike ai i ke kauka ma hope o ka radiosurgery stereotactic?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe i nā hōʻailona koʻikoʻi a i ʻole nā hōʻailona e pili ana ma hope o ka radiosurgery stereotactic. ʻOiai e ola hou ka hapa nui o nā kānaka me ka ʻole o nā pilikia nui, he mea nui e ʻike i ka manawa e ʻimi ai i ka lāʻau lapaʻau.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe kahi ʻeha poʻo koʻikoʻi ʻaʻole e pane i nā lāʻau ʻeha ma luna o ka pāʻani, ka nausea mau a me ka luaʻi ʻana, a i ʻole nā hōʻailona neurological hou e like me ka nāwaliwali, ka ʻeha, a i ʻole ka pilikia o ka ʻōlelo.

E hoʻokaʻaʻike koke i kāu hui mālama ola no:

• ʻEha poʻo koʻikoʻi e ʻoi aku ka ʻino
• Nausea mau a me ka luaʻi ʻana
• Nāwaliwali hou i nā lima a i ʻole nā wāwae
• Nā loli koke i ka ʻike a i ʻole ka ʻōlelo
• Nā hopu
• Huikau a i ʻole nā loli pilikino
• Nā hōʻailona o ka maʻi ma nā wahi kiʻi poʻo (inā hoʻohana ʻia)

Pono ʻoe e hoʻopili aku inā he hopohopo kāu e pili ana i kou ola hou ʻana a i ʻole inā ʻike ʻia nā hōʻailona maʻalahi e ʻoi aku ka ʻino ma mua o ka maikaʻi i ka manawa. Aia kāu hui lapaʻau e kākoʻo iā ʻoe ma ke kaʻina holoʻokoʻa.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka radiosurgery stereotactic

Q.1 ʻOi aku ka maikaʻi o ka radiosurgery stereotactic ma mua o ke ʻoki kuʻuna?

ʻAʻole pono ka hana ʻoki lapaʻau stereotactic i ka

ʻAe, hiki ke hana hou ʻia ka radiosurgery stereotactic i kekahi manawa, akā pili kēia i nā mea he nui e like me ka nui o ka radiation i hāʻawi mua ʻia, kahi o ka mālama ʻana, a me kou olakino holoʻokoʻa. E loiloi pono kāu kauka inā palekana a kūpono ka mālama hou ʻana no kou kūlana kikoʻī.

ʻOi aku ka maʻamau o ka noʻonoʻo ʻana i nā lāʻau lapaʻau hou no nā maʻi maʻi hou ma nā wahi like ʻole ma mua o ka mālama hou ʻana i ka wahi like. Pono ka hoʻoholo i ka noʻonoʻo pono ʻana i ka nui o ka radiation a me nā pilikia hiki ke loaʻa i nā ʻiʻo olakino a puni.

Q.5 He ʻeha anei ka radiosurgery stereotactic?

ʻAʻole ʻeha ka radiosurgery stereotactic iā ia iho – ʻaʻole ʻoe e ʻike i nā kukuna radiation i ka wā o ka mālama ʻana. ʻO ka hōʻoluʻolu nui loa mai ka hoʻopili ʻana i ke kiʻi poʻo (inā hoʻohana ʻia) a i ʻole ka moe ʻana no ka manawa lōʻihi i ka wā o ke kaʻina hana.

ʻIke kekahi poʻe i nā ʻeha poʻo liʻiliʻi a i ʻole ka luhi ma hope o ka mālama ʻana, akā hiki ke mālama ʻia kēia mau hōʻailona me ka lāʻau lapaʻau ʻeha a me ka hoʻomaha. ʻO ke ʻano non-invasive o ke kaʻina hana ʻaʻohe ʻeha ʻoki a i ʻole ka manawa hoʻōla lōʻihi.