He aha te pokanga irirangi stereotactic roro? Te Whāinga, te Hātepe & Ngā Hua

Ko te pokanga irirangi stereotactic roro he rongoā tika, kāore e poka ana, e whakamahi ana i ngā hihi iraruke i arotahi ki te whāinga i ngā wāhi motuhake i tō roro. Ahakoa tōna ingoa, ehara tūturu i te pokanga i te tikanga tuku iho - kāore he tapahi, he wāhi rānei e whai wāhi ana. Engari, ko tēnei tikanga matatau e tuku ana i te iraruke tino kaha ki te rongoā i ngā puku, ngā hē o ngā oko toto, me ētahi atu āhuatanga roro me te tika whakamīharo.

Whakaarohia me te whakamahi i tētahi tohu laser tino tika, engari hei utu mō te mārama, ka whakamahi ngā tākuta i ngā hihi iraruke e huihui ana ki te wāhi tika i tō roro. Ko tēnei huarahi arotahi e āhei ana i tō rōpū hauora ki te rongoā i ngā wāhi raruraru i te wā e tiaki ana i te kiko roro hauora i te taha o rātou.

He aha te pokanga irirangi stereotactic roro?

Ko te pokanga irirangi stereotactic roro e whakakotahi ana i te hangarau whakaahua matatau me te tuku iraruke tika ki te rongoā i ngā āhuatanga roro kāore he pokanga tuku iho. Ko te wāhanga

Ka tohutohu pea tō tākuta i te pokanga iraruke stereotactic ina he mate roro tō, he uaua ki te rongoā mā te pokanga tuku iho, ā, ki te nui rawa ngā tūponotanga o te pokanga. He huarahi haumaru ake tēnei rongoā mō te hunga tūroro e kore e pai mō te pokanga roro tuwhera.

Ko ngā take tino nui ko te rongoā i ngā puku roro, te hunga mate pukupuku me te hunga kāore i te mate pukupuku. Koinei pea ngā puku tuatahi i tīmata i tō roro, i ngā puku tuarua rānei i horapa mai i ētahi wāhi o tō tinana. Ko te tika o tēnei rongoā ka whai hua rawa mō ngā puku iti ki te rahi.

I tua atu i ngā puku, ka taea e tēnei rongoā te rongoā i ngā hē o te arteriovenous (AVMs), arā, ngā kōpū toto kōaro i tō roro. Ka whakamahia hoki mō te trigeminal neuralgia, he mate e pā ana ki te mamae nui o te kanohi, ā, i ētahi wā mō ētahi mate nekehanga, mate hinengaro rānei, ina kāore anō ētahi atu rongoā i whai hua.

Ka whiriwhiri pea tō rōpū hauora i tēnei huarahi ina kei te wāhi nui o tō roro te wāhi e hiahia ana ki te rongoā, e whakahaere ana i ngā mahi nui pēnei i te kōrero, te nekehanga, te tirohanga rānei. Ka āwhina te tika ki te tiaki i ēnei wāhi nui i te wā e rongoā ana i te raruraru.

He aha te tikanga mō te pokanga iraruke stereotactic roro?

Ko te tikanga ka puta i roto i ētahi wāhanga i roto i te rā kotahi, i ētahi rā rānei, i runga i tō mahere rongoā. Ko te nuinga o ngā tūroro ka whiwhi i tā rātou rongoā hei tūroro waho, ko te tikanga ka taea e koe te hoki ki te kāinga i te rā kotahi.

Tuatahi, me hanga e tō rōpū hauora he mahere taipitopito o tō roro mā te whakamahi i ngā whakaahua matatau. Ko te tikanga, ka piri tētahi anga upoko motuhake ki tō angaanga me ngā titi iti - kaua e māharahara, ka whiwhi koe i te rongoā ā-rohe hei whakapōkae i ngā wāhi e piri ana te anga. Ko ētahi pūnaha hou ake e whakamahi ana i tētahi kanohi hanga-ā-ringa hei utu mō te anga.

I muri mai, ka whai koe i nga karapa MRI, CT ranei e whai taipitopito ana i a koe e mau ana i te anga, i te kanohi ranei. Ma enei whakaahua e awhina i o taakuta ki te hanga mahere maimoatanga tika, e tatau ana i te waahi tika e tika ana kia haere nga kurupae iraruke me te nui o te iraruke hei tuku.

I te wa o te maimoatanga, ka takoto koe ki runga i te tepu maimoatanga i te wa e neke ana te miihini iraruke i to mahunga. Ko te anga, ko te kanohi ranei e pupuri ana i to mahunga kia kore e neke i te wa o te maimoatanga. E kore koe e rongo i te iraruke i a ia ano, ahakoa ka rongo pea koe i te haruru o te miihini i a ia e neke ana.

Ka rereke te wa maimoatanga mai i te 15 meneti ki etahi haora, i runga i te rahi me te waahi o te waahi e rongoatia ana. Ko etahi ahuatanga e hiahia ana kia kotahi noa te wahanga, ko etahi atu ka hiahia kia maha nga maimoatanga i roto i nga ra, i nga wiki ranei.

Me pehea te whakarite mo to pokanga iraruke stereotactic roro?

Ko te whakarite mo te pokanga iraruke stereotactic ko te whakarite tinana me te hinengaro, a ka arahi to roopu hauora i a koe i ia taahiraa. Ko te whakarite i te nuinga o te wa ka timata i nga ra, i nga wiki ranei i mua i to ra maimoatanga.

Ka tono pea to taakuta ki a koe kia mutu te tango i etahi rongoa, ina koa nga mea whakaheke toto, mo tetahi wa i mua i te maimoatanga. Me karo ano koe i te waipiro mo te 24 haora i mua i te tikanga. Mena kei te tango koe i nga rongoa mo etahi atu ahuatanga, patai ki to taakuta ko wai nga mea e tika ana kia haere tonu koe ki te tango.

I te ra o te maimoatanga, ka hiahia koe ki te kai i te kai mama i mua i te taenga atu ki te hōhipera. Mau kakahu pai, ngawari, me te karo i te mau whakapaipai, te hanga-ake, te hua makawe ranei. Ka hiahia pea koe ki te kawe mai i te hoa, i te mema ranei o te whanau mo te tautoko, na te mea ka roa te mahi i etahi haora.

Ka matapakihia ano e to roopu hauora nga mea e tumanakohia ana i te wa me muri i te maimoatanga. Kei roto i tenei ko nga paanga taha pea me te wa e whakapā atu ai koe ki a ratou mena he awangawanga koe. Ma te whai i enei korero i mua i te wa ka awhina i te whakaiti i te awangawanga me te whakarite kia rite koe i te hinengaro.

Mēnā kei te āwangawanga koe mō te tikanga, kaua e whakaroa ki te kōrero ki tō rōpū hauora. Ka taea e rātou te whakarato i te tautoko atu, i te rongoā whakamauri ngawari rānei, ki te hiahiatia, hei āwhina i a koe kia pai ake te noho i te wā o te rongoā.

Me pēhea te pānui i ngā hua o tō rāpoi rāpoi stereotactic?

Ki te mārama ki ngā hua o tō rāpoi rāpoi, me titiro ki ngā hua tonu me ngā hua wā-roa, i te mea ka whanake haere ngā pānga o tēnei rongoā i te wā. Kāore i rite ki te pokanga tuku iho, e kitea tonu ana ngā hua, ka mahi pōturi te rāpoi stereotactic i te mea ka pā te rāpoi ki te kiko e whāia ana.

Ka whakarite tō tākuta i ngā tūpono whai-muri auau me ngā rangahau whakaahua, te tikanga ka tīmata 3-6 marama i muri i te rongoā. Ka āwhina ēnei karapa ki te aroturuki i te pai o te mahi o te rongoā me te tirotiro mō ngā huringa i te wāhi e whāia ana.

Mō ngā puku roro, ka inea te angitu mā te mutu o te tipu o te puku, te tīmatanga rānei ki te whakaheke. Ehara i te mea ko te ngaro katoa te whāinga – i ētahi wā ka whakaarohia he hua pai te aukati i te tipu. Ka whakataurite tō tākuta i ō karapa whai-muri ki ngā whakaahua i mua i te rongoā hei aromatawai i te ahunga whakamua.

Mēnā i rongoatia koe mō te hē o te arteriovenous, ko te angitu ko te kati haere o ngā oko toto hē i roto i te 1-3 tau. Mō te trigeminal neuralgia, ka inea te angitu mā te whakaiti i te mamae, ka tīmata pea i roto i ngā rā ki ngā wiki engari ka roa pea te maha o ngā marama ki te whanake katoa.

Ka whakamārama tō rōpū hauora i ngā huringa motuhake hei titiro māu i tō keehi me te wā-ā-roto hei tūmanako. Ka kōrero hoki rātou mō ētahi atu rongoā ka hiahiatia mēnā kāore i te rite ngā hua tuatahi ki te tūmanako.

He aha ngā āhuatanga tūpono mō ngā raruraru rāpoi stereotactic roro?

Ahakoa he pai ake te haumaru o te rongoā iraruke stereotactic i te pokanga roro tuku iho, he mea ka piki ake te tūponotanga o ngā raruraru. Mā te māramatanga ki ēnei mea e piki ake ai te tūponotanga ka āwhina i a koe me tō rōpū hauora ki te whakatau i ngā whakatau rongoā pai rawa atu mō tō āhuatanga motuhake.

He nui te whai wāhi o te wāhi rongoā ki te whakatau i te tūponotanga. Ko ngā wāhi e tata ana ki ngā hanganga roro nui e whakahaere ana i te kōrero, te nekehanga, te tirohanga rānei, he nui ake te tūponotanga o ngā pānga taha rangitahi, pumau rānei. Ka āta whakatau tō tākuta i ēnei tūponotanga ki ngā painga ka puta mai i te rongoā.

Ko ngā rongoā iraruke o mua ki tō upoko, roro rānei, ka piki ake te tūponotanga o ngā raruraru mai i te pānga iraruke atu. Ka arotake tō rōpū hauora i tō hītori hauora katoa kia noho te horopeta iraruke tōpū i roto i ngā rohe haumaru.

Ka pānga hoki ētahi āhuatanga hauora ki tō kōtaha tūponotanga. Kei roto i ēnei ko ngā mate toto, ngā whiu o mua, ngā āhuatanga rānei e pā ana ki te hauora o ngā oko toto. He mea nui hoki te pakeke, nā te mea he nui ake te tūponotanga o ngā raruraru ki ngā tūroro kaumātua, ahakoa he maha ngā tūroro kaumātua e whiwhi ana i te rongoā angitu.

Ka pānga hoki te rahi me te momo o te āhuatanga e rongoāhia ana ki te tūponotanga. He rerekē pea ngā kōtaha tūponotanga o ngā wāhi rongoā nui ake, ētahi momo puku rānei. Ka kōrero tō rōpū hauora i ō mea e piki ake ai te tūponotanga me te pēhea e whakamārama ai rātou i ngā raruraru ka puta.

He aha ngā raruraru ka puta mai i te rongoā iraruke stereotactic roro?

He mea kāore i te kitea ngā raruraru mai i te rongoā iraruke stereotactic roro, engari he mea nui kia mārama ki ngā mea ka puta kia mōhio ai koe ki ngā tohumate me te rapu āwhina ki te hiahiatia. Ko te nuinga o ngā pānga taha he rangitahi, he ngāwari ki te whakahaere mā te manaaki hauora tika.

Ko ngā pānga taha tonu e mōhiotia ana ko te ānini, te whakapairuaki, me te ngenge, ā, ka ngaro i roto i ngā rā torutoru ki ngā wiki. Ko ētahi tāngata e pā ana ki te pūhihi rangitahi i te wāhi rongoā, ā, ka puta pea ngā tohumate pērā i te whāwhā, i ngā rerekētanga rānei o te whakaaro e pai ana i te wā.

Koinei ngā raruraru nui ake ka puta, ahakoa he iti noa iho:

• Ngā rerekētanga rangitahi, tūturu rānei i te mahi roro, i runga i te wāhi rongoā
• Ngā pākia, ina koa ki ngā tāngata kāore anō i pākia i mua i te rongoā
• Ngā rerekētanga whakarongo, ngā raruraru taurite rānei mēnā kei te tata te wāhi rongoā ki ēnei hanganga
• Ngā rerekētanga tirohanga mēnā e pā ana te rongoā ki ngā wāhi tata ki ngā io whatu
• Ngā uauatanga kōrero, reo rānei mēnā kei te tata ngā pokapū reo ki te wāhi rongoā
• Ngā rerekētanga mahara, hinengaro rānei, he rangitahi te nuinga engari i ētahi wā ka mau tonu

Ko ngā raruraru onge engari he nui te kino ko te nekrosis iraruke, e pakaru ai te kiko roro hauora e te iraruke, me te whanaketanga o ngā puku hou i ngā tau i muri mai i te pānga iraruke. E puta ana ēnei raruraru i roto i te iti iho i te 5% o ngā tāngata engari me mātakitaki tonu.

Ka kōrero tō rōpū hauora i tō kōtaha tūpono motuhake i runga i tō āhuatanga me te mahere rongoā. Ka hoatu hoki e rātou ngā tohutohu taipitopito mō ngā tohumate hei mātakitaki me te wā hei whakapā atu ki a rātou tonu.

Āhea au e kite ai i te tākuta i muri i te pokanga iraruke stereotactic roro?

Me whakapā atu koe ki tō rōpū hauora tonu mēnā e pā ana koe ki te ānini nui kāore e pai ake i ngā rongoā kua whakaritea, ina koa ki te mea e haere tahi ana me te whakapairuaki, te ruaki, i ngā rerekētanga rānei o te tirohanga. Ka tohu pea ēnei tohumate i te pēhanga nui ake i tō roro, i ētahi atu raruraru rānei e hiahia ana kia aro wawe.

Ko ngā pōkae hou, e kaha ake rānei, tētahi atu take hei rapu i te āwhina hauora tonu. Ki te kāore anō koe i pā ki ngā pōkae i mua, ā, ka pā ki a koe tētahi i muri i te rongoā, me arotake wawe tēnei. Waihoki, ki te mea he pōkae ō mua, engari ka nui ake, ka kaha ake rānei, whakapā atu ki tō tākuta tonu.

Ko ngā huringa i roto i ō whakaaro, ō kōrero, ō kaha rānei ki te neke noa, me akiaki hoki i tētahi waea ki tō rōpū hauora. Ahakoa ka tūmanakohia ētahi huringa rangitahi, ko ngā huringa ohorere, kaha rānei i roto i ēnei mahi me arotake kia kitea mehemea e pā ana ki ngā pānga rongoā, ki ētahi atu raruraru rānei.

Hei tāpiri, kia mātakitaki mō ngā tohu o te mate i ngā wāhi whakapiri anga ki te mea i a koe tētahi anga upoko i te wā o te rongoā. Kei roto i ēnei ko te whero e kaha ake ana, te pūpū, te rerenga, te kirika rānei. Ahakoa he onge ngā mate, me rongoā wawe ina pā.

Ka whakawhiwhia e tō rōpū hauora ngā aratohu motuhake mō tō āhuatanga, tae atu ki ngā kōrero whakapā ohorere me ngā tohutohu mō ngā āwangawanga i muri i ngā hāora. Kaua e whakaroa ki te whakapā atu ki te kore koe e mōhio mehemea e hiahia ana tētahi tohu ki te aro tonu - he pai ake tonu te tirotiro ki ō kaiwhakarato hauora.

Ngā pātai e pātai pinepine ana mō te pokanga iraruke stereotactic roro

Q.1 He pai te pokanga iraruke stereotactic roro mō ngā puku roro?

He tino whai hua te pokanga iraruke stereotactic roro mō te maha o ngā momo puku roro, ina koa ngā mea iti ki te rahi reo. E whakaatu ana ngā rangahau i ngā reiti whakahaere pai mō ngā puku pai pēnei i te meningiomas me te acoustic neuromas, me ngā reiti angitu e neke atu ana i te 90% i roto i te 5-10 tau.

Mō ngā puku kino, ka whakawhirinaki te whai huatanga ki te momo me te rahi o te puku. Ko ngā puku metastatic (ngā mea e horapa ana mai i ētahi atu wāhi o te tinana) e tino aro ana ki te pokanga iraruke stereotactic, me ngā reiti whakahaere ā-rohe o te 80-95%. Ka taea hoki te rongoā i ngā puku roro tuatahi pēnei i te gliomas, ahakoa he rerekē pea te huarahi.

He mea nui te tika o tēnei rongoā mō ngā puku i ngā wāhi roro nui, i te wāhi e mōrearea ana te pokanga tuku iho. Ka whakaaro tō tākuta mate pukupuku ki ngā mea pēnei i te rahi o te puku, te wāhi, me te momo i te wā e whakatau ana mehemea ko te iraruke stereotactic te kōwhiringa pai mō tō āhuatanga motuhake.

Q.2 Ka pā te iraruke stereotactic roro ki ngā raruraru mahara?

He mea taea ngā raruraru mahara i muri i te iraruke stereotactic roro, engari ka whakawhirinaki nui ki te wāhi me te rahi o te wāhi rongoā. Mēnā ka uru te rongoā ki ngā wāhi tata ki te hippocampus, ki ētahi atu hanganga roro e pā ana ki te mahara, he nui ake te tūponotanga o ngā huringa mahara.

Ko te nuinga o ngā tūroro e pā ana ki ngā huringa mahara ka kite i a rātou i te wā e haere ana i ngā marama, kaua i muri tonu i te rongoā. Ka uru pea ēnei huringa ki te uaua ki te hanga mahara hou, ki ngā raruraru rānei ki te mahara ki ngā mea i pā mai tata nei. Heoi, he maha ngā tūroro kāore i te pā ki ngā raruraru mahara nui, ina koa kei te wāhi rongoā i waho i ngā pokapū mahara.

Ka whakamahi tō rōpū hauora i ngā tikanga whakamahere matatau hei whakaiti i te pānga iraruke ki ngā wāhi nui mō te mahara i ngā wā katoa e taea ana. Ka kōrero rātou mō tō tūponotanga motuhake i runga i tō mahere rongoā, me te aroturuki i tō mahi hinengaro i ngā haerenga whai muri.

Q.3 Kia pēhea te roa o te whakaora mai i te iraruke stereotactic roro?

Ko te whakaora mai i te iraruke stereotactic roro he tere ake i te pokanga roro tuku iho, nā te mea kāore he tapahi, he patunga pokanga hei whakaora. Ka taea e te nuinga o ngā tūroro te hoki ki ngā mahi noa i roto i ngā rā torutoru ki te wiki i muri i te rongoā.

Ka pā pea ki a koe te ngenge, te mamae pūpū, te whakapairuaki rānei mō ngā rā tuatahi, engari ka ngaro noa ēnei tohu. Mēnā i piri tētahi anga upoko, ka whakaora ngā wāhi pine i roto i te wiki me te manaaki tika.

Ka piki haere ngā pānga o te rongoā i roto i ngā wiki, i ngā marama rānei. Me whai wāhitanga koe ki ngā whakaritenga whai muri hei arotake i te ahunga whakamua, engari e kore koe e rāhuitia i te nuinga o ngā mahi noa i tēnei wā. Ka hoatu e tō tākuta ngā aratohu motuhake mō te wā ka hoki koe ki te mahi, ki te whakakori tinana, me ētahi atu mahi.

Q.4 Ka taea te tōtōhia anō te rongoā iraruke stereotactic roro?

I ētahi wā ka taea te tōtōhia anō te rongoā iraruke stereotactic roro, engari me tino whai whakaaro ki tēnei whakatau mō te nui o te horopeta iraruke ka taea e te kiko roro te aro atu. Ka arotakehia e tō rōpū hauora ngā āhuatanga pēnei i te wā mai i tō rongoā o mua, te wāhi o te raru hou, te raru rānei e hoki mai ana, me tō hauora whānui.

Mēnā e hiahia ana koe ki te rongoā anō, he maha ngā wā ka taea mēnā kua nui te wā kua pahure mai i tō rongoā tuatahi, ā, kei roto tonu te horopeta iraruke i ngā rohe haumaru. Ko te wā i waenga i ngā rongoā me noho i te iti rawa i ngā marama maha ki ngā tau, i runga i tō āhuatanga motuhake.

Ka whakamahi tō tākuta i ngā whakaahua taipitopito me te whakamahere rongoā kia mōhio ai ka taea te tuku rongoā anō i runga i te haumaru. Ka whakaaro pea rātou ki ētahi atu rongoā mēnā kāore i te pai te tōtō rongoā iraruke anō i runga i ngā here o te horopeta iraruke.

Q.5 He pēhea te angitu o te rongoā iraruke stereotactic roro?

Ko te nuinga o ngā wā he tino tiketike te angitu o te rongoā iraruke stereotactic roro, engari he rerekē i runga i te āhuatanga e rongoātia ana. Mō ngā puku pai pēnei i te meningiomas me te acoustic neuromas, ko te nuinga o ngā reiti whakahaere wā-roa kei waenga i te 90-98% i roto i te 5-10 tau.

Mō ngā arteriovenous malformations, ko te nuinga o ngā reiti kati katoa he 70-90% i roto i te 2-3 tau i muri i te rongoā. Ka pōturi te mamae o ngā tūroro trigeminal neuralgia i te 70-90% o ngā keehi, ahakoa me whai rongoā anō ētahi i te wā.

Ko ngā puku roro metastatic he ōrau whakahaere ā-rohe o te 80-95%, ko te tikanga ka mutu te tipu, ka whakaheke rānei te puku kua rongoatia. Kei runga i ngā āhuatanga pēnei i te momo puku, te rahi, te wāhi, me tō hauora whānui te ōrau angitu motuhake mōu. Ka kōrero tō rōpū hauora i ngā tūmanako tūturu i runga i ō āhuatanga takitahi.