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

Ko te pokanga irirangi stereotactic he rongoā tika, kāore e pāngia ana e te tinana, e whakamahi ana i ngā kurupae iraruke kua arotahi ki te whai i ngā kiko hē i tō roro, i tō tuarā rānei. Ahakoa tōna ingoa, ehara i te pokanga i te tikanga tuku iho – kāore he tapahi, he werohanga rānei e whai wāhi ana.

E tuku ana tēnei tikanga matatau i te iraruke tino kaha ki ngā wāhi tino motuhake, i te wā e tiaki ana i ngā kiko hauora e karapoti ana i a rātou. Whakaarohia me te whakamahi i te karu whakanui hei arotahi i te rā ki tētahi wāhi kotahi, engari hei utu mō te wera, ka whakamahi ngā tākuta i ngā kurupae iraruke kua tātaitahia kia rongoā i ngā āhuatanga pēnei i ngā puku roro, ngā hē o te arteriovenous, me ētahi mate neurological.

He aha te pokanga irirangi stereotactic?

E whakakotahi ana te pokanga irirangi stereotactic i te hangarau whakaahua matatau me te tuku iraruke tika hei rongoā i ngā kiko hē me te kore e mahi i ngā tapahi pokanga. Ko te kupu "stereotactic" e pā ana ki te pūnaha tūāhua-toru e āwhina ana i ngā tākuta ki te whakatika i te wāhi hei whai i te iraruke.

I te wā o te rongoā, he maha ngā kurupae iraruke e huihui ana ki te wāhi e whāia ana mai i ngā koki rerekē. He ngoikore te kurupae takitahi, engari ka tutaki rātou ki te wāhi e whāia ana, ka hanga rātou i te horopeta nui o te iraruke ka taea te whakangaro i ngā pūtau hē. He iti ake te iraruke ka riro i ngā kiko hauora e karapoti ana, nā te mea e kitea ana ki tētahi kurupae i te wā kotahi.

Ko tēnei tikanga te mea e whakamahia nuitia ana mō ngā āhuatanga roro, ahakoa ka taea hoki te rongoā i ētahi raruraru tuarā. Ko te tika o ngā pūnaha pokanga irirangi stereotactic hou e āhei ana i ngā tākuta ki te whai i ngā wāhi iti iho i te mita torutoru.

He aha te take e mahia ana te pokanga irirangi stereotactic?

E tūtohu ana ngā tākuta i te pokanga irirangi stereotactic ina he āhuatanga ō koe e uaua ana ki te rongoā mā te pokanga tuku iho, i te wā rānei ka tūpono rawa te pokanga. He tino āwhina mō te rongoā i ngā raruraru i ngā wāhi uaua ki te tae atu o te roro, o te tuarā rānei.

Ko ngā take tino nui mō tēnei rongoā ko ngā puku roro he iti rawa, kei ngā wāhi rānei e mōrearea ai te pokanga tuku iho i ngā mahi roro nui. Ka whakamahia hoki mō ngā puku pai pēnei i te acoustic neuromas, meningiomas, me te pituitary adenomas kāore pea e hiahiatia kia tangohia engari me whakahaere.

Ko ngā āhuatanga matua e whai hua ai i te rongoā iraruke stereotactic:

• Ngā metastases roro (te mate pukupuku kua horapa ki te roro mai i ētahi atu wāhi o te tinana)
• Ngā malformations arteriovenous (ngā pōkae kōpaka toto)
• Trigeminal neuralgia (te mamae nui o te kanohi)
• Acoustic neuromas (ngā puku kāore i te mate pukupuku e pā ana ki ngā io rongo)
• Meningiomas (ngā puku e puta mai ana i ngā uhi roro)
• Ngā puku pituitary
• Ētahi momo epilepsy
• Ētahi puku tuarā

Ka tohutohu pea tō tākuta i tēnei rongoā mēnā kāore koe i te pai mō te pokanga tuku iho nā tō tau, ētahi atu āhuatanga hauora, mēnā rānei kei te wāhi te puku e mōrearea ai te pokanga i ngā pānga taha nui.

He aha te tikanga mō te rongoā iraruke stereotactic?

Ko te tikanga rongoā iraruke stereotactic te nuinga ka mahia i roto i te kotahi ki te rima ngā wā, i runga i te rahi me te wāhi o te wāhi e rongoatia ana. Ko te nuinga o ngā rongoā ka oti i roto i te wā kotahi, ahakoa ētahi āhuatanga ka hiahiatia ētahi haerenga.

I te rā o te rongoā, ka whai koe i te anga upoko e piri ana ki tō angaanga mā te whakamahi i te rongoā ā-rohe, ā, ka mau pea koe i tētahi kanohi i hangaia e koe e mau ana i tō upoko kia tū tonu. He mea nui tēnei whakakorenga mō te whakarite kia pā tika te iraruke ki te wāhi tika.

Koinei te mea ka pā i te wā o te tikanga:

1. Ka whiwhi koe i ngā karapa whakaahua taipitopito (CT, MRI, rānei e rua) i a koe e mau ana i te anga upoko, i te kanohi rānei
2. Ka whakamahia e tō rōpū hauora ēnei whakaahua ki te waihanga i tētahi mahere rongoā tika
3. Ka takoto koe ki runga i tētahi tēpu rongoā e neke ana ki roto i te mīhini irirangi
4. Ka huri te mīhini i te taha o tō upoko, ka tuku i ngā kurupae iraruke mai i ngā koki maha
5. Ka noho mātau koe, ā, ka pai i te wā katoa o te tukanga
6. Ko te tuku iraruke tonu te tikanga 30 meneti ki te 2 hāora

E kore koe e rongo i te iraruke tonu, ā, he maha ngā tāngata e kite ana he tino pai te tukanga. I te nuinga o te wā ka taea e koe te haere ki te kāinga i te rā kotahi, ahakoa me kawe koe e tētahi tangata i te mea ka ngenge koe, ka pā rānei te mamae māmā o te upoko.

Me pēhea te whakarite mō tō pokanga irirangi stereotactic?

Ko te whakarite mō te pokanga irirangi stereotactic he mea tika tonu, engari mā te whai i ngā tohutohu a tō tākuta e āwhina i te putanga pai rawa atu. Ko te nuinga o te whakarite ko te whakarite i tō tinana mō te rongoā me te mārama ki ngā mea e tūmanakohia ana.

Tērā pea ka tono tō tākuta ki a koe kia karo i ētahi rongoā ka piki ake te tūponotanga o te toto, pērā i te aspirin, i ngā rongoā whakaheke toto rānei, mō te wiki i mua i te tukanga. Me whakarite hoki koe i tētahi tangata hei kawe i a koe ki te kāinga i muri mai, i te mea ka ngenge koe.

Anei ngā mea e tūmanakohia ana i roto i tō whakarite:

• Kati te tango i ngā rongoā whakaheke toto i runga i ngā tohutohu a tō tākuta
• Horoi tino i ō makawe i te pō i mua (kāore pea e taea e koe te horoi i ō makawe mō te rā, e rua rānei i muri mai)
• Kai i te parakuihi māmā i te rā o te rongoā
• Mau i ngā kākahu pai, whānui
• Tangohia ngā whakapaipai katoa, te whakapaipai, me ngā hua makawe
• Kawea mai ngā rongoā o nāianei ki a koe
• Whakaritea tētahi tangata hei kawe i a koe ki te kāinga

Ka hoatu e tō rōpū hauora ngā tohutohu motuhake i runga i tō āhuatanga takitahi. Ki te whai āwangawanga, pātai rānei koe mō te whakarite, kaua e whakaroa ki te waea atu ki te tari o tō tākuta.

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

Me manawanui ki te mārama ki ngā hua o tō rāpoi iraruke stereotactic, nā te mea ka pōturi te whanaketanga o ngā pānga i roto i ngā wiki ki ngā marama, kaua tonu. Kāore i rite ki te pokanga tuku iho, i te wā e kitea tonu ana ngā hua, ka mahi te rāpoi iraruke mā te pōturi i te kino o ngā pūtau kōaro i te wā.

Ka whakarite tō tākuta i ngā tūhono whai-muri auau me ngā karapa whakaahua hei aroturuki i tō haere. Ko te karapa tuatahi ka mahia i te 3-6 marama i muri i te maimoatanga, ā, i ngā wā auau mō ētahi tau hei whai i te pai o te mahi o te maimoatanga.

Ko te angitu te tikanga ka inea e:

\n
• Te whakaheke, te whakapumau rānei i te puku (te aukati i te tipu)
\n
• Te whakaheke i ngā tohumate e pā ana ki tō āhuatanga
\n
• Te kati i ngā hononga oko toto kōaro (mō ngā hē o ngā oko toto)
\n
• Te whakaheke i te mahi o te hopu (mō te maimoatanga o te mate roro)
\n
• Te whakawātea i te mamae (mō ngā āhuatanga pēnei i te neuralgia trigeminal)
\n

Mō ngā puku roro, he tino tiketike te reiti angitu, ā, ko te reiti whakahaere ka nui ake i te 90% mō te maha o ngā āhuatanga. Heoi, he mea nui kia mārama kāore te

Ko te wāhi me te rahi o te wāhi e rongoatia ana ngā mea nui e pā ana ki te tūponotanga. Ko ngā rongoā e tata ana ki ngā hanganga roro nui pērā i te roro, ngā io whatu, ngā wāhi e whakahaere ana i te kōrero me te nekehanga, he nui ake te tūponotanga o ngā pānga taha.

Ngā mea ka piki ake ai tō tūponotanga ko:

• Te rongoā iraruke o mua ki te wāhi kotahi
• Te rahi o te puku (nui ake i te 3-4 henimita)
• Te wāhi rongoā e tata ana ki ngā hanganga roro nui
• Ētahi āhuatanga hauora e pā ana ki te whakaora
• Te pakeke (ahakoa ko te pakeke anake ehara i te aukati)
• He maha ngā puku i roto i te roro
• Ētahi momo puku e kaha ake ana ki te iraruke

Ka āta arotake tō rōpū hauora i ēnei mea i mua i te tūtohu i te rongoā. Ka kōrero rātou i tō pūkete tūponotanga takitahi, ā, ka āwhina i a koe ki te whakatau i ngā painga ka whai ake ki ngā tūponotanga.

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

Ko ngā raruraru mai i te pokanga iraruke stereotactic he mea onge noa, ā, he ngawari noa iho i te wā e puta ana. He torutoru noa iho ngā pānga taha e pā ana ki te nuinga o te tangata, engari he mea nui kia mōhio koe ki ngā mea ka taea kia mōhio ai koe, kia pūrongo ai i ngā āwangawanga ki tō rōpū hauora.

Ko ngā pānga taha tonu, e puta ana i roto i ngā rā tuatahi, he ngawari noa iho, he wā poto. Ko ēnei pea ko te ngenge, te mamae paku o te upoko, te paku pūhihi rānei i ngā wāhi e piri ana te anga upoko mēnā i whakamahia he anga.

Ngā raruraru wawe (i roto i ngā wiki ki ngā marama) ka uru:

• Te pūhihi o te roro (edema) huri noa i te wāhi e rongoatia ana
• Te kino haere o ngā tohumate o mua
• Ngā pōrearea (he onge, engari ka taea)
• Te whakapairuaki, ngā raruraru rānei o te taurite
• Te ngaro o ngā makawe i te wāhi i uru ai ngā hihi iraruke (he wā poto noa iho)
• Te ngenge ka roa pea te maha o ngā wiki

Ngā raruraru i muri mai, ka puta mai i ngā marama ki ngā tau i muri mai, he iti noa iho engari ka nui ake te kino. Ka uru pea ēnei ki te necrosis iraruke (te mate o te kiko roro hauora), te whanaketanga o ngā tohu neurological hou, i ngā wā tino onge, te whanaketanga o te puku tuarua.

Ko te tūponotanga o ngā raruraru nui he iti iho i te 5% mō te nuinga o ngā āhuatanga, ā, he maha ngā pānga taha ka taea te whakahaere pai mā te rongoā, mā ētahi atu rongoā rānei.

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

Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ētahi tohu kino, āwangawanga rānei i muri i te pokanga iraruke stereotactic. Ahakoa te nuinga o te tangata e ora ana me te kore raruraru nui, he mea nui kia mōhio koe āhea te rapu āwhina hauora.

Waea atu ki tō tākuta i tēnei wā tonu mēnā ka puta he mamae nui o te upoko kāore e aro ki te rongoā mamae i runga i te kaute, te whakapairuaki me te ruaki tonu, ētahi tohu neurological hou rānei pēnei i te ngoikore, te ngongo, te uaua rānei ki te kōrero.

Whakapā atu ki tō rōpū hauora tonu mō:

• Te mamae nui o te upoko e kaha haere ana
• Te whakapairuaki me te ruaki tonu
• Te ngoikore hou i ngā ringa, i ngā waewae rānei
• Ngā huringa ohorere i te tirohanga, i te kōrero rānei
• Ngā hauhautanga
• Te rangirua, ngā huringa āhua rānei
• Ngā tohu o te mate i ngā wāhi anga upoko (mēnā i whakamahia)

Me whakapā atu anō koe mēnā he āwangawanga ōna mō tō whakaoranga, mēnā rānei te ahua nei kei te kino haere ngā tohu ngawari, kaua e pai ake i te wā. Kei reira tō rōpū hauora hei tautoko i a koe i te katoa o te tukanga.

Ngā pātai e pātai pinepine ana mō te pokanga iraruke stereotactic

Q.1 He pai ake te pokanga iraruke stereotactic i te pokanga tuku iho?

Kāore pea te pokanga irirangi ā-stereotactic i te "pai ake" i te pokanga tuku iho, engari he maha ngā wā e tika ana mō ētahi āhuatanga. E whakawhirinaki ana te whiriwhiri ki ngā āhuatanga pēnei i te wāhi, te rahi, me te momo o te āhua e rongoatia ana, me tō hauora whānui me ō hiahia ake.

E whakahere ana te pokanga tuku iho i ngā hua tonu me te tango katoa i ngā puku, i te wā e whakarato ana te pokanga irirangi ā-stereotactic i te rongoā haere ā-tāima me te iti ake o te tūponotanga tonu, me te kore he wā whakaora. Mō ngā puku iti, hōhonu rānei, ngā āhuatanga rānei i ngā wāhi tūpono nui, he maha ngā wā e whakahere ana te irirangi i ngā hua pai ake me te iti ake o ngā raruraru.

Q.2 Ka pā te ngaro o te makawe i te pokanga irirangi ā-stereotactic?

Ko te ngaro o te makawe i te pokanga irirangi ā-stereotactic he iti noa iho, he wā poto noa iho. Kāore i rite ki te rongoā iraruke roro katoa, e pā ana ki te ngaro katoa o te makawe, ko te pokanga irirangi ā-stereotactic anake e pā ana ki ngā makawe i ngā wāhi motuhake e uru ana, e puta ana hoki ngā kurupae iraruke i tō kiri māhunga.

Ko te nuinga o te tangata he iti noa iho, kāore rānei he ngaro makawe e kitea ana, ā, ko ngā makawe e ngaro ana ka tipu anō i roto i ngā marama torutoru. Ko te āhua tika o te rongoā te tikanga kāore ngā wāhi nui o tō kiri māhunga e pā ana ki te iraruke nui.

Q.3 Kia pēhea te roa ki te kite i ngā hua mai i te pokanga irirangi ā-stereotactic?

Ka whanake haere ngā hua mai i te pokanga irirangi ā-stereotactic i te wā, me te nuinga o te tangata e tīmata ana ki te kite i ngā whakapainga i roto i ngā marama 3-6. Heoi, ka roa pea te pānga katoa o te rongoā ki te kitea, 1-2 tau pea, e whakawhirinaki ana ki te āhua e rongoatia ana.

Mō te whakaiti i ngā tohumate, pēnei i te whakaiti i te mamae i te neuralgia trigeminal, ka kite pea koe i ngā whakapainga i roto i ngā wiki ki ngā marama. Mō te whakahaere i te puku, ka aroturuki tō tākuta i ngā huringa mā ngā karapa whakaahua auau, ā, ka kitea te pūmautanga, te whakaheke rānei i te nuinga o te wā i roto i ngā marama 6-12.

Q.4 Ka taea te tōtā te pokanga irirangi ā-stereotactic?

Āe, ka taea te whakahoki anō i te rāpoi irirangi stereotactic i ētahi wā, engari kei runga i ētahi āhuatanga pēnei i te nui o te iraruke i tukuna i mua, te wāhi o te rongoā, me tō hauora whānui. Ka āta arotake tō tākuta mēnā he haumaru, he tika hoki te rongoā whakahoki anō mō tō āhuatanga motuhake.

He nui ake te whakaaro ki ngā rongoā whakahoki anō mō ngā puku hou i ngā wāhi rerekē, kaua ki te rongoā anō i te wāhi kotahi. E hiahia ana te whakatau ki te whakaaro nui ki te horopeta iraruke whakahiato me ngā tūponotanga pea ki ngā kiko hauora e tata ana.

Q.5 He mamae te rāpoi irirangi stereotactic?

Kāore te rāpoi irirangi stereotactic i te mamae – kāore koe e rongo i ngā kurupae iraruke i te wā o te rongoā. Ko te nuinga o te raruraru ka puta mai i te whakapiri i te anga upoko (mehemea ka whakamahia) rānei, te takoto tonu mō te wā roa i te wā o te tikanga.

E pā ana ētahi tāngata ki te mamae mahunga ngawari, ki te ngenge rānei i muri i te rongoā, engari ko ēnei tohumate te tikanga ka taea te whakahaere mā te rongoā mamae i runga i te kaute me te okiokinga. Ko te āhua kore-whakawhiwhi o te tikanga te tikanga kāore he mamae pokanga, he wā whakaora roa rānei.