Kawirikawiri opaleshoni imaganiziridwa kuti ndiyo njira yomaliza yopweteketsa: Zonse zikalephera, chepetsa mitsempha. Kuchita opaleshoni kungabweretse mwamsanga, pafupi ndi zamatsenga kutulutsa ululu wochokera kwa khansa kapena matenda ena osachiritsika, ngakhale pamene mankhwala amphamvu monga morphine alephera kuthetsa ululu .
Koma pali zovuta zochepa mpaka opaleshoni ya ululu.
Kuchita opaleshoni kungawononge zowawa zina komanso ululu, kapena kuti mosadziwika kuti ndi amene amachititsa ululu watsopano. Zimakhala ndi zotsatira zina , zina zomwe zingakhale zovuta. Ndipo chitonthozo kuchokera ku ululu woperekedwa ndi chithandizo cha opaleshoni sikuti chimakhala chosatha nthawi zonse - patapita miyezi isanu ndi umodzi kapena chaka, ululu ukhoza kubwerera.
Choncho, chisankho choyenera kupitiliza ndi opaleshoni chiyenera kuyankhulana momasuka ndi dokotala wanu za matenda anu ndi momwe mumayendera. Izi ziyenera kuphatikizapo kufufuza njira zina zomwe mungathe kuchita opaleshoni, zomwe zingaphatikizepo zipangizo zomwe zimaperekedwa kuti mupereke mankhwala mwachindunji ku magwero a ululu wanu, kapena zipangizo zomwe zimagwiritsa ntchito magetsi kuti zisokoneze ululu wanu m'mitsempha yanu.
Kuthana ndi Cordotomy Kuti Mutha Kupweteka
Pali madokotala opaleshoni osiyanasiyana opanga opaleshoni kuti athetse ululu.
Chofala kwambiri ndi cordotomy, momwe dokotala wanu amathyola mitsempha ya mitsempha pa mbali imodzi kapena zonse ziwiri za msana wako womwe umakhala ngati chingwe cholozera ku ubongo.
Cordotomy imatha kuchepetsa ululu komanso imathetsa kutentha kwanu chifukwa mitsempha yomwe imakuthandizani kuzindikira kutentha imakhala ndi mitsempha yomwe imakulolani kuti muzimva ululu.
Zina zowononga zotsatira za cordotomy ndi zofooka pambali imodzi ya thupi lanu, kusakhoza kuthetsa chikhodzodzo, ndi chomwe chimatchedwa "kupweteka kwa galasi," komwe mumamva kupweteka komweko kumbali ina ya thupi lanu.
Njira zina Zowonongeka
Kuphatikiza pa cordotomy, opaleshoni mkati mwa ubongo kapena msana wamtsempha kuti athetse ululu kumaphatikizapo kusokoneza malumikizano aakulu pamagulu opweteka, monga malo omwe ululu wa ululu umadutsa kuchokera mbali imodzi ya chingwe kupita ku china, mu ubongo, monga thalamus, maselo ooneka ngati mazira a maselo a mitsempha pafupi ndi pakati pa ubongo.
Mwachitsanzo, opaleshoni yamagetsi ya gamma imayika miyendo yambiri ya thalamus kuti iwononge njirayo. Ndizotheka kugwiritsa ntchito ultrasound kukwaniritsa cholinga chomwecho. Njira ziwirizi zimagwiritsidwa ntchito pochiza matenda a Parkinson koma amawonedwa ngati akuyesera kuyesa kupweteka.
Ochita opaleshoni nthawi zina amatha kuchepetsa ululu mwa kuwononga mitsempha ya mitsempha kapena maselo okhudzana ndi ubongo kapena msana. Mwachitsanzo, amatha kupweteka mitsempha inayake kuti athetse ululu waukulu umene nthawi zina umatsatira chilonda chakuda kuchokera ku chida chakuthwa kapena chipolopolo.
Madokotala ena achita opaleshoni kuti apambane ndi opaleshoni ya ubongo yotchedwa cingulotomy, yomwe imapha mbali ina ya ubongo wotchedwa antiter cortex, kuti athetse ululu wopweteka kwambiri, kawirikawiri ndi khansa, kupweteka kapena kupweteka kwa msana.
Kuchita opaleshoni, yomwe ingachitidwe mwachangu ndi mphamvu ya kutentha kapena lasers, imagwiritsidwanso ntchito pofuna kuchiza matenda osokoneza bongo ovuta kwambiri komanso ovutika maganizo.
Kugwira Ntchito ndi Zopweteka Zosakhalitsa
Pamene ululu umakhudza pamtunda kapena uli wamba, dokotalayo ali ndi zosankha zochepa komanso opaleshoni sizingakhale zothandiza. Komabe, akatswiri odziwa mano a m'magulu athandizidwa bwino ndi chingwe chakumtunda kapena opaleshoni ya ubongo kuti amve kupweteka kwambiri.
Asanayambe kugwira ntchito, madokotala amatha kuyesa kupambana kwa opaleshoni pogwiritsa ntchito mankhwala osokoneza bongo pofuna kuteteza mitsempha kwa kanthawi.
Nthawi zina ululu wopweteka - monga ululu wochokera ku chilonda chowongolera - izi zomangika zing'onozing'ono zimatha kupindulitsa, zimalimbikitsa kukonzanso mitsempha.
Zotsatira:
Jeanmonod D ndi al. Kuchulukira kwa maginito kugwilitsika kachipangizo kameneka kakuyendetsedwe ka ultrasound. Maganizo Achipatala. 2012 Jan; 32 (1): E1.
Sanders M et al. Chitetezo cha odwala omwe ali ndi matenda odwala matenda a khansa odwala matenda odwala matenda a khansa 80 omwe amatha kufa. Journal of Clinical Oncology. 1995 Jun; 13 (6): 1509-12.
Yen CP et al. Kusakanikirana kwapadera kwapakati pamtundu wina kwapakati pa ululu wosaneneka. Journal of Clinical Neuroscience. 2005 Nov; 12 (8): 886-90.
Mnyamata RF et al. Gamma Knife thalamotomy pofuna kuchiza kupweteka kosalekeza. Nthenda yotchedwa Stereotactic and Functional Neurosurgery. 1995; Suppl 1: 172-81.