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E aʻo kākou e pili ana i nā puʻupuʻu e puka mai ana mai nā pūnaewele e like me nā hōkū i loko o kou lolo (Astrocytoma)!

E aʻo kākou e pili ana i nā puʻupuʻu e puka mai ana mai nā pūnaewele e like me nā hōkū i loko o kou lolo (Astrocytoma)!

Ke kū nei kākou a pau i nā pilikia olakino i manaʻo ʻole ʻia i ko kākou ola, ʻeā? Malia paha he pinepine kou poʻo ʻeha a manaʻo paha ʻoe e nalowale iki ana kou hoʻomanaʻo. ʻOiai he mau mea maʻamau kēia, i kekahi manawa hiki ke lilo i mau hōʻailona o kahi pilikia i loko o ko kākou kino, ʻoiai ka lolo. I kēia lā e kamaʻilio kākou e pili ana i kahi ʻano puʻupuʻu e hiki ke hana i loko o ka lolo, he mea paʻakikī iki ia, akā pono kākou a pau e makaʻala. ʻO ia ʻo Astrocytoma .

He aha ka Astrocytoma? E hoʻomaopopo maʻalahi kākou!

ʻAe, e nānā kākou i kēia astrocytoma. I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu ia e kū mai ana i loko o kā mākou ʻōnaehana nerve waena (CNS) , ʻo ia hoʻi ma ka lolo a i kekahi manawa ma ke kaula spinal (ke kaula nerve e holo ana i lalo o ka iwi kuamoʻo). Hoʻokumu ʻia kēia mau puʻupuʻu mai kahi ʻano kūikawā o nā cell ʻano hōkū i loko o ko mākou lolo. Kāhea nā kauka i kēia mau cell he "nā cell astrocyte". ʻO kēia mau "cell astrocyte" he mau cell no kahi hui o nā cell e kōkua, hānai, a pale i ka lolo a me ka ʻōnaehana nerve. ʻO kēia mau cell kōkua i kapa pinepine ʻia he "nā cell glial". Ma waho aʻe o nā "cell astrocyte", aia kekahi mau ʻano "cell glial" i kapa ʻia he "oligodendrocytes" a me "nā cell ependymal". No laila, ʻo nā puʻupuʻu e hana ʻia i ka wā e hoʻomaka ai kēia mau "cell glial" e ulu me ka ʻole o ka hoʻomalu ʻia ua kapa ʻia ʻo "glioma". ʻO Astrocytoma ke ʻano glioma maʻamau.

Hiki i kēia mau puʻupuʻu astrocytoma ke lilo i maʻi kanesa (malignant) a i ʻole ʻaʻole maʻi kanesa (benign) . ʻO ia hoʻi, he mea weliweli kekahi a laha koke. ʻAʻole kekahi, a ulu a laha mālie.

Hoʻokaʻawale nā ​​kauka i nā astrocytomas ma o kā lākou "mau māka," e like me nā māka ma ke kula. Hōʻike kēia mau māka i ka wikiwiki o ka ulu ʻana o ka puʻupuʻu a me ke ʻano o ka laha ʻana i nā ʻiʻo lolo kokoke. ʻAʻole e like me nā ʻano maʻi kanesa ʻē aʻe, ʻaʻohe ʻōnaehana "staging".

He aha nā ʻano nui o Astrocytoma?

Ua hoʻokaʻawale ka World Health Organization (WHO) i nā astrocytomas i ʻehā mau papa nui. ʻO ka Papa 1 ke ʻano haʻahaʻa loa ka pilikia, lohi ka ulu ʻana. ʻO ka Papa 4 ke ʻano huhū loa, wikiwiki loa ka ulu ʻana, a me ka weliweli loa.

ʻO ka Astrocytoma ʻaʻole maʻi kanesa (Benign)

He haʻahaʻa loa kēia mau maʻi ʻōpū, ʻaʻole maʻi kanesa.

  • ʻO ka Astrocytoma Papa 1:
  • ʻO ka astrocytoma pilocytic:ʻO kēia ke ʻano maʻamau o ka puʻupuʻu papa 1. Ulu mālie loa ia a ʻaʻole paha e laha. ʻAʻole ia he maʻi kanesa. Ma hope o ka wehe loa ʻia ʻana e ke ʻoki kino, ʻaʻole pono ka chemotherapy a i ʻole ka radiation therapy. Hoʻomohala pinepine kēia mau puʻupuʻu i loko o ka cerebellum, ka ʻāpana o ka lolo i kapa ʻia ʻo cerebellum .
  • ʻO ka xanthoastrocytoma Pleomorphic: ʻO kēia ʻano puʻupuʻu e ulu pinepine ana i loko o ka lolo. Hoʻomohala pinepine ia i loko o ka lobe temporal o ka lolo. Hiki i kēia ke kumu i nā hopu pinepine. Hiki ke ho'ōla ʻia me ke ʻoki ʻana.
  • ʻO ka astrocytoma cell nui subependymal (SEGA): Loaʻa kēia ʻano puʻupuʻu i nā keiki me kahi maʻi genetic i kapa ʻia ʻo tuberous sclerosis. Hoʻomohala ia i loko o nā lua piha i ka wai i loko o ka lolo i kapa ʻia ʻo ventricles . Hiki ke mālama ʻia me ke ʻoki ʻana.

ʻO ka Astrocytoma ʻino

He mau puʻupuʻu weliweli kēia e loaʻa ana nā hunaola kanesa a hiki ke ulu a laha koke.

  • Papa 2 Astrocytoma: ʻOi aku ka maʻalahi o kēia mau puʻupuʻu e pālahalaha i nā ʻiʻo o ka lolo a puni, e paʻakikī ai ke ho'ōla piha ʻia me ke ʻoki wale nō.
  • ʻO nā Astrocytomas Papa 3: ʻOi aku ka ikaika o kēia mau mea ma mua o nā puʻupuʻu papa 2. I ka manawa pinepine, hiki i kahi puʻupuʻu papa 2 ke holomua i ka papa 3 i ka hala ʻana o ka manawa. ʻAʻole hiki ke ho'ōla ʻia kēia mau mea me ke ʻoki kino wale nō. Pono maoli ka lāʻau lapaʻau radiation, a pono pinepine hoʻi ka chemotherapy.
  • ʻO Glioblastomas: ʻO kēia nā astrocytomas papa 4. ʻO lākou ke ʻano maʻamau a ʻoi loa ka ikaika o ka astrocytoma. Ulu koke lākou a pālahalaha. Ma kahi o 10% o lākou e ulu mai kahi astrocytoma haʻahaʻa mua i lilo i maʻi kanesa. A i ʻole, ma 90% o nā hihia, hoʻomaka lākou ma ke ʻano he puʻupuʻu papa 4.

ʻO wai ka mea e loaʻa ana i ka Astrocytoma?

Hiki i kēia mau puʻupuʻu ke ulu i loko o kekahi, akā ua ʻike ʻia nā ʻano puʻupuʻu like ʻole e ʻoi aku ka maʻamau i nā poʻe o nā hui makahiki like ʻole:

  • ʻO ka Astrocytoma Papa 1: ʻO ka mea maʻamau i nā keiki a me nā ʻōpio.
  • ʻO ka Astrocytoma Papa 2: ʻO ka mea maʻamau i nā pākeke ma waena o 20 a me 60 mau makahiki.
  • ʻO ka Astrocytoma Papa 3: ʻO ka mea maʻamau i nā pākeke ma waena o 30 a me 60 mau makahiki.
  • ʻO Glioblastoma (papa 4 astrocytoma): ʻO ka mea maʻamau i nā pākeke ma waena o 50 a me 80 mau makahiki.

Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o nā astrocytomas papa 3 a me 4 i nā kāne.

Pehea ka maʻamau o kēia maʻi?

ʻOkoʻa nō hoʻi ka nui o nā ʻano like ʻole o ka astrocytoma:

  • ʻO ka astrocytoma Papa 1: Ma kahi o 2% o nā maʻi puʻupuʻu lolo a pau.
  • ʻO ka astrocytoma Papa 2: no 2% a 5% o nā ʻōpū lolo āpau.
  • Astrocytoma Papa 3: Ma kahi o 4% o nā maʻi puʻupuʻu lolo a pau.
  • ʻO nā Astrocytomas Papa 4 (Glioblastomas): Hana i ka 24% o nā ʻōpū lolo āpau.

I waena o nā pākeke, ʻo ka glioblastoma (papa 4 astrocytoma) ke ʻano maʻamau o ka maʻi ʻaʻai lolo.

He aha nā hōʻailona o ka Astrocytoma?

Hiki ke ʻokoʻa nā hōʻailona o kēia puʻupuʻu ma muli o ka nui o ka puʻupuʻu a me kona wahi i loko o ka lolo. ʻO kekahi mau hōʻailona maʻamau:

  • ʻO ke poʻo pinepine, i kekahi manawa ʻoi aku ka ʻino i ke kakahiaka.
  • Ka luaʻi a me ka luaʻi.
  • Nā ʻōʻili.
  • Nā loli i ke kūlana noʻonoʻo: No ka laʻana, nā kūlana e like me ka hiki ʻole ke noʻonoʻo (delirium) a i ʻole ka nalowale piha o ka hoʻomanaʻo (dementia).
  • Poho ka hoʻomanaʻo.
  • Nā pilikia noʻonoʻo ʻē aʻe: nā loli o ke ʻano pilikino, nā loli o ka naʻau (e like me ke kaumaha).
  • Ka luhi nui o ke kino.
  • Nā pilikia ʻike: ʻIke pōwehiwehi, ʻike pālua.
  • Nā pilikia ʻōlelo (aphasia): Paʻakikī i ka hoʻopuka ʻana i nā huaʻōlelo, hiki ʻole ke noʻonoʻo i ka mea e ʻōlelo ai.
  • Nā pilikia neʻe: mae nā lālā, nāwaliwali, a hōʻike i nā reflexes kūpono ʻole.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i ke kauka.

He aha nā kumu o ka Astrocytoma?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o ka hapa nui o nā astrocytomas. ʻO ka hapa nui o kēia mau puʻupuʻu e kū pinepine ʻole. ʻO ʻelua o nā kumu pilikia nui i ʻike ʻia e nā kānaka noiʻi, ʻo ia ka hōʻike ʻana i ka radiation a me nā mana genetic.

Eia nō naʻe, ua hōʻike ʻia e nā noiʻi hou he mea nui ka mutation (hoʻololi) i loko o kahi gene i kapa ʻia ʻo `(gene IDH1)` i ka ulu ʻana o nā astrocytomas haʻahaʻa. Kōkua kēia gene i kā mākou mau cell e hana i ka ikehu. Ke hoʻololi ʻia kēia gene, hana ʻia kahi kemika i kapa ʻia ʻo `(2-HG)`. Hōʻiliʻili kēia i loko o nā `(nā cell astrocyte)` olakino i ka hala ʻana o ka manawa, a hoʻomaka kēlā mau cell e lilo i mea ʻē. ʻO ia ka manawa e ulu ai nā astrocytomas.

Ka hōʻike ʻana i ka radiation a me ka astrocytoma

ʻO ka hōʻike ʻana i ka radiation ionizing, no ka laʻana, i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesaHoʻonui ka radiation therapy i ka pilikia o ka hoʻomohala ʻana i ka astrocytoma.

Eia kekahi laʻana, ʻo nā keiki me ka leukemia lymphocytic acute (ALL) i loaʻa i ka radiation therapy e pale aku i ka maʻi he 22 mau manawa ka nui o ka hoʻomohala ʻana i kahi puʻupuʻu o ka ʻōnaehana nerve waena, e like me ka astrocytoma, i loko o 5 a 10 mau makahiki.

Nā kumu hoʻoilina a me ka astrocytoma

Ua ʻike ʻia nā kūlana genetic kakaikahi e pili ana me ka ulu ʻana o nā astrocytomas:

  • ʻO ka maʻi Li-Fraumeni: Hana ʻia kēia ʻano ke loaʻa kahi mutation i loko o kahi gene i kapa ʻia ʻo ka gene TP53. Loaʻa i ka poʻe me kēia maʻi he 90% ka manawa e loaʻa ai i hoʻokahi a ʻoi aku paha nā ʻano maʻi kanesa i ko lākou ola. Hiki i kēia ke komo pū me ka astrocytoma.
  • ʻAno Neurofibromatosis 1 (NF1): Ma kēia kūlana, ʻo kahi mutation i loko o kahi gene i manaʻo ʻia e hoʻōki i ka ulu ʻana o nā puʻupuʻu e hoʻoulu ai i nā cell e ulu ma ke ʻano ʻē. Hiki i ka poʻe me NF1 ke loaʻa i nā astrocytomas, nā puʻupuʻu o nā aʻalolo peripheral, a me nā kiko café-au-lait ma ka ʻili.
  • ʻO ka sclerosis tuberous: ʻO kēia ke kumu o nā pilikia olakino like ʻole. ʻO kēia mau mea e komo pū me nā hopu ʻana, nā lohi o ka ulu ʻana, a me ke kūkulu ʻia ʻana o nā puʻupuʻu ma nā ʻāpana like ʻole o ke kino. Hoʻokumu ʻia ia e nā mutations i ʻelua mau genes, ka gene TSC1 a me ka gene TSC2. ʻO nā astrocytomas cell nui subependymal (SEGAs) e ulu wale i ka poʻe me ka sclerosis tuberous.
  • ʻO ka maʻi Turcot: Hoʻokumu ʻia kēia ʻano e nā mutations i loko o kekahi mau genes e pale ai i ka ulu ʻana o ka puʻupuʻu. Hiki iā ia ke hana i nā ulu liʻiliʻi (polyps) i loko o nā ʻōpū a me hoʻokahi a ʻoi aku paha nā puʻupuʻu, e like me astrocytomas, i loko o ka lolo a i ʻole ke kaula spinal.

Pehea e ʻike ʻia ai ka Astrocytoma?

Ma muli o ka like o nā hōʻailona o ka astrocytoma me nā maʻi neurological ʻē aʻe, hiki ke paʻakikī iki i nā kauka ke kānalua a i ʻole e nānā.

Eia nō naʻe, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hana paha ʻo ia i kahi hoʻokolohua neurological . E kōkua kēia i ka hoʻoholo ʻana i kahi o ka pilikia ma ka lolo a i ʻole ke kaula spinal.

A laila e kauoha ke kauka i kahi hoʻāʻo kiʻi lolo. ʻO ka MRI (Magnetic resonance imaging) scan ke ala maikaʻi loa e ʻike ai a hōʻoia i kahi astrocytoma. Inā ʻaʻole hiki iā ʻoe ke loaʻa i kahi MRI no ka mea he pacemaker a i ʻole kahi implant hui kāu, ʻo ka CT scan (Computed tomography scan) ke koho maikaʻi loa aʻe.

Inā hōʻike kēia mau hoʻokolohua kiʻi i kekahi mea ʻē aʻe i loko o ka lolo, e hana paha ke kauka i kahi biopsy (lawe i kahi ʻāpana liʻiliʻi o ka puʻupuʻu no ka hoʻokolokolo ʻana) a i ʻole kahi resection.(wehe ʻoki ʻia ka puʻupuʻu). ʻO kēia wale nō ke ala e hana ai i kahi hōʻoia pololei.

Hiki ke ho'ōla ʻia ka astrocytoma kanesa?

Hiki ke ho'ōla pinepine ʻia nā astrocytomas papa 1 me ke ʻoki kino inā hiki i ke kauka neuro ke wehe palekana i ka puʻupuʻu holoʻokoʻa. He mea kākaʻikahi loa, hiki ke ho'ōla ʻia kekahi mau astrocytomas papa 2 me ke ʻoki kino.

Eia nō naʻe, ʻaʻohe lāʻau lapaʻau i kēia manawa no nā astrocytomas papa 3 a me 4 (ʻoi aku hoʻi nā glioblastomas) no ka mea ulu wikiwiki lākou a laha. Eia nō naʻe, hiki i ka radiation therapy a me kekahi mau lāʻau lapaʻau ke kāohi i ka ulu ʻana o kēia mau tumors a hōʻemi i nā hōʻailona.

Pehea e mālama ʻia ai ka Astrocytoma?

Pili nā koho lapaʻau i kekahi mau kumu:

  • ʻO ka wahi, ka nui, a me ke ʻano o ka puʻupuʻu.
  • kou mau makahiki.
  • Kou olakino holoʻokoʻa.

E hana pū ana kahi hui o nā loea e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu. Hiki i kēia hui ke komo pū me:

  • Nā kauka lolo
  • Nā kauka ʻokiʻoki lolo
  • Nā kauka oncologists radiation
  • Nā kauka lapaʻau oncology

ʻO nā lāʻau lapaʻau nui no ka astrocytoma:

  • ʻOki kino.
  • Hoʻōla radiation.
  • Kemoterapi kōkua.
  • Nā kahua mālama puʻupuʻu (no ka glioblastoma).

Eia kekahi, aia paha nā hoʻokolohua lapaʻau hiki iā ʻoe ke komo.

ʻO ke ʻoki kino no ka astrocytoma

ʻO ke ʻoki kino ka hana mua i ka mālama ʻana i ka astrocytoma. Hāʻawi ia i ʻekolu mau pono nui:

1. Hiki iā ʻoe ke ʻike pono i ke ʻano o ka puʻupuʻu ma ka lawe ʻana i kahi ʻāpana o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope.

2. Hiki i nā kauka ke hana i nā hoʻokolohua hou aʻe ma ka puʻupuʻu e ʻike ai inā he mau protein a me nā mutations e hiki ai i kekahi mau lāʻau ke kuhikuhi.

3. Hiki ke wehe ʻia ka nui o ka puʻupuʻu e like me ka hiki. Kōkua kēia i ka hoʻēmi ʻana i ke kaomi i loko o ka lolo a me ke poʻo a pale i nā pilikia ʻē aʻe.

Ma muli o ka ulu mālie ʻana o nā astrocytomas papa 1 a ʻaʻole e laha i nā wahi ʻē aʻe o ka lolo, ʻo ke ʻoki ʻana wale nō ka lāʻau lapaʻau i loaʻa.

Nā lāʻau lapaʻau adjuvant no ka astrocytoma

ʻO ka lāʻau lapaʻau adjuvant, i kapa ʻia i kekahi manawa ʻo "helper therapy," ke kuhikuhi nei i nā hunaola kanesa i pepehi ʻole ʻia e ka lāʻau lapaʻau nui. I ka astrocytoma, ʻo ke ʻoki ʻana ke lāʻau lapaʻau nui.

Pono mau nā astrocytomas papa 3 a me 4 i nā lāʻau lapaʻau ʻē aʻe ma waho aʻe o ke ʻoki ʻana. Pono pū kekahi mau astrocytomas papa 2 i nā lāʻau lapaʻau hou aʻe i kekahi manawa.

ʻO kekahi mau lāʻau lapaʻau hou aʻe no ka astrocytoma:

  • ʻO Chemotherapy me ka temozolomide (TMZ): ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a/a i ʻole e hoʻōki iā lākou mai ka hoʻonui ʻana. Hana ka lāʻau lapaʻau, temozolomide (TMZ), ma ka hoʻololi ʻana i ka DNA o nā hunaola tumor, e make ai lākou. ʻO TMZ kahi lāʻau lapaʻau adjuvant laina mua no nā astrocytomas papa 3 a me 4 āpau. I kekahi manawa hāʻawi ʻia i nā astrocytomas papa 2 pū kekahi.
  • Lapaʻau radiation: Hoʻohana kēia lāʻau i ka radiation (ʻo ka maʻamau he mau kukuna X-energy kiʻekiʻe) e pepehi i nā hunaola kanesa. He ala kūpono loa kēia e mālama ai i nā astrocytomas.
  • ʻO Bevacizumab: He lāʻau lapaʻau injectable kēia. Hana ia ma ke ālai ʻana i ka ulu ʻana o nā kīʻaha koko e kōkua ana i ka ulu ʻana o ka puʻupuʻu. Ua ʻāpono ka US Food and Drug Administration (FDA) i kēia lāʻau lapaʻau no ka glioblastoma hou. Kōkua ia i ka hōʻemi ʻana i ka pehu a me ka hōʻoluʻolu i nā hōʻailona.
  • Nā kahua mālama puʻupuʻu: He mea hana kūikawā kēia e hoʻopuka i nā kahua uila. Hiki i kēia mau kahua ke hoʻolohi i ka ulu ʻana o ka puʻupuʻu. Hoʻokomo ʻia ia e like me ka mahiole. Hiki i nā kauka ke ʻōlelo aku i kēia lāʻau lapaʻau no ka glioblastoma i ʻike hou ʻia a me ka hana hou ʻana.

Hiki iaʻu ke pale aku i ka ulu ʻana o Astrocytoma?

ʻAʻohe mea hiki iā ʻoe ke hana i kēia manawa e pale aku ai i ka ulu ʻana o nā astrocytomas. ʻO ka hapa nui o ka manawa, ulu lākou me ka manaʻo ʻole.

Eia nō naʻe, inā he maʻi genetic kou e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka astrocytoma, he mea nui e ʻike pinepine i kāu hui lapaʻau no nā nānā ʻana. A laila hiki iā lākou ke nānā iā ʻoe no nā hōʻailona o ka astrocytoma. ʻO ka wikiwiki o ka ʻike ʻia ʻana o kēia, ʻoi aku ka maikaʻi.

He aha ka wānana no ka Astrocytoma?

ʻO ka nānā ʻana, inā e hoʻomaikaʻi ka maʻi a me ka lōʻihi o kou ola ʻana, hilinaʻi ia i nā kumu he nui:

  • Ka pae o ka puʻupuʻu: ʻO ke kiʻekiʻe o ka pae, ʻoi aku ka ʻino o ka nānā ʻana.
  • ʻEhia ka nui o ka puʻupuʻu e hiki ke wehe ʻia ma ke ʻoki ʻana:ʻOiai hiki ke ho'ōla ʻia nā astrocytomas papa 1 me ke ʻoki kino wale nō, ʻaʻole hiki ke wehe loa ʻia nā astrocytomas papa 2 a 4. Eia nō naʻe, inā hiki i ke kauka lapaʻau ke wehe i ka nui o nā ʻiʻo e like me ka hiki, maikaʻi ka helu ola.
  • Ka hoʻohana ʻana i nā lāʻau lapaʻau hou aʻe: ʻO nā lāʻau lapaʻau hou aʻe, e like me ka chemotherapy a me ka radiation therapy, hiki ke hōʻemi i nā hōʻailona a hoʻonui i ke ola.
  • Makahiki: Ma keʻano laulā, ʻoi aku ka lōʻihi o ke ola o ka poʻe ʻōpio.
  • Kūlana noʻonoʻo: ʻO ka poʻe me nā hōʻailona liʻiliʻi a me ka hana neurological maʻamau he lōʻihi ko lākou manawa ola.

E hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i ka ʻike pololei e pili ana i ka mea e manaʻo ai. Mai makaʻu e nīnau iā lākou.

He aha ka nui o ke ola ʻana o ka Astrocytoma?

ʻOkoʻa ka awelika o ke ola ma muli o ke ʻano o ka astrocytoma:

  • Papa 1 (Pilocytic astrocytomas): ʻOi aku ma mua o 10 mau makahiki.
  • ʻO ka astrocytoma papa 2: ʻoi aku ma mua o 5 mau makahiki.
  • ʻO ka astrocytoma papa 3: Ma waena o 2 a me 5 mau makahiki.
  • Papa 4 (Glioblastomas): Ma kahi o hoʻokahi makahiki.

He mea nui e hoʻomanaʻo he awelika wale nō kēia no kahi hui nui o ka poʻe me nā astrocytomas. E hiki i kāu hui lapaʻau ke hāʻawi i ka ʻike kikoʻī e pili ana i nā helu ola e pili ana i kou kūlana kikoʻī.

Āhea wau e ʻike ai i kaʻu kauka e pili ana iā Astrocytoma?

Pono ʻoe e loaʻa nā manawa hoʻopaʻa me nā neurologists, oncologists, a me nā neurosurgeons e hōʻoia i ka holomua o kāu lāʻau lapaʻau a i ʻole e hoʻomau i ka holomua.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona. Eia kekahi laʻana:

  • Nā pilikia hoʻomanaʻo.
  • Nā ʻōhūhū.
  • ʻEha poʻo nui a i ʻole nā ​​pilikia ʻike.
  • Ka pohō kaumaha me ke kumu ʻole.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ka nīnau ʻana i kāu hui lapaʻau i kēia mau nīnau:

  • No ke aha i loaʻa ai iaʻu ka astrocytoma?
  • He aha ke ʻano o ka astrocytoma i loaʻa iaʻu?
  • He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
  • He aha nā hoʻokolohua lapaʻau e hiki iaʻu ke komo?
  • He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
  • He aha ka mālama ma hope o ka lāʻau lapaʻau e pono ai iaʻu?
  • He aha ka manawa kūpono e hoʻi hou mai ai ke kanesa a laha paha ma hope o ka mālama ʻia ʻana?
  • He aha nā hōʻailona o ka ulu ʻana o ka tumo e pono iaʻu e makaʻala?
  • He aha nā hōʻailona o nā pilikia lapaʻau e pono iaʻu e makaʻala?
  • Aia anei koʻu ʻohana i ka pilikia o ka loaʻa ʻana o ka astrocytoma?

He aha ka ʻokoʻa ma waena o Astrocytoma a me Glioblastoma?

He ʻano astrocytoma ʻo Glioblastoma - ʻo ia hoʻi he astrocytoma papa 4. He puʻupuʻu kanesa ʻino ʻo Glioblastoma e ulu a laha koke. ʻO ia ke kanesa lolo mua maʻamau.

He ʻino a maikaʻi ʻole paha ka Astrocytoma?

Aia kekahi mau ʻano o nā astrocytomas - ʻaʻole kekahi he maʻi kanesa (benign), a he maʻi kanesa kekahi (malignant). ʻAʻole maʻi kanesa nā astrocytomas Papa 1. He maʻi kanesa nā Papa 2 a 4.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ka makaʻu a me ke kaumaha ke ʻike ʻoe he puʻupuʻu lolo kou. Hiki i ka Astrocytoma ke hele mai i nā ʻano like ʻole - he maikaʻi kekahi, he kanesa kekahi. Akā e hilinaʻi i kāu hui lapaʻau e hoʻomohala i kahi hoʻolālā lapaʻau pilikino a piha e kōkua iā ʻoe e hoʻokele i kāu astrocytoma a hoʻomaikaʻi i kou ʻano ola. Mai makaʻu, mai kānalua, e nīnau i kāu mau kauka, a kākoʻo i kāu lapaʻau. Makemake au iā ʻoe e hoʻōla koke!


ʻastrocytoma , puʻupuʻu lolo, glioma, astrocyte, ʻōnaehana nerve waena, maʻi ʻaʻai, glioblastoma

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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E aʻo kākou e pili ana i nā puʻupuʻu e puka mai ana mai nā pūnaewele e like me nā hōkū i loko o kou lolo (Astrocytoma)!

E aʻo kākou e pili ana i nā puʻupuʻu e puka mai ana mai nā pūnaewele e like me nā hōkū i loko o kou lolo (Astrocytoma)!

Ke kū nei kākou a pau i nā pilikia olakino i manaʻo ʻole ʻia i ko kākou ola, ʻeā? Malia paha he pinepine kou poʻo ʻeha a manaʻo paha ʻoe e nalowale iki ana kou hoʻomanaʻo. ʻOiai he mau mea maʻamau kēia, i kekahi manawa hiki ke lilo i mau hōʻailona o kahi pilikia i loko o ko kākou kino, ʻoiai ka lolo. I kēia lā e kamaʻilio kākou e pili ana i kahi ʻano puʻupuʻu e hiki ke hana i loko o ka lolo, he mea paʻakikī iki ia, akā pono kākou a pau e makaʻala. ʻO ia ʻo Astrocytoma .

He aha ka Astrocytoma? E hoʻomaopopo maʻalahi kākou!

ʻAe, e nānā kākou i kēia astrocytoma. I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu ia e kū mai ana i loko o kā mākou ʻōnaehana nerve waena (CNS) , ʻo ia hoʻi ma ka lolo a i kekahi manawa ma ke kaula spinal (ke kaula nerve e holo ana i lalo o ka iwi kuamoʻo). Hoʻokumu ʻia kēia mau puʻupuʻu mai kahi ʻano kūikawā o nā cell ʻano hōkū i loko o ko mākou lolo. Kāhea nā kauka i kēia mau cell he "nā cell astrocyte". ʻO kēia mau "cell astrocyte" he mau cell no kahi hui o nā cell e kōkua, hānai, a pale i ka lolo a me ka ʻōnaehana nerve. ʻO kēia mau cell kōkua i kapa pinepine ʻia he "nā cell glial". Ma waho aʻe o nā "cell astrocyte", aia kekahi mau ʻano "cell glial" i kapa ʻia he "oligodendrocytes" a me "nā cell ependymal". No laila, ʻo nā puʻupuʻu e hana ʻia i ka wā e hoʻomaka ai kēia mau "cell glial" e ulu me ka ʻole o ka hoʻomalu ʻia ua kapa ʻia ʻo "glioma". ʻO Astrocytoma ke ʻano glioma maʻamau.

Hiki i kēia mau puʻupuʻu astrocytoma ke lilo i maʻi kanesa (malignant) a i ʻole ʻaʻole maʻi kanesa (benign) . ʻO ia hoʻi, he mea weliweli kekahi a laha koke. ʻAʻole kekahi, a ulu a laha mālie.

Hoʻokaʻawale nā ​​kauka i nā astrocytomas ma o kā lākou "mau māka," e like me nā māka ma ke kula. Hōʻike kēia mau māka i ka wikiwiki o ka ulu ʻana o ka puʻupuʻu a me ke ʻano o ka laha ʻana i nā ʻiʻo lolo kokoke. ʻAʻole e like me nā ʻano maʻi kanesa ʻē aʻe, ʻaʻohe ʻōnaehana "staging".

He aha nā ʻano nui o Astrocytoma?

Ua hoʻokaʻawale ka World Health Organization (WHO) i nā astrocytomas i ʻehā mau papa nui. ʻO ka Papa 1 ke ʻano haʻahaʻa loa ka pilikia, lohi ka ulu ʻana. ʻO ka Papa 4 ke ʻano huhū loa, wikiwiki loa ka ulu ʻana, a me ka weliweli loa.

ʻO ka Astrocytoma ʻaʻole maʻi kanesa (Benign)

He haʻahaʻa loa kēia mau maʻi ʻōpū, ʻaʻole maʻi kanesa.

  • ʻO ka Astrocytoma Papa 1:
  • ʻO ka astrocytoma pilocytic:ʻO kēia ke ʻano maʻamau o ka puʻupuʻu papa 1. Ulu mālie loa ia a ʻaʻole paha e laha. ʻAʻole ia he maʻi kanesa. Ma hope o ka wehe loa ʻia ʻana e ke ʻoki kino, ʻaʻole pono ka chemotherapy a i ʻole ka radiation therapy. Hoʻomohala pinepine kēia mau puʻupuʻu i loko o ka cerebellum, ka ʻāpana o ka lolo i kapa ʻia ʻo cerebellum .
  • ʻO ka xanthoastrocytoma Pleomorphic: ʻO kēia ʻano puʻupuʻu e ulu pinepine ana i loko o ka lolo. Hoʻomohala pinepine ia i loko o ka lobe temporal o ka lolo. Hiki i kēia ke kumu i nā hopu pinepine. Hiki ke ho'ōla ʻia me ke ʻoki ʻana.
  • ʻO ka astrocytoma cell nui subependymal (SEGA): Loaʻa kēia ʻano puʻupuʻu i nā keiki me kahi maʻi genetic i kapa ʻia ʻo tuberous sclerosis. Hoʻomohala ia i loko o nā lua piha i ka wai i loko o ka lolo i kapa ʻia ʻo ventricles . Hiki ke mālama ʻia me ke ʻoki ʻana.

ʻO ka Astrocytoma ʻino

He mau puʻupuʻu weliweli kēia e loaʻa ana nā hunaola kanesa a hiki ke ulu a laha koke.

  • Papa 2 Astrocytoma: ʻOi aku ka maʻalahi o kēia mau puʻupuʻu e pālahalaha i nā ʻiʻo o ka lolo a puni, e paʻakikī ai ke ho'ōla piha ʻia me ke ʻoki wale nō.
  • ʻO nā Astrocytomas Papa 3: ʻOi aku ka ikaika o kēia mau mea ma mua o nā puʻupuʻu papa 2. I ka manawa pinepine, hiki i kahi puʻupuʻu papa 2 ke holomua i ka papa 3 i ka hala ʻana o ka manawa. ʻAʻole hiki ke ho'ōla ʻia kēia mau mea me ke ʻoki kino wale nō. Pono maoli ka lāʻau lapaʻau radiation, a pono pinepine hoʻi ka chemotherapy.
  • ʻO Glioblastomas: ʻO kēia nā astrocytomas papa 4. ʻO lākou ke ʻano maʻamau a ʻoi loa ka ikaika o ka astrocytoma. Ulu koke lākou a pālahalaha. Ma kahi o 10% o lākou e ulu mai kahi astrocytoma haʻahaʻa mua i lilo i maʻi kanesa. A i ʻole, ma 90% o nā hihia, hoʻomaka lākou ma ke ʻano he puʻupuʻu papa 4.

ʻO wai ka mea e loaʻa ana i ka Astrocytoma?

Hiki i kēia mau puʻupuʻu ke ulu i loko o kekahi, akā ua ʻike ʻia nā ʻano puʻupuʻu like ʻole e ʻoi aku ka maʻamau i nā poʻe o nā hui makahiki like ʻole:

  • ʻO ka Astrocytoma Papa 1: ʻO ka mea maʻamau i nā keiki a me nā ʻōpio.
  • ʻO ka Astrocytoma Papa 2: ʻO ka mea maʻamau i nā pākeke ma waena o 20 a me 60 mau makahiki.
  • ʻO ka Astrocytoma Papa 3: ʻO ka mea maʻamau i nā pākeke ma waena o 30 a me 60 mau makahiki.
  • ʻO Glioblastoma (papa 4 astrocytoma): ʻO ka mea maʻamau i nā pākeke ma waena o 50 a me 80 mau makahiki.

Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o nā astrocytomas papa 3 a me 4 i nā kāne.

Pehea ka maʻamau o kēia maʻi?

ʻOkoʻa nō hoʻi ka nui o nā ʻano like ʻole o ka astrocytoma:

  • ʻO ka astrocytoma Papa 1: Ma kahi o 2% o nā maʻi puʻupuʻu lolo a pau.
  • ʻO ka astrocytoma Papa 2: no 2% a 5% o nā ʻōpū lolo āpau.
  • Astrocytoma Papa 3: Ma kahi o 4% o nā maʻi puʻupuʻu lolo a pau.
  • ʻO nā Astrocytomas Papa 4 (Glioblastomas): Hana i ka 24% o nā ʻōpū lolo āpau.

I waena o nā pākeke, ʻo ka glioblastoma (papa 4 astrocytoma) ke ʻano maʻamau o ka maʻi ʻaʻai lolo.

He aha nā hōʻailona o ka Astrocytoma?

Hiki ke ʻokoʻa nā hōʻailona o kēia puʻupuʻu ma muli o ka nui o ka puʻupuʻu a me kona wahi i loko o ka lolo. ʻO kekahi mau hōʻailona maʻamau:

  • ʻO ke poʻo pinepine, i kekahi manawa ʻoi aku ka ʻino i ke kakahiaka.
  • Ka luaʻi a me ka luaʻi.
  • Nā ʻōʻili.
  • Nā loli i ke kūlana noʻonoʻo: No ka laʻana, nā kūlana e like me ka hiki ʻole ke noʻonoʻo (delirium) a i ʻole ka nalowale piha o ka hoʻomanaʻo (dementia).
  • Poho ka hoʻomanaʻo.
  • Nā pilikia noʻonoʻo ʻē aʻe: nā loli o ke ʻano pilikino, nā loli o ka naʻau (e like me ke kaumaha).
  • Ka luhi nui o ke kino.
  • Nā pilikia ʻike: ʻIke pōwehiwehi, ʻike pālua.
  • Nā pilikia ʻōlelo (aphasia): Paʻakikī i ka hoʻopuka ʻana i nā huaʻōlelo, hiki ʻole ke noʻonoʻo i ka mea e ʻōlelo ai.
  • Nā pilikia neʻe: mae nā lālā, nāwaliwali, a hōʻike i nā reflexes kūpono ʻole.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i ke kauka.

He aha nā kumu o ka Astrocytoma?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o ka hapa nui o nā astrocytomas. ʻO ka hapa nui o kēia mau puʻupuʻu e kū pinepine ʻole. ʻO ʻelua o nā kumu pilikia nui i ʻike ʻia e nā kānaka noiʻi, ʻo ia ka hōʻike ʻana i ka radiation a me nā mana genetic.

Eia nō naʻe, ua hōʻike ʻia e nā noiʻi hou he mea nui ka mutation (hoʻololi) i loko o kahi gene i kapa ʻia ʻo `(gene IDH1)` i ka ulu ʻana o nā astrocytomas haʻahaʻa. Kōkua kēia gene i kā mākou mau cell e hana i ka ikehu. Ke hoʻololi ʻia kēia gene, hana ʻia kahi kemika i kapa ʻia ʻo `(2-HG)`. Hōʻiliʻili kēia i loko o nā `(nā cell astrocyte)` olakino i ka hala ʻana o ka manawa, a hoʻomaka kēlā mau cell e lilo i mea ʻē. ʻO ia ka manawa e ulu ai nā astrocytomas.

Ka hōʻike ʻana i ka radiation a me ka astrocytoma

ʻO ka hōʻike ʻana i ka radiation ionizing, no ka laʻana, i hoʻohana ʻia no ka mālama ʻana i ka maʻi kanesaHoʻonui ka radiation therapy i ka pilikia o ka hoʻomohala ʻana i ka astrocytoma.

Eia kekahi laʻana, ʻo nā keiki me ka leukemia lymphocytic acute (ALL) i loaʻa i ka radiation therapy e pale aku i ka maʻi he 22 mau manawa ka nui o ka hoʻomohala ʻana i kahi puʻupuʻu o ka ʻōnaehana nerve waena, e like me ka astrocytoma, i loko o 5 a 10 mau makahiki.

Nā kumu hoʻoilina a me ka astrocytoma

Ua ʻike ʻia nā kūlana genetic kakaikahi e pili ana me ka ulu ʻana o nā astrocytomas:

  • ʻO ka maʻi Li-Fraumeni: Hana ʻia kēia ʻano ke loaʻa kahi mutation i loko o kahi gene i kapa ʻia ʻo ka gene TP53. Loaʻa i ka poʻe me kēia maʻi he 90% ka manawa e loaʻa ai i hoʻokahi a ʻoi aku paha nā ʻano maʻi kanesa i ko lākou ola. Hiki i kēia ke komo pū me ka astrocytoma.
  • ʻAno Neurofibromatosis 1 (NF1): Ma kēia kūlana, ʻo kahi mutation i loko o kahi gene i manaʻo ʻia e hoʻōki i ka ulu ʻana o nā puʻupuʻu e hoʻoulu ai i nā cell e ulu ma ke ʻano ʻē. Hiki i ka poʻe me NF1 ke loaʻa i nā astrocytomas, nā puʻupuʻu o nā aʻalolo peripheral, a me nā kiko café-au-lait ma ka ʻili.
  • ʻO ka sclerosis tuberous: ʻO kēia ke kumu o nā pilikia olakino like ʻole. ʻO kēia mau mea e komo pū me nā hopu ʻana, nā lohi o ka ulu ʻana, a me ke kūkulu ʻia ʻana o nā puʻupuʻu ma nā ʻāpana like ʻole o ke kino. Hoʻokumu ʻia ia e nā mutations i ʻelua mau genes, ka gene TSC1 a me ka gene TSC2. ʻO nā astrocytomas cell nui subependymal (SEGAs) e ulu wale i ka poʻe me ka sclerosis tuberous.
  • ʻO ka maʻi Turcot: Hoʻokumu ʻia kēia ʻano e nā mutations i loko o kekahi mau genes e pale ai i ka ulu ʻana o ka puʻupuʻu. Hiki iā ia ke hana i nā ulu liʻiliʻi (polyps) i loko o nā ʻōpū a me hoʻokahi a ʻoi aku paha nā puʻupuʻu, e like me astrocytomas, i loko o ka lolo a i ʻole ke kaula spinal.

Pehea e ʻike ʻia ai ka Astrocytoma?

Ma muli o ka like o nā hōʻailona o ka astrocytoma me nā maʻi neurological ʻē aʻe, hiki ke paʻakikī iki i nā kauka ke kānalua a i ʻole e nānā.

Eia nō naʻe, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hana paha ʻo ia i kahi hoʻokolohua neurological . E kōkua kēia i ka hoʻoholo ʻana i kahi o ka pilikia ma ka lolo a i ʻole ke kaula spinal.

A laila e kauoha ke kauka i kahi hoʻāʻo kiʻi lolo. ʻO ka MRI (Magnetic resonance imaging) scan ke ala maikaʻi loa e ʻike ai a hōʻoia i kahi astrocytoma. Inā ʻaʻole hiki iā ʻoe ke loaʻa i kahi MRI no ka mea he pacemaker a i ʻole kahi implant hui kāu, ʻo ka CT scan (Computed tomography scan) ke koho maikaʻi loa aʻe.

Inā hōʻike kēia mau hoʻokolohua kiʻi i kekahi mea ʻē aʻe i loko o ka lolo, e hana paha ke kauka i kahi biopsy (lawe i kahi ʻāpana liʻiliʻi o ka puʻupuʻu no ka hoʻokolokolo ʻana) a i ʻole kahi resection.(wehe ʻoki ʻia ka puʻupuʻu). ʻO kēia wale nō ke ala e hana ai i kahi hōʻoia pololei.

Hiki ke ho'ōla ʻia ka astrocytoma kanesa?

Hiki ke ho'ōla pinepine ʻia nā astrocytomas papa 1 me ke ʻoki kino inā hiki i ke kauka neuro ke wehe palekana i ka puʻupuʻu holoʻokoʻa. He mea kākaʻikahi loa, hiki ke ho'ōla ʻia kekahi mau astrocytomas papa 2 me ke ʻoki kino.

Eia nō naʻe, ʻaʻohe lāʻau lapaʻau i kēia manawa no nā astrocytomas papa 3 a me 4 (ʻoi aku hoʻi nā glioblastomas) no ka mea ulu wikiwiki lākou a laha. Eia nō naʻe, hiki i ka radiation therapy a me kekahi mau lāʻau lapaʻau ke kāohi i ka ulu ʻana o kēia mau tumors a hōʻemi i nā hōʻailona.

Pehea e mālama ʻia ai ka Astrocytoma?

Pili nā koho lapaʻau i kekahi mau kumu:

  • ʻO ka wahi, ka nui, a me ke ʻano o ka puʻupuʻu.
  • kou mau makahiki.
  • Kou olakino holoʻokoʻa.

E hana pū ana kahi hui o nā loea e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa nāu. Hiki i kēia hui ke komo pū me:

  • Nā kauka lolo
  • Nā kauka ʻokiʻoki lolo
  • Nā kauka oncologists radiation
  • Nā kauka lapaʻau oncology

ʻO nā lāʻau lapaʻau nui no ka astrocytoma:

  • ʻOki kino.
  • Hoʻōla radiation.
  • Kemoterapi kōkua.
  • Nā kahua mālama puʻupuʻu (no ka glioblastoma).

Eia kekahi, aia paha nā hoʻokolohua lapaʻau hiki iā ʻoe ke komo.

ʻO ke ʻoki kino no ka astrocytoma

ʻO ke ʻoki kino ka hana mua i ka mālama ʻana i ka astrocytoma. Hāʻawi ia i ʻekolu mau pono nui:

1. Hiki iā ʻoe ke ʻike pono i ke ʻano o ka puʻupuʻu ma ka lawe ʻana i kahi ʻāpana o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope.

2. Hiki i nā kauka ke hana i nā hoʻokolohua hou aʻe ma ka puʻupuʻu e ʻike ai inā he mau protein a me nā mutations e hiki ai i kekahi mau lāʻau ke kuhikuhi.

3. Hiki ke wehe ʻia ka nui o ka puʻupuʻu e like me ka hiki. Kōkua kēia i ka hoʻēmi ʻana i ke kaomi i loko o ka lolo a me ke poʻo a pale i nā pilikia ʻē aʻe.

Ma muli o ka ulu mālie ʻana o nā astrocytomas papa 1 a ʻaʻole e laha i nā wahi ʻē aʻe o ka lolo, ʻo ke ʻoki ʻana wale nō ka lāʻau lapaʻau i loaʻa.

Nā lāʻau lapaʻau adjuvant no ka astrocytoma

ʻO ka lāʻau lapaʻau adjuvant, i kapa ʻia i kekahi manawa ʻo "helper therapy," ke kuhikuhi nei i nā hunaola kanesa i pepehi ʻole ʻia e ka lāʻau lapaʻau nui. I ka astrocytoma, ʻo ke ʻoki ʻana ke lāʻau lapaʻau nui.

Pono mau nā astrocytomas papa 3 a me 4 i nā lāʻau lapaʻau ʻē aʻe ma waho aʻe o ke ʻoki ʻana. Pono pū kekahi mau astrocytomas papa 2 i nā lāʻau lapaʻau hou aʻe i kekahi manawa.

ʻO kekahi mau lāʻau lapaʻau hou aʻe no ka astrocytoma:

  • ʻO Chemotherapy me ka temozolomide (TMZ): ʻO ka Chemotherapy ka hoʻohana ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a/a i ʻole e hoʻōki iā lākou mai ka hoʻonui ʻana. Hana ka lāʻau lapaʻau, temozolomide (TMZ), ma ka hoʻololi ʻana i ka DNA o nā hunaola tumor, e make ai lākou. ʻO TMZ kahi lāʻau lapaʻau adjuvant laina mua no nā astrocytomas papa 3 a me 4 āpau. I kekahi manawa hāʻawi ʻia i nā astrocytomas papa 2 pū kekahi.
  • Lapaʻau radiation: Hoʻohana kēia lāʻau i ka radiation (ʻo ka maʻamau he mau kukuna X-energy kiʻekiʻe) e pepehi i nā hunaola kanesa. He ala kūpono loa kēia e mālama ai i nā astrocytomas.
  • ʻO Bevacizumab: He lāʻau lapaʻau injectable kēia. Hana ia ma ke ālai ʻana i ka ulu ʻana o nā kīʻaha koko e kōkua ana i ka ulu ʻana o ka puʻupuʻu. Ua ʻāpono ka US Food and Drug Administration (FDA) i kēia lāʻau lapaʻau no ka glioblastoma hou. Kōkua ia i ka hōʻemi ʻana i ka pehu a me ka hōʻoluʻolu i nā hōʻailona.
  • Nā kahua mālama puʻupuʻu: He mea hana kūikawā kēia e hoʻopuka i nā kahua uila. Hiki i kēia mau kahua ke hoʻolohi i ka ulu ʻana o ka puʻupuʻu. Hoʻokomo ʻia ia e like me ka mahiole. Hiki i nā kauka ke ʻōlelo aku i kēia lāʻau lapaʻau no ka glioblastoma i ʻike hou ʻia a me ka hana hou ʻana.

Hiki iaʻu ke pale aku i ka ulu ʻana o Astrocytoma?

ʻAʻohe mea hiki iā ʻoe ke hana i kēia manawa e pale aku ai i ka ulu ʻana o nā astrocytomas. ʻO ka hapa nui o ka manawa, ulu lākou me ka manaʻo ʻole.

Eia nō naʻe, inā he maʻi genetic kou e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka astrocytoma, he mea nui e ʻike pinepine i kāu hui lapaʻau no nā nānā ʻana. A laila hiki iā lākou ke nānā iā ʻoe no nā hōʻailona o ka astrocytoma. ʻO ka wikiwiki o ka ʻike ʻia ʻana o kēia, ʻoi aku ka maikaʻi.

He aha ka wānana no ka Astrocytoma?

ʻO ka nānā ʻana, inā e hoʻomaikaʻi ka maʻi a me ka lōʻihi o kou ola ʻana, hilinaʻi ia i nā kumu he nui:

  • Ka pae o ka puʻupuʻu: ʻO ke kiʻekiʻe o ka pae, ʻoi aku ka ʻino o ka nānā ʻana.
  • ʻEhia ka nui o ka puʻupuʻu e hiki ke wehe ʻia ma ke ʻoki ʻana:ʻOiai hiki ke ho'ōla ʻia nā astrocytomas papa 1 me ke ʻoki kino wale nō, ʻaʻole hiki ke wehe loa ʻia nā astrocytomas papa 2 a 4. Eia nō naʻe, inā hiki i ke kauka lapaʻau ke wehe i ka nui o nā ʻiʻo e like me ka hiki, maikaʻi ka helu ola.
  • Ka hoʻohana ʻana i nā lāʻau lapaʻau hou aʻe: ʻO nā lāʻau lapaʻau hou aʻe, e like me ka chemotherapy a me ka radiation therapy, hiki ke hōʻemi i nā hōʻailona a hoʻonui i ke ola.
  • Makahiki: Ma keʻano laulā, ʻoi aku ka lōʻihi o ke ola o ka poʻe ʻōpio.
  • Kūlana noʻonoʻo: ʻO ka poʻe me nā hōʻailona liʻiliʻi a me ka hana neurological maʻamau he lōʻihi ko lākou manawa ola.

E hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i ka ʻike pololei e pili ana i ka mea e manaʻo ai. Mai makaʻu e nīnau iā lākou.

He aha ka nui o ke ola ʻana o ka Astrocytoma?

ʻOkoʻa ka awelika o ke ola ma muli o ke ʻano o ka astrocytoma:

  • Papa 1 (Pilocytic astrocytomas): ʻOi aku ma mua o 10 mau makahiki.
  • ʻO ka astrocytoma papa 2: ʻoi aku ma mua o 5 mau makahiki.
  • ʻO ka astrocytoma papa 3: Ma waena o 2 a me 5 mau makahiki.
  • Papa 4 (Glioblastomas): Ma kahi o hoʻokahi makahiki.

He mea nui e hoʻomanaʻo he awelika wale nō kēia no kahi hui nui o ka poʻe me nā astrocytomas. E hiki i kāu hui lapaʻau ke hāʻawi i ka ʻike kikoʻī e pili ana i nā helu ola e pili ana i kou kūlana kikoʻī.

Āhea wau e ʻike ai i kaʻu kauka e pili ana iā Astrocytoma?

Pono ʻoe e loaʻa nā manawa hoʻopaʻa me nā neurologists, oncologists, a me nā neurosurgeons e hōʻoia i ka holomua o kāu lāʻau lapaʻau a i ʻole e hoʻomau i ka holomua.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou a i ʻole inā e ʻoi aku ka ʻino o kāu mau hōʻailona. Eia kekahi laʻana:

  • Nā pilikia hoʻomanaʻo.
  • Nā ʻōhūhū.
  • ʻEha poʻo nui a i ʻole nā ​​pilikia ʻike.
  • Ka pohō kaumaha me ke kumu ʻole.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ka nīnau ʻana i kāu hui lapaʻau i kēia mau nīnau:

  • No ke aha i loaʻa ai iaʻu ka astrocytoma?
  • He aha ke ʻano o ka astrocytoma i loaʻa iaʻu?
  • He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
  • He aha nā hoʻokolohua lapaʻau e hiki iaʻu ke komo?
  • He aha nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau?
  • He aha ka mālama ma hope o ka lāʻau lapaʻau e pono ai iaʻu?
  • He aha ka manawa kūpono e hoʻi hou mai ai ke kanesa a laha paha ma hope o ka mālama ʻia ʻana?
  • He aha nā hōʻailona o ka ulu ʻana o ka tumo e pono iaʻu e makaʻala?
  • He aha nā hōʻailona o nā pilikia lapaʻau e pono iaʻu e makaʻala?
  • Aia anei koʻu ʻohana i ka pilikia o ka loaʻa ʻana o ka astrocytoma?

He aha ka ʻokoʻa ma waena o Astrocytoma a me Glioblastoma?

He ʻano astrocytoma ʻo Glioblastoma - ʻo ia hoʻi he astrocytoma papa 4. He puʻupuʻu kanesa ʻino ʻo Glioblastoma e ulu a laha koke. ʻO ia ke kanesa lolo mua maʻamau.

He ʻino a maikaʻi ʻole paha ka Astrocytoma?

Aia kekahi mau ʻano o nā astrocytomas - ʻaʻole kekahi he maʻi kanesa (benign), a he maʻi kanesa kekahi (malignant). ʻAʻole maʻi kanesa nā astrocytomas Papa 1. He maʻi kanesa nā Papa 2 a 4.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ka makaʻu a me ke kaumaha ke ʻike ʻoe he puʻupuʻu lolo kou. Hiki i ka Astrocytoma ke hele mai i nā ʻano like ʻole - he maikaʻi kekahi, he kanesa kekahi. Akā e hilinaʻi i kāu hui lapaʻau e hoʻomohala i kahi hoʻolālā lapaʻau pilikino a piha e kōkua iā ʻoe e hoʻokele i kāu astrocytoma a hoʻomaikaʻi i kou ʻano ola. Mai makaʻu, mai kānalua, e nīnau i kāu mau kauka, a kākoʻo i kāu lapaʻau. Makemake au iā ʻoe e hoʻōla koke!


ʻastrocytoma , puʻupuʻu lolo, glioma, astrocyte, ʻōnaehana nerve waena, maʻi ʻaʻai, glioblastoma

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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