E Māmā, e Pāpā, ke loaʻa pinepine nei i kāu keiki liʻiliʻi ke poʻo ʻeha? Ke luaʻi nei ʻo ia i kekahi manawa i ke kakahiaka? A i ʻole ua ʻike koke ʻoe i kahi loli nui i ke ʻano a i ʻole ka ʻōlelo a kāu keiki? He mea maʻamau loa ke manaʻo iki i ka makaʻu a hopohopo paha ke lohe a ʻike paha ʻoe i kahi mea e like me kēia. Eia naʻe, ʻaʻole nā poʻo ʻeha a luaʻi paha he hōʻailona o kahi maʻi weliweli. Eia naʻe, ʻoiai he mea kakaikahi, i kekahi manawa hiki i kēia ke lilo i mau hōʻailona o kahi maʻi e like me ka puʻupuʻu lolo pediatric . No laila, me ka ʻole o ka hoʻopaneʻe hou ʻana, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo, a ma ke ʻano maʻalahi loa.
He aha ka puʻupuʻu lolo i loko o kēia mau keiki ʻōpio?
I ka ʻōlelo maʻalahi, ua hana ʻia ko kākou lolo me nā miliona o nā cell. I kekahi manawa hoʻomaka kēia mau cell lolo e ulu ma ke ʻano ʻē a me ke kāohi ʻole ʻia. ʻO ia ka manawa e hoʻokumu ʻia ai kahi puʻupuʻu, a i ʻole ka mea a mākou e kapa nei he "Neoplasm," i loko o ka lolo. ʻO ke kumu nui o kēia, ʻo ia kekahi mau loli i loko o nā genes o nā cell lolo. ʻO kēia mau loli genetic ke kumu o kahi cell olakino e hana maʻamau ʻole a lilo i puʻupuʻu.
ʻElua ʻano o kēia mau puʻupuʻu lolo:
- ʻAʻole ʻino a maikaʻi ʻole paha: ʻAʻole kēia he mau hunaola kanesa. Eia nō naʻe, inā ulu lākou i loko o ka lolo, hiki iā lākou ke paʻi i nā ʻāpana koʻikoʻi o ka lolo a hoʻoulu i nā pilikia.
- ʻO ka maʻi ʻino a i ʻole ke kanesa: ʻO kēia ka mea a mākou e kapa nei he mau puʻupuʻu. Hiki iā lākou ke ulu koke a laha i nā ʻāpana ʻē aʻe o ka lolo a i kekahi manawa i nā ʻāpana ʻē aʻe o ke kino.
Hiki ke ʻike ʻia kēia ʻano i loko o kahi keiki o kēlā me kēia makahiki, mai ka ʻōpiopio loa a hiki i ka ʻelemakule loa, a i kekahi manawa a hiki i ka wā makua.
Pehea ka maʻamau o nā puʻupuʻu lolo i waena o nā keiki?
ʻO ka ʻoiaʻiʻo, ʻo nā puʻupuʻu lolo ke ʻano maʻamau o ka maʻi kanesa i nā keiki . Wahi a nā helu helu, ua ʻike ʻia nā tausani o nā keiki me kēia maʻi i kēlā me kēia makahiki. He mea weliweli iki paha ia, akā e hoʻomanaʻo, inā ʻike mua ʻia a mālama pono ʻia, kiʻekiʻe ka manawa e hoʻōla ai.
He aha nā ʻano puʻupuʻu e ʻike ʻia ma ka lolo o nā keiki?
He mea paʻakikī paha ke kani ʻana, akā he nui nā ʻano puʻupuʻu lolo like ʻole i nā keiki. Ua hoʻokaʻawale ʻia lākou ma muli o ke ʻano o nā hunaola lolo a lākou e hoʻomaka ai. Eia kekahi o nā māhele nui:
- Nā Glioma
- Nā puʻupuʻu embryonic
- Nā puʻupuʻu pineal
- Nā Craniopharyngioma
- Nā puʻupuʻu cell germ
- Nā puʻupuʻu plexus choroid
- ʻO Schwannomas
- Nā Meningioma
I kēia manawa, e nānā maʻalahi kākou i kēlā me kēia.
1. Nā Glioma
ʻO kēia nā ʻano maʻamau o nā puʻupuʻu lolo i nā keiki. ʻO ka ʻoiaʻiʻo, ma kahi o ka hapalua o nā puʻupuʻu lolo a pau i nā keiki e hāʻule ana i loko o kēia māhele. Kū mai lākou mai nā pūnaewele glial i loko o ka lolo.ʻO nā pūnaewele glial kahi ʻano pūnaewele e kākoʻo, hānai, a pale i nā neurons i loko o ka lolo. Hiki i kekahi mau gliomas ke ulu lohi (haʻahaʻa), aʻo kekahi e ulu wikiwiki a huhū (kiʻekiʻe).
Aia kekahi mau ʻano ʻē aʻe o ka glioma:
- Astrocytoma: Hoʻomaka kēia i loko o kahi ʻano o nā cell glial i kapa ʻia ʻo astrocytes. Hiki i kēia mau puʻupuʻu ke ulu i loko o ka lolo a i ʻole ke kaula kuamoʻo. Ulu mālie kekahi, aʻo kekahi e ulu wikiwiki.
- Oligodendroglioma: Hoʻomaka kēia i loko o nā pūnaewele glial i kapa ʻia ʻo oligodendrocytes. Loaʻa pinepine kēia mau mea ma ka papa waho o ka lolo.
- Nā puʻupuʻu neuroglial: Loaʻa i kēia mau mea nā pūnaewele glial a me nā pūnaewele neuronal. Hiki iā lākou ke ulu i loko o ka lolo a me ke kaula spinal a hiki ke hoʻoulu i nā hopu pinepine.
- Ependymoma: Hoʻomaka kēia mau ʻōpū i loko o nā pūnaewele ependymal e hoʻopaʻa ana i nā lua i piha i ka wai (ventricles) i loko o ka lolo.
2. Nā puʻupuʻu embryonic
Hoʻomaka kēia mau puʻupuʻu i loko o nā pūnaewele fetal a embryonic paha i loko o ka ʻōnaehana nerve waena. He mau puʻupuʻu kanesa lākou a hiki ke loaʻa i kēlā me kēia makahiki, akā ʻoi aku ka maʻamau i nā pēpē a me nā kamaliʻi ʻōpio .
ʻO kekahi o nā nati nui o kēia ʻano:
- Medulloblastoma: ʻO kēia ke ʻano maʻamau o ka puʻupuʻu germ cell. Hoʻomaka ia ma ka cerebellum, aia ma ke kua o ka lolo.
- Medulloepithelioma: He ʻōpū laha ʻole kēia a ulu wikiwiki. ʻIke pinepine ʻia ia i nā pēpē a me nā kamaliʻi.
- ʻO ka maʻi teratoid/rhabdoid atypical (ATRT): He mea kākaʻikahi nō hoʻi kēia. Hoʻomaka pinepine ia ma ka cerebellum o nā keiki ʻuʻuku loa.
- ʻO ka puʻupuʻu embryonal me nā rosettes multilayered (ETMR): He puʻupuʻu lolo ʻino kēia o ka wā kamaliʻi e kū mai ana i loko o ka ʻōnaehana nerve waena.
3. Nā puʻupuʻu pineal
Hoʻomohala ʻia kēia mau puʻupuʻu i loko o ke kelepa pineal. Aia kēia kelepa ma waenakonu o ka lolo. Hoʻopuka ʻia ka hormone melatonin e kēia kelepa. Aia kekahi mau ʻano puʻupuʻu e hoʻomaka ana i loko o ke kelepa pineal. Hiki i kēia ke lilo i mea ʻaʻole kanesa (benign) a i ʻole kanesa (malignant).
ʻO nā ʻano o nā ʻōpū pineal gland e hiki ke hana i nā keiki:
- Pineoblastoma: ʻO kēia ke ʻano ʻoi loa o ka puʻupuʻu germ cell. Hiki iā ia ke laha koke i ka lolo a me ke kaula spinal.
- ʻO nā puʻupuʻu parenchymal pineal: He mau puʻupuʻu ʻino iki kēia. Inā ʻike mua ʻia, hiki ke hoʻopaʻa ʻia i ka ʻāpana pineal.
- Nā puʻupuʻu cell germ:Hoʻokumu ʻia kēia mau mea mai ka ʻiʻo embryonic i koe i loko o ka pineal gland.
4. Nā Craniopharyngiomas
He mau puʻupuʻu ʻaʻole cancerous kēia e hoʻomaka kokoke ana i ka pituitary gland . Hoʻomohala lākou mai ka ʻiʻo embryonic o ka pituitary gland. Hiki i nā craniopharyngiomas ke paʻa, cystic, a i ʻole ka hui ʻana o nā mea ʻelua. Ulu mālie kekahi, aʻo kekahi e ulu wikiwiki.
Hiki i kēia mau puʻupuʻu ke hoʻopaʻa i ka ʻōpū pituitary. Ua ʻike anei ʻoe e hana ana ka ʻōpū pituitary i nā hormones e kāohi i nā mea e like me ka ulu ʻana, ke koko, a me ka hānau hou ʻana? Hiki i kēia mau puʻupuʻu ke hoʻopaʻa i kahi ʻāpana koʻikoʻi o ka lolo i kapa ʻia ʻo hypothalamus . Hoʻokele ka hypothalamus i nā mea he nui e like me ka mahana o ke kino, nā wai o ke kino, a me nā manaʻo. Hiki ke hoʻopaʻa ʻia nā aʻalolo optic, hiki ke hoʻopilikia i ka ʻike.
5. Nā puʻupuʻu cell germ
He mau puʻupuʻu kanesa kēia e hoʻomaka ana i loko o nā pūnaewele embryonic i kapa ʻia ʻo "germ" cells. I ka wā o ka embryonic, neʻe kēia mau pūnaewele germ i waho o ka lolo a hana i nā ovaries a i ʻole nā testes. Eia nō naʻe, hiki i nā pūnaewele germ e noho nei i loko o ka lolo ke lilo i maʻi kanesa a hana i nā puʻupuʻu cell germ. Hiki i kēia mau puʻupuʻu ke pālahalaha i ke kaula spinal a me ka wai cerebrospinal (CSF).
6. Nā puʻupuʻu plexus choroid
Hoʻomaka kēia mau puʻupuʻu i loko o ka choroid plexus, kahi ʻiʻo e uhi ana i nā ventricles o ka lolo. Hiki iā lākou ke ʻano maikaʻi ʻole (e like me ka choroid plexus papilloma) a i ʻole ke kanesa (e like me ka choroid plexus carcinoma). ʻO nā papillomas choroid plexus atypical he mau puʻupuʻu ʻino iki. Hiki iā lākou ke lilo i kanesa inā ʻaʻole mālama ʻia.
7. Nā Schwannomas
Hoʻomaka kēia mau puʻupuʻu i loko o nā pūnaewele Schwann, kahi e uhi ai i nā aʻalolo i loko o ka lolo. ʻO ka maʻamau, ulu kēia ʻano puʻupuʻu ma kahi kokoke i nā aʻalolo e pili ana i ka lohe a me ke kaulike. Inā ulu lākou ma kahi kokoke i ke kaula kuamoʻo, hiki iā lākou ke hoʻoulu i ka nāwaliwali a me nā pilikia sensory. ʻO ka maʻamau, ʻaʻole maʻi kanesa (benign) nā Schwannomas, akā i kekahi manawa hiki iā lākou ke lilo i maʻi kanesa (malignant).
8. Nā Meningioma
He ʻano puʻupuʻu lolo nō hoʻi kēia, akā ʻaʻole i maʻamau i nā keiki. Hoʻomaka nā meningiomas i nā membrane e hoʻopuni ana i ka lolo, i kapa ʻia ʻo meninges . Hiki iā lākou ke hoʻouka i ka lolo a me ke kaula spinal. ʻAʻole maʻi kanesa ka hapa nui o nā meningiomas, akā hiki iā lākou ke ulu nui a hiki ke hoʻoweliweli i ke ola.
E noʻonoʻo wale, he ʻokoʻa kēlā me kēia ʻano. ʻO ia ke kumu he ʻokoʻa nā hōʻailona a me nā lāʻau lapaʻau.
He aha ke kumu o ka puʻupuʻu lolo?
ʻAʻole maopopo loa i nā kānaka ʻepekema ke kumu e ulu ai nā hunaola olakino ma waho o ke kaohi a hana i nā puʻupuʻu. Eia nō naʻe, aia kekahi mau kumu i manaʻo ʻia he kuleana ko lākou:
- Nā loli hoʻoilina i loko o nā genes o kahi cell.
- Ka hoʻoilina o nā genes e hoʻokumu ana i ka maʻi kanesa.
- Ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau radiation no kekahi maʻi kanesa ʻē aʻe i ka wā ma mua.
Aia kahi pilina ma waena o kekahi mau puʻupuʻu lolo o nā kamaliʻi a me kahi hui o nā pilikia olakino pili i kapa ʻia ʻo nā maʻi kanesa. Ke noiʻi nei nā loea i kēia pilina.
ʻO kekahi mau maʻi kanesa e pili ana i kēia:
- ʻO ka maʻi Li-Fraumeni
- ʻAno Neurofibromatosis I
- ʻAno Neurofibromatosis II
- ʻO ka sclerosis tuberous
- ʻO ka maʻi Von-Hippel Lindau
- ʻO ka maʻi Nevus basal cell carcinoma a i ʻole ka maʻi Gorlin
- ʻO ka maʻi Cowden
- ʻO ka polyposis adenomatous ʻohana (FAP)
- ʻO ka maʻi Lynch
He aha nā hōʻailona o kahi puʻupuʻu lolo i loko o kahi keiki?
Hiki ke ʻokoʻa loa nā hōʻailona o ka puʻupuʻu lolo ma muli o ke ʻano o ka puʻupuʻu, kona koʻikoʻi, pehea ka wikiwiki o kona ulu ʻana, a me kona wahi i loko o ka lolo. No laila, ʻaʻole e loaʻa i kēlā me kēia keiki nā hōʻailona like. Eia naʻe, eia kekahi mau hōʻailona maʻamau:
- Ka hiamoe nui.
- ʻO nā poʻo ʻeha e kū mai ana i ke kakahiaka a emi iho ma hope o ka luaʻi ʻana o ke keiki.
- Ka piʻi ʻana o ka nui o ke poʻo (ke anapuni o ke poʻo) i nā pēpē.
- ʻO ka luaʻi a me ka luaʻi ʻana, ʻoiai inā hele pū me ka ʻeha poʻo a ʻaʻole ka maʻi pākī.
- Paʻakikī i ka ʻike ʻana, ka lohe ʻana, a i ʻole ka ʻōlelo ʻana.
- Nā pilikia kaulike (kūlana i ka wā e hele ana, me he mea lā e hāʻule ana ʻoe).
- ʻAʻohe hoʻonohonoho ʻana o nā ʻāpana o ke kino (e like me ka paʻakikī i ka hopu ʻana i nā mea, ka paʻakikī i ka kaohi ʻana i nā lālā).
- Nā loli koke o ke ʻano (e like me ka lilo ʻana i mea paʻakikī ma mua o ka wā ma mua, ka huhū maʻalahi).
- Ka nāwaliwali o kekahi ʻaoʻao o ka lima, ka wāwae, a i ʻole ke kino o ke keiki.
- Nā ʻōʻili.
Inā loaʻa i kāu keiki kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui e ʻimi koke i ke kōkua lapaʻau. ʻAʻole kēia he mau hōʻailona mau o kahi puʻupuʻu lolo, akā he mea naʻauao ke nānā ʻia.
Pehea e ʻike ai i kahi puʻupuʻu lolo i loko o kahi keiki ʻōpiopio?
Inā kānalua ke kauka i kahi puʻupuʻu lolo i loko o kahi keiki, e kauoha lākou i kekahi mau hoʻokolohua. Hiki i kēia mau mea ke komo pū me:
- Hoʻokolokolo kino: E nānā ke kauka i ke olakino laulā o ke keiki. E nīnau ʻo ia e pili ana i nā hōʻailona o ke keiki, ka mōʻaukala olakino pilikino, a me ka mōʻaukala olakino ʻohana.
- Hoʻokolohua neurological: Nānā kēia hoʻokolohua i ke ʻano o ka hana ʻana o ka lolo o ke keiki. Nānā ia i nā mea e like me ke kūlana noʻonoʻo, ke kaulike, ka hoʻonohonoho ʻana, ka manaʻo, a me nā reflexes.
- Nā hoʻāʻo kiʻi: Hiki i ke kauka ke kauoha i nā hoʻāʻo e kiʻi i nā kiʻi kikoʻī o ka lolo a me/a i ʻole ke kaula kuamoʻo o kāu keiki. No ka laʻana , kahi scan MRI (Magnetic Resonance Imaging), kahi scan CT (Computed Tomography), a i ʻole kahi scan PET (Positron Emission Tomography) . I kekahi manawa, hiki ke hoʻokomo ʻia kahi mea kūikawā i loko o kahi kīʻaha koko i kāu keiki ma mua o kēia hoʻāʻo. Kōkua kēia i nā hunaola kanesa e ʻike maopopo ʻia ma ke scan.
- Nā hoʻāʻo koko: Aia kahi hoʻāʻo koko i kapa ʻia he hoʻāʻo māka serum . Hiki i kēia ke ana i nā mea e pili ana i ka maʻi kanesa (nā māka tumor) i loko o ke kino o ke keiki.
- Biopsy: ʻO ka biopsy e pili ana i ka lawe ʻana i kahi hāpana liʻiliʻi o ka ʻiʻo mai kahi puʻupuʻu a nānā i nā ʻāpana ma lalo o kahi microscope. ʻO kēia ka mea e kōkua ai e hoʻoholo pono i ke ʻano o ka puʻupuʻu a inā he maʻi kanesa a ʻaʻole paha.
- ʻO ke kī ʻana o ka iwi kuamoʻo / ʻoki ʻana o ka iwi kuamoʻo: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi nila kūikawā i loko o ke kua o lalo o kāu keiki a wehe i kahi liʻiliʻi o ka wai (CSF) e hoʻopuni ana i ka lolo a me ke kaula iwi kuamoʻo. A laila hoʻāʻo ʻia ka wai no nā pūnaewele ʻē.
Inā loaʻa i kēia mau hoʻokolohua nā pūnaewele ʻē, e hoʻoholo ke kime lapaʻau inā he ʻano maikaʻi ʻole a he kanesa paha ka puʻupuʻu. Hiki iā lākou ke hāʻawi i ka puʻupuʻu i kahi māka e hoʻoholo ai i kona koʻikoʻi a me ka wikiwiki o kona ulu ʻana:
- Nā Puʻupuʻu Papa 1: Ulu mālie. Ua like loa nā pūnaewele puʻupuʻu me nā pūnaewele maʻamau.
- Nā puʻupuʻu papa 2: Ulu mālie lākou a ʻaʻole paha e laha i nā ʻāpana ʻē aʻe o ke kino. He ʻano ʻē iki nā hunaola puʻupuʻu.
- Nā puʻupuʻu papa 3 a i ʻole 4: He mau puʻupuʻu ʻino kēia. ʻOi aku ko lākou ʻino a ʻoi aku ka nui o ka manawa e laha ai i nā ʻāpana ʻē aʻe o ka lolo. He ʻano ʻē maopopo nā ʻāpana.
Pehea e mālama ʻia ai nā puʻupuʻu lolo i nā keiki?
Inā he maʻi kanesa ka puʻupuʻu lolo a i ʻole ke kumu o kāu keiki i nā hōʻailona ʻoluʻolu ʻole, pono kāu keiki i ka lāʻau lapaʻau. Aia ka lāʻau lapaʻau i nā mea e like me ke ʻano o ka puʻupuʻu, kahi i loaʻa ai, a me ka wikiwiki o kona laha ʻana . Hiki i nā koho lapaʻau ke komo pū me:
- ʻO ke ʻoki kino: Hiki ke hana ʻia ke ʻoki kino e wehe i kahi āpau a hapa paha o ka puʻupuʻu, a i ʻole e wehe i ka wai e hoʻoulu ai i ke kaomi ma ka lolo.
- ʻO Chemotherapy, therapy i hoʻolālā ʻia, immunotherapy, a i ʻole nā lāʻau lapaʻau ʻē aʻe: Hoʻohana ʻia kēia mau lāʻau lapaʻau e pepehi i nā hunaola kanesa a hōʻoluʻolu paha i nā hōʻailona.
- Hoʻōla radiation:Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
- Hoʻōla hou ʻana: Inā ua hoʻopilikia ka puʻupuʻu i ka ʻōlelo a ke keiki, ke kaulike, a i ʻole nā hiki ʻē aʻe, e kōkua ana i ka hoʻihoʻi ʻana i kēlā mau hiki.
He aha ka hiʻohiʻona ho'ōla no nā keiki me nā maʻi ʻōpū o ka lolo?
ʻOkoʻa loa ka wānana no ka hoʻōla ʻana i nā keiki me nā ʻōpū lolo. Aia kekahi mau kumu e hoʻopilikia ai i kēia:
- Ka makahiki a me ke olakino laulā o ke keiki.
- ʻO kahi o ka puʻupuʻu ma ka lolo.
- Ka nui o ka puʻupuʻu.
- ʻO ke ʻano o ka hua.
- ʻAno o ka puʻupuʻu.
- ʻO ka holomua o ka lāʻau lapaʻau i ka wehe ʻana i ka hapa a i ʻole ka hapa o ka puʻupuʻu.
- Inā ua pālahalaha ka puʻupuʻu i nā wahi ʻē aʻe.
Hiki i kahi ʻōpū nui a huhū ke hoʻoweliweli i ke ola, akā mahalo i ka holomua o ka hōʻailona a me ka mālama ʻana, ke hoʻōla hou nei nā keiki.
Hiki i kahi puʻupuʻu lolo o kahi kamaliʻi ke hoʻi hou mai ma hope o ka mālama ʻia ʻana?
ʻAe, hiki i kahi puʻupuʻu lolo i ulu i ka wā kamaliʻi ke hana hou i ka wā kamaliʻi a i ʻole i ka wā makua.
ʻO ke ala hou ʻana, ʻo ia hoʻi, hiki ke hana ʻia kahi puʻupuʻu hou a ʻokoʻa, a i ʻole kekahi mau keena ʻē aʻe i waiho ʻia ma ka lolo ma hope o ka mālama ʻana e ulu hou a hiki i ka puʻupuʻu kahiko ke ulu hou.
Aia kekahi mau ala e hōʻemi ai i ka pilikia o ka maʻi ʻaʻai lolo o nā keiki?
Ma muli o ka maopopo ʻole o nā kānaka ʻepekema i ke kumu o nā puʻupuʻu lolo, ʻaʻohe ala i hōʻoia ʻia e pale aku ai iā lākou i kēia manawa.
He aha kaʻu e nīnau aku ai i ke kauka e pili ana i ka puʻupuʻu lolo o kaʻu keiki?
He mea nui loa e nīnau i ka hui lapaʻau o kāu keiki i kēia mau nīnau:
- Aia i hea ka puʻupuʻu lolo?
- Ke hoʻokuke nei ia i nā wahi o ka lolo a puni?
- He ʻano maikaʻi ʻole kēia a he ʻano ʻino paha?
- Ua laha anei kēia i nā wahi ʻē aʻe, a i ʻole he hiki ke laha aku?
- He aha ke ʻano o ka hua?
- He aha nā lāʻau lapaʻau āu e paipai nei?
- He aha nā pilikia a me nā hopena ʻaoʻao o kēlā mau koho lapaʻau?
- He aha nā manawa kūpono e hoʻi hou mai ai kēia ma hope o ka mālama ʻana?
- Loaʻa i kaʻu keiki kahi maʻi kanesa e hiki ai ke hoʻoulu i nā pilikia olakino ʻē aʻe?
He mea maʻamau ka makaʻu a me ka haʻalulu ke ʻike ʻoe he puʻupuʻu lolo ko kāu keiki. ʻAʻole paha ʻoe e ʻike i ka mea e huli ai no ke kōkua, ka mea e hana ai, a pehea e hoʻoponopono ai. Akā, ʻaʻole ʻoe hoʻokahi. Nui nā kumuwaiwai a me nā hui kākoʻo e loaʻa ana e kōkua, kamaʻilio pū, a kaʻana like i nā ʻike. ʻO ke kamaʻilio ʻana me nā ʻohana ʻē aʻe e hele nei i kahi ʻike like hiki ke lilo i kumu ikaika nui i kēia manawa paʻakikī. ʻOiai hiki i kekahi mau puʻupuʻu ke hoʻoweliweli i ke ola, ua ʻae ka holomua i ka ʻike a me ka mālama ʻana i nā keiki he nui e hoʻōla. Mai hāʻawi pio.
Nā mea e pono ai ʻoe e ʻike (Leka Lawe-Home)
- ʻO nā puʻupuʻu lolo i nā keiki he ulu ʻano ʻē o nā hunaola lolo. Hiki iā lākou ke maʻi kanesa a ʻaʻole paha he maʻi kanesa.
- Inā ʻike ʻoe i nā hōʻailona e like me ke poʻo pinepine, ka luaʻi ʻana, nā loli o ke ʻano, a i ʻole ka paʻakikī i ka hele wāwae, e ʻimi i ke kōkua lapaʻau.
- Hiki ke ʻike ʻia ka maʻi ma o nā hoʻokolohua e like me MRI, CT scan, a me biopsy.
- Aia nā ʻano lapaʻau e like me ke ʻoki kino, chemotherapy, a me ka radiation therapy.
- ʻO ka ʻike mua ʻana a me ka mālama kūpono e hoʻonui i nā manawa kūpono o ka hoʻōla ʻana no nā keiki. ʻO ka mea nui, ʻaʻole ia e hopohopo, akā, e loaʻa ka ʻike kūpono a me ke kōkua lapaʻau.
ʻO ka puʻupuʻu lolo, Puʻupuʻu lolo keiki, Nā puʻupuʻu lolo, Kanesa o nā keiki, Glioma, Medulloblastoma, Nā hōʻailona o ke kanesa, Lapaʻau ʻana i ke kanesa o ka lolo











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