Loaʻa i kāu keiki liʻiliʻi kēia mau hōʻailona? - E aʻo kākou e pili ana i nā Embryonic Tumors

Loaʻa pinepine i kāu keiki ke poʻo ʻeha? A i ʻole ua ʻike ʻoe i kekahi mau loli i ka ulu ʻana o kāu keiki liʻiliʻi? I kekahi manawa he mea maʻamau kēia. Eia nō naʻe, i kekahi manawa aia paha kekahi mea ma hope o lākou e pono ai ke hopohopo. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hiki ke ulu i loko o ia mau keiki, akā ʻaʻole mākou i lohe nui e pili ana i ia mea, a hiki ke lilo i mea koʻikoʻi iki. ʻO ia nā puʻupuʻu embryonic, a i ʻole `(Embryonal Tumors)`. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi.

He aha kēia mau puʻupuʻu embryonic? E hoʻomaopopo pono kākou?

I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu embryonal he puʻupuʻu lolo e ulu ana mai nā pūnaewele e ulu wikiwiki ana. Loaʻa kēia mau pūnaewele mai nā pūnaewele i koe mai ka wā o ke keiki i loko o ka ʻōpū, ʻo ia hoʻi, i ka wā o ka embryonic. ʻO kēia mau pūnaewele embryonic, i kapa ʻia ʻo "nā pūnaewele embryonic," he hana koʻikoʻi loa i nā pae mua o ka ulu ʻana o ke kino o ke keiki. Akā i kekahi manawa, ma hope o ka hānau ʻana o ke keiki, hiki i kekahi o kēia mau pūnaewele embryonic ke noho i loko o ka lolo. ʻO kēia mau pūnaewele i koe e hoʻomaka e ulu i nā puʻupuʻu embryonal.

ʻO kēia mau puʻupuʻu ka mea nui e hoʻopilikia i nā keiki. He maʻi kanesa kekahi, ʻo ia hoʻi he mea weliweli (malignant). ʻO kekahi he mea ʻaʻole maʻi kanesa, ʻo ia hoʻi he mea ʻino ʻole (benign). ʻO ka hapa nui, ulu lākou i loko o ka lolo. Hiki iā lākou ke ulu i kekahi manawa ma ke kaula iwi kuamoʻo. ʻO ka mea weliweli loa, hiki i kēia mau puʻupuʻu ke laha ma o ka wai cerebrospinal (CSF), ka wai wai e hoʻopuni ana i ka lolo a me ke kaula iwi kuamoʻo. Hiki i nā ʻano weliweli loa ke laha wikiwiki loa a hoʻoweliweli i ke ola.

Hiki i kāu kauka ke kapa i kēia mau ʻōpū embryonal a i ʻole "Embryomas." I ka wā ma mua, ua kapa ʻia kēia mau mea ʻo "Primitive Neuroectodermal Tumor (PNET)".

Aia kekahi mau ʻano maʻi ʻaʻai embryonal? He aha lākou?

ʻAe, ua māhele ʻia kēia mau puʻupuʻu embryonic i nā ʻano like ʻole. ʻO ke ʻano maʻamau ka mea i kapa ʻia ʻo "Medulloblastoma." Hoʻomohala kēia ma kahi ʻāpana i kapa ʻia ʻo "Cerebellum." ʻO ia hoʻi, ma ke kua, lalo o ka lolo o kāu keiki.

Aia kekahi mau ʻano ʻē aʻe o nā puʻupuʻu embryonal ʻaʻole ia he "Medulloblastoma". ʻO lākou kēia:

• `(ʻO ka puʻupuʻu teratoid/rhabdoid atypical - AT/RT)`: Hoʻomaka pū kēia ma ka cerebellum (kuʻi o ka lolo).
• `(ʻO ka puʻupuʻu embryonal me nā rosette multilayered - ETMRs)`: Ua hoʻokaʻawale ʻia kēia ma ke ʻano he `(C19MC-altered)` a i ʻole `(NOS - ʻaʻole i kuhikuhi ʻia)`. Hoʻomohala ia i loko o ka `(Cerebrum)` (ʻo ia hoʻi, ka ʻāpana nui loa ma luna a ma mua o ka lolo) a me ke kaula spinal.
• `(Medulloepithelioma)`: Hoʻomohala kēia i loko o ka lolo, ke kaula kuamoʻo, a me nā aʻalolo ma waho o ke kaula kuamoʻo. He mau maʻi kanesa ulu wikiwiki loa kēia, a ʻoi aku ka ikaika. Hoʻomohala pinepine lākou i nā keiki ʻuʻuku loa, a haʻahaʻa ka manawa e hoʻōla ai.
• ʻO ka neuroblastoma o ka ʻōnaehana nerve waena: Hoʻomohala kēia i loko o nā papa o nā ʻiʻo e hoʻopuni ana i ka lolo a me ke kaula spinal a me nā ʻiʻo nerve o ka cerebellum.
• `(ʻO ka puʻupuʻu neuroepithelial Cribriform)`:Hana ʻia kēia ma nā lua piha i ka wai (ventricles) i loko o ka lolo.

Pehea ka maʻamau o kēia mau maʻi kanesa? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana iā lākou?

Wahi a nā helu helu o ʻAmelika Hui Pū ʻIa, ʻo kēia mau ʻōpū embryonic he 12% o nā ʻōpū lolo āpau i nā keiki mai ka makahiki 0 a hiki i ka 14. I waena o lākou, ʻo ke ʻano a mākou i kamaʻilio ai ma mua, ʻo "Medulloblastoma", ʻo ia ka mea maʻamau - ʻo ia hoʻi, ʻoi aku ma mua o 68% o nā ʻōpū embryonic āpau. ʻO "Nā ʻōpū teratoid/rhabdoid atypical - AT/RT" he 17%.

ʻOi aku ka maʻamau o kēia mau maʻi kanesa i nā pēpē a me nā kamaliʻi liʻiliʻi. ʻOiai hiki ke loaʻa i nā pākeke, he mea kakaikahi lākou. No ka laʻana, ʻoi aku ka maʻamau o ke ʻano `(AT/RT)` i nā keikikāne ma lalo o 3 mau makahiki. ʻOi aku ka maʻamau o ke ʻano `(ETMRs)` i nā kaikamahine ma lalo o 4 mau makahiki.

He aha nā hōʻailona o ke kanesa ʻōpū? E nānā inā loaʻa i kāu keiki kēia mau mea

Hiki ke ʻokoʻa nā hōʻailona o nā puʻupuʻu lolo mai kēlā kanaka a kēia kanaka. Aia lākou i ka makahiki o ke keiki, ke ʻano o ka puʻupuʻu, a me kona wahi i loko o ka lolo. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:

• ʻEha ke poʻo, ʻoi aku hoʻi i ke kakahiaka.
• Ka luaʻi a me ka luaʻi.
• Manaʻo luhi, luhi, a hiamoe mau.
• Ka hemahema o ka ʻike (e.g. ka ʻike maka pōwehiwehi, ka ʻike maka pālua).
• Nā ʻōʻili.

E noʻonoʻo, ʻaʻole kāu keiki liʻiliʻi e holo a pāʻani ana e like me ka wā ma mua, ke ʻōlelo mau nei ʻo ia "E Māmā, ʻeha koʻu poʻo," a i kekahi manawa e luaʻi koke ʻo ia i kona ala ʻana i ke kakahiaka. Inā hoʻomau kēia mau mea, pono ʻoe e ʻike i ke kauka.

Hiki ke ʻike ʻia nā hōʻailona like ʻole i nā pēpē:

• Piʻi aʻe ke poʻo i ka wā ʻelemakule.
• Nā loli o ke ʻano (e.g., uē pinepine, huhū, hoʻomaha ʻole).
• Ka nalowale ʻana o ke kaulike i ka wā e hele ana a holo ana paha, e like me ka nalowale ʻana o ka hoʻonohonoho ʻana.
• ʻO ka ʻai pono ʻole he hōʻailona ia o ka nele i ka ʻai.
• ʻO ka hiki ʻole ke hoʻokō i nā pae hoʻomohala kūpono no ka makahiki (e.g., ʻaʻole e noho, kū, a kamaʻilio paha).

No ke aha e ulu ai kēia maʻi ʻaʻai embryonal? He aha ke kumu?

Hiki mai ke kanesa i ka wā e ulu a māhelehele ai nā pūnaewele i ke ʻano ʻē, ʻoi aku ma mua o ka mea e pono ai. Eia nō naʻe, ʻaʻole maopopo i nā kānaka noiʻi ke kumu e lilo koke ai kēia mau pūnaewele embryonic i mau puʻupuʻu embryonic.

Aia kekahi mau mea pilikia e hoʻopilikia ai i ka ulu ʻana o kēia maʻi kanesa?

ʻAe, hiki i kekahi mau kūlana hoʻoilina ke hoʻonui i ka pilikia o kāu keiki i ka loaʻa ʻana o kahi ʻano maʻi ʻaʻai embryonic i kapa ʻia ʻo "Medulloblastoma." ʻO ia mau kūlana:

• `(ʻO ka maʻi Turcot)`
• ʻO ka maʻi Rubinstein-Taybi
• `(ʻO ka maʻi Gorlin)`
• ʻO ka maʻi Li-Fraumeni
• ʻO ka maʻi ʻaʻai Fanconi

He mau maʻi kakaikahi loa kēia, akā inā loaʻa kēia maʻi i kekahi o kou ʻohana, he mea nui e haʻi i kāu kauka.

He aha nā pilikia e hiki mai ana o ka maʻi ʻaʻai embryonic? He mea weliweli anei ia?

ʻO nā pilikia i hoʻokumu ʻia e ka maʻi ʻaʻai embryonal hiki ke hoʻoweliweli i ke ola i kekahi manawa. No laila, he mea nui loa ka makaʻala i kēia. ʻO nā pilikia nui e ʻike ʻia:

• ʻO ka hydrocephalus kahi maʻi kahi e piha ai ka lolo i ka wai a piʻi aʻe ke kaomi. Hiki i kēia ke hōʻino i ka lolo.
• Ka pōʻino o ka lolo.
• Ka hemahema o ka noʻonoʻo - ʻO ia hoʻi, ua pilikia ka hiki ke noʻonoʻo a me ke aʻo ʻana.
• Nā loli i ka hana hormonal (Endocrinopathies).

Pehea e ʻike ai nā kauka i kēia ʻano maʻi kanesa? (Diagnosis)

Inā loaʻa i kāu keiki kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua, a inā he hopohopo kou e pili ana i ke olakino o kāu keiki, e ʻike koke i ke kauka o kāu keiki. Hiki i ke kauka ke ʻike i ka maʻi ʻaʻai fetal ma ka nānā ʻana i kāu keiki a me ka hana ʻana i nā hoʻokolohua e pono ai.

E nīnau ke kauka iā ʻoe e pili ana i nā hōʻailona o kāu keiki, ko lākou mōʻaukala olakino, a inā paha ua loaʻa i kekahi o kou ʻohana nā maʻi like.

ʻO nā hoʻokolohua i hana ʻia e hōʻoia pololei i ka maʻi:

• He kiʻi MRI.
• He scan `(CT)`.
• ʻO ka lumbar puncture kahi hana e pili ana i ka lawe ʻana i kahi wai liʻiliʻi mai ka iwi kuamoʻo. Hiki ke hoʻohana ʻia kēia e ʻike inā ua laha nā hunaola kanesa.
• Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia (Biopsy). ʻO kēia ka mea e hiki ai iā mākou ke hoʻoholo i ke ʻano kikoʻī o ke kanesa.

He aha ka lāʻau lapaʻau no kēia? E ola anei ke keiki?

ʻOkoʻa ka mālama ʻana no ke kanesa testicular ma muli o nā kumu he nui, me ke ʻano o ke kanesa, ka nui o ka puʻupuʻu, a me kona wahi. ʻO nā koho lapaʻau maʻamau:

• ʻO ke ʻoki ʻana ke ʻoki ʻana i ka puʻupuʻu.
• Hoʻōla radiation.
• Ke hāʻawi ʻana i nā lāʻau anti-cancer (Chemotherapy).
• Lapaʻau i hoʻolālā ʻia (he mau lāʻau lapaʻau kikoʻī kēia).

I ka manawa pinepine, pono paha kāu keiki i nā lāʻau lapaʻau he nui. No ka laʻana, e wehe nā kauka i ka puʻupuʻu me ka palekana e like me ka hiki me ke ʻoki ʻana. A laila, hāʻawi paha lākou i ka chemotherapy e pepehi i nā hunaola kanesa i koe a i ʻole e hoʻemi hou aku i ka puʻupuʻu.

Ke hana ʻia nei nā noiʻi hou aku e pili ana i kēia ʻano maʻi ʻaʻai embryonic, a hiki i kāu keiki ke kūpono no nā hoʻokolohua lapaʻau e ʻike i nā lāʻau lapaʻau hou.

He mea maʻamau ka manaʻo kaumaha a me ka luhi i kēia manawa o ke kaumaha. Ua ʻike ka nui o nā mākua hiki iā lākou ke komo i kahi hui kākoʻo a kamaʻilio paha me kahi kākā'ōlelo olakino noʻonoʻo i kēia manawa paʻakikī. E aʻo pū nā kauka a me nā kahu maʻi e mālama nei i kāu keiki iā ʻoe pehea e kākoʻo a hōʻoluʻolu i kāu keiki i kēia manawa.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau? He aha lākou?

ʻAe, e like me nā lāʻau lapaʻau āpau, hiki ke loaʻa nā hopena ʻaoʻao.

Nā hopena ʻaoʻao hiki ke loaʻa ma hope o ke ʻoki ʻana:

• Ke kahe ʻana o ke koko.
• ʻŌpū koko.
• Ka maʻi ʻana.
• Ka pōʻino o ke aʻalolo.

ʻO nā hopena ʻaoʻao e pili ana i ka radiation a me ka chemotherapy (akā, ʻaʻole i kaupalena ʻia i):

• Luhi.
• Ka luaʻi a me ka luaʻi.
• Ka nalowale o ka lauoho.
• Nā maʻi ʻili, ʻulaʻula.
• ʻEha poʻo.

Hiki i kekahi mau maʻi ʻaʻai ke hoʻi hou mai ma hope o ka mālama ʻia ʻana a me ka wehe ʻia ʻana.

He aha ka wānana o ka maʻi?

ʻO ke ʻano o ka maʻi o kāu keiki, ʻo ia hoʻi ka hiki ke hoʻōla ʻia, e hilinaʻi ʻia i kekahi mau mea, e like me:

• ʻAno maʻi ʻaʻai.
• Ma hea kahi o ke kanesa.
• Inā ua pālahalaha ke kanesa a ʻaʻole paha.
• Ka makahiki o ke keiki.
• ʻO nā hopena o ke ʻoki ʻana a i ʻole nā ​​​​lāʻau lapaʻau ma mua.
• Ke olakino laulā o ke keiki.

He ʻino loa kekahi mau puʻupuʻu germ cell, laha maʻalahi, a hiki ke hoʻi hou mai ma hope o ka mālama ʻana. Hiki i kekahi ke maikaʻi ʻole. ʻO ke kauka o kāu keiki ke kanaka maikaʻi loa e haʻi iā ʻoe e pili ana i ka prognosis.

He aha ka mea e hiki ke ʻōlelo ʻia e pili ana i ke ola o ke keiki ma kēia kūlana?

He mea paʻakikī ke hāʻawi i kahi pane paʻa e pili ana i ka manaʻolana ola o nā keiki me kēia maʻi, no ka mea, he ʻokoʻa ia. No ka laʻana, ua hōʻike kekahi noiʻi e pili ana i ka 33% o nā keiki me Medulloblastoma e make ana mai nā pilikia. No nā ʻōpū embryonal koʻikoʻi e like me ETMR, ʻo ka awelika o ka manawa ola ma hope o ka hōʻoia ʻana he 12 mau mahina.

Eia nō naʻe, ʻokoʻa paha ke ola o kāu keiki mai nā keiki ʻē aʻe me ke ʻano like o ka maʻi kanesa. Aia ia i nā mea e like me ka nui o ka puʻupuʻu a me kona wahi. E hāʻawi ka hui lapaʻau o kāu keiki iā ʻoe i ka ʻike hou loa e pili ana i nā koho lapaʻau a me ka mālama maikaʻi loa e hiki ai ke hoʻomaikaʻi i nā manawa ola o kāu keiki.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona o ke kanesa fetal i kāu keiki , e ʻike pono i ke kauka:

• Inā ʻaʻole ʻoe e nalo nei i nā pae hoʻomohala kūpono i kou makahiki.
• Inā he mau loli nui i ke ʻano.
• Inā pilikia ʻoe i ka ʻai ʻana, inā ua nalowale kou makemake.
• Inā he mau pilikia kaulike kou i ka wā e hele ana a e holo ana paha.
• Inā pinepine ʻoe e manaʻo i ka luaʻi a i ʻole ka luaʻi.

ʻO ka mea nui loa: Inā loaʻa kāu keiki i kahi maʻi hopu, e kelepona koke i ka 911 (a i ʻole kāu helu ulia pōpilikia kūloko), a i ʻole e lawe koke iā lākou i ka keʻena ulia pōpilikia o ka haukapila kokoke loa.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

I ka manawa e like me kēia, nui paha kāu mau nīnau. Mai makaʻu e nīnau i kāu kauka i nā mea āpau e pili ana i kou manaʻo. Eia kekahi mau nīnau koʻikoʻi hiki iā ʻoe ke nīnau:

• Aia i hea ka puʻupuʻu?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao o nā lāʻau lapaʻau?
• Pehea e hiki ai iaʻu ke kākoʻo i kaʻu keiki i ka wā o kēia lāʻau lapaʻau?
• He aha ka wānana (manawa e ola ai) no ka maʻi o kaʻu keiki?

He leka koʻikoʻi no nā mākua (Leka Lawe-Home)

He mea maʻamau ka makaʻu, ke kōkua ʻole, a me ka hopohopo ke lohe ʻoe he puʻupuʻu ola ko kāu keiki. Hiki ke paʻakikī ke hoʻomanawanui i kahi keiki ke hana ʻoki kino a me nā lāʻau lapaʻau ʻino e like me ka chemotherapy i ka wā ʻōpiopio. Hiki ke paʻakikī loa ka hōʻoluʻolu ʻana i kahi keiki i ia manawa.

Akā e hoʻomanaʻo i kēia: ʻOiai he mea kakaikahi kēia ʻano maʻi kanesa, ua aʻo nui ʻia a ʻike nui ʻia ka hui lapaʻau e mālama nei i kāu keiki. E hana lākou i nā mea āpau e hiki ai iā lākou ke hōʻemi i nā pilikia a me nā hopena ʻaoʻao o ka lāʻau lapaʻau, a e hāʻawi i kāu keiki i ka ʻoluʻolu a me ka mālama e pono ai lākou i kēia huakaʻi paʻakikī.

Inā ʻaʻole ʻoe maopopo i ka mea e hana ai a pehea e kōkua ai i kāu keiki, e kamaʻilio me nā kauka o kāu keiki. Hiki iā lākou ke wehewehe iā ʻoe i ke kūlana o kāu keiki a me ka hiʻohiʻona o ka wā e hiki mai ana. Hiki iā lākou ke kuhikuhi iā ʻoe i nā kumuwaiwai ʻē aʻe, e like me ke kamaʻilio ʻana me kahi kākāʻōlelo olakino noʻonoʻo a i ʻole ke komo ʻana i kahi hui kākoʻo.

I loko o kēia manawa, he mea kōkua nui ka hoʻopuni ʻana iā ʻoe iho me nā hoaaloha a me ka ʻohana āu e hilinaʻi ai a hiki ke kamaʻilio pū me.

Nā ʻōpū Embryonic , Nā ʻōpū lolo, Kanesa o nā kamaliʻi, Nā hōʻailona o ke kanesa, Lāʻau lapaʻau no ke kanesa, Medulloblastoma