E aʻo kākou e pili ana i ka Astrocytoma Papa 3 i loko o ka lolo ma nā ʻōlelo maʻalahi.

Ke hopohopo nei ʻoe a i ʻole kekahi āu i ʻike ai ke lohe lākou i ka huaʻōlelo "tumor lolo"? He mea maʻamau loa ia. ʻOi loa aku hoʻi i ka wā e ʻike ai ʻoe he ʻoi aku ka koʻikoʻi. Akā, mai hopohopo, e kamaʻilio kākou e pili ana i kēia kūlana i kapa ʻia ʻo "Grade 3 Astrocytoma" me nā kikoʻī hou aku, akā maʻalahi loa. Manaʻolana wau e loaʻa iā ʻoe kahi maopopo o kēia.

He aha ka Astrocytoma Papa 3?

I ka ʻōlelo maʻalahi, he puʻupuʻu kanesa wikiwiki kēia e ulu ana i loko o ka lolo . Aia kekahi ʻano cell kūikawā i kapa ʻia ʻo nā cell astrocyte i loko o ko kākou lolo a me ke kaula spinal. He mau cell ʻano hōkū kēia. ʻO kā lākou hana nui ke kōkua a pale i kā mākou neurons - nā cell e kuleana no nā mea āpau mai ko kākou mau manaʻo, nā manaʻo, a me nā neʻe ʻana.

No laila, no kekahi kumu, i ka wā e māhelehele ʻole ai kēia mau cell astrocyte, wikiwiki, a ulu nui i nā helu he nui, ua hoʻokumu ʻia kēia ʻano puʻupuʻu i kapa ʻia ʻo "astrocytoma". Ua hoʻokaʻawale ka World Health Organization (WHO) i kēia mau puʻupuʻu. No laila, ʻo "grade 3" ke ʻano he ʻano pālahalaha wikiwiki iki kēia, ʻoi aku ka ʻino . Ma mua, ua kapa ʻia kēia he "anaplastic astrocytoma". Ua ʻike paha ʻoe i kēia inoa ma nā hōʻike lapaʻau kahiko (nā hōʻike pathology). I ka makahiki 2021 wale nō i hoʻololi ʻia ai kēia inoa i "grade 3 astrocytoma" e wehewehe i ka hōʻailona.

ʻOi aku ka wikiwiki o kēia a ʻoi aku ka ʻino ma mua o ka "papa 1" a me ka "papa 2". Eia kekahi, hiki iā ia ke laha mai kahi i hoʻomaka ai a hiki i nā ʻiʻo lolo a puni . ʻO ia ke kumu i kapa ʻia ai ʻo "malignant" a i ʻole "high-grade" astrocytoma.

ʻO Astrocytomas kahi ʻano o kahi hui nui o nā tumors i kapa ʻia ʻo "gliomas." ʻAʻole wale nā ​​​​astrocytomas i kēia hui o nā gliomas, akā ʻo nā ʻano ʻē aʻe o nā tumors lolo e like me "ependymomas" a me "oligodendrogliomas."

ʻOiai ʻoi aku ka ikaika o kēia puʻupuʻu ma mua o nā ʻano astrocytoma ʻē aʻe, ʻo ka nūhou maikaʻi, hiki ke mālama ʻia . Aia nā lāʻau lapaʻau e like me ke ʻoki ʻana, ka radiation therapy, a me ka chemotherapy. Loaʻa paha iā ʻoe ka manawa kūpono e komo i nā hoʻokolohua lapaʻau e noiʻi ana i nā lāʻau lapaʻau hou.

Pehea ka maʻamau o kēia ʻano?

Ma ka honua holoʻokoʻa, ma waena o 5 a me 8 o kēlā me kēia 100,000 poʻe i ʻike ʻia me ka papa 3 a i ʻole ka astrocytoma papa 4 ʻoi aku ka koʻikoʻi (i kapa ʻia hoʻi he glioblastoma). Hiki ke ʻike ʻia kēia i nā keiki . ʻO nā astrocytomas papa 3 a me nā glioblastomas no kahi o 10% o nā puʻupuʻu o ka ʻōnaehana nerve waena (lolo a me ke kaula kuamoʻo) i nā keiki.

He aha nā hōʻailona o ka astrocytoma papa 3?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ka nui o ka puʻupuʻu a me kona wahi i loko o ka lolo. Eia nō naʻe, ʻo nā hōʻailona maʻamau:

• ʻEha poʻo:ʻAʻole kēia e like me ka ʻeha poʻo maʻamau, ʻoi aku paha ka koʻikoʻi, mau, a ʻike nui ʻia i ke kakahiaka.
• Lethargy: Manaʻo luhi i nā manawa a pau a make.
• Luaʻi: ​​Hiki ke hele pū me nā poʻo ʻeha me ka luaʻi ʻana, ʻoiai i ke kakahiaka.
• Nā loli o ke ʻano: Nā loli e like me ka huhū nui ʻana, ka pihoihoi, a i ʻole ka mālie loa ma mua o ka wā ma mua.
• Nā loli o ka ʻike: ʻIke pōwehiwehi, ʻike pālua.
• Pilikia me ka hoʻonohonoho ʻana: Kūlou i ka wā e hele ana, hāʻule nā ​​​​mea mai ka lima aku.
• Nāwaliwali i nā lālā: Hiki i ka lima a i ʻole ka wāwae ma kekahi ʻaoʻao ke manaʻo e like me ka mae ʻana.
• Nā hōʻailona o ka maʻi epilepsy (nā hopu ʻana): Hiki ke nalowale koke ka ʻike a me nā haʻalulu.

Mai hopohopo no ka mea he hoʻokahi a ʻelua paha o kēia mau hōʻailona kou. Akā inā he ʻoi aku ma mua o hoʻokahi o kēia mau hōʻailona, ​​a inā paha e ʻoi aku ka ʻino o kēlā me kēia lā, pono ʻoe e ʻike i ke kauka.

Eia kekahi, ma muli o kahi o ka puʻupuʻu i loko o ka lolo, hiki ke ʻike ʻia nā hōʻailona kikoʻī ʻē aʻe. No ka laʻana, inā aia ka puʻupuʻu ma ka lobe frontal, hiki ke loaʻa nā pilikia hoʻomanaʻo a me ka paʻakikī i ka hoʻoholo ʻana. A i ʻole, inā aia ia ma ka paia ʻaoʻao o ka lolo, hiki ke loaʻa ka ʻōlelo a me ka hoʻomaopopo ʻana i nā huaʻōlelo.

Ma hea i loko o ka lolo e loaʻa pinepine ai kēia mau puʻupuʻu?

ʻO kēia astrocytoma papa 3 kahi puʻupuʻu e ulu ana i loko o ka ʻōnaehana nerve waena, ʻo ia hoʻi, ka lolo a me ke kaula spinal. Loaʻa pinepine ʻia ia ma ka cerebrum, ka ʻāpana nui loa o ka lolo . ʻOi aku ka kikoʻī, ma kēia mau ʻāpana:

• Lobe mua
• Lobe manawa
• Lobe parietal
• ʻO ka lobe occipital

No ke aha e ulu ai kēia astrocytoma papa 3? He aha nā kumu pilikia?

ʻAʻole maopopo loa ke kumu e hoʻomaka koke ai kēia mau hunaola astrocyte e māhelehele me ka wikiwiki. Akā, e like me ka noiʻi ʻana, ʻo kēia mau kumu paha ke kumu:

• Nā loli genetic: Eia nō naʻe, hoʻopilikia kēia i kahi pakeneka liʻiliʻi loa (ʻoi aku ma mua o 5% o nā maʻi).
• Ka ʻike ʻia ʻana i ka radiation ionizing: Hiki ke hana ʻia kēia mai ka ʻike ʻia ʻana i ka radiation i ka wā o ka mālama ʻana no kekahi mau ʻano maʻi kanesa (e.g., leukemia, lymphoma).

ʻOiai hiki ke ulu kēia maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki ma waena o 5 a me 9 mau makahiki a me nā pākeke ma waena o 30 a me 50 mau makahiki. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o ia ma mua o nā wahine.

Hiki ke pili pū kekahi mau kūlana genetic me ka ulu ʻana o nā astrocytomas papa 3. ʻO ia mau kūlana:

• ʻAno Neurofibromatosis 1
• ʻO ka maʻi Li-Fraumeni
• ʻO ka sclerosis tuberous

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO nā pilikia e hiki ke hana me ka papa 3 astrocytoma hiki ke hoʻoweliweli i ke ola, no laila he mea nui e ʻike i kēia mau mea.

• Hoʻonui ʻia ke kaomi intracranial: Hiki i ka ʻōpū ke hoʻonui i ke kaomi ma muli o ka nele o kahi i loko o ka lolo.
• ʻO ka maʻi lolo ma kekahi ʻaoʻao o kou kino: He ʻano like me ka maʻi lolo.
• Hydrocephalus: Hiki ke hōʻiliʻili ka wai i loko o ka lolo ma muli o ke ālai ʻana i ke kahe o ka wai.

Pehea ʻoe e ʻike pololei ai i kēia maʻi?

Hoʻomaopopo ke kauka i kēia maʻi ma ka nīnau ʻana iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​hana i kahi hoʻokolokolo kino, a laila hana i nā hoʻokolohua e pono ai. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a inā paha ua loaʻa i kekahi o kou ʻohana kēia maʻi. A laila, e kauoha lākou i nā hoʻokolohua e kāpae i nā maʻi ʻē aʻe me nā hōʻailona like.

I ka hapanui o nā hihia, hoʻohana ʻia nā hoʻokolohua kiʻi ʻaʻole invasive e hoʻoholo ai i kahi a me ka nui o ka puʻupuʻu . Hiki i kēia mau mea ke kōkua nui i ka hana ʻana i kahi hōʻailona. I kekahi manawa, hiki ke hana ʻia kahi biopsy, e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka puʻupuʻu.

Nā hoʻokolohua Radiology

Hiki i kāu kauka ke kauoha i kahi scan MRI (Magnetic Resonance Imaging) a i ʻole kahi scan CT (Computed Tomography scan) e ʻike i ka nui a me kahi kikoʻī o ka puʻupuʻu. Hiki i kēia mau hoʻāʻo ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ka puʻupuʻu a hoʻolālā i kāu lāʻau. Ma hope o ka hōʻoia ʻana a me ka lāʻau lapaʻau, pono paha ʻoe e hana i kahi scan ʻē aʻe e ʻike ai inā ua holomua ka lāʻau lapaʻau a pehea ka hana ʻana o ka puʻupuʻu.

He aha ka lāʻau lapaʻau no kēia?

I ka mālama ʻana i nā astrocytomas papa 3, hoʻohana pinepine ʻia kekahi a ʻoi aku paha o kēia mau ʻano hana:

• Wehe ʻoki kino i ka puʻupuʻu
• Hoʻōla radiation
• Kemoterapia

ʻO ka hapa pinepine, hoʻohana ʻia kēia mau lāʻau lapaʻau ʻekolu. ʻO ka hana mua, ʻo ia ka wehe ʻana i ka nui o ka puʻupuʻu e like me ka hiki ma ke ʻoki ʻana . Eia nō naʻe, ma muli o ka nui o ka puʻupuʻu a me kona wahi i loko o ka lolo, ʻaʻole paha e hiki ke wehe loa i ka puʻupuʻu. Inā hana ʻia kēlā, hāʻawi ʻia ka radiation therapy a me ka chemotherapy i ke koena.

Aia kekahi mau haʻawina noiʻi i kapa ʻia ʻo "nā hoʻokolohua lapaʻau" e hana ʻia nei e ʻimi i nā lāʻau lapaʻau hou no kēia ʻano ʻōpū. ʻO kēia ke noiʻi ʻana i nā lāʻau lapaʻau hou, nā ala e pale aku ai i nā maʻi, a me nā mea hou aku. Hiki i kāu kauka ke kuhikuhi i kahi hoʻokolohua lapaʻau kūpono iā ʻoe.

Aia kekahi mau lāʻau lapaʻau kūikawā i hoʻohana ʻia no kēia?

Ua ʻāpono ka U.S. Food and Drug Administration (FDA) i ka lāʻau chemotherapy "Temozolomide" no nā pākeke me ka astrocytoma papa 3. Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau inā ʻaʻole pane maikaʻi kāu puʻupuʻu i nā lāʻau lapaʻau ʻē aʻe. ʻAʻohe lāʻau lapaʻau kikoʻī i ʻāpono ʻia no nā keiki.

Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?

ʻAe, hiki i kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao. E wehewehe kāu kauka i kēia iā ʻoe ma mua o kou hoʻomaka ʻana i ka lāʻau lapaʻau, a e haʻi pū iā ʻoe i ka mea e makaʻala ai ma hope o ka lāʻau lapaʻau.

Nā hopena ʻaoʻao hiki ke hana ʻia o ke ʻoki kino:

• Ke kahe ʻana o ke koko
• Nā maʻi
• ʻEha poʻo
• ʻO ka hydrocephalus
• ʻEha
• Nā hōʻailona o ka maʻi epilepsy `(Seizures)`

Nā hopena ʻaoʻao e pili ana i ka radiation therapy a me ka chemotherapy:

• Ke kahe koko a i ʻole ka maʻi
• Ka paʻa ʻana o ka ʻōpū
• Ka maʻi pākī
• Luhi nui
• ʻEha poʻo
• Pohō lauoho
• Ka luaʻi a me ka luaʻi
• Makemake nui

ʻAʻole like kēia mau hopena ʻaoʻao i nā kānaka a pau. Manaʻo paha kekahi poʻe i kahi liʻiliʻi, manaʻo paha kekahi i kahi ʻoi aku. Akā, aia nā ala e kāohi ai i kēia mau mea a pau.

He aha ka manaʻolana e ola ai me kēia maʻi?

I ka wā e pili ana i ka wānana o ke kanaka me ka astrocytoma papa 3, ʻokoʻa ia mai kēlā kanaka a kēia kanaka. Nui nā mea e hoʻopilikia i kēia, me kou olakino laulā, ka nui o ka puʻupuʻu, a me kona wahi. Inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, ʻoiai inā hiki ke wehe loa ʻia ka puʻupuʻu, hiki iā ʻoe ke manaʻo i nā hopena maikaʻi . E hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike pololei loa e pili ana i kou kūlana.

Ua hōʻike ʻia kekahi noiʻi ʻo ka nui o ke ola ʻana o ʻelima makahiki no ka poʻe me nā astrocytomas papa 3 ma waena o 52% a me 58%. Inā hiki i ka lāʻau lapaʻau ke hoʻopau loa i ka puʻupuʻu, ʻoi aku ka lōʻihi o nā manawa ola .

Hiki ke ho'ōla loa ʻia kēia astrocytoma papa 3?

Ua ʻōlelo ʻia he paʻakikī ke ho'ōla loa i kēia puʻupuʻu, akā he kūlana i kāohi maikaʻi ʻia a hiki ke mālama ʻia . I ka hoʻomaikaʻi ʻana o nā ʻano hana ʻoki, ka radiation therapy, a me ka chemotherapy i kēlā me kēia lā, ʻoi aku ka kiʻekiʻe o ka manawa kūpono o ka holomua o ka lāʻau. Hōʻike ka noiʻi ʻoiai he paʻakikī ke wehe loa i ka puʻupuʻu, ma muli o kona nui, ke ʻano, a me kona wahi, ʻaʻole hiki ʻole.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o nā hōʻailona o ka astrocytoma papa 3 i ʻōlelo ʻia ma luna, e ʻike koke i ke kauka . Inā ke loaʻa nei iā ʻoe ka lāʻau lapaʻau, e haʻi i kāu kauka i ka wā e ʻike ai ʻoe i kekahi mau hopena ʻaoʻao.E ʻōlelo i kēlā. I ka wā o ka hōʻailona a me ka mālama ʻana, inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau i kāu hui lapaʻau.

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

He mea maʻamau ka loaʻa ʻana o nā nīnau he nui ke loaʻa iā ʻoe kahi hōʻailona e like me kēia. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai mai nei iaʻu?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Hiki ke hoʻohana ʻia nā lāʻau chemotherapy e mālama ai i kēia maʻi puʻupuʻu?
• Pehea e mālama ai iaʻu iho i ka wā e loaʻa ana iaʻu ka radiation therapy a me ka chemotherapy?
• He aha ka wānana o koʻu maʻi?
• Aia kekahi mau hoʻokolohua lapaʻau e pili ana i koʻu kūlana?

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

He mea maʻamau ka makaʻu a me ka hopohopo ke ʻike ʻoe he puʻupuʻu lolo kou. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi . Aia kahi hui o nā kauka akamai, nā kahu maʻi, a me nā loea mālama ola kino ʻē aʻe ma aneʻi e kōkua iā ʻoe, e pane i kāu mau nīnau, a mālama iā ʻoe.

I kekahi manawa, ma muli o ka nui a me ke ʻano o ka puʻupuʻu, ʻaʻole hiki ke wehe loa ʻia me ke ʻoki kino. Eia nō naʻe, me ka holomua o ka mālama ʻana i ka maʻi kanesa, hiki i ka poʻe he nui ke lanakila ma luna o kēia kūlana a ola i kahi ola maikaʻi. No laila, e noho ikaika a hahai i nā ʻōlelo aʻoaʻo a kāu mau kauka.

Manaʻolana wau he kōkua kēia ʻike iā ʻoe. Makemake wau iā ʻoe e ho'ōla koke!

ʻAstrocytoma , Puʻupuʻu lolo, Astrocytoma Anaplastic, Kanesa, Astrocytoma Papa 3, Nā Hōʻailona Kanesa Lolo, Lapaʻau Kanesa Lolo