Ke lohe kākou i ka huaʻōlelo "puʻupuʻu lolo," loaʻa iā kākou ka nui o ka makaʻu. He mea maʻamau loa ia. Akā, ʻo ka mea nui e pono ai kākou e ʻike, ʻaʻole nā puʻupuʻu lolo a pau he maʻi kanesa. I kēia lā, e kamaʻilio kākou e pili ana i kekahi o nā ʻano puʻupuʻu lolo maʻamau. Ua kapa ʻia ʻo ia he meningioma. E lawe kākou i ka makaʻu mai loko mai a kamaʻilio e pili ana i nā kikoʻī a me ka maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka meningioma?
E noʻonoʻo i ko kākou lolo he momi makamae. No ka pale ʻana i kēia momi, ua hana ke ʻano i ʻekolu mau papa lahilahi o nā membrane a puni ia. I ka lāʻau lapaʻau, kapa mākou i kēia mau membrane he meninges . Uhi ʻia a pale ʻia ko kākou lolo a me ke kaula spinal e kēia mau membrane.
He puʻupuʻu ka Meningioma e hoʻomaka ana i loko o kēlā mau membrane pale. ʻO ke ʻano kēia, ʻaʻole ia he puʻupuʻu e ulu ana mai nā hunaola o ka lolo ponoʻī, akā, mai ka uhi e hoʻopuni ana i ka lolo.
Hoʻomohala pinepine kēia mau puʻupuʻu a puni nā kihi o luna a me waho o ka lolo. I kekahi manawa hiki iā lākou ke ulu a puni ke kumu o kou iwi poʻo. Kākaʻikahi lākou e ulu a puni ke kaula kuamoʻo.
ʻO ka mea maikaʻi loa e pili ana i kēia mau puʻupuʻu, ʻo ia ka ulu lohi pinepine ʻana o lākou. No laila, ʻaʻole paha ʻoe e ʻike he hoʻokahi kāu no nā makahiki. Hoʻomaka ka ʻike ʻia ʻana o nā hōʻailona ke nui ka puʻupuʻu a hoʻomaka e kau i ke kaomi ma nā ʻāpana o ka lolo. ʻO ka wā wale nō e loli ai ka hana o ka ʻāpana o ka lolo e kaomi ʻia ana, hoʻomaka mākou e ʻike i nā hōʻailona.
ʻO ka mea nui, ʻo ka hapa nui o nā meningiomas he benign , ʻo ia hoʻi, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, aia kekahi mau hihia kakaikahi kahi e hiki ai iā lākou ke lilo i malignant.
Aia kekahi mau ʻano a me nā ʻano o kēia mau nati?
ʻAe, ua māhele ʻia kēia mau hua i kekahi mau ʻano ma muli o ko lākou wahi a me ko lākou wikiwiki o ka ulu ʻana. E hoʻomaopopo maʻalahi kākou.
Nā ʻano e like me ka wahi o ka puʻupuʻu
- ʻO nā meningiomas convexity: ʻO kēia ke ʻano maʻamau. Hoʻokumu lākou ma ka ʻili waho o ka lolo.
- ʻO nā meningiomas intraventricular: ʻO kēia ka inoa i hāʻawi ʻia i nā ʻōpū e ulu ana i loko o nā ventricles, nā keʻena i loko o ko mākou lolo e lawe ana i ka wai cerebrospinal (CSF).
- ʻO nā meningiomas o ke awāwa ʻala: Hoʻomohala kēia mau mea ma ke kumu o ke poʻo, ma waena o ka lolo a me ka ihu. Ulu lākou ma kahi kokoke i ke aʻalolo ʻala, kahi e kōkua ai iā mākou e ʻike i ke ʻala.
- ʻO nā meningiomas ʻēheu sphenoid: Hoʻomohala kēia ʻano ma kahi kuamoʻo iwi ma hope o ko mākou mau maka.
Nā māka e like me ke koʻikoʻi o ka puʻupuʻu
Lawe nā kauka i kahi ʻāpana o ka puʻupuʻu a nānā iā ia (biopsy) e ʻike i ke ʻano o kona ʻano. No laila, hoʻokaʻawale lākou iā ia i ʻekolu mau papa. ʻO kēia ka mea e hoʻoholo ai i ke koʻikoʻi o ka puʻupuʻu.
| Papa | Wehewehena |
|---|---|
| Papa I (Papa I - Maʻamau) | ʻO kēia nā ʻano maʻamau . ʻAʻole lākou he maʻi kanesa. Ulu mālie loa lākou. |
| Papa II (Papa II - ʻAno ʻole) | ʻAʻole hoʻi kēia he maʻi kanesa. Akā, ulu wikiwiki iki lākou ma mua o ka papa I. Hiki paha iā lākou ke pane iki ʻole i ka lāʻau. |
| Papa III (Papa III - Anaplastic) | He mau puʻupuʻu ʻino kēia. Ulu koke lākou a hiki ke pālahalaha. Eia nō naʻe, he mea kakaikahi loa kēia ʻano. |
He aha nā hōʻailona o ka meningioma?
E like me kā mākou i ʻōlelo ai ma mua, ulu mālie loa kēia mau puʻupuʻu, no laila hiki ke ʻike ʻole ʻia a hiki i ko lākou nui ʻana. Aia nā hōʻailona ma kahi o ka lolo e kaomi ana ka puʻupuʻu. No ka laʻana, inā e kaomi ana ka puʻupuʻu ma ka ʻaoʻao o kou lolo e kaohi ana i ka ʻike, hiki iā ʻoe ke ʻike i nā loli i kou ʻike.
Eia kekahi o nā hōʻailona i ʻike pinepine ʻia:
- ʻEha poʻo: He ʻeha poʻo ʻokoʻa ia mai ka ʻeha poʻo maʻamau, e piʻi mālie ana, a ʻoi aku ka ʻino o ke kakahiaka.
- Ka hemahema o ka lohe: He manaʻo o ka nalowale ʻana o ka lohe.
- ʻAnosmia: Ka nalowale koke ʻana o ke ʻala .
- Nā pilikia hoʻomanaʻo: Hoʻonui ka poina ʻana i nā mea.
- Nāwaliwali o nā ʻiʻo: He manaʻo o ka mae ʻole a i ʻole ka nāwaliwali ma ka lima a i ʻole ka wāwae.
- Nā ʻūlū : He kūlana i hōʻike ʻia e ka nalowale koke o ka ʻike a me nā ʻūlū.
- Nā loli o ka ʻike: Manaʻo e like me ka puka ʻana o kou mau maka i waho, ʻike pālua, a i ʻole ka ʻike pōwehiwehi.
No ke aha e hana ʻia ai kēia mau mea? He aha nā kumu pilikia?
He mea paʻakikī pinepine ka loaʻa ʻana o kahi kumu kikoʻī no kēia mau puʻupuʻu. Eia nō naʻe, manaʻo nā kauka he kumu paha ia e kahi loli genetic i loko o nā chromosomes (chromosomal deletion) . Hiki ke hana maʻamau kēia mau loli genetic, a i ʻole hiki ke hoʻoili ʻia i nā hanauna me kekahi mau kūlana genetic. No ka laʻana, nā kūlana e like me `(Neurofibromatosis type 2)`.
ʻOiai hiki i kekahi ke loaʻa ka meningioma, ʻoi aku ka nui o ka pilikia o kekahi poʻe.
- ʻOiai ma luna o 65 mau makahiki .
- ʻOiai he wahine (ʻoi aku ka maʻamau o nā puʻupuʻu ʻaʻole maʻi kanesa i nā wahine. ʻOi aku ka maʻamau o nā puʻupuʻu kanesa i nā kāne).
- Ka hoʻohana lōʻihi ʻana i ka lāʻau hoʻololi hormone a i ʻole nā lāʻau hoʻomalu hānau .
- Loaʻa a i ʻole ke loaʻa nei i ka maʻi ʻaʻai umauma .
- Ma hope o ka loaʻa ʻana o ka radiation therapy ma ke poʻo.
- Loaʻa kahi lālā pili o ka ʻohana me ka meningioma.
Pehea e ʻike ai ke kauka i kēia?
Inā loaʻa iā ʻoe nā hōʻailona i luna, ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe i kahi nīnau kikoʻī e pili ana i kāu mau hōʻailona. A laila e hana ʻo ia i kahi hoʻokolokolo kino a me kahi hoʻokolokolo neurological . E hoʻāʻo kēia i nā mea e like me kou kaulike, ʻike, lohe, a me nā reflexes.
A laila, e hōʻoia i kēia kūlana, e kauoha lākou i kekahi mau hoʻokolohua kiʻi lolo.
- CT scan: Hiki i kēia ke lawe i nā kiʻi ʻokiʻoki o ka lolo.
- MRI scan: ʻO kēia ka hoʻāʻo kiʻi pololei loa. Kōkua ia i ka loaʻa ʻana o kahi kiʻi maopopo loa o ka nui o ka puʻupuʻu, kahi, a me ka pilina me nā ʻāpana ʻē aʻe o ka lolo.
Ma muli o ka ulu wikiwiki ʻana o kēia mau puʻupuʻu a ua like nā hōʻailona me nā ʻelemakule maʻamau, hiki i kekahi manawa ke lōʻihi ka ʻike ʻana iā lākou. ʻOiai ke ʻelemakule kekahi a nalowale ka hoʻomanaʻo, manaʻo mākou he hōʻailona wale nō ia o ka ʻelemakule. No laila he mea nui e haʻi i ke kauka inā ʻike ʻoe i kekahi mea ʻē.
He aha nā lāʻau lapaʻau?
Pili ka hoʻolālā lapaʻau i nā kumu he nui, me kou makahiki, ke olakino holoʻokoʻa, ka nui, ka wahi, a me ke ʻano o ka puʻupuʻu. ʻO ke ʻano kēia, ʻokoʻa paha ka lapaʻau mai kēlā kanaka a kēia kanaka.
1. Nānā ʻana
Inā liʻiliʻi loa ka puʻupuʻu, ʻaʻohe ona hōʻailona, a ke ulu mālie nei, hiki i kāu kauka ke lawe i kahi ala "kali-a-ʻike". ʻO ke ʻano kēia o ka hana ʻole ʻana a me ka nānā ʻana i ka ulu ʻana o ka puʻupuʻu a me nā hōʻailona me nā scan pinepine.
2. ʻOki kino
I ka hapanui o nā hihia, ʻo ke ʻano nui o ka lāʻau lapaʻau, ʻo ia ka ʻoki ʻoki ʻana . Inā hiki i ke kauka lapaʻau ke wehe i ka puʻupuʻu holoʻokoʻa me ka ʻole o ka hōʻino ʻana i nā ʻāpana ʻē aʻe o ka lolo (gross total resection) , hiki i kēia ke ho'ōla loa i ka maʻi. Eia nō naʻe, inā aia ka puʻupuʻu ma kahi ʻāpana koʻikoʻi o ka lolo, hiki ke pilikia ka wehe piha ʻana.
3. Hoʻōla Lapaʻau
Hoʻohana ʻia kēia lāʻau lapaʻau e luku i nā ʻāpana puʻupuʻu i koe ma hope o ke ʻoki ʻana, a i ʻole e hoʻōki i ka ulu ʻana o ka puʻupuʻu ke hiki ʻole ke ʻoki ʻana. Hoʻohana ia i nā kukuna ikehu ikaika e luku i nā hunaola puʻupuʻu a i ʻole e hoʻōki iā lākou mai ka māhele ʻana.
4. Radiosurgery (Radiosurgery - Gamma Knife)
ʻAʻole kēia he hana ʻoki kino kahi e hoʻohana ai ʻoe i ka pahi. He kukuna radiation ikaika loa ia i kuhikuhi ʻia i kahi puʻupuʻu i ka manawa hoʻokahi e hoʻōki i kona ulu ʻana. Hoʻohana pinepine ʻia ia no nā puʻupuʻu liʻiliʻi, ʻaʻole cancerous.
5. Kemoterapi
ʻAʻole hoʻohana pinepine ʻia kēia no nā meningiomas. I kekahi manawa, hiki ke ʻōlelo ʻia no nā puʻupuʻu e kū hou ana, pae III i pane ʻole i ke ʻoki kino a me ka radiation therapy.
6. Mālama Palekana
ʻAʻole kēia manaʻo e haʻalele i ka lāʻau lapaʻau. ʻO ia hoʻi ka mālama ʻana i kāu mau hōʻailona (e like me ke poʻo ʻeha a me ka nausea) ʻoiai ʻoe e loaʻa ana i ka lāʻau lapaʻau, e hoʻoikaika iā ʻoe a me kou ʻohana i ka noʻonoʻo a me ke kino, a me ke kōkua ʻana iā lākou e mālama i kahi ola kiʻekiʻe.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
ʻOiai ma hope o ka lāʻau lapaʻau, e hoʻomau kāu kauka i ka nānā ʻana iā ʻoe. E hana ʻo ia i nā scan e nānā no ka hoʻi hou ʻana. Inā ua wehe ʻia ka puʻupuʻu holoʻokoʻa ma ke ʻoki ʻana, ua haʻahaʻa ka pilikia o ka hoʻi hou ʻana.
Inā mākou e kamaʻilio e pili ana i kou manaʻolana ola, pili ia i nā kumu he nui.
- Kou makahiki a me kou olakino holoʻokoʻa
- Ka nui a me ka wahi o ka puʻupuʻu
- Inā he maʻi kanesa ka puʻupuʻu a i ʻole
- ʻEhia ka nui i lawe ʻia i ka wā o ke ʻoki kino?
No laila, ʻo ke kauka e mālama nei iā ʻoe, ʻo ke kanaka maikaʻi loa e ʻike i ka ʻike pololei loa e pili ana i kēia.
ʻO ka nui o ke ola ʻana no ʻelima makahiki no nā puʻupuʻu pae II a me III ma kahi o 63.5%. Akā e hoʻomanaʻo, he mau helu wale nō kēia. Hiki ke ʻoi aku ka maikaʻi o kou kūlana.
Hiki i ka ʻike ʻia ʻana he puʻupuʻu lolo ke lilo i mea hoʻoweliweli, inā he maʻi kanesa a ʻaʻole paha. ʻO ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka meningioma. Aia kāu hui lapaʻau ma aneʻi e hāʻawi iā ʻoe i ka mālama maikaʻi loa a me ke kākoʻo āu e pono ai. Mai kānalua e kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.
Leka Lawe-Home
- ʻO nā meningioma he mau puʻupuʻu e hoʻomaka ana i loko o nā membrane pale e hoʻopuni ana i ka lolo. ʻO lākou ke ʻano maʻamau o ka puʻupuʻu lolo.
- ʻAʻole ka hapa nui o kēia mau mea he maʻi ʻaʻai a ulu mālie loa.
- ʻIke ʻia nā hōʻailona ke ulu ka puʻupuʻu a kaomi i ka lolo. Hiki ke loaʻa nā hōʻailona e like me ke poʻo ʻeha, nā pilikia ʻike, a me nā hopu ʻana .
- Aia kekahi mau koho lapaʻau. ʻO ka nānā ʻana, ke ʻoki kino, a me ka radiation therapy nā mea nui. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- ʻOiai he mea weliweli ka loaʻa ʻana o kahi hōʻailona e like me kēia, he mau kūlana hiki ke mālama ʻia kēia. E wehe i kou manaʻo me kāu kauka a e nīnau i kāu mau nīnau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo