Ke loaʻa iā ʻoe kahi ʻeha poʻo, e makaʻu iki paha ʻoe a hopohopo, "Auē, he puʻupuʻu lolo koʻu?" ʻAʻole anei he mea maʻamau kēlā? Akā ʻo ka mea nui e pono ai mākou e ʻike, ʻaʻole nā ʻeha poʻo a me nā puʻupuʻu he mau maʻi kanesa weliweli. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu maʻamau e ulu ana i loko o ka lolo, akā ʻaʻole ia he mea weliweli. Kāhea mākou i kēia he meningioma.
I ka ʻōlelo maʻalahi, he aha ka meningioma?
E noʻonoʻo i ko kākou lolo a me ke kaula iwi kuamoʻo e pale ʻia e kahi uhi lahilahi i hana ʻia me ʻekolu mau membrane. Ua like ia me kahi uhi puke. ʻO kēia uhi ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo 'meninges'. ʻO ka meningioma kahi puʻupuʻu e ulu ana ma luna o kēlā mau uhi.
ʻO ka mea nui, ʻaʻole kēia he puʻupuʻu e ulu ana i loko o ka lolo , akā he puʻupuʻu e ulu ana i loko o ka uhi e hoʻopuni ana i ka lolo. No laila, ma kahi o 80% o kēia mau puʻupuʻu ʻaʻole weliweli , ʻo ia hoʻi, ʻaʻole lākou he ʻino. Ulu mālie lākou. I kekahi manawa hiki iā lākou ke noho no nā makahiki me ka ʻole o nā hōʻailona. Akā i kekahi manawa, ʻoiai inā ʻaʻole lākou he mea weliweli, i ka wā e ulu ai kēia puʻupuʻu, hiki iā ia ke hana i kekahi mau pilikia no ka mea e kaomi ana ia i nā ʻāpana o ka lolo.
Pehea ʻoe e hoʻokaʻawale ai i kēia mau nati?
Ua māhele nui ʻia nā meningioma i ʻekolu mau papa e pili ana i ko lākou ʻano. ʻO ka hoʻomaopopo ʻana i kēia e hoʻomālamalama iki ai iā ʻoe.
| Ke ʻano o ka hua | Ka wehewehe maʻalahi |
|---|---|
| Papa 1 | ʻO kēia ke ʻano maʻamau. Ma kahi o 80% o nā meningiomas o kēia ʻano. He mau puʻupuʻu ʻaʻole kanesa (benign) kēia. Ulu mālie loa lākou a he mau palena maopopo. |
| Papa 2 (Papa 2 - ʻAno ʻole) | ʻAʻole kēia he mau puʻupuʻu maʻi ʻaʻai a ʻaʻole hoʻi he mau puʻupuʻu maikaʻi loa. He pae waena lākou. Loaʻa iā lākou ka pilikia nui o ka hoʻi hou ʻana a me ka ulu wikiwiki ʻana. Ma kahi o 15%-20% o nā meningiomas o kēia ʻano. |
| Papa 3 (Papa 3 - Anaplastic) | He mau puʻupuʻu ʻino kēia. Akā, he mea kākaʻikahi loa lākou. He 1%-4% wale nō o nā meningiomas ka nui o lākou. Hiki iā lākou ke ulu koke a laha i nā ʻāpana ʻē aʻe o ka lolo a me ke kino (no ka laʻana, nā māmā). |
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
ʻOiai ʻaʻole i loaʻa ke kumu kikoʻī, ua ʻike ʻia e ka noiʻi e hiki i kekahi mau mea ke hoʻonui i ka pilikia o ke kanaka i ka loaʻa ʻana o ka meningioma.
- Kāne: ʻO ka mea kupanaha, ʻoi aku ka maʻamau o kēia ʻano puʻupuʻu i nā wahine ma mua o nā kāne. ʻOi aku ka pālua o ka loaʻa ʻana o nā wahine waena o ka makahiki ma mua o nā kāne.
- Nā Hormone: Ua manaʻo ʻia ʻo nā hormones wahine ʻo estrogen a me progesterone e hoʻohuli i ka ulu ʻana o kēia mau puʻupuʻu. Hiki i kēia mau puʻupuʻu ke ulu koke i ka wā hāpai a i ka wā e lawe ai i ka lāʻau lapaʻau pani hormone.
- ʻIke ʻia i ka radiation: ʻO ka nui o ka radiation i ke poʻo a me ka ʻāʻī, ʻoiai i ka wā kamaliʻi, hoʻonui i ka pilikia.
- Makahiki: ʻOi aku ka maʻamau o kēia ʻano ma waena o ka poʻe ma luna o 65 mau makahiki.
- Nā kūlana hoʻoilina: ʻO ka poʻe me ka maʻi hoʻoilina Neurofibromatosis type 2 (NF2) he 50% ka manawa e loaʻa ai ka meningioma.
- Momona: ʻOiai ʻaʻole maopopo ka pilina pololei ma waena o ka momona a me ka meningioma, ua hōʻike kekahi mau noiʻi he ʻoi aku ka maʻamau o kēia mau ʻōpū i waena o ka poʻe momona.
ʻO ka mea nui, ʻo ka loaʻa ʻana o kēia mau mea pilikia ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka meningioma. Hiki nō hoʻi i kekahi ke loaʻa i kēia maʻi ʻoiai inā ʻaʻohe o lākou o kēia mau mea pilikia.
He aha nā hōʻailona o kēia?
No ka mea, lohi loa ka ulu ʻana o ka hapa nui o nā meningioma, ʻaʻohe hōʻailona i nā pae mua. Inā loaʻa nā hōʻailona, pili lākou i kahi o ka puʻupuʻu i loko o ka lolo a me kona nui. ʻO nā hōʻailona maʻamau:
- ʻO ke poʻo ʻeha i loaʻa no ka manawa lōʻihi a ke piʻi mālie nei.
- Nā hopu koke.
- ʻIke pōwehiwehi , ʻike pālua, a i ʻole ka ʻike emi ʻana.
- Manaʻo o ka mae a nāwaliwali paha ma nā lima a i ʻole nā wāwae.
- Ke ʻano ʻūlū ma kekahi mau wahi o ke kino.
- Paʻakikī i ka ʻōlelo ʻana .
- Ke kani ʻana o nā pepeiao a i ʻole ka nalowale o ka lohe .
- Nā pilikia hoʻomanaʻo .
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo a e ʻike koke i ke kauka no ka ʻōlelo aʻo.
Pehea e ʻike ai ke kauka i kēia?
Ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona, e nānā kāu kauka iā ʻoe a, inā kānalua ʻia he meningioma, e kauoha aku i kahi scan lolo.
1. MRI (Magnetic Resonance Imaging) Scan: ʻO kēia ke ala maikaʻi loa e ʻike ai i ka meningioma. Hiki iā ia ke hōʻike maopopo i kahi, ka nui, a me ka laulā o ka puʻupuʻu a me kona hopena i nā ʻiʻo a puni.
2. CT (Computed Tomography) Scan: I kekahi mau hihia, hoʻohana ʻia kahi CT scan ma waho aʻe o kahi MRI.
3. Biopsy: I kekahi manawa, wehe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu i ka wā o ke ʻoki ʻana a hoʻouna ʻia i kahi keʻena hoʻokolohua e hōʻoia inā he maʻi kanesa (Papa 3) a ʻaʻole paha.
Pehea e mālama ʻia ai?
Hoʻoholo ʻia ka lāʻau lapaʻau e kekahi mau kumu, me ka nui o ka puʻupuʻu, pehea ka wikiwiki o kona ulu ʻana, kou mau makahiki, a me kou olakino holoʻokoʻa.
1. E kali a nānā
Inā liʻiliʻi loa ka puʻupuʻu, ʻaʻohe ona hōʻailona, a ʻaʻole ia he mea weliweli (Papa 1), e haʻi aku kāu kauka iā ʻoe e kali no kekahi manawa me ka ʻole o ka lāʻau lapaʻau. I loko o kēia manawa, e hana ʻia nā scan MRI i nā manawa maʻamau e nānā inā e ulu ana ka puʻupuʻu.
2. Wehe ʻoki kino (ʻoki kino)
Inā loaʻa iā ʻoe nā hōʻailona, inā e ulu wikiwiki ana ka puʻupuʻu, a inā paha e kaomi ana i kahi ʻāpana koʻikoʻi o kou lolo, e hoʻoholo paha kāu kauka e hana i ke ʻoki kino e wehe iā ia. Ua kapa ʻia ke ʻoki kino he craniotomy . Pili kēia i ka wehe ʻana i kahi ʻāpana iwi liʻiliʻi mai kou iwi poʻo, e wehe ana i ka nui a i ʻole ka liʻiliʻi o ka puʻupuʻu e like me ka hiki, a laila e hoʻopili hou i ka iwi. E like me nā ʻoki kino āpau, aia nā pilikia, no laila he mea nui e kūkākūkā i kēia me kāu kauka ma mua o ka hoʻoholo ʻana.
3. Hoʻōla Lapaʻau
Hoʻohana ʻia ka radiation therapy inā aia ka puʻupuʻu ma kahi i hiki ʻole ke wehe loa ʻia e ke ʻoki ʻana, a i ʻole e luku i nā ʻāpana liʻiliʻi i koe ma hope o ke ʻoki ʻana. Hiki i kēia ke hoʻēmi i ka puʻupuʻu a hoʻōki paha i kona ulu ʻana. Hoʻohana ʻia kēia lāʻau lapaʻau no nā puʻupuʻu kanesa (Papa 3).
4. Kemoterapi
ʻAʻole hoʻohana pinepine ʻia ka chemotherapy no ka meningioma, a noʻonoʻo wale ʻia ke ʻole i holomua ke ʻoki ʻana a me ka radiation therapy.
Leka Lawe-Home
- He puʻupuʻu ka meningioma e ulu ana ma ka uhi o ka lolo. ʻO ka hapa nui (ma kahi o 80%) o kēia mau mea ʻaʻole ia he maʻi kanesa.
- Ma muli o ka ulu lohi loa o kēia mau mea, ʻaʻohe hōʻailona e ʻike ʻia no nā makahiki he nui.
- Inā ʻike ʻoe i nā hōʻailona e like me nā hopu koke ʻana, nā loli o ka ʻike, nā pilikia hoʻomanaʻo, a i ʻole nā ʻeha poʻo no ka manawa lōʻihi, mai hopohopo a e ʻimi koke i ke kōkua lapaʻau.
- ʻAʻole pono nā meningioma āpau i ka mālama koke ʻia. ʻO ke koho lapaʻau maʻamau ʻo 'E kali a nānā'.
- E kamaʻilio ākea me kāu kauka e pili ana i ka lāʻau lapaʻau kūpono loa no kou kūlana a e hana i ka hoʻoholo maikaʻi loa.











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