Aia kēia i loko o kou poʻo? E aʻo kākou e pili ana i ka Meningioma ma nā ʻōlelo maʻalahi!

Ua manaʻo paha ʻoe he puʻupuʻu kou e ulu ana i loko o kou poʻo? ʻAʻole anei he mea weliweli kēlā? Akā, ʻaʻole nā ​​puʻupuʻu a pau he mau maʻi kanesa weliweli . I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e ulu ana i loko o nā membrane e hoʻopuni ana i ko mākou lolo, he mea maʻamau ia, akā i kekahi manawa pono ka nānā iki. ʻO kēia ka mea a nā kauka e kapa nei he meningioma. E nānā kākou i ke ʻano o ia mea, no ke aha e ulu ai, he aha nā hōʻailona, ​​a pehea e mālama ʻia ai.

He aha ka Meningioma? I ka ʻōlelo maʻalahi...

E noʻonoʻo i ko kākou lolo a me ke kaula kuamoʻo (ke kaula aʻalolo i loko o ke kolamu kuamoʻo) he mau mea waiwai nui. No laila, no ka pale ʻana i kēia mau mea waiwai nui, ua hāʻawi mai ke kūlohelohe iā kākou i ʻekolu papa uhi. Ua kapa ʻia kēia mau uhi he meninges . Ua like lākou me nā uhi o kahi puke.

No laila, hoʻomaka kēia ʻano puʻupuʻu i kapa ʻia ʻo meningioma mai nā pūnaewele arachnoid (kahi ʻano pūnaewele i loko o kahi membrane lahilahi e like me ka pūnaewele nananana) i loko o nā meninges.

ʻO ka hapa pinepine, loaʻa kēia mau meningiomas ma ka piko o ka lolo a puni ke kūlou o waho. I kekahi manawa hiki iā lākou ke hana ma ke kumu o ke poʻo. Eia nō naʻe, he mea kakaikahi nā meningiomas e hana ʻia a puni ke kaula iwi kuamoʻo.

Ulu mālie pinepine kēia mau puʻupuʻu i loko . No laila, i kekahi manawa ʻike ʻia lākou ke ulu nui lākou. ʻOiai inā he maikaʻi ʻole lākou, inā ulu nui loa lākou, hiki iā lākou ke kaomi i nā ʻāpana koʻikoʻi o ka lolo a lilo i mea hoʻoweliweli i ke ola.

Aia kekahi mau ʻano o ka meningioma?

ʻAe, hiki ke hoʻokaʻawale ʻia kēia mau nati i ʻekolu mau ʻāpana nui e pili ana i ko lākou ʻano:

• Papa I a i ʻole Maʻamau: He mau meningiomas maikaʻi ʻole kēia. Ulu mālie loa lākou. He 80% o nā hihia āpau ko lākou.
• Papa II (ʻano ʻole): ʻAʻole kēia he maʻi kanesa, akā ulu wikiwiki iki a ʻoi aku ka pale ʻana i ka lāʻau. Ma kahi o 17% o nā hihia e hāʻule ana i loko o kēia māhele.
• Papa III (Anaplastic): He mau meningiomas ʻino kēia. Ulu koke lākou a hiki ke laha i nā ʻāpana ʻē aʻe o ke kino. Eia nō naʻe, he mea kakaikahi loa kēia ʻano, e kū nei i ka 1.7% wale nō o nā hihia.

Aia kekahi mau ʻano meningiomas ma muli o kahi i hana ʻia ai lākou?

ʻAe, ua kapa ʻia kēia mau puʻupuʻu ma nā inoa like ʻole ma muli o kahi o ka lolo e hana ai lākou. Eia kekahi mau laʻana:

• ʻO nā meningiomas convexity: Ulu kēia e like me ka ʻili o ka lolo. I ko lākou ulu ʻana, hiki iā lākou ke kau i ke kaomi ma luna o ka lolo.
• Nā meningioma intraventricular:Hoʻokumu ʻia kēia mau mea i loko o nā lua i loko o ka lolo i kapa ʻia ʻo ventricles. Aia i loko o kēia mau lua e kaʻapuni ai ke kahe cerebrospinal (CSF).
• Nā meningiomas o ke awāwa ʻala: Hoʻokumu ʻia kēia ma ke kumu o ke poʻo, ma waena o ka lolo a me ka ihu. Hiki iā lākou ke hoʻopilikia i ko mākou aʻalolo ʻala, kahi e holo kokoke ana iā ia.
• ʻO nā meningiomas ʻēheu sphenoid: Hoʻokumu ʻia kēia ma kahi kualono iwi ma hope o ko mākou mau maka.

Eia kekahi, aia ma kahi o 15 mau ʻano meningiomas, ma muli o ke ʻano o nā cell i ʻike ʻia ma lalo o kahi microscope.

No laila, he maʻi ʻaʻai anei ka meningioma?

He pilikia kēia i loaʻa i nā kānaka he nui. I ka hapa nui o nā hihia (ma kahi o 80-85%) he mau puʻupuʻu maikaʻi ʻole nā ​​meningiomas. ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, i kekahi mau hihia (Papa II a me Papa III), hiki iā lākou ke lilo i mea ʻino.

ʻO ka mea nui, ʻoiai he maʻi ʻole ka meningioma, inā ulu nui ia, hiki iā ia ke kaomi a hōʻino i nā aʻalolo koʻikoʻi a me nā ʻano hana i loko o ka lolo. Hiki i kēia ke hoʻoweliweli i ke ola. No laila, ʻaʻole ia he mea e lawe māmā ʻia.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o ka meningioma?

ʻO ka hapa nui o nā meningioma i nā pākeke . He mea kākaʻikahi loa lākou i nā keiki. ʻIke pinepine ʻia lākou ma kahi o 66 makahiki. Ua hōʻike ʻia nā noiʻi ma ʻAmelika Hui Pū ʻIa he ʻoi aku ka maʻamau o kēia maʻi i waena o ka poʻe ʻeleʻele ma mua o nā hui lāhui ʻē aʻe.

ʻO kekahi mea ʻē aʻe, ʻoi aku ka nui o ka loaʻa ʻana o nā meningiomas i nā wahine . Ua manaʻo ʻia kēia ma muli o ka mana o nā hormones wahine. Eia nō naʻe, ʻoi aku ka maʻamau o nā meningiomas malignant i nā kāne.

Pehea ka maʻamau o kēia kūlana?

He maʻi maʻamau ka Meningioma. Ua manaʻo ʻia e loaʻa ia ma kahi o 97 o 100,000 mau kānaka. ʻO ia hoʻi, ma ʻAmelika Hui Pū ʻIa wale nō, ʻoi aku ma mua o 170,000 mau kānaka i ʻike ʻia me kēia maʻi i kēlā me kēia makahiki. ʻO ka ʻoiaʻiʻo, ʻo ka meningioma ke ʻano maʻamau o ka puʻupuʻu lolo.

He aha nā hōʻailona o ka meningioma?

Ma muli o ka ulu lohi pinepine ʻana o nā meningioma, ʻaʻole paha lākou e hōʻike i nā hōʻailona ʻike ʻia a hiki i ko lākou nui e komo i nā hale koʻikoʻi kokoke. Aia nā hōʻailona ma kahi o ka lolo o ka puʻupuʻu.

ʻo kahi laʻana:

• ʻO ke kanaka me nā meningiomas groove olfactory e nalowale paha i ko lākou ʻano honi hapa a piha paha. Ua kapa ʻia kēia he anosmia .
• ʻO nā meningioma e hana ʻia ma ka laina waena hope o ka lolo e hiki ke hoʻoulu i ka maʻi lolo o nā wāwae a me ke kino haʻahaʻa. He kūlana kēia i kapa ʻia ʻo paraplegia .
• Hiki i nā meningiomas ʻēheu sphenoid ke hoʻoulu i kekahi a i ʻole nā ​​​​maka ʻelua e puka i waho. Ua kapa ʻia kēia he proptosis . Hiki iā ia ke hana i kahi maʻi i kapa ʻia ʻo cavernous sinus syndrome .

Eia kekahi o nā hōʻailona maʻamau i hoʻokumu pinepine ʻia e nā meningiomas i loko o ka lolo:

• ʻEha ke poʻo (ʻoi aku ka ʻino i ke kakahiaka)
• Pōʻino
• Ka luaʻi a me ka luaʻi
• Nā loli o ka ʻike (ʻike pālua, ʻike pōwehiwehi, ʻike emi)
• Ka hemahema o ka lohe
• Nā hopu ʻana
• Nā loli i ke ʻano a i ʻole ke ʻano (e like me ka huhū koke a me ka hoʻonāukiuki)
• Nā pilikia hoʻomanaʻo
• Hyperreflexia (ka piʻi nui ʻana o nā reflexes)
• Ka nāwaliwali o nā ʻiʻo ma kekahi mau ʻāpana o ke kino
• Ka ʻeha ma kekahi mau ʻāpana o ke kino

Inā he meningioma kou i loko o ke kaula kuamoʻo, ʻo nā hōʻailona maʻamau:

• ʻEha ma kahi o ka puʻupuʻu
• ʻO Radiculopathy ( ʻeha, numbness i hoʻokumu ʻia e ke kaomi ʻana o ke aʻa nerve)
• Nā maʻi neurological (nāwaliwali, emi ke kani o nā ʻiʻo - Hypotonia , emi a ʻole ka nele o nā reflexes - Hyporeflexia)

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​he mea nui loa e ʻike koke i ke kauka.

He aha nā kumu o ka meningioma?

ʻAʻole maopopo loa i nā kānaka ʻepekema ke kumu o nā meningiomas. Eia nō naʻe, ua ʻike ʻia ma ka noiʻi aia ma waena o 40% a me 80% o nā meningiomas kahi ʻano ʻē ma ka chromosome 22. Kōkua kēia chromosome i ka hoʻomalu ʻana i ka ulu ʻana o nā puʻupuʻu. Hiki pinepine kēia ʻano ʻē i ka manawa kū ʻole. I kekahi manawa, hiki ke pili i nā maʻi hoʻoilina.

Ua ʻike nā kānaka ʻepekema i kekahi mau mea pilikia o ke kaiapuni, hormonal, a me nā genetic no ka meningioma.

Pehea e ʻike ʻia ai kēia meningioma?

Hiki i nā meningiomas ke paʻakikī ke ʻike i kekahi manawa. No ka mea e ulu mālie ana lākou, ʻaʻole paha lākou e hōʻike i nā hōʻailona a hiki i ko lākou nui e hoʻopilikia i nā wahi kokoke. Eia kekahi, no ka mea, ʻo ka hapa nui o nā meningiomas e ulu lohi ana a ʻoi aku ka maʻamau i nā pākeke, hiki ke kuhihewa ʻia kekahi o nā hōʻailona no ka ʻelemakule maʻamau.

Inā manaʻo kāu kauka he meningioma paha kou, e kuhikuhi ʻo ia iā ʻoe i kahi neurologist .

No ka ʻike ʻana i ka meningioma, e hana kāu kauka i kahi hoʻokolohua kino a me kahi hoʻokolohua neurological. Hiki iā lākou ke paipai i nā hoʻokolohua kiʻi e like me:

• ʻO ke kiʻi MRI (Magnetic Resonance Imaging) o ka lolo: ʻO kēia ka hoʻāʻo kiʻi maikaʻi loa e ʻike ai i ka meningioma. Hana ʻia ia ma ke komo ʻana i kahi mea hoʻohālikelike i loko o kahi aa . He hoʻāʻo ʻeha ʻole ka MRI scan. Hoʻohana ia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi maopopo o nā ʻōpū i loko o ke kino. Hoʻomaikaʻi ka mea hoʻohālikelike (nona kahi metala kakaikahi i kapa ʻia ʻo gadolinium) i ka maikaʻi o nā kiʻi.
• ʻO ke scan CT (Computed Tomography): Inā ʻaʻole hiki iā ʻoe ke loaʻa i kahi MRI, e kauoha pinepine kāu kauka i kahi scan CT me ka contrast . Hoʻohana nā scan CT i nā kukuna X a me nā kamepiula e hana i nā kiʻi kikoʻī o nā ʻano i loko o ke kino. Kōkua nā mea hoʻohālikelike (i kekahi manawa i kapa ʻia he dye) i kekahi mau wahi e kū i waho i nā kiʻi. Hiki ke hāʻawi ʻia kēia ma ke ʻano he mea inu a i ʻole e hoʻokomo ʻia i loko o kahi aa.

I kekahi manawa, inā he kānalua e pili ana i ka hōʻailona, ​​​​pono paha kahi biopsy . ʻO kēia ke hōʻoia inā he meningioma a i ʻole kekahi mea ʻē aʻe. E hana kāu neurosurgeon i kēia biopsy a lawe i kahi laʻana ʻiʻo liʻiliʻi. E nānā ʻia ka laʻana e hoʻoholo i ke ʻano o ka maʻi pololei, inā he benign a malignant paha ka puʻupuʻu, a he aha ke ʻano o ia.

He aha nā lāʻau lapaʻau no ka meningioma?

ʻOkoʻa ke ʻano o ka mālama ʻana i ka meningioma mai kēlā kanaka a kēia kanaka . Aia ia i nā kumu he nui. ʻO ka hoʻolālā mālama pinepine ʻia he hui pū ʻana o hoʻokahi a ʻoi aku paha o nā lāʻau lapaʻau ma lalo nei:

• Ke ʻano hana nānā (ʻo ia hoʻi "E kali a ʻike")
• ʻoki kino
• Hoʻōla radiation
• Mālama palekana
• ʻO Chemotherapy (ʻaʻole hoʻohana pinepine ʻia kēia i ka hapa nui o nā hihia)

E hui pū, ʻoe a me kāu hui lapaʻau e hoʻoholo i ka hoʻolālā lapaʻau kūpono loa iā ʻoe.

Ke ʻano nānā (nānā a ʻike)

Aia kekahi mau kumu e hoʻohana ai nā kauka i kēia ʻano "kali makaʻala":

• Inā ʻaʻohe ou hōʻailona a he liʻiliʻi loa ka puʻupuʻu .
• Inā he mau ʻōuli iki kou a ʻaʻohe a liʻiliʻi paha ka pehu a puni ka lolo.
• Inā he mau ʻōuli iki kou a ua loaʻa iā ʻoe ka cyst no ka manawa lōʻihi a ʻaʻole ia e hoʻopilikia i kou ʻano ola.
• Inā ʻoe he ʻelemakule a ke holomua mālie nei kāu mau hōʻailona .
• Inā he pilikia nui ka lāʻau lapaʻau i kou olakino a me kou ola.

I ia mau hihia, e noi aku kāu kauka iā ʻoe e hana hou i nā scan MRI a me nā kipa hahai . E nānā i ka nui o ka puʻupuʻu a me kāu mau hōʻailona. ʻAʻole paha e ulu nui aʻe kekahi mau puʻupuʻu.

ʻoki kino

ʻO ka lāʻau lapaʻau nui no nā meningiomas hōʻailona, ​​​​a i ʻole no nā ʻōpū nui e hōʻike koke i nā hōʻailona, ​​​​ʻo ia ka ʻoki ʻoki ʻana .

He lāʻau lapaʻau ka Gross total resection (GTR) no ka hapa nui o ka poʻe me nā meningiomas (70% a 80%) . ʻO ka pahuhopu o ke ʻoki ʻana, ʻo ia ka wehe ʻana i ka puʻupuʻu i ka hiki loa, akā hiki ke kaupalena ʻia kēia e nā kumu e like me:

• Ma hea ka puʻupuʻu. (He paʻakikī ke hiki aku i kekahi mau wahi)
• Inā paha e pili ana ka puʻupuʻu i ka ʻiʻo lolo a i ʻole nā ​​​​kīʻaha koko e hoʻopuni ana.
• Nā kumu ʻē aʻe e hoʻopilikia nui i ka palekana o ke kaʻina hana ʻoki kino.

ʻO ka nui o ka wehe ʻana o ka puʻupuʻu e hoʻopilikia nui i ka hiki ke hoʻi hou ʻana o ka meningioma ma nā ʻano āpau i mālama ʻia me ke ʻoki ʻana.

Hoʻōla radiation

ʻO ka radiation therapy kahi lāʻau lapaʻau e hoʻohana ana i nā kukuna ikehu kiʻekiʻe (radiation) e pepehi i nā hunaola kanesa a i ʻole e hoʻōki iā lākou mai ka ulu ʻana. He mea pono nō hoʻi ia no kekahi mau puʻupuʻu maikaʻi ʻole, e like me nā meningiomas maikaʻi ʻole.

Hoʻohana ʻia ka radiation therapy ma ke ʻano he lāʻau lapaʻau mua no nā meningiomas i hiki ʻole ke wehe loa ʻia, a i ʻole i nā hihia kahi i ʻoi aku ai ka pilikia o ke ʻoki ʻana ma mua o nā pono. ʻO nā hiʻohiʻona e komo pū me nā meningiomas i loko o ka lolo a i ʻole e hoʻopuni ana i nā ʻano neurovascular.

Aia kekahi mau ʻano radiation therapy i hoʻohana ʻia e mālama i nā meningiomas:

• ʻO ke Radiosurgery Stereotactic (SRS): He lāʻau lapaʻau radiation ikaika ʻole kēia, ʻo ia hoʻi ke ʻoki kino. Hoʻohana ʻia ia e mālama i nā puʻupuʻu lolo. Hāʻawi ia i nā dosis kiʻekiʻe o ka radiation i nā dosis liʻiliʻi a ʻoi aku ka kikoʻī me ka hōʻino iki ʻana i nā ʻiʻo olakino. Hiki ke hoʻohana ʻia no nā meningiomas ma ke kumu o ke poʻo, nā meningiomas i wehe hapa ʻia, a i ʻole nā ​​meningiomas e hana hou ana.
• ʻO ka Lapaʻau Radiation Beam Waho (EBRT): ʻO kēia ke ʻano o ka radiation therapy i hoʻohana pinepine ʻia. Hoʻopili pololei ʻia nā kukuna radiation ikehu kiʻekiʻe i ka puʻupuʻu.
• Brachytherapy: He ʻano radiation therapy kēia i hoʻohana ʻia e mālama i nā ʻano maʻi kanesa like ʻole. Ma kēia, ua kau ʻia nā hua radioactive a i ʻole nā ​​​​​​pellets i loko a kokoke paha i ka puʻupuʻu.

ʻO ka radiotherapy adjuvant no nā meningiomas atypical a me cancerousHiki iā ia ke kāohi i ka ulu ʻana o ka puʻupuʻu a hoʻonui i ka manawa e hiki ai ke ho'ōla ʻia ka maʻi a me ke ola holoʻokoʻa. ʻO ka lāʻau lapaʻau adjuvant kahi lāʻau lapaʻau e kuhikuhi ana i nā hunaola kanesa i pepehi ʻole ʻia e ka lāʻau lapaʻau nui. ʻO ka lāʻau lapaʻau adjuvant radiation, i hāʻawi ʻia ma hope o ka wehe loa ʻana o ka meningioma maʻamau ʻole e ke ʻoki ʻana, hiki ke hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ka puʻupuʻu.

Mālama palekana

Hiki i ka Meningioma a me kāna mālama ʻana ke hana i nā hōʻailona kino a me nā hopena ʻaoʻao, a me nā pilikia noʻonoʻo a me nā pilikia pili kanaka. ʻO ka mālama palliative ka hoʻokele ʻana i kēia mau hopena āpau . He ʻāpana koʻikoʻi kēia o kāu hoʻolālā mālama. Hana ʻia ia me nā lāʻau lapaʻau i hāʻawi ʻia e hoʻolohi, hoʻōki, a hoʻopau paha i ka ulu ʻana o ka puʻupuʻu.

ʻO ka mālama palliative ke kālele nui nei i ka hoʻokele ʻana i nā hōʻailona, ​​​​ke kākoʻo ʻana iā ʻoe a me kou ʻohana, a me ka hoʻomaikaʻi ʻana i kou manaʻo i ka wā o ka mālama ʻana . Loaʻa nā ʻano lapaʻau mālama palliative. Hiki iā lākou ke komo pū me:

• Nā lāʻau lapaʻau
• Nā loli i ka ʻai
• Nā ʻano hana hoʻomaha
• Kākoʻo noʻonoʻo a me ka ʻuhane
• Nā kaʻina hana e hoʻomaikaʻi ai i ka hana neurological a me ke ʻano o ke ola
• Nā lāʻau lapaʻau ʻē aʻe

Kemoterapia

ʻO ka Chemotherapy kahi ʻano lāʻau lapaʻau e hoʻohana ana i nā lāʻau lapaʻau e hakakā i nā ʻano maʻi kanesa like ʻole. ʻOiai ʻaʻole hoʻohana pinepine ʻia ka chemotherapy e mālama i nā meningiomas, ʻōlelo pinepine nā kauka iā ia no ka poʻe me nā meningiomas i pane ʻole i ke ʻoki kino a i ʻole ka radiation therapy, a i ʻole ua hoʻi hou a ulu paha.

Ua hōʻike ʻia ka lāʻau chemotherapy ʻo Bevacizumab he pono i ka hoʻēmi ʻana i nā ʻōpū ma hope o ke ʻoki ʻana a me ka radiation therapy i nā poʻe me ka anaplastic meningioma.

Aia kekahi mau hopena ʻaoʻao a me nā pilikia o ka lāʻau lapaʻau?

Hiki i nā lāʻau lapaʻau no ka meningioma ke lawe mai i kekahi mau pilikia, nā hopena ʻaoʻao, a me nā pilikia. He mea nui e kamaʻilio me kāu hui lapaʻau e pili ana i nā pilikia e pili ana i kāu hoʻolālā lapaʻau.

Nā pilikia hiki ke loaʻa mai ke ʻoki ʻana o ka meningioma

He hana paʻakikī ke ʻoki ʻana e wehe i kahi hapa a i ʻole ka meningioma āpau. ʻAʻole ia me ka ʻole o kona mau pilikia a me nā pilikia. E like me nā ʻoki ʻana a pau, aia kahi pilikia o ka maʻi a me ke kahe ʻana o ke koko . ʻO nā pilikia ʻē aʻe e hiki ke komo pū me:

• Pehu ʻana o ka lolo ma hope o ke ʻoki ʻana, hiki ke hōʻino i ka lolo.
• Ka hōʻino ʻana i nā aʻalolo cranial. Ma muli o kahi o ka meningioma, hiki i kēia ke hoʻopilikia i nā hana like ʻole, e like me kou ʻike, ka hiki ke hoʻoneʻe i kou maka, a me ka hiki ke ale.
• ʻO ka hōʻiliʻili ʻana o ka wai a puni ka lolo (cerebral edema) ma hope o ke ʻoki ʻana hiki ke hana i ka hōʻino ʻana o ka lolo.
• Ka hōʻino ulia pōpilikia i nā ʻiʻo lolo olakino. Hiki i kēia ke hana i nā pilikia me kou noʻonoʻo ʻana, ʻike maka, a me kou hiki ke ʻōlelo.

Nā hopena ʻaoʻao o ka radiation therapy no ka meningioma

ʻOiai ʻaʻole ʻeha ka radiation therapy, aia kekahi mau hopena ʻaoʻao e hiki ke loaʻa ke hōʻike ʻia nā ʻiʻo olakino i ka radiation. ʻO nā hopena ʻaoʻao maʻamau o ka radiation therapy no ka meningioma:

• Nā hopena ʻili iki a me ka nalowale o ka lauoho.
• Luhi.
• Nā loli i ka hiki ke noʻonoʻo (e like me ka paʻakikī o ka noʻonoʻo pono ʻana, ka nalowale iki o ka hoʻomanaʻo).
• ʻAʻohe ʻono o ka meaʻai.
• ʻEha poʻo.

Me ka ʻokoʻa o nā hōʻailona e pili ana i ka hiki ke noʻonoʻo (hiki ke mau loa), ʻo ka hapa nui o kēia mau hopena ʻaoʻao he manawa pōkole a hoʻopau pinepine ʻia i loko o kekahi mau pule o ka mālama ʻana.

Nā hopena ʻaoʻao o ka chemotherapy no ka meningioma

ʻOkoʻa nā hopena ʻaoʻao o ka chemotherapy mai kēlā kanaka a kēia kanaka, ma muli o ke ʻano o ka lāʻau i hāʻawi ʻia, a me ka nui. Hiki iā lākou ke komo pū me:

• Hana nui.
• ʻOi aku ka nui o ka pilikia o ka maʻi.
• Ka luaʻi a me ka luaʻi.
• Ka nalowale o ka lauoho.
• ʻAʻohe ʻono o ka meaʻai.
• Ka maʻi pākī.

He aha nā kumu pilikia no ka hoʻomohala ʻana i ka meningioma?

Aia kekahi mau kumu pilikia no ka hoʻomohala ʻana i ka meningioma:

• Kou makahiki: ʻO ka Meningioma ka mea maʻamau i ka poʻe he 65 mau makahiki a ʻoi paha. Piʻi ka pilikia me ka makahiki.
• Kou kāne: ʻOi aku ka nui o ka loaʻa ʻana o nā meningiomas i nā wahine ma mua o nā kāne. Manaʻo nā kānaka ʻepekema ʻo kēia ma muli o ka ʻike ʻana i nā hormones wahine. ʻO ka lāʻau lapaʻau hoʻololi hormone a/a i ʻole nā ​​​​​​lāʻau hoʻomalu hānau, a me ka loaʻa ʻana o ka maʻi ʻaʻai umauma, hiki ke hoʻonui i ka pilikia.
• Ka ʻike ʻia ʻana i ka radiation: Hiki ke hoʻonui ʻia ka pilikia o ka hoʻomohala ʻana i ka meningioma inā ua loaʻa mua iā ʻoe ka lāʻau radiation i ke poʻo.
• Lāhui/Lālā: Ma ʻAmelika Hui Pū ʻIa, ʻoi aku ka nui o ka meningioma i ka poʻe ʻeleʻele ma mua o nā hui lāhui ʻē aʻe.

Eia kekahi, aia nā kumu pilikia genetic no ka meningioma. Inā loaʻa iā ʻoe kekahi o kēia mau kūlana, a inā paha ua loaʻa i kekahi o kou ʻohana pili (he kaikaina a makua paha) ka meningioma, ua ʻoi aku kou pilikia o ka loaʻa ʻana o ka meningioma:

• ʻAno Neurofibromatosis 2: ʻOi aku ka nui o ka poʻe me kēia maʻi e hoʻomohala i nā meningiomas kanesa a i ʻole ma mua o hoʻokahi meningioma.
• ʻO ka maʻi Von Hippel-Lindau .
• ʻO ka neoplasia endocrine lehulehu ʻano 1 .
• ʻO ka maʻi Li-Fraumeni .
• ʻO ka maʻi Cowden .

Inā ʻoe e hopohopo nei e pili ana i kou pilikia o ka loaʻa ʻana o ka meningioma,E kamaʻilio pono me kāu kauka.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi meningioma?

He mea nui loa kēia. ʻAʻohe ʻelua poʻe me ka meningioma i hoʻopilikia ʻia ma ke ʻano like. He paʻakikī ke ʻōlelo pololei pehea e hoʻopilikia ʻia ai ʻoe. ʻO ke ala maikaʻi loa e ʻike ai, ʻo ia ke kamaʻilio me nā loea e noiʻi a mālama i ka meningioma. Hiki iā lākou ke hāʻawi iā ʻoe i kahi wehewehe pololei o ka mea e manaʻo ai ma muli o kou kūlana kikoʻī.

He aha ka wānana no ka meningioma?

ʻO ka nānā ʻana no ka meningioma, ʻo ia hoʻi, ka hiki ke hoʻōla a pehea e holomua ai ka maʻi, e hilinaʻi ʻia i kekahi mau kumu:

• Ka nui o ka puʻupuʻu.
• Ma hea kahi o ka puʻupuʻu.
• Inā he maikaʻi ʻole a ʻino paha ka puʻupuʻu.
• Inā ua wehe hapa a piha paha ka puʻupuʻu ma ke ʻoki ʻana .
• Kou makahiki a me kou olakino holoʻokoʻa.

Inā he kanaka makua ʻoe, ʻo kou mau makahiki i ka wā i ʻike ʻia ai ka maʻi ka mea e wānana ikaika loa ai i ka hopena. Ma keʻano laulā, ʻo ka ʻōpiopio o kou ʻōpio, ʻoi aku ka maikaʻi o kou ʻike. ʻO ka hopena maikaʻi loa ka hiki ke wehe loa ʻia ka puʻupuʻu ma ke ʻoki ʻana. Eia nō naʻe, ma muli o ka wahi o ka puʻupuʻu, ʻaʻole hiki ke hana mau ʻia kēia.

Hiki i nā meningioma ke hoʻi hou ma hope o ka mālama ʻana. Aia ka nui o ka hoʻi hou ʻana i ka nui o ka puʻupuʻu i wehe ʻia ma ke ʻoki ʻana. Haʻahaʻa ka nui o ka hoʻi hou ʻana inā e wehe loa ʻia.

Hiki i ka meningioma a me kāna mālama ʻana ke hana i nā pilikia lōʻihi , no ka laʻana:

• Paʻakikī i ka noʻonoʻo ʻana.
• Poho ka hoʻomanaʻo.
• Nā loli o ke ʻano.
• Nā ʻōʻili.
• Ka nāwaliwali.
• Nā pilikia ʻōlelo (paʻakikī i ka ʻōlelo a me ka hoʻomaopopo ʻana).

He aha ka nui o ke ola no ka meningioma?

ʻO nā helu ola ʻelima makahiki no ka meningioma penei:

• ʻO ka puʻupuʻu Papa I: 95.7%
• ʻO ka puʻupuʻu papa II: 81.8%
• ʻO ka puʻupuʻu papa III: 46.7%

Nā helu ola he ʻumi makahiki no ka meningioma:

• ʻO ka puʻupuʻu Papa I: 90%
• ʻO ka puʻupuʻu papa II: 69%

Ke piʻi mālie nei ka nui o ke ola ʻana he ʻumi makahiki no ka meningioma malignant ma muli o nā lāʻau lapaʻau hou .

He mea nui e hoʻomanaʻo he mau kuhi wale nō kēia mau helu. ʻO kāu kauka wale nō ke hāʻawi iā ʻoe i kahi ʻike hou aku e pili ana i kou kūlana kikoʻī.

I ka manawa hea e ʻike ai ʻoe i ke kauka e pili ana i ka meningioma?

Inā ua ʻike ʻia ʻoe me ka meningioma, a ʻike ʻoe i nā hōʻailona hou a i ʻole nā ​​​​loli i nā hōʻailona e kū nei , pono ʻoe e hoʻomaopopo i kāu kauka i ka hikiwawe loa.

Inā ua mālama ʻia ʻoe no ka meningioma, ʻaʻole e pau kāu mālama ma hope o ka pau ʻana o ka mālama ʻana. E hoʻomau kāu hui lapaʻau i ka nānā ʻana no ka hoʻi hou ʻana , e hoʻokele i nā hopena ʻaoʻao lōʻihi, a nānā i kou olakino holoʻokoʻa.

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

Inā ua ʻike ʻia ʻoe me ka meningioma, he mea kōkua paha ke nīnau i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka meningioma i loaʻa iaʻu?
• He aha ke ʻano o ka hua? He aha ke ʻano?
• ʻEhia mau kānaka me kēia mau puʻupuʻu āu e mālama ai i kēlā me kēia makahiki?
• Aia koʻu ʻohana i ka pilikia nui o ka loaʻa ʻana o ka meningioma?
• He mau mea heluhelu kāu e kōkua iaʻu e hoʻomaopopo i kēia maʻi?
• He aha kaʻu mau koho lapaʻau?
• He aha nā hoʻokolohua lapaʻau e hiki iaʻu ke komo?
• He aha ka hoʻolālā lapaʻau āu e paipai mai ai noʻu? No ke aha mai?
• He aha nā lawelawe kākoʻo i loaʻa iaʻu a me koʻu ʻohana?
• Ua ʻike anei ʻoe i kahi hui kākoʻo no ka poʻe me ka meningioma?
• Inā he mau nīnau a hopohopo paha kaʻu, ʻo wai kaʻu e kamaʻilio ai?

ʻO ka ʻike ʻana he puʻupuʻu lolo kou, inā he maʻi ʻole a he maʻi kanesa paha, hiki ke lilo i mea hoʻohoka. Akā ʻo ka nūhou maikaʻi, he maʻi hiki ke mālama ʻia ka meningioma me kahi hiʻohiʻona maikaʻi. Aia kāu hui mālama ola ma aneʻi e hāʻawi iā ʻoe i nā koho lapaʻau ikaika a pilikino a me ke kākoʻo. Inā he mau nīnau a hopohopo paha kāu, mai makaʻu e nīnau i kāu hui mālama ola. Eia lākou e kōkua.

Leka Hoʻihoʻi Hope Loa

No laila, ua kamaʻilio nui kākou e pili ana i ka meningioma, ʻeā? I ka ʻōlelo maʻalahi, he puʻupuʻu ia e ulu ana i loko o nā membrane e uhi ana i ko kākou lolo a me ke kaula spinal (nā meninges). ʻO ka hapa nui o ka manawa, he benign kēia mau mea (ʻaʻole cancerous) , a ulu mālie lākou. ʻO ia ke kumu i kekahi manawa e lōʻihi ka manawa e ʻike ʻia ai nā hōʻailona.

Eia nō naʻe, inā loaʻa iā ʻoe nā hōʻailona e like me ke poʻo ʻeha, nā loli o ka ʻike, a i ʻole nā ​​hopu ʻana, pono ʻoe e ʻimi i ke aʻo lapaʻau. Hiki ke ʻike ʻia kēia me nā mea e like me ka MRI a me CT scans. Aia ka lāʻau lapaʻau i ke ʻano, ka nui, a me kahi o ka puʻupuʻu, a i kekahi manawa pili wale nō ka nānā ʻana, a i ʻole ke ʻoki kino a i ʻole ka radiation therapy.

ʻO ka mea nui, ʻaʻole e makaʻu, ʻaʻole e hopohopo, a e hahai i nā ʻōlelo aʻoaʻo lapaʻau kūpono.ʻAʻole like nā meningioma āpau, no laila e hoʻoholo kāu kauka i ka lāʻau lapaʻau maikaʻi loa nāu. Inā he mau nīnau kāu, mai kānalua e nīnau.

ʻO ka Meningioma, nā puʻupuʻu lolo, nā meninges, ke kanesa, ka ʻōnaehana nerve, ka ʻeha poʻo, ke ʻoki kino