ʻO nā mea e pono ai ʻoe e ʻike e pili ana i nā ʻōpū lolo noncancerous

Ke lohe kākou i nā huaʻōlelo "puʻupuʻu lolo," makaʻu koke ka hapa nui o kākou, ʻeā? Akā, ʻo ka mea nui e pono ai ʻoe e ʻike, ʻaʻole nā ​​puʻupuʻu āpau e ulu ana i loko o ka lolo he maʻi kanesa. Aia kekahi mau ʻano puʻupuʻu ʻaʻole maʻi kanesa, ʻo ia hoʻi, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino, akā hiki ke ulu i ka nui a hana i kekahi mau hōʻailona. Kāhea nā kauka i kēia mau 'puʻupuʻu benign'. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau puʻupuʻu lolo ʻaʻole maʻi kanesa.

ʻO ke ʻano maʻamau o ka meningioma

ʻO kēia ke ʻano maʻamau o ka puʻupuʻu lolo. ʻO ia ka hapakolu o nā puʻupuʻu lolo āpau. Hoʻokumu ʻia lākou i loko o nā uhi pale a puni ko mākou lolo a me ke kaula spinal, i kapa ʻia ʻo meninges.

ʻOi aku ka nui o ka loaʻa ʻana o kēia ʻano puʻupuʻu i nā wāhine ma mua o nā kāne. Hiki i kēia mau mea ke hoʻonui i ka pilikia:

• Ka hōʻike ʻia ʻana i ka radiation kiʻekiʻe loa.
• Inā loaʻa iā ʻoe nā maʻi hoʻoilina e like me `(Neurofibromatosis type 1 (NF1))` a i ʻole `(type 2 (NF2))`.

I ka manawa pinepine, ʻaʻole hōʻike kēia mau puʻupuʻu i nā hōʻailona a hiki i ko lākou nui ʻana. I ka ulu ʻana o ka puʻupuʻu, nā hōʻailona e like me:

• ʻEha poʻo
• Nā hopu ʻana
• Ka luaʻi a i ʻole ka luaʻi
• Nā loli o ke ʻano a me ka huikau o ka noʻonoʻo
• Nā pilikia ʻike
• Paʻakikī i ka ʻōlelo ʻana
• Ka nalowale o ka lohe a i ʻole ke kani ʻana o nā pepeiao
• Nāwaliwali o nā ʻiʻo

ʻO Schwannoma (ʻōpū neuronal)

Ua kapa ʻia kēia mau puʻupuʻu ma muli o ke ʻano o ke kelepona mai lākou e ulu mai ai: nā kelepona Schwann, e hoʻopuni ana i nā kelepona aʻalolo.

ʻO ke ʻano maʻamau o kēia ʻano i kapa ʻia he vestibular schwannoma. Hiki i kāu kauka ke kapa i kēia he acoustic neuroma. Hoʻopilikia kēia i ke aʻalolo e holo ana mai ko mākou pepeiao i loko a i ka lolo a kaohi i ke kaulike o ke kino.

ʻOi aku ka nui o ka poʻe me ka maʻi hoʻoilina i kapa ʻia ʻo `(NF2)` i ka loaʻa ʻana o kēia mau puʻupuʻu. Maanei pū kekahi, ʻoi aku ka nui o ka pilikia o nā wahine.

Nā hōʻailona nui:

• Poho lohe
• Ke lohe nei i ke kani ʻana a i ʻole ke kani ʻana o ke kani i loko o nā pepeiao
• Pōʻino
• Ka paʻakikī i ka ale ʻana i ka meaʻai
• Nā pilikia kaulike

ʻO ka adenoma pituitary (ʻo ka puʻupuʻu o ka ʻōpū pituitary e hoʻomalu i nā hormones)

Hoʻomohala kēia mau puʻupuʻu i loko o ka ʻōpū pituitary, aia ma ke kumu o ka lolo. ʻO kēia ʻōpū ke kikowaena nui no ka hana ʻana o nā hormone a me ka kaohi ʻana i nā ʻōpū ʻē aʻe i loko o ko mākou kino.

He mau ʻano puʻupuʻu maʻamau kēia. Ma kahi o hoʻokahi o loko o ʻelima mau mākua e loaʻa paha nā puʻupuʻu pituitary liʻiliʻi loa. Akā ʻo ka hapa nui o kēia mau mea, ʻaʻole ia e ulu nui a hoʻoulu i nā pilikia.

ʻO ka poʻe me ka maʻi hoʻoilina "Multiple Endocrine Neoplasia type 1 (MEN1)" ua ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia mau mea.

Hoʻopuka kekahi mau puʻupuʻu pituitary i nā hormones. Ua kapa ʻia kēia mau mea he 'functional tumors'. Aia nā hōʻailona i ka hana ʻana o ka puʻupuʻu i nā hormones, a inā pēlā, ʻo wai nā hormones.

• ʻO ka hormone Prolactin: Hiki i nā wahine ke loaʻa i nā wā menstruation kūpono ʻole a ʻaʻohe paha. Hiki i nā kāne ke loaʻa i ka hoʻonui ʻia o ka umauma.
• ʻO ka hormone ACTH: Hoʻoulu kēia i nā hōʻailona o kahi maʻi i kapa ʻia ʻo "ka maʻi Cushing". Eia kekahi laʻana, ka piʻi ʻana o ke kaumaha, ka maʻalahi o ka ʻeha, a me ka nāwaliwali.
• ʻO ka hormone TSH: Hōʻike i nā hōʻailona o kahi kelepa thyroid overactive (Hyperthyroidism), e like me ka pohō kaumaha, ka huhū, a me ka hou nui.

Nā hōʻailona maʻamau ʻē aʻe:

• ʻEha poʻo
• Ka nalowale ʻana o ka ʻike a i ʻole ka ʻike pālua
• Ua emi ka makemake moekolohe
• Ka hānau ʻole ʻana
• Nā loli ʻano
• Piʻi ke kaumaha me ke kumu ʻole

ʻO nā ʻano ʻē aʻe o nā puʻupuʻu ʻaʻole cancerous

Aia kekahi mau ʻano nati ʻē aʻe.

ʻO ka maʻi ʻōpū

Hoʻomohala kēia mau mea i loko o nā kīʻaha koko. Hiki iā lākou ke ulu i loko o ka lolo, ke kaula spinal, a i ʻole ka retina o ka maka. ʻIke ʻia lākou i nā poʻe me kahi maʻi hoʻoilina i kapa ʻia ʻo "Von Hippel-Lindau syndrome." Hiki i nā hōʻailona ke komo pū me ka mae ʻole o nā lālā, ka nāwaliwali, ke poʻo, ka nausea, a me ka paʻakikī i ka hele wāwae.

ʻO ke Craniopharyngioma

Hoʻomaka kēia i loko o nā pūnaewele ma ke kumu o ka lolo, kokoke i ka pituitary gland. Hiki iā lākou ke lilo i mau ʻeke paʻa a piha paha i ka wai (cysts). ʻOi aku ka maʻamau o lākou i nā keiki ma waena o 5 a me 14 mau makahiki a me nā pākeke ma luna o 45 mau makahiki. Hiki iā lākou ke hana i nā hōʻailona e like me ka momona, ka makewai nui, ka ulu ʻole o nā keiki, a me nā loli o ka ʻike.

ʻO Glioma

Kū mai kēia mau mea mai nā pūnaewele glial e kākoʻo ana i nā pūnaewele nerve i loko o ka lolo a me ke kaula spinal. Ua māhele ʻia lākou i kekahi mau papa. ʻAʻole maʻi kanesa nā papa 1 a me 2 a ulu mālie. ʻO nā papa 3 a me 4 he mau puʻupuʻu ikaika a ulu wikiwiki.

Pehea e ʻike ai nā kauka inā loaʻa kēia mau puʻupuʻu?

E nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​e like me ke poʻo ʻeha a me nā hopu ʻana. A laila, no ka hana ʻana i kahi hōʻoia paʻa, hiki iā lākou ke hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• CT Scan: He kaʻina hana e hoʻohana ana i nā kukuna X ikaika e hana i nā kiʻi kikoʻī o ka lolo.
• MRI Scan: He kaʻina hana e hoʻohana ana i nā magnet ikaika a me nā nalu lekiō e hana i nā kiʻi maopopo loa o ka lolo.
• Biopsy: Lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā ʻia ma lalo o kahi microscope e ʻike inā he mau hunaola kanesa.
• Lumbar Puncture / Spinal Tap: Hana ʻia kēia hoʻāʻo e nānā i nā pūnaewele ʻē i loko o ke wai o ka iwi kuamoʻo.
• Nā hoʻāʻo koko a me ka mimi: Kōkua kēia i ka nānā ʻana i nā hormones a i ʻole nā ​​​​mea ʻē aʻe i hoʻokuʻu ʻia i loko o ke kino e nā tumors.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana ma muli o ke ʻano, ka nui, a me ka wahi o ka puʻupuʻu.

• Nā puʻupuʻu liʻiliʻi: ʻAʻole pono paha kahi lāʻau lapaʻau. E hana pinepine kāu kauka i kahi scan CT a MRI paha e nānā inā e nui ana ka puʻupuʻu.
• Nā puʻupuʻu nui: ʻO ka wehe ʻana i ke ʻoki kino ke ʻano lapaʻau nui. E hoʻāʻo ke kauka ʻoki e wehe i ka nui o ka puʻupuʻu e like me ka hiki.
• Hoʻōla radiation:He hana kēia e hoʻohana ana i nā kukuna X-ikehu kiʻekiʻe e hoʻēmi i nā ʻōpū. Hoʻohana ʻia kēia lāʻau lapaʻau no nā ʻōpū i hiki ʻole ke wehe loa ʻia e ke ʻoki ʻana a i ʻole i hoʻi hou mai ma hope o ke ʻoki ʻana. ʻO Stereotactic Radiosurgery kahi ʻano kūikawā o ka radiation therapy e kuhikuhi pololei ana i ka ʻōpū, e hoʻemi ana i ka hōʻino ʻana i nā ʻiʻo olakino a puni.

E kōkua kāu kauka iā ʻoe e koho i ka hoʻolālā lapaʻau maikaʻi loa nāu, e kūkākūkā ana i kāu mau koho āpau me ʻoe. No laila, mai hoʻoholo i kekahi hoʻoholo ma kāu iho. E kūkākūkā mau me kāu kauka.