Ke ʻeha mau nei kou kua? E aʻo e pili ana i nā puʻupuʻu kuamoʻo!

I kekahi manawa loaʻa pū kekahi ʻeha o ke kua, ʻeā? He mea maʻamau paha ia, hiki ke lilo i mea e loaʻa mai ana mai kahi ʻūlū iki a i ʻole ke kūlana maikaʻi ʻole. Eia nō naʻe, aia kekahi mau ʻeha o ke kua e ʻoi aku ka ʻino, lilo i mea koʻikoʻi a hiki ʻole iā ʻoe ke hiamoe i ka pō, a ʻaʻole hoʻi e hoʻomaikaʻi ʻia me ka lāʻau lapaʻau. I nā manawa e like me kēia, pono mākou e akahele iki. No ka mea, hiki nō hoʻi ke lilo i hōʻailona o kahi puʻupuʻu e ulu ana ma ka iwi kuamoʻo.

He aha ka puʻupuʻu kuamoʻo?

I ka ʻōlelo maʻalahi, ʻo kahi puʻupuʻu kuamoʻo he puʻupuʻu a he nui paha o nā ʻano hunaola ʻē e ulu ana i loko o kou kaula kuamoʻo , i loko o nā ʻiʻo a puni ia, a i ʻole i loko o kou iwi kuamoʻo .

E noʻonoʻo e pili ana i ia mea, ʻo kou iwi kuamoʻo, a i ʻole ka mea a mākou e kapa nei he 'iwi kuamoʻo,' ua like ia me kahi kolamu iwi lōʻihi a palupalu e pale ana i kou kaula iwi kuamoʻo. Hoʻomaka ia ma ke kumu o kou iwi poʻo a hoʻolōʻihi i lalo a hiki i kou iwi huelo. He ʻano cylindrical kou kaula iwi kuamoʻo. Holo ia i lalo i waenakonu o kou iwi kuamoʻo, mai ka ʻaoʻao haʻahaʻa o kou lolo (ka ʻōpū lolo) a i ka ʻaoʻao haʻahaʻa o kou kua. Aia ma laila nā olonā a me nā ʻāpana nerve. ʻO kēia nā mea e lawe i nā leka mai kou lolo a i ke koena o kou kino a hoʻi i kou lolo.

I kēia manawa, aia kekahi mau wahi e hiki ai ke loaʻa kēia mau ʻōpū spinal:

• I loko o kou iwi kuamoʻo (intramedullary).
• I loko o nā ʻiʻo e uhi ana i kou kaula iwi kuamoʻo (meninges) (intradural-extramedullary).
• Aia kēia ʻiʻo uhi ma waena o nā iwi o ka iwi kuamoʻo (vertebrae) (extradural).
• I loko o nā iwi (vertebrae) o ka iwi kuamoʻo.

Hiki i kēia mau puʻupuʻu ke lilo i mea ʻaʻai ʻole (benign) a i ʻole he mea ʻaʻai ʻole (malignant) . Eia nō naʻe, inā e hoʻomau ka ulu ʻana o kēia puʻupuʻu, hiki iā ia ke hōʻino i nā ʻiʻo like ʻole i loko o kou iwi kuamoʻo.

ʻO nā puʻupuʻu e ulu mua ana ma ka iwi kuamoʻo a i ʻole ke kaula kuamoʻo ua kapa ʻia he mau puʻupuʻu kuamoʻo mua . I kekahi manawa, hiki i ke kanesa mai kahi ʻē aʻe o ke kino ke laha i ka iwi kuamoʻo. Ua kapa ʻia kēia mau mea he metastatic a i ʻole nā ​​puʻupuʻu kuamoʻo lua . ʻO ka ʻoiaʻiʻo, ʻoi aku ka maʻamau o kēia mau puʻupuʻu lua ma mua o nā puʻupuʻu mua.

Pehea e hoʻokaʻawale ʻia ai nā puʻupuʻu iwi kuamoʻo?

Hoʻokaʻawale nā ​​​​kauka i kēia mau ʻōpū spinal i kekahi mau ʻano, ma muli o kekahi mau kumu:

• Ma hea ma ka iwi kuamoʻo kahi i loaʻa ai ka puʻupuʻu: ma ka ʻāʻī (cervical), ma ke kua o luna a me waena (thoracic), ma ke kua o lalo (lumbar), a i ʻole ma ka wahi haʻahaʻa loa o ka iwi kuamoʻo (sacrum).
• Kahi i loaʻa ai ka puʻupuʻu i loko o ke kaula kuamoʻo: ʻO ia hoʻi, i loko o ka membrane e uhi ana i ke kaula kuamoʻo (ka dura), akā ma waho o ke kaula kuamoʻo (intradural-extramedullary), i loko o ke kaula kuamoʻo (intramedullary), a i ʻole ma waho o kēia uhi, ma waena o nā iwi (extradural).
• Inā paha i hoʻokumu mua ʻia ka puʻupuʻu ma ka iwi kuamoʻo, a inā paha ua pālahalaha ke kanesa ma kahi ʻē aʻe: ʻo ia hoʻi, inā he mua a he lua paha.
• Inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha: ʻo ia hoʻi, inā he "benign" a "malignant" paha.

Nā wahi like ʻole o ka iwi kuamoʻo

E nānā kākou i kēia mau wahi o ka iwi kuamoʻo:

• Cervical: ʻO kēia kahi o kou ʻāʻī.
• ʻŌpū: Mai luna o kou kua a i waenakonu.
• ʻĀpana lumbar: ʻO ka ʻaoʻao haʻahaʻa o ke kua.
• Sacrum: ʻO ka wahi haʻahaʻa loa o ka iwi kuamoʻo.

ʻOiai hiki ke ulu kahi puʻupuʻu kuamoʻo i nā wahi āpau, ʻike pinepine ʻia ia ma nā ʻāpana thoracic a me lumbar .

Nā wahi o nā puʻupuʻu i loko o ka iwi kuamoʻo

Hōʻike pū nā kauka i nā ʻōpū e pili ana i kahi e hana ai lākou i loko o ka iwi kuamoʻo:

• ʻO ka puʻupuʻu Intradural-extramedullary: Aia kēia ʻano puʻupuʻu i loko o ka uhi lahilahi (dura) e hoʻopuni ana i ke kaula iwi kuamoʻo, akā ma waho o ke kaula iwi kuamoʻo. Ma kahi o 40% o nā puʻupuʻu iwi kuamoʻo o kēia ʻano.
• ʻO ka puʻupuʻu intramedullary: Hoʻomohala kēia mau puʻupuʻu i loko o ke kaula kuamoʻo. Ma kahi o 5% o nā puʻupuʻu no kēia ʻano.
• ʻO ka puʻupuʻu Extradural: Aia kēia mau puʻupuʻu ma waho o ka uhi (`(dura)`) a puni ke kaula iwi kuamoʻo. ʻO ia hoʻi, kokoke i nā iwi (`(vertebrae)`) e hana ana i ka iwi kuamoʻo. Ma kahi o 55% o nā puʻupuʻu e ulu ana ma kēia ʻano.

ʻO kekahi mau ʻano kikoʻī o nā puʻupuʻu spinal

He ʻano paʻakikī kou iwi kuamoʻo i hana ʻia me nā ʻano ʻano like ʻole o nā ʻiʻo a me nā ʻano hunaola. No laila, he nui nā ʻano puʻupuʻu e hiki ke ulu i loko o ka iwi kuamoʻo. E nānā kākou i kekahi o lākou:

• Astrocytoma: He puʻupuʻu kēia e ulu ana i loko o nā pūnaewele kākoʻo i loko o ke kaula kuamoʻo. Aia nā ʻano benign (ʻaʻole cancerous) a me nā ʻano malignant (cancerous) o kēia puʻupuʻu.
• Chordoma: He mau puʻupuʻu kanesa kakaikahi kēia e hana ʻia ana ma ka iwi kuamoʻo a me ke poʻo. Loaʻa pinepine lākou ma ke kumu o ka iwi kuamoʻo (sacrum) a me ka iwi huelo (coccyx).
• ʻEpendymoma: He ʻōpū kēia e hana ʻia i loko o nā pūnaewele e laina ana i nā ala e holo ai ka wai cerebrospinal i loko o ka lolo a me ke kaula spinal.
• Glioblastoma: He puʻupuʻu ʻino loa kēia, he maʻi kanesa. Hoʻomohala ia mai nā pūnaewele i kapa ʻia ʻo "astrocytes" e kākoʻo ana i nā pūnaewele nerve i loko o ke kaula spinal a me ka lolo.
• Hemangioblastoma: He puʻupuʻu kēia e ulu ana mai nā kīʻaha koko e pili ana i kāu ʻōnaehana nerve waena (`(central nervous system)`). ʻO ia hoʻi, nā kīʻaha koko i loko o ka lolo a me ke kaula spinal.
• ʻO Meningioma: He puʻupuʻu kēia e ulu ana i loko o nā ʻiʻo e uhi ana i ke kaula kuamoʻo a me ka lolo (ka "meninges"). ʻO ka hapa nui o ka manawa ʻaʻole ia he maʻi kanesa ("benign"), akā i kekahi manawa hiki ke lilo i mea nui e hoʻoweliweli i ke ola.
• ʻO Neurofibroma: He puʻupuʻu ʻaʻole kanesa (benign) kēia e ulu ana i loko o nā aʻalolo o ke kino. Hiki iā ia ke ulu i loko o nā aʻalolo o ke kaula kuamoʻo. Hoʻopili pinepine ʻia kēia me nā kūlana genetic.
• Osteosarcoma: He ʻano maʻi ʻaʻai iwi kēia. ʻOiai hiki ke hoʻomaka ma ka iwi kuamoʻo, ʻike pinepine ʻia ia ma nā iwi ʻūhā a me ke kuli.
• ʻO Schwannoma: He puʻupuʻu kēia e ulu ana i loko o nā ʻāpana e hoʻopuni ana i nā olonā o ke kaula spinal, ka ʻōnaehana nerve peripheral, a me nā aʻalolo cranial. ʻO ka hapa nui o kēia mau mea ʻaʻole ia he maʻi kanesa ('benign`) a kakaikahi loa e lilo i maʻi kanesa.
• ʻO ka hemangioma spinal: He puʻupuʻu kēia e ulu ana mai nā ʻiʻo aʻa koko i loko o ke kaula spinal. ʻO kēia ke ʻano maʻamau o ka puʻupuʻu spinal mua. ʻO ka hapa nui o ka manawa, ʻaʻole lākou he cancerous ('benign').

He aha nā ʻano maʻi kanesa e hiki ke laha i ka iwi kuamoʻo?

Eia kekahi mau ʻano maʻi kanesa maʻamau e hiki ke hoʻomaka ma kahi ʻē aʻe o ke kino a laha (metastasize) i ka iwi kuamoʻo:

• Ka maʻi ʻaʻai māmā: Inā pālahalaha ka maʻi ʻaʻai i ke kua i nā kāne, ʻo ia ka maʻi ʻaʻai māmā pinepine.
• Ka maʻi ʻaʻai umauma: Inā pālahalaha ke kanesa i ka iwi kuamoʻo i nā wahine, ʻo ke kanesa umauma ka mea maʻamau.
• Ka maʻi ʻaʻai prostate.
• Leukemia (maʻi ʻaʻai koko).
• Lymphoma (ka maʻi ʻaʻai o ka ʻōnaehana lymphatic).
• ʻO ka myeloma lehulehu (ka maʻi ʻaʻai o kekahi ʻano keʻokeʻo koko keʻokeʻo).
• Melanoma (ʻaʻai ʻili).
• ʻO Sarcoma (kahi maʻi ʻaʻai o ka ʻiʻo pili).
• Ka maʻi ʻaʻai puʻupaʻa.
• Ka maʻi ʻaʻai thyroid.
• Nā maʻi ʻaʻai o kou ʻōpū gastrointestinal.

ʻO ka hapa nui o ka laha ʻana o kēia mau ʻano maʻi ʻaʻai i nā iwi o ka iwi kuamoʻo.

ʻO wai ka mea e loaʻa ana i nā puʻupuʻu iwi kuamoʻo?

Hiki i kekahi ke loaʻa i kahi puʻupuʻu kuamoʻo. Eia nō naʻe, ʻoi aku ka nui o ka poʻe me ka maʻi kanesa, ʻoiai ke kanesa o ka māmā, ka umauma, a me ka prostate, e loaʻa iā lākou. ʻO kēia nā mea a mākou e kapa nei he mau puʻupuʻu kuamoʻo lua a metastatic paha.

He mea kākaʻikahi loa nā puʻupuʻu kuamoʻo mua (nā mea i hana mua ʻia ma ka kuamoʻo). Eia nō naʻe, ʻoi aku ka nui o ka ulu ʻana o lākou i nā pākeke ma waena o 65 a me 74 mau makahiki a me nā keiki ma waena o 10 a me 16 mau makahiki.

Pehea ka maʻamau o nā puʻupuʻu kuamoʻo?

He mea maʻamau loa nā puʻupuʻu kuamoʻo lua (metastatic). He 97% o nā puʻupuʻu kuamoʻo āpau ko lākou. Ua hōʻike ʻia nā noiʻi ma waena o 30% a me 70% o ka poʻe me ka maʻi ʻaʻai e laha ana ko lākou maʻi ʻaʻai i ka kuamoʻo.

He mea maʻamau ʻole nā ​​puʻupuʻu kuamoʻo mua (nā mea e hoʻomaka mua ana ma ka kuamoʻo). ʻO nā puʻupuʻu kuamoʻo mua ʻaʻole kanesa (`(benign)`) he 0.5% o nā puʻupuʻu i ʻike hou ʻia. ʻOi aku ka kakaikahi o nā puʻupuʻu kuamoʻo mua Cancerous (`(malignant)`).

He aha nā hōʻailona o nā puʻupuʻu iwi kuamoʻo?

ʻO nā hōʻailona o ka puʻupuʻu spinal e pili ana i kekahi mau kumu:

• Ma hea a pehea e loaʻa ai ka puʻupuʻu ma ka iwi kuamoʻo.
• Pehea ka nui o ka puʻupuʻu.
• He aha ke ʻano hua kēlā?

ʻAʻole hōʻike kekahi mau puʻupuʻu iwi kuamoʻo i kekahi mau hōʻailona no ka mea ʻaʻole lawa ko lākou nui e kau i ke kaomi ma luna o nā ʻiʻo a puni. Eia nō naʻe, i ka ulu ʻana o ka puʻupuʻu, hoʻomaka nā hōʻailona, ​​ʻoiai ka ʻeha.

ʻEha i hoʻokumu ʻia e nā ʻōpū o ke kuamoʻo

ʻO ka hōʻailona maʻamau o nā puʻupuʻu iwi kuamoʻo benign a malignant hoʻi, ʻo ia ka ʻeha o ke kua. ʻIke pinepine ʻia ka ʻeha ma ke kua waena a i ʻole lalo, no ka mea, ulu pinepine nā puʻupuʻu ma kēlā mau wahi o ka iwi kuamoʻo.

ʻO ke ʻano o ka ʻeha i hoʻokumu ʻia e ka ʻōpū o ke kuamoʻo penei:

• ʻAʻohe pilina kikoʻī i kekahi ʻeha, kaumaha, a i ʻole ka hana kino. Eia nō naʻe, hiki ke hoʻonui ʻia ka ʻeha i ka wā e hoʻoikaika kino ai, e kūlou ana, a i ʻole e ʻū ana.
• Ua like ia me ka ʻeha palupalu e ʻeha hohonu ana i loko .
• Hoʻomaka mālie a piʻi mālie.
• Hoʻomau ia i ka pō, i kekahi manawa a hiki i kahi e hoʻopilikia ai i ka hiamoe.
• Me ka hala ʻana o ka manawa, lilo ia i mea hiki ʻole ke hoʻomanawanui ʻia ʻoiai inā ʻaʻole ʻoe e hana ana i kekahi mea.
• ʻAʻole ia e pane i nā lāʻau ʻeha maʻamau a i ʻole nā ​​​​lāʻau lapaʻau.

E noʻonoʻo ʻoe he ʻeha kua kou, hele mai ia me ke kumu ʻole, ʻaʻole ia e nalo ʻoiai ke hiamoe ʻoe i ka pō, a manaʻo ʻia e ʻoi aku ka ʻino, mai hoʻokuʻu iā ia he ʻeha kua maʻamau. He mea nui loa ke ʻike i ke kauka a loaʻa ka ʻōlelo aʻo.

Hiki i nā ʻōpū o ka iwi kuamoʻo ke hana i ka ʻeha radicular , ʻo ia hoʻi ka ʻeha e pālahalaha ana mai ke kua a i nā pūhaka, nā wāwae, nā wāwae, a i ʻole nā ​​​​lima. He ʻeha ʻoi pinepine kēia a ʻoi.

Nā hōʻailona ʻē aʻe o nā maʻi ʻōpū

Ma muli o ka wahi a me ke ʻano o ka puʻupuʻu, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe ma waho aʻe o ka ʻeha. Hana ʻia kēia i ka wā e ulu ai ka puʻupuʻu a kau i ke kaomi ma luna o ke kaulahao kuamoʻo, nā aʻa aʻalolo, nā kīʻaha koko, a i ʻole nā ​​iwi o ka iwi kuamoʻo.

ʻO nā hōʻailona ʻē aʻe paha:

• Ka maneʻo, ke ʻūlū, a i ʻole ka nalowale o ka manaʻo ma nā wāwae, nā lima, a i ʻole ka umauma.
• Ka nāwaliwali o nā ʻiʻo ma nā wāwae, nā lima, a i ʻole ka umauma.
• ʻŪmiʻi a huki paha nā ʻiʻo.
• Manaʻo o ka ʻoʻoleʻa ma ke kua a i ʻole ka ʻāʻī.
• ʻAʻole hiki ke kāohi i ka ʻōpū a me ka mimi (`(bowel incontinence)` a me `(urinary incontinence)`).
• Ka paʻakikī o ka hele wāwae, hiki ke alakaʻi i ka hāʻule ʻana.
• ʻO Scoliosis a i ʻole nā ​​​​​​kīnā iwi kuamoʻo ʻē aʻe ma muli o kahi puʻupuʻu nui a ʻino paha.
• Ka maʻi lolo . Hiki ke hana kēia ma nā ʻāpana like ʻole o ke kino, ma nā pae like ʻole, ma muli o nā aʻalolo i hoʻopaʻa ʻia e ka puʻupuʻu.

He aha ke kumu o nā puʻupuʻu iwi kuamoʻo?

ʻO ke kumu o ka puʻupuʻu kuamoʻo e pili ana i ka mea mua a i ʻole ka lua (metastatic).

Nā kumu o nā ʻōpū mua o ka iwi kuamoʻo

ʻAʻole ʻike nā kānaka ʻepekema i ke kumu pololei o ka hapa nui o nā puʻupuʻu kuamoʻo mua. Hiki ke hana ʻia kekahi ma muli o ka ʻike ʻana i nā kemika e hoʻoulu ai i ka maʻi kanesa. ʻOi aku ka nui o ka poʻe me nā ʻōnaehana pale kino nāwaliwali i ka loaʻa ʻana o nā lymphomas (ka maʻi kanesa o kekahi ʻano cell immune) o ke kaula kuamoʻo. I kekahi manawa hiki i nā puʻupuʻu kuamoʻo ke holo i loko o nā ʻohana. No laila ua manaʻo ʻia he pilina genetic paha.

Nā kumu o nā ʻōpū spinal lua

ʻO nā puʻupuʻu kuamoʻo lua (metastatic), e like me ka inoa e hōʻike nei, ʻo ia nā mea e ulu ana i ka wā e pālahalaha ai kahi maʻi ʻaʻai i hoʻomaka ma kahi ʻē aʻe o ke kino (metastasized) i ka kuamoʻo.

Hana pinepine kēia i ka wā e hemo ai nā hunaola kanesa mai ka puʻupuʻu nui a komo i loko o ke koko a i ʻole ka ʻōnaehana lymphatic. Ma muli o ka lawe ʻana o kēia mau ʻōnaehana i nā wai ma ke kino holoʻokoʻa, hiki ke lawe ʻia nā hunaola kanesa mai kekahi ʻāpana o ke kino a i kekahi ʻāpana.

Eia kekahi, hiki i nā hunaola kanesa ke hemo aku mai ka puʻupuʻu nui, ʻoiai kahi puʻupuʻu ma ka lua ʻōpū, a ulu i nā wahi kokoke, e like me ke akepaʻa, nā māmā, a i ʻole nā ​​​​iwi.

Ma muli o ka lako koko maikaʻi o kou iwi kuamoʻo a aia kokoke i nā ʻōnaehana lymphatic a me venous, ʻoi aku ka nui o ka laha ʻana o ka maʻi kanesa.

Pehea e ʻike ʻia ai nā puʻupuʻu iwi kuamoʻo?

Ma muli o ka ʻike pinepine ʻole ʻana o nā ʻōhū mua o ka iwi kuamoʻo i nā hōʻailona (`(asymptomatic)`), ʻike pinepine nā kauka iā lākou i ka wā e hana ana i kahi `(imaging test)` no kekahi kumu ʻē aʻe.

Manaʻo pinepine ka poʻe me nā ʻōʻō iwi kuamoʻo ua loaʻa ko lākou ʻeha hope i kahi ʻeha hou. He mea nui e ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha hope, ʻoiai inā loaʻa iā ʻoe ka maʻi kanesa.

E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hana pū lākou i kahi hoʻokolokolo neurological e nānā i kēia mau hōʻailona:

• ʻEha ma ke kuamoʻo (i ka wā e hoʻoluhi ai).
• Ka emi ʻana o ka ʻeha a me/a i ʻole ka mahana.
• Nā pane hou ʻē.
• Ka nāwaliwali o nā ʻiʻo.

E kauoha pū kāu kauka i kekahi mau hoʻokolohua e hōʻoia inā he puʻupuʻu a ʻaʻole paha.

He aha nā hoʻokolohua e hana ʻia no ka ʻike ʻana i kahi puʻupuʻu iwi kuamoʻo?

Ma waho aʻe o ka hoʻokolokolo kino a me ka neurological, hiki i ke kauka ke hana i kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i ke alo o kahi ʻōpū spinal:

• Nā hoʻāʻo kiʻi:Inā loaʻa koke i kekahi kanaka me ke kanesa ka ʻeha o ke kua, ʻo ka mea mua a lākou e hana ai, ʻo ia ka X-ray o ka iwi kuamoʻo. ʻO kēia no ka mea e ulu pinepine nā ʻōpū iwi kuamoʻo metastatic i loko o nā iwi o ka iwi kuamoʻo. Hiki ke hana ʻia kahi MRI a/a i ʻole CT scan e nānā i ke kaula iwi kuamoʻo, nā aʻalolo, a me ke iwi kuamoʻo a puni (nā iwi a me nā ʻiʻo palupalu). Inā metastatic ka ʻōpū, hiki ke hana ʻia nā hoʻāʻo kiʻi ma nā wahi ʻē aʻe o ke kino e ʻike ai i kahi i hoʻomaka ai.
• Biopsy: No ka ʻike pono ʻana inā he maʻi kanesa ka puʻupuʻu (maikaʻi a ʻino paha), hiki i kāu kauka ke kauoha i kahi biopsy. Pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia. E nānā kahi pathologist i ka laʻana e ʻike inā e ulu ana, e pālahalaha ana, a inā pēlā, pehea ka wikiwiki. Inā he maʻi kanesa ka puʻupuʻu, hiki i ka biopsy ke haʻi i ke ʻano o ke kanesa. He mea nui kēia i ka hoʻoholo ʻana i ka lāʻau lapaʻau.
• Iwi scan: ʻO kēia ke komo ʻana i kahi liʻiliʻi loa o ka mea radioactive i loko o kou aʻa a laila hoʻohana i ka ʻenehana kiʻi e nānā i kou mau iwi. Ma ka nānā ʻana i ke ʻano o ka neʻe ʻana o ka mea radioactive, hiki iā ia ke ʻike i nā ʻano ʻē i kou iwi kuamoʻo.
• Nā hoʻāʻo koko: Hiki i kāu kauka ke kauoha i nā hoʻāʻo koko e nānā i nā pae maʻamau ʻole o nā mea e like me ka calcium a me ka alkaline phosphatase i loko o kou koko. Ke haki nā ʻiʻo iwi ma muli o ke kanesa, hoʻokuʻu ke kino i kēia mau mea i loko o ke koko.

Pehea e mālama ʻia ai ka puʻupuʻu kuamoʻo?

ʻOkoʻa ka mālama ʻana no nā ʻōpū iwi kuamoʻo mai kēlā kanaka a kēia kanaka. Aia ia i kahi o ka ʻōpū, pehea kona nui, a me kona ʻano. ʻO nā pahuhopu o ka mālama ʻana no nā ʻōpū iwi kuamoʻo metastatic penei:

• Ke hōʻemi nei i kou ʻeha.
• E mālama a hoʻomaikaʻi paha i ka hana o kou iwi kuamoʻo a me nā aʻalolo o ke kuamoʻo.
• E hoʻomaikaʻi i kou ʻano a me kou olakino.

ʻO ka pahuhopu o ka mālama ʻana i nā ʻōpū o ke kuamoʻo mua, ʻo ia ka wehe loa ʻana i ka ʻōpū e hoʻoulu ai i nā hōʻailona, ​​​​inā hiki.

ʻO ka maʻamau, he hui loea multidisciplinary e komo pū ana me nā loea i ka hoʻomohala ʻana i kahi hoʻolālā lapaʻau no nā ʻōpū iwi kuamoʻo. Hiki i kēia mau mea ke komo pū me nā neurologists, nā kauka ʻoki iwi kuamoʻo, nā kauka oncologists lapaʻau, nā kauka radiation oncologists, nā orthopaedists, nā urologists, a me nā kauka ʻoki vascular.

He aha nā lāʻau lapaʻau a me nā ʻano hana e hoʻohana ʻia no nā maʻi ʻōpū?

ʻOkoʻa nā ʻano lapaʻau no nā puʻupuʻu kuamoʻo ma muli o ke ʻano o ka puʻupuʻu.

Lapaʻau no nā ʻōpū iwi kuamoʻo metastatic (lua)

Hiki i kāu hui lapaʻau ke hoʻohana i ka hui pū ʻana o nā ʻano lāʻau like ʻole e mālama i kahi maʻi spinal metastatic:

• Kemoterapi: Hiki i nā lāʻau lapaʻau ke pepehi i nā hunaola kanesa ma ka iwi kuamoʻo a ma ke kino holoʻokoʻa. Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau ma ke ʻano intravenous a i ʻole he pila. I kekahi manawa hoʻohana ʻia ka chemotherapy e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana.
• Lapaʻau radiation: Pili kēia i ka hoʻohana ʻana i nā kukuna X-ray kiʻekiʻe e luku i nā hunaola tumor a hoʻēmi paha i ka tumor. Hiki i ka hoʻēmi ʻana i ka tumor ke hōʻemi i ka ʻeha a i ʻole nā ​​hōʻailona ʻē aʻe.
• Radiosurgery Stereotactic: He hana ʻokiʻoki ʻole kēia, ʻaʻole invasive e hoʻohana ana i kahi kukuna radiation pololei loa e kuhikuhi i ka ʻōpū, e hoʻemi ana i ka ʻike ʻana o ka radiation i nā ʻiʻo a puni.
• ʻO ke ʻoki kino: ʻO ka maʻamau, ʻo ka poʻe me nā ʻōpū iwi kuamoʻo metastatic e noʻonoʻo ʻia no ke ʻoki kino wale nō inā manaʻo ʻia lākou e ola no nā mahina ʻekolu a ʻehā a ʻaʻole pane ka ʻōpū i ka radiation a i ʻole chemotherapy. Hiki i ke ʻoki kino ke kōkua i ka hōʻemi ʻana i ka ʻeha a me nā hōʻailona ʻē aʻe, mālama i ka hana nerve, a hoʻopaʻa i ka iwi kuamoʻo. Hiki i kāu kauka ʻoki kino ke ʻōlelo aku i ke ʻoki kino wehe kuʻuna a i ʻole kahi hana minimally-invasive. Ma hope o ka wehe ʻana i ka ʻōpū, hiki ke hana ʻia kahi hana i kapa ʻia ʻo vertebroplasty a i ʻole kyphoplasty, kahi e hoʻokomo ʻia ai ka sima iwi i loko o ka iwi kuamoʻo. Hāʻawi kēia mau kaʻina hana i ke kākoʻo a me ke kūpaʻa i ka iwi kuamoʻo, hoʻomaikaʻi i ka neʻe ʻana, a hōʻemi i ka ʻeha. Ma kahi o 10% o ka poʻe me nā symptomatic spinal metastases hiki ke ho'ōla ʻia me ke ʻoki kino.
• Nānā ʻana: Hiki i kāu hui lapaʻau ke nānā pono i ke kanesa me nā hoʻokolohua kiʻi maʻamau e ʻike ai inā e ulu ana a laha paha.

Lapaʻau no nā ʻōpū iwi kuamoʻo mua

Inā loaʻa iā ʻoe kahi puʻupuʻu mua ʻaʻole maʻi kanesa (benign), inā ʻaʻohe ona hōʻailona a i ʻole nā ​​​​hōʻailona liʻiliʻi wale nō, a inā ʻaʻole ia e loli ke kala a ulu paha, hiki i kāu kauka ke ʻōlelo i nā scan MRI maʻamau e nānā iā ia.

Hiki ke ho'ōla ʻia kekahi mau puʻupuʻu kuamoʻo mua ma o ka ʻoki piha ʻana o ke kino (en bloc resection). Eia nō naʻe, paʻakikī ke wehe loa i nā ʻano puʻupuʻu ʻē aʻe, ʻoiai nā puʻupuʻu intramedullary, me ka ʻole o ka hōʻino nui ʻana i nā aʻalolo.

Inā he maʻi kanesa kou puʻupuʻu kuamoʻo (malignant), pono ʻoe i nā lāʻau lapaʻau kanesa i ʻōlelo ʻia ma luna.

Pehea e hiki ai iā ʻoe ke pale aku i nā maʻi ʻōpū?

ʻO nā ʻano hana no ka pale ʻana i nā puʻupuʻu kuamoʻo e pili ana i ka mea mua a i ʻole ka lua (metastatic).

Ke pale ʻana i nā ʻōpū spinal mua

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia nā puʻupuʻu mua o ka iwi kuamoʻo.

I nā hihia kakaikahi loa, hiki ke hana ʻia nā ʻōpū iwi kuamoʻo mua e kekahi mau kūlana hoʻoilina. Eia kekahi laʻana:

• ʻAno Neurofibromatosis 2 (NF2): Hiki i nā kānaka me kēia kūlana hoʻoilina (genetic) ke hoʻomohala i nā ʻōpū noncancerous i loko o ka papa arachnoid a i ʻole nā ​​​​pūnaewele glial kākoʻo o ke kaula spinal.
• ʻO ka maʻi Von Hippel-Lindau (VHL): ʻO kēia ʻano genetic kakaikahi e pili ana me nā ʻōpū koko ʻaʻole cancerous (hemangioblastomas) i loko o ka lolo, retina, a me ke kaula spinal, a me nā ʻano ʻē aʻe o nā ʻōpū i loko o nā puʻupaʻa a i ʻole nā ​​​​gland adrenal.

Inā loaʻa kēia maʻi i kekahi o kou ʻohana pili (he kaikaina a makua paha), he mea nui e loaʻa ka ʻōlelo aʻoaʻo genetic a i ʻole ka hoʻāʻo ʻana e ʻike inā loaʻa iā ʻoe ke ʻano. ʻO ka ʻike mua ʻana i nā ʻōpū o ka iwi kuamoʻo ke ala maikaʻi loa e hoʻokō ai i nā hopena maikaʻi loa.

Ke pale ʻana i nā ʻōpū spinal lua (metastatic)

ʻO ka mea pōʻino, ʻaʻole hiki ke pale ʻia nā puʻupuʻu iwi kuamoʻo lua (metastatic). Nui ka poʻe i ʻike mua ʻia me ka maʻi kanesa metastatic.

ʻO ke ala maikaʻi loa e hoʻāʻo ai e pale aku i nā ʻōpū iwi kuamoʻo lua, ʻo ia ka loaʻa ʻana o ka lāʻau adjuvant a i ʻole ka lāʻau neoadjuvant inā ua ʻike ʻia ʻoe he maʻi kanesa kūloko. ʻO ka pahuhopu o ka lāʻau adjuvant, ʻo ia ka hoʻēmi ʻana i ka ʻōpū mua a pale i nā hunaola maʻi kanesa i haki mai ka ʻōpū mua mai ka hoʻokumu ʻana i nā ʻōpū metastatic.

Hoʻohana nā kauka i nā ʻano mālama kākoʻo like ʻole a ke noiʻi nei hoʻi i nā lāʻau lapaʻau hou.

He aha ka wānana no nā ʻōpū o ke kuamoʻo?

ʻO ka nānā ʻana no kahi puʻupuʻu kuamoʻo e hilinaʻi nui ʻia i kou makahiki, ke olakino holoʻokoʻa, a inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha, a inā he mua a metastatic paha. Inā he puʻupuʻu kuamoʻo kou, hiki i kāu hui lapaʻau ke hāʻawi iā ʻoe i kahi manaʻo maikaʻi o ka mea e manaʻo ai. Mai makaʻu e nīnau iā lākou.

Ma keʻano laulā, ʻo ka ʻike mua ʻana a me ka mālama ʻana i kahi puʻupuʻu kuamoʻo e alakaʻi i nā hopena maikaʻi loa. Inā loaʻa iā ʻoe nā hōʻailona o kahi puʻupuʻu kuamoʻo, e like me ka ʻeha hope e ʻoi aku ka ʻino i ka pō, he mea nui loa ia e ʻike i ke kauka.

Pehea e hiki ai iaʻu ke mālama iaʻu iho inā he puʻupuʻu koʻu kuamoʻo?

Inā loaʻa iā ʻoe kahi puʻupuʻu kuamoʻo, he mea nui loa ia e hahai pololei i kāu hoʻolālā lapaʻau. Penei e hiki ai iā ʻoe ke hoʻohana pono i ia mea. Pono nō hoʻi ʻoe i ke kākoʻo e hoʻoponopono i nā hopena kino, noʻonoʻo, a me ka nohona o ka noho ʻana me ka ʻeha kua a me/a i ʻole ke kanesa.

I ka manawa hea e pono ai ʻoe e ʻike i ke kauka e pili ana i kahi puʻupuʻu iwi kuamoʻo?

Inā loaʻa koke iā ʻoe ka ʻeha nui o ke kua, a inā paha e piʻi aʻe ka ʻeha, he mea nui e ʻike i ke kauka, ʻoiai inā he moʻolelo kou no ka maʻi kanesa.

Inā loaʻa iā ʻoe nā hōʻailona hou a inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona i ka wā e loaʻa ai ka lāʻau no ka puʻupuʻu kuamoʻo, e hele koke i ka lumi pilikia haukapila kokoke loa, a i ʻole e kelepona iā 1990.

He mea maʻamau ka makaʻu ke ʻike ʻoe he puʻupuʻu iwi kuamoʻo kou. Akā e hoʻomanaʻo, e hana kāu hui lapaʻau i kahi hoʻolālā lapaʻau pilikino a kikoʻī e kōkua i ka hōʻemi ʻana i kou ʻeha a hoʻomaikaʻi i kou ʻano ola. Hiki i nā nānā mau ʻana ma hope o ka mālama ʻana i ka maʻi kanesa ke kōkua i ka ʻike mua ʻana i nā metastases iwi kuamoʻo. Inā loaʻa iā ʻoe nā hōʻailona o kahi puʻupuʻu iwi kuamoʻo, e kāhea koke i kāu kauka.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

He mea e makaʻu ai nā puʻupuʻu o ke kuamoʻo, akā he mea nui loa ka ʻike ʻana iā lākou.

• Mai hoʻowahāwahā iā ia: Inā loaʻa iā ʻoe ka ʻeha hope e hoʻomau nei a ʻoi aku ka ʻino e hoʻomoe iā ʻoe i ka pō, mai hoʻokuʻu iā ia e like me ka mea maʻamau. E ʻimi i ke aʻo lapaʻau.
• E huli i ke kumu: Hiki i nā ʻōpū o ka iwi kuamoʻo ke kumu mua a i ʻole ka lua (hoʻolaha ʻia mai kahi ʻē aʻe). He mea nui ka ʻike pololei no ka mālama ʻana.
• Aia nā lāʻau lapaʻau: Aia nā ʻano lāʻau lapaʻau like ʻole ma muli o ke ʻano, kahi, a me ka nui o ka puʻupuʻu. Hiki ke loaʻa ka hōʻoluʻolu ma o nā mea e like me ke ʻoki kino, ka radiation therapy, a me ka chemotherapy.
• He mea nui ka ʻike mua ʻana: E like me nā maʻi āpau, ʻo ka wikiwiki o ka ʻike ʻia ʻana o kahi puʻupuʻu kuamoʻo, ʻo ka nui aʻe o ka holomua o ka lāʻau.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. E noho olakino!

Nā puʻupuʻu kuamoʻo, nā puʻupuʻu kuamoʻo, ke kanesa kua, ʻeha kua, kaula kuamoʻo, Neurology, nā hōʻailona kanesa