Ke lohe kākou i ka huaʻōlelo 'puʻupuʻu lolo', makaʻu iki kākou a pau, ʻeā? ʻOiai ka lohe ʻana i kēlā huaʻōlelo e lawe mai i ka makaʻu i ko kākou manaʻo. Akā i ka hapa nui o ka manawa, ʻo ke kumu o kēia makaʻu, ʻaʻole mākou i ʻike pono i ke ʻano o ia mea. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o kēia mau puʻupuʻu lolo, ko lākou ʻano, nā hōʻailona, a me nā lāʻau lapaʻau ma ke ʻano maʻalahi a maopopo hoʻi. Ma hope o ka heluhelu ʻana i kēia ʻatikala, e nalowale kou makaʻu pono ʻole e pili ana i kēia a loaʻa iā ʻoe ka ʻike maikaʻi.
He aha ka puʻupuʻu lolo?
I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu lolo he ulu ʻano ʻē a kaohi ʻole ʻia o nā cell i loko a i ʻole a puni ko mākou lolo. E noʻonoʻo iā ia e like me kēlā me kēia cell i loko o ko mākou kino he mau kuhikuhi (ka mea a mākou e kapa nei ʻo DNA) e haʻi mai iā mākou pehea e hana ai. Ke hōʻino ʻia kēia mau kuhikuhi no kekahi kumu, hoʻomaka kekahi mau cell e māhele me ka ʻole o ka mana, me he mea lā "he pupule." ʻO kēia ka hui o nā cell e hōʻuluʻulu ma kēia ʻano, a mākou e kapa nei he 'puʻupuʻu'.
Hiki ke hoʻokaʻawale ʻia kēia mau nati i ʻelua mau ʻano nui:
1. Nā ʻōpū maikaʻi ʻole: ʻAʻole kēia he mau maʻi kanesa. Ulu mālie lākou. ʻAʻole lākou e laha i nā ʻāpana ʻē aʻe o ka lolo. Eia nō naʻe, ma muli o ko lākou wahi a me ka nui, hiki iā lākou ke hana i nā pilikia ma ke kaomi ʻana i nā ʻāpana koʻikoʻi o ka lolo.
2. Nā Puʻupuʻu ʻino: ʻO kēia ka mea a mākou e kapa nei he Kanesa. Ulu koke lākou a hiki ke laha i nā ʻiʻo a puni a me nā ʻāpana ʻē aʻe o ka lolo.
ʻO ka ʻokoʻa ma waena o nā puʻupuʻu 'benign' a me nā 'malignant'
He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua. E nānā kākou i kēia ala e maʻalahi ai ka hoʻomaopopo ʻana.
| ʻAno | Nā puʻupuʻu maikaʻi | Nā puʻupuʻu ʻino |
|---|---|---|
| Ka wikiwiki o ka ulu ʻana | Ulu pinepine mālie. | Hoʻoulu pinepine koke. |
| Hohola | ʻAʻole ia e pālahalaha i nā ʻiʻo a puni a i ʻole nā wahi ʻē aʻe. | Hiki iā ia ke laha i nā ʻiʻo a puni a me nā ʻāpana ʻē aʻe o ka lolo/kuʻi kuamoʻo. |
| Nā Palena | ʻO ka maʻamau he mau palena maopopo a maʻalahi hoʻi e wehe ma ke ʻoki ʻana. | Aia nā palena ʻano ʻē aʻe a loaʻa paha nā aʻa e kolo ana i loko o nā ʻiʻo olakino. |
| Hoʻi hou ʻana | He haʻahaʻa ka likelika o ka hoʻi hou ʻana ma hope o ka wehe ʻana. | Kiʻekiʻe ka likelika o ka hoʻi hou ʻana ma hope o ka wehe ʻana. |
ʻO ka mea nui, ʻoiai he puʻupuʻu maikaʻi ʻole hiki ke hoʻoweliweli i ke ola ma muli o kona wahi a me ka nui i loko o ka lolo. No laila, he mea nui e ʻimi i ke kōkua lapaʻau no kēlā me kēia puʻupuʻu lolo.
He aha nā hōʻailona o ka puʻupuʻu lolo?
ʻOkoʻa nā hōʻailona o kahi puʻupuʻu lolo ma muli o kahi o ka lolo i loaʻa ai ka puʻupuʻu a me kona nui, no ka mea, ʻo nā ʻāpana like ʻole o ko mākou lolo ke kaohi i nā hana like ʻole i loko o ke kino.
Eia kekahi mau hōʻailona maʻamau e ʻike ʻia:
- ʻEha poʻo: Hiki ke ʻokoʻa kēia mai ka ʻeha poʻo maʻamau. Hiki ke koʻikoʻi loa i ke ala ʻana i ke kakahiaka, a i ʻole hiki ke ʻeha loa a hoʻāla iā ʻoe i ka pō.
- Nā Huʻihuʻi: Inā loaʻa koke i kekahi mea i loaʻa ʻole i ka huʻihuʻi ma mua, he hōʻailona ia e hopohopo ai.
- Nā loli i ke ʻano pilikino a i ʻole ke ʻano: Nā mea e like me ka huhū koke ʻana, ka hoʻonāukiuki, a i ʻole ka nalowale ʻana o ka hoʻomanaʻo.
- Ka nāwaliwali a i ʻole ka lolo ma kekahi ʻaoʻao o ke kino.
- Ka nalowale o ke kaulike i ka wā e hele ana, ka poniuniu.
- Nā pilikia ʻike: ʻIke pōwehiwehi, ʻike pālua, a pēlā aku.
- Nā pilikia lohe: Poho ka lohe a i ʻole ke kani ʻana o nā pepeiao (tinnitus).
- Ka paʻakikī i ka ʻōlelo ʻana a i ʻole ka hoʻomaopopo ʻana i nā huaʻōlelo.
- Ka luaʻi a me ka luaʻi.
- ʻŌʻeleʻele i ka maka.
He mea nui loa: Hiki ke loaʻa pū kekahi o kēia mau hōʻailona me nā maʻi maʻamau ʻē aʻe, no laila mai makaʻu e manaʻo he puʻupuʻu lolo kou no ka mea he hoʻokahi a ʻelua paha o kēia mau mea.Eia nō naʻe, inā hoʻomau kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea naʻauao ke hoʻokuke ʻole iā lākou a e ʻike pono i kāu kauka no ka nānā ʻana.
Pehea e ʻike ai i ka maʻi? (Diagnosis)
Inā loaʻa iā ʻoe nā hōʻailona i luna, e nānā paha kāu kauka iā ʻoe a kuhikuhi iā ʻoe no kekahi mau hoʻokolohua inā manaʻo lākou he puʻupuʻu lolo.
- Hoʻokolohua Neurological: Maanei, nānā ke kauka i nā mea e like me kou kaulike, lohe, ʻike, a me nā reflexes.
- MRI a me CT Scan: ʻO ke ala maikaʻi loa e ʻike ai i kahi puʻupuʻu lolo me kahi scan MRI (Magnetic Resonance Imaging) . Hiki i kēia ke hana i nā kiʻi maopopo o ka lolo. I kekahi manawa hiki ke hana ʻia kahi scan CT (Computed Tomography) .
- Biopsy: ʻO kēia ka hoʻāʻo hope loa e hōʻoia i ka maʻi. Ma kēia, lawe ʻia kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu, ma ke ʻoki ʻana a i ʻole ma o kahi ʻoki liʻiliʻi, me ka hoʻohana ʻana i kahi nila, a nānā ʻia ma lalo o kahi microscope. Hiki i kēia hoʻāʻo ke haʻi pololei inā he 'benign' a 'malignant' paha ka puʻupuʻu, a he aha ke ʻano.
- Spinal Tap: Hana ʻia kēia hoʻāʻo inā he kānalua ua pālahalaha ka puʻupuʻu i ka wai cerebrospinal (CSF ).
He aha nā lāʻau lapaʻau?
ʻO ke ʻano o ka mālama ʻana i kahi puʻupuʻu lolo e pili ana i kekahi mau kumu, me ke ʻano a me ka nui o ka puʻupuʻu, kona wahi ma ka lolo, ka makahiki o ka mea maʻi, a me ke olakino holoʻokoʻa.
Eia kekahi o nā ʻano lapaʻau nui:
1. ʻO ke ʻoki kino: ʻO ka lāʻau lapaʻau mua pinepine ka wehe ʻana i ka puʻupuʻu. E hoʻāʻo kahi neurosurgeon e wehe i ka nui o ka puʻupuʻu me ka ʻole o ka hōʻino ʻana i ka lolo.
2. Lapaʻau Radiation: Hoʻohana ʻia kēia lāʻau lapaʻau no nā puʻupuʻu i hiki ʻole ke wehe loa ʻia e ke ʻoki ʻana, a i ʻole e luku i nā hunaola kanesa e koe ana ma hope o ke ʻoki ʻana. Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe (e like me nā kukuna X) e luku i nā hunaola kanesa.
3. Chemotherapy: Pili kēia i ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa a i ʻole e hoʻōki i ko lākou ulu ʻana. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he inikini a i ʻole nā pila.
4. Nā lāʻau lapaʻau ʻē aʻe: Eia kekahi, i kēia lā he nui nā lāʻau lapaʻau hou e like me Immunotherapy (e hoʻoulu ana i ka ʻōnaehana pale ponoʻī o ke kino e hakakā i ka maʻi kanesa).
No kekahi mau puʻupuʻu 'benign', liʻiliʻi loa, asymptomatic, hiki i ke kauka ke hoʻoholo e 'nānā a kali' me ka ʻole o ka lāʻau lapaʻau a hana i nā scan pinepine.
Leka Lawe-Home
- ʻAʻole nā puʻupuʻu lolo a pau he kanesa. ʻElua ʻano: benign a malignant.
- Mai hoʻowahāwahā i nā hōʻailona e like me nā ʻeha poʻo koʻikoʻi mau, nā hopu hou, a i ʻole nā loli ʻano.
- Inā paha he mau hōʻailona kou e like me kēia, mai hopohopo nui. Hiki paha ke kumu o kekahi kumu maʻalahi ʻē aʻe. Akā e ʻike pono i ke kauka.
- Hiki i nā scan MRI a me nā hoʻokolohua biopsy ke ʻike pololei i ka maʻi.
- I kēia lā, nui nā ʻano lapaʻau holomua e like me ke ʻoki kino, ka radiation therapy, a me ka chemotherapy, no laila hiki ke hoʻokō ʻia nā hopena holomua ma ka ʻimi ʻana i ka lāʻau lapaʻau ma lalo o ke aʻo lapaʻau kūpono.











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