Loaʻa iā ʻoe nā ʻeha poʻo i wehewehe ʻole ʻia? A i ʻole ua loaʻa iā ʻoe kahi hopu ʻana? I kekahi manawa, hiki i kēia ke lilo i hōʻailona o kahi maʻi koʻikoʻi i loko o ka lolo, ʻoiai inā ʻaʻole mākou e nānā nui iā lākou. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o nā kūlana koʻikoʻi loa, kahi ʻano maʻi ʻaʻai lolo i maʻamau i nā pākeke. ʻO kēia ka glioblastoma.
I ka ʻōlelo maʻalahi, he aha ʻo Glioblastoma?
I ka ʻōlelo maʻalahi, he ʻano maʻi kanesa ikaika loa ʻo Glioblastoma, e ulu wikiwiki ana, e hoʻomaka ana i loko o nā hunaola lolo. ʻO ia ke ʻano maʻamau o ka maʻi kanesa lolo i nā pākeke. ʻO ka pōʻino, ulu koke kēia puʻupuʻu a hiki ke komo i loko o nā ʻiʻo lolo olakino. E like me ka mauʻu, hana kēia puʻupuʻu i kona lako koko ponoʻī, e hāʻawi ana iā ia i ka ikehu e ulu koke.
ʻOiai ka nui o ka noiʻi ʻana, ʻaʻohe lāʻau lapaʻau i loaʻa no kēia maʻi. Eia nō naʻe, aia nā lāʻau lapaʻau e hiki ke kāohi i nā hōʻailona a hoʻolōʻihi i ke ola. Me ka ʻole o ka lāʻau lapaʻau, ʻo ka lōʻihi o ke ola he 4 mau mahina, a me ka lāʻau lapaʻau, ʻo ka lōʻihi o ke ola he hoʻokahi makahiki a i ʻole hoʻokahi makahiki a me ka hapa. ʻO ia ke koʻikoʻi o kēia maʻi.
ʻO ka ʻokoʻa ma waena o Astrocytoma a me Glioblastoma
Ua lohe paha ʻoe i ka astrocytoma. Hoʻomaka nā mea ʻelua i loko o nā pūnaewele i kapa ʻia ʻo astrocytes i loko o ka lolo. Ua like kēia me nā pūnaewele kōkua ʻano hōkū e hānai ana i ka lolo. Ua manaʻo ʻia ʻo Glioblastoma he Astrocytoma Papa 4. ʻO ia hoʻi, ʻo ia ka Astrocytoma koʻikoʻi loa. Akā i kēia manawa ua ʻike nā kānaka ʻepekema ʻaʻole i loaʻa kekahi o nā molekala i loaʻa ma Glioblastoma ma Astrocytoma. No laila ua hoʻokaʻawale ʻia i kēia manawa. Eia naʻe, pono mākou e hoʻomaopopo he ʻano koʻikoʻi loa kēia o ka maʻi ʻaʻai lolo.
He aha nā hōʻailona o ka glioblastoma?
Hiki ke ʻokoʻa nā hōʻailona ma muli o kahi o ka puʻupuʻu i loko o ka lolo. Eia nō naʻe, no ka mea, ulu koke kēia mau puʻupuʻu, ua hoʻokumu ʻia nā hōʻailona mua e ke kaomi a lākou e kau ai ma luna o ka lolo.
ʻO ka mea nui loa, inā hoʻomau ʻoe i kekahi a ʻoi aku paha o kēia mau hōʻailona, pono ʻoe e ʻike koke i ke kauka , me ka hoʻolei ʻole ʻana he mea maʻamau.
Aia ma ka papa ma lalo nei nā hōʻailona maʻamau.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha poʻo pinepine | ʻAʻole ia e like me ke poʻo ʻeha maʻamau, akā, he ʻeha ʻeha nui e lilo ana i mea ʻino i kēlā me kēia lā a ʻaʻole hoʻi e emi iho me ka lāʻau lapaʻau. |
| Nā hopu ʻana | Ua like ia me kahi huhū e hiki koke mai ana i kahi kanaka i komo ʻole i loko o kahi pilina ma mua. |
| Ka luaʻi a me ka luaʻi | Ka luaʻi mau ʻana a me ka luaʻi ʻana me ke kumu ʻole. |
| Nā loli i ke ʻano a i ʻole ke ʻano | Me he mea lā ʻaʻole ʻo ia i like me ia ma mua. Huhū koke ʻo ia, hoʻonāukiuki, a mālie loa paha. |
| Ka nalowale o ka hoʻomanaʻo a me ka paʻakikī o ka noʻonoʻo ʻana | Poina iā ʻoe nā hanana i hala koke aku nei, pilikia ʻoe i ka loaʻa ʻana o nā huaʻōlelo, a ʻaʻole hiki ke hoʻoholo i nā hoʻoholo. |
| Nā pilikia ʻike | ʻIke pālua a i ʻole ka ʻike pōwehiwehi. |
| Paʻakikī i ka ʻōlelo ʻana | Hoʻopili ʻia nā huaʻōlelo, e hiki ʻole ai ke ʻōlelo pololei. |
He aha nā kumu a me nā kumu pilikia no ka hoʻomohala ʻana i kēia maʻi?
ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā loea ke kumu o ka glioblastoma. Eia nō naʻe, hiki i kekahi mau mea ke hoʻonui i kou pilikia o ka loaʻa ʻana.
- Makahiki a me ke kāne: ʻOi aku ka maʻamau o kēia maʻi i ka poʻe ma luna o 50 mau makahiki. ʻO ka awelika o ka makahiki i ka wā i ʻike ʻia ai he 64 mau makahiki. ʻOi aku ka maʻamau i nā kāne ma mua o nā wahine.
- Ka lāʻau lapaʻau radiation ma mua:Inā ua loaʻa iā ʻoe ka lāʻau radiation i ke poʻo no kekahi maʻi ʻē aʻe, hiki ke hoʻonui iki ʻia ka pilikia.
- Nā maʻi hoʻoilina: Hiki i kekahi mau maʻi hoʻoilina laha ʻole ke hoʻonui i kēia pilikia. Eia kekahi laʻana:
- ʻO ka maʻi Turcot
- ʻAno Neurofibromatosis 1
- ʻO ka maʻi Li-Fraumeni
Pehea e hana ʻia ai ka hōʻailona?
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kuhikuhi aku kāu kauka iā ʻoe i kahi neurologist . E hoʻolohe ʻo ia i kāu mau hōʻailona a hana i kahi hoʻokolohua neurological, nāna e nānā i kou ʻike, lohe, kaulike, a me nā reflexes.
Ma hope o kēlā, e kauoha lākou i kekahi mau hoʻokolohua e ʻike ai inā he puʻupuʻu i loko o ka lolo.
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Hiki i kēia ke kiʻi i kahi kiʻi maopopo loa o loko o ka lolo. Hiki iā ia ke hōʻike pololei i kahi o ka puʻupuʻu a me kona nui.
- ʻO ke kiʻi CT (Computed Tomography): He ʻano hana kēia no ka lawe ʻana i ke kiʻi o ka lolo.
- ʻO ke scan PET (Positron Emission Tomography): Hiki i kēia ke hāʻawi i ka ʻike e pili ana i ka hana o ka puʻupuʻu.
Ke hōʻoia kēia mau scan i ke alo o kahi puʻupuʻu, ʻo ka hana aʻe he biopsy. Maanei, hana kahi neurosurgeon i ke ʻoki ʻana a lawe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a hoʻouna iā ia i ka hale hana. Ma hope o kēlā hoʻokolokolo ʻana hiki ke hoʻoholo pololei ʻia inā he glioblastoma a i ʻole kekahi ʻano ʻē aʻe, a he aha ka lāʻau kūpono loa no ia.
ʻAʻohe pae o Glioblastoma. Akā, hāʻawi ʻia ia i kahi "māka." Loaʻa kēia mau māka mai ka 1 a i ka 4. He maʻi kanesa Papa 4 mau ʻo Glioblastoma. ʻO ia hoʻi, ʻo ia ke ʻano ulu wikiwiki loa a wikiwiki loa.
He aha nā lāʻau lapaʻau no Glioblastoma?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻohe lāʻau lapaʻau no kēia maʻi. Eia nō naʻe, hiki i nā lāʻau lapaʻau ke kāohi i ka ulu ʻana o ka puʻupuʻu, hōʻemi i nā hōʻailona, a kōkua i ka mea maʻi e noho ʻoluʻolu e like me ka hiki. ʻO ka maʻamau, hoʻohana pū ʻia ma mua o hoʻokahi lāʻau lapaʻau.
1. ʻoki kino
ʻO kēia ka lāʻau lapaʻau mua. Hoʻāʻo kahi neurosurgeon e wehe i ka nui o ka puʻupuʻu e like me ka hiki. Eia nō naʻe, no ka mea ua ulu kēia mau puʻupuʻu i loko o nā ʻiʻo lolo olakino, he mea paʻakikī loa ke wehe loa i ka 100%.
2. Hoʻōla Radiation
Ma hope o ke ʻoki ʻana, hāʻawi ʻia kēia lāʻau lapaʻau e pepehi i nā hunaola kanesa i koe. Inā nui loa ka puʻupuʻu e ʻoki ʻia ai a i ʻole aia ma kahi wahi weliweli, hiki ke hāʻawi ʻia ka radiation therapy ma kahi o ke ʻoki ʻana.
3. Kemoterapi
ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa. ʻO ka lāʻau lapaʻau nui i hoʻohana ʻia no ka glioblastoma ʻo Temozolomide . Hāʻawi pinepine ʻia kēia me ka radiation therapy. Aia kekahi mau ʻano lāʻau lapaʻau ʻē aʻe.
4. Nā lāʻau lapaʻau hou ʻē aʻe
Ma waho aʻe o kēia mau lāʻau lapaʻau kuʻuna, aia kekahi mau ʻano lapaʻau hou i kēia manawa.
- Lapaʻau i hoʻolālā ʻia: Hoʻouka pololei kēia mau lāʻau i nā protein kikoʻī i loko o nā pūpū kanesa.
- Lapaʻau Kahua Uila: Hoʻokomo ʻia nā electrodes ma ke poʻo a hoʻohana ʻia kahi kahua uila e kāohi i ka māhele ʻana o nā hunaola kanesa.
- Lapaʻau Wafer: Ma hope o ke ʻoki ʻana, ua kau ʻia kahi diski liʻiliʻi, hiki ke hoʻoheheʻe ʻia me kahi lāʻau lapaʻau kemika ma kahi i loaʻa ai ka puʻupuʻu.
ʻO kekahi o nā mea nui loa, ʻo ia ka mālama palliative . ʻO ke ʻano kēia, inā ʻaʻole hiki ke ho'ōla ʻia ka maʻi, hiki ke kāohi ʻia nā hōʻailona o ka mea maʻi e like me ka ʻeha a me ka nausea, hiki ke hoʻemi ʻia nā hopena ʻaoʻao o ka lāʻau lapaʻau, a hiki ke hoʻonui ʻia ka ʻoluʻolu noʻonoʻo a me ke kino o ka mea maʻi. He mea nui loa kēia no ka mea maʻi a me ka ʻohana.
Ke ola nei me kēia maʻi a me ke kākoʻo
He pilikia ka noho ʻana me kahi maʻi koʻikoʻi e like me ka glioblastoma no ka mea maʻi, ko lākou ʻohana, a me ko lākou mau hoaaloha. Me ka ʻeha kino, hiki ke hoʻoluhi nui i ka noʻonoʻo. No laila, he mea nui loa ka loaʻa ʻana o ke kākoʻo noʻonoʻo.
- Kūkākūkā: Aia nā lawelawe kūkākūkā kūikawā no nā poʻe maʻi kanesa a me ko lākou mau ʻohana. Hiki iā ʻoe ke nīnau i kāu kauka e pili ana i kēia.
- Nā Pūʻulu Kākoʻo: He ikaika nui ka kamaʻilio ʻana me nā poʻe ʻē aʻe i ʻike i nā ʻike like. He ala maikaʻi loa ia e manaʻo ai ʻaʻole ʻoe hoʻokahi.
- Nā Hoʻokolohua Lapaʻau: Ke hana ʻia nei nā hoʻokolohua lapaʻau ma ka honua holoʻokoʻa e ʻimi i nā lāʻau lapaʻau hou no kēia maʻi. Hiki iā ʻoe ke nīnau i kāu kauka oncology e pili ana i kēia.
Leka Lawe-Home
- He ʻano maʻi ʻaʻai lolo koʻikoʻi loa ʻo Glioblastoma a laha koke.
- Mai hoʻowahāwahā i nā hōʻailona e like me ke poʻo ʻeha mau, nā ʻōhū koke, a i ʻole nā loli ʻano. E ʻike koke i ke kauka.
- ʻOiai ʻaʻohe lāʻau lapaʻau piha no kēia maʻi i kēia manawa, hiki i nā lāʻau lapaʻau e like me ke ʻoki ʻana, ka radiation therapy, a me ka chemotherapy ke kaohi i ka maʻi a hoʻomaikaʻi i ke ʻano o ke ola.
- He mea nui loa ka hāʻawi ʻana a me ka loaʻa ʻana o ke kākoʻo noʻonoʻo i ka mea maʻi a me ka ʻohana. Mai manaʻo ʻoe ua hoʻokahi ʻoe.
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