Lub hlwb yog ib qho chaw zoo kawg nkaus hauv peb lub cev. Muaj lwm hom cell uas pab thiab txhawb nqa cov hlab ntsha hauv lub hlwb. Cov no hu ua glial cells. Qee zaum, cov glial cells no pib loj hlob ntau dhau yam tsis muaj kev tswj hwm. Thaum ntawd yog thaum cov qog nqaij hlav, lossis raws li peb hu lawv, tsim nyob rau hauv lub hlwb lossis tus txha caj qaum. Peb hu cov qog nqaij hlav uas tsim nyob rau hauv txoj kev no "glioma".
Gliomas yog ib hom qog nqaij hlav thawj zaug. Qhov no txhais tau tias lawv loj hlob ncaj qha rau hauv lub hlwb lossis tus txha caj qaum, thiab tsis tau kis mus rau lwm qhov hauv lub cev. Lawv yog ib hom qog nqaij hlav loj heev, uas muaj peev xwm ua rau tuag taus. Tab sis tsis txhob txhawj, muaj cov kev kho mob zoo uas muaj los tswj tus kab mob no. Koj tus kws kho mob yuav tsim ib txoj kev npaj kho mob uas haum rau koj lub cev, kev noj qab haus huv, thiab cov kev xav tau, thiab yuav piav qhia rau koj txog txoj kev ua zoo tshaj plaws.
Cov gliomas raug cais ua pawg li cas?
Cov kws kho mob faib cov gliomas no raws li lawv loj hlob sai npaum li cas. Lawv saib ntau yam ua rau qhov no.
- Tus mob qog no loj hlob sai npaum li cas?
- Cov cell hauv cov qog nqaij hlav zoo li txawv txawv li cas?
- Qhov no yuav kis tau li cas?
Raws li cov yam no, cov gliomas raug muab faib ua qib 1 txog 4. Qib 1 yog hom loj hlob qeeb. Qib 4 yog hom loj hlob sai tshaj plaws, muaj zog tshaj plaws. Cov no kuj raug muab faib ua qib qis (qib 1 thiab 2) thiab qib siab (qib 3 thiab 4). Yog tias pom thiab kho tus kab mob glioma qib qis thaum ntxov, nws tuaj yeem tswj lossis tiv thaiv kom tsis txhob loj hlob sai.
Cov hlwb gliomas raug cais ua pawg ntxiv raws li hom hlwb glial uas lawv tshwm sim los. Cia peb saib cov hom tseem ceeb.
| Hom mob glioma | Ib qho lus piav qhia yooj yim |
|---|---|
| Astrocytomas | Cov no tshwm sim los ntawm cov hlwb zoo li lub hnub qub hu ua astrocytes hauv peb lub hlwb. Lawv tuaj yeem yog los ntawm cov qog nqaij hlav loj hlob qeeb (qib qis) mus rau cov qog nqaij hlav loj hlob sai (qib siab). |
| Cov qog nqaij hlav Glioblastomas | Qhov no yog hom mob glioma uas loj hlob sai tshaj plaws thiab muaj zog tshaj plaws (WHO qib 4). Nws kuj yog hom mob qog nqaij hlav hlwb uas feem ntau tshwm sim rau cov neeg laus. |
| Cov kab mob Ependymomas | Hom mob no feem ntau tshwm sim rau cov menyuam yaus dua li cov neeg laus. Feem ntau cov mob no yog cov qog nqaij hlav me me. |
| Oligodendrogliomas | Cov no yog ib hom glioma uas tsis tshua muaj heev, qib qis. Lawv feem ntau pom muaj rau cov neeg laus dua li cov menyuam yaus. |
Cov npe no tej zaum yuav zoo li nyuaj me ntsis rau koj. Tab sis lawv pab cov kws kho mob nkag siab meej txog yam uas tshwm sim hauv koj lub cev. Koj tus kws kho mob yuav piav qhia rau koj yooj yim xwb.
Cov tsos mob ntawm tus kab mob glioma yog dab tsi?
Cov tsos mob ntawm tus mob glioma sib txawv nyob ntawm seb nws nyob qhov twg hauv lub hlwb lossis tus txha caj qaum. Piv txwv li, yog tias tus mob nyob hauv ib feem ntawm lub hlwb uas tswj kev hais lus, nws yuav nyuaj rau hais lus. Nws yog li ntawd. Tab sis muaj qee cov tsos mob uas pom ntau.
Qhov tseem ceeb yog, tsis txhob ntshai tias koj muaj glioma tsuas yog vim koj muaj ib lossis ntau yam ntawm cov tsos mob no. Lawv kuj tuaj yeem tshwm sim hauv ntau lwm yam mob. Tab sis yog tias cov tsos mob no tseem muaj, mus ntsib kws kho mob tam sim ntawd.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob taub hau | Mob taub hau ntev uas mob hnyav dua tshwj xeeb tshaj yog thaum sawv ntxov thiab tsis teb rau cov tshuaj tua kab mob ib txwm muaj. |
| Ntuav thiab xeev siab | Xeev siab thiab ntuav uas tshwm sim yam tsis muaj laj thawj pom tseeb. |
| Kev hloov pauv ntawm qhov muag pom kev | Pom kev tsis meej, pom ob sab, lossis pom kev tsis meej tam sim ntawd. |
| Kev poob ntawm lub cev sib npaug | Nyuaj rau kev taug kev, kiv taub hau, tsis muaj peev xwm tswj tau qhov sib npaug. |
| Qaug dab peg | Cov mob xws li qaug dab peg tam sim ntawd. |
| Kev hloov pauv ntawm tus cwj pwm thiab tus cwj pwm | Kev chim siab tam sim ntawd, kev tu siab (kev nyuaj siab), kev ntxhov siab, lossis kev hloov pauv ntawm tus cwj pwm. |
| Nyuaj siab hais lus thiab xav | Tsis muaj peev xwm muab cov lus sib dhos ua ke (aphasia), nyuaj rau nco qab, kawm, lossis xav. |
| Tsis muaj zog ntawm ib sab ntawm lub cev | Mob loog los yog tsis muaj zog ntawm ib sab ntawm lub cev (Hemiparesis). |
Dab tsi ua rau muaj mob glioma? Puas muaj tej yam uas ua rau muaj kev pheej hmoo?
Hais yooj yim xwb, cov kab mob gliomas yog tshwm sim los ntawm kev hloov pauv caj ces hauv cov hlwb glial. Tab sis cov kws kho mob tseem tsis tau paub meej tias vim li cas cov kev hloov pauv no tshwm sim.
Qhov no tsis yog ib yam dab tsi uas peb tuaj yeem tiv thaiv tau. Txawm li cas los xij, mus ntsib kws kho mob sai li sai tau thaum cov tsos mob tshwm sim thiab nrhiav kev kho mob tuaj yeem pab ua tiav cov txiaj ntsig zoo.
Txawm hais tias leej twg los xij tuaj yeem mob glioma, qee yam tseem ceeb yuav ua rau muaj kev pheej hmoo ntxiv me ntsis.
- Hnub nyoog: Feem ntau cov neeg laus hnub nyoog tshaj 65 xyoos thiab cov menyuam yaus hnub nyoog qis dua 12 xyoos.
- Keeb kwm tsev neeg: Yog tias ib tug neeg hauv koj tsev neeg tau muaj mob qog nqaij hlav hauv hlwb lossis qaum, koj qhov kev pheej hmoo yuav nce me ntsis vim muaj kev cuam tshuam los ntawm caj ces.
- Kev raug hluav taws xob los yog cov tshuaj lom:Kev raug hluav taws xob ntev lossis qee yam tshuaj lom neeg kuj tuaj yeem ua rau muaj kev pheej hmoo.
Tab sis tsis txhob txhawj , feem ntau, tsis muaj qhov tseeb meej txog kev pheej hmoo rau kev tsim cov glioma no.
Tus kws kho mob yuav paub li cas yog tias qhov no yog glioma?
Yog koj muaj cov tsos mob no, tus kws kho mob yuav nug txog koj keeb kwm kev kho mob ua ntej, kuaj lub cev, thiab kuaj lub paj hlwb.
Tom qab ntawd, koj yuav tsum ua qee qhov kev kuaj tshwj xeeb los saib sab hauv lub hlwb.
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no tuaj yeem tsim cov duab meej heev ntawm lub hlwb thiab tus txha caj qaum.
- CT (Computed Tomography) scan: Qhov no kuj siv cov duab txiav ntawm lub hlwb los kuaj xyuas seb puas muaj qog.
Yog tias cov kev ntsuas no qhia tau tias muaj qog, cov kauj ruam tom ntej yog kev kuaj nqaij . Qhov no txhais tau tias yuav muab ib daim nqaij me me ntawm qog thiab kuaj hauv qab lub tshuab kuaj mob me me. Qhov no yog qhov txiav txim siab meej tias nws yog hom qog thiab nws qib yog dab tsi.
Hauv qhov xwm txheej no, koj yuav raug xa mus rau tus kws kho mob neuro-oncologist kom kho.
Cov kev kho mob rau glioma yog dab tsi?
Txoj kev kho mob uas zoo tshaj plaws rau koj yuav raug txiav txim siab los ntawm kev xav txog ntau yam.
- Hom, qhov loj, thiab qhov chaw ntawm lub glioma.
- koj lub hnub nyoog.
- Koj txoj kev noj qab haus huv tag nrho.
- Koj puas tau kho mob qog nqaij hlav hlwb ua ntej lawm?
Feem ntau, ib lossis ntau txoj kev no siv ua ke ua kev kho mob.
- Kev phais mob
- Kev kho mob hluav taws xob
- Kev kho mob qog noj ntshav
Kev phais mob
Feem ntau, thawj txoj kev kho mob yog phais tshem tawm cov qog. Yog tias tus kws phais ua tau, lawv yuav tshem tawm tag nrho cov qog. Txawm li cas los xij, qee zaum cov qog gliomas tshwm sim hauv cov cheeb tsam rhiab heev, nyuaj rau tshem tawm ntawm lub hlwb. Hauv cov xwm txheej no, nws yuav tsis tuaj yeem tshem tawm lawv tag nrho. Kev phais craniotomy, uas yog kev phais uas cuam tshuam nrog kev qhib lub taub hau, yog txoj kev siv ntau tshaj plaws.
Muaj tej lub sij hawm, nyob ntawm seb qhov mob loj npaum li cas thiab nyob qhov twg, yuav muaj kev phais mob uas tsis tas phais ntau hu ua laser ablation . Qhov no yuav siv cua sov los ntawm lub teeb laser los rhuav tshem qhov mob.
Kev kho mob hluav taws xob thiab tshuaj kho mob qog noj ntshav
Tom qab phais lawm, yuav muab kev kho mob hluav taws xob thiab tshuaj kho mob qog noj ntshav los rhuav tshem cov hlwb qog noj ntshav uas tseem tshuav.
Kev kho mob siv hluav taws xob siv cov hluav taws xob muaj zog heev, xws li X-rays, los rhuav tshem cov hlwb qog noj ntshav.Cov tshuaj no yog cov tshuaj uas tiv thaiv cov qog nqaij hlav kom tsis txhob loj hlob thiab faib. Lawv kuj siv ua kev kho mob tseem ceeb yog tias cov qog nqaij hlav nyob rau hauv thaj chaw txaus ntshai uas tsis tuaj yeem phais tau.
Puas muaj tej yam tshwm sim ntawm kev kho mob?
Nws yog ib qho ib txwm muaj qee yam kev mob tshwm sim thaum lub sijhawm kho mob qog noj ntshav. Qee qhov ntawm lawv tuaj yeem kav ntev. Nug koj tus kws kho mob txog kev kho mob palliative , uas tuaj yeem pab koj tswj cov tsos mob no thiab cov kev mob tshwm sim ntawm kev kho mob. Cov kev mob tshwm sim feem ntau suav nrog:
- Kev tsaug zog thiab qaug zog heev (Kev qaug zog ntawm tus mob qog noj ntshav)
- Anemia (ntshav poob)
- Cov plaub hau poob (tshwj xeeb tshaj yog thaum lub sijhawm kho mob hluav taws xob)
- Xeev siab thiab ntuav
- Mob
- Kev pheej hmoo ntawm kev kis kab mob ntau ntxiv (vim yog chemotherapy)
- Kev hloov pauv hauv kev xav thiab kev nco
Tham nrog koj pab neeg kho mob txog tej yam tsis xis nyob no.
Txog yav tom ntej thiab txog kev ua neej nyob
Tus nqi ntawm kev ciaj sia rau ib tus neeg uas muaj tus kab mob glioma nyob ntawm ntau yam. Hom qog, nws qib, thiab tus neeg mob lub hnub nyoog yog cov tseem ceeb tshaj plaws. Feem ntau, lub hnub nyoog hluas dua uas kuaj pom tus kab mob thiab pib kho, qhov tshwm sim zoo dua.
Tiam sis nco ntsoov, cov ntaub ntawv suav txheeb tsuas yog cov ntaub ntawv dav dav xwb. Tej zaum koj qhov teeb meem yuav haum lossis tsis haum rau cov ntaub ntawv suav txheeb ntawd. Yog li ntawd, tsis txhob ntshai lossis poob siab thaum koj pom cov lej no. Koj tus kws kho mob yuav muab ib daim duab meej txog koj qhov teeb meem rau koj.
Kev nyob nrog mob qog noj ntshav yog ib qho kev cov nyom loj heev, ob qho tib si ntawm lub hlwb thiab lub cev. Tham nrog koj pab neeg kho mob thiab cov neeg koj hlub txog koj txoj kev xav. Nrhiav kev pab tswv yim yog tias tsim nyog. Tsis tas li ntawd, kev koom nrog cov pab pawg txhawb nqa nrog lwm tus uas tau muaj kev paub zoo sib xws tuaj yeem yog qhov chaw zoo rau koj thiab koj tsev neeg.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Glioma yog ib hom qog nqaij hlav thawj zaug uas tshwm sim hauv lub hlwb lossis tus txha caj qaum.
- Yog koj muaj cov tsos mob xws li mob taub hau tas li, qaug dab peg, pom kev hloov pauv, lossis hloov tus cwj pwm, mus ntsib kws kho mob tam sim ntawd.
- Kev kuaj mob MRI lossis CT scan thiab biopsy yog qhov tseem ceeb rau kev kuaj mob.
- Ib lossis ntau yam kev kho mob hauv qab no siv tau: phais, kho hluav taws xob, thiab kho tshuaj kho mob qog noj ntshav.
- Tsis txhob sim ua neej nyob ib leeg xwb. Thov kev pab los ntawm koj pab neeg kho mob, tsev neeg, thiab cov phooj ywg. Tham qhia koj txog koj txoj kev xav.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus