Ka wiri koe i te kupu 'pukupuku roro' me te 'matepukupuku roro', kāore? He kupu tino whakamataku. Engari ki te mōhio tātou ki ēnei mea katoa, ka taea e tātou te whakaiti i taua wehi ki te taumata nui. I tēnei rā kei te kōrero tātou mō tētahi momo matepukupuku e kiia nei ko te glioma, ka puta pea i roto i te roro me te taurakira. Kia kite tātou he aha te mea tūturu, he aha te take e whanake ai, he aha ngā tohu, me ngā maimoatanga e wātea ana.
He aha rawa te Glioma?
I roto i ngā kupu māmā noa iho, ko te glioma he ingoa whānui mō tētahi rōpū matepukupuku e tīmata ana i roto i ngā 'pūtau glial' i roto i tō tātou roro me te taurakira. He momo pūtau tino nui ēnei pūtau glial e tautoko ana, e tiaki ana, e whāngai ana hoki i ō tātou pūtau io. Nō reira, ka puta he glioma ina tīmata ēnei pūtau ki te tipu haere i waho o te mana whakahaere.
Ka rerekē pea ngā tohu, te matapae, me te maimoatanga o tēnei momo mate pukupuku i ia tangata, i ia tangata. Kei runga i tō tau, te momo mate pukupuku, ngā tohu ira (ngā tohu koiora) kei a ia, me te wāhi kei roto i te roro te pukupuku. Ka tere te tipu o ētahi momo gliomas, ka horapa ki roto i ngā kiko roro noa. Ina tupu tēnei, he tino uaua ki te tango katoa mā te pokanga, ā, i ētahi wā, kāore pea e taea te tango katoa.
Ko ngā glioblastoma te momo pukupuku roro matepukupuku tino kitea i roto i ngā pakeke. He nui ake te kitea i roto i ngā kaumātua, ā, he paku noa ake te kitea i roto i ngā tāne.
He aha ngā āhuatanga mōrearea e whai wāhi ana ki te whanaketanga o ēnei?
He raruraru tēnei e pā ana ki te tini tāngata. He maha ngā āhuatanga mōrearea nui kua tautuhia e whai wāhi ana ki te whanaketanga o te glioma.
- Te rongoā irahiko o mua: Ko te rongoā irahiko o mua ki te roro he take mōrearea mō te whakawhanake i ngā momo glioma kaha.
- Ngā whara o te upoko: E kiia ana hoki te whara o te upoko he take mōrearea ki tētahi whānuitanga.
- Ngā āhuatanga ira: Ahakoa ka piki ake te mōrearea o te whakawhanaketanga o tēnei mate pukupuku i roto i ngā tamariki e ētahi āhuatanga ira, he tino onge tēnei i roto i ngā pakeke.
He tokomaha te hunga e manukanuka ana kei puta tēnei i ō rātou āhua noho. Engari kia maumahara, kāore anō kia kitea he hononga kua whakamātauhia i waenga i ngā āhuatanga noho pērā i te inu waipiro, te momi hikareti, te whakamahi waea pūkoro rānei, me te mate pukupuku kiriuhi. Nō reira kaua e manukanuka nui mō tēnei mea.
Ngā momo matua me ngā tohu o te glioma
Ko te glioma he momo mate pukupuku e whakarōpūtia ana e te momo pūtau glial i ahu mai ai me te tere o tōna tipu. I roto i ngā kupu ngāwari, ka taea te wehewehe kia rua ngā momo matua: "puku puhoi" (iti te taumata) me te "puku tere" (teitei te taumata). Me titiro tātou ki ētahi o ngā momo matua.
| Momo glioma | He whakamārama māmā |
|---|---|
| Ngā Astrocytomas | Ka tīmata ēnei i roto i ngā pūtau e kiia nei ko ngā astrocytes. He maha ngā wā ka horapa ki roto i te kiko o te roro, ka uaua ai te whakaora katoa. Ka whakarōpūtia mai i te 1 ki te 4. Ko te Wāhanga 1 te momo tino puhoi te tipu, ā, ko te Wāhanga 4 te momo tere me te tino kino. |
| Ngā Oligodendroglioma | Ka tīmata ēnei i roto i ngā pūtau e kiia nei ko ngā oligodendrocytes. Ka puhoi te tipu o ētahi, engari ka horapa ki ngā kiko e karapoti ana. I ētahi wā ka taea te whakaora i ēnei. Ka tere te horapa o ngā momo kounga teitei, ā, he uaua ki te whakaora. |
| Ngā Glioblastoma | He tino kaha ēnei mate pukupuku e puta ake ana i ngā wāhanga tōmua o ngā pūtau glial. He taumata 4 tonu. Koinei te momo mate pukupuku roro tino kaha, tino tere hoki te tipu e kitea ana i roto i ngā pakeke. |
| Ngā Ependymoma | He momo glioma anō hoki ēnei. Nā te mea kāore e uru ki te kiko roro pērā i ētahi atu momo, ka tino angitu mēnā ka tangohia katoatia mā te pokanga. Heoi, ka taea e rātou te horapa mā roto i te wai cerebrospinal. |
Te taumata mate pukupuku me ngā tohu ira
E ai ki te whakarōpūtanga a te World Health Organization (WHO), ka whakarōpūtia ēnei mate pukupuku i runga i te āhua o ngā pūtau mate pukupuku i raro i te karuārai me ō rātou āhua ira. Ko te kitea o ētahi huringa ira (hei tauira, 'IDH mutation', '1p/19q co-deletion') e tohu ana he pai te urupare a te mate pukupuku ki ētahi maimoatanga. He take uaua ēnei, nō reira mā tō tākuta ēnei e whakamārama ki a koe.
Kei a koe anō ēnei tohu?
He rerekē ngā tohu o te glioma i runga i te wāhi kei reira te pukupuku roro. Hei tauira, tera pea he rerekē te ānini o tō upoko i te ānini noa, ā, ka kino haere i ia rā, i ia rā. Tērā pea ka pāngia koe e te mate haurangi ohorere. Koinei ngā tohu matua.
Ngā tohu tino kitea:
- Te ānini o te upoko: Tata ki te haurua o te hunga whai mate pukupuku roro ka pāngia e tēnei tohu.
- Ngā mate hopuhopu: Te tīmatanga ohorere o ngā mate hopuhopu, kāore he take e kitea ana.
- Te ngaronga o te mahara: Te warewaretanga ki ngā kaupapa o nā tata nei.
- Ngāwari te tinana: te ngoikore o te ringa, o te waewae rānei, te kore e taea te whakahaere i ngā uaua.
- Ngā raruraru tirohanga: te tirohanga pōuri, te tirohanga takirua.
- Ngā uauatanga ki te kōrero: te kore e mārama te kōrero i te wā e kōrero ana, te kore e taea te maumahara ki te kupu tika.
- Ngā huringa o te tuakiri: Ngā huringa o te whanonga, pērā i te riri ohorere, te oho rānei.
I te tipu haere o te mate pukupuku, ka kino haere ēnei tohu i a ia e whakangaro ana i ngā pūtau roro, e kōpeke ana i ngā wāhanga o te roro, ā, e pupuhi ai te roro.
Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)
Mena kei te whakapaetia he pukupuku roro, ko te mea tuatahi ka mahia e te tākuta ko te tono i tētahi matawai roro.
1. Ngā Matawai: Ka whakamahia he matawai `CT`, he matawai `MRI` rānei mō tēnei. Mā te matawai `MRI` ka mārama ake ngā whakaahua.
2. Koiora: Ki te whakaū te matawai he pukupuku kei reira, ka tangohia he wahi iti ka whakamatautauria kia kitea ai te momo mate pukupuku. Ka kiia tēnei he 'koiora'. Ki te mahia he pokanga, ka taea te tango i tēnei wahi i te wā kotahi. Ki te hohonu te pukupuku i roto i te roro, ā, kāore e taea te pokanga, ka whakamahia he tikanga motuhake e kiia nei ko te 'koiora ngira stereotactic' hei hanga i tētahi kōhao iti ki te angaanga, ka tukuna he ngira mā roto hei tiki tauira kiko.
He aha ngā maimoatanga mō tēnei?
He maha ngā kōwhiringa maimoatanga mō te glioma. Ko te kōwhiringa maimoatanga e whakawhirinaki ana ki te momo, te taumata, te wāhi, ngā tohu ira (ngā tohu koiora) o te mate pukupuku, me te tau me te hauora whānui o te tūroro.
- Pokanga:Ko te whāinga matua ko te tango i te pukupuku i te mea haumaru rawa atu. Mā te tango i te nuinga o te pukupuku i te mea ka taea, me te kore e kino ki ngā mahi nui o te roro (te kōrero, te nekehanga) ka taea te whakaiti i ngā tohu me te whakahaere i te horapa o te mate.
- Whakaora Irahiko: Ka whakamahi i ngā hihi-X kaha-nui, i ētahi atu momo irahiko rānei hei whakangaro i ngā pūtau matepukupuku e toe ana.
- Te rongoā matū: Te hoatu rongoā (mā te pire, mā te werohanga rānei) hei aukati i te tipu o ngā pūtau matepukupuku.
- Whakaora Whaiaro: He rerekē ēnei i te rongoā chemotherapy noa. He rongoā hou ēnei e whai ana, e whakaeke ana hoki i ngā pūmua motuhake, i ngā tohu ira rānei e āwhina ana i te tipu o ngā pūtau matepukupuku.
- Te Whakaora Papa Hiko Tauwhitiwhiti: He tikanga maimoatanga hou tēnei. Ka whakatakotoria ngā hiko ki te mata o te angaanga, ā, ka whakamahia he papa hiko iti te kaha, ka whakangaro i ngā pūtau matepukupuku me te kore e whara i ngā pūtau noa. Ka whakamahia he taputapu e kiia nei ko te "Optune Gio" mō tēnei.
- Whakaora Tautoko: Ka hoatu he maimoatanga hei whakahaere i ngā tohumate. Hei tauira, ko ngā corticosteroids hei whakaiti i te pupuhi o te roro me ngā rongoā ārai-ohorere hei whakahaere i ngā hopukanga.
- Ngā Whakamātautau Haumanu: He rangahau e whakamātautau ana i te whai huatanga me te haumaru o ngā maimoatanga hou. Tērā pea ka taea e ētahi tūroro te whai wāhi atu ki ēnei.
Ka rerekē anō hoki te maimoatanga i runga i te momo matepukupuku. Hei tauira, ko te pokanga te maimoatanga matua mō te astrocytoma iti te taumata. Heoi, ko te glioblastoma teitei te taumata me whakakotahi i te pokanga, te rongoā irahiko, me te chemotherapy.
Kia maumahara, ko ēnei whakataunga katoa ka mahia e tētahi tīma hauora e arahina ana e tō tākuta. Nō reira, ki te mea he pātai āu mō tētahi mea, kaua e wehi ki te pātai atu.
Karere Tangohia ki te Kāinga
- He momo mate pukupuku te glioma e tīmata ana i roto i ngā pūtau tautoko o te roro me te taurakira.
- Ki te pāngia koe e ngā tohu pēnei i te mamae o te upoko auau, te ānini rerekē, te hopuhopu kāore i te whakamāramatia, te ngaronga o te mahara, te ngoikore rānei o tētahi wāhanga o tō tinana, me toro atu ki te tākuta tonu.
- Kāore anō kia whakamātauhia ngā āhuatanga noho pēnei i te whakamahi waea pūkoro, te momi hikareti, me te inu waipiro hei take mō tēnei mate pukupuku. Nō reira kaua e mataku noa iho.
- Ko ngā tikanga maimoatanga (pokanga, irahiko, chemotherapy) ka whakatauhia e ngā tākuta i runga i te momo me te taumata o te mate pukupuku me te āhua o te tūroro.
- Ahakoa he iti te auau whakaora mō ngā glioma kounga teitei, ka taea te whakatutuki i ngā putanga pai ake i runga i ngā maimoatanga hou me ngā tohu ira o te tūroro.
- Mena he ruarua āu, he pai ake, he haumaru hoki te kōrero māhorahora ki tō tākuta, kaua e rapu noa i te ipurangi mōna.
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