Ina rongo tātou i ngā kupu "pukupuku roro," he tokomaha o tātou ka mataku tonu, kāore? Engari ko te mea nui me mōhio koe, ehara i te mea he mate pukupuku ngā pukupuku katoa e tupu ana i roto i te roro. Tērā anō ngā momo pukupuku kāore e mate pukupuku, arā, kāore e horapa ki ētahi atu wāhanga o te tinana, engari ka taea te tipu haere me te whakaputa i ētahi tohu. Ka kiia ēnei e ngā tākuta he 'pukupuku pai'. Nō reira, i tēnei rā, me kōrero tātou mō ēnei pukupuku roro kāore e mate pukupuku.
Ko te mea nui, ahakoa ehara ēnei puku i te matepukupuku, kaua e warewarehia. Nā te mea, ahakoa he tino onge, ka taea e ētahi o ēnei te huri hei matepukupuku i muri mai. Nō reira, he mea nui kia noho tonu koe ki te toro atu ki tō tākuta me te whai i ngā whakamātautau e tika ana.
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Ko te momo meningioma tino noa ko
Koinei te momo pukupuku roro tino noa. Tata ki te kotahi hautoru o ngā pukupuku roro katoa e hanga ana. Ka puta mai ēnei i roto i ngā hipoki tiaki e karapoti ana i tō tātou roro me te taurakira, e kiia nei ko ngā meninges.
E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei momo pukupuku i ngā tāne. Ka taea hoki e ēnei āhuatanga te whakanui ake i te tūponotanga:
- Te pānga ki te irahiko tino tiketike.
- Mena kei a koe ngā mate tuku iho pēnei i te (Neurofibromatosis momo 1 (NF1) me te (momo 2 (NF2) rānei.
He maha ngā wā, kāore ēnei pukupuku e whakaatu i ngā tohu tae noa ki te rahi. I te tipu haere o te pukupuku, ka puta ngā tohu pēnei i:
- Ānini
- Ngā mate hopuhopu
- Whakapairuaki, ruaki rānei
- Ngā huringa o te tuakiri me te pōhēhētanga hinengaro
- Ngā raruraru tirohanga
- Te uaua ki te kōrero
- Te ngaronga o te rongo, te tangi rānei o ngā taringa
- ngoikore o te uaua
Schwannoma (pukupuku io)
Ko ngā ingoa o ēnei pukupuku i ahu mai i te momo pūtau i puta mai ai rātou: ko ngā pūtau Schwann, e karapoti ana i ngā pūtau io.
Ko te momo tino noa o tēnei momo ko te vestibular schwannoma. Tērā pea ka kiia tēnei e tō tākuta he acoustic neuroma. Ka pā tēnei ki te io e rere ana mai i tō tātou taringa o roto ki te roro, ā, ka whakahaere i te taurite o te tinana.
Ko te hunga whai mate tuku iho e kiia nei ko te (NF2) ka nui ake te tūponotanga ki te pāngia e ēnei pukupuku. I konei anō hoki, he nui ake te tūponotanga o ngā wāhine.
Ngā tohu matua:
- Te ngaronga o te rongo
- Te rongonga i te tangi, i te haruru rānei i roto i ngā taringa
- Pōuriuri
- Te uaua ki te horomi i te kai
- Ngā raruraru taurite
Adenoma pituitary (he pukupuku o te repe pituitary e whakahaere ana i ngā homoni)
Ka puta ēnei pukupuku i roto i te repe pituitary, kei te pūtake o te roro. Ko tēnei repe te pokapū matua mō te whakaputa homoni me te whakahaere i ētahi atu repe i roto i tō tātou tinana.
He momo pukupuku noa anō hoki ēnei. Tata ki te kotahi i roto i te rima o ngā pakeke he pukupuku pituitary iti rawa pea. Engari ko te nuinga o ēnei kāore e tupu nui, kāore hoki e raru.
Ko te hunga whai mate tuku iho "Multiple Endocrine Neoplasia type 1 (MEN1)" he nui ake te mōrearea ki te whakawhanake i ēnei.
Ka whakaputa homoni ētahi pukupuku pituitary. Ka kiia ēnei he 'pukupuku mahi'. Ka whakawhirinaki ngā tohu ki te whakaputa homoni a te pukupuku, ā, ki te pērā, ko ēhea homoni.
- Homoni prolactin: Tērā pea ka pāngia ngā wāhine e te paheketanga koretake, te paheketanga kore rānei. Tērā pea ka pāngia ngā tāne e te rahi o ngā ū.
- Homoni ACTH: Ka puta ngā tohu o tētahi āhuatanga e kiia nei ko te "mate a Cushing". Hei tauira, te pikinga o te taumaha, te ngawari o te maru, me te ngoikore.
- Homoni TSH: E whakaatu ana i ngā tohu o te repe tairoiti e mahi nui ana (Hyperthyroidism), pērā i te whakaheke taumaha, te riri, me te werawera nui.
Ētahi atu tohu noa:
- Ānini
- Te ngaronga o te tirohanga, te tirohanga takirua rānei
- Te hekenga o te hiahia moepuku
- Te kore tamariki
- Ngā huringa whanonga
- Te pikinga o te taumaha me te kore take
Ētahi atu momo pukupuku kore-matepukupuku
He maha atu anō ngā momo nati.
Hemangioblastoma
Ka puta ēnei i roto i ngā oko toto. Ka taea e rātou te puta i roto i te roro, te taurakira, te retina rānei o te kanohi. Ka kitea ēnei i roto i te hunga whai mate tuku iho e kiia nei ko te "Von Hippel-Lindau syndrome." Ko ngā tohu ka uru atu ki te ngoikore o ngā waewae, te ānini, te whakapairuaki, me te uaua ki te hikoi.
Craniopharyngioma
Ka tīmata ēnei i roto i ngā pūtau kei te pūtake o te roro, e tata ana ki te repe pituitary. Ka taea e rātou te noho hei pēke totoka, hei pēke wai rānei (ngā pūwero). He mea noa ēnei i roto i ngā tamariki i waenga i te 5 me te 14 tau te pakeke me ngā pakeke neke atu i te 45 tau te pakeke. Ka taea e rātou te whakaputa tohu pēnei i te momona, te matewai nui, te koretake o te tipu o ngā tamariki, me ngā panoni tirohanga.
Glioma
Ka puta mai ēnei i ngā pūtau glial e tautoko ana i ngā pūtau io i roto i te roro me te taurakira. E wehea ana ēnei ki ētahi taumata. Kāore ngā taumata 1 me te 2 i te mate pukupuku, ā, he puhoi te tipu. Ko ngā taumata 3 me te 4 he pukupuku kaha, he tere te tipu.
| Te Taumata Glioma | Whakaahuatanga māmā |
|---|---|
| Tau 1 | He rite ngā pūtau ki ngā pūtau noa. He tino pōturi te tipu. |
| Tau 2 | He iti noa ngā āhuatanga rerekē kei roto i ngā pūtau. Whai muri i te maimoatanga, ka hoki mai anō hei pukupuku nui. |
| Tau 3 | He mate pukupuku kaha e tere ai te wehewehe o ngā pūtau. |
| Tau 4 | Kāore ngā pūtau i rite ki ngā pūtau noa. He mate pukupuku tino kaha, he tere hoki te horapa. |
Me pēhea te mōhio o ngā tākuta mēnā kei te kitea ēnei pukupuku?
Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, pērā i te ānini me te haurangi. Kātahi, hei whakatau i te mate, ka mahia pea e rātou tētahi, ētahi rānei o ngā whakamātautau e whai ake nei:
- Matawai CT: He tikanga e whakamahi ana i ngā hihi-X kaha hei whakaputa whakaahua taipitopito o te roro.
- Matawai MRI: He tikanga e whakamahi ana i ngā aukume kaha me ngā ngaru reo irirangi hei whakaputa whakaahua tino mārama o te roro.
- Koiora: Ka tangohia he wahi kiko iti rawa mai i te puku, ka tirotirohia i raro i te karu hiko hei tirotiro mena he pūtau matepukupuku kei roto.
- Wero Lumbar / Tap Spinal: Ka mahia tēnei whakamātautau hei tirotiro mō ngā pūtau rerekē i roto i te wai o te tuaiwi.
- Ngā whakamātautau toto me te mimi: Ka āwhina ēnei ki te rapu i ngā homoni, i ētahi atu matū rānei e tukuna ana ki roto i te tinana e ngā pukupuku.
He aha ngā maimoatanga mō tēnei?
Ko te tikanga maimoatanga e whakawhirinaki ana ki te momo, te rahi, me te taunga o te pukupuku.
- Ngā pukupuku iti: Kāore pea e hiahiatia he maimoatanga. Ka mahi pinepine tō tākuta i tētahi matawai CT, MRI rānei hei aroturuki mēnā kei te nui haere te pukupuku.
- Ngā pukupuku nui: Ko te tango pokanga te maimoatanga matua. Ka ngana te taote pokanga ki te tango i te nuinga o te pukupuku e taea ana.
- Te rongoā irahiko:He tikanga tēnei e whakamahi ana i ngā hihi-X kaha-nui hei whakaiti i ngā pukupuku. Ka whakamahia tēnei maimoatanga mō ngā pukupuku kāore e taea te tango katoa mā te pokanga, kua puta anō rānei i muri i te pokanga. Ko te Stereotactic Radiosurgery he momo rongoā irahiko motuhake e aro tika ana ki te pukupuku, e whakaiti ana i te kino ki ngā kiko hauora e karapoti ana.
Mā tō tākuta koe e āwhina ki te whiriwhiri i te mahere maimoatanga pai rawa atu māu, me te matapaki tahi i ō whiringa katoa. Nō reira, kaua e whakatau i tētahi mea māu ake. Me matapaki tonu i ēnei ki tō tākuta.
Karere Tangohia ki te Kāinga
- Kaua e wehi ina rongo koe i te kupu "pukupuku roro." Ehara i te mea he mate pukupuku ngā pukupuku katoa e tupu ana i roto i te roro. He maha ngā momo pukupuku kāore e mate pukupuku.
- Ahakoa he pukupuku ehara i te matepukupuku, ki te tupu te rahi, ka puta pea ngā tohu pēnei i te ānini, ngā raruraru tirohanga, me te whanoke.
- Mena kei a koe ētahi tohu rerekē e mau tonu ana, me toro atu ki te tākuta mō ētahi tohutohu.
- Mā tō tākuta e whakatau mēnā e hiahiatia ana he maimoatanga, me te aha hoki te maimoatanga hei whakamahi. Nō reira, he mea tino nui kia whai koe i ngā tohutohu a tō tākuta.
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