He mamae tuara tonu tōu? Akohia ngā kōrero mō ngā pukupuku tuaiwi!

I ētahi wā ka pāngia koe e te mamae o te tuara, tika? He mea noa pea, he mea pea nā te pēhanga iti, nā te tū tika rānei. Heoi, tera ētahi mamae o te tuara ka kino haere, ka tino kino rawa atu, ā, kāore e taea te moe i te pō, ā, kāore e pai ake ahakoa te rongoā. I ngā wā pēnei, me tino tupato tātou. Nā te mea, tera pea he tohu o te pukupuku e tipu ana i te tuaiwi.

He aha te pukupuku tuaiwi?

He kupu ngāwari noa iho, he puranga pūtau rerekē te pukupuku tuaiwi e tipu ana i roto i tō taurakira , i roto i ngā kiko e karapoti ana i a ia, i roto rānei i tō tuaiwi .

Whakaarohia, ko tō tuaiwi, ko tā tātou e kī nei ko tō 'tuara', he rite ki tētahi pou wheua roa, ngāwari e tiaki ana i tō taurakira. Ka tīmata i te pūtake o tō angaanga, ā, ka toro atu ki raro ki tō wheua hiku. He hanganga porotaka tō taurakira. Ka rere iho i waenganui o tō tuaiwi, mai i te pito o raro o tō roro (te kakau roro) ki te pito o raro o tō tuara. Koinei te wāhi kei reira ngā muka io me ngā pūtau. Koinei ngā mea e kawe ana i ngā karere mai i tō roro ki te toenga o tō tinana, ā, hoki atu ki tō roro.

Ināianei, he maha ngā wāhi e kitea ai ēnei pukupuku tuaiwi:

• Kei roto i tō taurakira (intramedullary).
• I roto i ngā kiko e hipoki ana i tō taurakira (meninges) (intradural-extramedullary).
• Kei waenganui i ngā wheua o te tuaiwi (vertebrae) (extradural) tēnei kiko hipoki.
• I roto i ngā wheua (vertebrae) o te tuaiwi.

Kāore pea ēnei pukupuku i te matepukupuku (pai) he matepukupuku rānei (kino) . Heoi, ki te tipu tonu tēnei pukupuku, ka taea e ia te kino i ngā kiko rerekē o tō tuaiwi.

Ko ngā pukupuku e tupu tuatahi ana i roto i te tuaiwi, i te taurakira rānei, ka kiia he pukupuku tuaiwi tuatahi . I ētahi wā, ka horapa te mate pukupuku mai i ētahi atu wāhi o te tinana ki te tuaiwi. Ka kiia ēnei he pukupuku tuaiwi metastatic, he pukupuku tuaiwi tuarua rānei . Inaa, he nui ake te kitea o ēnei pukupuku tuarua i ngā pukupuku tuatahi.

Me pēhea te whakarōpūtanga o ngā pukupuku tuaiwi?

Ka wehea e ngā tākuta ēnei pukupuku tuaiwi kia maha ngā momo, i runga i ētahi āhuatanga:

• Kei hea te puku i roto i te tuaiwi: i te kaki (te kaki), i te tuara o runga me waenganui (te uma), i te tuara o raro (te hope), i te pito o raro rawa rānei o te tuaiwi (te sacrum).
• Kei roto i te taurakira te puku: Arā, i roto i te kiriuhi e hipoki ana i te taurakira (te dura), engari i waho o te taurakira (intradural-extramedullary), i roto i te taurakira (intramedullary), i waho rānei o tēnei hipoki, i waenganui i ngā wheua (extradural).
• Ahakoa i puta tuatahi te pukupuku i te tuaiwi, kua horapa rānei te mate pukupuku ki tētahi atu wāhi: arā, he tuatahi, he tuarua rānei.
• Ahakoa he mate pukupuku te pukupuku, kāore rānei: arā, ahakoa he "pai", he "kino" rānei.

Ngā wāhanga rerekē o te tuaiwi

Kia tirohia tātou he aha ēnei wāhanga o te tuaiwi:

• Te kaki: Koinei te wāhi o tō kaki.
• Uma: Mai i te tihi o tō tuara ki waenganui.
• Rohe hope: Ko te wāhanga o raro o te tuara.
• Sacrum: Ko te pito o raro rawa o te tuaiwi.

Ahakoa ka taea e te pukupuku tuaiwi te whakawhanake i ngā wāhi katoa, ko te nuinga o te wā ka kitea i ngā rohe o te uma me te hope .

Ngā wāhi o ngā pukupuku i roto i te tuaiwi

Ka whakaahuahia hoki e ngā tākuta ngā pukupuku i runga i te wāhi e hangaia ai i roto i te tuaiwi:

• Puku Intradural-extramedullary: Kei roto i te uhi angiangi (dura) e karapoti ana i te taurakira tēnei momo pukupuku, engari kei waho atu i te taurakira. Tata ki te 40% o ngā pukupuku tuaiwi he momo pēnei.
• Puku Intramedullary: Ka puta ēnei pukupuku i roto i te taurakira. Tata ki te 5% o ngā pukupuku nō tēnei momo.
• Puku i waho o te taurakira: Kei waho o te uhi (`(dura)`) e karapoti ana i te taurakira ēnei pukupuku. Arā, e tata ana ki ngā wheua (`(vertebrae)`) e hanga ana i te tuaiwi. Tata ki te 55% o ngā pukupuku ka whanake pēnei.

Ētahi momo pukupuku tuaiwi motuhake

He hanganga matatini tō tuaiwi, he maha ngā momo pūtau me ngā kiko rerekē. Nō reira, he maha ngā momo pukupuku ka taea te whanake i roto i te tuaiwi. Me titiro tātou ki ētahi o aua mea:

• Astrocytoma: He pukupuku tēnei e tupu ana i roto i ngā pūtau tautoko i roto i te taurakira. He momo pukupuku pai (kore-matepukupuku) me te momo pukupuku kino (matepukupuku).
• Chordoma: He pukupuku onge ēnei, he pukupuku matepukupuku e puta mai ana i roto i te tuaiwi me te angaanga. Ko te nuinga o te wā ka kitea i te pūtake o te tuaiwi (sacrum) me te wheua hiku (coccyx).
• Ependymoma: He pukupuku tēnei e puta mai ana i roto i ngā pūtau e whakarārangi ana i ngā ara e rere ai te wai cerebrospinal i roto i te roro me te taurakira.
• Glioblastoma: He pukupuku tino kaha, he matepukupuku tēnei. Ka puta mai i ngā pūtau e kiia nei ko ngā "astrocytes" e tautoko ana i ngā pūtau io i roto i te taurakira me te roro.
• Hemangioblastoma: He pukupuku tēnei e puta mai ana i ngā oko toto e hono ana ki tō pūnaha io matua (`(pūnaha io matua)`). Arā, ko ngā oko toto i roto i te roro me te taurakira.
• Meningioma: He pukupuku tēnei e tupu ana i roto i te kiko e kapi ana i te taurakira me te roro (ngā "meninges"). I te nuinga o te wā ehara i te mate pukupuku ("pai"), engari i ētahi wā ka nui rawa atu, ka tūpono ki te ora.
• Neurofibroma: He pukupuku kore-matepukupuku (pai) tēnei e tupu ana i roto i ngā io o te tinana. Ka taea hoki te tupu i roto i ngā io o te taurakira. He maha ngā wā ka honoa ēnei ki ngā āhuatanga ira.
• Osteosarcoma: He momo mate pukupuku wheua tēnei. Ahakoa ka tīmata pea i te tuaiwi, ko te nuinga ka kitea i roto i ngā wheua hope me te turi.
• Schwannoma: He pukupuku tēnei e tupu ana i roto i ngā pūtau e karapoti ana i ngā muka o te taurakira, te pūnaha io ā-taha, me ngā io angaanga. He maha ngā wā kāore ēnei i te matepukupuku ('pai') ā, he onge noa iho te huri hei matepukupuku.
• Hemangioma tuaiwi: He pukupuku tēnei e puta mai ana i te kiko o ngā oko toto i roto i te taurakira. Koinei te momo pukupuku tuaiwi tuatahi e tino kitea ana. I te nuinga o te wā, ehara i te matepukupuku ('pai').

He aha ngā momo mate pukupuku ka horapa ki te tuaiwi?

Anei ētahi momo mate pukupuku e tīmata ana i ētahi atu wāhi o te tinana, ā, ka horapa (metastasize) ki te tuaiwi:

• Matepukupuku pūkahukahu: Ki te horapa te matepukupuku ki te tuara i roto i ngā tāne, ko te nuinga o te wā he matepukupuku pūkahukahu.
• Te mate pukupuku o te ū: Mena ka horapa te mate pukupuku ki te tuaiwi i roto i ngā wāhine, ko te mate pukupuku o te ū te mea tino noa.
• Te mate pukupuku o te repeure.
• Te mate pukupuku toto (mate toto totohu).
• Lymphoma (matepukupuku o te pūnaha lymphatic).
• Te myeloma maha (te matepukupuku o tētahi momo toto ma).
• Melanoma (matepukupuku kiri).
• Sarcoma (he mate pukupuku o te kiko honohono).
• Matepukupuku whatukuhu.
• Te mate pukupuku o te tairoi.
• Ngā mate pukupuku o tō ara kai.

Ko te nuinga o te wā ka horapa ēnei momo mate pukupuku ki ngā wheua o te tuaiwi.

Ko wai ka pāngia e ngā pukupuku tuaiwi?

Ka taea e te tangata katoa te pāngia e te pukupuku tuaiwi. Heoi, ko te hunga e pāngia ana e te mate pukupuku, inā koa ko te mate pukupuku pūkahukahu, te ū, me te repeure, he nui ake te tūponotanga ka pāngia e ēnei pukupuku. Koinei ngā mea e kiia nei e tātou he pukupuku tuaiwi tuarua, he pukupuku rānei kua horapa.

He tino onge ngā pukupuku tuaiwi tuatahi (ngā mea ka puta tuatahi i te tuaiwi). Heoi, ko te nuinga o te wā ka puta i roto i ngā pakeke i waenga i te 65 me te 74 tau te pakeke, me ngā tamariki i waenga i te 10 me te 16 tau te pakeke.

He pēhea te noa o ngā pukupuku tuaiwi?

He tino noa ngā pukupuku tuaiwi tuarua (metastatic). E 97% o ngā pukupuku tuaiwi katoa e kapi ana i ēnei. Kua whakaatuhia e ngā rangahau kei waenganui i te 30% me te 70% o te hunga whai matepukupuku ka horapa te matepukupuku ki te tuaiwi.

He onge ngā pukupuku tuaiwi tuatahi (ngā mea ka tīmata tuatahi i te tuaiwi). Ko ngā pukupuku tuaiwi tuatahi kāore i te matepukupuku (`(pai)`) e 0.5% o ngā pukupuku hou katoa kua kitea. He onge ake ngā pukupuku tuaiwi tuatahi e matepukupuku ana (`(kino)`).

He aha ngā tohu o ngā pukupuku tuaiwi?

Ko ngā tohu o te mate pukupuku i roto i te roro e whakawhirinaki ana ki ētahi āhuatanga:

• Kei hea, ā, me pēhea te noho o te pukupuku i roto i te tuaiwi.
• Te rahi o te pukupuku.
• He aha te momo hua o tēnā?

Kāore ētahi pukupuku tuaiwi e puta he tohu nā te mea kāore i te rahi hei pēhi i ngā kiko e karapoti ana. Heoi, i te tipu haere o te pukupuku, ka tīmata te puta o ngā tohu, inā koa te mamae.

Te mamae i puta mai i ngā pukupuku tuaiwi

Ko te tohu tino kitea o ngā pukupuku tuaiwi pai me ngā pukupuku kino ko te mamae o te tuara. Ko te mamae ka tino pā ki waenganui o te tuara, ki raro rānei, nā te mea he maha ngā wā ka puta ngā pukupuku i aua wāhi o te tuaiwi.

Ko te mamae e puta mai ana i te pukupuku tuaiwi penei te ahua:

• Kāore he hononga motuhake ki tētahi whara, ahotea, mahi tinana rānei. Heoi, ka piki ake pea te mamae i te wā e whakakorikori tinana ana, e tū ana, e maremare ana rānei.
• He rite ki te mamae puhoi e pā ana ki roto rawa .
• Ka tīmata āta haere, ā, ka piki haere.
• Ka mau tonu i te pō, i ētahi wā ka whakararuraru i te moe.
• Ka roa te wā, ka kore e taea te whakamanawanui ahakoa kāore koe e mahi ana i tetahi mea.
• Kāore e pai ki ngā rongoā whakamamae mamae, ki ngā maimoatanga rānei o ia rā.

Whakaarohia kei te mamae tō tuara, kāore he take motuhake e pā mai ana, kāore e memeha ahakoa e moe ana koe i te pō, ā, e ahua kino haere ana, kaua e whakakorea he mamae tuara noa iho. He mea tino nui kia kite i te tākuta me te tiki tohutohu.

Ka taea hoki e ngā pukupuku tuaiwi te whakararu i te mamae radicular , arā, te mamae e horapa ana mai i te tuara ki ngā hope, ngā waewae, ngā waewae, ngā ringa rānei. He mamae koi, he wero hoki tēnei i te nuinga o te wā.

Ētahi atu tohu o ngā pukupuku tuaiwi

I runga anō i te wāhi me te momo o te pukupuku, tera pea ka puta ētahi atu tohu i tua atu i te mamae. Ka puta tēnei ina tupu te pukupuku, ā, ka pēhi i te taurakira, i ngā pakiaka io, i ngā uaua toto, i ngā wheua rānei o te tuaiwi.

Ko ētahi atu tohu pea ko:

• Te ngenge, te mākūkū, te ngaro rānei o te rongo i ngā waewae, ngā ringa, te uma rānei.
• Te ngoikore o ngā uaua o ngā waewae, o ngā ringa, o te uma rānei.
• Te wiri, te tō rānei o te uaua.
• Te mārō o te tuara, o te kaki rānei.
• Te kore e taea te whakahaere i te puku me te mimi (`(puku koretake)` me te `(mimi koretake)`).
• Te uaua ki te hikoi, ka taea ai te hinga.
• Te scoliosis , ētahi atu āhua hē rānei o te tuaiwi nā te nui o te pukupuku kino, te pukupuku nui rānei.
• Pararutiki . Ka pā tēnei ki ngā wāhanga rerekē o te tinana, i ngā taumata rerekē, i runga i ngā io e pēhia ana e te pukupuku.

He aha ngā pūtake o ngā pukupuku tuaiwi?

Ko te pūtake o te pukupuku tuaiwi e whakawhirinaki ana ki te mea tuatahi, tuarua rānei (metastatic).

Ngā take o ngā pukupuku tuaiwi tuatahi

Kāore anō kia mōhiotia e ngā kaipūtaiao te tino take o te nuinga o ngā pukupuku tuaiwi tuatahi. Ko ētahi pea nā te pānga ki ngā matū e puta ai te mate pukupuku. Ko te hunga he ngoikore te pūnaha ārai mate ka nui ake te tūponotanga ki te whakawhanake i ngā lymphoma (mate pukupuku o tētahi momo pūtau ārai mate) o te taurakira. I ētahi wā ka taea e ngā pukupuku tuaiwi te heke mai i roto i ngā whānau. Nō reira e whakaarohia ana he hononga ira pea.

Ngā take o ngā pukupuku tuaiwi tuarua

Ko ngā pukupuku tuaiwi tuarua (metastatic), e ai ki te ingoa, ko ērā ka puta mai i te horapa (metastasized) o te mate pukupuku i tīmata mai i tētahi atu wāhi o te tinana ki te tuaiwi.

He maha ngā wā ka puta tēnei ina wehe atu ngā pūtau matepukupuku i te pukupuku matua ka tomo ki te toto, ki te pūnaha lymphatic rānei. Nā te mea ka haria e ēnei pūnaha ngā wai puta noa i te tinana, ka taea hoki te kawe i ngā pūtau matepukupuku mai i tētahi wāhanga o te tinana ki tētahi atu.

Waihoki, ka taea e ngā pūtau matepukupuku te pakaru mai i te pukupuku matua, inā koa he pukupuku kei roto i te kōhao puku, ka tipu ki ngā wāhi tata, pērā i te ate, ngā pukahukahu, ngā wheua rānei.

Nā te mea he pai te rere o te toto ki tō tuaiwi, ā, e tata ana hoki ki ngā pūnaha lymphatic me ngā pūnaha venous, ka nui ake te tūponotanga ka horapa te mate pukupuku.

Me pēhea te tātaritanga o ngā pukupuku tuaiwi?

Nā te mea kāore he tohu e puta mai i ngā pukupuku tuaiwi tuatahi (`(asymptomatic)`), ka kitea noatia e ngā tākuta i te wā e mahi ana i te `(whakamātautau whakaahua)` mō tētahi atu take.

He maha ngā wā ka whakaaro te hunga whai pukupuku tuaiwi kua puta mai i tētahi whara tata nei te mamae o tō rātou tuara. He mea nui kia toro atu ki te tākuta mēnā kei te mamae tō tuara, inā koa mēnā he matepukupuku tōu.

Ka pātai atu tō tākuta ki a koe mō ō tohu me tō hītori hauora. Ka tirotirohia hoki e rātou te pūnaha io hei tirotiro i ēnei tohu:

• Te mamae o te tuaiwi (i te wā e totoro ana).
• Te hekenga o te kare o te mamae me/ranei te pāmahana.
• Ngā urupare rerekē.
• Te ngoikore o te uaua.

Ka tonoa hoki e tō tākuta ētahi whakamātautau hei whakaū mēnā kei reira he pukupuku.

He aha ngā whakamātautau e mahia ana hei tautuhi i te pukupuku tuaiwi?

Haunga te whakamātautau tinana me te whakamātautau pūnaha io, ka whakahaerehia pea e te tākuta ētahi atu whakamātautau hei whakaū i te aroaro o te pukupuku tuaiwi:

• Ngā whakamātautau whakaahua:Ki te pāngia te tuara o te tangata e te mate pukupuku, ko te mea tuatahi ka mahia e rātou ko te tirotiro i te hihi-X o te tuaiwi. Nā te mea he maha ngā wā ka puta ngā pukupuku tuaiwi kua horapa ki roto i ngā wheua o te tuaiwi. Tērā pea ka mahia he matawai MRI me/ranei CT hei tirotiro i te taurakira, ngā io, me te tuaiwi e karapoti ana (ngā wheua me ngā kiko ngohengohe). Mēnā kua horapa te pukupuku, ka taea te mahi i ngā whakamātautau whakaahua ki ētahi atu wāhanga o te tinana hei kimi i te wāhi i tīmata ai.
• Kohikohi pūtau: Hei whakatau mēnā he pukupuku te puku (pai, kino rānei), ka tono pea tō tākuta i tētahi kohikohi pūtau. Ko te tikanga o tēnei ko te tango i tētahi tauira iti o te kiko mai i te puku, ka tirotirohia. Ka tirohia e te tākuta mate te tauira kia kite mēnā kei te tipu, kei te horapa, ā, mēnā kei te pērā, me pēhea te tere. Mēnā he pukupuku te puku, ka taea hoki e te kohikohi pūtau te kī he aha te momo pukupuku. He mea nui tēnei hei whakatau i te maimoatanga.
• Matawai wheua: Ko te werohanga i tētahi wāhanga iti rawa o te rauemi irahiko ki roto i tō uaua, kātahi ka whakamahi i te hangarau whakaahua hei tirotiro i ō wheua. Mā te tirotiro i te nekehanga o te rauemi irahiko, ka taea te kite i ngā āhuatanga rerekē o tō tuaiwi.
• Ngā whakamātautau toto: Ka tono pea tō tākuta i ngā whakamātautau toto hei tirotiro i ngā taumata rerekē o ngā mea pēnei i te konupūmā me te phosphatase kawakore i roto i ō toto. Ina pakaru te kiko wheua nā te mate pukupuku, ka tukuna e te tinana ēnei matū ki roto i te toto.

Me pēhea te rongoā i te pukupuku tuaiwi?

He rerekē te maimoatanga mō ngā pukupuku tuaiwi i ia tangata, i ia tangata. Kei te wāhi kei reira te pukupuku, tōna rahi, me tōna momo. Ko ngā whāinga o te maimoatanga mō ngā pukupuku tuaiwi kua horapa ko:

• Te whakaiti i tō mamae.
• Kia mau tonu, kia whakapai ake rānei i te mahi a tō tuaiwi me ngā io o te tuaiwi.
• Whakapai ake i tō kounga me tō oranga o ia rā.

Ko te whāinga o te rongoā i ngā pukupuku tuaiwi tuatahi ko te tango katoa i te pukupuku e puta ai ngā tohu, mēnā ka taea.

Ko te tikanga, ka uru atu tētahi rōpū tohunga maha-mātauranga ki te whakawhanake i tētahi mahere maimoatanga mō ngā pukupuku tuaiwi. Kei roto i ēnei ko ngā tākuta roro, ngā taote tuaiwi, ngā tākuta mate pukupuku, ngā tākuta mate pukupuku irahiko, ngā tākuta wheua, ngā tākuta mimi, me ngā tākuta toto.

He aha ngā rongoā me ngā maimoatanga e whakamahia ana mō ngā pukupuku tuaiwi?

He rerekē ngā tikanga maimoatanga mō ngā pukupuku tuaiwi i runga i te momo pukupuku.

Te maimoatanga mō ngā pukupuku tuaiwi kua horapa (tuarua)

Tērā pea ka whakamahia e tō tīma hauora he huinga o ngā maimoatanga rerekē hei rongoā i te pukupuku tuaiwi kua horapa:

• Te rongoā matū: Ka taea e ngā rongoā matū te patu i ngā pūtau matepukupuku i roto i te tuaiwi me te tinana katoa. Ka taea te hoatu i tēnei maimoatanga mā te uaua, mā te pire rānei. I ētahi wā ka whakamahia hoki te rongoā matū hei whakaiti i te pukupuku i mua i te pokanga.
• Te rongoā irahiko: Kei roto i tēnei ko te whakamahi i ngā hihi-X nui hei whakangaro i ngā pūtau pukupuku, hei whakaiti rānei i te pukupuku. Mā te whakaiti i te pukupuku ka taea te whakaiti i te mamae, i ētahi atu tohu rānei.
• Pokanga irahiko stereotactic: He tikanga kore-pokanga tēnei, kore-whakaekenga e whakamahi ana i tētahi hihi irahiko tino tika, whaiti hei arotahi ki te pukupuku, hei whakaiti i te pānga o te irahiko ki ngā kiko e karapoti ana.
• Pokanga: I te nuinga o te wā, ko te hunga he pukupuku tuaiwi kua horapa ka whakaarohia kia pokangahia mēnā e tika ana kia ora rātou mō te neke atu i te toru ki te whā marama, ā, kāore te pukupuku e aro ki te irahiko, ki te chemotherapy rānei. Ka taea e te pokanga te āwhina i te whakaiti i te mamae me ētahi atu tohu, te tiaki i te mahi a ngā io, me te whakau i te tuaiwi. Ka tūtohu pea tō taote pokanga i te pokanga tuwhera tuku iho, i te tikanga iti rawa te whakaekenga. I muri i te tango i te pukupuku, ka taea te mahi i tētahi tikanga e kiia nei ko te vertebroplasty, te kyphoplasty rānei, e werohia ai te sima wheua ki roto i te tuaiwi. Ka tautokohia e ēnei tikanga te tuaiwi, te whakapai ake i te nekehanga, me te whakaiti i te mamae. Tata ki te 10% o te hunga he pukupuku tuaiwi kua horapa ngā tohu ka taea te whakaora mā te pokanga.
• Aroturuki: Ka aro turukihia pea te mate pukupuku e tō rōpū hauora mā te whakamahi i ngā whakamātautau whakaahua auau hei tirotiro mēnā kei te tipu, kei te horapa rānei.

Te maimoatanga mō ngā pukupuku tuaiwi tuatahi

Mena he pukupuku tuatahi kāore i te matepukupuku (pai) tōu, ki te kore he tohu e puta mai ana, he tohu ngawari noa iho rānei, ā, ki te kore e huri te tae, e tipu rānei, ka tūtohu pea tō tākuta kia mahia he matawai MRI auau hei aroturuki.

Ka taea te whakaora i ētahi pukupuku tuaiwi tuatahi mā te tango katoa i te pūtau. Heoi, he uaua ki te tango katoa i ētahi atu momo pukupuku, inā koa ko ngā pukupuku intramedullary, me te kore e kino nui ki ngā io.

Mena he mate pukupuku (kino) tō puku tuaiwi, ka hiahiatia ngā maimoatanga mate pukupuku kua whakahuatia ake nei.

Me pēhea te ārai i ngā pukupuku tuaiwi?

Ko ngā tikanga hei ārai i ngā pukupuku tuaiwi e whakawhirinaki ana ki te mea he tuatahi, he tuarua rānei (metastatic).

Te ārai i ngā pukupuku tuaiwi tuatahi

Engari, kāore e taea te ārai i ngā pukupuku tuaiwi tuatahi.

I ētahi wā tino onge, ka puta pea ngā pukupuku tuaiwi tuatahi i ētahi āhuatanga ira. Hei tauira:

• Neurofibromatosis Momo 2 (NF2): Ko te hunga whai mate tuku iho (ira) ka whakawhanake pea i ngā pukupuku kore-matepukupuku i roto i te paparanga arachnoid, i ngā pūtau glial tautoko rānei o te taurakira.
• Te mate a Von Hippel-Lindau (VHL): E pā ana tēnei āhuatanga ira onge ki ngā pukupuku uaua toto kore-matepukupuku (hemangioblastomas) i roto i te roro, te retina, me te taurakira, me ētahi atu momo pukupuku i roto i ngā whatukuhu, i ngā repe adrenal rānei.

Mena kei roto i tō whānau tata (he tuākana, he teina rānei, he mātua rānei) tēnei mate, he mea nui kia whiwhi koe i te tohutohu ira, kia whakamātautau rānei mēnā kei a koe anō te mate. Ko te kitenga wawe i ngā pukupuku tuaiwi te huarahi pai rawa atu hei whakatutuki i ngā hua pai rawa atu.

Te ārai i ngā pukupuku tuaiwi tuarua (metastatic)

Engari, kāore e taea te ārai i ngā pukupuku tuaiwi tuarua katoa (metastatic). He maha ngā tāngata ka kitea tuatahitia he mate pukupuku metastatic.

Ko te huarahi pai ki te ārai i ngā pukupuku tuaiwi tuarua ko te whiwhi i te rongoā tāpiri, te rongoā neoadjuvant rānei mēnā kua kitea he mate pukupuku ā-rohe koe. Ko te whāinga o te rongoā tāpiri he whakaiti i te pukupuku tuatahi me te ārai i ngā pūtau mate pukupuku kua pakaru mai i te pukupuku taketake kei hanga hei pukupuku horapa.

He maha ngā momo tiaki tautoko e whakamahia ana e ngā tākuta, ā, kei te rangahau hoki rātou i ngā maimoatanga hou.

He aha te āhua o te mate pukupuku tuaiwi?

Ko te tirohanga whānui mō te pukupuku tuaiwi e whakawhirinaki ana ki tō tau, ki tō hauora whānui, me te mea he pukupuku matepukupuku te pukupuku, me te mea he pukupuku tuatahi, he pukupuku horapa rānei. Mena he pukupuku tuaiwi tōu, ka taea e tō tīma hauora te hoatu he whakaaro pai ki a koe mō ngā mea hei tumanako atu. Kaua e wehi ki te pātai atu ki a rātou.

I te nuinga o te wā, ko te kitenga wawe me te maimoatanga o te pukupuku tuaiwi ka hua ake ngā hua pai rawa atu. Mena kei a koe ngā tohu o te pukupuku tuaiwi, pērā i te mamae o te tuara e kino haere ana i te pō, he mea tino nui kia kite koe i te tākuta.

Me pēhea taku tiaki i ahau anō mēnā he pukupuku tuaiwi tōku?

Mena he pukupuku tuaiwi tōu, he mea tino nui kia whai tika koe i tō mahere maimoatanga. Koinei te huarahi e taea ai e koe te whiwhi i te hua tino pai. Me tautoko hoki koe kia taea ai e koe te aro atu ki ngā pānga tinana, hinengaro, me te pāpori o te noho me te mamae tuara me/te mate pukupuku rānei.

Āhea koe me toro atu ki te tākuta mō te pukupuku tuaiwi?

Ki te pāngia koe e te mamae tuara nui, ki te kaha haere rānei te mamae, he mea nui kia toro atu koe ki te tākuta, inā koa mēnā kua pāngia koe e te mate pukupuku i mua.

Ki te puta he tohu hou ki a koe, ki te kino ake rānei ō tohu i a koe e rongoatia ana mō te pukupuku tuaiwi, haere tonu ki te rūma whawhati tata ki te hōhipera, waea atu rānei ki te 1990.

He mea noa te mataku ina kitea he pukupuku tuaiwi tōu. Engari kia maumahara, ka waihangahia e tō rōpū hauora he mahere maimoatanga whaiaro, taipitopito hoki hei āwhina i te whakaiti i tō mamae me te whakapai ake i tō kounga o te oranga. Mā ngā tirotiro auau i muri i te maimoatanga mate pukupuku ka āwhina i te kite wawe i ngā horapa o te tuaiwi. Mena ka puta he tohu o te pukupuku tuaiwi, waea atu ki tō tākuta tonu.

Hei whakamutunga, kia mahara ki tēnei.

He mea hei wehi māu ngā pukupuku tuaiwi, engari he mea tino nui kia mōhio koe ki aua mea.

• Kaua e warewarehia: Ki te mamae tonu tō tuara, e kino haere ana, ā, ka kore koe e ara i te pō, kaua e whakahaweatia he mea noa. Rapua he tohutohu hauora.
• Kimihia te pūtake: Ka taea e ngā pukupuku tuaiwi te noho tuatahi, te noho tuarua rānei (ka horapa mai i tētahi atu wāhi). He mea nui te tautuhi tika mō te maimoatanga.
• He maimoatanga kei reira: He maha ngā maimoatanga kei runga i te momo, te wāhi, me te rahi o te pukupuku. Ka taea te whakaora mā te pokanga, te rongoā irahiko, me te rongoā matū.
• He mea nui te kitea wawe: Pērā i ngā mate katoa, ko te wawe o te kitea o te pukupuku tuaiwi, ko te nui ake o te tūponotanga ka angitu te maimoatanga.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Kia ora tonu koe!

Ngā pukupuku tuaiwi, Ngā pukupuku tuaiwi, Matepukupuku tuara, Mamae tuara, Taura tuaiwi, Neurology, Ngā tohumate pukupuku