He aha ka Malformation Cavernous? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO kahi malformation cavernous kahi hui o nā kīʻaha koko maʻamau ʻole i loko o kou lolo a i ʻole ke kaula kua e like me kahi hua liʻiliʻi a i ʻole kahi kernel popcorn. He lahilahi nā paia o kēia mau kīʻaha koko a piha i ke koko neʻeneʻe lohi, e hoʻolilo ana iā lākou i ʻokoʻa mai nā kīʻaha koko maʻamau i loko o kou kino.

E noʻonoʻo iā ia ma ke ʻano he ʻōwili liʻiliʻi o nā kīʻaha koko liʻiliʻi i hana ʻole ʻia i ka wā ulu. ʻOiai paha he weliweli ke inoa, nui nā kānaka e ola ana i ko lākou ola holoʻokoʻa me nā malformations cavernous me ka ʻike ʻole ʻana iā lākou. Ua kapa ʻia lākou ʻo nā angiomas cavernous a i ʻole nā ​​cavernomas, a hoʻopilikia lākou i kahi 1 i kēlā me kēia 200 kānaka.

He aha nā hōʻailona o ka malformation cavernous?

Nui nā malformations cavernous ʻaʻole i loaʻa nā hōʻailona a loaʻa wale nō i ka wā o nā scan lolo no nā kumu ʻē aʻe. Ke loaʻa nā hōʻailona, ​​hiki mai lākou no ka mea ke kahe iki ka malformation a i ʻole ke kaomi ʻana ma nā ʻiʻo lolo kokoke.

ʻO nā hōʻailona maʻamau āu e ʻike ai:

• Nā hoʻoulu (ka hōʻailona pinepine loa, e hoʻopilikia ana i kahi 40-70% o nā kānaka me nā hōʻailona)
• Nā poʻo ʻeha e like ʻole paha me kāu mau poʻo ʻeha maʻamau
• Nāwaliwali a i ʻole ka numbness i kou mau lima, nā wāwae, a i ʻole ka maka
• Nā pilikia ʻike a i ʻole ka ʻike pālua
• Nā pilikia me ke kaulike a i ʻole ka hoʻonohonoho
• Nā pilikia ʻōlelo a i ʻole ka pilikia i ka loaʻa ʻana o nā huaʻōlelo
• Nā pilikia hoʻomanaʻo a i ʻole ka huikau

I nā hihia kakaikahi, hiki i nā kahe nui ke hoʻokumu i nā hōʻailona koʻikoʻi e like me ka poʻo ʻeha nui, ka luaʻi, a i ʻole ka nalowale o ka ʻike. Eia naʻe, ʻo ka hapa nui o nā malformations cavernous ke kahe mālie loa a hoʻokumu i nā loli mālie ma mua o nā hōʻailona wikiwiki a koʻikoʻi.

He aha nā ʻano o ka malformation cavernous?

Hoʻokaʻawale nā kauka i nā malformations cavernous ma muli o kahi i loaʻa ai a inā paha lākou e holo ana i nā ʻohana. Ke hoʻomaopopo ʻia kēia mau ʻano, e kōkua i kāu hui lapaʻau e hoʻolālā i ke ala maikaʻi loa no kou kūlana kikoʻī.

ʻO nā ʻano nui:

• Nā malformations cavernous sporadic: Loaʻa kēia mau mea ma ka manawa kūpono ʻole a ʻike pinepine ʻia ma ke ʻano he lesion hoʻokahi
• Nā malformations cavernous familial: Holo kēia mau mea i nā ʻohana a hoʻopili pinepine i nā lesions he nui ma loko o ka lolo
• Nā malformations cavernous lolo: Loaʻa i nā ʻāpana like ʻole o ka lolo (cerebrum, cerebellum, a i ʻole brainstem)
• Nā malformations cavernous spinal: ʻAʻole pinepine, loaʻa i ke kaula kua

Hoʻokumu ʻia nā ʻano familial e nā mutations genetic a he 20% o nā hihia a pau. Inā loaʻa iā ʻoe ke ʻano familial, hiki i nā lālā o kou ʻohana ke pōmaikaʻi mai ka ʻōlelo aʻo genetic a me ka nānā ʻana.

He aha ka mea e hoʻokumu ai i ka malformation cavernous?

Hoʻomohala ʻia nā malformations cavernous i ka wā e hana ʻole ai nā kīʻaha koko i loko o kou lolo a i ʻole ke kaula kua i ka wā ulu mua. ʻO ka hapa nui o ka manawa, hana kūpono ʻole kēia me ke kumu maopopo ʻole āu a i ʻole kou mau mākua i hiki ke pale aku.

ʻO nā kumu nui:

• Nā loli ulu kūpono ʻole: ʻO ka hapa nui o nā hihia e hana kūʻokoʻa i ka wā ulu lolo
• Nā mutations genetic: Hiki i ʻekolu mau gene kikoʻī (CCM1, CCM2, a me CCM3) ke hoʻokumu i nā ʻano familial
• Ka hoʻolaha radiation: Kakaikahi loa, hiki i ka mālama radiation mua i ke poʻo ke hoʻomaka i ka hoʻomohala ʻana

He mea nui e hoʻomaopopo ʻaʻole i hoʻokumu ʻia nā malformations cavernous e kekahi mea āu i hana ai a i ʻole ʻaʻole i hana. ʻAʻole pili lākou i nā mea pili ola e like me ka ʻai, ka hoʻoikaika kino, a i ʻole ke kaumaha. ʻOiai i nā hihia familial, ʻaʻole hōʻoia ka loaʻa ʻana o ka gene e loaʻa iā ʻoe nā hōʻailona.

I ka wā e ʻike ai i ke kauka no ka malformation cavernous?

Pono ʻoe e ʻimi i ka mālama lapaʻau inā loaʻa iā ʻoe nā hōʻailona neurological hou a i ʻole ka hoʻopilikia ʻana, ʻo nā hoʻoulu ʻaʻole i wehewehe ʻia. ʻOiai hiki i kēia mau hōʻailona ke loaʻa nā kumu he nui, he mea nui ia e loiloi pono ʻia.

E hoʻokaʻaʻike koke i kāu kauka inā ʻike ʻoe:

• Nā hoʻoulu hoʻomaka hou a i ʻole nā ​​loli i nā ʻano hoʻoulu e noho nei
• Nā poʻo ʻeha mau loa e like ʻole me kāu mau mea maʻamau
• Nāwaliwali koke, numbness, a i ʻole tingling i kou mau lālā
• Nā loli ʻike a i ʻole ka ʻike pālua
• Nā pilikia me ka ʻōlelo, ke kaulike, a i ʻole ka hoʻonohonoho
• Nā pilikia hoʻomanaʻo a i ʻole ka huikau

E ʻimi i ka mālama pilikia koke inā loaʻa iā ʻoe kahi poʻo ʻeha nui koke ʻaʻole like me kekahi āu i loaʻa ai ma mua, ʻoiai inā hui pū ʻia me ka luaʻi, ka ʻāʻī paʻakikī, a i ʻole ka nalowale o ka ʻike. ʻOiai he mea maʻamau ʻole nā ​​kahe nui, pono lākou i ka mālama lapaʻau koke.

He aha nā mea pilikia no ka malformation cavernous?

ʻOiai ʻaʻole pinepine nā malformations cavernous i nā pilikia, hiki i kekahi ke alakaʻi i nā pilikia e hoʻopilikia ana i kou ola i kēlā me kēia lā. ʻO ka ʻoiaʻiʻo maikaʻi, he mea maʻamau ʻole nā ​​pilikia koʻikoʻi, a hiki ke hoʻokele maikaʻi ʻia nā mea he nui me ka mālama lapaʻau kūpono.

ʻO nā pilikia hiki ke loaʻa:

• Nā hoʻoulu hou: Pono paha i ka mālama lāʻau lōʻihi
• Nā hemahema neurological holomua: Ka hoʻopilikia mālie ʻana o ka nāwaliwali, ka ʻōlelo, a i ʻole ka hana cognitive
• Kahe nui: Hiki i nā hemorrhages nui ke hoʻokumu i nā hōʻailona stroke-like
• Hydrocephalus: Kakaikahi, hiki i ke kahe ke pale i ka hoʻokahe wai maʻamau i loko o ka lolo

ʻO ka pilikia makahiki o ke kahe hōʻailona he haʻahaʻa maʻamau, i manaʻo ʻia ma kahi o 0.5-3% i kēlā me kēia makahiki no ka hapa nui o nā malformations cavernous. Eia naʻe, hiki i kēia pilikia ke kiʻekiʻe no nā lesions i kekahi mau wahi lolo a i ʻole nā ​​mea i kahe ma mua. E kōkua kāu kauka iā ʻoe e hoʻomaopopo i kou pilikia pilikino ma muli o kou kūlana kikoʻī.

Pehea e hiki ai ke pale ʻia ka malformation cavernous?

ʻAʻole maikaʻi, ʻaʻohe ala e pale ai i ka hoʻomohala ʻana o nā malformations cavernous mai ka mea i loaʻa pinepine mai ka hānau ʻana ma muli o nā kumu ulu a i ʻole genetic. Eia naʻe, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia o nā pilikia a hoʻokele maikaʻi i nā hōʻailona.

ʻOiai ʻaʻole hiki ke pale ʻia, hiki iā ʻoe ke:

• E hahai i nā ʻōlelo aʻo genetic counseling: Inā loaʻa iā ʻoe kahi mōʻaukala ʻohana, hiki i ka hoʻokolohua genetic ke alakaʻi i nā hoʻoholo hoʻolālā ʻohana
• E pale i ka trauma poʻo pono ʻole: ʻOiai ʻaʻole hoʻokumu ka trauma i nā malformations cavernous, hiki iā ia ke hoʻomaka i ke kahe ʻana i nā mea e noho nei
• E hoʻokele pono i ke kaomi koko: Hiki i ka hoʻokele kaomi koko maikaʻi ke hoʻemi i ka pilikia kahe
• E lawe i nā lāʻau lapaʻau hoʻoulu e like me ka mea i kuhikuhi ʻia: Pale ka hoʻohana lāʻau mau loa i nā pilikia pili i ka hoʻoulu

Inā e hoʻolālā ana ʻoe i kahi ʻohana a loaʻa iā ʻoe kahi ʻano genetic i ʻike ʻia, hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i nā pilikia a me nā koho i loaʻa iā ʻoe.

Pehea ka hōʻoia ʻana o ka malformation cavernous?

ʻO ka hōʻoia ʻana i ka malformation cavernous e pili pinepine ana i ka hoʻolālā lolo e hiki ke hōʻike maopopo i kēia mau hui kīʻaha koko kūikawā. E hoʻomaka paha kāu kauka me kāu mōʻaukala lapaʻau a me nā hōʻailona ma mua o ke kauoha ʻana i nā hoʻokolohua kikoʻī.

ʻO ke kaʻina hana hōʻoia e komo pinepine ana:

• MRI (Magnetic Resonance Imaging): ʻO ka hoʻokolohua kūpono loa e hōʻike ana i nā malformations cavernous ma ke ʻano he mau lesions "popcorn" a i ʻole "berry-like" maʻamau
• CT scan: Hiki ke hana mua ʻia i nā kūlana pilikia akā ʻaʻole kikoʻī e like me MRI
• Gradient echo MRI: ʻO kahi ʻano MRI kūikawā e maikaʻi loa i ka ʻike ʻana i nā kahe liʻiliʻi
• Genetic testing: Manaʻo ʻia inā loaʻa iā ʻoe nā lesions he nui a i ʻole kahi mōʻaukala ʻohana

Hiki paha i kāu kauka ke kauoha i nā hoʻokolohua hou aku e like me EEG (electroencephalogram) inā loaʻa iā ʻoe nā hoʻoulu. ʻO ka hiʻohiʻona maʻamau ma MRI e maopopo pinepine ai ka hōʻoia, a he mea kakaikahi ka biopsy mai ka mea maʻamau nā ʻike imaging.

He aha ka lapaʻau no ka malformation cavernous?

ʻO ka lapaʻau no ka malformation cavernous e hilinaʻi ana i kou mau hōʻailona, ​​kahi o ka lesion, a me kou olakino holoʻokoʻa. Nui nā kānaka me nā malformations cavernous ʻaʻole pono i ka lapaʻau ma mua o ka nānā mau ʻana, ʻoiai ke pōmaikaʻi kekahi mai ka lāʻau a i ʻole ka ʻoki ʻana.

ʻO nā koho lapaʻau:

• Ka nānā ʻana me nā scan MRI mau: No nā lesions asymptomatic a i ʻole nā ​​mea e hoʻokumu ana i nā hōʻailona māmā
• Nā lāʻau anti-seizure: Ka lapaʻau mua no ka hoʻokele hoʻoulu
• Ka wehe ʻana i ka ʻoki: Manaʻo ʻia no nā lesions e hoʻokumu ana i nā hōʻailona nui a i ʻole ka kahe hou
• Stereotactic radiosurgery: ʻO kahi koho mālama radiation i hoʻokūkū ʻia no kekahi mau lesions i hiki ʻole ke wehe ʻia me ka palekana

Manaʻo pinepine ʻia ka ʻoki inā hoʻokumu nā malformations cavernous i ke kahe hou, nā hoʻoulu i kaohi ʻole ʻia, a i ʻole nā ​​pilikia neurological holomua. ʻO ka hoʻoholo e pili ana i ka kaumaha ʻana i nā pilikia o ka ʻoki ʻana me nā pilikia o ka waiho ʻana i ka lesion i mālama ʻole ʻia. E kūkākūkā kāu neurosurgeon i kēia mau mea me ʻoe i ka kikoʻī.

Pehea e hoʻokele ai i ka malformation cavernous ma ka home?

ʻO ka noho ʻana me ka malformation cavernous e pili pinepine ana i nā hoʻoponopono ola maʻalahi a me ka nānā pono i kou mau hōʻailona. Hiki i ka hapa nui o nā kānaka ke mālama i nā ola maʻamau, hana me kekahi mau palekana maʻamau a me ka kamaʻilio maikaʻi me ko lākou hui mālama ola.

ʻO nā hoʻolālā hoʻokele home:

• E lawe mau i nā lāʻau lapaʻau: Inā kuhikuhi ʻia nā lāʻau anti-seizure, e lawe pono iā lākou e like me ka mea i kuhikuhi ʻia
• E mālama i kahi diary hōʻailona: E hahai i nā hōʻailona hou, nā poʻo ʻeha, a i ʻole nā ​​loli i kou kūlana
• E mālama i ka hoʻokele kaomi koko maikaʻi: E hahai i kahi ʻai olakino naʻau a me ka hoʻoikaika kino e like me ka mea i kuhikuhi ʻia
• E pale i nā hana me ka pilikia hāʻule kiʻekiʻe: E hoʻohana i ka makaʻala me nā hana e like me ke piʻi ʻana i nā alapiʻi a i ʻole ka ʻauʻau wale nō
• E inu wai a loaʻa ka hiamoe lawa: Hiki i nā mea ʻelua ke kōkua i ka pale ʻana i nā hoʻoulu inā pili ʻoe iā lākou

He mea nui nō hoʻi ke aʻo i nā lālā ʻohana a i ʻole nā ​​hoaaloha kokoke e pili ana i kou kūlana a me ka mea e hana ai inā loaʻa iā ʻoe kahi hoʻoulu. ʻO ka hapa nui o nā kānaka me nā malformations cavernous e alakaʻi i nā ola maʻamau loa me nā palena iki.

Pehea ʻoe e hoʻomākaukau ai no kāu kauka hālāwai?

ʻO ka hoʻomākaukau maikaʻi no kāu hālāwai e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike kōkua loa a hana i nā hoʻoholo maikaʻi loa e pili ana i kāu mālama. Makemake kāu kauka e hoʻomaopopo i kou mau hōʻailona, ​​nā hopohopo, a pehea ka hoʻopilikia ʻana o ke kūlana i kou ola i kēlā me kēia lā.

Ma mua o kāu hālāwai:

• E papa inoa i nā hōʻailona a pau: E komo pū me ka manawa i hoʻomaka ai, pehea ka pinepine o ka loaʻa ʻana, a he aha ka mea e hoʻomaikaʻi ai a i ʻole ka hoʻopilikia ʻana iā lākou
• E lawe mai i nā hopena hoʻolālā a pau: E hōʻiliʻili i nā kope o nā scan MRI, nā scan CT, a me nā hōʻike mai nā kauka ʻē aʻe
• E hōʻuluʻulu i kāu mōʻaukala lapaʻau: E komo pū me nā kūlana ʻē aʻe, nā ʻoki ʻana, a me nā lāʻau āu e lawe nei
• E hoʻomākaukau i nā nīnau: E kākau i ka mea āu e makemake ai e ʻike e pili ana i nā koho lapaʻau, nā pilikia, a me ka prognosis
• E noʻonoʻo e lawe mai i ke kākoʻo: Hiki i kahi lālā ʻohana a i ʻole hoaaloha ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui

Mai kānalua e nīnau e pili ana i kekahi mea āu i ʻike ʻole ai. Pono kāu kauka e wehewehe i kou kūlana, nā koho lapaʻau, a me nā pilikia ma nā huaʻōlelo e maopopo iā ʻoe.

He aha ka mea lawe nui e pili ana i ka malformation cavernous?

ʻO ka mea nui loa e hoʻomaopopo e pili ana i ka malformation cavernous ʻo ia ka loaʻa ʻana o hoʻokahi ʻaʻole ia e ʻōlelo koke ʻoe e loaʻa i nā pilikia koʻikoʻi. Nui nā kānaka e ola ana i nā ola maʻamau, olakino me kēia mau lesions, a loaʻa nā lapaʻau maikaʻi no ka poʻe e loaʻa ana i nā hōʻailona.

Nā kiko nui e hoʻomanaʻo ai:

• ʻAʻole pinepine nā malformations cavernous i nā hōʻailona
• Ke loaʻa nā hōʻailona, ​​pinepine lākou i ka hoʻokele maikaʻi ʻia me ka lāʻau lapaʻau
• Kōkua ka nānā mau ʻana i ka hopu ʻana i nā loli koke
• Palekana a maikaʻi ka ʻoki inā pono
• Hiki iā ʻoe ke ola i kahi ola piha, hana me ka mālama lapaʻau kūpono

E hana pili me kāu hui mālama ola e hoʻomohala i kahi hoʻolālā nānā a me ka mālama kūpono no kou kūlana kikoʻī. E noʻonoʻo, e nīnau, a e hoʻomanaʻo ʻaʻole ʻoe wale nō i ka hoʻokele ʻana i kēia kūlana.

Nā nīnau pinepine e pili ana i ka malformation cavernous

Q1: Hiki i nā malformations cavernous ke ulu a hoʻonui i ka manawa?

ʻAʻole pinepine nā malformations cavernous hoʻokahi e ulu nui, akā hiki iā lākou ke hoʻomohala i nā wahi hou o ke kahe ʻana e hiki ke hoʻolilo iā lākou i nui aku ma nā scan. I ke ʻano familial, hiki i nā lesions hou ke ʻike ʻia i ka manawa, ʻo ia ke kumu o ka nānā mau ʻana he mea nui inā loaʻa iā ʻoe ke ʻano genetic.

Q2: Palekana anei ka hoʻoikaika kino a i ʻole ka pāʻani haʻuki me ka malformation cavernous?

Hiki i ka hapa nui o nā kānaka me nā malformations cavernous ke hoʻoikaika kino maʻamau a komo i nā haʻuki. Eia naʻe, inā loaʻa iā ʻoe nā hoʻoulu, pono paha ʻoe e pale i kekahi mau hana e like me ka ʻauʻau wale nō a i ʻole nā ​​haʻuki pilina. E kūkākūkā i kou kūlana kikoʻī me kāu kauka e loaʻa ai nā ʻōlelo aʻo hana pilikino.

Q3: Hiki i ka hāpai ke hoʻopilikia i nā malformations cavernous?

ʻAʻole ʻike ʻia ka hāpai ke hoʻonui nui i ka pilikia o ke kahe ʻana mai nā malformations cavernous, ʻoiai ke manaʻo nei kekahi mau haʻawina i kahi pilikia kiʻekiʻe iki i ka wā hāpai a me ka hānau ʻana. Inā e hoʻolālā ana ʻoe i kahi hāpai, e kūkākūkā i nā hoʻolālā nānā me kāu neurologist a me kāu obstetrician.

Q4: Pono anei wau i ka ʻoki inā hoʻomaka ke kahe ʻana o kaʻu malformation cavernous?

ʻAʻole pono. Nui nā kahe liʻiliʻi e hoʻonā iā lākou iho me ka ʻoki ʻole. Manaʻo pinepine ʻia ka ʻoki inā loaʻa nā kahe hou, nā hoʻoulu i kaohi ʻole ʻia, a i ʻole nā ​​hōʻailona neurological holomua. ʻO ka hoʻoholo e hilinaʻi ana i kahi, kou mau hōʻailona, ​​a me nā pilikia ʻoki versus nā pōmaikaʻi.

Q5: Hiki ke ho'ōla loa ʻia nā malformations cavernous?

Inā wehe ʻia kahi malformation cavernous loa, ua ho'ōla ʻia a ʻaʻole e hoʻokumu i nā pilikia i ka wā e hiki mai ana. Eia naʻe, hiki i nā kānaka me ke ʻano familial ke hoʻomohala i nā lesions hou ma kahi ʻē aʻe. Hoʻokele nā ​​lapaʻau ʻaʻole ʻoki i nā hōʻailona maikaʻi akā ʻaʻole e kāpae i ka lesion ponoʻī.