Ependymoma

Ependymoma

ʻO ka ependymoma ka ulu ʻana o nā cell e hana ana i loko o ka lolo a i ʻole ke kīhāpai. Hoʻokumu nā cell i kahi ʻāpana i kapa ʻia he tumor. Hoʻomaka ka ependymoma i nā cell ependymal. Hoʻopuni kēia mau cell i nā ala e lawe ai i ka wai cerebrospinal. Hoʻopuni a pale aku kēia wai i ka lolo a me ke kīhāpai.

Hiki i ka ependymoma ke loaʻa i kēlā me kēia makahiki, akā ʻoi aku ka pinepine ma nā keiki ʻōpio. Hiki i nā keiki me ka ependymoma ke ʻike i nā headaches a me nā seizures. ʻOi aku ka nui o ka ependymoma e loaʻa ana i nā mākua i loko o ke kīhāpai. Hiki iā ia ke hoʻopōʻino i ka ʻāpana o ke kino i kaohi ʻia e nā nerves i hoʻopilikia ʻia e ka tumor.

ʻO ka ʻoki kino ka lāʻau lapaʻau nui no ka ependymoma. No nā tumors e ulu wikiwiki ana a i ʻole no nā tumors i hiki ʻole ke wehe ʻia me ka ʻoki kino, hiki ke ʻōlelo ʻia nā lāʻau lapaʻau hou aku. Hiki i kēia mau mea ke komo pū me ka radiation therapy, radiosurgery, chemotherapy a i ʻole targeted therapy.

ʻO nā hoʻokolohua a me nā kaʻina hana i hoʻohana ʻia e ʻike i ka ependymoma e komo pū me:

• Hoʻokolohua Neurological. I ka wā o ka hoʻokolohua neurological, nānā kahi limahana olakino i ka ʻike, ka lohe, ke kaulike, ka hoʻohui, ka ikaika a me nā reflexes. Hiki i nā pilikia i hoʻokahi a ʻoi aku paha o kēia mau wahi ke hāʻawi i nā ʻōlelo aʻoaʻo e pili ana i ka ʻāpana o ka lolo a i ʻole ke kīhāpai i hiki ke hoʻopilikia ʻia e ka tumor.
• Nā hoʻokolohua Imaging. Hana nā hoʻokolohua Imaging i nā kiʻi o ke kino. Hiki iā lākou ke hōʻike i ka wahi a me ka nui o ka ependymoma. Hoʻohana pinepine ʻia ka MRI e ʻike i nā tumors lolo. Hiki ke hoʻohana ʻia pū me ka imaging MRI kūikawā, e like me ka magnetic resonance angiography. No ka mea hiki i ka ependymoma ke loaʻa i loko o ka lolo a me ke kīhāpai, hiki ke hoʻohana ʻia nā hoʻokolohua imaging e hana i nā kiʻi o nā wahi ʻelua.
• Hoʻokolohua wai Cerebrospinal. I kapa ʻia ʻo ka lumbar puncture a i ʻole spinal tap, komo kēia kaʻina hana i ka hoʻokomo ʻana i kahi nila ma waena o ʻelua iwi i loko o ke kīhāpai haʻahaʻa. Huki ka nila i ka wai mai ke kīhāpai. Hoʻokolohua ʻia ka wai e ʻimi i nā cell tumor.

Ma muli o nā hopena hoʻokolohua, hiki i kāu limahana olakino ke kānalua i ka ependymoma a ʻōlelo aku i ka ʻoki kino e wehe i ka tumor. I ka manawa i wehe ʻia, hoʻokolohua ʻia nā cell tumor i loko o kahi labo e hōʻoia i ka ʻike. Hiki i nā hoʻokolohua kūikawā ke haʻi aku i ka hui olakino e pili ana i nā ʻano o nā cell i komo i loko o ka tumor. Hiki i kāu hui olakino ke hoʻohana i kēia ʻike e alakaʻi i nā hoʻoholo lāʻau lapaʻau.

ʻO nā koho lāʻau lapaʻau Ependymoma e komo pū me:

Hana nā kauka lolo, i kapa ʻia ʻo neurosurgeons, e wehe i ka nui o ka ependymoma e hiki ai. ʻO ka pahuhopu ke wehe i ka tumor holoʻokoʻa. I kekahi manawa, aia ka ependymoma kokoke i ka lolo a i ʻole ke kīhāpai ʻaʻole palekana ke wehe.

Inā wehe ʻia ka tumor holoʻokoʻa i ka wā o ka ʻoki kino, ʻaʻole pono ke lāʻau lapaʻau hou aku. Inā koe kekahi tumor, hiki i ka neurosurgeon ke ʻōlelo aku i kahi hana hou e ho'āʻo e wehe i ke koena o ka tumor. Hiki ke ʻōlelo ʻia nā lāʻau lapaʻau hou aku, e like me ka radiation therapy, no nā tumors cancerous a i ʻole inā hiki ʻole ke wehe ʻia ka tumor holoʻokoʻa.

Hoʻohana ka radiation therapy i nā kukuna ikehu ikaika e pepehi i nā cell tumor. Hiki i ka ikehu ke hele mai mai nā X-rays, protons a i ʻole nā kumu ʻē aʻe. I ka wā o ka radiation therapy, kuhikuhi kahi mīkini i nā kukuna ikehu i nā wahi kūikawā e pepehi i nā cell tumor ma laila.

Hiki ke ʻōlelo ʻia ka radiation therapy ma hope o ka ʻoki kino e kōkua i ka pale ʻana i nā tumors cancerous mai ka hoʻi ʻana mai. Hiki nō hoʻi ke ʻōlelo ʻia inā ʻaʻole hiki i nā neurosurgeons ke wehe i ka tumor holoʻokoʻa.

Kōkua kekahi mau ʻano kūikawā o ka radiation therapy e kālele i ka lāʻau lapaʻau radiation ma nā cell tumor. Hiki i kēia mau ʻano kūikawā o ka radiation ke hoʻemi i ka pilikia o ka hōʻino ʻana i nā cell olakino kokoke. ʻO nā laʻana e komo pū me ka conformal radiation therapy, intensity-modulated radiation therapy a me ka proton therapy.

ʻO ka stereotactic radiosurgery kahi ʻano ikaika o ka lāʻau lapaʻau radiation. Hoʻokūpaʻa ia i nā kukuna radiation mai nā kihi he nui i ka tumor. ʻAʻole ikaika loa kēlā me kēia kukuna. Akā, loaʻa i ka wahi e hui ai nā kukuna i kahi nui o ka radiation e pepehi i nā cell tumor.

Hoʻohana ka chemotherapy i nā lāʻau lapaʻau e pepehi i nā cell tumor. ʻAʻole pinepine ka hoʻohana ʻana o ka chemotherapy e mālama i ka ependymoma. Hiki paha ia he koho i kekahi mau kūlana, e like me ka wā e ulu hou ai ka tumor ma waho aʻe o ka ʻoki kino a me ka radiation.

Hoʻohana ka targeted therapy i nā lāʻau lapaʻau e hoʻouka i nā kemika kūikawā i nā cell tumor. Ma ka pani ʻana i kēia mau kemika, hiki i nā lāʻau lapaʻau i hoʻonohonoho ʻia ke hoʻopōʻino i nā cell tumor. Hiki paha i ka targeted therapy ke koho e mālama i kahi ependymoma e hoʻi mai ma hope o ka lāʻau lapaʻau.

ʻO nā hoʻokolohua clinical nā haʻawina o nā lāʻau lapaʻau hou. Hāʻawi kēia mau haʻawina i kahi manawa e ho'āʻo i nā koho lāʻau lapaʻau hou loa, akā ʻaʻole maopopo paha ka pilikia o nā hopena ʻaoʻao. E kamaʻilio me kāu hui olakino inā makemake ʻoe i kahi hoʻokolohua clinical.

ʻO kēia kiʻi MRI i hoʻonui ʻia me ka mea hoʻohālikelike o ke poʻo o ke kanaka e hōʻike ana i ka meningioma. Ua ulu nui kēia meningioma a hiki i kaomi ʻana i loko o ka ʻiʻo lolo.

Kiʻi ʻana i ka maʻi ʻaʻai lolo

Inā manaʻo kou mea mālama ola e loaʻa paha iā ʻoe ka maʻi ʻaʻai lolo, pono ʻoe i kahi helu o nā hoʻokolohua a me nā kaʻina hana e hōʻoia ai. Loaʻa paha kēia mau mea:

• Kahi hoʻokolohua neurological. Hoʻokolohua kahi hoʻokolohua neurological i nā ʻāpana like ʻole o kou lolo e ʻike ai i ke ʻano o kā lākou hana. Loaʻa paha kēia hoʻokolohua i ka nānā ʻana i kou ʻike, lohe, kaulike, hoʻonohonoho, ikaika a me nā reflexes. Inā pilikia ʻoe ma kahi ʻāpana hoʻokahi a ʻoi aku paha, he ʻōlelo kēia no kāu mea mālama ola. ʻAʻole ʻike ka hoʻokolohua neurological i ka maʻi ʻaʻai lolo. Akā, kōkua ia i kāu mea hoʻolako e hoʻomaopopo i kahi ʻāpana o kou lolo e pilikia paha.
• CT scan poʻo. Hoʻohana kahi scan computed tomography, i kapa ʻia hoʻi he CT scan, i nā X-rays e hana i nā kiʻi. Loaʻa nui ia, a wikiwiki ka loaʻa ʻana o nā hopena. No laila, ʻo CT paha ka hoʻokolohua kiʻi mua loa e hana ʻia inā loaʻa iā ʻoe nā headaches a i ʻole nā ​​hōʻailona ʻē aʻe he nui nā kumu hiki. Hiki i kahi CT scan ke ʻike i nā pilikia ma a puni kou lolo. Hāʻawi nā hopena i kāu mea mālama ola i nā ʻōlelo aʻoaʻo e hoʻoholo ai i ka hoʻokolohua e hana hou. Inā manaʻo kou mea hoʻolako e hōʻike ana kāu CT scan i ka maʻi ʻaʻai lolo, pono paha ʻoe i kahi MRI lolo.
• PET scan o ka lolo. Hiki i kahi scan positron emission tomography, i kapa ʻia hoʻi he PET scan, ke ʻike i kekahi mau maʻi ʻaʻai lolo. Hoʻohana kahi PET scan i kahi mea hōʻailona radioactive i hoʻokomo ʻia i loko o kahi vein. Holo ka mea hōʻailona ma o ke koko a hoʻopili i nā sela maʻi ʻaʻai lolo. Hana ka mea hōʻailona i nā sela maʻi ʻaʻai e kū i waho ma nā kiʻi i lawe ʻia e ka mīkini PET. E lawe nā sela e hoʻokaʻawale a hoʻonui wikiwiki i ka nui o ka mea hōʻailona.

Loaʻa paha ka PET scan i ka mea kōkua loa no ka ʻike ʻana i nā maʻi ʻaʻai lolo e ulu wikiwiki ana. ʻO nā laʻana e komo pū ana i nā glioblastomas a me kekahi mau oligodendrogliomas. ʻAʻole ʻike ʻia nā maʻi ʻaʻai lolo e ulu mālie ma kahi PET scan. ʻOi aku ka mālie o ka ulu ʻana o nā maʻi ʻaʻai lolo ʻaʻole maʻi ʻaʻai, no laila ʻoi aku ka liʻiliʻi o ka hoʻohana ʻana o nā PET scans no nā maʻi ʻaʻai lolo benign. ʻAʻole pono kēlā me kēia kanaka me ka maʻi ʻaʻai lolo i kahi PET scan. E nīnau i kāu mea mālama ola inā pono ʻoe i kahi PET scan.

• ʻO ka hōʻiliʻili ʻana i kahi laʻana o ka ʻiʻo. ʻO kahi biopsy lolo kahi kaʻina hana e wehe ai i kahi laʻana o ka ʻiʻo maʻi ʻaʻai lolo no ka hoʻokolohua ʻana ma kahi hale hana. Hoʻomaʻamaʻa pinepine kahi kauka i ka laʻana i ka wā o ka ʻoki ʻana e wehe i ka maʻi ʻaʻai lolo.

Inā hiki ʻole ke ʻoki ʻana, hiki ke wehe ʻia kahi laʻana me kahi nila. Hana ʻia ka wehe ʻana i kahi laʻana o ka ʻiʻo maʻi ʻaʻai lolo me kahi nila me kahi kaʻina hana i kapa ʻia ʻo stereotactic needle biopsy.

I loko o kēia kaʻina hana, ua wili ʻia kahi puka liʻiliʻi i loko o ka iwi poʻo. Hoʻokomo ʻia kahi nila lahilahi ma o ka puka. Hoʻohana ʻia ka nila e lawe i kahi laʻana ʻiʻo. Hoʻohana ʻia nā hoʻokolohua kiʻi e like me CT a me MRI e hoʻolālā i ke ala o ka nila. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ka biopsy no ka mea hoʻohana ʻia ka lāʻau lapaʻau e hoʻohemo i ka wahi. Pinepine ʻoe e loaʻa pū kekahi lāʻau lapaʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe e like me ka hiamoe ʻole.

Loaʻa paha iā ʻoe kahi biopsy nila ma mua o ka ʻoki ʻana inā hopohopo kāu hui mālama ola e hōʻeha paha kahi hana i kahi ʻāpana nui o kou lolo. Pono paha kahi nila e wehe i ka ʻiʻo mai kahi maʻi ʻaʻai lolo inā aia ka maʻi ʻaʻai ma kahi paʻakikī ke hiki aku me ka ʻoki ʻana.

Loaʻa i ka biopsy lolo kahi pilikia o nā pilikia. ʻO nā pilikia e komo pū ana i ke kahe koko i loko o ka lolo a me ka hōʻino ʻana i ka ʻiʻo lolo.

• Ke hoʻokolohua ʻana i ka laʻana ʻiʻo ma ka hale hana. Hoʻouna ʻia ka laʻana biopsy i kahi hale hana no ka hoʻokolohua ʻana. Hiki i nā hoʻokolohua ke ʻike inā he maʻi ʻaʻai nā sela a ʻaʻole paha he maʻi ʻaʻai. Hiki i ke ʻano o nā sela ma lalo o ka microscope ke haʻi aku i kāu hui mālama ola i ka wikiwiki o ka ulu ʻana o nā sela. Kēia ka mea i kapa ʻia ʻo ka papa o ka maʻi ʻaʻai lolo. Hiki i nā hoʻokolohua ʻē aʻe ke ʻike i nā loli DNA i loaʻa i nā sela. Kōkua kēia i kāu hui mālama ola e hana i kāu hoʻolālā mālama.

MRI lolo. Hoʻohana ka Magnetic resonance imaging, i kapa ʻia hoʻi he MRI, i nā magnets ikaika e hana i nā kiʻi o loko o ke kino. Hoʻohana pinepine ʻia ka MRI e ʻike i nā maʻi ʻaʻai lolo no ka mea hōʻike maopopo aku ia i ka lolo ma mua o nā hoʻokolohua kiʻi ʻē aʻe.

Pinepine ʻia ka hoʻokomo ʻana i kahi dye i loko o kahi vein ma ka lima ma mua o ka MRI. Hana ka dye i nā kiʻi maopopo. Hana kēia i ka maʻalahi o ka ʻike ʻana i nā maʻi ʻaʻai liʻiliʻi. Hiki ke kōkua i kāu hui mālama ola e ʻike i ka ʻokoʻa ma waena o ka maʻi ʻaʻai lolo a me ka ʻiʻo lolo olakino.

I kekahi manawa pono ʻoe i kahi ʻano kūikawā o MRI e hana i nā kiʻi kikoʻī hou aku. ʻO kahi laʻana, ʻo ka functional MRI. Hōʻike kēia MRI kūikawā i nā ʻāpana o ka lolo e kaohi ana i ka ʻōlelo, ka neʻe ʻana a me nā hana nui ʻē aʻe. Kōkua kēia i kāu mea mālama ola e hoʻolālā i ka ʻoki ʻana a me nā mālama ʻē aʻe.

ʻO kahi hoʻokolohua MRI kūikawā ʻē aʻe ʻo ka magnetic resonance spectroscopy. Hoʻohana kēia hoʻokolohua i ka MRI e ana i nā pae o kekahi mau kemika i nā sela maʻi ʻaʻai. ʻO ka loaʻa ʻana o ka nui a i ʻole ka liʻiliʻi o nā kemika e haʻi aku paha i kāu hui mālama ola e pili ana i ke ʻano o ka maʻi ʻaʻai lolo āu.

ʻO ka magnetic resonance perfusion kekahi ʻano kūikawā o MRI. Hoʻohana kēia hoʻokolohua i ka MRI e ana i ka nui o ke koko i nā ʻāpana like ʻole o ka maʻi ʻaʻai lolo. ʻO nā ʻāpana o ka maʻi ʻaʻai i loaʻa ka nui o ke koko paha nā ʻāpana ikaika loa o ka maʻi ʻaʻai. Hoʻohana kāu hui mālama ola i kēia ʻike e hoʻolālā i kāu mālama.

PET scan o ka lolo. Hiki i kahi scan positron emission tomography, i kapa ʻia hoʻi he PET scan, ke ʻike i kekahi mau maʻi ʻaʻai lolo. Hoʻohana kahi PET scan i kahi mea hōʻailona radioactive i hoʻokomo ʻia i loko o kahi vein. Holo ka mea hōʻailona ma o ke koko a hoʻopili i nā sela maʻi ʻaʻai lolo. Hana ka mea hōʻailona i nā sela maʻi ʻaʻai e kū i waho ma nā kiʻi i lawe ʻia e ka mīkini PET. E lawe nā sela e hoʻokaʻawale a hoʻonui wikiwiki i ka nui o ka mea hōʻailona.

A PET scan may be most helpful for detecting brain tumors that are growing quickly. Examples include glioblastomas and some oligodendrogliomas. Brain tumors that grow slowly might not be detected on a PET scan. Brain tumors that aren't cancerous tend to grow more slowly, so PET scans are less useful for benign brain tumors. Not everyone with a brain tumor needs a PET scan. Ask your health care provider whether you need at PET scan.

ʻO ka hōʻiliʻili ʻana i kahi laʻana o ka ʻiʻo. ʻO kahi biopsy lolo kahi kaʻina hana e wehe ai i kahi laʻana o ka ʻiʻo maʻi ʻaʻai lolo no ka hoʻokolohua ʻana ma kahi hale hana. Hoʻomaʻamaʻa pinepine kahi kauka i ka laʻana i ka wā o ka ʻoki ʻana e wehe i ka maʻi ʻaʻai lolo.

Inā hiki ʻole ke ʻoki ʻana, hiki ke wehe ʻia kahi laʻana me kahi nila. Hana ʻia ka wehe ʻana i kahi laʻana o ka ʻiʻo maʻi ʻaʻai lolo me kahi nila me kahi kaʻina hana i kapa ʻia ʻo stereotactic needle biopsy.

I loko o kēia kaʻina hana, ua wili ʻia kahi puka liʻiliʻi i loko o ka iwi poʻo. Hoʻokomo ʻia kahi nila lahilahi ma o ka puka. Hoʻohana ʻia ka nila e lawe i kahi laʻana ʻiʻo. Hoʻohana ʻia nā hoʻokolohua kiʻi e like me CT a me MRI e hoʻolālā i ke ala o ka nila. ʻAʻole ʻoe e manaʻo i kekahi mea i ka wā o ka biopsy no ka mea hoʻohana ʻia ka lāʻau lapaʻau e hoʻohemo i ka wahi. Pinepine ʻoe e loaʻa pū kekahi lāʻau lapaʻau e hoʻokomo iā ʻoe i kahi kūlana hiamoe e like me ka hiamoe ʻole.

Loaʻa paha iā ʻoe kahi biopsy nila ma mua o ka ʻoki ʻana inā hopohopo kāu hui mālama ola e hōʻeha paha kahi hana i kahi ʻāpana nui o kou lolo. Pono paha kahi nila e wehe i ka ʻiʻo mai kahi maʻi ʻaʻai lolo inā aia ka maʻi ʻaʻai ma kahi paʻakikī ke hiki aku me ka ʻoki ʻana.

Loaʻa i ka biopsy lolo kahi pilikia o nā pilikia. ʻO nā pilikia e komo pū ana i ke kahe koko i loko o ka lolo a me ka hōʻino ʻana i ka ʻiʻo lolo.

Hāʻawi ʻia ka papa o ka maʻi ʻaʻai lolo i ka wā e hoʻokolohua ʻia ai nā sela maʻi ʻaʻai ma kahi hale hana. Hōʻike ka papa i kāu hui mālama ola i ka wikiwiki o ka ulu ʻana a me ka hoʻonui ʻana o nā sela. Hoʻokumu ʻia ka papa ma ke ʻano o nā sela ma lalo o ka microscope. ʻO nā papa mai 1 a 4.

ʻO kahi maʻi ʻaʻai lolo papa 1 e ulu mālie ana. ʻAʻole ʻokoʻa loa nā sela mai nā sela olakino kokoke. I ka piʻi ʻana o ka papa, e hoʻololi nā sela i mea e hoʻomaka ai lākou e ʻike ʻokoʻa loa. ʻO kahi maʻi ʻaʻai lolo papa 4 e ulu wikiwiki loa ana. ʻAʻole like nā sela me nā sela olakino kokoke.

ʻAʻohe mau kahua no nā maʻi ʻaʻai lolo. Loaʻa nā kahua i nā ʻano ʻē aʻe o ka maʻi ʻaʻai. No kēia mau ʻano ʻē aʻe o ka maʻi ʻaʻai, wehewehe ka kahua i ka holomua o ka maʻi ʻaʻai a inā paha ua pālahalaha. ʻAʻole paha e pālahalaha nā maʻi ʻaʻai lolo a me nā maʻi ʻaʻai lolo, no laila ʻaʻohe o lākou mau kahua.

Hoʻohana kāu hui mālama ola i ka ʻike āpau mai kāu mau hoʻokolohua diagnostic e hoʻomaopopo i kāu prognosis. ʻO ka prognosis ka nui o ka hiki ke ho'ōla ʻia ka maʻi ʻaʻai lolo. ʻO nā mea e hiki ke hoʻopilikia i ka prognosis no nā kānaka me nā maʻi ʻaʻai lolo e komo pū ana:

• Ke ʻano o ka maʻi ʻaʻai lolo.
• Pehea ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai lolo.
• Kahi o ka maʻi ʻaʻai lolo i loko o ka lolo.
• Nā loli DNA i loaʻa i nā sela maʻi ʻaʻai lolo.
• Inā hiki ke wehe piha ʻia ka maʻi ʻaʻai lolo me ka ʻoki ʻana.
• Kou olakino holoʻokoʻa a me kou ola maikaʻi.

Inā makemake ʻoe e ʻike hou aku e pili ana i kāu prognosis, e kūkākūkā me kāu hui mālama ola.

ʻO ke ʻano o ka mālama ʻana i kahi ʻōpū lolo e hilinaʻi ana i ka mea inā he kanesa lolo ka ʻōpū a i ʻole inā ʻaʻole ia he kanesa, i kapa ʻia hoʻi he ʻōpū lolo maikaʻi. E hilinaʻi pū ana nā koho mālama i ke ʻano, ka nui, ka papa, a me kahi o ka ʻōpū lolo. Loaʻa paha nā koho e like me ka ʻoki kino, ka mālama radiation, ka radiosurgery, ka chemotherapy a me ka mālama i hoʻopili ʻia. I ka noʻonoʻo ʻana i kāu mau koho mālama, e noʻonoʻo pū kāu hui mālama ola i kou olakino holoʻokoʻa a me kāu mau makemake. Loaʻa paha ʻaʻole pono ka mālama koke. Loaʻa paha ʻaʻole pono ʻoe i ka mālama koke inā liʻiliʻi kāu ʻōpū lolo, ʻaʻole kanesa a ʻaʻole hoʻi e hoʻoulu i nā hōʻailona. Loaʻa paha ʻaʻole ulu nā ʻōpū lolo liʻiliʻi, maikaʻi a i ʻole ulu mālie loa e ʻaʻole loa e hoʻoulu i nā pilikia. Loaʻa paha iā ʻoe nā scan MRI lolo i kekahi mau manawa o ka makahiki e nānā ai i ka ulu ʻana o ka ʻōpū lolo. Inā ulu wikiwiki ka ʻōpū lolo ma mua o ka manaʻo a i ʻole inā loaʻa iā ʻoe nā hōʻailona, pono paha ʻoe i ka mālama. Ma ka ʻoki kino endoscopic transnasal transsphenoidal, waiho ʻia kahi mea hana ʻoki kino ma o ka ihu a ma ka ʻaoʻao o ka septum ihu e komo ai i kahi ʻōpū pituitary. ʻO ka pahuhopu o ka ʻoki kino no kahi ʻōpū lolo ka wehe ʻana i nā sela ʻōpū a pau. ʻAʻole hiki ke wehe piha ʻia ka ʻōpū i nā manawa a pau. Ke hiki, hana ka mea ʻoki kino e wehe i ka nui o ka ʻōpū lolo e hiki ke hana palekana. Hiki ke hoʻohana ʻia ka ʻoki kino wehe ʻana i ka ʻōpū lolo e mālama i nā kanesa lolo a me nā ʻōpū lolo maikaʻi. He liʻiliʻi kekahi mau ʻōpū lolo a maʻalahi ke hoʻokaʻawale mai ka ʻiʻo lolo a puni. Hana kēia i ka mea e wehe piha ʻia ai ka ʻōpū. ʻAʻole hiki ke hoʻokaʻawale ʻia nā ʻōpū lolo ʻē aʻe mai ka ʻiʻo a puni. I kekahi manawa, kokoke kahi ʻōpū lolo i kahi ʻāpana nui o ka lolo. Loaʻa paha ka pilikia o ka ʻoki kino i kēia kūlana. Loaʻa paha ka mea ʻoki kino i ka nui o ka ʻōpū e palekana. I kekahi manawa, kapa ʻia ka wehe ʻana i kahi ʻāpana o kahi ʻōpū lolo he subtotal resection. Hiki i ka wehe ʻana i kahi ʻāpana o kāu ʻōpū lolo ke kōkua i ka hoʻemi ʻana i kāu mau hōʻailona. He nui nā ala e hana ai i kahi ʻoki kino wehe ʻana i ka ʻōpū lolo. ʻO ka mea maikaʻi loa no ʻoe e hilinaʻi ana i kāu kūlana. ʻO nā laʻana o nā ʻano o ka ʻoki kino ʻōpū lolo e komo pū me:

• Wehe ʻana i kahi ʻāpana o ka iwi poʻo e komo ai i ka ʻōpū lolo. Kī ʻia ka ʻoki kino lolo e komo pū ana i ka wehe ʻana i kahi ʻāpana o ka iwi poʻo he craniotomy. ʻO ia ke ala i hana ʻia ai ka hapa nui o nā hana wehe ʻana i ka ʻōpū lolo. Hoʻohana ʻia ka Craniotomy no ka mālama ʻana i nā ʻōpū lolo kanesa a me nā ʻōpū lolo maikaʻi. Hana ka mea ʻoki kino i kahi ʻoki ma kāu poʻo. Neʻe ʻia ka ʻili a me nā ʻiʻo mai ke ala. A laila hoʻohana ka mea ʻoki kino i kahi mīkini e ʻoki ai i kahi ʻāpana o ka iwi poʻo. Wehe ʻia ka iwi e komo ai i ka lolo. Inā hohonu ka ʻōpū i loko o ka lolo, loaʻa paha kahi mea hana e hoʻopaʻa mālie i ka ʻiʻo lolo olakino mai ke ala. ʻOki ʻia ka ʻōpū lolo me nā mea hana kūikawā. I kekahi manawa hoʻohana ʻia nā lasers e luku i ka ʻōpū. I ka wā o ka ʻoki kino, loaʻa iā ʻoe ka lāʻau lapaʻau e hoʻohemo ai i ka wahi i ʻole ʻoe e manaʻo ai i kekahi mea. Hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻokomo ai iā ʻoe i kahi kūlana moe i ka wā o ka ʻoki kino. I kekahi manawa ala ʻoe i ka wā o ka ʻoki kino lolo. Kī ʻia kēia he ʻoki kino lolo ala. Ke ala ʻoe, nīnau paha ka mea ʻoki kino i nā nīnau a nānā i ka hana i loko o kou lolo ke pane ʻoe. Kōkua kēia e hoʻemi i ka pilikia o ka hōʻeha ʻana i nā ʻāpana nui o ka lolo. Ke pau ka ʻoki kino wehe ʻana i ka ʻōpū, hoʻihoʻi ʻia ka ʻāpana o ka iwi poʻo i kona wahi.
• Hoʻohana ʻana i kahi paipu lōʻihi, lahilahi e komo ai i ka ʻōpū lolo. Hoʻokomo ka ʻoki kino lolo endoscopic i kahi paipu lōʻihi, lahilahi i loko o ka lolo. Kī ʻia ka paipu he endoscope. Loaʻa i ka paipu kahi papa o nā lense a i ʻole kahi kāmela liʻiliʻi e hoʻouna i nā kiʻi i ka mea ʻoki kino. Hoʻokomo ʻia nā mea hana kūikawā ma o ka paipu e wehe i ka ʻōpū. Hoʻohana pinepine ʻia ka ʻoki kino lolo endoscopic e mālama i nā ʻōpū pituitary. ulu kēia mau ʻōpū ma hope pono o ka lua ihu. Hoʻokomo ʻia ka paipu lōʻihi, lahilahi ma o ka ihu a me nā sinuses a i loko o ka lolo. I kekahi manawa hoʻohana ʻia ka ʻoki kino lolo endoscopic e wehe i nā ʻōpū lolo i nā ʻāpana ʻē aʻe o ka lolo. Loaʻa paha ka mea ʻoki kino i kahi mīkini e hana ai i kahi puka i ka iwi poʻo. Hoʻokomo mālie ʻia ka paipu lōʻihi, lahilahi ma o ka ʻiʻo lolo. Hoʻomau ka paipu a hiki i ka hiki ʻana i ka ʻōpū lolo. Wehe ʻana i kahi ʻāpana o ka iwi poʻo e komo ai i ka ʻōpū lolo. Kī ʻia ka ʻoki kino lolo e komo pū ana i ka wehe ʻana i kahi ʻāpana o ka iwi poʻo he craniotomy. ʻO ia ke ala i hana ʻia ai ka hapa nui o nā hana wehe ʻana i ka ʻōpū lolo. Hoʻohana ʻia ka Craniotomy no ka mālama ʻana i nā ʻōpū lolo kanesa a me nā ʻōpū lolo maikaʻi. Hana ka mea ʻoki kino i kahi ʻoki ma kāu poʻo. Neʻe ʻia ka ʻili a me nā ʻiʻo mai ke ala. A laila hoʻohana ka mea ʻoki kino i kahi mīkini e ʻoki ai i kahi ʻāpana o ka iwi poʻo. Wehe ʻia ka iwi e komo ai i ka lolo. Inā hohonu ka ʻōpū i loko o ka lolo, loaʻa paha kahi mea hana e hoʻopaʻa mālie i ka ʻiʻo lolo olakino mai ke ala. ʻOki ʻia ka ʻōpū lolo me nā mea hana kūikawā. I kekahi manawa hoʻohana ʻia nā lasers e luku i ka ʻōpū. I ka wā o ka ʻoki kino, loaʻa iā ʻoe ka lāʻau lapaʻau e hoʻohemo ai i ka wahi i ʻole ʻoe e manaʻo ai i kekahi mea. Hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hoʻokomo ai iā ʻoe i kahi kūlana moe i ka wā o ka ʻoki kino. I kekahi manawa ala ʻoe i ka wā o ka ʻoki kino lolo. Kī ʻia kēia he ʻoki kino lolo ala. Ke ala ʻoe, nīnau paha ka mea ʻoki kino i nā nīnau a nānā i ka hana i loko o kou lolo ke pane ʻoe. Kōkua kēia e hoʻemi i ka pilikia o ka hōʻeha ʻana i nā ʻāpana nui o ka lolo. Ke pau ka ʻoki kino wehe ʻana i ka ʻōpū, hoʻihoʻi ʻia ka ʻāpana o ka iwi poʻo i kona wahi. Hoʻohana ʻana i kahi paipu lōʻihi, lahilahi e komo ai i ka ʻōpū lolo. Hoʻokomo ka ʻoki kino lolo endoscopic i kahi paipu lōʻihi, lahilahi i loko o ka lolo. Kī ʻia ka paipu he endoscope. Loaʻa i ka paipu kahi papa o nā lense a i ʻole kahi kāmela liʻiliʻi e hoʻouna i nā kiʻi i ka mea ʻoki kino. Hoʻokomo ʻia nā mea hana kūikawā ma o ka paipu e wehe i ka ʻōpū. Hoʻohana pinepine ʻia ka ʻoki kino lolo endoscopic e mālama i nā ʻōpū pituitary. ulu kēia mau ʻōpū ma hope pono o ka lua ihu. Hoʻokomo ʻia ka paipu lōʻihi, lahilahi ma o ka ihu a me nā sinuses a i loko o ka lolo. I kekahi manawa hoʻohana ʻia ka ʻoki kino lolo endoscopic e wehe i nā ʻōpū lolo i nā ʻāpana ʻē aʻe o ka lolo. Loaʻa paha ka mea ʻoki kino i kahi mīkini e hana ai i kahi puka i ka iwi poʻo. Hoʻokomo mālie ʻia ka paipu lōʻihi, lahilahi ma o ka ʻiʻo lolo. Hoʻomau ka paipu a hiki i ka hiki ʻana i ka ʻōpū lolo. Loaʻa i ka ʻoki kino e wehe i kahi ʻōpū lolo kahi pilikia o nā hopena ʻaoʻao a me nā pilikia. Loaʻa paha kēia i ka maʻi, ka koko, nā clots koko a me ka hōʻeha i ka ʻiʻo lolo. Loaʻa paha nā pilikia ʻē aʻe e hilinaʻi ana i ka ʻāpana o ka lolo kahi i waiho ai ka ʻōpū. No ka laʻana, loaʻa paha i ka ʻoki kino ma kahi ʻōpū kokoke i nā aʻalolo e pili ana i nā maka kahi pilikia o ka nalowale ʻana o ka ʻike. Hiki i ka ʻoki kino e wehe i kahi ʻōpū ma kahi aʻalolo e kaohi ana i ka lohe ke hoʻoulu i ka nalowale ʻana o ka lohe. Hoʻohana ka mālama radiation no nā ʻōpū lolo i nā kukuna ikehu ikaika e pepehi i nā sela ʻōpū. Hiki mai ka ikehu mai nā X-rays, nā proton a me nā kumu ʻē aʻe. ʻO ka mālama radiation no nā ʻōpū lolo e hele mai ana mai kahi mīkini ma waho o ke kino. Kī ʻia kēia he radiation beam waho. I kekahi manawa, hiki ke waiho ʻia ka radiation i loko o ke kino. Kī ʻia kēia he brachytherapy. Hiki ke hoʻohana ʻia ka mālama radiation e mālama i nā kanesa lolo a me nā ʻōpū lolo maikaʻi. Hana pinepine ʻia ka mālama radiation beam waho i nā mālama pōkole i kēlā me kēia lā. Loaʻa paha i kahi papahana mālama maʻamau ka loaʻa ʻana o nā mālama radiation ʻelima lā o ka hebedoma no 2 a 6 mau pule. Hiki i ka radiation beam waho ke kau i ka wahi o kou lolo kahi i waiho ai ka ʻōpū, a i ʻole hiki ke hoʻopili ʻia i kou lolo holoʻokoʻa. Loaʻa paha i ka hapa nui o nā kānaka me kahi ʻōpū lolo ka radiation i kuhikuhi ʻia i ka wahi a puni ka ʻōpū. Inā nui nā ʻōpū, pono paha ka mālama radiation i ka lolo holoʻokoʻa. Ke mālama ʻia ka lolo holoʻokoʻa, kī ʻia ia he radiation lolo holoʻokoʻa. Hoʻohana pinepine ʻia ka radiation lolo holoʻokoʻa e mālama i ka kanesa e pālahalaha ana i ka lolo mai kahi ʻāpana ʻē aʻe o ke kino a hana i nā ʻōpū he nui i loko o ka lolo. Ma ke ʻano kuʻuna, hoʻohana ka mālama radiation i nā X-rays, akā hoʻohana kahi ʻano hou o kēia mālama i ka ikehu mai nā proton. Hiki ke hoʻopili pono ʻia nā proton beams e hōʻeha wale i nā sela ʻōpū. Loaʻa paha ʻaʻole lākou e hōʻeha i ka ʻiʻo olakino kokoke. Loaʻa paha ka proton therapy i ka mālama ʻana i nā ʻōpū lolo i nā keiki. Kōkua pū paha ia i ka mālama ʻana i nā ʻōpū kokoke loa i nā ʻāpana nui o ka lolo. ʻAʻole loaʻa ka proton therapy e like me ka mālama radiation X-ray kuʻuna. ʻO nā hopena ʻaoʻao o ka mālama radiation no nā ʻōpū lolo e hilinaʻi ana i ke ʻano a me ka nui o ka radiation āu e loaʻa ai. ʻO nā hopena ʻaoʻao maʻamau e hana ana i ka wā o ka mālama ʻana a i ʻole ma hope koke he luhi, nā headaches, ka nalowale o ka hoʻomanaʻo, ka huhū o ka poʻo a me ka nalowale o ka lauoho. I kekahi manawa hōʻike ʻia nā hopena ʻaoʻao o ka mālama radiation ma hope o nā makahiki he nui. Loaʻa paha kēia mau hopena ʻaoʻao hope i nā pilikia hoʻomanaʻo a me ka noʻonoʻo. Hoʻohana ka ʻenehana stereotactic radiosurgery i nā gamma rays liʻiliʻi he nui e hāʻawi i kahi nui o ka radiation i ka pahuhopu. ʻO ka stereotactic radiosurgery no nā ʻōpū lolo he ʻano ikaika o ka mālama radiation. Hoʻopili ia i nā kukuna radiation mai nā kihi he nui i ka ʻōpū lolo. ʻAʻole ikaika loa kēlā me kēia kukuna. Akā loaʻa i ka wahi e hui ai nā kukuna kahi nui o ka radiation e pepehi i nā sela ʻōpū. Hiki ke hoʻohana ʻia ka Radiosurgery e mālama i nā kanesa lolo a me nā ʻōpū lolo maikaʻi. Loaʻa nā ʻano ʻenehana like ʻole i hoʻohana ʻia i ka radiosurgery e hāʻawi i ka radiation e mālama ai i nā ʻōpū lolo. ʻO kekahi mau laʻana e komo pū me:
• Linear accelerator radiosurgery. Kī ʻia nā mīkini linear accelerator he mīkini LINAC. ʻIke ʻia nā mīkini LINAC ma o kā lākou mau inoa inoa, e like me CyberKnife, TrueBeam a me nā mea ʻē aʻe. Hoʻopili kahi mīkini LINAC i nā kukuna ikehu i hoʻolālā pono ʻia i kēlā me kēia manawa mai nā kihi like ʻole. Hana ʻia nā kukuna mai nā X-rays.
• Gamma Knife radiosurgery. Hoʻopili kahi mīkini Gamma Knife i nā kukuna radiation liʻiliʻi he nui i ka manawa hoʻokahi. Hana ʻia nā kukuna mai nā gamma rays.
• Proton radiosurgery. Hoʻohana ka Proton radiosurgery i nā kukuna i hana ʻia mai nā proton. ʻO kēia ka ʻano hou loa o ka radiosurgery. Ke lilo nei ia i mea maʻamau akā ʻaʻole loaʻa i nā haukapila a pau. Hana pinepine ʻia ka Radiosurgery i hoʻokahi mālama a i ʻole kekahi mau mālama. Hiki iā ʻoe ke hele i ka home ma hope o ka mālama ʻana a ʻaʻole pono ʻoe e noho i ka haukapila. ʻO nā hopena ʻaoʻao o ka radiosurgery e komo pū ana i ka manaʻo luhi loa a me nā loli ʻili ma kāu poʻo. Loaʻa paha ka ʻili ma kou poʻo maloʻo, ʻūlū a maʻalahi. Loaʻa paha iā ʻoe nā blisters ma ka ʻili a i ʻole ka nalowale o ka lauoho. I kekahi manawa, mau loa ka nalowale o ka lauoho. Hoʻohana ka Chemotherapy no nā ʻōpū lolo i nā lāʻau ikaika e pepehi i nā sela ʻōpū. Hiki ke lawe ʻia nā lāʻau chemotherapy ma ke ʻano o ka pila a i ʻole hoʻokomo ʻia i loko o ka vein. I kekahi manawa waiho ʻia ka lāʻau chemotherapy i loko o ka ʻiʻo lolo i ka wā o ka ʻoki kino. Hiki ke hoʻohana ʻia ka Chemotherapy e mālama i nā kanesa lolo a me nā ʻōpū lolo maikaʻi. I kekahi manawa hana ʻia ia i ka manawa hoʻokahi me ka mālama radiation. ʻO nā hopena ʻaoʻao o ka Chemotherapy e hilinaʻi ana i ke ʻano a me ka nui o nā lāʻau āu e loaʻa ai. Hiki i ka Chemotherapy ke hoʻoulu i ka nausea, ka luaʻi a me ka nalowale o ka lauoho. Hoʻohana ka mālama i hoʻopili ʻia no nā ʻōpū lolo i nā lāʻau e hoʻouka i nā kemika kūikawā i loaʻa i loko o nā sela ʻōpū. Ma ka pale ʻana i kēia mau kemika, hiki i nā mālama i hoʻopili ʻia ke hoʻoulu i ka make ʻana o nā sela ʻōpū. Loaʻa nā lāʻau mālama i hoʻopili ʻia no kekahi mau ʻano o nā kanesa lolo a me nā ʻōpū lolo maikaʻi. Loaʻa paha ka hoʻokolohua ʻana i kāu mau sela ʻōpū lolo e ʻike inā loaʻa paha ka mālama i hoʻopili ʻia e kōkua iā ʻoe. Ma hope o ka mālama ʻana, pono paha ʻoe i ke kōkua e hoʻihoʻi i ka hana i ka ʻāpana o kou lolo kahi i loaʻa ai ka ʻōpū. Pono paha ʻoe i ke kōkua me ka neʻe ʻana, ka ʻōlelo ʻana, ka ʻike ʻana a me ka noʻonoʻo ʻana. Ma muli o kāu mau pono kūikawā, hāʻawi paha kāu mea hoʻolako mālama ola i:
• Physical therapy e kōkua iā ʻoe e hoʻihoʻi i nā mākau hana i nalowale a i ʻole ka ikaika o nā ʻiʻo.
• Occupational therapy e kōkua iā ʻoe e hoʻi i kāu mau hana maʻamau i kēlā me kēia lā, e komo pū ana me ka hana.
• Speech therapy e kōkua inā paʻakikī ka ʻōlelo ʻana.
• Tutoring no nā keiki kula e kōkua iā lākou e kū i nā loli i kā lākou hoʻomanaʻo a me ka noʻonoʻo. Kakau inoa no ka manuahi a loaʻa nā mea hou loa ma ka mālama ʻana i ka ʻōpū lolo, ka ʻike a me ka ʻoki kino. ka loulou unsubscribe ma ka leka uila. Ua liʻiliʻi ka noiʻi i hana ʻia ma nā mālama ʻōpū lolo hoʻohui a me nā mea ʻē aʻe. ʻAʻohe mālama ʻē aʻe i hōʻoia ʻia e hoʻōla i nā ʻōpū lolo. Eia naʻe, hiki i nā mālama hoʻohui ke kōkua iā ʻoe e kū i ke kaumaha o ka ʻike ʻana i kahi ʻōpū lolo. ʻO kekahi mau mālama hoʻohui e kōkua paha iā ʻoe e kū e komo pū me:
• Art therapy.
• Hoʻoikaika kino.
• Meditation.
• Music therapy.
• Nā hana hoʻomaha. E kamaʻilio me kāu hui mālama ola e pili ana i kāu mau koho. Ke ʻōlelo nei kekahi poʻe he manaʻo nui a weliweli ka ʻike ʻana i kahi ʻōpū lolo. Loaʻa paha ia iā ʻoe ka manaʻo ʻaʻohe ou mana ma luna o kou olakino. Loaʻa paha ke kōkua i ka lawe ʻana i nā hana e hoʻomaopopo ai i kou kūlana a kamaʻilio e pili ana i kou mau manaʻo. E noʻonoʻo e ho'āʻo e:
• E aʻo i ka lawa e pili ana i nā ʻōpū lolo e hoʻoholo ai e pili ana i kāu mālama. E nīnau i kāu mea hoʻolako mālama ola e pili ana i kāu ʻano kūikawā o ka ʻōpū lolo. E nīnau e pili ana i kāu mau koho mālama a, inā makemake ʻoe, kāu prognosis. Ke aʻo hou ʻoe e pili ana i nā ʻōpū lolo, loaʻa paha ʻoe i ka manaʻo maikaʻi e pili ana i ka hoʻoholo ʻana i nā mālama. E ʻimi i ka ʻike mai nā kumu hilinaʻi, e like me ka American Cancer Society a me ka National Cancer Institute.
• E mālama i nā hoaaloha a me ka ʻohana kokoke. E kōkua ana ka mālama ʻana i kou mau pilina pili kokoke e kū i kāu ʻōpū lolo. Hiki i nā hoaaloha a me ka ʻohana ke hāʻawi i ke kākoʻo kūpono āu e pono ai, e like me ke kōkua ʻana i ka mālama ʻana i kou home inā ʻoe i ka haukapila. A hiki iā lākou ke lawelawe ma ke ʻano he kākoʻo manaʻo ke manaʻo ʻoe i ka nui o ke kanesa.
• E ʻimi i kahi kanaka e kamaʻilio pū me. E ʻimi i kahi mea hoʻolohe maikaʻi e makemake e hoʻolohe iā ʻoe e kamaʻilio e pili ana i kou mau manaʻo a me kou mau makaʻu. Loaʻa paha kēia he hoaaloha, lālā ʻohana a lālā kleriki paha. E noi i kāu hui mālama ola e hāʻawi i kahi kākā'ōlelo a i ʻole ka mea hana pilikanaka lapaʻau e hiki iā ʻoe ke kamaʻilio pū me. E nīnau i kāu hui mālama ola e pili ana i nā hui kākoʻo ʻōpū lolo ma kou wahi. Loaʻa paha ke kōkua i ka aʻo ʻana i ke ʻano o nā poʻe ʻē aʻe i kou kūlana like e kū nei i nā pilikia lapaʻau paʻakikī. E ʻimi i kahi kanaka e kamaʻilio pū me. E ʻimi i kahi mea hoʻolohe maikaʻi e makemake e hoʻolohe iā ʻoe e kamaʻilio e pili ana i kou mau manaʻo a me kou mau makaʻu. Loaʻa paha kēia he hoaaloha, lālā ʻohana a lālā kleriki paha. E noi i kāu hui mālama ola e hāʻawi i kahi kākā'ōlelo a i ʻole ka mea hana pilikanaka lapaʻau e hiki iā ʻoe ke kamaʻilio pū me. E nīnau i kāu hui mālama ola e pili ana i nā hui kākoʻo ʻōpū lolo ma kou wahi. Loaʻa paha ke kōkua i ka aʻo ʻana i ke ʻano o nā poʻe ʻē aʻe i kou kūlana like e kū nei i nā pilikia lapaʻau paʻakikī.