Oligodendroglioma
Nānaina
ʻO ka oligodendroglioma ka ulu ʻana o nā sela e hoʻomaka ana i loko o ka lolo a i ʻole ke kīhāpai. ʻO ka ulu ʻana, i kapa ʻia ʻo ka maʻi ʻaʻai, e hoʻomaka ana i nā sela i kapa ʻia ʻo nā oligodendrocytes. Hana kēia mau sela i kahi mea e pale aku ai i nā sela nerve a kōkua i ka holo ʻana o nā hōʻailona uila i loko o ka lolo a me ke kīhāpai.
ʻO ka oligodendroglioma ka mea maʻamau i nā mākua, akā hiki ke loaʻa i kēlā me kēia makahiki. ʻO nā hōʻailona e komo pū ana me nā hopena, nā ʻeha poʻo, a me ka nāwaliwali a i ʻole ka hiki ʻole ke hana i kahi ʻāpana o ke kino. ʻO kahi e hana ai kēia i ke kino e hilinaʻi ana i nā ʻāpana o ka lolo a i ʻole ke kīhāpai i hoʻopilikia ʻia e ka maʻi ʻaʻai.
ʻO ka lāʻau lapaʻau me ka ʻoki kino, inā hiki. I kekahi manawa, ʻaʻole hiki ke hana ʻia ka ʻoki kino inā aia ka maʻi ʻaʻai ma kahi e paʻakikī ai ke hiki aku me nā mea hana ʻoki kino. Hiki ke pono nā lāʻau lapaʻau ʻē aʻe inā ʻaʻole hiki ke wehe ʻia ka maʻi ʻaʻai a i ʻole inā paha e hoʻi hou mai ma hope o ka ʻoki kino.
Nā hōʻailona
'Nā hōʻailona a me nā hōʻailona o ka oligodendroglioma e komo pū ana: Nā pilikia kaulike. Loli i ka ʻano. Nā pilikia hoʻomanaʻo. ʻO ka numbness ma kekahi ʻaoʻao o ke kino. Nā pilikia e ʻōlelo. Nā pilikia e noʻonoʻo maopopo. Nā hoʻouka ʻana. E hana i kahi kūkā me ke kauka a i ʻole kekahi limahana mālama ola inā loaʻa iā ʻoe nā hōʻailona e hopohopo nei iā ʻoe.'
ʻO ka manawa hea e ʻike ai i ke kauka
E hoʻokaʻaʻike i ke kauka a i ʻole kekahi limahana mālama ola inā loaʻa iā ʻoe nā hōʻailona mau e hopohopo nei ʻoe.
Nā kumu
ʻAʻole pinepine i ʻike ʻia ke kumu o ka oligodendroglioma. Hoʻomaka kēia ʻaʻai ma ke ʻano he ulu o nā cell i loko o ka lolo a i ʻole ka iwi kuamoʻo. Hana ʻia ia i loko o nā cell i kapa ʻia ʻo oligodendrocytes. Kōkua nā oligodendrocytes i ka pale ʻana i nā cell nerve a kōkua pū i ka kahe ʻana o nā hōʻailona uila i loko o ka lolo. Hana ʻia ka oligodendroglioma i ka wā e loaʻa ai i nā oligodendrocytes nā loli i kā lākou DNA. Loaʻa i ka DNA o kahi cell nā ʻōlelo aʻo e haʻi aku i ka cell i ka mea e hana ai. I loko o nā cell olakino, hāʻawi ka DNA i nā ʻōlelo aʻo e ulu a hoʻonui i kahi wikiwiki i hoʻonohonoho ʻia. Hāʻawi nā ʻōlelo aʻo i nā cell e make i kahi manawa i hoʻonohonoho ʻia. I loko o nā cell ʻaʻai, hāʻawi nā loli DNA i nā ʻōlelo aʻo ʻē aʻe. Hāʻawi nā loli i nā cell ʻaʻai e ulu a hoʻonui wikiwiki. Hiki i nā cell ʻaʻai ke ola mau i ka wā e make ai nā cell olakino. Hana kēia i ka nui loa o nā cell. Hana nā cell ʻaʻai i kahi ulu e hiki ke kaomi i nā ʻāpana kokoke o ka lolo a i ʻole ka iwi kuamoʻo i ka wā e ulu nui ai ka ulu. I kekahi manawa, hoʻololi nā loli DNA i nā cell ʻaʻai i nā cell kanesa. Hiki i nā cell kanesa ke komo a luku i nā pūnaewele kino olakino.
Nā mea pilikia
Nā kumu pilikia no ka oligodendroglioma:
- Mōʻaukala o ka hōʻike ʻana i ka radiation. Hiki i ka mōʻaukala o ka radiation i ke poʻo a me ka ʻāʻī ke hoʻonui i ka pilikia o ke kanaka.
- Makahiki makua. Hiki i kēia ʻano maʻi ke loaʻa i kēlā me kēia makahiki. Akā, ʻoi aku ka nui o ka loaʻa ʻana i nā mākua ma ko lākou mau makahiki 40 a me 50.
- Lāhui keʻokeʻo. ʻOi aku ka nui o ka loaʻa ʻana o ka oligodendroglioma i nā kānaka keʻokeʻo ʻaʻole he Hispanic ko lākou kūpuna.
ʻAʻohe ala e pale aku ai i ka oligodendroglioma.
ʻImi ʻike
Nā ho'okolohua a me nā kaʻina hana i hoʻohana ʻia e ʻike i ka oligodendroglioma, ʻo ia hoʻi:
- Nānā Neurological. I ka wā o ka nānā neurological, e nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona a me nā hōʻailona. E nānā ʻia kāu ʻike maka, lohe, kaulike, hoʻonohonoho, ikaika a me nā reflexes. Hiki i nā pilikia ma kekahi a ʻoi aku paha o kēia mau wahi ke hāʻawi i nā ʻōlelo aʻoaʻo e pili ana i ka ʻāpana o ka lolo i hiki ke hoʻopilikia ʻia e ka ʻaʻai lolo.
- Nā ho'okolohua Imaging. Hiki i nā ho'okolohua Imaging ke kōkua i ka hoʻoholo ʻana i kahi o ka ʻaʻai lolo a me kona nui. Hoʻohana pinepine ʻia ka MRI e ʻike i nā ʻaʻai lolo. Hiki ke hoʻohana ʻia me nā ʻano kūikawā o ka MRI, e like me ka functional MRI a me ka magnetic resonance spectroscopy.
Wehe ʻana i kahi laʻana o ka pūnaewele no ka ho'okolohua. He kaʻina hana ka biopsy e wehe i kahi laʻana liʻiliʻi o ka pūnaewele mai ka ʻaʻai no ka ho'okolohua. I ka hiki, wehe ʻia ka laʻana i ka wā o ka ʻoki e wehe i ka ʻaʻai. Inā ʻaʻole hiki ke wehe ʻia ka ʻaʻai me ka ʻoki, hiki ke hōʻiliʻili ʻia kahi laʻana me ka nila. ʻO ke ʻano hana e hoʻohana ʻia e hilinaʻi ana i kou kūlana a me kahi o ka ʻaʻai.
E hele ka laʻana pūnaewele i kahi lumi ho'okolohua no ka ho'okolohua. Hiki i nā ho'okolohua ke hōʻike i nā ʻano o nā sela i komo. Hiki i nā ho'okolohua kūikawā ke hōʻike i ka ʻike kikoʻī e pili ana i nā sela ʻaʻai. No ka laʻana, hiki i kahi ho'okolohua ke nānā i nā loli i ka mea genetic o nā sela ʻaʻai, i kapa ʻia ʻo DNA. E haʻi aku nā hopena i kāu hui olakino e pili ana i kāu prognosis. Hoʻohana kāu hui mālama i kēia ʻike e hana i kahi papahana lapaʻau.
Ka mālama ʻana
ʻO nā lāʻau lapaʻau no ka oligodendroglioma:
- Ka ʻoki kino e wehe i ka ʻōpū. ʻO ka pahuhopu o ka ʻoki kino, ʻo ia ka wehe ʻana i ka nui o ka oligodendroglioma e hiki. E hana ka kauka lolo, i kapa ʻia hoʻi he neurosurgeon, e wehe i ka ʻōpū me ka ʻole o ka hōʻino ʻana i nā pūnaewele lolo olakino. ʻO kekahi ala e hana ai i kēia, ʻo ia ka ʻoki lolo ala. I loko o kēia ʻano ʻoki kino, e ala ʻoe mai kahi mokuʻāina hiamoe. Hiki i ke kauka ke nīnau i nā nīnau a nānā i ka hana i loko o kou lolo ke pane ʻoe. Kūleʻa kēia e hōʻike i nā ʻāpana nui o ka lolo i hiki ai i ke kauka ke pale aku iā lākou.
Hiki ke pono ʻia nā lāʻau lapaʻau ʻē aʻe ma hope o ka ʻoki kino. Hiki ke ʻōlelo ʻia kēia inā koe kekahi mau pūnaewele ʻōpū a i ʻole inā he nui ka pilikia e hoʻi hou mai ka ʻōpū.
- Ke chemotherapy. Hoʻohana ka chemotherapy i nā lāʻau ikaika e pepehi i nā pūnaewele ʻōpū. Hoʻohana pinepine ʻia ka chemotherapy ma hope o ka ʻoki kino e pepehi i nā pūnaewele ʻōpū e koe paha. Hiki ke hoʻohana ʻia ia i ka manawa like me ka radiation therapy a i ʻole ma hope o ka pau ʻana o ka radiation therapy.
- Ka radiation therapy. Hoʻohana ka radiation therapy i nā kukuna ikehu ikaika e pepehi i nā pūnaewele ʻōpū. Hiki i ka ikehu ke hele mai nā X-rays, protons a i ʻole nā kumu ʻē aʻe. I ka wā o ka radiation therapy, e moe ʻoe ma ka papa ʻaina ʻoiai ke neʻe nei ka mīkini a puni ʻoe. Hoʻouna ka mīkini i nā kukuna i nā wahi pololei i loko o kou lolo.
Hoʻohana ʻia ka radiation therapy i kekahi manawa ma hope o ka ʻoki kino a hiki ke hui pū ʻia me ka chemotherapy.
- Nā hoʻokolohua lapaʻau. ʻO nā hoʻokolohua lapaʻau, nā haʻawina o nā lāʻau lapaʻau hou. Hāʻawi kēia mau haʻawina iā ʻoe i ka manawa e hoʻāʻo ai i nā koho lāʻau lapaʻau hou loa. ʻAʻole paha i ʻike ʻia ka pilikia o nā hopena ʻaoʻao. E nīnau i kahi lālā o kāu hui mālama ola inā hiki iā ʻoe ke komo i kahi hoʻokolohua lapaʻau.
- Ka mālama kākoʻo. ʻO ka mālama kākoʻo, i kapa ʻia hoʻi ʻo ka mālama palliative, ke kau nei ma ka hāʻawi ʻana i ka hoʻomaha mai ka ʻeha a me nā hōʻailona ʻē aʻe o kahi maʻi koʻikoʻi. E hana pū nā loea mālama palliative me ʻoe, kou ʻohana a me nā lālā o kāu hui mālama ola e hāʻawi i ke kākoʻo hou aku. Hiki ke hoʻohana ʻia ka mālama palliative i ka manawa like me nā lāʻau lapaʻau ʻē aʻe, e like me ka ʻoki kino, chemotherapy a i ʻole radiation therapy.
Hōʻole: He kahua ʻike olakino ʻo ʻAukake a ʻaʻole hōʻike kāna mau pane i ka ʻōlelo aʻoaʻo lapaʻau. E kūkākūkā mau me kahi ʻoihana lapaʻau laikini kokoke iā ʻoe ma mua o ka hana ʻana i nā hoʻololi.
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