He aha ka Syndroma Paraneoplastic? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO nā syndroma paraneoplastic kahi hui o nā kūlana e kū mai ana i ka wā e pane ai ke ʻōnaehana pale kino o kou kino i ka maʻi kanesa ma nā ʻano i manaʻo ʻole ʻia. ʻAʻole i hana ʻia kēia mau syndroma e ka maʻi kanesa ponoʻī a i ʻole kona pālahalaha ʻana, akā, ma muli o nā mea e hoʻokuʻu ai ka tumor a i ʻole ma muli o ka pane ʻana o kou ʻōnaehana pale kino i ka maʻi kanesa.

E noʻonoʻo iā ia e like me ka ʻōnaehana hoʻomaopopo o kou kino e hele iki ana i ka wā e hoʻāʻo ana e hakakā i ka maʻi kanesa. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka hoʻomaopopo ʻana i kēia mau syndroma hiki ke kōkua i nā kauka e ʻike mua i ka maʻi kanesa a mālama i nā kūlana ʻelua me ka maikaʻi.

He aha nā syndroma paraneoplastic?

ʻO nā syndroma paraneoplastic nā kūlana olakino e ulu pū me ka maʻi kanesa akā ʻaʻole i hana pololei ʻia e ke alo kino a i ʻole ka pālahalaha ʻana o ka tumor. Ma kahi o ia mea, ua loaʻa lākou mai nā hormones, nā protein, a i ʻole nā pane pale kino i hoʻonāukiuki ʻia e ka maʻi kanesa.

Hiki i kēia mau syndroma ke hoʻopili i kahi hapa nui o kou kino, me kou ʻōnaehana hoʻomalu, nā hormones, ke koko, ka ʻili, a i ʻole nā puʻupaʻa. ʻOiai paha lākou e lohe ai, he mau hōʻailona hoʻomaopopo mua pinepine lākou e kōkua i nā kauka e ʻike mua i ka maʻi kanesa ma mua o kā lākou hana ʻana.

ʻO ka huaʻōlelo “paraneoplastic” ʻo ia hoʻi “ma ka ʻaoʻao o ka maʻi kanesa,” kahi e wehewehe pono ai pehea e noho pū ai kēia mau kūlana me ka tumor nui. Hiki iā lākou ke kū mai i nā mahina a i ʻole nā makahiki ma mua o ka ʻike ʻia ʻana o ka maʻi kanesa ponoʻī.

He aha nā hōʻailona o nā syndroma paraneoplastic?

ʻO nā hōʻailona āu e ʻike ai e hilinaʻi loa ana i kahi ʻāpana o kou kino i hoʻopilikia ʻia e ka syndroma. ʻOiai hiki i kēia mau syndroma ke hoʻopili i nā ʻōnaehana kino like ʻole, hiki ke ʻokoʻa loa nā hōʻailona mai ke kanaka a i ke kanaka.

Eia nā hōʻailona maʻamau i hui pū ʻia e ka ʻōnaehana kino i hoʻopilikia ʻia:

• Nā hōʻailona o ka ʻōnaehana hoʻomalu: Ka nāwaliwali o nā ʻiʻo, ka pilikia o ka hele ʻana, nā pilikia hoʻomanaʻo, ka huikau, nā hoʻoulu ʻana, a i ʻole nā loli i ka hoʻonohonoho ʻana
• Nā hōʻailona hormonal: Ka nalowale a i ʻole ka loaʻa ʻana o ke kaumaha i wehewehe ʻole ʻia, ka make wai nui, ka mimi pinepine, a i ʻole ka luhi maʻamau ʻole
• Nā hōʻailona pili koko: Ka ʻeha maʻalahi, nā maʻi pinepine, a i ʻole ke kahe koko maʻamau ʻole
• Nā hōʻailona ʻili: Nā ʻili hou, ka pouli ʻana o nā ʻāpana ʻili, a i ʻole nā ulu maʻamau ʻole
• Nā hōʻailona o nā ʻiʻo a me nā hui: ʻEha hui, ʻeha ʻiʻo, a i ʻole ka mumū

He mea nui e hoʻomanaʻo e hiki i kēia mau hōʻailona ke loaʻa mai nā kūlana ʻē aʻe, ʻoi aku ka maʻamau. ʻO ka loaʻa ʻana o kēia mau hōʻailona ʻaʻole ia e ʻōlelo ana he maʻi kanesa a i ʻole kahi syndroma paraneoplastic kāu.

He aha nā ʻano o nā syndroma paraneoplastic?

Hoʻokaʻawale ʻia nā syndroma paraneoplastic ma muli o ka ʻōnaehana kino i hoʻopilikia ʻia e lākou. Loaʻa i kēlā me kēia ʻano kona mau hiʻohiʻona ponoʻī a pili pū me nā ʻano maʻi kanesa like ʻole.

ʻO nā māhele nui e komo pū ana:

• Nā syndroma paraneoplastic neurological: Hoʻopili kēia i kou lolo, ke kua, a i ʻole nā aʻalolo peripheral a he mea ʻike pinepine ʻia
• Nā syndroma paraneoplastic endocrine: Hoʻopili kēia i nā pilikia hormonal a hiki ke hoʻopilikia i kou metabolism, ke kō koko, a i ʻole nā pae calcium
• Nā syndroma hematologic: Hoʻopili kēia i kou koko a hiki ke hana i ka anemia, nā pilikia clotting, a i ʻole nā loli i nā helu o nā sela koko
• Nā syndroma dermatologic: Hōʻike ʻia kēia ma kou ʻili a hiki ke komo pū me nā ʻili, nā loli pigment, a i ʻole nā ulu maʻamau ʻole
• Nā syndroma rheumatologic: Hoʻopili kēia i kou mau hui a me nā ʻiʻo, e hana ana i ka ʻeha a me ka mumū

ʻO kekahi mau ʻano kānalua e komo pū ana i nā pilikia puʻupaʻa, nā maʻi neʻe maka, a me nā ʻano mahana maʻamau ʻole. E hoʻoholo kāu kauka i ke ʻano āu e loaʻa ai ma muli o kāu mau hōʻailona kūikawā a me nā hualoaʻa hoʻokolohua.

He aha nā kumu o nā syndroma paraneoplastic?

E ulu nā syndroma paraneoplastic ma o nā ʻano hana like ʻole, pili a pau i ka pane ʻana o kou kino i ka maʻi kanesa. ʻO ke kumu maʻamau loa ʻo ia kou ʻōnaehana pale kino e hana ana i nā antibodies e hakakā i ka maʻi kanesa e hoʻouka hewa i nā ʻiʻo olakino pū kekahi.

Eia ka mea maʻamau e hana ana i kou kino:

• Ka huikau o ka ʻōnaehana pale kino: Hana kou ʻōnaehana pale kino i nā antibodies e kūʻē i nā sela kanesa, akā hoʻouka pū kēia mau antibodies i nā protein like i nā ʻōnaehana olakino
• Ka hana nui o ka hormone: Hana kekahi mau tumor i nā hormones a i ʻole nā mea like me nā hormones e hoʻopilikia i ke kaulike maʻamau o kou kino
• Nā pane mumū: Hoʻonāukiuki ka maʻi kanesa i ka mumū ākea e hoʻopilikia i nā ʻōnaehana mamao loa mai ka wahi tumor
• Ka hana protein: Hana kekahi mau tumor i nā protein e hoʻopilikia i nā hana maʻamau o ke kino

ʻOi aku ka nui o kekahi mau ʻano maʻi kanesa e hana i kēia mau syndroma. ʻO ka maʻi kanesa ʻōpū, ʻoi aku hoʻi ka maʻi kanesa liʻiliʻi o ka ʻōpū, ke kuleana no nā hihia he nui. Hiki i nā maʻi kanesa umauma, ovarian, a me nā lymphatic ke hoʻonāukiuki i nā syndroma paraneoplastic.

I nā hihia kānalua, hiki ke ʻike mua ʻia ka syndroma ma mua o ka ʻike ʻia ʻana o ka maʻi kanesa, e lilo ana i hōʻailona hoʻomaopopo mua e hoʻoikaika i ka noiʻi hou aku.

I ka wā e ʻike ai i ke kauka no nā syndroma paraneoplastic?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama olakino inā ʻike ʻoe i nā hōʻailona hou, wehewehe ʻole ʻia e mau a ʻoi aku ka ʻino ma mua o ka manawa. He mea nui loa kēia inā loaʻa iā ʻoe nā hōʻailona he nui e hoʻopilikia ana i nā ʻāpana like ʻole o kou kino i ka manawa hoʻokahi.

E ʻimi i ka mālama olakino koke inā ʻike ʻoe:

• Ka hoʻomaka koke ʻana o nā hōʻailona neurological e like me ka pilikia o ka hele ʻana, nā pilikia hoʻomanaʻo, a i ʻole ka nāwaliwali o nā ʻiʻo
• Ka nalowale kaumaha wikiwiki, wehewehe ʻole ʻia me nā hōʻailona ʻē aʻe
• Nā loli ʻili hou me nā hōʻailona kūloko
• Ka luhi mau me nā hōʻailona hormonal e like me ka make wai nui a i ʻole ka mimi
• Kekahi hui o nā hōʻailona e like ʻole me ka ʻike ʻole ʻia akā ua ulu mai i ka manawa hoʻokahi

Inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi kanesa, ʻoiai inā ua mālama pono ʻia, e makaʻala nui i nā hōʻailona hou. I kekahi manawa, hiki i nā syndroma paraneoplastic ke hōʻailona i ka hoʻi hou ʻana o ka maʻi kanesa ma mua o ka ʻike ʻana o nā hoʻokolohua ʻē aʻe.

E hoʻomanaʻo, ʻo ka ʻike mua ʻana a me ka mālama ʻana i nā syndroma a me kekahi maʻi kanesa i lalo e alakaʻi pinepine ana i nā hopena maikaʻi.

He aha nā mea pilikia no nā syndroma paraneoplastic?

ʻOiai hiki i nā syndroma paraneoplastic ke hana i nā hōʻailona nui, ʻo nā pilikia e hilinaʻi nui ana i nā ʻōnaehana kino i hoʻopilikia ʻia a me ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia koʻikoʻi he nui.

Hiki i nā pilikia hiki ke komo pū me:

• Ka hōʻino neurological: Me ka ʻole o ka mālama ʻana, hiki i ka mumū o nā aʻalolo a me ka lolo ke alakaʻi i ka hōʻino mau a i ʻole nā loli cognitive
• Nā pilikia electrolyte koʻikoʻi: Hiki i nā hoʻopilikia hormonal ke hana i nā loli weliweli i nā pae sodium, calcium, a i ʻole potassium
• Nā pilikia clotting koko: Hoʻonui kekahi mau syndroma i ka pilikia o nā clots koko weliweli a i ʻole ke kahe koko nui
• Ka hana ʻole o nā ʻōnaehana: Hiki i nā hihia koʻikoʻi ke hoʻopilikia i ka hana o nā puʻupaʻa, ate, a i ʻole naʻau
• Nā pilikia mobility: Hiki i ka nāwaliwali o nā ʻiʻo a me nā pilikia hoʻonohonoho ke hoʻopilikia nui i nā hana o kēlā me kēia lā

ʻO ka ʻoiaʻiʻo maikaʻi, nui nā pilikia e hoʻihoʻi ʻia ke mālama pono ʻia ka maʻi kanesa i lalo. E nānā pono kāu hui mālama olakino iā ʻoe e pale aku i nā pilikia koʻikoʻi.

ʻO kekahi mau pilikia kānalua e komo pū ana i nā hōʻailona psychiatric koʻikoʻi, nā pilikia rhythm naʻau weliweli, a i ʻole ka nele hanu, akā he mea maʻamau ʻole kēia me ka mālama lapaʻau kūpono.

Pehea e pale aku ai i nā syndroma paraneoplastic?

ʻO ka mea pōʻino, ʻaʻohe ala hilinaʻi e pale aku ai i nā syndroma paraneoplastic ʻoiai ua loaʻa lākou mai ka pane pale kino maoli o kou kino i ka maʻi kanesa. Eia naʻe, hiki i ka ʻike mua ʻana a me ka mālama ʻana i ka maʻi kanesa ke hoʻemi i kou pilikia o ka loaʻa ʻana o kēia mau syndroma.

ʻO nā mea āu e hiki ai ke hana e hoʻemi i kou pilikia holoʻokoʻa:

• E hahai i nā kuhikuhi pale kanesa: Hiki i nā mammograms maʻamau, nā colonoscopies, a me nā pale ʻē aʻe i manaʻo ʻia ke hopu i ka maʻi kanesa i ka wā mua
• E mālama i nā ʻano ola olakino: ʻAʻole ka puhi ʻana, ka palena ʻana i ka waiʻona, ka ʻai maikaʻi, a me ka hoʻoikaika kino maʻamau e hoʻemi i ka pilikia o ka maʻi kanesa holoʻokoʻa
• E makaʻala i nā hōʻailona: ʻO ka ʻike ʻana i kou kino a me ka hōʻike ʻana i nā loli maʻamau ʻole i kāu kauka hiki ke alakaʻi i ka ʻike mua ʻana
• E mālama i ka mālama lapaʻau: Kōkua nā nānā maʻamau e ʻike i nā pilikia ma mua o ka lilo ʻana i mea koʻikoʻi

Inā loaʻa iā ʻoe kahi moʻolelo o ka maʻi kanesa, he mea nui loa ka makaʻala e pili ana i nā hālāwai hope a me ka nānā ʻana i nā hōʻailona hou. Hiki i kāu oncologist ke hāʻawi i nā kuhikuhi pilikino ma muli o kāu kūlana kūikawā.

Pehea e ʻike ʻia ai nā syndroma paraneoplastic?

Hiki ke paʻakikī ka ʻike ʻana i nā syndroma paraneoplastic no ka mea hoʻohālikelike pinepine nā hōʻailona i nā kūlana ʻē aʻe. E hoʻomaka kāu kauka me kahi moʻolelo olakino piha a me ka hoʻokolohua kino, e makaʻala nui ana i ke ʻano a me ka manawa o kāu mau hōʻailona.

ʻO ke kaʻina hana ʻike maʻamau e komo pū ana:

• Nā hoʻokolohua koko: E ʻimi ana i nā antibodies kūikawā, nā pae hormone, a me nā hōʻailona o ka mumū
• Nā haʻawina kiʻi: Nā scan CT, MRIs, a i ʻole nā scan PET e ʻimi ana i nā tumor ma kou kino holoʻokoʻa
• Nā hoʻokolohua antibody kūikawā: Nā hoʻokolohua kūikawā no nā antibodies paraneoplastic e hoʻouka i nā ʻōnaehana like ʻole
• Nā biopsies ʻiʻo: Inā loaʻa kahi tumor, hiki i ka nānā ʻana i nā laʻana ʻiʻo ke hōʻoia i ka ʻike
• Lumbar puncture: Inā loaʻa nā hōʻailona neurological, pono paha ka nānā ʻana i ka wai spinal

Hiki i kāu kauka ke kauoha i nā hoʻokolohua hou aku ma muli o kāu mau hōʻailona kūikawā, e like me nā haʻawina alakaʻi aʻalolo no ka nāwaliwali o nā ʻiʻo a i ʻole nā hoʻokolohua hana endocrine no nā hōʻailona hormonal.

I kekahi manawa, ua ʻike mua ʻia ka syndroma ma mua o ka loaʻa ʻana o ka maʻi kanesa, e alakaʻi ana i ka ʻimi nui aku no kahi tumor hūnā. I nā hihia kānalua, ʻaʻole loaʻa kahi tumor, akā hiki ke maikaʻi ka mālama ʻana.

He aha ka mālama ʻana no nā syndroma paraneoplastic?

ʻO ka mālama ʻana no nā syndroma paraneoplastic e kau nui ana ma luna o ʻelua mau pahuhopu nui: ka mālama ʻana i ka maʻi kanesa i lalo a me ka mālama ʻana i nā hōʻailona o ka syndroma. I ka manawa pinepine, ʻo ka mālama pono ʻana i ka maʻi kanesa e alakaʻi i ka hoʻomaikaʻi ʻana i ka syndroma paraneoplastic.

Hiki i kāu papahana mālama ke komo pū me:

• Ka mālama kanesa: Ka ʻoki ʻana, chemotherapy, radiation, a i ʻole immunotherapy e mālama i ka tumor i lalo
• Nā lāʻau immunosuppressive: Corticosteroids, rituximab, a i ʻole nā lāʻau ʻē aʻe e hoʻomālie i kou ʻōnaehana pale kino
• Plasma exchange: Kahi kaʻina hana e wehe ai i nā antibodies pōʻino mai kou koko
• Intravenous immunoglobulin: Nā infusions o nā antibodies olakino e kōkua i ka hoʻoponopono ʻana i kou ʻōnaehana pale kino
• Nā mālama kūikawā hōʻailona: Nā lāʻau e kaohi i nā hoʻoulu ʻana, ka ʻeha, a i ʻole nā hōʻailona kūikawā ʻē aʻe

ʻO ka pane i ka mālama ʻana e ʻokoʻa mai ke kanaka a i ke kanaka. ʻIke kekahi poʻe i ka hoʻomaikaʻi wikiwiki ke hoʻomaka ka mālama kanesa, ʻoiai kekahi poʻe e loaʻa paha nā hōʻailona e pono ai ka mālama mau.

I nā hihia kānalua kahi ʻaʻole loaʻa ka maʻi kanesa, e kau nui ana ka mālama ʻana ma ka mālama ʻana i ka pane autoimmune a me nā hōʻailona. E hana pū kāu hui mālama olakino me ʻoe e ʻimi i ka hui maikaʻi loa o nā mālama.

Pehea e mālama ai i nā hōʻailona ma ka home i ka wā o nā syndroma paraneoplastic?

ʻOiai he mea nui ka mālama lapaʻau, aia kekahi mau mea āu e hiki ai ke hana ma ka home e kōkua i ka mālama ʻana i nā hōʻailona a kākoʻo i kou olakino holoʻokoʻa i ka wā o ka mālama ʻana. E hoʻonohonoho mau i kēia mau hana me kāu hui mālama olakino.

ʻO nā ʻano mālama home kōkua e komo pū ana:

• Ka hoʻomaha a me ka mālama ikehu: E hoʻolālā i nā hana no ka wā āu e loaʻa ai ka ikehu nui a mai kānalua e noi aku i ke kōkua
• Ka hoʻoikaika māmā: E like me ka ʻae ʻia, hiki i ka hele ʻana māmā a i ʻole ka hoʻonui ʻana ke kōkua i ka mālama ʻana i ka ikaika a me ka mobility
• Ka meaʻai kaulike: ʻO ka ʻai ʻana i nā meaʻai maʻamau, momona e kākoʻo i ke kaʻina hoʻōla o kou kino
• Ka mālama ʻana i ke kaumaha: Hiki i nā ʻano hoʻomaha, ka noʻonoʻo, a i ʻole ka ʻōlelo aʻo ke kōkua i ka hoʻoponopono ʻana i nā ʻaoʻao manaʻo
• Nā hoʻololi palekana: Inā loaʻa iā ʻoe nā pilikia kaulike a i ʻole hoʻonohonoho, e wehe i nā mea hāʻule a hoʻohana i nā mea kōkua e like me ka pono

E mālama i kahi puke hōʻailona e nānā i nā loli a kaʻana like me kāu hui mālama olakino. Kōkua kēia ʻike iā lākou e hoʻoponopono i kāu papahana mālama e like me ka pono.

Mai nānā ʻole i nā hōʻailona hou a i ʻole ka ʻino, ʻoiai inā he mea liʻiliʻi lākou. ʻO ka hoʻoponopono mua e pale pinepine i nā pilikia a hoʻomaikaʻi i nā hopena.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

ʻO ka hoʻomākaukau ʻana no kāu hālāwai hiki ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu manawa me kāu mea mālama olakino. ʻO ka hōʻiliʻili ʻana i ka ʻike ma mua e hana i ke kaʻina hana ʻike ʻoi aku ka maikaʻi a me ka pololei.

Ma mua o kāu hālāwai:

• E palapala i kāu mau hōʻailona: E kākau i ka wā i hoʻomaka ai lākou, pehea lākou i loli ai, a he aha ka mea e hoʻomaikaʻi ai a i ʻole ka ʻino
• E papa inoa i nā lāʻau āpau: E komo pū me nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka papa kūʻai, a me nā mea hoʻohui
• E hōʻiliʻili i nā moʻolelo lapaʻau: E lawe mai i nā hualoaʻa mai nā hoʻokolohua hou, nā haʻawina kiʻi, a i ʻole nā mālama kanesa ma mua
• E hoʻomākaukau i nā nīnau: E kākau i kou mau hopohopo a me nā nīnau i ʻole ʻoe e poina iā lākou i ka wā o ka hālāwai
• E noʻonoʻo e lawe mai i ke kākoʻo: Hiki i kekahi lālā ʻohana a i ʻole hoaaloha ke kōkua i ka hoʻomanaʻo ʻana i ka ʻike a hāʻawi i ke kākoʻo manaʻo

E ʻoiaʻiʻo e pili ana i kāu mau hōʻailona āpau, ʻoiai inā ʻike ʻole ʻia lākou. ʻO ke ʻano o nā hōʻailona he mea nui loa ia no ka ʻike ʻana i nā syndroma paraneoplastic.

Inā loaʻa iā ʻoe ka maʻi kanesa ma mua, e mākaukau e kūkākūkā i kāu moʻolelo mālama, me ka wā āu i mālama ʻia ai a me nā mālama āu i loaʻa ai.

He aha ka mea nui e lawe aku ai e pili ana i nā syndroma paraneoplastic?

ʻO nā syndroma paraneoplastic kahi ala o kou kino e pane ai i ka maʻi kanesa, i kekahi manawa ma mua o ka maopopo ʻana o ka maʻi kanesa ponoʻī. ʻOiai hiki iā lākou ke hana i nā hōʻailona hopohopo, he mau hōʻailona hoʻomaopopo mua pinepine lākou e alakaʻi ana i ka ʻike ʻana a me ka mālama ʻana i ka maʻi kanesa.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo kēia mau syndroma hiki ke mālama ʻia, ʻoi aku hoʻi ke hopu ʻia i ka wā mua. Nui nā kānaka e ʻike i ka hoʻomaikaʻi nui ʻana i kā lākou mau hōʻailona ke hoʻomaka ka mālama kūpono, ʻo ia paha ka mālama kanesa, ka mālama ʻana i ka ʻōnaehana pale kino, a i ʻole nā ​​ʻelua.

Inā ʻike ʻoe i nā hōʻailona wehewehe ʻole ʻia e hoʻopilikia ana i nā ʻōnaehana kino he nui, mai kānalua e ʻimi i ka mālama olakino. ʻO ka ʻike mua ʻana a me ka mālama ʻana i nā syndroma a me kekahi maʻi kanesa i lalo e alakaʻi pinepine ana i nā hopena ʻoi aku ka maikaʻi.

E hoʻomanaʻo ʻaʻole i hoʻomaopopo ʻia kāu prognosis e ka loaʻa ʻana o kahi syndroma paraneoplastic. Me ka mālama lapaʻau kūpono a me ke kākoʻo, nui nā kānaka e ola i nā ola piha, hana ma hope o ka mālama ʻana.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā syndroma paraneoplastic

Q1. Hiki i nā syndroma paraneoplastic ke kū mai me ka ʻole o ka maʻi kanesa?

ʻOiai nā syndroma paraneoplastic ma ka wehewehe ʻana e pili ana i ka maʻi kanesa, i kekahi manawa e kū mai lākou ma mua o ka ʻike ʻia ʻana o kekahi maʻi kanesa me nā ʻenehana o kēia manawa. I nā hihia kānalua, ʻaʻole loaʻa kahi tumor, akā hiki ke pane ka syndroma i nā mālama ʻōnaehana pale kino. Eia naʻe, ʻo ka hapa nui o nā syndroma paraneoplastic i hōʻoia ʻia e pili ana i kahi maʻi kanesa i ʻike ʻia.

Q2. Hiki ke hoʻihoʻi ʻia nā syndroma paraneoplastic?

Nui nā syndroma paraneoplastic e hoʻomaikaʻi nui ke mālama pono ʻia ka maʻi kanesa i lalo. Eia naʻe, ʻo ke kiʻekiʻe o ka hoʻihoʻi ʻana e hilinaʻi ana i nā ʻōnaehana i hoʻopilikia ʻia a me ka lōʻihi o nā hōʻailona ma mua o ka mālama ʻana. Hiki i nā hōʻailona neurological ke lōʻihi e hoʻomaikaʻi a i kekahi manawa e waiho i nā hopena mau, ʻoiai nā hōʻailona hormonal a me nā pili koko e hoʻonā piha pinepine.

Q3. Pehea ka maʻamau o nā syndroma paraneoplastic?

He mea maʻamau ʻole nā syndroma paraneoplastic, e hoʻopilikia ana i ka liʻiliʻi ma mua o 1% o nā mea maʻi kanesa āpau. Eia naʻe, ʻoi aku ka maʻamau me kekahi mau ʻano maʻi kanesa, ʻoi aku hoʻi ka maʻi kanesa liʻiliʻi o ka ʻōpū, kahi e hiki ai iā lākou ke kū mai i ka 10-15% o nā hihia. ʻO ka maʻamau ʻole o kēia mau syndroma ke kumu e hiki ai i ka ʻike ʻana ke paʻakikī i kekahi manawa.

Q4. Hiki i nā keiki ke loaʻa i nā syndroma paraneoplastic?

ʻAe, hiki i nā keiki ke loaʻa i nā syndroma paraneoplastic, ʻoiai he mea maʻamau ʻole lākou i nā mea maʻi pediatric ma mua o nā mākua. Ke kū mai lākou i nā keiki, pili pinepine lākou i ka neuroblastoma a i ʻole nā ​​maʻi kanesa keiki ʻē aʻe. ʻO nā hōʻailona a me nā ʻano mālama ʻana e like me nā mākua, akā ʻo nā loea pediatric ke mālama pinepine i kēia mau hihia.

Q5. ʻO nā syndroma paraneoplastic mau e ʻōlelo ana ua holomua ka maʻi kanesa?

ʻAʻole loa. Hiki i nā syndroma paraneoplastic ke kū mai me nā maʻi kanesa i kēlā me kēia kahua, me nā maʻi kanesa i ka wā mua loa. ʻO ka ʻoiaʻiʻo, i kekahi manawa e kū mai kēia mau syndroma ma mua o ka nui o ka maʻi kanesa e ʻike ʻia ma o nā ʻano pale maʻamau. Hiki ke pōmaikaʻi kēia, ʻoiai paha e alakaʻi ana i ka ʻike mua ʻana a me ka mālama ʻana i ka maʻi kanesa ma mua o ka hana ʻana.