He aha te Meningioma? Tohutohu, Take, me te Maimoatanga

Ko te meningioma tētahi momo mate pūngāwerewere roro e tupu ana i ngā paparanga tiaki e hipoki ana i tō roro me tō tuaiwi o te tuara, e kiia nei ko te meninges. Ko te rongo pai, ko te nuinga o ngā meningioma he pai, ā, ko te tikanga kaore i te mate pukupuku, ā, ka tupu haere noa i te wā.

Ka tupu ēnei pūngāwerewere mai i ngā pūtau i roto i ngā kiri ngawari e takai ana i tō roro, ano he moenga tiaki. Ahakoa ka rongo wehi te kupu “mate pūngāwerewere roro”, ko ngā meningioma te momo mate pūngāwerewere roro matua tino noa i roto i ngā tāngata pakeke, ā, he tokomaha ngā tāngata e ora ana i te ora tino pai, i te ora noa me te maimoatanga tika.

He aha ngā tohu o te meningioma?

He tokomaha ngā meningioma kaore e puta he tohu, ina koa ka iti. Āe pea kei a koe tētahi mo ngā tau kaore koe e mōhio, ā, ka kitea pinei i ngā whakamātautau roro i mahia mō ētahi take.

Ki te puta mai ngā tohu, ka tupu haere noa i te wā e tupu haere ana te pūngāwerewere, ā, ka tukuna he pehanga māmā ki ngā kiko roro e tata ana. Ko ēnei ngā tohu ka whakaatu pea tō tinana:

• Ngā mamae o te upoko e kaha ake pea i te wā, rānei he rerekē i ō mamae upoko noa.
• Ngā hopu, ā, koinei pea te tohu tuatahi mō ētahi tāngata.
• Ngā huringa tirohanga, tae atu ki te tirohanga mōrearea, te kite rānei i te rua.
• Te ngoikore o ō ringa, o ō waewae rānei, i te taha kotahi.
• Ngā raruraru mahara, te uaua rānei ki te aro.
• Ngā huringa ahua, ngā huringa ngākau rānei.
• Ngā raruraru kōrero, te uaua rānei ki te kimi kupu.
• Te ngaro o te rongohanga, te tangi rānei i roto i ngā taringa.
• Te ngaro o te hongi, o te reka rānei.

Āe pea ka kite ētahi i ngā tohu motuhake ake, kei te wāhi e noho ana te meningioma. Hei tauira, ngā pūngāwerewere e tata ana ki te muri o tō upoko ka pā pea ki tō tirohanga, i ngā taha o ō temepara ka pā pea ki tō rongohanga, ki tō kōrero rānei.

Kia mahara, he maha atu ngā take o ēnei tohu. Ko te whai i tētahi tohu, i neke atu rānei, kaore e tikanga kei a koe te meningioma, engari he mea tika kia kōrero ki tō tākuta.

He aha ngā momo meningioma?

Ka wehewehe ngā tākuta i ngā meningioma ki ngā tohu matua e toru, i runga i te ahua o ngā pūtau i raro i te microscope, me te tere o te tupu. Ka āwhina tēnei pūnaha tohu i tō rōpū hauora ki te whakarite i te huarahi maimoatanga pai mōu.

Ko ngā meningioma tohu I te momo tino noa, e 80% pea o ngā take katoa. Ko ēnei he pūngāwerewere pai e tupu haere ana, ā, kaore e horapa ki ētahi atu wāhi o tō tinana. He hua pai te nuinga o ngā tāngata e whai ana i ngā meningioma tohu I me te maimoatanga.

Ko ngā meningioma tohu II e kiia ana he rerekē, ā, ka tupu haere tere atu i ngā pūngāwerewere tohu I. E 15-20% pea o ngā meningioma, ā, he nui ake te tūponotanga o te hokinga mai i muri i te maimoatanga, engari he tino maimoatanga tonu.

Ko ngā meningioma tohu III he kino, ā, ko te tino iti rawa, e 1-3% pea o ngā take. Ka tupu haere tere ēnei pūngāwerewere, ā, he nui ake te tūponotanga o te horapa, engari ahakoa ēnei ka taea te maimoatanga pai me te huarahi tika.

He aha te take o te meningioma?

Kaore i te marama te take tika o te nuinga o ngā meningioma, engari kua kitea e ngā kairangahau etahi take pea e pā ana. I te nuinga o ngā take, ka puta mai ēnei pūngāwerewere kaore he take.

Ko te whakamahinga o te radiation tētahi o ngā take tūponotanga mārama kua kitea e ngā kārehu. Koinei ngā maimoatanga radiation o mua ki te rohe o te upoko, o te kaki rānei, e whakamahia pinei ana ki te whakaora i ētahi atu mate pukupuku. Engari, he iti tonu te tūponotanga, ā, he tokomaha ngā tāngata kua whiwhi radiation kaore e whiwhi meningioma.

E kite ana ngā homoni, ina koa te estrogen, i te tupu o te meningioma. E rua te tūponotanga o ngā wāhine ki te whiwhi i ēnei pūngāwerewere atu i ngā tāne, ā, ka tupu haere tere pea i te wā hapu, i te whakamahinga rānei o te maimoatanga homoni. He maha ngā meningioma he kaiwhiwhi homoni kei o rātou mata.

Āe pea ka pā ngā take ira i roto i ngā take onge. He iti te pēne o ngā meningioma e hono ana ki ngā āhuatanga ira penei i te neurofibromatosis momo 2, engari ko te nuinga o ngā take kaore e hono ki te hītori whānau.

Ko te tau tētahi atu take, ko ngā meningioma he mea noa ake i roto i ngā tāngata neke atu i te 40. Engari, ka puta mai i tetahi tau, tae atu ki ngā tamariki, ahakoa he iti rawa tēnei.

Nōhea te haere ki te tākuta mō te meningioma?

Me whakapiri atu koe ki tō tākuta ki te pāngia koe e ngā mamae upoko mau tonu e rerekē ana i tō tauira noa, i te kino ake rānei i te wā. Ko ngā mamae upoko hou kaore e whakautu ki ngā maimoatanga noa e tika ana kia whakarongohia e te hauora.

Rapua te tiaki hauora wawe ki te whai koe i ētahi hopu, ina koa ki te kore koe i whai i mua. Ko ngā wāhanga poto kua ngaro koe i te matauranga, i ngā nekehanga rerekē rānei, me arotakehia e te tohunga hauora.

Ko ngā huringa i tō tirohanga, kōrero, rānei whakahaere he tohu nui hoki kia kōrero ki tō tākuta. Koinei te tirohanga rua, te uaua ki te kimi kupu, te ngoikore rānei i te taha kotahi o tō tinana.

Ki te kite koe i ngā huringa ahua, ngā raruraru mahara, te uaua rānei ki te aro e āwhina ana i tō oranga o ia rā, ko ēnei tohu e tika ana kia arotakehia e te hauora. I etahi wā ka kite ngā mema o te whānau i ēnei huringa i mua atu i a koe.

Whakaarohia ō ngākau. Ki te rerekē te mea mō tō hauora, ā, ka mau tonu mō neke atu i ngā rā torutoru, he mea tika tonu te tirotiro ki tō kaiwhakarato hauora.

He aha ngā take tūponotanga mō te meningioma?

He maha ngā take ka piki ake tō tūponotanga ki te whiwhi meningioma, ahakoa ko te whai i ēnei take tūponotanga kaore e tikanga ka whiwhi koe i tētahi. Ko te mōhio ki a rātou ka āwhina i a koe ki te whai i ngā kōrero whakamārama ki tō rōpū hauora.

Ko te wahine te take tūponotanga tino nui, ko ngā wāhine e rua te tūponotanga ki te whiwhi meningioma atu i ngā tāne. E pā ana pea tēnei rerekētanga ki ngā homoni, ina koa te estrogen, e taea te whakaohooho i te tupu o ētahi meningioma.

He mea nui te tau, ko te nuinga o ngā meningioma i whakatauhia i roto i ngā tāngata i waenga i te 40 me te 70 tau te pakeke. Ka piki ake te tūponotanga i te wā e koroheke ana koe, ahakoa ka puta mai ēnei pūngāwerewere i roto i ngā tāngata pakeke, i ngā tamariki rānei.

Ka piki ake te tūponotanga o te whakamahinga radiation o mua ki tō upoko, ina koa ki te whiwhi koe i te maimoatanga radiation mō ētahi atu mate pukupuku i te wā tamariki. Engari, he iti tonu te tūponotanga whānui, ā, ko ngā painga o te maimoatanga radiation e tika ana e nui atu i tēnei āwangawanga.

Ko ētahi āhuatanga ira, ina koa te neurofibromatosis momo 2, ka piki ake te tūponotanga o te meningioma. Engari, ko ngā take ira e whakaatu ana i te iti o te pēne o ngā meningioma katoa.

E whakaaro ana ētahi rangahau pea ka piki ake te tūponotanga o te maimoatanga homoni i roto i ngā wāhine muri i te menopause, ahakoa kaore i te marama te mōhio.

He aha ngā raruraru pea o te meningioma?

Ko te nuinga o ngā meningioma kaore e tino raruraru, ina koa ka iti, ā, kaore e pēhi ki ngā hanganga roro nui. Engari, i te wā e tupu haere ana ēnei pūngāwerewere, ka āhei pea te arahi ki ngā take nui ake.

Ko ngā hopu tētahi o ngā raruraru tino noa, e 25-30% pea o ngā tāngata e whai ana i ngā meningioma. Ka taea te whakawhitinga mai i ngā wāhanga poto o te whakapohehe ki ngā whakaohooho nui ake, engari he tino manaaki ki te rongoā.

Ka taea te tupu o ngā tohu neurological e haere tonu ana ki te tupu tonu te pūngāwerewere, ā, ka tukuna he pehanga ki ngā kiko roro e tata ana. Ka āhei pea tenei ki te ngoikore, ki ngā raruraru kōrero, ki ngā huringa tirohanga rānei e āwhina ana i ngā mahi o ia rā.

Ka taea te piki o te pehanga i roto i te anga o te anga me ngā meningioma nui ake, e arahi ana ki ngā mamae upoko nui, ki te ruaki, ki te ruaki. He mea nui ake tēnei, ā, e hiahia ana ki te tiaki hauora wawe.

I roto i ngā take onge, ka taea e ngā meningioma te arahi ki ngā raruraru kino ki te ora ki te noho i ngā wāhi nui, ki te tupu nui rānei ki te pēhi i ngā hanganga roro nui. Engari, me te tirotiro hou me te maimoatanga, he onge ngā raruraru nui.

Āe pea ka kite ētahi i ngā huringa ngākau, i ngā huringa hinengaro rānei, tae atu ki te uaua ki te mahara, ki te aro, ki te whakahaere i te ngākau. Ka taea e ēnei pānga te āwhina nui i te kounga o te ora, engari ka pai ake me te maimoatanga tika.

Me pēhea te whakatau i te meningioma?

Ko te whakatau i te meningioma e tīmata ana i tō tākuta e whakarongo ana ki ō tohu, ā, e mahi ana i te whakamātautau neurological. Ka tirotirohia e rātou ō whakautu, ō whakahaere, me ō mahi hinengaro ki te rapu i ngā tohu o te whakauru roro.

Ko te whakamātautau MRI te whakamātautau tino nui hei kite i ngā meningioma. Ka taea e tēnei whakamātautau whakaahua taipitopito te whakaatu i te rāhi, te wāhi, me ngā āhuatanga o te pūngāwerewere me te mārama. Kaore he mamae te whakamātautau, ahakoa ka kite ētahi i te wāhi kati me ngā haruru nui he kore.

Āe pea ka whakamahia te whakamātautau CT hei wāhi, hei tāpiri rānei ki te MRI, ina koa ki te kore e taea e koe te MRI na te mea he whakatoa rino, he claustrophobia nui rānei. He tere ake ngā whakamātautau CT, engari kaore e tino whakaatu i ngā whakaahua o ngā kiko ngawari penei i te roro.

Ki te whakaatu te whakaahua i te meningioma, āe pea ka tūtohu atu tō tākuta ki ētahi atu whakamātautau hei whakatau i te momo me te tohu tika. I etahi wā, he mea tika te biopsy, kei hea ka tangohia he tauira iti o te kiko hei tirotiro i raro i te microscope.

Kaore e whakamahia te whakamātautau toto ki te whakatau i ngā meningioma, engari āe pea ka tono atu tō tākuta ki a rātou ki te tirotiro i tō hauora whānui, ki te whakarite rānei mō ngā whiringa maimoatanga pea.

He aha te maimoatanga mō te meningioma?

Ko te maimoatanga mō te meningioma e whakawhirinaki ana ki ngā take maha, tae atu ki te rāhi o te pūngāwerewere, te wāhi, te tere o te tupu, me tō hauora whānui. He tokomaha ngā meningioma iti, e tupu haere ana kaore e hiahia ana ki te maimoatanga wawe.

Ko te tirotiro me te tirotiro noa te huarahi tuatahi mō ngā meningioma iti kaore e puta he tohu. Ka whakarite tō tākuta i ngā whakamātautau MRI i ia wā ki te titiro ki ngā huringa i te rāhi, i te ahua rānei. Ka āwhina tēnei rautaki “tūmanako me te titiro” i a koe ki te karo i te maimoatanga kaore e tika ana, i te whakarite rānei i te mahi wawe ki te hiahiatia.

Ko te pokanga te maimoatanga mahi tino noa mō ngā meningioma e puta ana he tohu, e tupu haere ana rānei. Ko te whāinga ko te tango i te nuinga o te pūngāwerewere i te huarahi haumaru, i te tiaki rānei i te mahi roro noa.

Āe pea ka tūtohuhia te maimoatanga radiation ki te kore e taea te pokanga na te wāhi o te pūngāwerewere, ki te toe pea te pūngāwerewere i muri i te pokanga, ki te teitei ake rānei te meningioma. Ka taea e ngā hangarau radiation hou te taumata tika i te pūngāwerewere i te whakaiti i te kino ki ngā kiko roro hauora.

Ko te radiosurgery stereotactic, ahakoa tōna ingoa, kaore i te pokanga, engari he momo maimoatanga radiation tino aro. He mea whai hua ina koa mō ngā meningioma iti i ngā wāhi uaua ki te tae atu.

I etahi wā ka whakamahia ngā rongoā ki te whakahaere i ngā tohu penei i ngā hopu, i te pupuhi roro rānei, ahakoa kaore he rongoā motuhake e taea te whakaiti i ngā meningioma. Kei te haere tonu te rangahau ki ngā maimoatanga e taumata ana, ā, e whakaatu ana i te tumanako mō ētahi momo meningioma.

Me pēhea te whakahaere i te meningioma i te kāinga?

Ko te noho me te meningioma e hiahia ana ki te whakahaere i ngā tohu, ki te pupuri rānei i tō kounga o te ora i te wā e mahi tahi ana koe me tō rōpū hauora. He tokomaha ngā tāngata e kite ana ko ngā whakarerekētanga oranga ngāwari ka taea te whakarerekē nui.

Ki te pāngia koe e ngā hopu, he mea nui kia whai i tō mahere rongoā tika, kia karo rānei i ngā take e mohiotia ana penei i te kore moe, te nui o te waipiro, te rama rānei e pupuhi ana. Pupurihia he pukapuka hopu hei āwhina i te kimi i ngā tauira, hei whakawhiti rānei i tēnei mōhio ki tō tākuta.

Ko te whakahaere i ngā mamae upoko pea e hiahia ana ki te pupuri i te pukapuka mamae upoko hei kimi i ngā take, ki te pupuri rānei i ngā tauira moe, ki te whakamahi rānei i ngā tikanga whakamahinga. Ka āwhina ngā kaiwhakaora mamae i runga i te kaupapa, engari tirohia ki tō tākuta mō te mea e haumaru ana mōu.

Ko te noho mahi tinana i roto i ō rohe ka āwhina i te pupuri i te kaha, i te whakapai rānei i te ngākau. Ko ngā whakakori māmā penei i te hikoi, te kauhoe, te yoga rānei he mea pai te whakaae, engari kōrerohia ō mahere whakakori ki tō rōpū hauora tuatahi.

He mea nui te moe pai mō te hauora o te roro, ā, ka āwhina pea i te whakaiti i ngā tohu penei i te ngenge, i ngā raruraru aro rānei. Whakamātauria te moe 7-9 haora i ia pō, ā, whakamātauria te pupuri i te mahere moe mau tonu.

Whakaarohia te whakauru ki tētahi rōpū tautoko mō ngā tāngata e whai ana i ngā mate pūngāwerewere roro, i ngā meningioma rānei. Ko te hono atu ki ētahi atu e mōhio ana ki tō wheako ka āwhina i te tautoko ngākau, i ngā tohutohu mahi mō te noho o ia rā.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui ka āwhina i a koe ki te whakamahi pai i tō wā me te tākuta, ki te whakarite rānei ka whiwhi koe i te mōhio e hiahia ana koe. Tīmatahia mā te tuhituhi i ō tohu katoa, ahakoa kaore pea e hono.

Kawe mai he rārangi katoa o ō rongoā, tae atu ki ngā rongoā i runga i te kaupapa, ngā tāpiri, me ngā huaora. Huihuia hoki ētahi rēkōta hauora o mua, ina koa ngā whakamātautau roro, i ngā ripoata rānei mai i ētahi atu tākuta kua kite koe mō ō tohu.

Whakaarohia te kawe mai i tētahi mema whānau, i tētahi hoa rānei e whakawhirinaki ana ki a koe ki tō hui. Ka āwhina rātou i a koe ki te mahara ki ngā mōhio nui, ki te whakarato rānei i te tautoko ngākau i te wā pea he haerenga pēhanga.

Whakaritea he rārangi o ngā pūrongo e hiahia ana koe ki te ui ki tō tākuta. Ko ngā kaupapa nui pea ko ngā whiringa maimoatanga, ngā pānga pea, te whakatau, me te āhua o te āhuatanga ki tō oranga o ia rā.

Tuhituhia ngā mōhio nui mō tō hītori hauora, tae atu ki ētahi pokanga o mua, ngā maimoatanga radiation, i te hītori whānau o ngā mate pūngāwerewere roro rānei. Ka taea e tēnei mōhio papamuri te mea nui mō te aromatawai a tō tākuta.

He aha te mea nui mō te meningioma?

Ko te mea nui rawa kia mahara ko ngā meningioma te nuinga he pūngāwerewere e tupu haere ana, he pai te hua o te maimoatanga. Ahakoa te whiwhi i tetahi whakatau mate pūngāwerewere roro ka rongo wehi, ko te nuinga o ngā tāngata e whai ana i ngā meningioma ka haere tonu ki te ora i te ora noa, hauora.

Ko te kite wawe me te maimoatanga tika he mea nui mō ngā hua pai. Ki te pāngia koe e ngā tohu mau tonu penei i ngā mamae upoko, ngā hopu, i ngā huringa neurological rānei, kaua e whakaroa ki te rapu i te aromatawai hauora.

Kua pai haere ngā huarahi maimoatanga i ngā tau, me ngā whiringa iti te whakauru e wātea ana. Ka mahi tahi tō rōpū hauora ki a koe ki te whakawhanake i te mahere maimoatanga e rite ana ki tō wāhi motuhake me ō whāinga.

Kia mahara kaore te whai meningioma e whakatau i a koe. He tokomaha ngā tāngata e whakahaere pai ana i tō rātou āhuatanga i te pupuri i ō rātou mahi, hononga, me ngā mahi e pai ana rātou. Me te tiaki hauora tika me te tautoko, ka taea e koe te haere tonu ki te ora i te ora whai hua.

Ngā pūrongo e ui pinei ana mō te meningioma

Ka taea te aukati i ngā meningioma?

I tēnei wā, kaore he huarahi e mohiotia ana ki te aukati i ngā meningioma, na te mea ko te nuinga o ngā take ka puta mai kaore he take e kitea ana. Engari, ko te karo i te whakamahinga radiation koretake ki te upoko, me te pupuri i te hauora pai whānui pea ka āwhina i te whakaiti i te tūponotanga. Ka āwhina ngā tirotiro hauora noa ki te kite i ētahi huringa wawe.

He ira ngā meningioma?

Ko te nuinga o ngā meningioma kaore he ira, ā, ka puta mai kaore he hononga whānau. He iti noa te pēne e hono ana ki ngā āhuatanga ira penei i te neurofibromatosis momo 2. Ki te whai koe i te hītori whānau o ngā mate pūngāwerewere roro, kōrerohia tēnei ki tō tākuta, engari kia mahara he iti pea tō tūponotanga.

E hā o te tere o te tupu o ngā meningioma?

Ko te nuinga o ngā meningioma e tupu haere ana, e maha ngā tau ki te piki ake i te rāhi. Ko ngā meningioma tohu I e tupu ana i te tere o te 1-2 millimeters ia tau, i te wā pea ka tupu haere tere ngā pūngāwerewere tohu teitei ake. Ko tēnei tupu māmā tētahi take ka taea te titiro haumaru ki ngā meningioma maha, kaore e tika te maimoatanga wawe.

Ka hoki mai ngā meningioma i muri i te maimoatanga?

Ka taea e ngā meningioma te hokinga mai i muri i te maimoatanga, ahakoa he mea noa ake tēnei me ngā pūngāwerewere tohu teitei ake, i ngā take rānei kaore i taea te tango i te pūngāwerewere katoa. He iti te tere o te hokinga mai o ngā meningioma tohu I, ina koa ka tangohia katoatia e te pokanga. Ka āwhina ngā whakamātautau whai muri ki te kite i tetahi hokinga mai wawe.

Ka taea e au te taraiwa me te meningioma?

Ko tō kaha ki te taraiwa e whakawhirinaki ana ki ō tohu me te maimoatanga. Ki te whai koe i ngā hopu, ko te nuinga o ngā whenua e hiahia ana ki te wā kore hopu i mua i tō taraiwa anō. Āe pea ka pā ētahi atu tohu penei i ngā huringa tirohanga, i ngā raruraru whakahaere rānei ki te haumaru o te taraiwa. Kōrerohia ngā herenga taraiwa ki tō tākuta, na te mea ka rerekē i runga i tō wāhi motuhake me ngā ture o te rohe.