Created at:1/16/2025
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Ko te Oligodendroglioma tētahi momo mate pūngāwerewere roro e tupu ana i ngā pūtau e kiia nei ko ngā oligodendrocytes, ngā pūtau e tiaki ana i ngā muka io i roto i tō roro. Ahakoa ka rongo te tangata i te kupu ‘mate pūngāwerewere roro’ ka nui te manukanuka, he mea nui kia mōhio ko ngā oligodendrogliomas te nuinga o te wā ka tupu haere māmā, ā, ka āwangawanga ki te maimoatanga. Ko ēnei mate pūngāwerewere e 2-5% o ngā mate pūngāwerewere roro katoa, ā, ko te mōhiotanga ki te mea kei te whakahaere koe ka āhei te awhina i a koe kia rite ai, kia maia ai hoki te haere tonu.
Ko te Oligodendroglioma tētahi mate pūngāwerewere roro matua e tīmata ana i te mātiti ma o tō roro, ā, ko ngā pūtau e takai ana i ngā muka io, pērā i te taura hiko. Ko ēnei mate pūngāwerewere e kiia ana he gliomas, nā te mea e tupu ana i ngā pūtau glial, arā, ngā pūtau tautoko i roto i tō pūnaha io.
Ko te nuinga o ngā oligodendrogliomas he mate pūngāwerewere e tupu haere māmā ana, arā, ka tupu haere i roto i ngā marama, i ngā tau rānei, kāore i roto i ngā wiki. Ko tēnei tupu haere māmā te nuinga o te wā ka hoatu he wā ki tō roro kia taurite, koia te take ka tupu haere mā te iti te tohu.
Ko te mate pūngāwerewere te nuinga o te wā ka puta ki ngā wāhanga o mua o tō roro, ā, ko ngā wāhi e kiia nei ko ngā lobes mua me ngā lobes taha.
Ka wehewehea ēnei mate pūngāwerewere e ngā tākuta ki ngā taumata rerekē, i runga i te ahua o ngā pūtau i raro i te microscope. Ko ngā oligodendrogliomas taumata 2 ka tupu haere māmā, engari ko ngā taumata 3 (e kiia ana hoki ko ngā anaplastic oligodendrogliomas) ka tupu haere tere, ā, he kaha ake.
Ko ngā tohu o te oligodendroglioma te nuinga o te wā ka tupu haere māmā, nā te mea ko ēnei mate pūngāwerewere te nuinga o te wā ka tupu haere māmā. Ko te tohu tuatahi tino noa ko ngā āwangawanga, e puta ana ki te 70-80% o te hunga e pangia ana e tēnei āhuatanga. Ko ēnei āwangawanga e puta ana nā te mea ka āwangawanga te mate pūngāwerewere i ngā pūtau roro e karapotia ana.
Ko ēnei ngā tohu matua ka pā pea ki a koe:
Ka iti ake te tūponotanga, ka pāngia pea koe e ētahi atu tohu motuhake, kei te wāhi o te mate te tumuaki. Ki te mea kei roto i tō lobe mua, ka kite pea koe i ngā huringa i tō kaha ki te whakarite, ki te whakatau rānei. Ko ngā mate pūngāwerewere kei roto i te lobe wā ka pā pea ki tō kaha ki te mārama i te reo, ki te hanga i ngā mahara hou rānei.
Kāore etahi o te hunga e pangia ana e te oligodendroglioma e kite i tetahi tohu mo ngā tau, ina koa ki te mea he tino puhoi te tipu o te mate pūngāwerewere. Koia te take i kitea ai te āhuatanga i etahi wā i ngā whakawhāiti roro i mahia mō ētahi take atu, pēnei i muri i te whara o te upoko, i ngā mamae upoko kore hononga rānei.
Ka wehea ngā oligodendrogliomas ki ētahi atu karaehe e rua, e whakaatu ana i te āhua o te kaha o te tipu i raro i te microscope. Ka āwhina tēnei pūnaha karaehe i tō rōpū hauora ki te mohio ki te āhua o te mate pūngāwerewere, me te whakarite i te huarahi rongoā pai mōu.
Ko te oligodendroglioma o te karaehe 2 te putanga iti ake o te karaehe e tipu haere ana, he pūtau e rite ana ki ngā pūtau roro noa. Ka taea e ēnei mate pūngāwerewere te noho pumau mo ngā tau, ā, ko ētahi o te hunga e ora ana me rātou mo ngā tekau tau me te kounga ora pai. Ka tino whakatauritea o rātou rohe, ka ngāwari ake te tango i te pokanga.
Ko te oligodendroglioma o te tau 3, e kiia ana hoki ko te anaplastic oligodendroglioma, he kaha ake te mahi me te tere ake te tipu. He rereke ake te ahua o ngā pūtau i raro i te microscope, ā, ka wehewehe tere ake. Ahakoa he āwangawanga tēnei, ka tino pai tonu te whakautu o ēnei mate pukupuku ki te rongoā, inā koa he āhuatanga ira tō rātou.
I tua atu i te tau, ka titiro hoki ngā tākuta ki ngā tohu ira motuhake i roto i te kōeke mate pukupuku. Ko ngā mate pukupuku he mea e kiia nei ko te \
Me haere wawe koe ki te taote mena ka pākia koe e te mate uruta mo te wā tuatahi, koinei te tohu tino noa o te oligodendroglioma. Ahakoa poto te mate uruta, ā, he ngāwari te ahua, he mea nui kia whiwhi koe i te aromatawai hauora, nā te mea ka taea e ngā mate uruta te tohu i ngā āhuatanga maha e hiahia ana ki te tiaki.
Rapua te tiaki hauora mena ka kite koe i ngā mamae o te mahunga e mau tonu ana, he rerekē i ētahi atu mamae o te mahunga i pā mai ki a koe i mua,inā koa kei te kino haere i te wā, kei te haere tahi rātou me te ruaki me te ruaki. Ko ngā mamae o te mahunga e whakaoho ana i a koe i te pō, kei te kino ake rānei i te ata, he mea tika hoki te tiaki hauora.
Me ui atu hoki koe ki tō taote mena ka kite koe, kei te kite rānei ētahi atu i ngā huringa i tō tūāhua, i tō mahara, i ō pūkenga whakaaro e mau tonu ana i tua atu i ngā rā torutoru. I etahi wā he ngāwari enei huringa i te tīmatanga, na kia aro atu mena ka whakaatu mai te whānau, te hoa rānei i ngā rerekētanga kua kitea e rātou.
Whakapa atu ki ngā ratonga āwhina tūtaki tonu mena ka pākia koe e te mate uruta roa (neke atu i te 5 meneti), te mamae nui o te mahunga kahore he rite ki ētahi atu i pā mai ki a koe i mua, te ngoikore rānei, te ngenge rānei o te taha kotahi o tō tinana. Me aromatawai wawe enei tohu.
Ko te nuinga o ngā oligodendrogliomas ka puta mai kahore he take morearea mārama, ko te tikanga ka whanake haere ngāwari i roto i ngā tāngata kahore he āhuatanga whakaohooho. Ko te mārama ki tēnei mea ka whakaongaonga, ka whakamārama hoki – whakaongaonga nā te mea kahore he whakamārama mārama, engari he whakamārama nā te mea ko te tikanga kahore pea koe i taea te aukati i taua mea.
Ko ngā take morearea torutoru e mohiotia ana ko:
He maha ngā mea e manukanuka ana te iwi, ehara i te mea he tūponotanga morearea mō te oligodendroglioma. Kāo te whakamahinga waea pūkoro, te noho tata ki ngā lāina mana, ngā whara o te ǔpoko, me te nuinga o ngā whakamahinga taiao kāore i whakaaturia kia piki ake tō tūponotanga. Ko te kai, te whakakori tinana, me te nuinga o ngā āhuatanga noho kāore hoki e kitea he wāhi.
Ko te āhua rāpoi o te nuinga o ngā oligodendroglioma te tikanga ko te whai i ēnei pūngāwerewere ehara i te mea e rere ana i roto i ngā whānau. Ki te whai koe i te oligodendroglioma, kāore ō whānau e piki ake te tūponotanga nui atu i te taupori whānui.
Ahakoa he maha ngā wā e taea ai te whakahaere i ngā oligodendroglioma, ka taea e rātou te whakaeke i ngā raruraru mai i te pūngāwerewere anō me ngā maimoatanga. Ko te mārama ki ēnei wā pea ka āhei i a koe te mahi tahi me tō rōpū hauora hei tirotiro me te whakautu i ngā take e puta mai ana.
Ko ngā raruraru tino noa e pā ana ki te wāhi me te tipu o te pūngāwerewere:
Ka puta mai pea ngā raruraru e pā ana ki te rongoā, engari e taea te whakahaere i te nuinga o te wā mā te tiaki hauora tika. Ka taea pea e te pokanga te whakaiti i ngā tohu neurological mō te wā poto, te whakaeke rānei i ētahi hou, ahakoa ka pai ake te nuinga o ēnei i te wā. Ka taea pea e te rongoā radiation te whakaeke i te ngenge, ngā huringa kiri, te pānga roa rānei ki ngā kaha whakaaro, inā te nuinga ki ngā kaumātua.
Ko ngā pānga o te chemotherapy he mea poto te nuinga o te wā, ā, ka uru pea ki te ngenge, te ruaki, te nui ake rānei o te tūpono o te mate. Ka tirotiro tata atu tō rōpū hauora ki a koe, ā, ka taea pea te aukati, te whakahaere rānei i ēnei raruraru. Ko te mea nui ko te pupuri i te kōrero whakatuwhera e pā ana ki ētahi tohu hou, ki ētahi āwangawanga rānei e pā ana ki a koe.
Ko te whakatau i te oligodendroglioma e tīmata ana i te nuinga o te wā mā te hītori hauora taipitopito me te whakamātautau neurological. Ka ui tō tākuta ki ngā tohu, i te wā i tīmata ai, me te āhua o te huringa i te wā. Ko te whakamātautau neurological e tirotiro ana i ō uaua, te whakataurite, te tirohanga, me ngā kaha whakaaro.
Ko te taputapu whakatau tino nui ko te tātaritanga MRI o tō roro, e hanga ana i ngā whakaahua taipitopito e taea ai te whakaatu i te rāhi o te mate pukupuku, te wāhi, me ngā āhuatanga. Ka whakaatuhia e tēnei tātaritanga te ahua noa o te mate pukupuku, ā, ka āwhina i te wehewehe i ngā momo mate pukupuku roro. I etahi wā ka whakamahia he tae whakakāhua kia mārama ake ngā whakaahua.
Hei whakau i te whakatau, hei whakatau rānei i te momo oligodendroglioma, ka hiahia pea koe ki te biopsy, ki te tango rānei i te wahi o te mate pukupuku. I te wā o tēnei mahi, ka tango te neurologist i ngā tauira kiko e tirotirohia ana e te pathologist i raro i te microscope. Ka whakaatu tēnei tātaritanga i te momo pūtau me te taumata o te mate pukupuku.
Ko te whakatau hou e whakauru ana i te whakamātautau ira o te kiko mate pukupuku, inā te rapu i te 1p/19q co-deletion. He mea nui tēnei mōhiohio ira, nā te mea e āwhina ana i te kī taumata o te whakautu o te mate pukupuku ki ngā rongoā rerekē, ā, e whakarato ana i ngā mōhiohio nui e pā ana ki tō whakatau.
Ko te rongoā mō te oligodendroglioma e whakaaetia ana e te tangata, e whakawhirinaki ana ki ngā āhuatanga pērā i te rāhi o te mate pukupuku, te wāhi, te taumata, me ngā āhuatanga ira, me tō tau me tō hauora whānui. Ko te mea pai, ko ngā oligodendrogliomas e whakautu pai ana ki te rongoā, ina koa ka whai āhuatanga ira pai.
Ko te pokanga te rongoā tuatahi, me te whāinga kia tangohia te nui o te mate pukupuku e taea ai te ora. Ka whakamahi ngā taote pokanga i ngā tikanga whakamua, ā, i ētahi wā ka mahi pokanga i a koe e ara ana (mō ngā mate pukupuku kei ngā wāhi nui o te roro) kia tiakina ngā mahi nui pērā i te kōrero me te nekehanga. Ahakoa kaore e taea te tango i te mate pukupuku katoa, ko te whakaiti i tōna rāhi ka āwhina ki ngā tohu.
Mō ngā mate pukupuku teitei ake rānei, ki te kore te pokanga anake e ranea, ka whakamahia ngā rongoā radiation me te chemotherapy. Ka whakamahi te rongoā radiation i ngā hiwi arotahi ki te whai i ngā pūtau mate pukupuku e toe ana, ka taea e ngā rongoā chemotherapy te whiti ki te roro hei whawhai ki ngā pūtau mate pukupuku puta noa i te pūnaha io.
Ko ēnei ngā huarahi rongoā matua:
Ka whakawhanakehia ngā mahere rongoā e te rōpū e whakauru ana i te taote pokanga, te neuro-oncologist, te taote rongoā radiation, me ētahi atu tohunga. Ka mahi tahi rātou ki te hanga i te huarahi pai mō tō āhuatanga motuhake, te whakataurite i te whai hua me ngā whakaaro mō te kounga o te ora.
Ko te whakahaere i te oranga me te oligodendroglioma e pēnei ana te tiaki i tō hauora tinana me te hinengaro, me te mahi ngātahi me tō rōpū hauora. He tokomaha ngā tāngata e ora ana me te oligodendroglioma i ngā oranga whai kiko, whai tikanga, me ētahi whakatikatika me te tautoko.
Ki te pāngia koe e ngā āwangawanga, he mea nui kia inu i ngā rongoā āwangawanga kia rite ki te whakahau, ā, kia karo i ngā mea ka piki ake ai te āwangawanga, pēnei i te waiū, te kore moe, te nui rawa o te ahotea. Hangaia he taiao haumaru ki te kāinga mā te tango i ngā taha koi i ngā wāhi e noho ana koe, me te whakaaro ki ngā tikanga haumaru pēnei i ngā tūru o te kaukau, ki te hiahiatia.
Ko te whakahaere i te ngenge he wāhanga nui te nuinga o te oranga o ia rā. Whakaritea ngā mahi nui mō ngā wā e tino kaha ana koe, okioki poto i te rā katoa, ā, kaua e whakaroa ki te tono awhina ki ngā mahi e tino uaua ana. Ko te whakakori ngawari, i whakaaetia e tō tākua, ka taea te awhina i ngā taumata kaha.
Ko ēnei ngā rautaki whai hua mō te whakahaere o ia rā:
Kaua e whakaiti i te hiranga o te tautoko hauora hinengaro. He tokomaha ngā tāngata e kite ana i te whakaora he mea whai hua mō te tukatuka i ngā āhuatanga hinengaro o te mate pūtau roro. Ko tō rōpū hauora ka taea te tuku tohutoro ki ngā kaiwhakaora e mōhio ana ki te mahi me ngā tāngata e tūturu ana ki ngā āhuatanga hauora kino.
Ko te whakarite mo ngā whakaritenga ki tō rōpū hauora ka āhei te awhina i a koe ki te whakamahi pai i tō wā tahi, ā, kia whakarite hoki kua whakautuhia ngā āhuatanga katoa e awangawanga ana koe. Tīmata mā te tuhituhi i ngā tohu katoa, tae atu ki te wā i tīmata ai, te auau o te puta mai, me te aha e pai ake ai, e kino ake rānei.
Hangaia he rārangi o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuta, ngā rongoā kore-tākuta, ngā taapiri, me ngā huaora. Tāpirihia ngā horopeta me te auau o te inu. Kawe mai hoki he rārangi o ngā mate pāwera, o ngā āhuatanga o mua ki ngā rongoā.
Whakaritea ō pūrongo i mua, ā, whakaritehia ki te whakarite i ngā mea nui rawa atu. Kaua e manukanuka ki te maha o ngā pūrongo – e hiahia ana tō rōpū hauora ki te whakautu i ō awangawanga. Whakaarohia te kawe mai i tētahi mema whānau, i tētahi hoa hei āwhina i a koe ki te maumahara ki ngā mōhiohio i kōrerohia i te wā o te whakaritenga.
Kohikohia ngā rēkōta hauora nui, tae atu ki ngā tātaritanga roro o mua, ngā hua whakamātautau, ngā pūrongo rānei mai i ētahi atu tākuta. Ki te kite koe i tētahi tohunga hou, ko te wātea o ēnei mōhiohio ka āhei te awhina i a rātou ki te mārama tere atu, ki te tino mārama ki tō āhuatanga.
Whakaarohia te pānga o ō tohu ki tō oranga o ia rā, ā, kia rite ki te whakaatu i ngā tauira motuhake. Ka āhei tēnei mōhiohio i tō rōpū hauora ki te mārama ki te pānga o te ao tūturu o tō āhuatanga, ā, ka āhei te arahi i ngā whakatau ātete.
Ko te oligodendroglioma he momo mate pūngao roro, ahakoa he kino, he maha tonu te tirohanga pai atu i te maha o ētahi atu mate pūngao roro. Ko ēnei mate pūngao e tupu ana i te ngāwari, he maha tonu te whakautu pai ki te ātete, ā, he maha ngā tāngata e ora ana i ngā tau maha me te kounga ora pai.
Ko te mea nui rawa atu hei mahara ko te ahua motuhake o te tangata ia tangata. Ka taea e ngā take penei i ngā āhuatanga ira o te mate pukupuku, inā te whakakorenga tahi o te 1p/19q, te whakauru nui ki te pai o te mahi a ngā maimoatanga. Kua neke whakamua te rongoā hou i te whakaora i ēnei mate pukupuku, ina koa ka pai ngā āhuatanga ira.
Ki te whai koe i te oligodendroglioma, ehara tena i te tikanga me mutu tou oranga. He tokomaha te iwi e haere tonu ana ki te mahi, te pupuri i ngā hononga, me te whai i ngā mahi whai kiko i te wa o te maimoatanga me muri iho. Ko te matua ko te mahi tata ki tō rōpū hauora, te noho mohio ki tō āhuatanga motuhake, me te whakamahi i ngā rauemi tautoko e wātea ana.
Kia mahara kei te noho koe kotahi i roto i tēnei haerenga. Ka taea e tō rōpū hauora, whānau, hoa, me ngā rōpū tautoko te whakauru nui ki te āwhina i a koe ki te arahi i tēnei wero. Kia tūmanako, uiui, me te tautoko i a koe ano i te whakawhirinaki ki te mātauranga o ngā kaiwhakarato hauora.
Ae, he momo mate pukupuku roro te oligodendroglioma, engari he iti ake te kaha o te kino atu i te nuinga o ētahi atu mate pukupuku. Ko ēnei mate pukupuku te tipu haere puhoi me te maha o ngā whakautu pai ki te maimoatanga. Ka taea e te kupu “mate pukupuku” te whakawehi, engari he maha tonu te pai ake o te whakatau a te oligodendrogliomas i te mea e hono ana te iwi ki taua kupu, ina koa ka pai ngā āhuatanga ira.
He tokomaha ngā tāngata e ora ana mō ngā tekau tau i muri i te whakatau,inā, ko te hunga e whai kōpū iti ana, me ngā āhuatanga ira tino pai penei i te 1p/19q co-deletion. He rerekē te ora, kei runga i ngā take penei i te taumata o te kōpū, ngā āhuatanga ira, te tau, me te nui o te kōpū ka taea te tango i te pokanga. Ka taea e tō rōpū hauora te tuku atu i ngā mōhiohio tino tika e pā ana ki tō āhuatanga, engari ko te tirohanga whānui he tino whakamārama.
Ahakoa e whakamahia ana te kupu “whakaora” me te tupato i roto i te rongoā, he tokomaha ngā tāngata e ora ana i te oranga roa, i te oranga tino pai, kaore he tohu o te tipu o te kōpū, te hokinga mai rānei. Ko te tango katoa i te pokanga me te whakaora pai ka taea te whakakore i te kōpū katoa e kitea ana. Ahakoa kaore e taea te tango katoa, ka taea e ngā maimoatanga te whakahaere i te kōpū mō ngā tau maha, ā, ka taea e ngā tāngata te pupuri i te kounga ora pai.
Ko ngā herenga taraiwa e whakawhirinaki ana ki te wheter he mate pāwera koe. Ki te mea kua pāwera koe, ko te nuinga o ngā kawanatanga e hiahia ana kia kore he pāwera mō te wā (he 3-12 marama te nuinga) i mua i to taraiwa anō. Ki te kore koe i pāwera, ā, kāore ou tohu e āwangawanga ki to kaha ki te taraiwa haumaru, ka taea pea e koe te haere tonu ki te taraiwa. Ka aromatawaihia e tō tākuta tō āhuatanga motuhake, ka tohutohu ki a koe mō te haumaru o te taraiwa e pā ana ki ō tohu me te maimoatanga.
Kāore katoa ngā oligodendrogliomas e hokinga mai i muri i te maimoatanga. He maha ngā take e pā ana ki te morearea o te hokinga mai, tae atu ki te taumata o te kōpū, ngā āhuatanga ira, me te nui o te kōpū i tangohia i te pokanga. Ko ngā oligodendrogliomas iti me ngā ira pai (1p/19q co-deletion) te nuinga o te wā he iti ake te auau o te hokinga mai. Ahakoa ka puta mai te hokinga mai, ka puta noa i te ngāwari, ka taea te whakaora anō me ngā hua pai. Ko te tirotiro tonu me ngā whakaahua MRI e āwhina ana ki te kite wawe i ngā huringa.