Oligodendroglioma

Ko te oligodendroglioma he tipu o ngā pūtau e tīmata ana i te roro, i te tūpū rākau rānei. Ko te tipu, e kiia nei ko te mate pukupuku, ka tīmata i ngā pūtau e kiia nei ko ngā oligodendrocytes. Ko ēnei pūtau te hunga hanga i te mea e tiaki ana i ngā pūtau io, ā, e āwhina ana i te rere o ngā tohu hiko i te roro, i te tūpū rākau rānei.

Ko te oligodendroglioma te nuinga o te wā e puta ana ki ngā tāngata pakeke, engari ka taea te puta i tetahi tau. Ko ngā tohu e whai ake nei: ngā āwangawanga, ngā mamae o te upoko, me te ngoikore, te koretake rānei o tētahi wāhanga o te tinana. Kei hea te putanga o tēnei i roto i te tinana e whakawhirinaki ana ki ngā wāhanga o te roro, o te tūpū rākau rānei e pā ana ki te mate pukupuku.

Ko te maimoatanga ko te pokanga, ki te taea. I etahi wā, kaore e taea te pokanga mena kei te wāhi te mate pukupuku e uaua ai te whakauru atu ki ngā taputapu pokanga. Ka hiahiatia pea ētahi atu maimoatanga mena kaore e taea te tango i te mate pukupuku, ki te pea rānei te hokinga mai i muri i te pokanga.

'Ngā tohu me ngā pūāhua o te oligodendroglioma e whai ake nei: Pātai pūmau. Huringa i te whāinga. Pātai mahara. Ngingi i tetahi taha o te tinana. Pātai kōrero. Pātai whakaaro mārama. Ngā hopu. Me whakarite he whakatau ki te taote, ki tetahi kaimahi hauora rānei, ki te mea kei a koe ngā tohu haere tonu e awangawanga ana koe.'

Whakakāohia he wā ki te taote, ki tetahi kaimahi hauora rānei, ki te pēhea rānei ngā tohu e kore e mutu ana e awangawanga ana koe.

Ko te take o te oligodendroglioma e kore nei e mohiotia. Ka tīmata tēnei mate pukupuku hei tipu o ngā pūtau i roto i te roro, i te tūpū rākau rānei. Ka hangaia i roto i ngā pūtau e kiia nei ko ngā oligodendrocytes. Ko ngā oligodendrocytes te āwhina i te tiaki i ngā pūtau io, ā, te āwhina hoki i te rere o ngā tohu hiko i roto i te roro. Ka puta te oligodendroglioma ina whanake ngā oligodendrocytes i ngā huringa i roto i ō rātou DNA. Ko te DNA o te pūtau te pupuri i ngā tohutohu e kī ana ki te pūtau he aha tāna mahi. I roto i ngā pūtau hauora, ka hoatu e te DNA ngā tohutohu hei tipu me te whakaputa i te tere i whakaritea. Ka kī ngā tohutohu ki ngā pūtau kia mate i te wā i whakaritea. I roto i ngā pūtau mate pukupuku, ka hoatu e ngā huringa o te DNA ngā tohutohu rerekē. Ka kī ngā huringa ki ngā pūtau mate pukupuku kia tipu me te whakaputa tere. Ka taea e ngā pūtau mate pukupuku te noho ora ina mate ngā pūtau hauora. Ka puta mai tēnei i te maha rawa o ngā pūtau. Ka hangaia e ngā pūtau mate pukupuku te tipu ka pēhi pea ki ngā wāhanga o te roro, o te tūpū rākau rānei e tata ana i te nui haere o te tipu. I etahi wā, ka huri ngā huringa o te DNA i ngā pūtau mate pukupuku hei pūtau mate pukupuku. Ka taea e ngā pūtau mate pukupuku te whakaeke me te whakangaro i ngā kōpū tinana hauora.

Ngā take morearea mō te oligodendroglioma e whai ake nei:

• Hītori o te whakamahinga radiation. Ka taea e te hītori o te radiation ki te matenga me te kaki te whakapiki ake i te morearea o te tangata.
• Tau pakeke. Ka taea e tēnei mate pukupuku te puta i tetahi tau. Engari, he maha tonu te kitea i roto i ngā tāngata pakeke i o rātou tau 40 me 50.
• Iwi Pākehā. He maha tonu te puta o te oligodendroglioma ki ngā Pākehā kāhore hoki he kōkā o te Hispanic.

Kāhore he huarahi hei ārai i te oligodendroglioma.

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Ngā whakamātautau me ngā tukanga e whakamahia ana hei whakatau i te oligodendroglioma e whai ake nei:

• Tirohanga Neurological. I te tirohanga neurological, ka uihia koe mō ō tohu me ō tohu. Ka tirohia tou tirohanga, tou rongohanga, tou taurite, tou hononga, tou kaha me ōu whakautu. Ko ngā raruraru i roto i tētahi, i ētahi rānei o ēnei wāhi ka hoatu ngā tohu mō te wāhanga o te roro ka pā pea te mate pukupuku roro.
• Ngā whakamātautau whakaahua. Ka taea e ngā whakamātautau whakaahua te āwhina ki te whakatau kei hea te mate pukupuku roro me tōna rāhi. Ko te MRI te nuinga o te wā e whakamahia ana hei whakatau i ngā mate pukupuku roro. Ka taea pea te whakamahi me ngā momo MRI motuhake, pēnei i te MRI mahi me te magnetic resonance spectroscopy.

Tango i te tauira o te kiko mō te whakamātautau. He tukanga te biopsy hei tango i te tauira iti o te kiko mai i te mate pukupuku mō te whakamātautau. Ki te taea, ka tangohia te tauira i te wā o te pokanga hei tango i te mate pukupuku. Ki te kore e taea te tango i te mate pukupuku me te pokanga, ka taea pea te kohikohi i te tauira me te ngira. Ko te tikanga e whakamahia ana e whakawhirinaki ana ki tō āhuatanga me te wāhi o te mate pukupuku.

Ka haere te tauira kiko ki te taiwhanga mō te whakamātautau. Ka taea e ngā whakamātautau te whakaatu i ngā momo pūtau e uru ana. Ka taea e ngā whakamātautau motuhake te whakaatu i ngā mōhiohio taipitopito mō ngā pūtau mate pukupuku. Hei tauira, ka tiro pea te whakamātautau i ngā huringa i roto i te rauemi ira o ngā pūtau mate pukupuku, e kiia nei ko te DNA. Ka korero ngā hua ki tō rōpū hauora mō tō whakatau. Ka whakamahi tō rōpū tiaki i ēnei mōhiohio hei hanga i te mahere maimoatanga.

Ko ngā tikanga whakaora mō te oligodendroglioma:

• Te pokanga hei tango i te mate pukupuku. Ko te whāinga o te pokanga ko te tango i te nuinga o te oligodendroglioma e taea ana. Ka mahi te taote roro, e kiia ana hoki ko te neurologist, ki te tango i te mate pukupuku kaore e kinotia ngā kōpū roro ora. Ko tētahi huarahi hei mahi i tēnei e kiia ana ko te pokanga roro ara. I te wā o tēnei momo pokanga, ka oho koe i tētahi āhua moe. Ka ui pea te taote i ētahi pātai ka tirotiro i te mahi o tō roro i a koe e whakautu ana. Ka āwhina tēnei ki te whakaatu i ngā wāhanga nui o te roro kia taea ai e te taote te karo i a rātou.

Ka hiahiatia pea ētahi atu tikanga whakaora i muri i te pokanga. Ka tūtohu pea ēnei mena kei te toe etahi pūtau mate pukupuku, te nui ake rānei te tūpono ka hoki mai te mate pukupuku.

• Te chemotherapy. Ka whakamahi te chemotherapy i ngā rongoā kaha hei whakamate i ngā pūtau mate pukupuku. Ka whakamahia te chemotherapy i muri i te pokanga hei whakamate i ngā pūtau mate pukupuku e toe ana pea. Ka taea te whakamahi i te wā kotahi me te rongoā radiation, te mutu rānei o te rongoā radiation.
• Te rongoā radiation. Ka whakamahi te rongoā radiation i ngā kaupapa kaha o te kaha hei whakamate i ngā pūtau mate pukupuku. Ka taea te puta mai o te kaha i ngā X-rays, protons, tetahi atu puna rānei. I te wā o te rongoā radiation, ka takoto koe ki runga i tētahi tēpu i te wā e neke haere ana tētahi mīhini i tō taha. Ka tuku te mīhini i ngā kaupapa ki ngā tohu tika i tō roro.

Ka whakamahia te rongoā radiation i etahi wā i muri i te pokanga, ā, ka taea te whakakotahi me te chemotherapy.

• Ngā whakamātautau hauora. Ko ngā whakamātautau hauora he ako mō ngā tikanga whakaora hou. Ka hoatu ēnei ako ki a koe te wā hei tamata i ngā kōwhiringa whakaora hou. Kaore pea e mohiotia te tūpono o ngā pānga taha. Pātai atu ki tētahi mema o tō rōpū hauora mēnā ka taea e koe te whai wāhi ki tētahi whakamātautau hauora.
• Te tiaki tautoko. Ko te tiaki tautoko, e kiia ana hoki ko te tiaki palliative, ka aro ki te whakarato i te whakaora i te mamae me ētahi atu tohu o te mate kino. Ka mahi ngā tohunga tiaki palliative me koe, tō whānau me ngā mema o tō rōpū hauora hei whakarato i te tautoko atu. Ka taea te whakamahi i te tiaki palliative i te wā kotahi me ētahi atu tikanga whakaora, pēnei i te pokanga, te chemotherapy, te rongoā radiation rānei.

Te pokanga hei tango i te mate pukupuku. Ko te whāinga o te pokanga ko te tango i te nuinga o te oligodendroglioma e taea ana. Ka mahi te taote roro, e kiia ana hoki ko te neurologist, ki te tango i te mate pukupuku kaore e kinotia ngā kōpū roro ora. Ko tētahi huarahi hei mahi i tēnei e kiia ana ko te pokanga roro ara. I te wā o tēnei momo pokanga, ka oho koe i tētahi āhua moe. Ka ui pea te taote i ētahi pātai ka tirotiro i te mahi o tō roro i a koe e whakautu ana. Ka āwhina tēnei ki te whakaatu i ngā wāhanga nui o te roro kia taea ai e te taote te karo i a rātou.

Ka hiahiatia pea ētahi atu tikanga whakaora i muri i te pokanga. Ka tūtohu pea ēnei mena kei te toe etahi pūtau mate pukupuku, te nui ake rānei te tūpono ka hoki mai te mate pukupuku.

Te rongoā radiation. Ka whakamahi te rongoā radiation i ngā kaupapa kaha o te kaha hei whakamate i ngā pūtau mate pukupuku. Ka taea te puta mai o te kaha i ngā X-rays, protons, tetahi atu puna rānei. I te wā o te rongoā radiation, ka takoto koe ki runga i tētahi tēpu i te wā e neke haere ana tētahi mīhini i tō taha. Ka tuku te mīhini i ngā kaupapa ki ngā tohu tika i tō roro.

Ka whakamahia te rongoā radiation i etahi wā i muri i te pokanga, ā, ka taea te whakakotahi me te chemotherapy.

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