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Hoʻomaʻamaʻa Astrocytomas kamaliʻi (®) - Mana Mana Manaʻo

ʻO ka ʻike laulā e pili ana i nā Astrocytomas kamaliʻi

NA MANA KUNI

• ʻO ka astrocytoma kamaliʻi kahi maʻi kahi i kū ai nā pūnaewele benign (noncancer) a i ʻole malignant (cancer) i nā mākala o ka lolo.

• Hiki i nā Astrocytomas ke ʻano maikaʻi (ʻaʻole ka maʻi ʻaʻai) a i ʻole malignant (maʻi ʻaʻai).

• Mālama ka ʻōnaehana ʻōnaehana i nā hana nui o ke kino.

• ʻAʻole ʻike ʻia ke kumu o ka nui o nā hikoko lolo kamaliʻi.

• ʻAʻole like nā ʻōuli a me nā ʻōuli o nā astrocytomas i kēlā me kēia keiki.

• Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoo e ʻike (ʻike ai) i nā astrocytomas kamaliʻi.

• Hoʻomaopopo pinepine ʻia nā astrocytomas kamaliʻi a hemo i ke ʻoki.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka astrocytoma kamaliʻi kahi maʻi kahi i kū ai nā pūnaewele benign (noncancer) a i ʻole malignant (cancer) i nā mākala o ka lolo.

ʻO nā Astrocytomas he mau tumors e hoʻomaka i loko o nā lolo lolo e like me nā hōkū i kapa ʻia he astrosit. ʻO kahi astrocyte kahi ʻano o ka cell glial. Mālama nā pūnaewele Glial i nā hunaola nerve i wahi, lawe mai i ka meaʻai a me ka oxygen iā lākou, a kōkua i ka pale ʻana iā lākou mai ka maʻi, e like me ka maʻi. ʻO nā gliomas he mau tumors i hana ʻia mai nā hunaola glial. ʻO kahi astrocytoma kahi ʻano glioma.

ʻO Astrocytoma ka ʻano maʻamau o nā glioma i ʻike ʻia i nā keiki. Hiki iā ia ke hana ma nā wahi āpau o ke kikowaena pūnaewele (lolo a me ka iwi kuamoʻo).

ʻO kēia hōʻuluʻulu e pili ana i ka mālama ʻana i nā tumors e hoʻomaka i nā astrocytes i ka lolo (nā lolo lolo mua). Hoʻokumu ʻia nā tumors lolo metastatic e nā hunaola maʻi ʻea e hoʻomaka i nā ʻāpana ʻē aʻe o ke kino a pāhola i ka lolo. ʻAʻole kūkākūkā ʻia ka mālama ʻana i nā tumor lolo metastatic ma aneʻi.

Hiki i nā tumors lolo ke hana i nā keiki a me nā mākua. Eia nō naʻe, ʻokoʻa ka mālama ʻana i nā keiki ma mua o ka mālama ʻana i nā mākua. E ʻike i nā hōʻuluʻulu e hiki mai ana no ka ʻike hou aku e pili ana i nā tumors lolo ʻē aʻe i nā keiki a me nā mākua.

• ʻO ka Brain Brain a me ka Spinal Cord Tumors i ka nānā ʻana i ka nānā ʻana

• Hoʻomaʻomaʻo Tumors Pūnaewele Nervous makua

Hiki i nā Astrocytomas ke ʻano maikaʻi (ʻaʻole ka maʻi ʻaʻai) a i ʻole malignant (maʻi ʻaʻai).

Ulu a ulu nā tumors lolo ma nā wahi kokoke o ka lolo. ʻAʻohe pālahalaha iki lākou i loko o nā iʻa ʻē aʻe. E ulu koke nā ʻōpala lolo malignant a pāhola ʻia i nā ʻano lolo. Ke ulu a tumo paha kahi tumo i kahi o ka lolo, e hoʻopau paha ia i kēlā ʻāpana o ka lolo mai ka hana ʻana e like me ka mea e pono ai. Hiki i nā tumor lolo maikaʻi a maikaʻi ʻole hoʻi ke hana i nā hōʻailona a me nā ʻōuli a ʻaneʻane pono nā lāʻau āpau i ka lāʻau.

Mālama ka ʻōnaehana ʻōnaehana i nā hana nui o ke kino.

Kūleʻa ka Astrocytomas i kēia mau ʻāpana o ke kikowaena pūnaewele (CNS):

• Cerebrum: ʻO ka hapa nui o ka lolo, ma ka piko o ke poʻo. Mālama ka cerebrum i ka noʻonoʻo ʻana, ke aʻo ʻana, ka hoʻoponopono pilikia ʻana, ka ʻōlelo ʻana, ka naʻau, ka heluhelu ʻana, ke kākau ʻana, a me ka neʻe manawaleʻa ʻana.

• Cerebellum: ʻO ka ʻaoʻao haʻahaʻa, hope o ka lolo (kokoke i ka waena o ke kua o ke poʻo). Mālama ka cerebellum i ka neʻe, ke kaulike, a me ke kūlana.

• Kaha lolo : ʻO ka ʻāpana e hoʻopili i ka lolo i ka iwi kuamoʻo, ma ka hapa haʻahaʻa o ka lolo (ma luna pono o ka ʻāʻī). Mālama ka lāʻau lolo i ka hanu ʻana, ka helu o ka puʻuwai, a me nā aʻa a me nā mākala e hoʻohana ai i ka ʻike ʻana, ka lohe ʻana, ka hele ʻana, ke kamaʻilio ʻana, a me ka ʻai ʻana.

• Hypothalamus: Ka wahi ma waenakonu o ke kumu o ka lolo. Mālama ia i ka mahana o ke kino, ka pōloli, a me ka make wai.

• Ke ala helehelena: ʻO ka hui o nā aʻalolo e hoʻopili i ka maka me ka lolo.

• Ka iwi kuamoʻo: Ke kolamu o nā aʻa nerve e holo ana mai ka lolo e iho i lalo ma ke kikowaena o ke kua. Uhi ʻia e ʻekolu mau ʻāpana lahilahi o ke kiko i kapa ʻia he mau membrane. Hoʻopuni ʻia ka iwi kuamoʻo a me nā membrane e ka vertebrae (iwi hope). Lawe nā aʻalolo iwi i nā leka ma waena o ka lolo a me ke koena o ke kino, e like me kahi leka mai ka lolo e hoʻoneʻe i nā mākala a i ʻole kahi leka mai ka ʻili i ka lolo e pili.

Anatomi o ka lolo. ʻO ka wahi supratentorial (ka ʻaoʻao kiʻekiʻe o ka lolo) ka cerebrum, ventricle ʻaoʻao a me ke kolu o ka ventricle (me ka wai cerebrospinal i hōʻike ʻia i ka polū), choroid plexus, pineal gland, hypothalamus, pituitary gland, a me optic nerve. ʻO ka fossa / infratentorial posterior (ka ʻaoʻao hope o ka lolo) i loaʻa ka cerebellum, tectum, hā ventricle, a me ka lāʻau lolo (midbrain, pons, and medulla). Hoʻokaʻawale ka hale hale i ka hale hoʻokalakupua mai ka infratentorium (panela ʻākau). Pale ka iwi poʻo a me ka meninges i ka lolo a me ka iwi kuamoʻo (panel hema).

ʻAʻole ʻike ʻia ke kumu o ka nui o nā hikoko lolo kamaliʻi.

ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā makemake ʻoe e pilikia paha kāu keiki. ʻO nā kumuhana kūpono no ka astrocytoma me:

• ʻO ka radiation radiation i hala i ka lolo.

• Loaʻa kekahi mau maʻi kūlohelohe, e like me neurofibromatosis ʻano 1 (NF1) a i ʻole tuberous sclerosis.

ʻAʻole like nā ʻōuli a me nā ʻōuli o nā astrocytomas i kēlā me kēia keiki.

Pili nā hōʻailona a me nā ʻōuli i kēia mau mea:

• Kahi e ulu ai ka tumo i ka lolo a i ʻole ka iwi maha.

• Ka nui o ka tumo.

• Pehea ka wikiwiki o ka ulu ʻana o ka tumo.

• Ka makahiki a me ke ulu ʻana o ke keiki.

ʻAʻole kū kekahi mau tumors i nā hōʻailona a i ʻole nā ​​hōʻailona. Hoʻokumu ʻia nā ʻōuli a me nā ʻōuli e nā astrocytomas kamaliʻi a i ʻole nā ​​ʻano ʻē aʻe. E nīnau me ke kauka o kāu keiki inā loaʻa i kāu keiki kekahi o kēia mau mea:

• ʻEha poʻo o ke kakahiaka a poʻo ʻeha paha e hele aku ma hope o ka luaʻi.

• ʻO Nusea a me ka luaʻi.

• Nā pilikia o ka hihiʻo, ka hoʻolohe, a me ka haʻi ʻōlelo.

• Ka nele o ke kaulike a me ka pilikia e hele wāwae.

• ʻO ke kākau lima ʻana a i ʻole ka lohi o ka haʻi ʻōlelo.

• Ka nāwaliwali a hoʻololi paha i ka manaʻo ma kekahi ʻaoʻao o ke kino.

• Hiamoe maʻamau ʻole.

• ʻOi aku ka nui a ʻoi paha o ka ikehu ma mua o ka maʻamau.

• Hoʻololi i ka pilikino a i ʻole ka lawena.

• Hinaʻi.

• ʻO ka pohō kaumaha a me ka loaʻa ʻana o ke kaupaona no ke kumu ʻole.

• Hoʻonui i ka nui o ke poʻo (i nā pēpē).

Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoo e ʻike (ʻike ai) i nā astrocytomas kamaliʻi.

Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:

• ʻImi kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino. Hoʻopili pū kēia me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu a i ʻole nā ​​mea ʻē aʻe e ʻano ʻē. E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.

• Nānā Neurological: He mau nīnau a me nā hoʻāʻo e nānā i ka lolo, nā ʻaluna, a me nā hana o ke aʻalolo. Nānā ka hōʻike i ke kūlana noʻonoʻo o ke kanaka, ka hoʻonohonoho ʻana, a me ka hiki ke hele maʻamau, a me ka maikaʻi o ka hana o nā mākala, nā manaʻo, a me nā reflexes. Kāhea ʻia paha kēia he neuro exam a i ʻole he neurologic exam.

• Hōʻike kahua hihiʻo: kahi hōʻike e nānā ai i ka ʻike o ke kanaka (ka nui o nā wahi e ʻike ʻia ai nā mea). Ana kēia hōʻike i ka hihiʻo waena ʻelua (pehea e ʻike ai ke kanaka ke nānā pololei i mua) a me ka ʻike peripheral (pehea ka ʻike a ke kanaka i nā ʻaoʻao ʻē aʻe a ke kau pono nei i mua. Hōʻaʻo ʻia nā maka i hoʻokahi manawa. Uhi ʻia ka maka i hoʻāʻo ʻole ʻia.

• MRI (kiʻi resonance ʻume mākenēki) me gadolinium: kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi o nā kiʻi kikoʻī o ka lolo a me ka iwi kuamoʻo. Hoʻokomo ʻia kahi mea i kapa ʻia ʻo gadolinium i kahi aa koko. Hōʻiliʻili ka gadolinium a puni nā hunaola maʻi ʻula i mea e mālamalama ai lākou i ke kiʻi. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI). I kekahi manawa hana ʻia ka spectroscopy resonance ʻume mākenēki (MRS) i ka scan MRI like e nānā i ka hana kemika o kaʻiʻo o ka lolo.

Hoʻomaopopo pinepine ʻia nā astrocytomas kamaliʻi a hemo i ke ʻoki.

Inā manaʻo nā kauka aia paha he astrocytoma, hana ʻia paha kahi biopsy e hemo i kahi hāpana o kaʻaʻaʻa. No nā tumors i ka lolo, hemo kahi hapa o ka iwi poʻo a hoʻohana ʻia ka nila i mea e hemo ai i kaʻiʻo. I kekahi manawa, alakaʻi ʻia ka nila mai kahi kamepiula. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai. Inā loaʻa nā hunaola maʻi ʻaʻai, hiki i ke kauka ke wehe i nā tumo a hiki ke palekana i ka wā o ke ʻoki like. Ma muli o ka paʻakikī o ka haʻi ʻana i ka ʻokoʻa ma waena o nā kūpoko o ka lolo, makemake paha ʻoe e nānā i kahi laʻana kikoʻī o kāu keiki e kahi mea maʻi maʻi i ʻike i ka ʻike ʻana i nā maʻi lolo.

Craniotomy: Hana ʻia kahi wehe i ka iwi poʻo a hoʻoneʻe ʻia kahi ʻāpana o ka iwi poʻo e hōʻike i kahi ʻāpana o ka lolo.

Hiki ke hana i kēia hōʻike aʻe ma nā kiko i lawe ʻia.

• Immunohistochemistry: ʻO kahi hoʻokolohua hoʻokolohua e hoʻohana ai i nā anti-antibodies e nānā ai no kekahi antigens (markers) i kahi laʻana o kaʻiʻo o ka mea maʻi. Hoʻopili pinepine ʻia nā mea ʻino i kekahi enzyme a i ʻole ka waihoʻoluʻu fluorescent. Ma hope o ka hoʻopili ʻana o nā mea ʻume i kekahi antigen kikoʻī i ka laʻana kiko, hoʻōloli ʻia ka enzyme a i ʻole ke kala, a laila ʻike ʻia ka antigen ma lalo o kahi microscope. Hoʻohana ʻia kēia ʻano hoʻāʻo e kōkua i ke kuhi ʻana i ka maʻi ʻaʻai a kōkua e haʻi i kekahi ʻano maʻi ʻaʻai mai kekahi ʻano maʻi ʻaʻai. ʻO kahi hoʻokolohua MIB-1 kahi ʻano o ka immunohistochemistry e nānā i nāʻiʻo tumora no kahi antigen i kapa ʻia ʻo MIB-1. Hōʻike paha kēia i ka wikiwiki o ka ulu ʻana o kahi tumo.

I kekahi manawa hana ʻia nā puʻupuʻu ma kahi e paʻakikī e lawe. Inā hoʻoneʻe ka ʻōpala i nā pilikia koʻikoʻi o ke kino, ʻona, a i ʻole ke aʻo ʻana, hana ʻia kahi biopsy a hāʻawi ʻia nā lāʻau hou aʻe ma hope o ka biopsy.

Hiki i nā keiki i loaʻa ka NF1 ke hana i kahi astrocytoma pae haʻahaʻa ma kahi o ka lolo e kaohi ana i ka ʻike a ʻaʻole pono paha kahi biopsy. Inā ʻaʻole hoʻomau ka ulu ʻana o ka tumo a mai ʻole nā ​​ʻōuli, pono ʻole ke ʻoki e wehe i ka tumo.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.

ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:

• ʻO ka tumo kahi papa haʻahaʻa a kiʻekiʻe paha o ka astrocytoma.

• Ma kahi o ka tumo i hana ai i ka CNS a inā ua pālahalaha ʻia i nā mea kokoke a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

• Pehea ka wikiwiki o ka ulu ʻana o ka tumo.

• Ka makahiki o ke keiki.

• Inā e noho mau nā pūnaʻi maʻi ʻaʻai ma hope o ke kaha ʻana.

• Inā paha he loli i kekahi mau ʻaoʻao.

• Loaʻa iā NF1 a i ʻole tuberous sclerosis.

• Inā he diencephalic syndrome ke keiki (kahi ʻano e lohi i ka ulu ʻana o ke kino).

• Inā loaʻa i ke keiki ka hanu kiʻekiʻe intracranial (kiʻekiʻe ke kahe o ka wai cerebrospinal ma waena o ka iwi poʻo) i ka manawa o ke kuhi.

• Inā ua hōʻoia ʻia ka astrocytoma a i ʻole ua hoʻi hou (hoʻi hou).

No ka astrocytoma hou, prednosis a me ka mālama ʻana i ka nui o ka manawa i hala ma waena o ka manawa i pau ai ka hoʻomaʻamaʻa a me ka manawa i hoʻi hou ai ka astrocytoma.

Nā anuʻu o nā kamaliʻi Astrocytomas

NA MANA KUNI

• Hoʻohana ʻia ka papa o ka tumo e hoʻolālā i ka mālama ʻana i ka maʻi ʻaʻa.

• Nā astrocytomas pae haʻahaʻa

• Nā astrocytomas kiʻekiʻe

• Hana ʻia kahi MRI ma hope o ke kaha ʻana.

Hoʻohana ʻia ka papa o ka tumo e hoʻolālā i ka mālama ʻana i ka maʻi ʻaʻa.

ʻO ke kau ʻana ke kaʻina e hoʻohana ai e ʻike i ka nui o ka maʻi ʻaʻai a inā ua laha ka maʻi ʻaʻai. He mea nui ia e ʻike i ke kahua i mea e hoʻolālā ai i ka lāʻau.

ʻAʻohe ʻōnaehana hoʻonohonoho maʻamau no ka astrocytoma kamaliʻi. Hoʻokumu ʻia ka lapaʻau ma muli o kēia:

• He haʻahaʻa paha ka tumo a he papa kiʻekiʻe paha.

• Inā ʻike hou ʻia ka tumo a ua hoʻi hou paha (ua hoʻi mai ma hope o ka lapaʻau ʻana).

Hōʻike ka papa o ka tumo i ke ʻano o ka nānā ʻana o nā hunaola maʻi maʻi ma lalo o ka microscope a me ka wikiwiki o ka ulu a ulu ʻana o ka tumo.

Hoʻohana ʻia nā papa aʻe:

Nā astrocytomas pae haʻahaʻa

Lōʻihi ka ulu ʻana o nā astrocytomas haʻahaʻa a ʻaʻole pāhola iki i nā wahi ʻē aʻe o ka lolo a me ka iwi kuamoo a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino. Nui a hewahewa nā ʻano o nā astrocytomas pae haʻahaʻa. Hiki i nā astrocytomas haʻahaʻa haʻahaʻa kekahi:

• Tumors I-grade - pilocytic astrocytoma, subependymal tumo kelepaʻi, a i ʻole angiocentric glioma.

• Nā tumors o ka papa ʻelua – diffuse astrocytoma, pleomorphic xanthoastrocytoma, a i ʻole choroid glioma o ke kolu o ka ventricle.

ʻO nā keiki i loaʻa i ka neurofibromatosis type 1 hiki ke ʻoi aku ma mua o hoʻokahi tumo haʻahaʻa i loko o ka lolo. ʻO nā keiki i loaʻa i ka maʻi sclerosis tuberous ka māhuahua o ka makaʻu o ka subocyyoma nunui cell astrocytoma.

Nā astrocytomas kiʻekiʻe

Ke ulu wikiwiki nei nā astrocytomas kiʻekiʻe a hoʻolaha pinepine ʻia i loko o ka lolo a me ka iwi kuamoʻo. Aia kekahi mau ʻano o nā astrocytomas kiʻekiʻe. Hiki i nā astrocytomas kiʻekiʻe ke ʻano:

• Nā tumors o ka papa ʻekolu – anaplastic astrocytoma a i ʻole anaplastic pleomorphic xanthoastrocytoma.

• Tumors IV papa – glioblastoma a i ʻole diffuse glioma waena.

ʻAʻole hoʻolaha pinepine nā astrocytomas kamaliʻi i nā ʻāpana ʻē aʻe o ke kino.

Hana ʻia kahi MRI ma hope o ke kaha ʻana.

Hana ʻia kahi MRI (imaging resonance imaging) i nā lā mua ma hope o ke kaha ʻana. ʻO kēia e ʻike ai i ka nui o ka tumo, inā he koe, i koe ma hope o ke kaha ʻana a no ka hoʻolālā ʻana i ka lāʻau hou.

Nā Astrositoma kamaliʻi hou

ʻO kahi astrocytoma kamaliʻi hoʻi hou he astrocytoma i hoʻi hou (hoʻi) ma hope o ka mālama ʻia ʻana. E hoʻi paha ka maʻi ʻaʻai ma kahi like me ka tumo mua a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino. Kū pinepine nā astrocytomas kiʻekiʻe ma waena o 3 mau makahiki ma kahi o kahi i hoʻokumu ʻia ai ka maʻi ʻaʻai a i ʻole ma kahi ʻē ma ka CNS.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka astrocytoma kamaliʻi.

• Pono e hoʻonohonoho ʻia nā kamaliʻi me nā astrocytomas i kā lākou lapaʻau e kekahi kime o nā lawelawe mālama ola i loea i ka mālama ʻana i nā tumors o ka lolo kamaliʻi.

• Hiki i nā tumors lolo ke hana i nā hōʻailona a i ʻole nā ​​ʻōuli e hoʻomaka ma mua o ka ʻike ʻia ʻana o ka maʻi ʻaʻai a hoʻomau no kekahi mau mahina a mau makahiki paha.

• ʻO ka mālama ʻana no nā astrocytomas kamaliʻi ke kumu o nā hopena.

• Hoʻohana ʻia ʻeono ʻano lapaʻau.

• ʻOki kino

• Nānā

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem

• Pahuhopu kau ʻia

• Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

• Laau lāʻau ʻē aʻe

• Immunotherapy

• Inā kūkulu ka wai a puni ka lolo a me ka iwi kuamoo, e hana ʻia kahi hana hoʻowali wai cerebrospinal.

• Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

• Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

• Pono paha nā hoʻokolohua ukali.

Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka astrocytoma kamaliʻi.

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki me nā astrocytomas. Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau.

Ma muli o ka loaʻa ʻole o ka maʻi ʻaʻai i nā keiki, pono e noʻonoʻo ʻia i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.

Pono e hoʻonohonoho ʻia nā kamaliʻi me nā astrocytomas i kā lākou lapaʻau e kekahi kime o nā lawelawe mālama ola i loea i ka mālama ʻana i nā tumors o ka lolo kamaliʻi.

E mālama ʻia ka lapaʻau ʻana e kahi oncologist pediatric, he kauka i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai. Hana pū ka oncologist pediatric me nā mea lawelawe olakino ʻē aʻe i loea i ka mālama ʻana i nā keiki me nā tumors lolo a me ka poʻe loea i kekahi mau wahi o ka lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• Kahuna Pediatrician.

• Pepeiao neurosurgeon.

• Neurologist.

• Neuropathologist.

• Neuroradiologist.

• Lapaʻau hoʻōla.

• Oncologist uila.

• Endocrinologist.

• ʻOlogistlapa psychologist.

Hiki i nā tumors lolo ke hana i nā hōʻailona a i ʻole nā ​​ʻōuli e hoʻomaka ma mua o ka ʻike ʻia ʻana o ka maʻi ʻaʻai a hoʻomau no kekahi mau mahina a mau makahiki paha.

ʻO nā ʻōuli a i ʻole nā ​​hōʻailona i hoʻokumu ʻia e ka tumo e hoʻomaka paha ma mua o ka hōʻailona. E hoʻomau paha kēia mau hōʻailona a mau hōʻailona paha i mau mahina a mau makahiki paha. He mea nui e kamaʻilio pū me nā kauka o kāu keiki e pili ana i nā hōʻailona a i ʻole nā ​​hōʻailona i hoʻokumu ʻia e ka tumo i hoʻomau ʻia ma hope o ka lapaʻau ʻana.

ʻO ka mālama ʻana no nā astrocytomas kamaliʻi ke kumu o nā hopena.

No ka ʻike e pili ana i nā hopena i hoʻomaka i ka wā o ka mālama ʻana no ka maʻi ʻaʻai, ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.

ʻO nā hopena ʻē aʻe mai ka mālama ʻana i ka maʻi ʻaʻai e hoʻomaka ma hope o ka mālama ʻana a hoʻomau no nā mahina a i ʻole mau makahiki e kapa ʻia nā hopena hopena. Hiki i nā hopena hope loa o ka mālama ʻana i ka maʻi ʻaʻai ke hoʻopili i kēia mau mea:

• Nā pilikia o ke kino.

• Nā loli i ke ʻano, nā manaʻo, ka noʻonoʻo, ke aʻo ʻana, a me ka hoʻomanaʻo paha.

• Nā maʻi ʻelua (nā ʻano maʻi ʻaʻai hou).

E mālama a kāohi ʻia paha kekahi mau hopena hopena. He mea nui e kamaʻilio pū me nā kauka o kāu keiki e pili ana i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai i kāu keiki. (E ʻike i ka hōʻuluʻulu e pili ana i nā hopena hope o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi no ka ʻike hou aku.)

Hoʻohana ʻia ʻeono ʻano lapaʻau.

ʻOki kino

Hoʻohana ʻia ka ʻoki kino e diagnose a mālama i nā astrocytoma kamaliʻi, e like me ke kūkākūkā ʻana ma ka ʻĀpana ʻIkepili Nui o kēia hōʻuluʻulu manaʻo. Inā hoʻomau nā hunaola maʻi ʻaʻai ma hope o ke kahakaha ʻana, pili hou ka mālama ʻana i:

• Ma kahi o nā hunaola maʻi ʻino i koe.

• ʻO ka papa o ka tumo.

• Ka makahiki o ke keiki.

Ma hope o ka hemo ʻana o ke kauka i nā maʻi ʻaʻai āpau i hiki ke ʻike ʻia i ka manawa o ke ʻoki ʻana, hiki i kekahi mau mea maʻi ke hāʻawi ʻia i ka chemotherapy a i ʻole ka radiation therapy ma hope o ke kaha ʻana e luku i nā hunaola maʻi ʻea i koe. ʻO ka lāʻau i hāʻawi ʻia ma hope o ke kaha ʻana, e hoʻohaʻahaʻa i ka makaʻu e hoʻi mai ka maʻi ʻaʻai, i kapa ʻia ʻo adjuvant therapy.

Nānā

Ke nānā pono nei i ka nānā ʻana i ke kūlana o ka mea maʻi me ka ʻole o ka hāʻawi ʻana i nā lāʻau a hiki i ka wā e ʻike ʻia ai nā hōʻailona a i ʻole nā ​​loli. Hiki ke hoʻohana ʻia ka nānā ʻana:

• Inā ʻaʻohe ʻōuli o ka mea hoʻomanawanui, e like me nā mea maʻi me ka neurofibromatosis type1.

• Inā liʻiliʻi ka tumo a loaʻa ke loaʻa ʻia kahi pilikia olakino ʻokoʻa a mālama ʻia paha.

• Ma hope o ka hemo ʻana o ka tumo e ka ʻoki kino a hiki i ka ʻike ʻia ʻana o nā hōʻailona a i ʻole nā ​​loli.

Lapaʻau hoʻomākala

ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ​​ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:

• Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai. Hiki i kekahi mau ala o ka hāʻawi ʻana i ka radiation therapy ke pale i ka radiation mai ka hōʻino ʻana i nā mea olakino kokoke. ʻO kēia ʻano ʻano radiation radiation me kēia:

• ʻO ka radiation radiation Conformal: he ʻano radiation radiation kūwaho kahi hoʻohana i kahi kamepiula e hana i kahi kiʻi 3-dimensional (3-D) o ke tumo a hoʻohālikelike i nā kaola kukuna e kū pono i ka tumo.

• Hoʻoikaika radiation-modulated radiation therapy (IMRT): IMRT kahi ʻano 3-dimensional (3-D) radiation radiation kūwaho e hoʻohana nei i kahi kamepiula e hana i nā kiʻi o ka nui a me ke ʻano o ka tumo. ʻO nā kaola lahilahi o ka pāhawewe o nā ʻokoʻa ʻokoʻa (ikaika) e kuhikuhi ʻia i ka tumo mai nā kihi he nui.

• Hoʻoikaika radiation Stereotactic: He ʻano radiation radiation ʻo Stereotactic. Hoʻopili ʻia kahi poʻo poʻo paʻa i ka iwi poʻo e paʻa ai ke poʻo i ka wā o ka lāʻau radiation. Hoʻopaʻa pololei kahi mīkini i ka radiation ma ka tumelo. Hoʻokaʻawale ʻia ka nui o ka hopena o ka pāhawewe i kekahi mau dālā liʻiliʻi i hāʻawi ʻia i loko o kekahi mau lā. Kapa ʻia kēia kaʻina hana ʻo stereotactic waho-kukuna radiation radiation a me stereotaxic radiation therapy.

• Hoʻomaʻo radiation radiation Proton: ʻo ka Proton-beam therapy kahi ʻano o ka ikehu kiʻekiʻe, ʻo radiation radiation waho. Hoʻopaʻa kahi mīkini radiation radiation i nā kahawai o nā protons (nā liʻiliʻi, ʻike ʻole ʻia, nā ʻikikikaʻi i hoʻopiʻi ʻia) i nā hunaola maʻi ʻino e pepehi iā lākou.

• Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā ​​catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.

Hāʻawi ʻia ke ala o ka radiation radiation ma ke ʻano o ka tumo a ma kahi i hoʻokumu ʻia ai ka tumo i ka lolo a i ʻole ka iwi kuamoo Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i nā astrocytomas kamaliʻi.

Hiki i ka radiation radiation i ka lolo ke hoʻololi i ka ulu a me ka hoʻomohala, keu hoʻi i nā keiki ʻōpio. No nā keiki ma mua o 3 mau makahiki, hāʻawi ʻia kahi chemotherapy ma kahi, e hoʻolohi a hoʻemi paha i ka pono no radiation radiation.

ʻO Chemotherapy

ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana paha i nā hunaola a i ʻole ke kū ʻana iā lākou mai ka hoʻokaʻawale Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā ​​mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, hoʻopili ka lāʻau i nā hunaola maʻi ʻaʻai i loko o kēlā mau wahi (chemotherapy āpana). Hoʻohui ʻia ʻo chemotherapy ka hoʻohana ʻana o nā lāʻau anticancer ʻoi aku ma mua o hoʻokahi.

Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano tumo a me kahi i hana ʻia ai ka tumo i ka lolo a i ʻole ka iwi kuamoo. Hoʻohana ʻia ka chemotherapy hui pū me ka chemotherapy i ka mālama ʻana i nā keiki me ka astrocytoma. Hiki ke hoʻohana ʻia ka chemotherapy kiʻekiʻe ma ka mālama ʻana i nā keiki me ka astrocytoma kiʻekiʻe kiʻekiʻe.

ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem

Hāʻawi ʻia nā lāʻau kiʻekiʻe o ka chemotherapy e pepehi i nā hunaola maʻi ʻaʻai. Hoʻopau pū ʻia nā hunaola olakino, e like me nā hunaola koko, e ka lāʻau maʻi ʻaʻai. ʻO ka transplant cell Stem kahi lapaʻau e pani i nā hunaola koko. Lawe ʻia nā hunaola ʻōpala (ʻaʻaʻa ʻole o ke koko) mai ke koko a i ʻole ka iwi o ka mea maʻi a i ʻole he mea hāʻawi a hoʻopaʻa ʻia a mālama ʻia. Ma hope o ka pau ʻana o ka chemotherapy i ka mea hoʻomanawanui, hoʻoheheʻe ʻia nā pūnaewele i mālama ʻia a hoʻihoʻi ʻia i ka mea maʻi ma o ka infusion. E ulu kēia mau hunaola i (a hoʻihoʻi) i nā huna koko o ke kino.

No ka astrocytoma kiʻekiʻe i hoʻi mai ma hope o ka hoʻomaʻamaʻa ʻana, hoʻohana ʻia ka chemotherapy kiʻekiʻe me ka transplant cell stem inā aia wale kahi liʻiliʻi o ka tumo.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e ʻike a hoʻouka i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau.

Aia kekahi mau ʻano o ka hoʻomōhala hoʻomāka ʻia.

• Hoʻohana ka monoclonal antibody therapy i nā mea pale i hana ʻia i loko o ke keʻena hoʻokolohua, mai kahi ʻano hoʻokahi o nā pūnaewele immune immune, e hōʻoki ai i nā hunaola maʻi ʻaʻai. Hiki i kēia mau lāʻau ʻino ke hoʻomaopopo i nā mea ma nā hunaola maʻi ʻaʻai a i ʻole nā ​​mea maʻamau e kōkua ai i nā hunaola maʻi ʻaʻai. Hoʻopili nā mea ʻino i nā mea a pepehi i nā hunaola maʻi ʻaʻai, ālai i ko lākou ulu ʻana, a i ʻole mālama iā lākou mai ka hoʻolaha ʻana. Hāʻawi ʻia nā monoclonal antibodies e ka hoʻokomo ʻana i loko o kahi aa. Hoʻohana wale ʻia lākou a i ʻole lawe i nā lāʻau, toxins, a i ʻole radioactive pono i nā hunaola maʻi ʻaʻai.

ʻO ke kumu ulu ulu endothelial (VEGF) ʻo ka mea kāohi inhibitor kahi ʻano o ka monoclonal antibody therapy:

• Hoʻoikaika kāohi ʻo VEGF: hana nā hunaola ʻaukā i mea i kapa ʻia ʻo VEGF, kahi e hoʻokumu ai i nā kīʻaha koko hou (angiogenesis) a kōkua i ka ulu ʻana o ka maʻi ʻaʻai. Pale nā ​​mea pale VEGF iā VEGF a kū i nā kīʻaha koko hou mai ka hana ʻana. Pepehi paha kēia i nā hunaola maʻi ʻaʻai no ka mea pono lākou i nā kīʻaha koko hou e ulu. ʻO Bevacizumab kahi mea kāohi iā VEGF a hoʻohana ʻia ka mea hōʻoki angiogenesis e mālama ai i ka astrocytoma kamaliʻi.

• Hana nā mea hoʻopōpō kinase protein i nā ʻano like ʻole. Nui a hewahewa nā ʻano protein kinase inhibitors.

• Hoʻopau nā mea kāohi mTOR i nā pūnaewele mai ka hoʻokaʻawale a pale paha i ka ulu ʻana o nā kīʻaha koko e pono ai e ulu pono nā tumors. ʻO Everolimus a me sirolimus nā mea mTOR mea hoʻohana i hoʻohana ʻia e mālama ai i nā kamaliʻi astrobtomas kamaliʻi subependymal. Ke aʻo ʻia nei nā mea pale mTOR e mālama i nā astrocytoma pae haʻahaʻa i hoʻi hou.

• Pākuʻi nā mea pale BRAF i nā protein i pono no ka ulu ʻana o ka cell a make paha i nā hunaola maʻi ʻaʻai. ʻIke ʻia ka ʻāpana BRAF i kahi ʻano mutated (hoʻololi ʻia) i kekahi mau gliomas a me ke ālai ʻana iā ia e kōkua i ka mālama ʻana i nā hunaola maʻi ʻaʻai. Ke aʻo ʻia nei ka BRAF mea hōʻoki dabrafenib e mālama i nā astrocytoma pae haʻahaʻa i hoʻi hou. Ke aʻo ʻia nei nā mea kāohi ʻo BRAF ʻē aʻe, me vemurafenib a me trametinib, i nā keiki.

• Pākuʻi nā MEK i nā protein i pono no ka ulu ʻana o ka cell a make paha i nā hunaola maʻi ʻaʻai. Ke aʻo ʻia nei nā mea pale MEK e like me selumetinib e mālama i nā astrocytoma pae haʻahaʻa i hoʻi hou.

• Pale nā ​​mea kāohi PARP i kahi enzyme i kapa ʻia ʻo PARP i pili i nā hana o ke kelepona. Hiki i ka pale ʻana iā PARP ke kōkua i ka mālama ʻana i nā hunaola maʻiʻaila mai ka hoʻoponopono hou ʻana i kā lākou DNA i hōʻino ʻia, a make lākou. ʻO Veliparib kahi mea pāpā PARP e hoʻopaʻa ʻia e aʻo ʻia me ka radiation radiation a me ka chemotherapy e mālama ai i nā glioma malignant hou i ʻike ʻole ʻia kahi hoʻololi (hoʻololi) i ka gen BRAF.

E ʻike i nā lāʻau i ʻāpono ʻia no ka Tumor Brain no ka ʻike hou aku.

Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.

Hōʻike kēia ʻāpana hōʻuluʻulu manaʻo i nā mālama e hoʻopaʻa ʻia nei i nā hoʻokolohua hoʻokolohua. ʻAʻole paha ia e ʻōlelo i kēlā me kēia lapaʻau hou e hoʻopaʻa ʻia ana. Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

Laau lāʻau ʻē aʻe

ʻO Lenalidomide kahi ʻano o ka angiogenesis mea kāohi. Pale ia i ka ulu ʻana o nā kīʻaha koko e pono ai e ulu ka tumo.

Immunotherapy

ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. Kāhea ʻia kēia ʻano lapaʻau maʻi ʻaʻai a biotherapy a i ʻole biologic therapy.

• Hoʻomaʻamaʻa inhibitor checkpoint Immune: PD-1 kahi protein i ka ʻili o nā pūnaewele T e kōkua ai e mālama i nā pane pale o ke kino i ka nānā. Ke hoʻopili aku ʻo PD-1 i kahi protein ʻē aʻe i kapa ʻia ʻo PDL-1 ma kahi hunaola maʻi ʻoki, paʻa ia i ke kele T mai ka luku ʻana i ka pūnaeho maʻi maʻi. Hoʻopili nā mea pale PD-1 i PDL-1 a ʻae i nā hunaola T e pepehi i nā hunaola maʻi ʻaʻai. Ke aʻo ʻia nei nā mea kāohi PD-1 e mālama i nā astrocytoma kiʻekiʻe loa i hoʻi hou.

Mea hoʻopukapuka hōʻoiaʻiʻo pale pale. ʻO nā protein checkpoint, e like me PD-L1 ma nā hunaola tumo a me PD-1 ma nā hunaola T, e kōkua i ka mālama ʻana i nā pane pale ʻole. Mālama ka paʻa ʻana o PD-L1 iā PD-1 mālama i nā hunaola T mai ka pepehi ʻana i nā hunaola tumora i loko o ke kino (panel hema). Ke kāpae nei i ka hoʻopaʻa ʻana o PD-L1 iā PD-1 me kahi mea pale pale pale pale pale (anti-PD-L1 a i ʻole anti-PD-1) ʻae i nā hunaola T e pepehi i nā hunaola tumera (ʻaoʻao ʻākau)

Inā kūkulu ka wai a puni ka lolo a me ka iwi kuamoo, e hana ʻia kahi hana hoʻowali wai cerebrospinal.

ʻO Cerebrospinal wai loli kahi hana i hoʻohana ʻia e hoʻokahe i ka wai i kūkulu ʻia a puni ka lolo a me ka iwi kuamoʻo. Hoʻokomo ʻia kahi shunt (lōʻihi, paipu lahilahi) i loko o ka ventricle (kahi piha piha i ka wai) o ka lolo a wili ʻia ma lalo o ka ʻili i kekahi ʻāpana o ke kino, ʻo ka maʻa mau ka ʻōpū. Lawe ka shunt i ka wai keu mai ka lolo a no laila e komo i loko o kahi o ke kino.

Hoʻololi wai Cerebrospinal (CSF). Lawe ʻia ka Extra CSF mai kahi ventricle i ka lolo ma o kahi shunt (tube) a ninini ʻia i loko o ka ʻōpū. Mālama kahi kiwikā i ke kahe o CSF.

Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.

No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.

ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.

ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā ​​alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.

Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.

Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.

Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.

Pono paha nā hoʻokolohua ukali.

ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. (E ʻike i ka ʻaoʻao ʻIʻike Mau no ka papa inoa o nā hoʻokolohua.) E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.

E hoʻomau ʻia nā MRI maʻamau ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o ka MRI ke hōʻike inā ua loli ke ʻano o kāu keiki a i ʻole inā ua hoʻi hou ka astrocytoma (hoʻi mai). Inā hōʻike ka hopena o ka MRI i ka nui i ka lolo, hana ʻia paha kahi biopsy e ʻike inā hana ʻia ia i nā hunaola tumo make a i ʻole ke ulu nei nā hunaola maʻi maʻi hou.

Nā koho lapaʻau no nā Astrocytomas kamaliʻi

Ma keia Pauku

• Hōʻike hou ʻia nā Astrocytomas Haʻahaʻa Haumāna

• Nā Astrocytomas Hōʻemi Haʻaha Hou

• ʻIke hou ʻia nā Astrocytomas Pilikino

• Nā Astrocytomas Papa kiʻekiʻe kiʻekiʻe hou

No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.

Hōʻike hou ʻia nā Astrocytomas Haʻahaʻa Haumāna

Ke kuhi mua ʻia ka tumo, ʻo ka mālama ʻana no ka astrocytoma pae haʻahaʻa kaukaʻi ʻia i ka wahi o ka tumo, a he ʻoki maʻamau. Hana ʻia kahi MRI ma hope o ke kaha ʻana e ʻike inā he koikoi ka i koe.

Inā holoi loa ʻia ka tumo e ke ʻoki, ʻaʻole pono ke koi hou ʻia a nānā nui ʻia ke keiki e ʻike inā ʻike ʻia nā hōʻailona a i ʻole nā ​​loli. Kapa ʻia kēia he nānā.

Inā he koina i koe ma hope o ke kahakaha ʻana, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• Nānā.

• ʻO kahi ʻoki lua e hemo ai ka tumo.

• ʻO ka radiation radiation, i hiki ke hoʻopili ʻia i ka radiation radiation, ka radiation-modulated radiation therapy, ka proton radiation radiation therapy, a i ʻole ke stereotactic radiation therapy, ke hoʻomaka hou ka tumelo e ulu hou.

• Hoʻohui chemotherapy me me ka ʻole o radiation radiation.

• ʻO kahi hoʻokolohua hoʻokolohua o ka lāʻau hoʻomoʻa ʻia me ka hui pū ʻana o nā mea hōʻoki BRAF (dabrafenib a me trametinib) i nā mea maʻi me nā mutation i ka BRAF.

I kekahi mau hihia, hoʻohana ʻia ka nānā ʻana no nā keiki i loaʻa kahi glioma ala ʻike. I nā hihia ʻē aʻe, hiki i ka mālama ʻana ke hoʻopili ʻia e wehe i ka tumo, radiation radiation, a me chemotherapy. ʻO kahi pahuhopu o ka mālama ʻana e mālama i ka hihi e like me ka hiki. ʻO ka hopena o ka ulu ʻana o ka tumora ma ka hihiʻo o ke keiki e ukali pono ʻia i ka wā o ka mālama ʻana.

ʻAʻole pono nā keiki me ka neurofibromatosis type 1 (NF1) i ka lāʻau lapaʻau ke ʻole e ulu ka tumo a i ʻole nā ​​hōʻailona a hōʻailona paha, e like me nā pilikia ʻike. Ke kupu ka tumo a i ʻole nā ​​ʻōuli a i ʻole nā ​​ʻōuli e hōʻike ʻia, hiki i ka mālama ʻana ke hoʻopili ʻia e wehe i ka tumo, radiation radiation, a me / a chemotherapy paha.

Hiki i nā keiki me ka sclerosis tuberous ke hoʻomōhala i nā tumors (ʻaʻole maʻi ʻaʻai) i ka lolo i kapa ʻia ʻo sub dependymal giant cell astrocytomas (SEGAs). Hiki ke hoʻohana ʻia i ka lāʻau i hoʻomāka ʻia me everolimus a i ʻole sirolimus ma kahi o ke kahakaha ʻana, e hoʻoliʻiliʻi i nā tumors.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā Astrocytomas Hōʻemi Haʻaha Hou

Ke hoʻi hou ka astrocytoma pae haʻahaʻa ma hope o ka lapaʻau ʻana, hoʻi pinepine ia ma kahi i hana mua ʻia ai ka tumo. Ma mua o ka hāʻawi ʻia ʻana o ka mālama ʻana i ka maʻi ʻaʻai, hana ʻia nā hoʻokolohua kiʻi, biopsy, a i ʻole ke ʻoki e ʻike inā he maʻi ʻaʻai a pehea ka nui.

ʻO ka mālama ʻana i nā astrocytoma haʻahaʻa haʻahaʻa o ka wā liʻiliʻi e hoʻopili pū i kēia mau mea:

• ʻO kahi ʻoki ʻelua e wehe i ka tumo, inā ʻo ke ʻoki wale nō ka lāʻau i hāʻawi ʻia i ka manawa i ʻike mua ʻia ka tumo.

• ʻO ka radiation radiation i ka tumo wale nō, inā ʻaʻole i hoʻohana ʻia ka radiation therapy i ka wā i ʻike mua ʻia ai ka tumo. Hiki ke hāʻawi ʻia i ka lāʻau radiation radiation.

• ʻO Chemotherapy, inā hoʻi hou ka maʻi tumo i kahi hiki ʻole ke wehe ʻia e ke ʻoki a i ʻole ka mea maʻi i loaʻa i ka radiation therapy ke ʻike mua ʻia ka tumo.

• Hoʻopaʻa kaulike ʻia me kahi antibody monoclonal (bevacizumab) me a i ʻole chemotherapy.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

• ʻO kahi hoʻokolohua hoʻokolohua o ka lāʻau hoʻomoʻa ʻia me kahi mea hōʻoki BRAF (dabrafenib), kahi mea hōʻoki mTOR (everolimus), a i ʻole kahi mea hōʻoki MEK (selumetinib).

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

ʻIke hou ʻia nā Astrocytomas Pilikino

ʻO ka mālama ʻana i nā astrocytoma kiʻekiʻe o ka wā kamaliʻi e hoʻopili i kēia mau mea:

• Hoʻopau ke ʻoki e wehe i ka tumer, a ukali ʻia e chemotherapy a me / a i ʻole radiation therapy.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou.

• ʻO kahi hoʻokolohua hoʻokolohua o ka lāʻau hoʻomoʻa ʻia me kahi inhibitor PARP (veliparib) i hui pū ʻia me ka radiation radiation a me ka chemotherapy e mālama ai i nā glioma malignant hou i loaʻa ʻole kahi hoʻololi (hoʻololi) i ka gen BRAF.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

Nā Astrocytomas Papa kiʻekiʻe kiʻekiʻe hou

Ke hoʻi hou ka astrocytoma kiʻekiʻe ma hope o ka mālama ʻana, hoʻi pinepine ia ma kahi i hana mua ʻia ai ka tumo. Ma mua o ka hāʻawi ʻia ʻana o ka mālama ʻana i ka maʻi ʻaʻai, hana ʻia nā hoʻokolohua kiʻi, biopsy, a i ʻole ke ʻoki e ʻike inā he maʻi ʻaʻai a pehea ka nui.

ʻO ka hoʻomaʻamaʻa ʻana i nā astrocytoma kiʻekiʻe o ka wā kamaliʻi e komo pū paha me kēia:

• ʻOki kino e wehe i ka hikoko.

• ʻO ka chemotherapy kiʻekiʻe me ka transplant cell stem.

• Hoʻopaʻa kaulike ʻia me kahi mea hōʻoki BRAF (vemurafenib a i ʻole dabrafenib).

• ʻO kahi hoʻokolohua hoʻokolohua o ka immunotherapy me kahi inhibitor checkpoint pale.

• ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.

• ʻO kahi hoʻokolohua hoʻokolohua o ka lāʻau hoʻomoʻa ʻia me ka hui pū ʻana o nā mea hōʻoki BRAF (dabrafenib a me trametinib) i nā mea maʻi me nā mutation i ka BRAF.

E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.

E aʻo hou e pili ana i nā Astrocytomas kamaliʻi

No ka ʻike hou aku e pili ana i nā astrocytomas kamaliʻi, e ʻike i kēia:

• ʻO nā Therapy Cancer i kau ʻia

• Pediatric Brain Tumor Consortium (PBTC) Hoʻolaha Kūpono

No ka ʻike hou aku i ka maʻi ʻaʻai kamaliʻi a me nā kumuwaiwai maʻi ʻaʻai ʻē aʻe, e ʻike i ka mea aʻe:

• E pili ana i ka maʻi ʻaʻai

• Nā maʻi ʻōpio

• Huli ʻo Cure no ka hōʻole ʻana i nā maʻi ʻaʻai keiki

• Nā hopena hope loa o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi

• ʻO nā ʻōpio a me nā ʻōpio me ka maʻi ʻaʻai

• Nā keiki me ka maʻi ʻaʻai: He alakaʻi no nā mākua

• Ka maʻi ʻaʻai ma nā keiki a me nā ʻōpio

• Ke hoʻokū nei

• Ke kāohi nei i ka maʻi ʻaʻai

• Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai

• No nā mea ola a me nā mea mālama