Types/brain/patient/child-cns-embryonal-treatment-pdq

Hoʻomaʻamaʻa ʻōnaehana ʻōpio kamaliʻi ʻōiwi Embryonal Tumors Treatment (®) –Patient Version

Nā ʻIkepili Nui e pili ana i ke kamaliʻi Central Nervous System ʻōiwi Embryonal

NA MANA KUNI

• Hiki ke hoʻomaka nā ʻōpū embryonal ʻōpū (CNS) i nā hunaola embryonic (fetal) i koe i ka lolo ma hope o ka hānau ʻana.

• Aia nā ʻano ʻokoʻa o nā tumors embryonal CNS.

• Hana ʻia nā Pineoblastomas i nā hunaola o ka momona pineal.

• Hoʻonui nā kūlana genetical i ka makaʻu o nā tumors ʻōpū CNS.

• ʻO nā ʻōuli a me nā ʻōuli o ka wā kamaliʻi CNS embryonal tumors a i ʻole nā ​​pineoblastomas i ka makahiki o ke keiki a kahi o ka tumo.

• Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoo e ʻike ai (ʻike) i nā kūpuna embryonal CNS a i ʻole nā ​​pineoblastomas.

• Hana ʻia kahi biopsy e ʻike pono i ke kuhi ʻana o ka tumo embryonal CNS a i ʻole pineoblastoma.

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

Hiki ke hoʻomaka nā ʻōpū embryonal ʻōpū (CNS) i nā hunaola embryonic (fetal) i koe i ka lolo ma hope o ka hānau ʻana.

Hoʻokumu nā ʻōpena embryonal kikowaena (CNS) i nā hunaola embryonic i koe i ka lolo ma hope o ka hānau ʻana. Hoʻolahalaha nā kūpuna embryonal CNS ma o ka wai cerebrospinal (CSF) i nā ʻāpana ʻē aʻe o ka lolo a me ka iwi kuamoo.

Kūleʻa paha nā tumors (cancer) a i ʻole benign (ʻaʻole cancer). ʻO ka hapa nui o nā tumors embryonal CNS i nā keiki he malignant. E ulu koke paha nā ʻōpala lolo malignant a pāhola ʻia i nā ʻāpana ʻē aʻe o ka 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. Ulu a ulu nā tumors lolo ma nā wahi kokoke o ka lolo. ʻAʻole lākou pāhola iki i nā wahi ʻē aʻe o ka lolo. Hiki i nā tumor lolo maikaʻi a maikaʻi ʻole hoʻi ke hana i nā hōʻailona a i ʻole nā ​​hōʻailona a pono ka lāʻau.

ʻOiai he kakaikahi ka maʻi ʻaʻai i nā keiki, ʻo nā tumors lolo ka lua o nā ʻano maʻamau o ka maʻi ʻaʻa kamaliʻi, ma hope o ka leukemia. ʻO kēia hōʻuluʻulu e pili ana i ka mālama ʻana i nā tumors o ka lolo mua (nā tumors e hoʻomaka i ka lolo). ʻAʻole kūkākūkā ʻia ka mālama ʻana i nā tumors lolo lolo, i hoʻomaka i nā ʻāpana ʻē aʻe o ke kino a pāhola i ka lolo. No ka ʻike e pili ana i nā ʻano like ʻole o ka lolo a me nā iwi kuamoʻo, ʻike i ka hōʻuluʻulu e pili ana i ka nānā ʻana i ka Childhood Brain and Spinal Cord Tumors

Kū nā Tumora lolo i nā keiki a me nā mākua. ʻOkoʻa ka mālama ʻana no nā mākua i ka mālama ʻana no nā keiki. E ʻike i ka hōʻuluʻulu e pili ana i ka mālama ʻana i ka Tumors System Nervous System Tumors no ka ʻike hou aku e pili ana i ka mālama ʻana i nā mākua.

Aia nā ʻano ʻokoʻa o nā tumors embryonal CNS.

ʻO Anatomy o loko o ka lolo, e hōʻike ana i nā pineal a me nā pituitary glands, optic nerve, ventricles (me ka cerebrospinal fluid i hōʻike ʻia i ka polū), a me nā ʻāpana ʻē aʻe o ka lolo.

ʻO nā ʻano ʻokoʻa o nā tumors embryonal CNS me:

ʻO Medulloblastomas

ʻO ka hapa nui o nā tumors embryonal CNS he medulloblastomas. ʻO nā medulloblastomas he mau ulu ulu wikiwiki e hana i nā lolo lolo i ka cerebellum. Aia ka cerebellum ma ka ʻaoʻao haʻahaʻa o ka lolo ma waena o ka cerebrum a me ka lāʻau o ka lolo. Mālama ka cerebellum i ka neʻe, ke kaulike, a me ke kūlana. Hoʻolahalaha ʻo Medulloblastomas i kekahi manawa i ka iwi, iwi o ka iwi, akemāmā, a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino, akā kākaʻikahi kēia.

Nā tumors embryonal nonmedulloblastoma

ʻO nā tumors nonmedulloblastoma embryonal he tumors e ulu wikiwiki ana e hana maʻamau i nā lolo lolo i ka cerebrum. Aia ka cerebrum ma ke poʻo o ke poʻo a ʻo ka hapa nui o ka lolo. Mālama ka cerebrum i ka noʻonoʻo, ke aʻo ʻana, ka hoʻoponopono pilikia ʻana, ka naʻau, ka ʻōlelo, ka heluhelu ʻana, ke kākau ʻana, a me ka neʻe manawaleʻa ʻana. Hiki i nā tumors embryonal nonmedulloblastoma ke hana pū i loko o ka lāʻau lolo a i ʻole ke kaula iwi.

ʻEhā ʻano o nā tumors embryonal nonmedulloblastoma:

• Nā tumors Embryonal me nā rosette multilayered

ʻO nā tumo Embryonal me nā rosette multilayered (ETMR) he mau tumors laha ʻole e hana i ka lolo a me ka iwi kuamoʻo. Kū pinepine ʻo ETMR i nā keiki ʻōpio a ulu nui nā tumors.

• ʻO Medulloepitheliomas

ʻO nā medulloepitheliomas he tumors e ulu wikiwiki ana e hana maʻa mau i ka lolo, ka iwi kuamoo a i ʻole nā ​​ʻalalā ma waho wale o ka kolamu o ka iwi. Kū pinepine lākou i nā pēpē a me nā keiki ʻōpio.

• Nā CNobloblomas

ʻO ka CNobl neuroblastomas kahi ʻano laha loa o ka neuroblastoma e hana i nā aʻa nerve o ka cerebrum a i ʻole nā ​​papa o nā mea i uhi i ka lolo a me ka iwi kuamoo. Nui a pālahalaha aku paha nā neuroblastomas CNS i nā ʻāpana ʻē aʻe o ka lolo a i ʻole ka iwi kuamoʻo.

• CNS ganglioneuroblastomas

ʻO nā CNS ganglioneuroblastomas he mau tumors laha ʻole e hana i nā aʻa nerve o ka lolo a me ka iwi kuamoo. Hiki paha iā lākou ke hana i kahi mahele a e ulu wikiwiki a hana paha ma mua o hoʻokahi wahi a lohi ka ulu ʻana.

ʻO ke kamaliʻi CNS atypical teratoid / rhabdoid tumo kekahi ʻano tumo embryonal, akā mālama ʻokoʻa ia ma mua o nā tumors embryonal CNS ʻē aʻe. E ʻike i ka hōʻuluʻulu e pili ana i ka Childhood Central Nervous System Atypical Teratoid / Rhabdoid Tumor Treatment no ka ʻike hou aku.

Hana ʻia nā Pineoblastomas i nā hunaola o ka momona pineal.

ʻO ka momona pineal kahi mea liʻiliʻi ma waenakonu o ka lolo. Hana ke gland i melatonin, kahi mea kōkua e kāohi i kā mākou pōpō hiamoe.

Hana ʻia nā Pineoblastomas i nā hunaola o ka momona pineal a maʻa mau ke ʻano malignant. ʻO nā pineoblastomas he ulu ulu wikiwiki me nā hunaola e nānā ʻokoʻa loa mai nā hunaola pine pine gland. ʻAʻole ʻo Pineoblastomas kahi ʻano o ka tumo embryonal CNS akā ʻo ka mālama ʻana iā lākou e like me ka mālama ʻana no nā tumors embryonal CNS.

Pili ʻia ʻo Pineoblastoma me nā loli hoʻoilina o ka moʻokūʻauhau retinoblastoma (RB1). ʻO ke keiki me ke ʻano hoʻoilina o retinoblastoma (maʻi ʻaʻai ma mua o nā ʻano o nā retina) ua hoʻonui ʻia ka pilikia o ka pineoblastoma. Ke hana a retinoblastoma i ka manawa like me kahi tumo i loko a kokoke paha i ka momona pineal, ua kapa ʻia ʻo trilateral retinoblastoma. ʻIke ʻia ka MRI (imaging resonance imaging) i nā keiki me ka retinoblastoma i ka pineoblastoma i kahi wā mua ke hiki ke mālama maikaʻi ʻia.

Hoʻonui nā kūlana genetical i ka makaʻu o nā tumors ʻōpū CNS.

ʻO nā mea āpau e hoʻonui i ka makaʻu o ka loaʻa ʻana o ka 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 kumu pilikia no nā tumors embryonal CNS me ka loaʻa ʻana o nā maʻi hoʻoilina i lalo:

• ʻO Turcot Syndrome.

• ʻO Rubinstein-Taybi maʻi.

• Nevoid basal cell carcinoma (Gorlin) maʻi maʻi.

• Li-Fraumeni maʻi.

• Anemia Fanconi.

Hiki ke noʻonoʻo ʻia nā keiki me kekahi ʻano loli a i ʻole ka moʻolelo ʻohana o nā kanesa i pili i nā loli o ka ʻāpana BRCA no ka hoʻāʻo ʻana i nā kūpuna. ʻOiai he kakaikahi, e nānā kēia inā loaʻa i ka keiki kahi maʻi kanesa predisposition maʻi e hoʻoweliweli i ke keiki no nā maʻi ʻē aʻe a i ʻole nā ​​ʻano maʻi ʻaʻai.

I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu o nā tumors embryonal CNS.

ʻO nā ʻōuli a me nā ʻōuli o ka wā kamaliʻi CNS embryonal tumors a i ʻole nā ​​pineoblastomas i ka makahiki o ke keiki a kahi o ka tumo.

ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i kumu ʻia e ka wā kamaliʻi CNS embryonal tumors, pineoblastomas, a i ʻole nā ​​kūlana ʻē aʻe. E nīnau me ke kauka o kāu keiki inā loaʻa i kāu keiki kekahi o kēia mau mea:

• Ka nalowale ʻana o ke kaulike, pilikia i ka hele wāwae ʻana, hoʻopōʻino ʻana i ka kākau lima ʻana, a i ʻole haʻi ʻōlelo lohi.

• Ka nele o ka hoʻonohonoho ʻana.

• ʻEha poʻo, ʻo keu hoʻi i ke kakahiaka, a i ʻole ke kuʻina poʻo e hele aku ma hope o ka luaʻi.

• Pālua ka hihiʻo a i ʻole nā ​​pilikia maka ʻē aʻe.

• ʻO Nusea a me ka luaʻi.

• Nāwaliwali ākea a nāwaliwali paha ma kekahi ʻaoʻao o ka maka.

• ʻO ka hiamoe maʻamau a hoʻololi paha i ka pae ikehu.

• Hinaʻi.

Huhū paha nā kamaliʻi a me nā keiki liʻiliʻi me kēia mau tumors a ulu lohi paha. ʻAʻole paha lākou e ʻai maikaʻi a hui paha i nā hanana holomua e like me ka noho ʻana, ka hele wāwae ʻana, a me ke kamaʻilio ʻana i nā ʻōlelo.

Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoo e ʻike ai (ʻike) i nā kūpuna embryonal CNS a i ʻole nā ​​pineoblastomas.

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

• ʻO ka hoʻāʻo kino a me ka mōʻaukala: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like 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 hoʻokolohua i ke kūlana noʻonoʻo o ka mea maʻi, 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.

• MRI (magnetic resonance imaging) o ka lolo a me ka ʻulaʻula 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 nā wahi i loko 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 e nānā i nā kemika i kaʻiʻo o ka lolo.

• Lumbar puncture: kahi hana i hōʻiliʻili ʻia e hōʻiliʻili ai i ka wai cerebrospinal (CSF) mai ke kolamu iwi kuamoʻo. Hana ʻia kēia ma ke kau ʻana i kahi nila i waena o ʻelua iwi i ka iwi kuamoʻo a i loko o ka CSF a puni ka iwi kuamoʻo a hemo i kahi hāpana o ka wai. Nānā ʻia ka laʻana o CSF ​​ma lalo o kahi microscope no nā ʻōuli o nā hunaola tumora. E nānā ʻia paha ka laʻana no ka nui o nā protein a me ka glucose. ʻO kahi kiʻekiʻe ma mua o ka nui o nā protein a i ʻole ʻoi aku ka haʻahaʻa o ka glucose i hōʻailona o ka tumo. Kāhea ʻia kēia kaʻina hana he LP a i ʻole ka piulawi.

Pahu lumbar. Ke moe nei kahi mea maʻi i kahi kūlana curled ma ka papa. Ma hope o ka helu ʻana o kahi ʻāpana liʻiliʻi o ka ʻaoʻao haʻahaʻa, hoʻokomo ʻia kahi nila kuʻikuʻi (kahi nila lōʻihi, lahilahi) i ka ʻaoʻao haʻahaʻa o ka kolamu o ka iwi kuamoʻo e hemo ai ka wai cerebrospinal (CSF, i hōʻike ʻia i ka polū). Hoʻouna ʻia paha ka wai i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana.

Hana ʻia kahi biopsy e ʻike pono i ke kuhi ʻana o ka tumo embryonal CNS a i ʻole pineoblastoma.

Inā manaʻo nā kauka he loaʻa paha kāu keiki i kahi ʻōiwi embryonal CNS a i ʻole pineoblastoma, e hana ʻia kahi biopsy. No nā tumors lolo, hana ʻia ka biopsy ma ka hemo ʻana i kahi ʻiwi o ka iwi poʻo a me ka hoʻohana ʻana i ke kui kele e hemo i kahi hāpana o nā mea kiko. I kekahi manawa, hoʻohana ʻia kahi nila kuʻi e alakaʻi ʻia e ke kamepiula e hoʻoneʻe i ka hāpana kiko. 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. Hoʻokomo pinepine ʻia ka ʻāpana poʻo poʻo ma hope o ke kaʻina hana.

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.

E hana ʻia paha kēia hōʻike ma ka laʻana o 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.

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 iā:

• Ke ʻano o ka tumo a ma hea ia i ka lolo.

• Inā ua pālahalaha ka maʻi ʻaʻai i loko o ka lolo a me ka iwi kuamoʻo ke loaʻa ka tumo.

• ʻO ka makahiki o ke keiki ke loaʻa ka tumo.

• Ehia mau tumo i koe ma hope o ke kahakaha ʻana.

• Inā paha aia kekahi mau hoʻololi i nā chromosome, nā genes, a i ʻole nā ​​lolo lolo.

• Inā ua ʻike wale ʻia ka tumo a i ʻole ua hoʻi hou (hoʻi hou).

ʻO ke kuʻi ʻōnaehana ʻōiwi ʻōiwi ʻōiwi ʻōiwi

NA MANA KUNI

• ʻO ka mālama ʻana i nā ʻōnaehana ʻōpiopio ʻōpiopio (CNS) nā ʻōpū embryonal a me nā pineoblastomas i ka ʻano o ka tumo a me ka makahiki o ke keiki.

• ʻO ka mālama ʻana i ka medulloblastoma i nā keiki ma mua o 3 mau makahiki kaukaʻi ʻia ma muli o ka tumo ka awelika a me ka makaʻu nui.

• Ka pilikia maʻamau (ʻoi aku ke keiki ma mua o 3 mau makahiki)

• Kūlana kiʻekiʻe (ʻoi aku ke keiki ma mua o 3 mau makahiki)

• Hoʻohana ʻia ka ʻike mai nā hoʻāʻo a me nā kaʻina hana e ʻike (ʻike) i nā kūpuna embryonal CNS a i ʻole nā ​​pineoblastomas e hoʻolālā i ka mālama ʻana i ka maʻi ʻaʻa.

ʻO ka mālama ʻana i nā ʻōnaehana ʻōpiopio ʻōpiopio (CNS) nā ʻōpū embryonal a me nā pineoblastomas i ka ʻano o ka tumo a me ka makahiki o ke keiki.

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 nā ʻōnaehana ʻōpiopio kikowaena (CNS) ʻōpū embryonal a me nā pineoblastomas. Akā, pili ka mālama ʻana i ke ʻano tumo a me nā makahiki o ke keiki (3 makahiki a ʻoi a ʻoi paha ma mua o 3 mau makahiki).

ʻO ka mālama ʻana i ka medulloblastoma i nā keiki ma mua o 3 mau makahiki kaukaʻi ʻia ma muli o ka tumo ka awelika a me ka makaʻu nui.

Ka pilikia maʻamau (ʻoi aku ke keiki ma mua o 3 mau makahiki)

Kāhea ʻia ʻo Medulloblastomas ʻo ke kūlana awelika ke ʻoiaʻiʻo nā mea āpau:

• Ua hoʻopau loa ʻia ka tumo e ka ʻoki ʻana a i ʻole he koe liʻiliʻi wale nō i koe.

• ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.

Kūlana kiʻekiʻe (ʻoi aku ke keiki ma mua o 3 mau makahiki)

Kāhea ʻia ʻo Medulloblastomas ke kūlana kiʻekiʻe inā he ʻoiaʻiʻo kekahi o kēia mau mea:

• ʻAʻole i hoʻoneʻe ʻia kekahi o nā tumo e ka ʻoki ʻana.

• Ua pālahalaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ka lolo a i ʻole ka iwi kuamoʻo a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

Ma ka laulaha, ʻoi aku ka maʻi o ka maʻi ʻaʻai (hoʻi hou) i nā mea maʻi me kahi tumo ʻino nui.

Hoʻohana ʻia ka ʻike mai nā hoʻāʻo a me nā kaʻina hana e ʻike (ʻike) i nā kūpuna embryonal CNS a i ʻole nā ​​pineoblastomas e hoʻolālā i ka mālama ʻana i ka maʻi ʻaʻa.

ʻO kekahi o nā hoʻokolohua i hoʻohana ʻia e ʻike ai i nā ʻōpuʻu embryonal CNS a i ʻole nā ​​pineoblastomas e hana hou ʻia ma hope o ke kaha ʻana e wehe i ka tumo. (E ʻike i ka ʻikepili ʻike laulā.) ʻO kēia e ʻike ai i ka nui o ka tumo i koe ma hope o ke kaha ʻana.

E hana ʻia nā hoʻokolohua ʻē aʻe a me nā kaʻina hana e ʻike inā ua laha ka maʻi ʻaʻai.

• ʻO ka ʻiʻo o ka iwi iwi a me ka biopsy: Ka hemo ʻana o ka iwi iwi, ke koko, a me kahi ʻāpana o ka iwi ma ka hoʻokomo ʻana i kahi kui kolo i loko o ka hipbone a i ʻole ka umauma. ʻIke kahi pathologist i ka momona o ka iwi, ke koko, a me ka iwi ma lalo o kahi microscope e nānā i nā hōʻailona o ka maʻi ʻaʻai. Hana ʻia kahi makemake o ka iwi iwi a me ka biopsy ke loaʻa nā hōʻailona o ka maʻi ʻaʻai i hoʻolaha i ka iwi o ka iwi.

ʻIʻini iwi a me ka biopsy. Ma hope o ka helu ʻia ʻana o kahi ʻili o ka ʻili, hoʻokomo ʻia kahi nila o ka iwi iwi i ka iwi ʻūhā o ke keiki. Lawe ʻia nā laʻana o ke koko, ka iwi, a me ka iwi o ka iwi no ka ninaninau ʻana ma lalo o kahi microscope.

• ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner. Hana ʻia kahi scan iwi wale nō ke loaʻa nā hōʻailona a hōʻailona paha i pāhola ʻia ka maʻi ʻaʻai i ka iwi.

• Lumbar puncture: kahi hana i hōʻiliʻili ʻia e hōʻiliʻili ai i ka wai cerebrospinal (CSF) mai ke kolamu iwi kuamoʻo. Hana ʻia kēia ma ke kau ʻana i kahi nila i waena o ʻelua iwi i ka iwi kuamoʻo a i loko o ka CSF a puni ka iwi kuamoʻo a hemo i kahi hāpana o ka wai. Nānā ʻia ka laʻana o CSF ​​ma lalo o kahi microscope no nā ʻōuli o nā hunaola tumora. E nānā ʻia paha ka laʻana no ka nui o nā protein a me ka glucose. ʻO kahi kiʻekiʻe ma mua o ka nui o nā protein a i ʻole ʻoi aku ka haʻahaʻa o ka glucose i hōʻailona o ka tumo. Kāhea ʻia kēia kaʻina hana he LP a i ʻole ka piulawi.

ʻO nā ʻōpū ʻōiwi ʻōiwi ʻōiwi hou

ʻO kahi ʻōpū ʻōpū ʻōpio hou (CNS) ʻōpū embryonal kahi tumo e hoʻi hou (hoʻi hou) ma hope o ka mālama ʻia ʻana. ʻO nā tumors embryonal CNS pinepine pinepine i loko o 3 mau makahiki ma hope o ka mālama ʻana akā hoʻi mai paha i mau makahiki i hala. Hiki i nā ʻōpū CNS embryonal ke hoʻi hou i kahi like me ka tumo kumu a me / a i ʻole i kahi wahi ʻokoʻa i ka lolo a i ʻole ke kuamoʻo. ʻAʻohe hoʻolaha iki nā kūpuna embryonal CNS i nā ʻāpana ʻē aʻe o ke kino.

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.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano lapaʻau like ʻole no nā keiki i loaʻa i nā ʻōpū embryonal kikowaena (CNS).

• Pono nā keiki i loaʻa i nā tumors embryonal CNS kā lākou lapaʻau ʻana e hoʻolālā ʻia e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i nā tumors lolo i nā keiki.

• 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 i nā ʻōpū ʻōiwi ʻōiwi ʻōpū ke kumu o nā hopena ʻaoʻao.

• Hoʻohana ʻia nā ʻano ʻelima o ka mālama ʻana.

• ʻOki kino

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem

• Pahuhopu kau ʻia

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

• 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 keiki i loaʻa i nā ʻōpū embryonal kikowaena (CNS).

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki me nā ʻōpū ʻōiwi ʻōiwi (CNS). 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 nā keiki i loaʻa i nā tumors embryonal CNS kā lākou lapaʻau ʻana e hoʻolālā ʻia e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i nā tumors lolo i nā keiki.

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 ka oncologist pediatric me nā mea lawelawe olakino pediatric 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.

• ʻO Neurosurgeon.

• Neurologist.

• Neuropathologist.

• Neuroradiologist.

• Lapaʻau hoʻōla.

• Oncologist uila.

• 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.

E hoʻomaka paha nā ʻōuli a i ʻole nā ​​ʻōuli e ka maʻi tumo ma mua o ka ʻike ʻia ʻana o ka maʻi ʻaʻai a hoʻomau no kekahi 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 i nā ʻōpū ʻōiwi ʻōiwi ʻōpū ke kumu o nā hopena ʻaoʻao.

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).

Loaʻa paha i nā keiki i ʻike ʻia me ka medulloblastoma kekahi mau pilikia ma hope o ke kaha ʻana a i ʻole ka radiation therapy e like me ka hoʻololi ʻana i ka hiki ke noʻonoʻo, aʻo, a hoʻolohe. Eia kekahi, hiki i ka cerebellar mutism syndrome ke hana ma hope o ke kahakaha ʻana. ʻO nā hōʻailona o kēia maʻi e like me kēia:

• Lohe ka hiki ke ʻōlelo.

• Pilikia i ka ale ʻana a me ka ʻai ʻana.

• Ka nalowale o ke kaulike, pilikia i ka hele wāwae ʻana, a me ka hoʻonui ʻana i ka kākau lima.

• Loaʻa o ke kani o ka mākala.

• Hoʻopili ke ʻano a me nā loli i ke ʻano.

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 ʻaʻa kamaliʻi no ka ʻike hou aku).

Hoʻohana ʻia nā ʻano ʻelima o ka mālama ʻana.

ʻOki kino

Hoʻohana ʻia ke kīʻaha no ke kuhi a mālama ʻana i kahi tumo embryonal CNS e like me ia i wehewehe ʻia ma ka ʻĀpana ʻIkepili Nui o kēia hōʻuluʻulu manaʻo.

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, hāʻawi ʻia kekahi mau mea maʻi i ka chemotherapy, radiation therapy, a i ʻole ʻelua paha ma hope o ke kaha ʻana e pepehi 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.

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. ʻAe kēia i kahi lāʻau kiʻekiʻe o ka pāhawewe e hiki i ka tumo a hoʻemi iki i ka hōʻino ʻana i nā mea olakino kokoke.

• 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, e hōʻemi ana i ka hōʻino ʻana i nā mea olakino kokoke. 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.

• 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.

Hiki i ka radiation radiation i ka lolo ke hoʻololi i ka ulu a me ka ulu ʻana o nā keiki ʻōpio. No kēia kumu, ke hoʻopaʻa nei nā hoʻokolohua hoʻokolohua i nā ala hou o ka hāʻawi ʻana i ka radiation i loaʻa paha nā hopena ʻē aʻe ma mua o nā ʻano maʻamau.

Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i nā tumors embryonal CNS kamaliʻi.

Ma muli o ka radiation radiation hiki ke hoʻopili i ka ulu ʻana a me ka ulu ʻana o ka lolo i nā keiki ʻōpio, ʻo ia hoʻi nā keiki ʻekolu a ʻoi paha o lākou mau makahiki, hāʻawi ʻia ka chemotherapy e hoʻolohi a hoʻemi paha i ka pono no ka 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 ka chemotherapy hui me ka hoʻohana ʻana ma mua o hoʻokahi lāʻau anticancer. Hāʻawi ʻia ke ala o ka chemotherapy i ke ʻano o ka maʻi ʻaʻai e mālama ʻia.

ʻO nā lāʻau lapaʻau anticancer maʻa mau i hāʻawi ʻia e ka waha a i ʻole ka ʻaʻa e mālama ai i nā tumors ʻōnaehana waena ʻaʻole hiki ke hele i ka pale o ka lolo a komo i ka wai e hoʻopuni i ka lolo a me ka iwi kuamoʻo. Ma kahi o, ua hoʻokomo ʻia kahi lāʻau anticancer i loko o ka piha piha i ka wai e hoʻomake ai i nā hunaola maʻi ʻaʻai i hoʻolaha paha ma laila. Kapa ʻia kēia intrathecal a i ʻole chemotherapy intraventricular.

ʻO ka chemotherapy Intrathecal. Hoʻokomo ʻia nā lāʻau Anticancer i loko o ka intrathecal space, ʻo ia kahi e paʻa ai ka wai cerebrospinal (CSF, i hōʻike ʻia i ka polū). ʻElua ala ʻokoʻa e hana ai i kēia. ʻO kahi ala, i hōʻike ʻia ma ka ʻaoʻao kiʻekiʻe o ke kiʻi, e hoʻokomo i nā lāʻau i loko o kahi waihona wai o Ommaya (kahi ipu kope e waiho ʻia ma lalo o ka ʻili i ka wā o ke ʻoki kino ). ʻO ke ala ʻē aʻe, i hōʻike ʻia ma ka ʻaoʻao lalo o ke kiʻi, e hoʻopili pono i nā lāʻau i loko o ka CSF ma ka ʻaoʻao haʻahaʻa o ke kolamu iwi, ma hope o ka numbed o kahi ʻāpana liʻiliʻi ma ka ʻaoʻao i lalo.

ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka 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.

Pahuhopu kau ʻia

ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā ​​mea ʻē aʻe e hoʻouka aku i nā hunaola maʻi ʻaʻai. Hoʻolālā pinepine nā mea i hoʻomākaukau ʻia i ka hōʻemi ʻana i nā hunaola maʻamau ma mua o ka chemotherapy a i ʻole radiation radiation.

ʻO nā mea kāpae transduction hōʻailona kahi ʻano o ka lāʻau hoʻomōhala i hoʻohana ʻia e mālama ai i ka medulloblastoma hou. Hoʻopili nā mea hoʻohuli transduction i nā hōʻailona i hoʻohuli ʻia mai kekahi mole i kekahi ʻē aʻe i loko o kahi huna. ʻO ka pale ʻana i kēia mau hōʻailona e pepehi paha i nā hunaola maʻi ʻino. ʻO Vismodegib kahi ʻano o ka mea hoʻohālua transduction inhibitor.

Ke aʻo ʻia nei ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i nā ʻōpū embryonal CNS kamaliʻi i hoʻi hou (hoʻi hou).

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

Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.

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. Kāhea ʻia kēia i kekahi manawa ke kau hou ʻana.

E hoʻomau ʻia kekahi o nā hoʻokolohua kiʻi ʻana mai kēlā manawa a kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli ke ʻano o kāu keiki a i ʻole ua hoʻi hou ka tumo o ka lolo (hoʻi mai). Inā hōʻike ʻia nā hoʻokolohua kiʻi ʻana i nā mea pono ʻole i loko o ka lolo, hana ʻia paha kahi biopsy e ʻike ai inā i hana ʻia ke kinona i nā hunaola tumeke make a i ʻole ke ulu nei nā hunaola maʻi ʻea hou. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

Nā koho lapaʻau no ka ʻōpū ʻōiwi ʻōiwi ʻōiwi ʻōiwi embryonal tumors a me ka wā kamaliʻi Pineoblastoma

Ma keia Pauku

• ʻO Medulloblastoma Keiki Diagnosed

• ʻO nā Tumorsulloblastoma Embryonal Tumors i hōʻike hou ʻia

• ʻO ka Tumor Embryonal Pilikino Hou me nā Rosette Multilayered a i ʻole Medulloepithelioma

• ʻO Pineoblastoma Pilikino Hou

• ʻO nā ʻōnaehana ʻōiwi kamaliʻi hou hou o Embryonal Tumors a me nā Pineoblastomas

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

ʻO Medulloblastoma Keiki Diagnosed

I ka medulloblastoma kamaliʻi hou i ʻike ʻia, ʻaʻole i mālama ʻia ka tumo ponoʻī. Ua loaʻa paha i ke keiki nā lāʻau lapaʻau a lāʻau lapaʻau paha e hōʻoluʻolu ai i nā hōʻailona a i ʻole nā ​​hōʻailona i hoʻokumu ʻia e ka tumo.

ʻO nā keiki ma mua o 3 mau makahiki me ka medulloblastoma awelika

ʻO ka maʻamau maʻamau o ka medulloblastoma awelika o nā kamaliʻi ma mua o 3 mau makahiki e pili pū me kēia:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo i hiki. A laila ukali ʻia e ka radiation radiation i ka lolo a me ka iwi kuamoʻo. Hāʻawi ʻia ʻo Chemotherapy i ka wā a ma hope o ka radiation radiation.

• Hoʻopau ke ʻoki e wehe i ka tumo, radiation radiation, a me ka chemotherapy kiʻekiʻe me ka hoʻopakele ʻana o ka cell.

ʻO nā keiki ma mua o 3 mau makahiki me ka medulloblastoma kūlana kiʻekiʻe

ʻO ka maʻamau maʻamau o medulloblastoma kiʻekiʻe o ka pilikia i nā keiki ma mua o 3 mau makahiki e pili ana i kēia:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo i hiki. Hāpai ʻia kēia e kahi lāʻau nui o ka radiation radiation i ka lolo a me ka iwi kuamoʻo ma mua o ka lāʻau i hāʻawi ʻia no ka medulloblastoma awelika. Hāʻawi ʻia ʻo Chemotherapy i ka wā a ma hope o ka radiation radiation.

• Hoʻopau ke ʻoki e wehe i ka tumo, radiation radiation, a me ka chemotherapy kiʻekiʻe me ka hoʻopakele ʻana o ka cell.

• ʻO kahi hoʻokolohua hoʻokolohua o nā hui hou o radiation radiation a me chemotherapy.

ʻO nā keiki ma mua o 3 mau makahiki a ʻoi paha

ʻO ka maʻamau maʻamau o medulloblastoma i nā keiki o 3 mau makahiki a ʻoi paha ka liʻiliʻi:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo e hiki ai, a ukali ʻia e ka chemotherapy.

ʻO nā ʻano lapaʻau ʻē aʻe i hāʻawi ʻia ma hope o ke kaha ʻana me kēia mau mea:

• Chemotherapy me a i ʻole me ka ʻole radiation radiation i kahi i lawe ʻia aku ai ka tumo.

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem.

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.

ʻO nā Tumorsulloblastoma Embryonal Tumors i hōʻike hou ʻia

I loko o nā tumors embryonal nonmedulloblastoma hou i ʻike ʻia, ʻaʻole i mālama ʻia ka tumo ponoʻī. Ua loaʻa paha i ke keiki nā lāʻau a i ʻole ka lāʻau e hōʻoluʻolu ai i nā ʻōuli i hoʻokumu ʻia e ka tumo.

ʻO nā keiki ma mua o 3 mau makahiki

ʻO ka maʻamau maʻamau o nā tumors embryonal nonmedulloblastoma i nā keiki i ʻoi aku ma mua o 3 mau makahiki:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo i hiki. A laila ukali ʻia e ka radiation radiation i ka lolo a me ka iwi kuamoʻo. Hāʻawi ʻia ʻo Chemotherapy i ka wā a ma hope o ka radiation radiation.

ʻO nā keiki ma mua o 3 mau makahiki a ʻoi paha

ʻO ka mālama maʻamau ʻana i nā tumors embryonal nonmedulloblastoma i nā keiki ʻo 3 mau makahiki a ʻoi aku ka liʻiliʻi i:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo e hiki ai, a ukali ʻia e ka chemotherapy.

ʻO nā ʻano lapaʻau ʻē aʻe i hāʻawi ʻia ma hope o ke kaha ʻana me kēia mau mea:

• ʻO Chemotherapy a me radiation therapy i kahi i wehe ʻia ai ka tumo.

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem.

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.

ʻO ka Tumor Embryonal Pilikino Hou me nā Rosette Multilayered a i ʻole Medulloepithelioma

I loko o kahi tumo ʻōpiopio embryonal hou i ʻike ʻia me nā rosette multilayered (ETMR) a i ʻole medulloepithelioma, ʻaʻole i mālama ʻia ka maʻi tumo. Ua loaʻa paha i ke keiki nā lāʻau a i ʻole ka lāʻau e hōʻoluʻolu ai i nā ʻōuli i hoʻokumu ʻia e ka tumo.

ʻO nā keiki ma mua o 3 mau makahiki

ʻO ka maʻamau maʻamau o ETMR a i ʻole medulloepithelioma i nā keiki ma mua o 3 mau makahiki e pili pū me kēia:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo i hiki. A laila ukali ʻia e ka radiation radiation i ka lolo a me ka iwi kuamoʻo. Hāʻawi ʻia ʻo Chemotherapy i ka wā a ma hope o ka radiation radiation.

• Hoʻopau ke ʻoki e wehe i ka tumo, radiation radiation, a me ka chemotherapy kiʻekiʻe me ka hoʻopakele ʻana o ka cell.

• ʻO kahi hoʻokolohua hoʻokolohua o nā hui hou o radiation radiation a me chemotherapy.

ʻO nā keiki ma mua o 3 mau makahiki a ʻoi paha

ʻO ka hoʻomaʻamaʻa maʻamau o ETMR a i ʻole medulloepithelioma i nā keiki ʻo 3 mau makahiki a ʻoi paha ka liʻiliʻi i kēia mau mea:

• ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo e hiki ai, a ukali ʻia e ka chemotherapy.

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem.

• ʻO ka radiation radiation, ke nui a ke keiki.

• ʻO kahi hoʻokolohua hoʻokolohua o nā hui hou a me nā papa manawa o ka chemotherapy a i ʻole nā ​​hui hou ʻana o ka chemotherapy me ka hoʻopakele cell cell.

ʻO ka mālama ʻana iā ETMR a i ʻole medulloepithelioma i nā keiki ʻo 3 mau makahiki a ʻoi paha ka liʻiliʻi i loko o ka hoʻokolokolo hoʻokolohua.

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.

ʻO Pineoblastoma Pilikino Hou

I ka pineoblastoma kamaliʻi hou i ʻike ʻia, ʻaʻole i mālama ʻia ka tumo ponoʻī. Ua loaʻa paha i ke keiki nā lāʻau a i ʻole ka lāʻau e hōʻoluʻolu ai i nā ʻōuli i hoʻokumu ʻia e ka tumo.

ʻO nā keiki ma mua o 3 mau makahiki

ʻO ka maʻamau maʻamau o pineoblastoma i nā keiki ma mua o 3 mau makahiki e pili pū me kēia:

• ʻOki kino e wehe i ka hikoko. ʻAʻole hiki ke hemo loa ka tumo ma muli o kahi i loko o ka lolo. Hoʻopili pinepine ʻia ke ʻoki lāʻau e ka radiation radiation i ka lolo a me ka iwi kuamoo a me ka chemotherapy.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy lāʻau kiʻekiʻe ma hope o ka radiation radiation a me ka hoʻopakele ʻana i ka pūnaeho paʻa

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy i ka radiation radiation.

ʻO nā keiki ma mua o 3 mau makahiki a ʻoi paha

ʻO ka hoʻomaʻamaʻa maʻamau o pineoblastoma i nā keiki o 3 mau makahiki a ʻoi aku ka liʻiliʻi e like me kēia:

• ʻO Biopsy e kuhikuhi i ka pineoblastoma ukali ʻia e chemotherapy.

• Inā pane ka tumo i ka chemotherapy, hāʻawi ʻia ka radiation therapy ke nui aʻe ke keiki.

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem.

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.

ʻO nā ʻōnaehana ʻōiwi kamaliʻi hou hou o Embryonal Tumors a me nā Pineoblastomas

ʻO ka mālama ʻana i nā ʻōnaehana ʻōiwi waena (CNS) nā ʻōpū embryonal a me nā pineoblastoma e hoʻi hou (e hoʻi) e hilinaʻi ʻia:

• Ke ʻano o ka tumo.

• Inā paha ua hoʻi hou ka tumo ma kahi i hana mua ai a ua pālahalaha ʻia paha i nā ʻāpana ʻē aʻe o ka lolo, ka iwi kuamoo, a i ʻole ke kino.

• ʻO ke ʻano o ka lapaʻau i hāʻawi ʻia i ka wā i hala.

• Ehia mau manawa i hala ma hope o ka pau ʻana o ka lapaʻau mua.

• Inā he hōʻailona a hōʻailona paha ka mea maʻi.

ʻO ka hoʻomaʻamaʻa ʻana no nā ʻōpū CNS embryonal tumors a me nā pineoblastomas i hiki ke hoʻopili ʻia i kēia mau mea:

• No nā keiki i loaʻa mua i ka radiation therapy a me ka chemotherapy, hiki i ka mālama ʻana ke hoʻopili i ka radiation hou ma ka pūnaewele kahi i hoʻomaka ai ka maʻi ʻaʻai a kahi i laha aku ai ka tumo. Hiki ke hoʻohana pū ʻia kahi radiation radiation Stereotactic a me / a chemotherapy paha.

• No nā pēpē a me nā keiki ʻōpio i loaʻa i ka chemotherapy ma mua a loaʻa hou kahi kūloko, he chemotherapy paha me ka radiation radiation i ka tumo a me kahi kokoke iā ia. Hiki ke hana ʻia ke ʻoki e wehe ai i ka tumo.

• No nā mea maʻi i loaʻa mua i ka radiation therapy, hiki ke hoʻohana ʻia i ka chemotherapy lāʻau kiʻekiʻe a me ka hoʻopakele pūnaʻi koʻokoʻo. ʻAʻole maopopo inā hoʻomaikaʻi kēia hana i ke ola.

• Hoʻopaʻa kaulike ʻia me kahi mea hōʻoki transduction hōʻailona no nā mea maʻi i loaʻa i ka maʻi ʻaʻaʻi kekahi mau loli i nā gen.

• 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.

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 ke kamaliʻi Central Nervous System Embryonal Tumors

No ka ʻike hou aku e pili ana i ka ʻōpuʻu ʻōiwi ʻōiwi ʻōiwi ʻōiwi, e ʻike i kēia:

• 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