Nā ʻano / lolo / hoʻomanawanui / keiki-cns-germ-cell-treatment-pdq

ʻO ke kamaliʻi Central Nervous System Germ Cell Tumors lapaʻau (®) –Patient Version

Nāʻike laulā e pili ana i ke kamaliʻi Central Nervous System (CNS) Germ Cell Tumors

NA MANA KUNI

• ʻO nā ʻōpuʻu ʻōnaehana ʻōpiopio ʻōpiopio (CNS) nā ʻōpuʻu germ germ cells mai nā hunaola germ.

• Aia kekahi mau ʻano ʻokoʻa o nā ʻōpū puʻupuʻu CNS germ cell.

• Germinomas

• ʻO Nongerminomas

• ʻO Teratomas

• ʻAʻole ʻike ʻia ke kumu o ka nui o nā tumors CNS germ cell.

• ʻO nā ʻōuli a me nā ʻōuli o ke kamaliʻi CNS germ cell tumors e komo pū me ka make wai maʻamau, ka mimiki pinepine ʻana, a i ʻole nā ​​loli ʻike.

• Hoʻohana ʻia nā noiʻi kiʻi ʻana a me nā hoʻokolohua ʻē aʻe e ʻike (loaʻa) a hōʻoia i nā ʻōpuʻu ʻōpuʻu CNS germ cell.

• Hana ʻia kahi biopsy e ʻike pono i ke kuhi ʻana o ka tumo pūnaeho germ CNS.

• Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana).

ʻO nā ʻōpuʻu ʻōnaehana ʻōpiopio ʻōpiopio (CNS) nā ʻōpuʻu germ germ cells mai nā hunaola germ.

ʻO nā hunaola kūmole nā ​​ʻano kikoʻī o nā hunaola i kū mai i ka wā e ulu ai ka pēpē (pēpē hānau ʻole). Lilo pinepine kēia mau hunaola i ka sperm i loko o nā testicle a i ʻole nā ​​hua i hoʻomomona ʻole ʻia i nā ovaries ke oʻo a ke keiki. ʻO ka hapa nui o nā tumors cell germ i loko o nā testes a i ʻole nā ​​ovaries. I kekahi manawa huakaʻi nā hunaola germ i a i ʻole mai nā ʻāpana ʻē aʻe o ka pēpē i kona ulu ʻana a ma hope lilo i mau tumola pūnaewele germ. Kāhea ʻia nā ʻōpala kele germ i hana ʻia i ka lolo a i ʻole ka iwi kuamoo ʻo CNS (ʻōnaehana puʻuwai waena) nā ʻōpuʻu germ germ.

Kū pinepine nā CNS germ cell tumors i nā mea maʻi ma ka makahiki 10 a 19 mau makahiki a ʻoi pinepine i nā kāne ma mua o nā wahine. ʻO nā wahi maʻamau no hoʻokahi a ʻoi aku paha nā tumors cell CNS germ e hana ai i ka lolo e kokoke ana i ka momona pineal a ma kahi o ka lolo e komo pū ana ka pituitary gland a me nā mea ma luna pono o ia. I kekahi manawa hana ʻia nā tumors cell germ i nā wahi ʻē aʻe o ka lolo.

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 kēia hōʻuluʻulu e pili ana i nā tumors cell germ e hoʻomaka i ka ʻōnaehana waena (lolo a me ka iwi kuamoʻo). Hiki i nā tumors cell germ ke hana i nā ʻāpana ʻē aʻe o ke kino. E ʻike i ka hōʻuluʻulu e pili ana i ka Childhood Extracranial Germ Cell Tumors lapaʻau no ka ʻikepili e pili ana i nā tumors cell germ i extracranial (ma waho o ka lolo).

Kū pinepine nā ʻōpala cell germ CNS i nā keiki akā hiki i nā mākua. ʻOkoʻa ka mālama ʻana no nā keiki ma mua o ka mālama ʻana i nā mākua. E ʻike i nā hōʻuluʻulu e hiki mai ana no ka ʻike e pili ana i ka mālama ʻana no nā mākua.

• Hoʻomaʻomaʻo Tumors Pūnaewele Nervous makua

• ʻO ka lāʻau lapaʻau Tumors Extragonadal Germ Cell

No ka ʻike e pili ana i nā ʻano ʻokoʻa o ka lolo o ka wā kamaliʻi a me nā iwi kuamoʻo, e ʻike i ka hōʻuluʻulu e pili ana i ka nānā ʻana i ka Brain Brain a me ka Tuminal Tumor.

Aia kekahi mau ʻano ʻokoʻa o nā ʻōpū puʻupuʻu CNS germ cell.

Hiki ke hana i nā ʻano ʻokoʻa o ka CNS germ cell tumors mai nā hunaola kūikawā i lilo i sperm a i hua ʻole i hua ʻole ʻia. ʻO ke ʻano o ka tumo hunaola CNS germ i hilinaʻi ʻia e pili ana i ke ʻano o nā hunaola ma lalo o kahi microscope a me nā hopena o nā hoʻokolohua hoʻokolohua e nānā i nā pae marker tumor.

ʻO kēia hōʻuluʻulu e pili ana i ka mālama ʻana i kekahi ʻano o nā tumors cell germ CNS:

Germinomas

ʻO Germinomas ka ʻano maʻamau o ka CNS germ cell tumora a he wānana maikaʻi. ʻAʻole hoʻohana ʻia nā pae māka Tumor e kuhikuhi i nā germinomas.

ʻO Nongerminomas

Hana kekahi mau nongerminomas i nā homone, e like me alpha-fetoprotein (AFP) a me beta-human chorionic gonadotropin (beta-hCG). ʻO nā ʻano nongerminomas e pili pū me kēia:

• Hana nā ʻōiwi embryonal i nā hormona AFP a me beta-hCG.

• Hana nā iwi tumo Yolk i ka hormone AFP.

• Hana ʻo Choriocarcinomas i ka hormone beta-hCG.

• Hana ʻia nā tumors cell germ germ o nā ʻano ʻoi aku o hoʻokahi ʻano o ka cell germ. Hana lākou iā AFP a me beta-hCG.

ʻO Teratomas

Hōʻike ʻia ʻo CNS teratomas he mākua a makua ʻole paha, ma muli o ke ʻano maʻamau o nā hunaola ma lalo o kahi microscope. ʻO nā teratomas makua ke ʻano like me nā pūnaewele maʻamau ma lalo o kahi microscope a hana ʻia i nā ʻano kiko like ʻole, e like me ka lauoho, nā mākala, a me ka iwi. ʻOkoʻa loa ka nānā ʻana i nā teratoma ʻōlohelohe mai nā hunaola maʻamau ma lalo o kahi microscope a hana ʻia i nā hunaola e like me nā hunaola fetal. ʻO kekahi o nā teratoma makua ʻole kahi hui ʻana o nā hunaola makua a oʻo ʻole. ʻAʻole hoʻohana ʻia nā pae māka Tumor e kuhikuhi i nā teratomas.

ʻAʻole ʻike ʻia ke kumu o ka nui o nā tumors CNS germ cell.

ʻO nā ʻōuli a me nā ʻōuli o ke kamaliʻi CNS germ cell tumors e komo pū me ka make wai maʻamau, ka mimiki pinepine ʻana, a i ʻole nā ​​loli ʻike.

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

• Kahi i hoʻokumu ʻia ai ka tumo.

• Ka nui o ka tumo.

• Inā ʻo ka tumo a i ʻole ke kino e hana i ka nui o kekahi mau hormona.

Hoʻokumu ʻia nā ʻōuli a me nā ʻōuli e ka ʻōpio CNS germ cell tumors 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:

• Make wai loa.

• Ke hana nei i ka nui o ka mimi i maopopo a aneane maopopo.

• Urination pinepine.

• Hulu ka moe a ala paha i ka pō e mimi.

• Hoʻopilikia i ka neʻe ʻana o nā maka, pilikia ʻike maopopo ʻana, a i ʻole ʻike pālua ʻana.

• Loaʻa ka ʻai ʻole.

• ʻO ka hōʻemi kaumaha no ke kumu ʻole.

• ʻO ka wā ʻōpio a i ʻole ka hopena o ka wā ʻōpio.

• ʻO ke kino pōkole (ʻoi aku ka pōkole ma mua o ka maʻamau).

• Poʻo poʻo poʻo.

• ʻO Nusea a me ka luaʻi.

• Luhi nui loa.

• Loaʻa nā pilikia me ka hana kula.

Hoʻohana ʻia nā noiʻi kiʻi ʻana a me nā hoʻokolohua ʻē aʻe e ʻike (loaʻa) a hōʻoia i nā ʻōpuʻu ʻōpuʻu CNS germ cell.

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 ke kanaka, ka hoʻonohonoho ʻana, a me ka hiki ke hele maʻamau, a me ka maikaʻi o ka hana ʻana o nā mākala, nā reflexes, a me nā manaʻo. 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 (magnetic resonance imaging) 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).

• 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 a hoʻāʻo ʻia no nā māka tumo. Hiki ke hoʻāʻo ʻia ka nui o ka protein a me ka glucose i ka hāpana. 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.

• Nā hoʻokolohua hōʻailona Tumor: kahi hana e nānā ʻia ai kahi hāpana o ke koko a i ʻole ka wai cerebrospinal (CSF) e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko a me CSF e nā meaola, nā aʻa, a i ʻole nā ​​pūpū tumora i loko o ke kino. Hoʻopili ʻia kekahi mau mea i kekahi ʻano ʻano maʻi ʻaʻai ke loaʻa i nā pae hoʻonui ʻia i ke koko. Kapa ʻia kēia mau mea he tumers mark.

Hoʻohana ʻia nā māka tumo e ʻike pono ai i kekahi mau tumors cell germ CNS:

• ʻO Alpha-fetoprotein (AFP).

• ʻO Beta-kanaka chorionic gonadotropin (beta-hCG).

• Nā aʻo kemika koko: kahi hana e nānā ʻia ai kahi hāpana koko e ana i ka nui o kekahi mau mea i hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aku ka kiʻekiʻe a i ʻole ka haʻahaʻa ma mua o ka maʻamau) o kahi mea i hiki ke lilo i hōʻailona o ka maʻi.

• Nā haʻawina hormonone koko: kahi hana e nānā ʻia ai kahi laʻana koko e ana i ka nui o kekahi mau hormones i hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aku ka kiʻekiʻe a i ʻole ka haʻahaʻa ma mua o ka maʻamau) o kahi mea i hiki ke lilo i hōʻailona o ka maʻi i loko o ke kolo a i ʻole nā ​​ʻano i hana iā ia. Nānā ʻia ke koko no nā pae o nā homone i hana ʻia e ka pituitary gland a me nā glands ʻē aʻe.

Hana ʻia kahi biopsy e ʻike pono i ke kuhi ʻana o ka tumo pūnaeho germ CNS.

Inā manaʻo ka poʻe kauka he kumulāʻau germ germ CNS kāu keiki, 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 kamepiula e wehe 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.

I kekahi manawa hiki ke hana i ka hōʻailona ma muli o nā hopena o ke kiʻi ʻana a me nā hōʻailona marka tumora a ʻaʻole pono kahi biopsy.

Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana).

ʻO ka wānana (ka manawa kūpono o ke ola ʻana) kaukaʻi ʻia i ka mea aʻe:

• Ke ʻano o ke tumele pūnaewele germ.

• Ke ʻano a me ka pae o nā māka tumo.

• Ma kahi o ka tumo i ka lolo a i ʻole ka iwi kuamoʻo.

• Inā ua pālahalaha ka maʻi ʻaʻai i loko o ka lolo a me ka iwi kuamoo a i ʻole nā ​​ʻāpana ʻē aʻe o ke kino.

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

Nā pae o ke kamaliʻi CNS Germ Cell Tumors

NA MANA KUNI

• ʻAʻohe pālahalaha loa nā ʻōnaehana ʻōnaehana kamaliʻi (CNS) tumors cell germ ma waho o ka lolo a me ka iwi kuamoo.

ʻAʻohe pālahalaha loa nā ʻōnaehana ʻōnaehana kamaliʻi (CNS) tumors cell germ ma waho o ka lolo a me ka iwi kuamoo.

ʻO ke kau ʻana ke kaʻina e hoʻohana ai e ʻike i ka nui o ka maʻi ʻaʻai a inā paha ua pāhola ka maʻi ʻaʻai. ʻAʻohe ʻōnaehana hoʻonohonoho maʻamau no ka ʻōpū o ke ʻōpū nīnūnū ʻōpio (CNS).

Pili ka papa hana i kēia mau mea:

• Ke ʻano o ke tumele pūnaewele germ.

• Inā ua pālahalaha ka tumo i loko o ka lolo a me ka ʻulaʻula a i ʻole i nā ʻāpana ʻē aʻe o ke kino, e like me ka akemāmā a iwi paha.

• ʻO nā hopena o nā hoʻokolohua a me nā kaʻina hana i hana ʻia e ʻike pono ai i nā tumors cell germ CNS kamaliʻi.

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

ʻO nā Tumors CNS Germ Cell Pūnaewele hou

Hiki ke hoʻi hou (hoʻi mai) nā ʻōpū ʻōiwi ʻōnaehana ʻōpiopio ma hope o ka mālama ʻia ʻana. Hoʻihoʻi pinepine nā tumors i kahi o ka tumo i hana mua ai. Hiki ke hoʻi ka tumo i nā wahi ʻē aʻe a / a i ʻole i ka meninges (lahilahi lahilahi o nā mea i uhi a pale i ka lolo a me ka iwi kuamoo).

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia nā ʻano like ʻole o ka mālama ʻana no nā mea maʻi me nā ʻōpū puʻuwau ʻōpū o ke kamaliʻi liʻiliʻi (CNS).

• Pono nā keiki me ka CNS germ cell tumors e hoʻomaʻamaʻa i kā lākou lapaʻau ʻana e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i ka maʻi ʻaʻai i nā keiki.

• ʻO ka mālama ʻana no nā ʻōpū CNS germ cell tumors i mea e hopena ai i nā hopena.

• Hoʻohana ʻia ʻehā ʻano o ka mālama ʻana.

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

• ʻOki kino

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

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

• Pahuhopu kau ʻia

• 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 like ʻole o ka mālama ʻana no nā mea maʻi me nā ʻōpū puʻuwau ʻōpū o ke kamaliʻi liʻiliʻi (CNS).

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki me nā ʻōpū puʻupuʻu germ center (CNS) germ cells. 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 me ka CNS germ cell tumors e hoʻomaʻamaʻa i kā lākou lapaʻau ʻana e kahi hui o nā lawelawe mālama ola i loea i ka mālama ʻana i ka maʻi ʻaʻai i nā keiki.

Mālama ʻia ka mālama ʻana e kahi oncologist pediatric a me / a i ʻole kahi oncologist radiation. ʻO kahi oncologist pediatric kahi kauka i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai. Hoʻomaʻamaʻa kahi radiation oncologist i ka mālama ʻana i ka maʻi ʻaʻai me ka radiation radiation. Hana pū kēia mau kauka me nā mea lawelawe olakino pediatric ʻē aʻe i loea i ka mālama ʻana i nā keiki me nā tumors CNS germ cell a ʻo ka poʻe loea i kekahi mau wahi o ka lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• Kahuna Pediatrician.

• Pepeiao neurosurgeon.

• Neurologist.

• Endocrinologist.

• Ophthalmologist.

• ʻO ka loea kahu maʻi Pediatric.

• Lapaʻau hoʻōla.

• ʻOlogistlapa psychologist.

• Limahana limahana.

ʻO ka mālama ʻana no nā ʻōpū CNS germ cell tumors i mea e hopena ai i 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 hopena ma muli o kekahi mau ʻano lāʻau. (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 ʻehā ʻano o ka mālama ʻana.

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. Hiki i kēia ʻano radiation radiation ke hoʻopili i kēia mau mea:

• ʻO radiosurgery Stereotactic: ʻO kahi radiosurgery Stereotactic kahi ʻano o ka radiation radiation kūwaho. Hoʻopili ʻia kahi poʻo poʻo paʻa i ka iwi poʻo e paʻa ai ke poʻo i ka wā o ka lāʻau radiation. Hoʻopaʻa ka mīkini i hoʻokahi mahele nui o ka radiation i pololei i ka tumelo. ʻAʻole pili kēia kaʻina hana i ke kahakaha. Kapa ʻia ia he radiosurgery stereotaxic, radiosurgery, a me ke kahakaha radiation.

• 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 i ke ʻano o ka maʻi ʻaʻai e mālama ʻia.

Hoʻohana ʻia ka radiation radiation kūwaho e mālama ai i nā tumors cell germ CNS ʻōpio. Hiki i ka radiation radiation i ka lolo ke hoʻololi i ka ulu a me ka ulu ʻana o nā keiki ʻōpio. Hiki i kekahi mau ala o ka hāʻawi ʻana i ka radiation radiation ke hōʻemi i ka hōʻino ʻana i nāʻiʻo lolo maikaʻi. No nā keiki ma mua o 3 mau makahiki, hāʻawi ʻia kahi chemotherapy ma kahi. Hiki i kēia ke hoʻolohi a hōʻemi 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 i nā hunaola a i ʻole ke kāpae 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, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau).

Hāʻawi ʻia ke ala o ka chemotherapy i ke ʻano o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka chemotherapy ʻōnaehana e mālama iā CNS germ cell tumors.

ʻOki kino

Inā hiki ke hana i ke ʻoki e wehe ai i ka tumo pili ia i kahi o ka tumo i ka lolo. Hiki i ke kīpoki ke wehe i ka tumo i nā hopena ʻino loa a lōʻihi hoʻi.

Hiki ke hana i kahi ʻoki e wehe i nā teratomas a hoʻohana ʻia no nā tumors cell germ i hoʻi mai. 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.

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.

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.

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.

Ke aʻo ʻia nei ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i nā tumors cell germ CNS ʻōpio i hoʻi hou (hoʻi hou).

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 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 kekahi o nā hoʻokolohua mai kēlā me 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 ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā ​​loiloi.

ʻO nā keiki i pā ka maʻi ʻaʻai i kā lākou pituitary gland ke ʻike ʻia ka maʻi ʻaʻaʻa e pono e nānā ʻia i nā pae o ke koko. Inā haʻahaʻa ka pae o ke koko, hāʻawi ʻia ka lāʻau hōmona pani.

ʻO nā keiki i loaʻa kahi pae marker tumora kiʻekiʻe (alpha-fetoprotein a i ʻole beta-human chorionic gonadotropin) ke ʻike ʻia ka maʻi ʻaʻaʻa pono e nānā ʻia ka pae marker tumor koko. Inā piʻi ka pae māka tumo ma hope o ka lapaʻau mua ʻana, ua hoʻi hou paha ka tumo.

Nā koho lapaʻau no nā keiki hou o CNS Germ Cell Tumors

Ma keia Pauku

• Ua ʻike hou ʻia ʻo CNS Germinomas

• ʻIke hou ʻia CNS Nongerminomas

• Ua ʻike hou ʻia ʻo CNS Teratomas

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

Ua ʻike hou ʻia ʻo CNS Germinomas

Hoʻomaopopo paha i ka mālama ʻana i nā ʻōnaehana kikowaena waena hou i ʻike ʻia (CNS):

• ʻO ka radiation radiation i ka lolo holoʻokoʻa me nā ventricle (nā wahi piha piha i ka lolo o ka lolo) a me ka iwi kuamoo. Hāʻawi ʻia kahi lāʻau ʻoi loa o ka radiation i ka tumo ma mua o ka wahi a puni ka tumo.

• Chemotherapy ukali ʻia e radiation radiation.

• ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy ukali ʻia e ka radiation therapy i hāʻawi ʻia i nā lāʻau haʻahaʻa e pili ana i ka pane a ka tumo i ka lāʻau.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi hana hoʻoponopono hou e pili ana i ka hopena o ka tumo ma hope o ka lāʻau.

ʻIke hou ʻia CNS Nongerminomas

ʻAʻole maopopo i ke ʻano o ka hoʻomaʻamaʻa maikaʻi loa no nā nongerminomas ʻōnaehana kikowaena hou i ʻike ʻia.

ʻO ka mālama ʻana i ka choriocarcinoma, ka carcinoma embryonal, ka tumo ʻeke yolk, a i ʻole ke kele huina germ germ i hoʻopili ʻia penei:

• Chemotherapy ukali ʻia e radiation radiation.

• ʻOki kino. Inā mau ka nui ma hope o ka chemotherapy e hoʻomau nei e ulu a kū maʻamau nā pae tumora (i kapa ʻia ʻo teratoma syndrome e ulu ana), pono paha ke ʻoki e nānā inā he ʻāpana teratoma, fibrosis, a ulu ulu ulu paha.

• Inā he teratoma makua a fibrosis paha ka nui, hāʻawi ʻia ka radiation radiation.

• Inā he ulu ulu ka nuipa, hāʻawi ʻia paha nā lāʻau ʻē aʻe.

Ua ʻike hou ʻia ʻo CNS Teratomas

Hoʻomaopopo ʻia ka mālama ʻana i nā ʻōnaehana nūnū mākua a makua ʻole (CNS) teratomas penei:

ʻO ke ʻoki kino e hemo ai i ka nui o ka tumo i hiki. Inā kū kekahi tumo ma hope o ke kahakaha ʻana, hiki ke hāʻawi ʻia i nā lāʻau hou aku:

• ʻO ka radiation radiation i ka tumo a i ʻole radiosurgery stereotactic; a me / a i ʻole

• ʻO Chemotherapy.

Nā koho e mālama ai no nā kamaliʻi CNS Germ Cell Tumors hou

ʻO ka mālama ʻana i nā ʻōnaehana ʻōpū waena kamaliʻi hou (CNS) hiki i nā tumors cell germ nā mea aʻe:

• Chemotherapy ukali ʻia e radiation radiation, no germinomas.

• ʻO ka chemotherapy kiʻekiʻe loa me ka hoʻopakele ʻana o ka cell stem me ka hoʻohana ʻana i nā hunaola maʻi o ka mea maʻi, me a i ʻole me ka ʻole o ka radiation radiation, no germinomas a me nongerminomas.

• ʻO kahi hoʻokolohua hoʻokolohua o kahi lapaʻau hou.

• 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.

Nā hoʻāʻo hoʻokolohua o kēia manawa

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 CNS Germ Cell Tumors

No ka ʻike hou aku e pili ana i ka ʻōpū o ke ʻōpū nīnūnē liʻiliʻi, 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