Nā ʻano / lolo / hoʻomanawanui / keiki-ependymoma-lapaʻau-pdq

Hoʻomaʻamaʻa Ependymoma Childhood (®) - Mana Mana Manaʻo

ʻO ka ʻikepili e pili ana i ka Ependymoma kamaliʻi

NA MANA KUNI

• ʻO ka ependymoma kamaliʻi kahi maʻi kahi i kūkulu ʻia ai nā hunaola malignant (cancer) i loko o nā mākala o ka lolo a me ka iwi kuamoo.

• Aia kekahi mau ʻano ependymomas.

• Pili ka ʻāpana o ka lolo i ka wahi o ka ependymoma.

• ʻO ke kumu o ka nui o nā hikoko lolo kamaliʻi i ʻike ʻole ʻia.

• ʻAʻole like nā ʻōuli a me nā ʻōuli o ke kamaliʻi ependymoma i kēlā me kēia keiki.

• Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoʻo e huki ai (epekema) kamaliʻi

• ʻIke ʻia a wehe ʻia i ka wā ʻoki lāʻau ependymoma.

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

ʻO ka ependymoma kamaliʻi kahi maʻi kahi i kūkulu ʻia ai nā hunaola malignant (cancer) i loko o nā mākala o ka lolo a me ka iwi kuamoo.

Mālama ka lolo i nā hana nui e like me ka hoʻomanaʻo a me ke aʻo ʻana, ka naʻau, a me nā naʻau (lohe, ʻike, ʻala, ʻono, a hoʻopā). Hana ʻia ka iwi kuamoʻo i nā pūʻolo o nā olonā e hoʻopili i ka lolo me nā ʻalalā i ka hapa nui o ke kino.

Hoʻokumu ʻo Ependymomas mai nā hunaola ependymal e hoʻopili ana i nā ventricle a me nā passageways i ka lolo a me ka iwi kuamoo. Hana nā pūnaewele Ependymal i ka wai cerebrospinal (CSF).

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, nā tumors i hoʻomaka i nā ʻāpana ʻē aʻe o ke kino a pāhola i ka lolo.

Aia nā ʻano like ʻole o nā tumors lolo. 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 aʻe no ka ʻike hou aku:

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

• Hoʻomaʻomaʻo Tumors Pūnaewele Nervous makua

Aia kekahi mau ʻano ependymomas.

Hoʻonohonoho ka World Health Organization (WHO) i nā tumo ependymal i ʻelima mau ʻano subtypes:

• Subependymoma (ʻo wai ʻo wau I; ʻike pinepine ʻia i nā keiki).

• Myxopapillary ependymoma (WHO papa I).

• Ependymoma (WHO papa II).

• RELA fusion – positip ependymoma (WHO papa II a me ka papa III me ka loli i ka moʻokūʻauhau RELA).

• Anaplastic ependymoma (WHO papa III).

Hōʻike ka papa o ka tumo i ka nānā ʻana o nā hunaola maʻi ʻino ma lalo o kahi microscope a me ka wikiwiki o ka ulu a ulu ʻana o ka tumo. ʻO nā hunaola maʻi papa haʻahaʻa (grade I) e like me nā hunaola maʻamau ma mua o nā hunaola maʻi ʻaʻai kiʻekiʻe (papa II a me III). ʻO nā hunaola maʻi ʻaʻai ʻo I pū kekahi e ulu a pālahalaha aʻe ma mua o ka papa II a me III.

Pili ka ʻāpana o ka lolo i ka wahi o ka ependymoma.

Hiki i nā Ependymomas ke hana i nā wahi āpau i nā ventricle piha i ka wai a me nā passageways i ka lolo a me ka iwi kuamoo. ʻO ka hapa nui o nā ependymomas e hana i ka hā o ka ventricle a hoʻopili i ka cerebellum a me ka lāʻau o ka lolo. Hoʻomaopopo pinepine ʻia ʻo Ependymomas i ka cerebrum a kākaʻikahi ka iwi o ka iwi kuamoʻo.

ʻO Anatomy o loko o ka lolo e hōʻike ana i ka ventricle ʻaoʻao, ke kolu o ka ventricle, ka ventricle ʻehā, a me nā passageways ma waena o nā ventricle (me ka wai cerebrospinal i hōʻike ʻia i ka polū). ʻO nā ʻāpana ʻē aʻe o ka lolo i hōʻike ʻia me ka cerebrum, cerebellum, spinal cord, a me ka lāʻau lolo (pons and medulla).

Ma kahi o ka ependymoma e hoʻopili ai i ka hana o ka lolo a me ka iwi kuamoo.

• 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.

• 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.

• 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). Hāpai 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.

ʻO ke kumu o ka nui o nā hikoko lolo kamaliʻi i ʻike ʻole ʻia.

ʻAʻole like nā ʻōuli a me nā ʻōuli o ke kamaliʻi ependymoma i kēlā me kēia keiki.

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

• Ka makahiki o ke keiki.

• Kahi i hoʻokumu ʻia ai ka tumo.

Hoʻokumu ʻia nā hōʻailona a me nā ʻōuli e ka ependymoma 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:

• Poʻomanaʻo poʻo pinepine.

• Hinaʻi.

• ʻO Nusea a me ka luaʻi.

• ʻEha ma ka ʻāʻī a i ʻole hoʻi.

• Ka nele o ke kaulike a pilikia paha i ka hele wāwae.

• Nāwaliwali i nā wāwae.

• Hihi maka.

• Hoʻololi i ka ʻōpū.

• Pilikia urinary.

• Huikau a huhū paha.

Hoʻohana ʻia nā hoʻāʻo e nānā i ka lolo a me ka iwi kuamoʻo e huki ai (epekema) kamaliʻi

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

• ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino: 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 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.

• 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 a hele i waena o ke kahe o ke 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 ke kuamoʻo a lawe aku 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 kahi 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.

ʻIke ʻia a wehe ʻia i ka wā ʻoki lāʻau ependymoma.

Inā hōʻike ʻia nā hoʻokolohua diagnostic aia paha he tumo o ka lolo, hana ʻia kahi biopsy e ka lawe ʻana i kahi ʻāpana o ka iwi poʻo a me ka hoʻohana ʻana i kahi nila e hemo i kahi hāpana o kaʻiʻo o ka lolo. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai a hoʻoholo i ka papa o ka tumo. Inā loaʻa nā hunaola maʻi ʻaʻai, e lawe ke kauka i ka nui o nā tumo i hiki ke palekana ʻia i ka wā o ke ʻoki like.

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.

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

Pili nā wānana a me nā koho lapaʻau i:

• Ma kahi o ka tumo i hana ai i loko o ka ʻōnaehana ʻōnaehana waena (CNS).

• Inā loaʻa kekahi mau hoʻololi i nā gen a i ʻole nā ​​chromosome.

• Inā e koe kekahi o nā hunaola maʻi ʻaʻai ma hope o ke kaha ʻana e wehe i ka tumo.

• Ke ʻano a me ka papa o ka ependymoma.

• ʻO ka makahiki o ke keiki ke ʻike ʻia ka maʻi tumo.

• Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ka lolo a i ʻole ka iwi kuamoʻo.

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

Pili pū ka Prognosis ma muli o ka hāʻawi ʻia ʻana o ka radiation therapy, ke ʻano a me ka lāʻau lapaʻau, a inā hāʻawi ʻia ka chemotherapy.

Nā Papa o Ependymoma Keiki

NA MANA KUNI

• ʻAʻohe ʻōnaehana hoʻonohonoho maʻamau no ka ependymoma kamaliʻi.

• ʻO ka ependymoma kamaliʻi hou he tumelo i hoʻi hou (hoʻi hou) ma hope o ka mālama ʻia ʻana.

ʻAʻohe ʻōnaehana hoʻonohonoho maʻamau no ka ependymoma kamaliʻi.

ʻO ke kau ʻana ke kaʻina e hoʻohana ai e ʻike inā mau ka maʻi ʻaʻai ma hope o ke kaha ʻana a inā ua pāhola ka maʻi ʻaʻai.

ʻO ka mālama ʻana o ependymoma kaukaʻi i ka mea aʻe:

• Ma hea ka maʻi ʻaʻai i ka lolo a i ʻole ka iwi kuamoo.

• Ka makahiki o ke keiki.

• Ke ʻano a me ka papa o ka ependymoma.

ʻO ka ependymoma kamaliʻi hou he tumelo i hoʻi hou (hoʻi hou) ma hope o ka mālama ʻia ʻana.

Kū pinepine ka ependymoma kamaliʻi, maʻamau i ka pūnaewele maʻi ʻaʻai. E hoʻi paha ka tumo ma kahi o 15 mau makahiki a ʻoi paha ma hope o ka lapaʻau mua.

Laulā Manaʻo Option Oponopono

NA MANA KUNI

• Aia kekahi mau ʻano lapaʻau no nā keiki me ka ependymoma.

• Pono nā keiki me ka ependymoma i kā lākou lapaʻau ʻana e kekahi kime o nā lawelawe mālama ola i loea i ka mālama ʻana i nā tumors o ka lolo kamaliʻi.
• Hoʻohana ʻia ʻekolu ʻano o ka mālama ʻana.

• ʻOki kino

• Lapaʻau hoʻomākala

• ʻO Chemotherapy

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

• Pahuhopu kau ʻia

• ʻO ka mālama ʻana no ka ependymoma kamaliʻi i kumu i nā hopena ʻaoʻao.

• 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 kekahi mau ʻano lapaʻau no nā keiki me ka ependymoma.

Loaʻa nā ʻano lapaʻau like ʻole no nā keiki me ka ependymoma. 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 ependymoma i kā lākou lapaʻau ʻana 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 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 i loea i kekahi mau wahi o ka lāʻau. Pākuʻi ʻia kēia mau mea i lalo:

• Pepeiao neurosurgeon.

• Neurologist.

• Kahuna Pediatrician.

• Oncologist uila.

• Oncologist lapaʻau.

• Endocrinologist.

• Lapaʻau hoʻōla.

• ʻOlogistlapa psychologist.

• Loea loea-ola keiki.

Hoʻohana ʻia ʻekolu ʻano o ka mālama ʻana.

ʻOki kino

Inā hōʻike nā hopena o nā hōʻike diagnostic aia paha he tumo o ka lolo, hana ʻia kahi biopsy e ka lawe ʻana i kahi ʻiwi o ka iwi poʻo a me ka hoʻohana ʻana i kahi nila e hemo i kahi laʻana o ka lolo. ʻIke kahi pathologist i ke kiko ma lalo o ka microscope e nānā ai i nā hunaola maʻi ʻaʻai. Inā loaʻa nā hunaola maʻi ʻaʻai, e lawe ke kauka i ka nui o nā tumo i hiki ke palekana ʻia i ka wā o ke ʻoki like.

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.

Hana pinepine ʻia kahi MRI ma hope o ka hemo ʻana o ka tumo e ʻike inā e mau ana kekahi tumo. Inā kū ka tumo, hana ʻoki ʻia ka lua o ka ʻoki e like me ka hiki ke hana ʻia i nā tumo i koe.

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. Lapaʻau 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. Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i kahi o ke kino me 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): ʻO IMRT kahi ʻano o 3-dimensional (3-D) radiation radiation 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.

• Hoʻomaʻo radiation radiation Proton-beam: He ʻano ikaika nui ka Proton-beam therapy. 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.

• 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.

ʻO nā keiki ʻōpio i loaʻa i ka radiation radiation i ka lolo ka nui o ka pilikia o nā pilikia me ka ulu a me ka ulu ʻana ma mua o nā keiki nui. Ke aʻo ʻia nei ka 3-D radiation radiation therapy a me ka proton-beam therapy i nā keiki ʻōpio e ʻike inā e hoʻemi ʻia nā hopena o ka radiation i ka ulu a me ka hoʻomohala.

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 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. 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.

Ke aʻo ʻia nei ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i ka ependymoma kamaliʻi i hoʻi hou (hoʻi hou).

ʻO ka mālama ʻana no ka ependymoma kamaliʻi i kumu i 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, me nā pilikia me:

• Hoʻolālā niho.

• Hana hoʻolohe.

• ʻO ka iwi a me ka ulu ʻana o ka iwi a me ka ulu ʻana.

• Hana thyroid.

• Hahau.

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

• ʻO nā maʻi ʻelua (nā ʻano maʻi ʻaʻai hou), e like me ka maʻi ʻaʻai thyroid a i ʻole ka maʻi ʻaʻai lolo.

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.)

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 hoʻokolohua ukali no ka ependymoma kamaliʻi e komo pū me kahi MRI (kiʻi resonance magnetic) o ka lolo a me ka iwi kuamoʻo i nā wā aʻe

• ʻO 2 mua a 3 mau makahiki ma hope o ka mālama ʻana: Ma kēlā me kēia 3 a 4 mau mahina.

• ʻEhā a 5 mau makahiki ma hope o ka mālama ʻana: I kēlā me kēia 6 mahina.

• Ma mua o 5 mau makahiki ma hope o ka mālama ʻana: I hoʻokahi manawa i ka makahiki.

Ka mālamaʻana i ke kamaliʻi Myxopapillary Ependymoma

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

ʻO ka mālama ʻana i ke kamaliʻi myxopapillary ependymoma (grade I) hou i ʻike ʻia:

• ʻOki kino. I kekahi manawa hāʻawi ʻia ka radiation therapy ma hope o ke kaha ʻana.

Hoʻomaʻamaʻa i ka Ependymoma Childhood, Anaplastic Ependymoma, a me RELA Fusion – Ependymoma maikaʻi

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

ʻO ka mālama ʻana i ka ependymoma kamaliʻi hou i ʻike ʻia (papa II), ependymoma anaplastic (papa III), a me RELA fusion – ependymoma maikaʻi (papa II a papa III paha).

• ʻOki kino.

Ma hope o ke kahakaha ʻana, pili ka hoʻolālā no ka mālama hou ʻana i ka mea aʻe:

• Inā e koe kekahi o nā hunaola maʻi ʻaʻai ma hope o ke kaha ʻana.

• Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ka lolo a i ʻole ka iwi kuamoʻo.

• Ka makahiki o ke keiki.

Ke hoʻopau loa ʻia ka tumo a ʻaʻole pālahalaha ʻia nā hunaola maʻi ʻaʻai, hiki i ka mālama ʻana ke hoʻopili i kēia mau mea:

• Lapaʻau hoʻomākala.

Ke waiho ka ʻāpana o ka tumo ma hope o ke kahakaha ʻana, akā ʻaʻole pālahalaha ʻia nā hunaola maʻi ʻaʻai, e hoʻopili pū ʻia ka mālama ʻana penei:

• ʻO kahi ʻoki lua e wehe i ka nui o nā tumo i koe i hiki.

• Lapaʻau hoʻomākala.

• ʻO Chemotherapy.

Ke pālahalaha ʻia nā hunaola maʻi ʻino i loko o ka lolo a me ka iwi kuamoo, hiki i ka mālama ʻana ke hoʻopili ʻia penei

• ʻO ka radiation radiation i ka lolo a me ka iwi kuamoo.

• ʻO Chemotherapy.

ʻO ka mālama ʻana no nā keiki ma mua o 1 mau makahiki ke hoʻopili i kēia mau mea:

• ʻO Chemotherapy.

• Lapaʻau hoʻomākala. ʻAʻole hāʻawi ʻia ka radiation radiation i nā keiki a hiki i ko lākou nui ʻana ma mua o 1 mau makahiki.

• ʻO kahi hoʻokolohua hoʻokolohua o 3-dimensional (3-D) conformal radiation therapy a i ʻole proton-beam radiation therapy.

Hoʻomaʻamaʻa i ka Ependymoma Kamaliʻi hou

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

ʻO ka mālama ʻana i ka ependymoma kamaliʻi hou e hoʻopili i kēia mau mea:

• ʻOki kino.

• ʻO ka radiation radiation, i hiki ke hoʻopili ʻia i nā radiosurgery stereotactic, radiation-modulated radiation therapy, a i ʻole proton-beam radiation therapy.

• ʻO 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.

E aʻo hou aʻe e pili ana i nā Tumors Brain Childhood

No ka ʻike hou aku e pili ana i nā hikoko o ka lolo kamaliʻi, 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