Craniopharyngioma

ʻO kahi craniopharyngioma kahi tumo noncancerous (benign) e ulu ma ke kumu o ka lolo kokoke i ka pituitary gland.

ʻAʻole ʻike ʻia ke kumu kikoʻī o ka tumo.

Hoʻopili pinepine kēia tumo i nā keiki ma waena o 5 a 10 mau makahiki. Hiki i nā mākua ke hoʻopili ʻia i kekahi manawa. Hoʻolālā like nā keikikāne a me nā kaikamahine i kēia tumo.

Hoʻokumu ʻo Craniopharyngioma i nā ʻōuli e:

• Hoʻonui i ke kaomi ma ka lolo, maʻa mau mai ka hydrocephalus
• Hoʻopilikia i ka hana hormone e ka pituitary gland
• Kaomi a hōʻino paha i ke aʻalolo optic

Hiki ke hoʻonui i ka kaomi ma ka lolo i kumu:

• ʻEha poʻo
• Nusea
• ʻO ka luaʻi (ʻoi loa i ke kakahiaka)

ʻO ka hōʻino i ka pituitary gland ke kumu o ke kaulike ʻole o ka hormone i hiki ke alakaʻi i ka make wai a me ka mimiki nui, a me ka ulu lohi.

Ke hōʻino ʻia ke aʻalolo optic e ka tumo, ulu nā pilikia ʻike. Paʻa mau kēia mau kīnā. Hiki iā lākou ke ʻino ma hope o ke kaha ʻana e wehe i ka tumo.

Aia paha nā pilikia a me nā pilikia aʻo.

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. E hana ʻia nā hōʻike e nānā i kahi tumo. Pākuʻi ʻia kēia mau mea:

• Nā ho'āʻo koko e ana i nā pae hormonone
• ʻO ka scan CT a i ʻole ka scan MRI o ka lolo
• Ka hoʻokolokolo ʻana o ka ʻōnaehana hopohopo

ʻO ka pahuhopu o ka mālama ʻana e hōʻoluʻolu i nā ʻōuli. ʻO ka maʻamau, ʻo ke ʻoki ka mālama nui ʻana no craniopharyngioma. Eia nō naʻe, ʻo ka hoʻomaʻamaʻa radiation ʻana ma kahi o ke kaha ʻana a i ʻole me ke ʻoki liʻiliʻi ʻo ia paha ke koho maikaʻi loa no kekahi poʻe.

I nā tumors hiki ʻole ke hemo loa me ke ʻoki wale nō, hoʻohana ʻia ka radiation radiation.Inā loaʻa kahi hiʻohiʻona maʻamau o ka tumora ma CT scan, ʻaʻole pono paha kahi biopsy inā e hoʻolālā ʻia ka mālama ʻana me ka radiation wale nō.

Hana ʻia ka radiosurgery Stereotactic ma kekahi mau kikowaena olakino.

Mālama maikaʻi loa ʻia kēia tumelo i kahi kikowaena me ka ʻike i ka mālama ʻana i nā craniopharyngiomas.

Ma ka laulā, maikaʻi ka nānā. Aia kahi 80% a 90% manawa o ka hoʻōla inā hiki ke hoʻopau loa ʻia ka tumo me ke kahakaha a i ʻole mālama ʻia me nā kaha kiʻekiʻe o ka radiation. Inā hoʻi ka ʻōpū, hoʻi pinepine ia i loko o nā makahiki 2 ma hope o ke kahakaha ʻana.

Aia ʻo Outlook i nā kumu he nui, e like me:

• Inā hiki ke hemo loa i ka tumo
• ʻO nā pilikia ʻōnaehana ʻōiwi a me nā hormonal imbalances ka tumo a me ke kumu mālama

ʻO ka hapa nui o nā pilikia me nā hormoni a me ka hihi e hoʻomaikaʻi ʻole me ka lāʻau. I kekahi manawa, ʻoi aku paha ka maikaʻi o ka mālama ʻana iā lākou.

Aia paha he hormone lōʻihi, ʻike, a me nā pilikia ʻōnaehana hopohopo ma hope o ka mālama ʻia ʻana o craniopharyngioma.

Ke wehe ʻole ʻia ka tumo, hoʻi paha ke ʻano.

Kāhea i kāu mea hāʻawi no nā ʻōuli penei:

• Headache, nausea, luaʻi, a me nā pilikia kaulike (nā hōʻailona o ka hoʻonui ʻia o ke kaomi ma ka lolo)
• Hoʻonui i ka make wai a me ka urination
• Ke ulu maikaʻi ʻole ʻana o ke keiki
• Hoʻololi ka hihiʻo

• Nānā Endocrine

ʻO Styne DM. Physiology a me nā maʻi o ka wā ʻōpio. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 26.

Suh JH, Chao ST, Murphy ES, Recinos PF. Nā pituitary tumors a me nā craniopharyngiomas. I: Tepper JE, Foote RL, Michalski JM, eds. ʻO Gunderson & Tepper's Clinical Radiation Oncology. 5th lā. Piladelapia, PA: Elsevier; 2021: chap 34.

ʻO Zaky W, Ater JL, Khatua S. Brain tumors i ka wā kamaliʻi. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 524.