Tumo lolo metastatic

ʻO ka tumor lolo lolo he maʻi ʻaʻai i hoʻomaka i kekahi ʻāpana o ke kino a ua pālahalaha aku i ka lolo.

Hiki i nā tumo a i ʻole nā ​​ʻano maʻi ʻaʻai ke hoʻolaha aku i ka lolo. ʻO nā mea maʻamau ʻo:

• Kanesa maʻi ʻaʻai
• Maʻi ʻaʻai umauma
• Melanoma
• Ka maʻi ʻaʻai ʻōpū
• Maʻi ʻaʻai Kolona
• Leukemia

ʻAʻole hoʻolaha iki kekahi ʻano o ka maʻi ʻaʻai i ka lolo, e like me ka maʻi ʻaʻai prostate. I kekahi mau hihia, hiki i kahi tumo ke pāhola i ka lolo mai kahi ʻike ʻole ʻia. Kapa ʻia kēia he maʻi ʻaʻai o ʻike mua ʻole ʻia (CUP).

Hiki i nā tumors lolo ke ulu nei i ke kaomi ma nā wahi kokoke o ka lolo. Hoʻonui ka lolo ma muli o kēia mau tumors i kumu e hoʻonui ai i ke kaomi i loko o ka iwi poʻo.

Hoʻokaʻawale ʻia nā puʻupuʻu o ka lolo i hohola ʻia ma muli o ka wahi o ka tumo i ka lolo, ke ʻano o nā ʻaʻa i pili, a me ka wahi maoli o ka tumo.

Kū nā tumors lolo metastatic ma kahi o hoʻokahi hapahā (25%) o nā maʻi āpau i pāhola ʻia i loko o ke kino. ʻOi aku ka maʻamau o lākou ma mua o nā tumors lolo mua (nā tumors e hoʻomaka i ka lolo).

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Hoʻoemi i ka hoʻohui ʻana, clumsiness, hāʻule
• Manaʻo nui a luhi paha
• He ʻeha poʻo, hou a ʻoi aku paha ke koʻikoʻi ma mua o ka maʻamau
• Ka nalowale ʻana o ka hoʻomanaʻo, ka maikaʻi ʻole o ka hoʻokolokolo ʻana, ka hoʻoponopono paʻakikī ʻana i nā pilikia
• Numbness, tingling, ʻeha, a me nā hoʻololi ʻē aʻe i ka sensation
• Hoʻololi ka pilikino
• Hoʻololi wikiwiki i ka naʻau a ʻano ʻē paha
• ʻO ka hopu ʻana i nā mea hou
• Nā pilikia me ka haʻiʻōlelo
• Hoʻololi ka hihiʻo, ʻike lua, hoʻoliʻiliʻi ʻike
• ʻO ka luaʻi, me ka nausea a i ʻole ʻole
• Nāwaliwali o kahi kino

Kūlike nā ʻano kikoʻī. Hoʻokumu ʻia nā ʻōuli maʻamau o ka nui o nā tumors lolo lolo metastatic e ka hoʻonui ʻia o ke kaomi i ka lolo.

Hiki i kahi hōʻike ke hōʻike i nā loli o ka lolo a me nā ʻōnaehana e pili ana i kahi o ka tumo i ka lolo. ʻO nā hōʻailona o ka hoʻonui ʻana o kaomi ma ka iwi poʻo he mea maʻamau. ʻAʻole hiki i kekahi mau tumors ke hōʻike i nā hōʻailona a nui loa. A laila, hiki iā lākou ke hōʻemi i ka wikiwiki loa o ka ʻōnaehana ʻōnaehana.

Hiki ke ʻike ʻia ke tumo kumu (primera) e ke nīnaninau ʻana i nāʻiʻo tumora mai ka lolo.

E komo pū paha nā hoʻāʻo:

• ʻO ka mamamogram, CT scan o ka umauma, ʻōpū, a me ke pelvis e ʻimi i ka pūnaewele tumo kumu
• CT scan a MRI paha o ka lolo e hōʻoia i ke kuhi a ʻike i kahi o ka tumo (ʻoi aku ka maʻalahi o ka MRI no ka loaʻa ʻana o nā tumors i ka lolo)
• Ua hoʻoneʻe ʻia ka nīnaninau o nā maʻi mai ka tumo i ka wā o ke kaha ʻana a i ʻole CT scan- a i alakaʻi ʻia e MRI e alakaʻi ʻia e hōʻoia i ke ʻano o ka tumo.
• Lumbar puncture (iwi kuamoʻo tap)

Ma muli o ka mālama ʻana:

• Ka nui a me ke ʻano o ka tumo
• Kahi i loko o ke kino mai kahi e palahalaha ai
• Ke olakino olakino o ke kanaka

ʻO nā pahuhopu o ka mālama ʻana e hōʻoluʻolu i nā ʻōuli, hoʻomaikaʻi i ka hana, a i ʻole hāʻawi i ka hōʻoluʻolu.

Hoʻohana pinepine ʻia ka radiation radiation therapy (WBRT) e mālama i nā puʻupuʻu i pālahalaha aʻe i ka lolo, keu hoʻi inā he nui nā puʻupuʻu, a ʻaʻole maikaʻi ke ʻoki.

Hiki ke hoʻohana i ke kaha inā aia kekahi tumo hoʻokahi a ʻaʻole pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino. E hoʻoneʻe loa ʻia kekahi mau tumors. Hiki ke hoʻemi ʻia ka nui o nā Tumors hohonu a i ʻole e kīloi i loko o ka lolo i ka nui (debulked).

Hiki i ke kīʻaha ke hoʻohaʻahaʻa i ke kaomi a hoʻomaha i nā ʻōuli i nā hihia ke hiki ʻole ke hemo ka tumo.

ʻO ka Chemotherapy no nā hikoko lolo metastatic ka mea maʻa mau e like me ke kōkua ma ke ʻoki a me ka radiation. ʻO kekahi ʻano o nā tumors, pane i ka chemotherapy.

Hiki paha ke hoʻohana i nā radiosurgery Stereotactic (SRS). Kuhi kēia ʻano radiation radiation i nā kukuna x kiʻekiʻe o ka mana ma kahi wahi liʻiliʻi o ka lolo. Hoʻohana ʻia ia inā aia kekahi mau tumors metastatic wale nō.

ʻO nā lāʻau no ka ʻōpū tumole i ka maʻi:

• ʻO nā anticonvulsants e like me phenytoin a i ʻole levetiracetam e hōʻemi a pale aku paha i ka hopu ʻana
• ʻO Corticosteroids e like me dexamethasone e hōʻemi i ka pehu o ka lolo
• ʻO nā diuretics osmotic e like me ka saline hypertonic a i ʻole mannitol e hōʻemi i ka pehu ʻana o ka lolo
• Nā lāʻau ʻeha

Ke pālahalaha ka maʻi ʻaʻai, mālama paha ka lāʻau i ka hoʻomaha ʻana i ka ʻeha a me nā ʻōuli ʻē aʻe. Kāhea ʻia kēia ʻo palliative a i ʻole kākoʻo mālama.

ʻO nā hana hōʻoluʻolu, nā hana palekana, ka hoʻomaʻamaʻa kino, ka hoʻomaʻamaʻa ʻoihana, a me nā ʻano lāʻau ʻē aʻe e hoʻomaikaʻi ai i ke ola o ka mea maʻi. Makemake paha kekahi poʻe e ʻimi i nā ʻōlelo aʻoaʻo kū kānāwai e kōkua iā lākou e hana i kahi kuhikuhi mua a me ka mana o ka loio no ka mālama olakino.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

No nā poʻe he nui me nā tumors lolo metastatic, ʻaʻole hiki ke hoʻōla ʻia ka maʻi ʻaʻa. E pālahalaha aku ia i nā wahi ʻē aʻe o ke kino. Pili ka Prognosis i ke ʻano o ka tumo a pehea e pane ai i ka lāʻau.

ʻO nā pilikia olakino e hopena ʻia paha:

• Herniation lolo (make)
• Ka nalowale o ka hiki ke hana a mālama paha iā ʻoe iho
• Lilo o ka hiki ke launa pū
• Paʻa, lilo nui o ka ʻōnaehana ʻōnaehana ʻoi aku ka maikaʻi o ka holo ʻana o ka manawa

Kāhea i kāu lawelawe mālama ola inā hoʻomohala ʻoe i kahi maʻi kuʻikuʻi mau hou a ʻokoʻa paha iā ʻoe.

Kāhea i kāu mea lawelawe a i ʻole hele i ka lumi pilikia inā ʻoe a i ʻole kekahi mea āu i ʻike ai lohi a lohi paha a ʻike paha i nā loli, a i ʻole nā ​​maʻi i hou a ʻokoʻa paha.

Tumo lolo - metastatic (kekona); Ka maʻi ʻaʻai - ʻōpū lolo (metastatic)

• Pāhawewe lolo - hoʻokuʻu
• ʻOki kino o ka lolo - hoʻokuʻu
• ʻO ka radiation radiation - nā nīnau e nīnau ai i kāu kauka

• Lolo
• MRI o ka lolo

ʻO Clifton W, Reimer R. Nā Tumors lolo Metastatic. I: Chaichana K, Quiñones-Hinojosa A, eds. Hōʻuluʻulu manaʻo laulā o nā hana ʻoki ʻana o kēia ao i nā tumors o ka lolo maoli. Piladelapia, PA: Elsevier; 2019: chap 8.

ʻO Dorsey JF, Salinas RD, Dang M, et al. Ka maʻi ʻaʻai o ka ʻōnaehana waena. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 63.

ʻO Elder JB, Nahed BV, Linskey ME, Olson JJ. ʻO ka Congress of Neurological Surgeons ʻōnaehana ʻōnaehana a me nā alakaʻi e pili ana i nā hōʻike e pili ana i ka hana o nā lāʻau kū i waho a me nā noiʻi no ka mālama ʻana i nā mākua me nā tumors lolo metastatic. Neurosurgery. 2019; 84 (3): E201-E203. PMID 30629215 pubmed.ncbi.nlm.nih.gov/30629215/.

Pūnaewele ʻo National Cancer Institute. Hoʻomaʻemaʻe ka ʻōnaehana ʻōiwi mākua (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/brain/hp/adult-brain-treatment-pdq. Hoʻohou i Ianuali 22, 2020. Loaʻa iā Pepeluali 12, 2020.

ʻO Olson JJ, Kalkanis SN, Ryken TC. ʻO ka Congress of Neurological Surgeons Systematic Review a me nā kuhikuhi e pili ana i ka hōʻike no ka mālama ʻana i nā mākua me nā tumors lolo metastatic: hōʻuluʻulu mana. Neurosurgery. 2019; 84 (3): 550-552. PMID 30629218 pubmed.ncbi.nlm.nih.gov/30629218/.

ʻO Patel AJ, Lang FF, Suki D, Wildrick DM, Sawaya R. Nā Tumor lolo Metastatic. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 146.