Tumo Hypothalamic

ʻO kahi tumo hypothalamic kahi ulu ulu ʻole i ka hypothalamus gland, aia i loko o ka lolo.

ʻAʻole ʻike ʻia ke kumu kūpono o nā tumors hypothalamic. Loaʻa paha lākou ma muli o ka hui pū ʻana o nā ʻano kūpuna a me ke kaiapuni.

I nā keiki, ʻo ka hapa nui o nā tumors hypothalamic he gliomas. ʻO nā gliomas kahi ʻano maʻamau o ka tumo lolo i hopena ʻia mai ka ulu pono ʻole o nā hunaola glial, e kākoʻo ana i nā hunaola nerve. Hiki i nā gliomas ke hana i kēlā me kēia makahiki. Hoʻonui pinepine lākou i ka poʻe makua ma mua o nā keiki.

I ka poʻe mākua, ʻo nā tumors i ka hypothalamus ka ʻoi loa o ka maʻi ʻaʻai i hoʻolaha ʻia mai kahi meaola ʻē aʻe.

ʻO ka poʻe me ka neurofibromatosis (kahi kūlana hoʻoilina) aia i ka nui o ka makaʻu no kēia ʻano tumo. Hoʻonui ka pilikia o ka poʻe i loaʻa i ka radiation radiation i ka ulu ʻana o nā tumors i ka laulā.

Hiki i kēia mau tumors ke hana i kahi o nā ʻōuli:

• Nā manaʻo "kiʻekiʻe" ʻo Euphoric
• Ke kūleʻa ʻole (ka nele o ka ulu maʻamau o nā keiki)
• ʻEha poʻo
• Hyperactivity
• Loaʻa ka momona o ke kino a me ka makemake (cachexia)

ʻIke pinepine ʻia kēia mau ʻōuli i nā keiki nona nā tumors e hoʻopili i ka ʻaoʻao mua o ka hypothalamus.

Hiki i kekahi mau tumors ke kumu o ka nalo ʻana o ka hihi. Inā pale ka puʻupuʻu i ke kahe o ka wai o ka iwi maha, ʻeha ka maʻi poʻo a me ka hiamoe ʻana mai ka hōʻiliʻili wai i ka lolo (hydrocephalus).

Hiki i kekahi poʻe ke lele i ka hopena o nā tumors lolo. Hiki i nā kānaka ʻē aʻe ke ulu i ka puberty precocious mai kahi loli i ka hana pituitary gland.

ʻIke paha kāu mea mālama olakino i nā hōʻailona o ka tumo hypothalamic i ka wā o ka nānā pinepine ʻana. Hiki ke hana ʻia kahi lolo a me ka ʻōnaehana ʻōnaehana (neurological), me nā hoʻāʻo o ka ʻike maka. Hiki ke kauoha ʻia nā hōʻoia koko no nā kaulike ʻole o ka hormone.

Kaukaʻi ʻia i nā hopena o ka hoʻokolokolo ʻana a me nā hoʻokolohua koko, hiki i kahi CT scan a i ʻole MRI scan ke hoʻoholo inā loaʻa paha kahi tumo hypothalamic iā ʻoe.

E hana paha i ka hoʻāʻo kahua ʻike e nānā ai no ka nalo ʻana o ka hihiʻo a no ka hoʻoholo inā hoʻomaikaʻi a ʻano ʻino paha ke ʻano.

Pili ka lāʻau i ka ikaika o ka tumo, a inā he glioma a i ʻole kekahi ʻano maʻi ʻaʻai. Hoʻopili paha ka mālama ʻana i nā hui pū ʻana o ke ʻoki, radiation, a me chemotherapy.

Hiki ke kau i ka mālama ʻana i ka radiation radiation ma ka tum tum. Hiki iā lākou ke keu e like me ke ʻoki ʻana, me ka liʻiliʻi o ka makaʻu i nāʻiʻo a puni. Pono e mālama ʻia ka pehu ʻana o ka lolo ma muli o kahi tumo.

Hiki i nā tumors hypothalamic ke hana i nā homone a hoʻopili paha i ka hana hormone, e alakaʻi ai i nā kaulike ʻole e pono ai e hoʻoponopono. I kekahi mau hihia, pono e hoʻololi a hoʻoliʻiliʻi paha i nā homone.

Hiki iā ʻoe ke kōkua pinepine i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo kahi e puʻunaue ai nā lālā i nā ʻike a me nā pilikia maʻamau.

Aia ka nānā i:

• Ke ʻano o ka tumo (glioma a i ʻole ʻano ʻano ʻē aʻe)
• Kahi o ka tumo
• Papa o ka tumo
• Ka nui o ka tumo
• ʻO kou mau makahiki a me kou olakino laulā

Ma ka laulaha, ʻoi aku ka hakakā o nā gliomas i nā mākua ma mua o nā keiki a ʻoi ka hopena maikaʻi ʻole. Hiki i nā tumors ke kumu i ka hydrocephalus ke kumu i nā pilikia hou aʻe, a pono paha i kahi ʻoki.

Komo pū kekahi nā pilikia o ke kahakaha ʻana o ka lolo:

• Kahena
• Poino lolo
• Make (kākaʻikahi)
• Maʻi kīnā

Hiki ke hopena i nā maʻi mai ka tumo a mai kekahi hana ʻoki lāʻau ma ka lolo.

Hiki i ka Hydrocephalus ke hana me kekahi mau tumors a hiki ke koi aku i ke ʻoki ʻana a i ʻole ka catheter i kau ʻia i ka lolo e hoʻemi i ke kaomi wai o ka iwi.

ʻO nā pōʻino no ka radiation radiation pū me ka hōʻino ʻana i nā hunaola olakino ke luku ʻia nā hunaola tumo.

ʻO nā hopena maʻa mau mai ka chemotherapy e komo pū me ka nalo ʻana o ka makemake, ka pīhoihoi a me ka luaʻi, a me ka luhi.

Kāhea i kāu mea hāʻawi inā ʻoe a i ʻole kāu keiki e hoʻomohala i nā hōʻailona o ka tumo hypothalamic. ʻIke paha nā loiloi olakino maʻamau i nā ʻōuli mua o kahi pilikia, e like me ka loaʻa ʻana o ke kaupaona ʻole a i ʻole ka wā ʻōpio.

Hypothalamic glioma; Hypothalamus - ʻōiwi

ʻO Goodden J, Mallucci C. Ala optic ala hypothalamic gliomas. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 207.

Weiss RE. Neuroendocrinology a me ka ʻōnaehana neuroendocrine. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 210.