Tumo ʻōiwi

ʻO kahi ʻōiwi ʻōiwi kahi ulu o nā hunaola (nui) i loko a i ʻole puni o ka iwi kuamoʻo.

Hiki ke hana i kekahi ʻano tumo i ka iwi kuamoo, e like me nā tumora mua a me nā lua.

ʻO nā tumors mua: ʻo ka hapa nui o kēia mau tumors he benign a lohi e ulu ana.

• Astrocytoma: kahi tumo o nā hunaola i loko o ka iwi kuamoʻo
• Meningioma: ka tumo o ke kino e uhi i ka iwi kuamoʻo
• ʻO Schwannoma: kahi tumo o nā hunaola e hoʻopuni ana i nā olonā nerve
• ʻO Ependymoma: kahi tumo o nā hunaola e kau ana i nā lua o ka lolo
• Lipoma: kahi tumo o nā momona momona

ʻO nā Tumors Secondary a metastasis paha: ʻo kēia mau tumors nā hunaola maʻi ʻea e hele mai ana mai nā wahi ʻē aʻe o ke kino.

• ʻO nā maʻi ʻaʻai Prostate, lung, a me nā umauma
• Leukemia: kahi maʻi ʻaʻa koko e hoʻomaka i nā huna keʻokeʻo i ka iwi iwi
• Lymphoma: kahi maʻi ʻaʻai o ke kiko lymph
• Myeloma: kahi maʻi ʻaʻa koko e hoʻomaka i nā hunaola plasma o ka iwi iwi

ʻAʻole ʻike ʻia ke kumu o nā ʻōpū ʻōiwi mua. Kūpono kekahi mau iwi kuamoʻo mua me kekahi ʻano hoʻololi o nā moʻomeheu hoʻoilina.

Hiki ke loaʻa nā ʻōiwi ʻōiwi:

• I loko o ka iwi kuamoʻo (intramedullary)
• I nā membrane (meninges) e uhi ana i ka iwi kuamoʻo (extramedullary - intradural)
• Ma waena o nā meninges a me nā iwi o ka iwi kuamoʻo (extradural)
• I ka vertebrae iwi

Ke ulu nei ia, hiki i ka tumo ke hoʻopili i ka:

• Nā kīʻaha koko
• Iwi o ka iwikuamoʻo
• ʻO Meninges
• Nā aʻa nerve
• Nā pūnaewele kaula iwi kuamoʻo

Kāomi paha ka tumo i ka iwi kuamoo a i ʻole nā ​​aʻa aʻa, e hōʻino ai. Me ka manawa, lilo mau ka ʻino i paʻa mau.

Pili nā ʻōuli i ka wahi, ke ʻano tumo, a me kou olakino laulā. ʻO nā maʻi ʻelua i palahalaha aʻe i ka iwi kuamoʻo mai kahi pūnaewele ʻē aʻe (metastatic tumors) e holomua wikiwiki ai. Holomua pinepine nā tumors ma mua o nā pule a hala nā makahiki.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO nā mea maʻamau a i ʻole ka nalo ʻana o ka naʻau, keu hoʻi i nā wāwae
• ʻO kaʻeha hope eʻoi aku ka hewa ma mua o ka manawa, pinepine i ka waena a i ʻole ke kua i lalo, ʻoi aku ka nui a ʻaʻole hoʻomaha ʻia e ka lāʻau ʻeha, ʻoi aku ka ʻino i ka wā e moe ana i lalo a i ʻole ke kanikau (e like me ka wā o ka ʻū a sneeze paha), a hiki i nā pūhaka. a mau wāwae paha
• Ka nalowale ʻana o ka ʻōpū, kahe o ka ʻai
• ʻO nā kuʻina Muscle, nā twitches, a i ʻole nā ​​spasms (fasciculations)
• ʻO ka nāwaliwali o ka mākau (hoʻemi i ka ikaika o nā mākala) i nā wāwae e hāʻule ai, paʻakikī i ka hele ʻana, a e ʻoi aku ka maikaʻi (holomua) a alakaʻi i ka palal

Hiki i ke kānana ʻōnaehana (neurological) ke kōkua e kuhikuhi i ka wahi o ka tumo. E ʻike paha ka mea mālama ola i kēia mau mea ma kahi hōʻike.

• Nā reflexes maʻamau
• Hoʻonui i ke kani o ka mākala
• Loaʻa o ka ʻeha a me ke ʻano o ka mahana
• Nāwaliwali ka ʻiʻo
• Ka palupalu i ka iwi kuamoʻo

Hiki i kēia mau hoʻāʻo ke hoʻokūpaʻa i ka iwi kuamoʻo:

• Spinal CT
• Spine MRI
• Spine x-ray
• Ninaninau wai Cerebrospinal (CSF)
• Myelogram

ʻO ka pahuhopu o ka mālama ʻana e hōʻemi a pale aku paha i ka hōʻino o ke aʻa i hoʻokumu ʻia e kaomi ma (kaomi ʻana) i ka iwi kuamoʻo a hōʻoia e hiki iā ʻoe ke hele.

E hāʻawi koke ʻia ka lāʻau. ʻO nā ʻōuli wikiwiki e hoʻomohala, pono ka lāʻau wikiwiki e pale i ka hōʻeha mau loa. ʻO kēlā me kēia ʻehaʻeha hope a i ʻole wehewehe ʻole ʻia i ka mea maʻi me ka maʻi ʻaʻai.

Loaʻa nā mālama iā:

• Hāʻawi ʻia paha ʻo Corticosteroids (dexamethasone) e hōʻemi i ka mumū a me ka pehu ʻana a puni ka iwi kuamoʻo.
• Pono paha ke ʻōpilikia pōpilikia e hōʻoluʻolu i ke kaomi ʻana ma ka iwi kuamoʻo. Hiki ke hoʻopau loa i kekahi mau tumors. I nā hihia ʻē aʻe, hiki ke hoʻoneʻe ʻia kahi ʻāpana o ka tumo e hōʻoluʻolu i ke kaomi o ka iwi kuamoʻo.
• Hiki ke hoʻohana ʻia ka radiation radiation me, a i ʻole ma kahi o ka ʻoki ʻana.
• ʻAʻole i hōʻoia maikaʻi ʻia ʻo Chemotherapy e kūʻē i ka nui o nā tumo iwi kuamoʻo, akā koi ʻia paha i kekahi mau hihia, ke kaukaʻi ʻia i ke ʻano o ka tumo.
• Pono paha ka lāʻau hoʻoikaika kino e hoʻomaikaʻi i ka ikaika o ka mākala a me ka hiki ke hana kūʻokoʻa.

Hoʻololi ka hopena ma muli o ka tumo. ʻO ke kuhi mua a me ka mālama ʻana e alakaʻi i kahi hopena maikaʻi aʻe.

Hoʻomau pinepine ka hōʻino ʻana o ke aʻa, ʻoiai ma hope o ke kaha ʻOiai paha he nui o ke kīnā mau, hiki i ka mālama mua ʻana ke hoʻolohi i ke kīnā nui a me ka make.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka mōʻaukala o ka maʻi ʻaʻai a hoʻomōhala i ka ʻehaʻeha o ke kua i hiki koke a ʻino paha.

E hele i ka lumi pilikia a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko inā hoʻomohala ʻoe i nā ʻōuli hou, a i ʻole e ʻoi aku ka maikaʻi o kāu mau hōʻailona i ka mālama ʻia ʻana o kahi tumo spinal.

Tumor - kaulaʻi iwi kuamoʻo

• Vertebrae
• Tumo ʻōiwi

DeAngelis LM. ʻO nā tumors o ka ʻōnaehana ʻōnaehana waena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 180.

Jakubovic R, Ruschin M, Tseng CL, Pejovic-Milic A, Sahgal A, Yang VXD. ʻO ke kīʻaha ʻana me ka hoʻolālā hoʻomalu radiation o nā iwi kuamoʻo. Neurosurgery. 2019; 84 (6): 1242-1250. PMID: 29796646 pubmed.ncbi.nlm.nih.gov/29796646/.

Moron FE, Delumpa A, Szklaruk J. Spinal tumors. I: Haaga JR, Boll DT, eds. CT a me MRI o ke Kino holoʻokoʻa. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 30.

Niglas M, Tseng C-L, Dea N, Chang E, Lo S, Sahgal A. Kaohi ka iwi kuamoʻo. I: Niederhuber JE, Armitage JO, Kastan MB, Doroshow JH, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 54.