Neuroblastoma: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui a me nā ʻōuli
• Pehea e hōʻoia ai i ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO Neuroblastoma kahi ʻano o ka maʻi ʻaʻai e hoʻopili i nā hunaola o ka ʻōnaehana puʻuwai aloha, nona ke kuleana no ka hoʻomākaukau ʻana i ke kino e pane i nā pilikia pilikia a me nā pilikia. Kūkulu kēia ʻano tumo i nā keiki a hiki i ka 5 mau makahiki, akā ʻoi aku ka maʻamau o ka ʻike ʻana ma waena o 1 a me 2 mau makahiki, a hiki ke hoʻomaka i nā aʻa o ka umauma, lolo, ʻōpū a i ʻole nā ​​adrenal adrenal i loaʻa ma luna. kēlā me kēia puʻupaʻa.

ʻO nā keiki ma lalo o 1 mau makahiki a me nā puʻupuʻu liʻiliʻi loaʻa ka manawa ʻoi aku ka nui o ka hoʻōla, keu hoʻi ke hoʻokumu ʻia i ka mālama mua. Ke hana mua ʻia ke kuhi a ʻaʻole hōʻike i nā metastases, hiki ke wehe ʻia ka neuroblastoma me ka ʻole o ka radiotherapy a i ʻole ka lāʻau antineoplastic. No laila, he hopena maikaʻi ka ʻike mua o ka neuroblastoma i ke ola a me ke ola o ke keiki.

Nā hōʻailona nui a me nā ʻōuli

Hoʻololi nā ʻōuli a me nā ʻōuli o ka neuroblastoma e like me ka wahi a me ka nui o ka tumo, a ʻoi aku ka nui o ka hoʻolaha ʻana a ʻaʻole paha a me ka hana ʻana o ka tumo i nā homone.

Ma ka laulaha, nā hōʻailona a me nā ʻōuli e hōʻike ana i ka neuroblastoma:

• ʻEha o ka ʻōpū a me ka hoʻonui ʻana;
• ʻEha iwi;
• Ka nele o ka makemake;
• Kaumaha emi;
• Malaise lehulehu;
• Luhi nui loa;
• Fiva;
• Pohā;
• Hypertension, ma muli o ka hana ʻana o nā hormones e ka tumo e alakaʻi i ka vasoconstriction o nā moku;
• Hoʻonui ākea;
• Maka maka pehu;
• Nā haumāna like 'ole like' ole;
• Ka nele o ka hou;
• ʻEha poʻo poʻo;
• ʻO ka pehu i nā wāwae;
• Hanu paʻakikī;
• Puka mai nā ʻāpā;
• ʻO ka helehelena o nā nodule i loko o ka ʻōpū, lumbar, ʻāʻī a i ʻole ka umauma.

Ke ulu a pālahalaha ka tumo, ʻike ʻia nā ʻōuli i kikoʻī loa i ka pūnaewele o metastasis. ʻOiai ʻaʻole kikoʻī nā ʻōuli, hiki iā lākou ke ʻokoʻa mai ke keiki a ke keiki, hiki ke like me nā maʻi ʻē aʻe, a haʻahaʻa ka hanana o ka maʻi, ʻaʻole ʻike pinepine ʻia ka neuroblastoma. Eia nō naʻe, he mea nui e hana ʻia ke kuhi ma ka wā hiki ke hōʻalo i ka hoʻolaha ʻana i ka tumo a me ka hoʻomāhuahua ʻana o ka maʻi.

Pehea e hōʻoia ai i ke kuhi

Hana ʻia ke kuhi o neuroblastoma ma o ke keʻena hoʻokolohua a me nā hōʻike kiʻi e pono ai e kauka, ʻoiai ʻaʻole hiki ke ʻike ʻia ma muli o nā ʻōuli. Ma waena o nā hoʻāʻo i noi ʻia ka mahele o catecholamines i ka mimi, he mau homone i hana maʻamau ʻia e nā hunaola o ka ʻōnaehana mālamalama aloha, a ma ke kahe o ke koko e hāpai i nā metabolite nona ka nui i hōʻoia i ka mimi.

Hoʻohui ʻia, helu piha ke koko a me nā hoʻokolohua kiʻi, e like me ka umauma a me ka ʻōpū X-ray, ultrasound, tomography, magnetic resonance a me ka iwi scintigraphy, e laʻa ʻia. No ka hoʻopau ʻana i ke kuhi, noi ʻia paha kahi biopsy e hōʻoia he maʻi maʻi ia. E maopopo he aha ia a pehea e hana ai ka biopsy.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana o neuroblastoma e like me ka makahiki o ke kanaka, ke olakino laulā, kahi o ka tumo, ka nui a me ke kahua o ka maʻi. I nā pae mua, hana wale ʻia ka lāʻau me ke ʻoki kino e hemo ai i ka tumo, me ka ʻole o ka lāʻau hou aʻe.

Eia nō naʻe, i nā hihia kahi i ʻike ʻia ai ka metastasis, pono paha ka chemotherapy e hoʻemi i ka helu hoʻonui o nā hunaola malignant a, ʻo ka hopena, ka nui o ka tumo, a ukali ʻia e ke ʻoki a me ka hoʻoponopono kōkua ʻana me chemotherapy a me radiotherapy. I kekahi mau hihia ʻoi aku ka koʻikoʻi, keu hoʻi i ka wā ʻōpio o ke keiki, e paipai ʻia ka hoʻoneʻe iwi iwi ma hope o chemo a me radiotherapy.