
Cov qog hlwb yog kev loj hlob txawv txav nyob rau hauv lub hlwb uas tuaj yeem cuam tshuam nws txoj haujlwm ib txwm muaj. Kev tshawb pom ntxov thiab kev kho mob tsim nyog yog qhov tseem ceeb rau kev tswj cov xwm txheej no. Cov lus qhia dav dav no npog cov ntaub ntawv tseem ceeb txog mob hlwb, suav nrog lawv cov tsos mob, kev kuaj mob, thiab cov kev kho mob tshiab kawg uas muaj nyob rau hauv cov tsev kawm ntawv zoo li Shandong Baofa Cancer Research Institute.Lub paj hlwb yog dab tsi?A mob hlwb yog ib qho loj lossis loj hlob ntawm cov hlwb txawv txav hauv lub hlwb. Cov qog no tuaj yeem yog benign (tsis yog mob qog noj ntshav) lossis malignant (cancerous). Cov qog nqaij hlav tuaj yeem loj hlob sai thiab nkag mus rau ib puag ncig cov ntaub so ntswg hauv hlwb, thaum cov qog nqaij hlav zoo li loj hlob qeeb dua thiab tsis tshua kis tau. Ob hom qog tuaj yeem ua rau muaj teeb meem loj los ntawm kev tso siab rau lub hlwb thiab cuam tshuam nws txoj haujlwm ib txwm muaj. Ntawm Shandong Baofa Cancer Research Institute, peb mob siab rau nrhiav kev daws teeb meem rau mob qog noj ntshav, suav nrog mob hlwb. Hom mob hlwbCov qog hlwb raug cais raws li hom cell uas lawv pib los ntawm thiab lawv tus cwj pwm. Qee hom muaj xws li: Gliomas: Cov no yog cov feem ntau hom mob hlwb thiab tshwm sim los ntawm glial hlwb, uas txhawb cov paj hlwb hauv lub hlwb. Piv txwv li astrocytomas, oligodendrogliomas, thiab glioblastomas. Meningiomas: Cov qog no tsim los ntawm cov qog nqaij hlav, cov membranes uas nyob ib puag ncig thiab tiv thaiv lub hlwb thiab qaum qaum. Lawv feem ntau yog benign. Acoustic Neuromas (Schwannomas): Cov qog no loj hlob ntawm cov hlab ntsha vestibulocochlear, uas txuas lub pob ntseg sab hauv mus rau lub hlwb. Pituitary qog: Cov qog no tsim nyob rau hauv lub caj pas pituitary, ib lub qog me me ntawm lub hauv paus ntawm lub hlwb uas tswj cov tshuaj hormones. Metastatic hlwb hlav: Cov qog no tshwm sim thaum cov qog nqaij hlav qog nqaij hlav los ntawm lwm qhov hauv lub cev, xws li lub ntsws, lub mis, lossis daim tawv nqaij, kis mus rau lub hlwb. Cov tsos mob ntawm lub paj hlwb. mob hlwb tuaj yeem sib txawv nyob ntawm tus qog qhov loj, qhov chaw, thiab kev loj hlob. Cov tsos mob tshwm sim muaj xws li: Mob taub hau: Feem ntau tshwm sim thaum sawv ntxov thiab tuaj yeem nrog xeev siab lossis ntuav. Kev qaug dab peg: Yuav yog thawj kos npe ntawm ib mob hlwb. Teeb meem tsis pom kev: Qhov muag tsis pom kev, pom ob lub qhov muag, lossis tsis pom qhov muag peripheral. Hais lus nyuaj: Teeb meem hais lus lossis nkag siab hom lus. Tsis muaj zog los yog loog: Hauv caj npab lossis txhais ceg. Cov teeb meem nyiaj tshuav: Taug kev nyuaj lossis tswj kev sib npaug. Kev hloov ntawm tus kheej lossis tus cwj pwm: Kev ntxhov siab, tsis meej pem, lossis teeb meem nco.Diagnosis of Brain TumorsDiagnosing a mob hlwb Feem ntau suav nrog kev kuaj mob hlwb thiab kev kuaj pom.Neurological ExaminationKev kuaj mob paj hlwb ntsuas tus neeg mob lub zeem muag, hnov lus, sib npaug, kev sib koom tes, kev xav, thiab kev txawj ntse.Imaging TestsCov kev ntsuam xyuas no pab pom lub hlwb thiab txheeb xyuas tej yam txawv txav. Cov kev ntsuam xyuas imaging feem ntau muaj xws li: MRI (Magnetic Resonance Imaging): Muab cov duab ntxaws ntxaws ntawm lub hlwb thiab tuaj yeem pab txheeb xyuas qhov loj, qhov chaw, thiab cov yam ntxwv ntawm a mob hlwb. CT Scan (Computed Tomography): Siv X-rays los tsim cov duab sib luag ntawm lub hlwb. PET Scan (Positron Emission Tomography): tuaj yeem pab txiav txim siab txog kev ua haujlwm metabolic ntawm a mob hlwb.BiopsyA biopsy yuav tshem tawm cov qauv me me ntawm cov ntaub so ntswg los ntawm mob hlwb rau kev ntsuam xyuas nyob rau hauv ib lub microscope. Qhov no yuav pab txiav txim seb hom qog thiab seb nws puas yog benign los yog malignant.Kev kho mob rau lub hlwb tumorsTreatment rau mob hlwb nyob ntawm ntau yam, suav nrog hom, qhov loj me, qhov chaw, thiab qib ntawm cov qog, nrog rau tus neeg mob qhov kev noj qab haus huv tag nrho. Cov kev kho mob uas muaj xws li: Kev phais phais feem ntau yog thawj kab ntawm kev kho mob rau kev siv tau mob hlwb. Lub hom phiaj ntawm kev phais yog tshem tawm cov qog ntau npaum li sai tau yam tsis muaj kev puas tsuaj rau lub paj hlwb. Cov txheej txheem phais mob siab heev, xws li kev phais cov duab qhia thiab kev phais me me, tuaj yeem pab txhim kho cov txiaj ntsig thiab txo qhov kev pheej hmoo ntawm cov teeb meem.Radiation TherapyRadiation therapy siv cov hluav taws xob hluav taws xob ntau los tua. mob hlwb hlwb. Nws tuaj yeem siv ib leeg lossis ua ke nrog kev phais thiab tshuaj khomob. Hom kev kho hluav taws xob muaj xws li kev kho hluav taws xob sab nraud, stereotactic radiosurgery (piv txwv li, Gamma Rife), thiab brachytherapy.ChemotherapyChemotherapy siv tshuaj tua kab mob qog noj ntshav. Nws tuaj yeem muab tshuaj los ntawm qhov ncauj los yog intravenously. Tshuaj kho mob feem ntau yog siv los kho malignant mob hlwb, tshwj xeeb tshaj yog gliomas.Targeted TherapyTargeted therapy siv cov tshuaj uas tshwj xeeb tsom rau cov qog nqaij hlav cancer 'cov yam ntxwv tshwj xeeb. Cov tshuaj no tuaj yeem pab qeeb txoj kev loj hlob ntawm mob hlwb los yog tua cov qog nqaij hlav cancer tsis ua mob rau cov hlwb noj qab haus huv. Piv txwv xws li bevacizumab (Avastin) thiab erlotinib (Tarceva).ImmunotherapyImmunotherapy siv lub cev lub cev tiv thaiv kab mob los tiv thaiv qog noj ntshav. Nws tuaj yeem siv los kho qee yam ntawm mob hlwb, xws li melanoma uas tau kis mus rau lub hlwb. Piv txwv muaj xws li checkpoint inhibitors xws li pembrolizumab (Keytruda) thiab nivolumab (Opdivo).Clinical TrialsClinical trials yog cov kev tshawb fawb tshawb fawb uas ntsuas cov kev kho tshiab rau. mob hlwb. Kev koom nrog hauv kev sim tshuaj yuav ua rau cov neeg mob nkag mus rau cov kev kho tshiab uas tseem tsis tau muaj dav. mob hlwb Nws txawv nyob ntawm ntau yam, nrog rau hom thiab qib ntawm cov qog, tus neeg mob lub hnub nyoog thiab kev noj qab haus huv tag nrho, thiab kev kho mob tau txais. Kev ciaj sia tuaj yeem nyob ntawm ntau lub hlis mus rau ntau xyoo.Ntawm no yog ib qho piv txwv ntawm cov ntaub ntawv muaj sia nyob rau ntau qib ntawm astrocytoma (ib hom glioma). Nco ntsoov tias cov no yog cov kev txheeb cais dav dav thiab cov txiaj ntsig ntawm tus kheej tuaj yeem sib txawv: Tumor Qib 5-Year Survival Rate (kwv yees) Qib I Astrocytoma (Pilocytic Astrocytoma) 80-90% Qib II Astrocytoma (Diffuse Astrocytoma) 50-70% Qib III Astrocytoma (Anticytoma) 80-90% Qib II Astrocytoma (Diffuse Astrocytoma) 50-70% Qib III Astrocytoma (Anplaste) Astrocytoma (Glioblastoma Multiforme - GBM) 5-10% Source: Cov ntaub ntawv muab los ntawm ntau qhov chaw, suav nrog National Cancer Institute (NCI) thiab American Cancer Society (ACS). Cov nqi no yog kwv yees thiab tuaj yeem sib txawv raws li tus neeg mob yam tseem ceeb.Living with a Brain TumorLiving with a mob hlwb tuaj yeem nyuaj, ob qho tib si lub cev thiab kev xav. Cov pab pawg txhawb nqa, kev pab sab laj, thiab kev kho kom rov zoo tuaj yeem pab cov neeg mob thiab lawv tsev neeg daws cov teeb meem ntawm mob hlwb. Kev tswj hwm txoj kev noj qab haus huv, suav nrog kev noj zaub mov kom zoo, kev tawm dag zog ib txwm, thiab kev tswj hwm kev ntxhov siab, tuaj yeem txhim kho lub neej zoo.Cov qog hlwb yog cov xwm txheej nyuaj uas xav tau kev saib xyuas tshwj xeeb. Kev kuaj pom ntxov, kuaj pom tseeb, thiab kev kho mob tsim nyog yog qhov tseem ceeb rau kev txhim kho cov txiaj ntsig. Yog tias koj lossis ib tus neeg hlub tau raug kuaj xyuas nrog a mob hlwb, Nws yog ib qho tseem ceeb uas yuav tau nrhiav kev saib xyuas los ntawm ib pab pawg kws tshaj lij uas tuaj yeem muab cov lus pom zoo rau kev kho tus kheej. Xav paub ntau ntxiv txog peb cov kev tshawb fawb thiab kev kho mob cancer ntawm Shandong Baofa Cancer Research Institute.