So wowɔ ɛyaw a ɛte sɛɛ wɔ wo nnompe mu? Momma yɛnka (Osteoid Osteoma) ho asɛm!

So ɛtɔ mmere bi a wote ɛyaw a ɛyɛ nwonwa wɔ wo nnompe mu, titiriw anadwo? Ebia ɛnyɛ nipadua mu yaw ara kwa. Ɛnnɛ yɛbɛka akisikuru ketewaa bi a ɛba nnompe mu a ɛda sɛnkyerɛnne a ɛte saa ara adi, nanso ɛnyɛ kokoram ho asɛm. Yɛfrɛ eyi (Osteoid Osteoma) .

Dɛn ne Osteoid Osteoma?

Sɛ yɛbɛka no tiawa a, eyi (Osteoid Osteoma) yɛ akisikuru ketewaa bi a ɛba nnompe no mu a ɛnyɛ kokoram . Mpɛn pii no, ɛyɛ ketewaa sen nsateakwaa biako. Nea ɛho hia paa ne sɛ saa akisikuru yi nnyin anaasɛ ɛntrɛw nkɔ nipadua no afã afoforo. Enti biribiara nni hɔ a ɛsɛ sɛ ɛhaw yɛn ho.

Osteoid Osteoma taa ba yɛn nipadua nnompe atenten no mu. S nhw so no, ebetumi aba w wo nan dompe (`(tibia)` - dompe kese a w wo kotodwe ase) anaa w asen dompe (`(femur)` - dompe a w wo nan ne wo kotodwe ntam). Bio,

• Wɔ wo nsam
• Sɛ́ ɛyɛ nsateaa anaa anan nansoaa mu
• Wɔ nan no nansoaa no fã
• Eyinom betumi anyin wɔ akyi berɛmo no mu.

Saa tebea yi yɛ ɛyaw a ɛyɛ kusuu a ɛyɛ yaw a ɛte sɛ nea efi nipadua no mu tɔnn. Saa ɛyaw yi betumi ayɛ kɛse anadwo titiriw . Nnuruyɛfo taa de nnuru a ekum ɔyare mmoawa a ɛnyɛ steroid (NSAID) anaa, wɔ tebea horow bi mu no, oprehyɛn nketenkete sa eyi.

Hena na ɛda adi sɛ obenya eyi (Osteoid Osteoma)?

Afei ma yɛnhwɛ nea ɛda adi kɛse sɛ obenya eyi (Osteoid Osteoma). Wɔtaa hu saa tebea yi wɔ nnipa a wɔadi fi mfe 5 kosi 25. Ade foforo ne sɛ mmarima betumi anya eyi bɛyɛ mprɛnsa sen mmea. Nanso, ɛho hia sɛ yɛkae sɛ obiara betumi anya eyi (Osteoid Osteoma), a ɔbarima anaa ɔbea, abusuakuw, anaa abusuakuw a ofi mfa ho.

Osteoid Osteoma abu so dɛn?

Sɛ yɛhwɛ sɛnea tebea yi abu so (Osteoid Osteoma) a, ɛyɛ nnompe mu akisikuru a ɛnyɛ kokoram no bɛyɛ 10% . Ɛno kyerɛ sɛ ɛnyɛ nea ɛntaa nsi saa.

Nsonsonoe bɛn na ɛda (Osteoid Osteoma) ne (Osteoblastoma) ntam?

Afei ebia worebisa wo ho sɛ, so foforo bi wɔ hɔ a wɔfrɛ no ``Osteoid Osteoma'' ne ``Osteoblastoma'' nso, na nsonsonoe bɛn na ɛda abien no ntam? Yiw, ``Osteoblastoma'' nso yɛ nnompe mu akisikuru a ɛnyɛ kokoram. Nanso nsonsonoe nketenkete bi wɔ abien no ntam.

• Osteoblastoma sõ sen osteoid osteoma.
• Wɔtaa hu osteoblastoma wɔ ti nhwi, mpampam, ne akyi berɛmo mu.
• Osteoblastoma wɔ hokwan a ɛkɔ soro kakra sɛ ɛbɛsan aba bio sen osteoid osteoma.
• Ade a ɛho hia sen biara ne sɛ ɛyaw ntaa nkɔ soro anadwo wɔ osteoblastoma mu.

Dɛn ne nneɛma a ɛde Osteoid Osteoma ba?

Nhwehwɛmufo da so ara nnim nea ɛde osteoid osteoma ba ankasa. Nanso, nneɛma pii wɔ hɔ a wosusuw sɛ ɛma nnompe mu akisikuru a ɛnyɛ kokoram yi ba:

• Nkwammoaa a enyin wɔ wo nipadua mu a ɛnteɛ (neoplasia).
• Nnompe a ɛyɛ hyew.
• Akwanhyia anaa opira (trauma) a ɛba baabi a akisikuru no ba no.

Dɛn ne Osteoid Osteoma ho sɛnkyerɛnne?

Eyi ho sɛnkyerɛnne titiriw (Osteoid Osteoma) ne sɛnea madi kan aka no, ɛyaw a ɛyɛ kusuu na ɛyɛ yaw a efi nipadua no mu tɔnn. Saa ɛyaw yi taa mu yɛ den anadwo . Ɛyaw yi so tew anaasɛ ɛnkɔ soro esiane sɛ woayɛ adwuma bi anaa woateɛteɛ w’apɔw mu nti.

"Susuw ho hwɛ, sɛ mpo ɛnhaw wo kɛse awiabere a, sɛ wokɔda anadwo a, wuntumi nna esiane ɛyaw bi a efi wo nan anaa wo nsa mu reba nti. Saa na ɛyaw yi te."

Ebia sɛnkyerɛnne afoforo pii wɔ hɔ:

• Nnompe a ɛyɛ mmerɛw.
• Nsakrae anaa ɔhaw ahorow a ɛba wɔ nantew mu (nantew mu haw).
• Ɛyaw ne ntini a ɛyɛ den wɔ nkwaa no mu.
• Ntini a ɛtwetwe anaasɛ ne kɛse so tew (`(atrophy)`).
• Nan biako tenten sen foforo no (eyi ba sɛ akisikuru bi wɔ asen dompe anaa asen dompe mu a).
• Sɛ akisikuru bi wɔ akyi berɛmo no mu a, tebea horow te sɛ `(Sciatica)` (ɛyaw wɔ sciatic ntini mu, ntini a efi asen mu kɔ nan ase) ne `(Scoliosis)` (akyi berɛmo no a ɛyɛ kurukuruwa).
• Rehono.

Ɛtɔ da bi a, sɛ saa akisikuru yi ba baabi a ɛbɛn wo nkwaa no biako a, ebetumi nso ada sɛnkyerɛnne ahorow te sɛ:

• Nsuo a ɛboaboa ano twa nkwaa no ho hyia (nkwaa mu nsuo a ɛtwetwe).
• Osteoarthritis (ntini mu yare a ɛnam nkwaa a ɛho asɛe so na ɛba).
• Nkwaa a ɛyɛ den na ɛyɛ den (nkwaa a ɛyɛ den).

Ɔkwan bɛn so na wohu Osteoid Osteoma?

Okay, afei sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ dɛn na oduruyɛfo ahu Osteoid Osteoma?

Nea edi kan no, wo duruyɛfo bebisa wo wo yare no ho sɛnkyerɛnne na wayɛ wo nipadua mu nhwehwɛmu. Ebia obebisa wo nsɛm bi afa wo yaw ho, te sɛ:

• Ɛyaw yi adi bere tenten ahe?
• Ɛyaw no te dɛn?
• So biribi a wobɛyɛ no ma ɛyaw no fi hɔ? (Sɛ nhwɛso no, nnuru bi a wɔde kum ɛyaw a wɔnom) .
• So akwanhyia anaa opira bi sii baabi a ɛyaw no wɔ no?

Sɛ wo duruyɛfo susuw sɛ eyi betumi ayɛ Osteoid Osteoma, a egyina nea woreka so a, ebia ɔbɛkyerɛ sɛ wɔnyɛ nhwehwɛmu ahorow bi te sɛ:

• X-ray: Eyi twa wo nnompe ho mfonini. Wɔ X-ray mu no, osteoid osteoma te sɛ dompe a ayɛ den no fã ketewaa bi a ɛwɔ mfinimfini.
• Nnompe mu nhwehwɛmu a wɔyɛ no afã abiɛsa: Eyi ne nea ɛba:
• Oduruyɛfo no de aduru bi a ɛma anyinam ahoɔden (radiotracer) gu wo ntini mu. Mfoninitwa afiri bi hu saa mframa yi na ɛtwa radiotracer a ɛwɔ wo nnompe mu no mfonini.
• Afei, mfoninitwa afiri no twa mogya dodow a ɛboaboa ano wɔ wo nnompe ne wo ntini a ɛyɛ mmerɛw mu no ho mfonini.
• Awiei koraa no, wɔ aduru a wɔde twitwiw nipadua no akyi nnɔnhwerew abien anaa abiɛsa no, wɔtwe mfonini foforo wɔ beae koro no ara.

Saa scan yi boa oduruyɛfo no ma ohu baabi pɔtee a akisikuru no wɔ.

• CT scan (Computed Tomography scan) anaa MRI (Magnetic Resonance Imaging): CT scan betumi aboa ma wɔahu nnompe a ɛyɛ nnompe mu yare efisɛ ɛma wuhu wo dompe no ho mfonini pefee. Ɛwom sɛ MRI nyɛ pɛpɛɛpɛ saa de, nanso ebetumi aboa ma wɔasi so dua sɛ kokoram biara nni hɔ.
• Biopsy: Wɔ biopsy mu no, oduruyɛfo no fa akisikuru no ketewaa bi na ɔde microscope hwehwɛ mu hwɛ sɛ ebia ɛwɔ osteoid osteoma ho sɛnkyerɛnne bi anaa. Ebetumi nso ayi tebea afoforo afi hɔ.
• Mogya mu nhwehwɛmu: Oduruyɛfo no betumi ayɛ mogya mu nhwehwɛmu nso de ahwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.

Ɔkwan bɛn so na wɔsa Osteoid Osteoma?

Asɛmpa no ne sɛ osteoid osteomas binom ankasa befi hɔ bere a bere kɔ so no a wɔrennya ayaresa biara . Nanso, ebetumi agye mfe pii ansa na saa akisikuru yi afi hɔ.

Sɛ́ ayaresa no, wubetumi de `(NSAIDs)` (nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) adi dwuma. Saa `(NSAIDs)` yi wɔ hɔ sɛ nnuru a wɔtɔn (e.g. `(aspirin)`, `(ibuprofen)` anaa `(naproxen)`) ne nnuru a wɔkyerɛw ma. `(NSAIDs)` betumi aboa ma ɛyaw so atew na ama (Osteoid Osteoma) akisikuru no atew ntɛmntɛm. Sɛ wɔde saa ayaresa yi di dwuma a, mpɛn pii no, sɛnkyerɛnne ahorow no yera wɔ asram 33 mu (ɛno yɛ bɛyɛ mfe 2 ne asram 9).

Ɛtɔ mmere bi a nnuruyɛfo betumi akamfo akyerɛ sɛ wɔnyɛ Osteoid Osteoma oprehyɛn. Bere a wɔreyɛ oprehyɛn no, wobetumi ama wo aduru a wɔde kum nipadua no nyinaa anaa aduru a wɔde kum nipadua no. Oprehyɛn ahorow atitiriw abien na ɛwɔ hɔ:

• Curettage: Eyi hwehwɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn no twa wo honam ani fã ketewaa bi na ɔfa mu yi akisikuru no nyinaa .
• CT-guided radiofrequency ablation: Eyi yɛ adeyɛ a ɛnyɛ den pii. Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no ma akisikuru no yɛ hyew na oyi fi hɔ. Sɛnea wɔyɛ no ni:
• Wɔde CT scan di dwuma de hu baabi a akisikuru no wɔ.
• Afei, wɔde ``radiofrequency probe`` (afiri titiriw bi) kɔ akisikuru no mu.
• Wɔde anyinam ahoɔden a ano yɛ den na ɛyɛ hyew na ɛsɛe akisikuru no.

Mpɛn pii no, wobetumi ayɛ saa ``radiofrequency ablation`` ayaresa yi pɛnkoro de ayi akisikuru no afi hɔ.

So wobetumi atew asiane a ɛwɔ hɔ sɛ obi benya Osteoid Osteoma no so?

Biribiara nni hɔ ankasa a wubetumi ayɛ de atew asiane a ɛwɔ hɔ sɛ wubenya Osteoid Osteoma no so. Nanso, sɛ wunim sɛnkyerɛnne ahorow no a, wubetumi ahwehwɛ aduruyɛfo afotu, ahwɛ so, na woanya ayaresa ntɛm ara sɛnea wubetumi.

Dɛn na wubetumi ahwɛ kwan wɔ Osteoid Osteoma asɛm no mu?

Sɛ wowɔ Osteoid Osteoma a, nea wubetumi ahwɛ kwan no gyina ayaresa a wɔde ma wo no so.

• Curettage: Eyi di nkonim kɛse. Nanso, nsɛnnennen bi betumi aba. Nhwɛsoɔ:
• Mogya a ɛretu.
• Ntini afoforo a atwa ho ahyia a ɛsɛe.
• Anohyeto ahorow a ɛfa apɔw-mu-teɛteɛ ho.
• Nyarewa a wɔde nyarewa ba.
• Asiane ahorow a ɛwɔ nnuru a wɔde kum nipadua no nyinaa mu.
• Nnompe a ɛyɛ mmerɛw.
• CT-guided radiofrequency ablation: Saa kwan yi di yiye bɛyɛ 90% . Nanso, nsɛnnennen te sɛ:
• Cellulitis (honam ani yare).
• Ɔmantam Ɛyaw a Ɛyɛ Den (CRPS).
• Ntini mu yare (`(Neuropathy)`).
• Wora a ɛyɛ hyew.
• Thrombophlebitis a ɛwɔ soro.

Bere bɛn na metumi asan akɔ adwuma/sukuu?

Sɛ wowɔ curettage a, ɛho behia sɛ wotra ayaresabea hɔ nna kakraa bi. Ɛno akyi no, ebia ɛsɛ sɛ woyɛ apɔw-mu-teɛteɛ wɔ fie adapɛn kakraa bi ansa na woasan akɔ adwuma anaa sukuu.

Nanso, sɛ wɔayɛ wo radiofrequency ablation a, mpɛn pii no wubetumi akɔ fie da koro no ara. Nnipa dodow no ara tumi san kɔ adwuma anaa sukuu wɔ nnansa kosi nnansa mu.

Dɛn ne tebea no ho anidaso (Osteoid Osteoma)?

Sɛ yɛhwɛ tebea yi (Osteoid Osteoma) a, nea efi mu ba no ye yiye . (Osteoid Osteoma) betumi asa koraa bere a bere kɔ so no, wɔ n'ankasa so, anaasɛ wɔde ``NSAIDs'' nnuru, anaasɛ oprehyɛn.

Sɛnea wobɛhwɛ wo ho wɔ (Osteoid Osteoma) ho?

Wubetumi ayɛ nea edidi so yi na ama asiane a ɛwɔ hɔ sɛ wubehyia nsɛnnennen wɔ oprehyɛn akyi no so atew:

• To apɔw-mu-teɛteɛ ano asram kakraa bi.
• Hwɛ apɔw-mu-teɛteɛ ho ɔyaresafo kɔhwehwɛ afotu ne ayaresa.
• Sɛ wokɔ so te yaw a, kɔ oduruyɛfo nkyɛn ntɛm ara .

Enti, nneɛma bɛn na ɛsɛ sɛ yɛkae fi saa asɛm yi mu?

Osteoid Osteoma yɛ akisikuru a ɛnyɛ kokoram a ɛba nnompe mu. Ɛtaa ba yɛn nipadua nnompe atenten no mu. Nsɛnkyerɛnne titiriw ne ɛyaw a emu yɛ den anadwo, ɔfe, ne nkwaa a ɛyɛ den. Nnuruyɛfo nam nhwehwɛmu te sɛ X-ray ne nnompe mu nhwehwɛmu a wɔyɛ no afã abiɛsa so hu. Nea ɛka ayaresa ho ne nnuru a wɔde kum ɛyaw a wɔfrɛ no NSAIDs anaa oprehyɛn.

Ade a ɛho hia sen biara ne sɛ wobetumi asa tebea no (Osteoid Osteoma) koraa bere tenten, sɛ́ ɛyɛ nea ɛba ara kwa anaasɛ wɔde sa yare.Enti mma wo ho nnyɛ wo hu a ɛho nhia. Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woanya afotu.

` Osteoid Osteoma, nnompe mu akisikuru, nnompe mu yaw, anadwo yaw, akisikuru a ɛnyɛ kokoram, NSAIDs, nnompe oprehyɛn, Osteoid Osteoma, nnompe mu akisikuru, nnompe mu yaw, anadwo yaw