I kekahi manawa ʻike mākou i nā loli liʻiliʻi i ko mākou kino. Eia kekahi laʻana, ke nānā ʻoe i ke aniani a palaki paha i kou mau niho, ua ʻike anei ʻoe i kahi pehu liʻiliʻi ma kou ʻāwae, ʻoi aku hoʻi ma ke kua? Hiki ke hele pū me ka ʻeha iki. ʻAʻole nui ka poʻe e nānā nui i nā mea e like me kēia, me ka manaʻo "e maikaʻi ia ma kāna iho." Akā i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e hiki ke hoʻomaka me kēia mau hōʻailona, he mea kakaikahi iki, akā he mea nui loa e ʻike. ʻO ia ʻo Ameloblastoma.
He aha maoli ka Ameloblastoma?
I ka ʻōlelo maʻalahi, he puʻupuʻu kakaikahi ʻo Ameloblastoma, ʻaʻole ia he maʻi kanesa e ulu ana ma ka iwi ʻauwae. Ulu ia mai nā pūnaewele e hana ana i ka uhi pale ma ko kākou mau niho i kapa ʻia ʻo enamel. E noʻonoʻo penei: ʻo ka enamel ka ʻāpana keʻokeʻo a paʻakikī o ka niho. No laila, hoʻomaka kēia puʻupuʻu i loko o nā pūnaewele e hana ana iā ia.
ʻO kēia ʻano cyst ka mea maʻamau i loaʻa ma ka ʻāpana ʻauwae, ʻoi aku hoʻi a puni ko mākou mau niho naʻauao a i ʻole nā molars kokoke loa iā lākou. ʻOiai hiki ke loaʻa kēia ʻano maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā pākeke ma waena o 30 a me 60 mau makahiki.
ʻO ka mea nui, ʻoiai ʻaʻole kēia puʻupuʻu he maʻi kanesa, inā waiho ʻole ʻia no ka manawa lōʻihi , hiki iā ia ke lilo i maʻi kanesa a laha i nā lymph nodes a i ʻole nā māmā. No laila, he mea nui ka ʻike mua a me ka mālama ʻana.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
ʻO kekahi o nā ʻano o ka ameloblastoma, ʻo ia ka ulu lohi pinepine ʻana. I kekahi manawa, ʻaʻole paha e hōʻike i nā loli koʻikoʻi no nā mahina a i ʻole nā makahiki. ʻO ia ke kumu e poina ai ka poʻe he nui. E nānā kākou i nā hōʻailona nui e ʻike ʻia.
| Hōʻailona | Wehewehena |
|---|---|
| Pehu ʻana o ka ʻauwae | ʻO kēia ka hōʻailona maʻamau. Aia paha he pehu ʻeha ʻole ma ke kua o ka ʻāwae. |
| ʻEha niho a ʻauwae paha | Hiki ke loaʻa ka ʻeha mau ma nā niho a i ʻole ka ʻāwae, me ka pehu a i ʻole ka ʻole. |
| ʻAʻohe o kekahi mau hōʻailona | ʻAʻole ʻike kekahi poʻe i kekahi mau hōʻailona. ʻIke ʻia ia ma kahi hanana ke hele lākou e kiʻi i kahi X-ray niho no kekahi kumu ʻē aʻe. |
| E haʻalulu ana a e neʻe ana paha nā niho | I ka ulu wikiwiki ʻana o ka puʻupuʻu, hoʻomaka nā niho a puni e wehe mai ko lākou aʻa a lilo i palupalu a neʻe paha. |
| Ka loli ʻana o ke ʻano o ka helehelena | I ka ulu ʻana o ka puʻupuʻu, e loli paha ke ʻano o ka maka, ʻoiai ka ʻāwae. |
| Nā hōʻailona kakaikahi akā koʻikoʻi | I ka liʻiliʻi loa, hiki i ka puʻupuʻu ke pālahalaha i ka ihu, ka lua maka, a i ʻole ke poʻo. Eia kekahi, inā nui loa ka puʻupuʻu, hiki iā ia ke hoʻopilikia i ke ala ea, ka paʻakikī i ka wehe ʻana a me ka pani ʻana i ka waha, a i ʻole ka paʻakikī i ka ʻai ʻana. |
He aha ke kumu o ka ameloblastoma?
ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka kahi kumu paʻa no kēia. ʻO ia hoʻi, ʻaʻole hiki iā lākou ke ʻōlelo maopopo "ʻo kēia ke kumu o kēia." Eia nō naʻe, aia kekahi mau mea pilikia i manaʻo ʻia e kōkua i ke kūlana:
- Ka nui o nā kāne: ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.
- Ka mana hoʻoilina: Ua ʻike ʻia e ka noiʻi aia kekahi mau genes e pili ana i ka hoʻokumu ʻia ʻana o kēia mau puʻupuʻu.
- Nā maʻi a i ʻole nā ʻeha o ka waha: ʻO kahi hōʻeha ma ka ʻāwae a i ʻole kahi maʻi i loko o ka waha e hoʻonui i ka pilikia.
- Nā kumu ʻē aʻe: Manaʻo nā kānaka ʻepekema aia kekahi ʻano o nā maʻi a i ʻole ka nele o ka protein a me nā minelala i ka meaʻai.
Pehea e ʻike ai ke kauka i kēia?
Inā he pehu a ʻeha paha kou ʻāwae, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike ʻana i ke kauka niho a kauka paha. E hahai lākou i kekahi mau ʻanuʻu e ʻike ai i ke kūlana.
ʻO nā kauka niho ka mea mua e ʻike i kēia mau cysts. Ma kahi X-ray o ka niho, hiki ke ʻike ʻia ka cyst e like me ka "ʻano pehu kopa."
Eia kekahi, ua hana ʻia kekahi mau hoʻokolohua ʻē aʻe e hōʻoia i ka hōʻailona:
- ʻO ke scan MRI (Magnetic Resonance Imaging): Hoʻohana kēia i nā magnet ikaika a me nā nalu lekiō e lawe i nā kiʻi kikoʻī a maopopo loa o kou waha a me kou ʻāwae.
- CT (Computerized Tomography) Scan: ʻO kēia ka ʻenehana X-ray like, akā ua lawe ʻia nā kiʻi X-ray mai nā kihi like ʻole a hui pū ʻia e kahi kamepiula e hana i kahi kiʻi ʻekolu-dimensional (3D) o ka ʻauwae a me ka iwi ʻauwae.
ʻO ka hoʻāʻo koʻikoʻi loa, ʻo ia ka biopsy. Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo (hāpana ʻiʻo) mai ka puʻupuʻu me ka hoʻohana ʻana i kahi nila a i ʻole kahi ʻoki liʻiliʻi a nānā iā ia ma lalo o kahi microscope. ʻO kēia ka mea e hōʻoia 100% inā he Ameloblastoma ia, pehea ka wikiwiki o kona ulu ʻana, a inā paha he mau hunaola kanesa.
He aha nā lāʻau lapaʻau no kēia?
ʻOiai ʻaʻole maikaʻi loa nā lāʻau lapaʻau a i ʻole ka radiation therapy no nā ʻōpū ameloblastoma ʻaʻole cancerous, ʻo ka lāʻau nui ka wehe loa ʻana i ka ʻōpū ma o ke ʻoki ʻana .
Maanei, ʻaʻole wale ka puʻupuʻu e wehe ai nā kauka, akā, ʻo kahi ʻāpana liʻiliʻi hoʻi o nā ʻiʻo olakino a puni. Hana ʻia kēia e hoʻopau loa i ka manawa e ulu hou ai ka puʻupuʻu.
Ma muli o ka nui a me kahi o ka puʻupuʻu, pono paha e wehe i kahi ʻāpana o ka ʻāwae . He mea weliweli paha kēlā. Eia naʻe, inā hana ʻia kēlā, hiki ke kūkulu hou ʻia ka ʻāwae me ka hoʻohana ʻana i kahi ʻāpana iwi i lawe ʻia mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou wāwae) a i ʻole kahi iwi hana (ʻoki hana hou). Pono paha e wehe i nā kīʻaha koko a me nā aʻalolo e pili ana i ka maka.
Ma hope o ke ʻoki kino, pono paha ʻoe i ka hoʻōla hou ʻana e aʻo ai e minoʻaka a nau hou i ka meaʻai. Ma hope o ke ʻoki kino, hana ʻia kahi scan CT e hōʻoia i ka wehe loa ʻia ʻana o ka puʻupuʻu. Ma hope o kēlā, pono ʻoe e hana hou i nā scan ma nā manawa maʻamau no kahi o 5 mau makahiki e nānā ai no ka hoʻi hou ʻana o ka puʻupuʻu.
Inā hoʻi hou mai ka puʻupuʻu, ʻoi aku ka nui o ka maʻi kanesa. Inā pālahalaha ia i nā ʻāpana ʻē aʻe o ke kino, hiki ke ʻōlelo ʻia ka radiation therapy e kāohi i kona ulu ʻana.
Leka Lawe-Home
- He ʻano puʻupuʻu laha ʻole ʻo Ameloblastoma e ulu ana ma ka ʻāwae. Hoʻomaka pinepine ia me he pehu lohi a ʻeha ʻole. Inā ʻike ʻoe i kekahi pehu ma ka ʻāwae, mai hoʻowahāwahā iā ia.
- ʻOiai ʻaʻole maʻamau kēia ʻano puʻupuʻu he maʻi kanesa, hiki iā ia ke lilo i maʻi kanesa inā ʻaʻole mālama ʻia. No laila, he mea nui loa ka ʻike mua ʻana i ka maʻi .
- Inā he mau mea ʻē aʻe kou ma kou ʻāwae, e like me ka pehu ʻana, ka ʻeha, a i ʻole nā niho palupalu, e ʻike koke aku i ke kauka niho a i ʻole ke kauka ʻohana .
- ʻO ke ʻoki kino ka lāʻau nui e mālama ai, a ma hope o ka lāʻau lapaʻau, he mea nui ka hahai ʻana e like me ka ʻōlelo aʻoaʻo a ke kauka.
- Mai makaʻu e heluhelu i kēia ʻike. ʻO ke kumu o kēia, ʻo ia ke aʻo iā ʻoe. Inā he kānalua kou no kekahi mea, e hāʻawi kāu kauka iā ʻoe i ke alakaʻi maikaʻi loa.
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