He puʻupuʻu ʻeha ʻole kou ma kou ʻauwae? E kamaʻilio kākou e pili ana i kēia ameloblastoma!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ʻeha ʻole i loko o kou ʻauwae, ʻoi aku hoʻi i loko o kou waha? A i ʻole ua ʻike hewa paha kekahi kauka niho i kahi mea ʻē i ka wā e nānā ana i kou mau niho a haʻi aku iā ia? I kekahi manawa ʻaʻole mākou e nānā nui i kēia mau mea, akā he mea nui e makaʻala iā lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi puʻupuʻu kakaʻikahi akā koʻikoʻi e hana ʻia ana i loko o ka ʻauwae. Ua kapa ʻia kēia ʻo ameloblastoma.

He aha ka ameloblastoma? E hoʻomaopopo pono kākou?

I ka ʻōlelo maʻalahi, he ʻōpū ka ameloblastoma e ulu ana i loko o kou iwi ʻauwae, pinepine lohi. Ulu ia mai nā pūnaewele like e hana ana i ka uhi pale ma luna o kou mau niho, i kapa ʻia ʻo ka enamel niho. ʻAʻole anei he mea kupanaha? Ma kahi o 80% o kēia mau ʻōpū e ulu ana ma ka ʻauwae haʻahaʻa, kahi o kou mau niho hope nui (molars).

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Ke ʻōlelo ʻoe he puʻupuʻu, ʻo ia hoʻi ke kanesa?" ʻOiaʻiʻo, ua kapa pinepine ʻia ka ameloblastoma he puʻupuʻu maikaʻi ʻole. ʻO ia hoʻi, ʻaʻole ia he kanesa. Eia naʻe, aia kahi mea liʻiliʻi e hoʻomaopopo ai ma ʻaneʻi. Ke ʻōlelo mākou "maikaʻi ʻole", manaʻo pinepine mākou "ʻaʻohe mea ʻino, ʻaʻohe mea e hopohopo ai." Akā me ka ameloblastoma, ʻaʻole ia ka hihia. ʻOiai ʻaʻole he kanesa kēia mau puʻupuʻu, hiki iā lākou ke ulu mālie a hoʻololi i ke ʻano o kou iwi ʻauwae a hōʻino i kou mau niho. Eia kekahi, hiki iā lākou ke ulu hou (e hana hou) i kekahi manawa ma hope o ka mālama ʻana.

No laila, ʻoiai inā ʻaʻole kēia he maʻi kanesa, he mea nui loa ia e ʻike mua iā ia, e loaʻa i ka lāʻau kūpono , a e nānā pono ʻia ma hope o ka lāʻau. A laila wale nō e hiki ai ke pale ʻia ka hōʻino ʻana i ka iwi ʻauwae.

Aia kekahi mau ʻano like ʻole o ka ameloblastoma?

ʻAe, nānā nā kauka i kēia mau puʻupuʻu ma lalo o kahi microscope a hoʻokaʻawale iā lākou ma muli o ke ʻano o nā cell. I ka nānā mua ʻana, ua like kēia mau cell me nā honeycombs a i ʻole nā ​​​​​​ʻāpana kopa liʻiliʻi. Aia kekahi mau ʻano nui:

• ʻAmeloblastoma maʻamau: ʻO kēia ke ʻano maʻamau. He 85% ia o nā ameloblastomas āpau. Ulu wikiwiki iki ia ma mua o nā ʻano ʻē aʻe a ʻoi aku ka nui o ka laha ʻana mai ka iwi ʻauwae a i nā ʻiʻo a puni o ka waha .
• ʻAmeloblastoma Unicystic: ʻOi aku ka liʻiliʻi o kēia ʻano e pālahalaha ma mua o ka iwi ʻāwae ma mua o ke ʻano maʻamau.
• ʻO ka ameloblastoma peripheral (extraosseous): Manaʻo nā kānaka noiʻi e pālahalaha pinepine kēia mai nā ʻāʻī a i ʻole nā ​​​​ʻiʻo palupalu o ka waha a i ka ʻāwae. Ulu mālie lākou ma mua o nā ʻano ʻelua ʻē aʻe.

ʻOiai he mea kakaikahi loa, ʻo kekahi mau ʻōhū ameloblastomaHiki iā ia ke lilo i maʻi kanesa (malignant). ʻElua ʻano:

• ʻO ka ameloblastoma metastasis: Ua like kēia mau ʻōpū me nā ʻōpū 'benign' ma lalo o ka microscope. Akā, he 'maʻi kanesa metastatic' maoli lākou. Hiki i ke kauka ke ʻike wale he 'metastatic' ma hope o ka laha ʻana o ke kanesa i nā ʻāpana ʻē aʻe o ke kino, e like me ka māmā, ka lolo, a i ʻole ka ʻili.
• ʻO ka maʻi ʻameloblastic: Hiki i kēia puʻupuʻu ke hoʻomaka ma ke ʻano he maʻi ʻaʻai mai ka hoʻomaka ʻana. A i ʻole, hiki ke hoʻomaka ma ke ʻano he ameloblastoma benign a laila lilo i maʻi ʻaʻai.

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo ameloblastoma?

ʻO Ameloblastoma kekahi o nā puʻupuʻu benign maʻamau o ka ʻāwae, akā ma ke ʻano holoʻokoʻa he mea kakaikahi loa ia. Ua hōʻike ʻia nā noiʻi he hoʻokahi wale nō i loko o hoʻokahi miliona mau kānaka i ʻike ʻia me ka maʻi i kēlā me kēia makahiki. Ma waena o lākou, he 2% wale nō ka poʻe i loaʻa i ka ameloblastoma malignant.

ʻOiai hiki ke ulu kēia maʻi i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā poʻe ma waena o 30 a me 60 mau makahiki. Ua ʻōlelo ʻia hoʻi ua ʻike pinepine ʻia kēia maʻi ma nā ʻāina ʻApelika a me ʻAsia.

He aha nā hōʻailona o ka Ameloblastoma?

Ma muli o ka ulu mālie ʻana o kēia mau puʻupuʻu, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona no 10 a 20 mau makahiki. ʻAʻole paha ʻoe a i ʻole kāu kauka e ʻike a hiki i ka wā ma hope loa. ʻO ka wā wale nō e ulu ai ka puʻupuʻu a komo i loko o nā ʻiʻo a puni e ʻike ai ʻoe i nā loli i ke ʻano o kou helehelena a me kou ʻāwae a i ʻole nā ​​pilikia me kou mau niho.

Eia kekahi o nā hōʻailona maʻamau:

• He pehu ʻeha ʻole ma ka ʻāwae. Hoʻopilikia pinepine kēia i hoʻokahi ʻaoʻao o ka maka.
• Ua like ia me kahi mea hou i paʻi ʻia i loko o ka papālina, e like me ka pīnati a i ʻole kahi pōpō liʻiliʻi.
• Nā kiko ʻulaʻula a poni paha ma nā niho, a i ʻole nā ​​niho e haki maʻalahi.
• Ka paʻakikī o ka hoʻoneʻe ʻana i ka ʻāwae.
• ʻUlaʻula a pehu nā ʻāʻī.
• ʻAʻole kūpono ke kūlike ʻana o nā niho (malocclusion).
• Ke wili ʻana o nā niho.

No ke aha e ulu ai ka ameloblastoma? He aha nā kumu?

Hoʻomohala ʻia kēia mau puʻupuʻu no ka mea ke hoʻomau nei nā pūnaewele e hana ana i kou enamel niho (i kapa ʻia ʻo ameloblasts) i ka ulu ʻana ma hope o ka hoʻokumu ʻia ʻana o kou enamel niho. ʻAʻole maopopo i nā loea ke kumu o kēia.

Eia nō naʻe, ua ʻike ʻia nā haʻawina hou he nui ka poʻe me ka ameloblastoma i loaʻa nā hoʻololi genetic maʻamau e pili ana i nā pilikia me ka mahele cell a kōkua i ka ulu ʻana o ka puʻupuʻu.ʻO ke ʻano kūikawā, ʻo nā hoʻololi ʻana i loko o nā genes 'BRAF' a me 'SMO' e pili pinepine ʻia me ka ameloblastoma.

Ke noiʻi nei nā loea i kēia mau loli hoʻoilina e ʻike i nā lāʻau lapaʻau i hoʻolālā ʻia e kuhikuhi pono a hoʻopau i nā pūnaewele pilikia.

Pehea e ʻike ai nā kauka i ka ameloblastoma?

Ke hele ʻoe i ke kauka niho no ka nānā maʻamau, hiki i nā kukuna X ke hōʻike i nā hōʻailona o ka ameloblastoma. Inā pēlā, e kuhikuhi aku kāu kauka niho iā ʻoe i kahi loea no nā hoʻokolohua hou aku. Hiki i kēia mau hoʻokolohua ke komo pū me:

• Nā hoʻāʻo kiʻi: Hiki ke hana ʻia nā hoʻāʻo ʻē aʻe, e like me nā X-ray, MRI (Magnetic Resonance Imaging - MRI), a me CT scan, e ʻike pono i kahi o ka puʻupuʻu a me kona nui. Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e kāpae i nā ʻano puʻupuʻu ʻē aʻe e like me ka ameloblastoma. Inā he maʻi kanesa, hiki ke hana ʻia kahi Positron Emission Tomography (PET scan) e ʻike inā ua pālahalaha i nā ʻāpana ʻē aʻe o ke kino.
• Biopsy: ʻAe ka biopsy i kāu kauka e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā ʻia ma lalo o kahi microscope e kahi pathologist. E kōkua ke ʻano o nā cell i kāu kauka e hoʻoholo pono i ke ʻano o ka ameloblastoma a hoʻoholo i ka lāʻau maikaʻi loa.

He aha nā lāʻau lapaʻau no ka Ameloblastoma?

ʻO ka lāʻau lapaʻau maikaʻi loa no ka ameloblastoma ʻo ia ke ʻoki ʻana e wehe i ka puʻupuʻu a me kekahi o nā ʻiʻo a puni (i ʻole e koe nā cell ʻē). Hoʻokaʻawale nā ​​​​kauka i nā ʻoki ʻana no kēia mau puʻupuʻu i ʻelua mau ʻano nui:

• ʻO ke ʻoki kino radical: He ʻoki kino nui kēia no ka poʻe me ka ameloblastoma. Maanei, wehe ke kauka i kahi nui o ka iwi ʻauwae a me nā ʻiʻo e hoʻopuni ana me ka puʻupuʻu. ʻO kēia ke hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ka puʻupuʻu. Hiki iā ia ke wehe i kahi hapa a i ʻole ka ʻauwae haʻahaʻa āpau (mandibulectomy) a i ʻole kahi hapa a i ʻole ka ʻauwae luna āpau (maxillectomy).
• ʻO ke ʻoki kino mālama: Maanei, wehe ke kauka i ka puʻupuʻu me kahi liʻiliʻi o nā ʻiʻo olakino a me ka iwi. Hiki ke hana ʻia kēia ʻoki kino liʻiliʻi inā he liʻiliʻi kou puʻupuʻu a he liʻiliʻi ka manawa e laha ai i ka iwi a me nā ʻiʻo a puni.

Inā ʻaʻole ʻoe he moho kūpono no ke ʻoki kino, hiki i kāu kauka ke ʻōlelo aku i ka radiation therapy e luku i ka puʻupuʻu. A i ʻole, hiki iā lākou ke ʻōlelo aku i ka radiation therapy e luku i nā cell tumor i koe ma hope o ke ʻoki kino. Hoʻohana kēia lāʻau i nā kukuna X-ikehu kiʻekiʻe e luku i nā cell.

Nā lāʻau lapaʻau ʻē aʻe e pono ai ma hope o ke ʻoki ʻana

Hiki i ke ʻoki kino nui no ka ameloblastoma ke lōʻihi ka manawa e ho'ōla ai, maʻamau he mau mahina. Ma hope o kēlā, pono paha ʻoe i nā lāʻau lapaʻau hou e hoʻi ai i ka maʻamau. Eia kekahi laʻana:

• ʻO ke ʻoki hana hou: E hana pū ʻoe me ke kauka ʻoki plastik e hoʻihoʻi i ke ʻano o kou helehelena a me kou ʻauwae. ʻO kēia ʻoki kino e pili ana i ka lawe ʻana i ka iwi mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou ʻūhā a poʻohiwi paha) a kūkulu hou i ka ʻāpana ʻauwae.
• Nā mea hoʻokomo niho: He mau niho hana kēia (prosthetics) e pani ana i nā niho i wehe ʻia i ka wā o ke ʻoki kino. Hiki i kēia ke kōkua iā ʻoe e loaʻa hou ka hiki ke nau pono a hoʻihoʻi i kou hilinaʻi i ke ʻano o kou waha.
• Ka hoʻōla ʻōlelo: Hiki i kahi loea ʻōlelo-ʻōlelo ke kōkua iā ʻoe e hoʻololi i nā loli i kou ʻāwae a me kou maka i hiki iā ʻoe ke nau, ale, a ʻōlelo pololei.
• ʻŌlelo aʻoaʻo no ka meaʻai: Hiki i ke kauka meaʻai ke kōkua iā ʻoe e koho i nā meaʻai momona e maʻalahi ke nau a ale i kou wā e hoʻōla ai.

Hiki ke hoʻemi ʻia ka pilikia o ka ulu ʻana o ka ameloblastoma?

ʻAʻohe ala e pale aku ai i kēia. Eia nō naʻe, ʻo ka ʻike ʻana i kahi kauka niho ma ka liʻiliʻi hoʻokahi manawa i kēlā me kēia ʻeono mahina no ka nānā ʻana i nā niho a me ka loaʻa ʻana o nā nānā ʻana i ka maʻi ʻaʻai waha e hiki ke kōkua i ka ʻike ʻana i kēia mau ulu ʻana i ka wā mua. Hiki i ka mālama mua ʻana ke kōkua i ka pale ʻana i ka ameloblastoma mai ka hōʻino ʻana i kou ʻauwae a me nā ʻiʻo maka.

Inā loaʻa iaʻu kēia maʻi, he aha kaʻu e manaʻo ai?

ʻO kāu prognosis e pili ana i kou olakino, ke ʻano o ka ameloblastoma, kona wahi, a me ke ʻano o ke ʻoki ʻana i hana ʻia e wehe i ka puʻupuʻu.

Pono ka nui o ka poʻe i mālama ʻia no ka ameloblastoma e nānā ʻia no ke ola holoʻokoʻa e ʻike ai inā e hoʻi mai ka puʻupuʻu. ʻO kēia no ka mea ma kahi o 20% o ka poʻe e loaʻa hou ka puʻupuʻu ma hope o ke ʻoki ʻana. Ma mua o ka hapalua o ka manawa, e hoʻi mai ka puʻupuʻu i loko o nā makahiki ʻelima mua ma hope o ke ʻoki ʻana.

No laila, e nīnau i kāu kauka i ka pinepine o kāu hana ʻana i nā hoʻokolohua e ʻike ai inā e ulu hou ana ka puʻupuʻu.

He aha ka mea e hana inā ʻaʻole mālama ʻia ka ameloblastoma?

Inā ʻaʻole mālama ʻia, hiki i ka ameloblastoma ke hōʻino i nā ʻāpana koʻikoʻi o kou maka a me kou ʻāwae, a i kekahi manawa hiki ke make. Inā ʻaʻole nānā ʻia, hiki i kēia mau puʻupuʻu ke hōʻino i kou maka, e paʻakikī ai ke nau a ale. Inā ulu hou lākou, hiki iā lākou ke komo i loko o nā ʻiʻo o kou lolo a me ka ʻōnaehana nerve waena, a ālai i kou mau ala ea.

No laila, hiki i ka mālama ʻana no ka ameloblastoma ke pale i kēia mau kūlana koʻikoʻi loa.

Āhea wau e ʻike ai i kaʻu kauka?

Pono ʻoe e ʻike pono i ka pinepine o kou hele ʻana mai no nā kipa hahai e nānā i ka hoʻi hou ʻana ma hope o ka mālama ʻana. ʻO ka mea pōʻino, hiki i nā ameloblastoma he nui ke hoʻi hou i nā makahiki ma hope o ke ʻoki ʻana. Inā hana lākou, hiki i kāu kauka ke kuhikuhi i nā lāʻau hou e pale aku i ka hōʻino hou ʻana i kou ʻauwae a me kou maka.

Āhea wau e hele ai i ka lumi pilikia?

E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai i kou hoʻōla ʻana mai ke ʻoki kino. Eia nō naʻe, pono ʻoe e hele koke i ka lumi pilikia inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Inā loaʻa iā ʻoe ke kuni ma luna o 101 Fahrenheit (38.3 Celsius).
• Inā loaʻa iā ʻoe ka ʻeha ʻaʻole i emi iho ma hope o ka lawe ʻana i nā lāʻau hoʻomaha ʻeha i kauoha ʻia e ke kauka.
• Inā ʻoi aku ka nui o ka pus a i ʻole ka pehu mai ka ʻeha ma mua o kou manaʻo.
• Inā pilikia ʻoe i ka hanu ʻana a i ʻole manaʻo ʻoe e like me ʻoe e hanu ana.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He maʻi koʻikoʻi ʻo Ameloblastoma e pono ai ke ʻoki kino nui. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kou wā e kūkākūkā ai me kāu kauka i ka lāʻau lapaʻau:

• He aha ke ʻano o ke ʻoki kino e pono ai iaʻu?
• No ke aha ʻoe e paipai nei i kēlā ʻoki kino?
• E pono anei nā lāʻau ʻē aʻe ma waho aʻe o ke ʻoki ʻana e wehe loa i ka puʻupuʻu?
• E pono anei iaʻu ke ʻoki plastik a i ʻole ka hoʻōla ʻōlelo?
• He aha nā pilikia a i ʻole nā ​​hopena ʻaoʻao e hiki mai ana?
• He aha ka manawa kūpono e hoʻi hou mai ai kēia ameloblastoma?

Leka Hoʻihoʻi Hope Loa

Ke lohe mākou i ka huaʻōlelo `benign`, manaʻo mākou ``ʻinoʻino.`` Akā me ka ameloblastoma, ʻaʻole ia he mea maʻalahi. Inā ʻaʻole mālama ʻia, hiki i kēia mau puʻupuʻu ke hōʻino i kou ʻauwae a me nā ʻāpana maka. Akā, e hoʻomanaʻo, aia nā lāʻau lapaʻau e hiki ke kāohi i kēia mau ulu ʻana. E nīnau i kāu kauka e pili ana i ke ʻano o ke ʻoki ʻana āna e ʻōlelo ai ma muli o ke ʻano o ka puʻupuʻu a me kou olakino. ʻO kāu kauka ke kanaka maikaʻi loa e wehewehe iā ʻoe i ke ʻano o ka lāʻau lapaʻau maikaʻi loa e wehe i ka puʻupuʻu a mālama i ka nui o nā ʻiʻo olakino i loko o kou ʻauwae e like me ka hiki. No laila, mai makaʻu e nīnau iā ia, a e wehewehe ʻia nā mea āpau. E noho olakino!

ʻAmeloblastoma , nā puʻupuʻu ʻāwae, ka maʻi ʻaʻai waha, ka enamel niho, ke ʻoki ʻāwae, ke olakino waha, nā hōʻailona o ke kanesa