He maʻi ʻaʻai maoli anei kēia mau puʻupuʻu e hana ʻia ana i loko o nā iwi? (Nā Puʻupuʻu Iwi Benign) E ʻike pono kākou e pili ana i kēia!

Ua makaʻu iki paha ʻoe i ka wā i loaʻa ai iā ʻoe kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu ma kou kino, ʻoi aku hoʻi ma ka iwi ma kou lima a i ʻole kou wāwae? A i ʻole ua manaʻo paha ʻoe i kahi kaumaha nui ma kou puʻuwai i kou ʻike ʻana i kahi mea e like me ia ma ke kino o kāu keiki? He mea maʻamau loa ka makaʻu i ka "He maʻi kanesa anei kēia?" Akā hauʻoli wau e haʻi aku iā ʻoe, ʻaʻole nā ​​​​puʻupuʻu a pau e hana ʻia ana i loko o nā iwi he maʻi kanesa . ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o ka manawa, ʻaʻole kēia he mau puʻupuʻu ʻaʻole kanesa , ʻino ʻole. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau puʻupuʻu iwi ʻaʻole kanesa, ʻo ia hoʻi, `(Benign Bone Tumors)`.

I ka ʻōlelo maʻalahi, he aha kēia mau puʻupuʻu iwi maikaʻi ʻole?

E like me ka inoa e hōʻike nei, ʻo ka mea nui loa, ʻo ia ka "ʻaʻole ia he maʻi kanesa." ʻO kēia nā pūnaewele e hoʻomaka ana i loko o ka iwi. Akā, ʻaʻole lākou i ʻoi aku ka ikaika e like me nā pūnaewele kanesa . ʻO ke ʻano nui o ka maʻi kanesa, ʻo ia ka laha ʻana mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino (e like me nā māmā , ke akepaʻa ). Akā, ʻaʻole pālahalaha kēia mau puʻupuʻu "(Benign)" e like me kēlā. ʻO ia hoʻi, noho lākou i loko o ka iwi hoʻokahi kahi i hoʻomaka ai. Ua like lākou me kahi hōʻailona hānau maʻamau ma ka ʻili. Aia lākou ma laila, hiki ke nui iki aʻe, akā, ʻaʻole lākou e pālahalaha ma kahi ʻē aʻe.

Hiki i kēia ʻano puʻupuʻu ke ulu i loko o kekahi iwi o ko mākou kino, akā ʻo ia ka mea maʻamau i nā iwi nui loa o ko mākou kino. Eia kekahi laʻana:

• ʻūhā
• ʻO Tibia
• Iwi lima luna (Humerus)
• Pelvis
• iwi kuamoʻo
• Nā iwi ʻaoʻao

Loaʻa i kekahi ʻano puʻupuʻu nā wahi kikoʻī kahi e hiki ai ke kūkulu ʻia. Eia kekahi laʻana, hiki iā lākou ke kūkulu ʻia ma nā wahi e ulu ai nā iwi (nā papa ulu) a puni nā hono e like me ka ʻūhā, ke kuli, a i ʻole ka poʻohiwi.

Pehea ka maʻamau o kēia mau puʻupuʻu? ʻO wai ka mea i loaʻa pinepine iā lākou?

He mea nui kēia e pono ai ʻoe e ʻike. ʻO kēia mau puʻupuʻu iwi ʻaʻole maʻi kanesa ka mea maʻamau i nā poʻe ma lalo o 30 makahiki. He mea maʻamau lākou i nā pēpē a me nā kamaliʻi liʻiliʻi nona nā iwi e ulu mau ana.

E noʻonoʻo e pili ana i ia mea, aia kekahi makahiki e pau ai ka ulu ʻana o ko kākou mau iwi. Kapa mākou ia he `(Skeletal Maturity)` ma nā ʻōlelo lapaʻau. I ka ʻōlelo maʻalahi, "ka manawa e piha ai ka ulu ʻana o ka iwi". ʻO ka hapa pinepine, e pau ka ulu ʻana o nā kaikamahine i ka wā he 14-16 mau makahiki, a me nā keikikāne ma waena o 16-19 mau makahiki. ʻO ka mea kupaianaha, he nui nā puʻupuʻu `(Benign)`, i ka wā e pau ai kēia ulu ʻana o ka iwi, e pau pū nā puʻupuʻu i ka ulu ʻana . Hiki i kekahi o lākou ke emi iho ma o lākou iho.

He aha nā ʻano maʻamau o nā puʻupuʻu iwi ʻaʻole maʻi kanesa?

Aia nā ʻano like ʻole o kēia mau nati. Mai hopohopo inā kani iki nā inoa i ka ʻepekema. E wehewehe maʻalahi wau. E maʻalahi loa iā ʻoe ke nānā i kēia ʻike ma kahi papa.

No ke aha e like ai kēia ʻano o nā puʻupuʻu?

ʻO kaʻoiaʻiʻo, i ka hapa nui o ka manawa, ʻaʻohe kumu maopopo no kēia. Ua manaʻo ʻia e hana ʻia kahi puʻupuʻu i ka wā e hoʻomaka ai nā pūnaewele i loko o ko kākou mau iwi e māhele a ulu me ke kāohi ʻole no kekahi kumu. Akā ke hoʻāʻo nei nā mea noiʻi e noʻonoʻo i ke kumu.

He aha nā hōʻailona o kēia puʻupuʻu?

ʻO ka mea kupanaha ma ʻaneʻi, ʻo ka hapa nui o nā puʻupuʻu iwi "benign" ʻaʻole hōʻike i kekahi mau hōʻailona .

E noʻonoʻo, hāʻule kāu keiki i ka wā e pāʻani ana a ʻeha kona lima. No laila, lawe ʻoe i kāu keiki i ke kauka a kiʻi i kahi X-ray. ʻO ia ka manawa e ʻike ai ke kauka aia kahi iwi liʻiliʻi ma ka lima. A hiki i kēlā manawa, ʻaʻole ʻoe a me kāu keiki i ʻike e pili ana i ia mea. ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau mea ma ka ulia pōpilikia e like me kēia.

Eia nō naʻe, i kekahi manawa e ʻike ʻia nā hōʻailona. I ia mau hihia, e ʻike paha ʻoe i kēia mau mea:

• ʻO kahi pehu a puʻupuʻu paha i ʻike ʻia: ʻO kahi i loaʻa ai ka puʻupuʻu e ʻike ʻia he pehu a ʻike ʻia ma luna o ka ʻili.
• ʻEha: I kekahi manawa aia paha ka ʻeha nui. Hiki ke hoʻonui ʻia kēia ʻeha i kēlā me kēia lā. I kekahi manawa hiki ke ʻike ʻia ka ʻeha ʻoiai ʻaʻole ʻoe e hana ana i kekahi mea a ke hoʻomaha nei.
• Nā haki: I ka ulu ʻana o ka puʻupuʻu, hoʻonāwaliwali ia i ka iwi. ʻOi aku ka paʻakikī o ka haki ʻana o ka iwi me ka hāʻule iki ʻana i ʻole e haki maʻamau.

Pehea e ʻike ai ke kauka i kēia?

Inā kānalua ʻoe he puʻupuʻu a pehu paha kou ma ka iwi, ʻo ka mea mua e hana ai, ʻo ia ke ʻike koke i kāu kauka . E nānā pono mua ke kauka iā ʻoe. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona:

• Nā Hoʻāʻo Kiʻi:
• X-ray: ʻO kēia ka hoʻāʻo mua, maʻalahi, a koʻikoʻi loa. Hiki i kahi X-ray ke hāʻawi pinepine i kahi manaʻo maikaʻi o ke ʻano o ka puʻupuʻu.
• CT scan (Computed Tomography scan): Hiki ke hana i nā kiʻi ʻekolu-dimensional kikoʻī ma mua o nā kukuna X.
• MRI scan (Magnetic Resonance Imaging scan): Kōkua kēia i ka loaʻa ʻana o kahi kiʻi maopopo o nā ʻiʻo palupalu (nā ʻiʻo, nā aʻalolo) e hoʻopuni ana i ka iwi.
• ʻIwi Scan: Hana ʻia kēia hoʻāʻo e ʻike i nā wahi o ka hoʻonui ʻia o ka hana cell i loko o nā iwi o ke kino.

ʻO ka hapa nui o ka manawa, ʻaʻole pono nā hoʻāʻo koko a mimi paha e ʻike i kahi puʻupuʻu maikaʻi e like me kēia. Hana mua ʻia kahi X-ray, a inā pono, hana ʻia nā scan ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia?

ʻAʻohe lāʻau hoʻokahi no kēlā me kēia puʻupuʻu iwi "benign". Aia ka lāʻau i ke ʻano o ka puʻupuʻu āu, kona nui, kahi i loaʻa ai, a me ka nui o kona hoʻopilikia ʻana i kou iwi.

1. Nānā: I ka hapanui o nā hihia, ʻo ka hoʻoholo maikaʻi loa a ke kauka e hana ai, ʻo ia ke "kali a ʻike." ʻOiai no nā ʻōpū liʻiliʻi asymptomatic, i ʻike ʻia ma kahi hanana, ʻaʻole lākou e mālama ʻia a e nānā ʻia me nā X-ray maʻamau e ʻike inā e nui ana ka ʻōpū.

2. Wehe ʻana i ke ʻoki kino: Inā ke kumu o ka ʻeha, ke ulu wikiwiki nei, a i ʻole aia i ka pilikia o ka haki ʻana o ka iwi, hiki i ke kauka ke hoʻoholo e hana i ke ʻoki kino.

• ʻO ke ʻoki kino e wehe loa i ka puʻupuʻu.
• Hana ʻia ke kāpili iwi i kekahi manawa e hoʻopiha i ka hakahaka i waiho ʻia e ka wehe ʻana o ka puʻupuʻu. ʻO ke ʻano kēia, hoʻohana ʻia kahi ʻāpana liʻiliʻi o ka iwi a i ʻole nā ​​mea hana i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino e hoʻopiha i ka hakahaka.
• Mālama pono nā loea e hana i kēia mau ʻoki kino e wehe wale i ka puʻupuʻu me ka hoʻēmi ʻana i ka hōʻino ʻana i nā ʻiʻo olakino a puni. ʻO ia ke kumu i kūleʻa loa ai nā hopena.

3. Nā ʻano lapaʻau ʻē aʻe:

• No kekahi mau maʻi puʻupuʻu, e like me ka osteoid osteoma, hiki ke hana ʻia kahi lāʻau i kapa ʻia ʻo radiofrequency ablation me ka ʻole o ke ʻoki ʻana, me ka hoʻohana ʻana i kahi mea like me ka nila i hoʻokomo ʻia ma o ka ʻili a luku i ka maʻi puʻupuʻu me nā nalu lekiō.
• Hiki ke mālama ʻia nā puʻupuʻu e like me ka "Aneurysmal bone cysts (ABCs)" me ke ʻoki ʻole ʻana ma ke komo ʻana i ka puʻupuʻu me kahi lāʻau lapaʻau e hoʻēmi ai i nā manawa he nui.

Aia kekahi mau pilikia i ke ʻoki kino?

He mau ʻoki maʻalahi kēia mau mea maʻamau, a he kākaʻikahi nā pilikia nui. Eia nō naʻe, e like me nā ʻoki ʻoki āpau, aia kekahi mau pilikia e hiki ke hana kākaʻikahi loa.

• Ka pōʻino o ke aʻalolo
• Nā maʻi
• Ke kahe ʻana o ke koko
• Paʻakikī o nā hono

Akā, haʻahaʻa loa ka manawa kūpono o kēia mau mea, no laila, mai makaʻu pono ʻole iā lākou.

He aha ka manaʻo no kēia kūlana? (Wānana)

ʻO kēia ka nūhou maikaʻi loa āu e lohe ai. Maikaʻi loa ka nānā ʻana no kekahi me nā puʻupuʻu iwi ʻaʻole maʻi kanesa .

No laila, ʻaʻohe kumu e makaʻu pono ʻole ai a kaumaha paha no kēia.

ʻO nā puʻupuʻu iwi maikaʻi, nā puʻupuʻu iwi ʻaʻole maʻi kanesa, nā puʻupuʻu iwi, nā puʻupuʻu iwi, ka pehu ʻana o ka iwi ma Sinhala, osteochondroma Sinhala, enchondroma Sinhala