Ua ʻike anei ʻoe i nā puʻupuʻu iwi maikaʻi ʻole? E kamaʻilio kākou!

Ua ʻike anei ʻoe, a i ʻole ua ʻike paha, i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma ka iwi? A i ʻole ua hiki mai i kāu keiki? I kekahi manawa he mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i kēia mau mea, ʻeā? Akā, ʻaʻole nā ​​puʻupuʻu a pau he maʻi kanesa weliweli. I kēia lā e kamaʻilio mākou e pili ana i kēlā mau mea, nā mea i hana ʻia i loko o nā iwi, akā ʻaʻole weliweli, ʻo ia hoʻi, nā mea i hāʻule i loko o ka māhele o "Benign", a i ʻole " Benign Bone Tumors" . I kēia lā e kamaʻilio mākou e pili ana i nā mea he nui e like me ke ʻano maoli o kēia mau mea, ʻo wai ka mea i loaʻa iā lākou, he aha nā hōʻailona, ​​a pehea e mālama ʻia ai.

Ua ʻike anei ʻoe i kēia (Benign Bone Tumor)?

I ka ʻōlelo maʻalahi, he ʻano puʻupuʻu kēia e hoʻomaka ana i loko o kou ʻōnaehana iwi, ʻo ia hoʻi, i loko o kou mau iwi. Akā ʻo ka mea nui, ʻo ka hapa nui o kēia mau mea he ʻano "Benign". ʻO ke ʻano "Benign" ʻaʻole kēia he mau kūlana "Cancerous" a me ka maʻi kanesa. ʻO ke ʻano kēia, ʻaʻole e laha kēia mau puʻupuʻu mai kahi a lākou e hana ai i nā ʻāpana ʻē aʻe o ke kino.

E noʻonoʻo wale, hiki i kahi puʻupuʻu e like me kēia ke ulu i loko o kekahi iwi o ko kākou kino, ma kekahi ʻāpana o kēlā iwi. ʻO ka hapa pinepine, ʻike ʻia kēia mau mea ma kekahi o nā iwi nui loa o ko kākou kino. No ka laʻana, ma nā wahi e like me ka iwi ʻūhā `(Femur)`, ka iwi ʻūhā `(Tibia)`, ka iwi mai ka poʻohiwi a i ke kuʻekuʻe `(Humerus)`, ka iwi ʻūhā `(Pelvis)`, ka iwi kuamoʻo `(Spine)` a me nā iwi ʻaoʻao `(Ribs).

ʻOi aku ka maʻamau o kekahi ʻano o nā puʻupuʻu ma nā wahi kikoʻī. Eia kekahi laʻana, ʻoi aku ka maʻamau o kekahi ʻano ma nā papa ulu o ka iwi kuamoʻo a i ʻole ma nā wahi e like me nā pūhaka, nā kuli, a me nā poʻohiwi.

ʻO wai ka poʻe e loaʻa pinepine ana i kēia? ʻO ka poʻe ʻōpio?

ʻAe, ʻo kēia kūlana i kapa ʻia ʻo "Benign Bone Tumors" ka mea maʻamau i waena o ka poʻe ma lalo o 30 makahiki. ʻOi loa aku, ʻike ʻia ka nui o ia mau puʻupuʻu i nā keiki i ka wā e ulu ana ko lākou ʻōnaehana iwi .

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o kēia mau puʻupuʻu maikaʻi ʻole e pau ka ulu ʻana ke pau ka ulu ʻana o ke kino o ke keiki, ʻo ia hoʻi, ua pau ka ulu ʻana o nā iwi. ʻO kēia ma waena o nā makahiki 14-16 no nā kaikamahine a me 16-19 no nā keikikāne.

He aha nā ʻano puʻupuʻu iwi maʻamau?

Aia nā ʻano like ʻole o kēia mau `(Benign Bone Tumors)`. E nānā kākou i kekahi o nā ʻano nui i ʻike ʻia. He ʻokoʻa iki kēlā me kēia mai kekahi.

• Enchondroma: Hoʻomaka kēia ʻano puʻupuʻu i loko o ke cartilage . Hoʻokumu ia i loko o ka iwi, kahi i loaʻa ai ka iwi iwi.
• Osteochondroma: Hana ʻia kēia mau mea me ke cartilage a me ka iwi. Hiki i kēia mau puʻupuʻu ke ulu nui aʻe i ka wā e ulu ai ka ʻōnaehana iwi o ke kino. Ulu lākou mai ka iwi.
• ʻO ka fibroma non-ossifying: ʻO ka mea kupanaha, ʻo ia ke ʻano maʻamau o ka puʻupuʻu iwi i nā keiki. I ka hapa nui o ka manawa, nalowale kēia mau puʻupuʻu iā lākou iho. I ka hapa nui o ka manawa, ʻike ʻia lākou ma ka ulia pōpilikia. E noʻonoʻo e hāʻule kāu keiki i ka wā e pāʻani ana a hōʻeha i kona lima. E ʻike wale ke kauka e pili ana i kēia ʻano puʻupuʻu i ka wā o kahi X-ray.
• Chondroblastoma: Hiki i kēia ʻano puʻupuʻu ke ulu a hoʻopilikia i nā hono kokoke. No laila, wehe pinepine ʻia lākou ma ke ʻoki ʻana. Loaʻa pinepine lākou i nā keiki a hiki ke hōʻeha nui .
• ʻO ka Osteoid osteoma: Hoʻopilikia pinepine kēia ʻano i nā iwi lōʻihi o ke kino. ʻOi aku ka maʻamau i nā kāne. Hiki ke ʻoi aku ka ʻeha i ka pō, ʻoiai me nā loli hormonal. Hiki i nā lāʻau anti-inflammatory nonsteroidal (NSAID) ke kōkua i ka hōʻoluʻolu ʻana i kēia ʻeha.
• Osteoblastoma: He ʻano kēia e kū pinepine ai i nā kāne. ʻO ke ʻoki kino ka lāʻau lapaʻau pinepine.
• ʻO ka chondroma Periosteal: Hana ʻia kēia mau mea me ke cartilage a aia ma luna o ka ʻili o ka iwi. Hoʻōla pinepine ʻia kēia me ke ʻoki ʻana.
• ʻO ka puʻupuʻu cell nui: He mea kākaʻikahi kēia ʻano puʻupuʻu, akā hiki ke ulu koke. ʻOi aku ka nui o ka loaʻa ʻana o ia mea i nā wahine. ʻO ke ʻoki kino ka lāʻau lapaʻau maʻamau.
• ʻO Chondromyxoid fibroma: Hoʻomaka kēia ʻano puʻupuʻu kakaikahi ma ka iwi iwi. ʻO ke ʻoki pinepine ʻana no kēia.
• ʻO ka cyst iwi aneurysmal (ABC): Hiki i kēia mau cysts ke ulu nui i kekahi manawa. Hoʻōla ʻia lākou me nā inikini he nui o kahi lāʻau i kapa ʻia ʻo sclerotherapy a i ʻole ke ʻoki kino. ʻO ke kumu o kēia lāʻau lapaʻau ke kōkua i ka hoʻopiha ʻana i kahi i loaʻa ai ka cyst.
• ʻO nā cysts iwi Unicameral [maʻalahi] (UBC): Loaʻa pinepine kēia mau mea a puni nā papa ulu. Loaʻa pinepine lākou i ka wā i hoʻonāwaliwali ai ka puʻupuʻu i ka iwi a hana i kahi haki. ʻO ka maʻamau, pili ka lāʻau i kahi graft iwi, sclerotherapy, a i ʻole ke ʻoki kino.
• ʻO ka dysplasia fibrous:He ʻano maʻamau nō hoʻi kēia o ka puʻupuʻu iwi. Hiki iā lākou ke ʻike ʻia he puʻupuʻu hoʻokahi a he mau puʻupuʻu he nui. ʻAʻole pono ke ʻoki ʻana ke ʻole ka nui o ka puʻupuʻu e hoʻonāwaliwali i ka iwi.

No ke aha e like ai kēia ʻano o nā puʻupuʻu iwi? (Nā kumu)

ʻO kaʻoiaʻiʻo, hoʻokumu ʻia kēia mau puʻupuʻu iwi i ka wā e māhelehele ʻole ai nā ʻāpana iwi , ulu wikiwiki, a hana i kahi nui a i ʻole hui o nā ʻāpana. Akā i ka hapanui o nā hihia, ʻaʻohe kumu maopopo i loaʻa no ke kumu o kēia. ʻO ia hoʻi, he paʻakikī ke ʻōlelo maopopo, "ʻO kēia ke kumu e hoʻokumu ʻia ai kēia mau puʻupuʻu."

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai? (Nā hōʻailona)

Hiki ke ʻokoʻa nā hōʻailona o `(Benign Bone Tumors)`. Loaʻa paha i kekahi poʻe kēia mau puʻupuʻu me ka ʻole o nā hōʻailona. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau:

• He pehu a puʻupuʻu paha i ʻike ʻia: I kekahi manawa, ʻike ʻia kahi puʻupuʻu ma luna o ka ʻili kahi o ka iwi.
• ʻEha: Hiki ke koʻikoʻi kēia a hiki ke holomua. Hiki iā ʻoe ke ʻeha ʻoiai ʻoe e kū mālie ana, ʻo ia hoʻi, i ka wā e hoʻomaha ai.
• Nā haki: Hoʻonāwaliwali ka puʻupuʻu e ulu ana i ka iwi, a hiki i kahi hopena liʻiliʻi ke kumu o ka haki ʻana o ka iwi.

Akā e hoʻomanaʻo, i ka hapanui o nā hihia, ʻaʻole hōʻike kēia mau puʻupuʻu i kekahi mau hōʻailona. ʻIke ʻia lākou me ka ulia pōpilikia ke hana ʻia kahi X-ray no kekahi kumu ʻē aʻe, no ka laʻana, ma hope o kahi ulia.

Pehea e ʻike ai nā kauka i kēia?

Inā kānalua ʻoe he puʻupuʻu a pehu paha kou ma ka iwi, e ʻike mua i kāu kauka ʻohana. E nānā pono ʻo ia iā ʻoe a, inā pono, e kauoha paha i kekahi mau hoʻokolohua hou aʻe. ʻO nā mea nui:

• Nā hoʻāʻo kiʻi: ʻO kēia mau mea me nā X-ray, nā scan CT (Computed Tomography scans), a me nā scan MRI (Magnetic Resonance Imaging scans). Hiki i kēia mau mea ke hāʻawi i ka ʻike he nui e pili ana i ke ʻano, ka nui, a me kahi o ka puʻupuʻu.
• Iwi scan: He hoʻāʻo kūikawā kēia i hana ʻia i kekahi manawa.

He mea kākaʻikahi loa ke kauoha ʻia ʻana o nā hoʻāʻo koko a i ʻole nā ​​hoʻāʻo mimi e ʻike i kahi "Benign Bone Tumor". Hiki i ke kauka loea i nā ʻōpū iwi ke kauoha pinepine i kahi "Bone scan", "CT scan", "MRI scan", a i ʻole "Biopsy" (lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻōpū no ka hoʻokolokolo ʻana). Eia nō naʻe, ʻo ka loiloi mua a me ka "X-ray" nā hana mua kūpono loa. Hiki i kāu kauka keiki a kauka ʻohana paha ke kauoha i kēia mau hoʻāʻo mua.

He aha nā lāʻau lapaʻau no kēia?

ʻAʻohe lāʻau hoʻokahi no nā puʻupuʻu iwi maikaʻi ʻole. Pili ke ʻano o ka lāʻau i kekahi mau kumu, me ke ʻano o ka puʻupuʻu, kona nui, kona wahi, a me ka nui o kona hopena i ka ikaika o ka iwi.

He mea kali wale nō paha? A i ʻole he pono ʻoe i kahi hana ʻoki?

I ka hapanui o nā hihia, hiki i kāu kauka ke kuhikuhi i ka "Nānā." ʻO ia hoʻi, me ka ʻole o kekahi lāʻau lapaʻau, akā e nānā i ka puʻupuʻu i kēlā me kēia manawa e ʻike inā e loli.

I nā hihia ʻē aʻe, hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau, nā hoʻokolohua kiʻi kūikawā, kahi biopsy, a i ʻole ke ʻoki ʻana e wehe i ka puʻupuʻu.

Hiki ke mālama pono ʻia ka hapa nui o nā puʻupuʻu maikaʻi ʻole me ke ʻoki ʻana. I ka hapanui o nā hihia, haʻahaʻa loa ka pilikia o ka hoʻi hou ʻana mai o ka puʻupuʻu - ʻoi aku ka liʻiliʻi ma mua o 5%. Eia nō naʻe, ʻoi aku ka nui o ka hoʻi ʻana mai o kekahi mau puʻupuʻu iwi maikaʻi ʻole, e like me nā puʻupuʻu cell nunui. Eia nō naʻe, inā hoʻi mai lākou, aia nā ala maikaʻi e mālama ai iā lākou.

He aha ke ʻano o nā ʻoki kino āu e hana ai?

I ka mālama ʻana i nā `(Benign Bone Tumors)` me ke ʻoki kino, he mea nui e wehe i ka puʻupuʻu a me ka ʻae ʻana i ka iwi olakino hou e ulu ma kona wahi. Pono ke kauka lapaʻau e mālama ana i kēlā mau puʻupuʻu e hoʻāʻo e wehe i ka puʻupuʻu me ka liʻiliʻi o ka hōʻino ʻana i ka ʻiʻo iwi olakino e hoʻopuni ana i ka puʻupuʻu.

Pono nō hoʻi nā kauka ʻokiʻoki i ka ʻike i ka hoʻohana ʻana i nā lako orthopedic (nā papa metala kūikawā, nā pine, a pēlā aku) a me ka hoʻopili iwi (bone grafting). Ke hui pū ʻia kēia mau ʻano hana, hiki i ka poʻe me nā ʻōpū iwi maikaʻi ʻole, ʻoiai ka poʻe ʻōpio, ke hoʻōla piha ma hope o ka mālama ʻana a hoʻi i kā lākou mau hana maʻamau me ke kaupalena ʻole.

Aia kekahi mau lāʻau lapaʻau ʻē aʻe no kekahi mau ʻano puʻupuʻu iwi. No ka laʻana, hiki ke mālama ʻia ka osteoid osteoma me ka radiofrequency ablation a i ʻole ka thermal necrosis. Pono kēia mau lāʻau lapaʻau i ka anesthesia a hana pinepine ʻia e kahi hui o nā kauka ʻoki iwi a me nā radiologists. Hiki ke mālama ʻia nā aneurysmal bone cysts (ABCs) me kahi moʻo o nā inikini o kahi lāʻau i kapa ʻia ʻo doxycycline . Hiki i kēia ke kōkua i ka pale ʻana i ke ʻoki hāmama.

Aia kekahi mau pilikia i ke ʻoki kino?

Ma muli o ka maʻalahi o ka hapa nui o kēia mau ʻoki kino, he kakaikahi nā pilikia nui. Eia nō naʻe, aia kekahi mau pilikia kakaikahi (akā hiki). ʻO kēia mau mea: ka hōʻino ʻana o ke aʻalolo, ka maʻi, ke kahe nui ʻana o ke koko, ka ʻoʻoleʻa o nā hono, a me ka hiki ʻole ke hoʻi i nā haʻuki kiʻekiʻe.

ʻAʻohe ala e pale aku ai i kēia mau mea mai ka hana ʻana? (Ka pale ʻana)

E like me ka ʻike ʻana o nā mea noiʻi,ʻAʻohe ala e pale aku ai i ke kūkulu ʻia ʻana o kēia mau "Benign Bone Tumors".

He mea weliweli anei kēia kūlana? E hoʻomaikaʻi anei? (Wānana)

He maikaʻi loa ka wānana no ka poʻe me nā Benign Bone Tumors. Hiki ke mālama ʻia lākou, a hiki ke hoʻomaha ʻia ka ʻeha me ka lāʻau lapaʻau. ʻAʻole pinepine kēia ʻano e hoʻoweliweli i ke ola. He mea kākaʻikahi loa (ʻaʻole i hiki i ka 1%) no nā Benign Bone Tumors ke lilo i maʻi kanesa.

Āhea mākou e ʻike ai i ke kauka? (I ka manawa hea e ʻike ai i ke kauka)

Inā he mau hopohopo kou e pili ana i kou olakino, pono ʻoe e ʻike i ke kauka i kēlā me kēia manawa. Inā ʻike ʻoe i kahi puʻupuʻu a pehu paha ma kahi kokoke i kekahi o kou mau iwi, a inā he ʻeha kou e ʻoi aku ana ka ʻino a ʻaʻole e nalowale, pono ʻoe e ʻike i ke kauka.

ʻO nā puʻupuʻu iwi maikaʻi he mau puʻupuʻu ʻaʻole maʻi kanesa. ʻOi aku ka maʻamau o lākou ma mua o nā puʻupuʻu iwi ʻino. Loaʻa pinepine lākou i nā poʻe ʻōpio. Inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona e like me ka puʻupuʻu a/a i ʻole ka pehu ʻana, me ka ʻeha e ʻoi aku ka ʻino i ka wā e hoʻomaha ai, e kelepona i kāu kauka. ʻOiai inā he maikaʻi ka puʻupuʻu, pono paha ʻoe i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka ʻike mua a me ka lāʻau lapaʻau.

No laila he aha nā mea nui loa e pono ai mākou e hoʻomanaʻo?

ʻAe, ua kamaʻilio nui mākou e pili ana i nā `(Benign Bone Tumors)` i kēia manawa. No laila, e nānā kākou i nā mea nui e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai.

• ʻO ke ʻano maikaʻi ʻaʻole ia he mea weliweli: ʻAʻole kēia mau puʻupuʻu he maʻi kanesa, a ʻaʻole lākou e laha i nā wahi ʻē aʻe o ke kino. ʻO kēia ka mea nui loa.
• ʻOi aku ka maʻamau i nā ʻōpio: Hiki ke ʻike ʻia kēia mau mea i nā keiki i ko lākou wā ulu iwi.
• E makaʻala i nā hōʻailona: E hopohopo inā he puʻu kou i loko o ka iwi, pehu, a i ʻole e hoʻonui ana i ka ʻeha (ʻoi aku hoʻi i ka pō). Akā i kekahi manawa ʻaʻohe hōʻailona iki.
• E ʻike i ke kauka: Inā he kānalua kou, mai kānalua e ʻike i ke kauka a e nānā. ʻOi aku ka maikaʻi o ka ʻike koke ʻana.
• Aia nā lāʻau lapaʻau, a hiki ke hoʻōla ʻia: Aia ka lāʻau lapaʻau i ke ʻano, ka nui, a me kahi o ka puʻupuʻu. Loaʻa nā koho lapaʻau mai ke kali makaʻala a hiki i ke ʻoki ʻana. He holomua nui nā hopena.
• He mea kākaʻikahi ke lilo i maʻi ʻaʻai: He haʻahaʻa loa ka manawa e lilo ai kēia mau puʻupuʻu maikaʻi i maʻi ʻaʻai ma hope aku.

No laila, ke lana nei koʻu manaʻo he kōkua kēia ʻike iā ʻoe. E hoʻomanaʻo, inā ʻike ʻoe i kahi loli i kou kino, he mea naʻauao ke makaʻala iā ia a hana i nā hana e pono ai.

ʻO nā puʻupuʻu iwi, ʻO ka puʻupuʻu iwi maikaʻi ʻole, nā puʻupuʻu iwi ʻaʻole maʻi ʻaʻai, ʻEha iwi, nā puʻupuʻu iwi i nā keiki, Pehu iwi, X-ray