He puʻu kou i loko o kou iwi? A i ʻole he ʻeha kou e ʻoi aku ka ʻino i kēlā me kēia lā a hoʻāla iā ʻoe i ka pō? Manaʻo paha ʻoe he ʻeha wale nō ia, he palapū, a i ʻole "nā ʻeha ulu." Akā i kekahi manawa hiki i kēia mau mea ke hōʻailona o kahi mea ʻoi aku ka koʻikoʻi, e like me ke kanesa o ka iwi. He mea maʻamau ka makaʻu ke lohe ʻoe i ka huaʻōlelo "kane." Akā, mai hopohopo. E kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi, pākahi.
He aha maoli ke Kanesa Iwi?
I ka ʻōlelo maʻalahi, ʻo ka "maʻi ʻaʻai iwi" kahi huaʻōlelo laulā no kekahi mau ʻano maʻi ʻaʻai like ʻole e hoʻomaka ana i loko o ko kākou mau iwi. Ke hoʻomaka nā hunaola maʻi ʻaʻai e ulu i loko o kekahi o ko kākou mau iwi, hoʻomaka mālie kēlā mau hunaola e luku i nā ʻiʻo iwi olakino. ʻOiai hiki i kēia mau maʻi ʻaʻai ke ulu i loko o kekahi iwi o ke kino, ʻike pinepine ʻia lākou ma ka iwi ʻūhā, ka iwi ʻūhā, a i ʻole nā iwi lima o luna.
Aia kekahi mea nui e pono ai kākou e hoʻomaopopo ma ʻaneʻi: ʻElua ʻano o ke kanesa.
1. Nā Kanesa Iwi Mua: ʻO kēia nā kanesa e hoʻomaka maoli ana i loko o nā iwi. ʻO ia ke kumu e kapa ʻia ai lākou he `(Bone Sarcomas)`.
2. Nā Metastases: He ʻokoʻa iki kēia. E noʻonoʻo i kahi maʻi kanesa ma ka umauma, ka prostate, a i ʻole nā māmā, a hele kona mau hunaola ma o ke koko a hiki i nā iwi a hoʻomaka e ulu ma laila. Ua like ia me kahi pilikia ma kahi hale ʻē aʻe e hele mai ana i ko mākou hale. Kāhea mākou i kēia "bony metastases." ʻO ka ʻoiaʻiʻo, ʻo ka hapa nui o nā maʻi kanesa i ʻike ʻia ma nā iwi he mau maʻi kanesa i hele mai mai nā wahi ʻē aʻe.
ʻAʻole ka maʻi ʻaʻai iwi he mea ia e pono ai kākou e hoʻomāmā, a he ʻano ia e pono ai ka mālama koke ʻana. Akā ʻo ka nūhou maikaʻi, i kēia lā, hiki i nā kauka ke kaohi a, i kekahi mau hihia, e ho'ōla loa i kēia mau maʻi ʻaʻai.
He aha nā ʻano nui o ka maʻi ʻaʻai iwi?
ʻEkolu mau ʻano nui o ke kanesa iwi mua. Ua hoʻokaʻawale ʻia kēia mau mea ma muli o ke ʻano o ke kelepona a me nā ʻiʻo e hoʻomaka ai ke kanesa. E nānā kākou i ko lākou ʻano.
| ʻAno o ke Kanesa | I ka ʻōlelo maʻalahi ... |
|---|---|
| ʻOsteosarcoma | ʻO kēia ke ʻano maʻamau o ka maʻi ʻaʻai iwi. Hoʻomaka ia i loko o nā pūnaewele e hana i nā ʻiʻo iwi hou. ʻOi aku ka maʻamau i nā ʻōpio a me nā mākua ʻōpio . Akā hiki nō hoʻi ke ulu i loko o nā keiki a me nā mākua ʻōpio. |
| ʻO ka Sarcoma ʻo Ewing | Hiki i kēia maʻi ʻaʻai ke ulu i loko o nā iwi a me nā ʻiʻo palupalu a puni lākou. He mea maʻamau hoʻi ia i nā keiki a me nā ʻōpio . |
| ʻO ke kondrosarcoma | Hoʻomaka kēia mau maʻi kanesa i loko o ke cartilage, ka ʻiʻo palupalu e kōkua ana i ko kākou mau hono a me nā iwi e neʻe. ʻOi aku ka maʻamau o kēia ʻano i nā pākeke . |
Ma waho aʻe o kēia mau ʻano nui ʻekolu, aia kekahi mau ʻano ʻē aʻe, kakaikahi loa o ka maʻi ʻaʻai iwi:
- Chordoma: Hoʻokumu ʻia kēia ma ke kuamoʻo a i ʻole ke kumu o ke poʻo.
- Fibrosarcoma: Hoʻomaka i loko o ka ʻiʻo hoʻopili fibrous ma nā wēlau o nā iwi.
- Nā puʻupuʻu cell nunui: ʻO kēia mau puʻupuʻu ʻaʻole maʻi kanesa (benign), akā hiki ʻole ke lilo i maʻi kanesa.
- ʻO ka sarcoma pleomorphic undifferentiated: He ʻano kēia o ka maʻi kanesa e pālahalaha wikiwiki ana e hoʻomaka ana i nā ʻiʻo palupalu a me nā iwi.
He mea maʻamau anei ka maʻi ʻaʻai iwi?
ʻAʻole. He mea kākaʻikahi loa ka maʻi ʻaʻai iwi. ʻAʻole ia ma mua o 1% o nā maʻi ʻaʻai āpau i hōʻike ʻia ma ka honua holoʻokoʻa. ʻOiai hiki ke loaʻa i kēlā me kēia makahiki, ʻoi aku ka maʻamau i nā keiki, nā ʻōpio, a me nā pākeke ʻōpio ma mua o nā pākeke.
ʻO ka mea nui, inā loaʻa iā ʻoe kahi puʻupuʻu ma kou iwi, ʻo ia paha he puʻupuʻu maikaʻi ʻole, ʻaʻole ia he maʻi kanesa. ʻAʻole laha kēia mau puʻupuʻu maikaʻi ʻole ma ke kino e like me ke kanesa.
E makaʻala i kēia mau hōʻailona.
ʻAʻole paha i loaʻa i kekahi poʻe me ka maʻi ʻaʻai iwi kekahi mau hōʻailona ʻē aʻe ma mua o kahi puʻupuʻu ʻeha ʻole. Akā, hiki i kekahi ke loaʻa nā ʻano hōʻailona like ʻole. I kekahi manawa hiki ke huikau kēia mau hōʻailona me nā kūlana ʻē aʻe, e like me "nā ʻeha ulu," nā ʻeha haʻuki, a i ʻole ka rumatika. Hiki i kēia ke hoʻopaneʻe i ka ʻike ʻana.
Eia nā hōʻailona maʻamau o ka maʻi ʻaʻai iwi:
| Hōʻailona | He wehewehe e pili ana i ia mea |
|---|---|
| ʻEha iwi | He ʻeha e hoʻonui mālie ana a mau. ʻOi aku ka ʻeha i ka pō . Hiki i kekahi poʻe ke manaʻo i kahi ʻano ʻūlū a i ʻole ka ʻeha ʻoi ma ka iwi. |
| He puʻupuʻu a pehu paha | E ʻike paha ʻoe i kahi puʻupuʻu ma kou lima ma kahi o ka ʻeha. E ʻike paha ʻoe i ka pehu ʻana me ke kumu ʻole. |
| Paʻakikī ke neʻe ʻana | Inā kokoke ka pehu i kahi hono, he mea paʻakikī paha ke kulou a hoʻopololei paha i kēlā hono. |
| Nā hiʻohiʻona ʻē aʻe | Ka luhi i hiki ʻole ke wehewehe ʻia, nā ʻeha kino, a me ke kuni. |
No ke aha e ulu ai kēia maʻi ʻaʻai iwi? He aha nā kumu pilikia?
ʻAʻole ʻike nā loea i ke kumu kikoʻī o ka maʻi ʻaʻai iwi. Akā e like me nā maʻi ʻaʻai ʻē aʻe, ua hoʻokumu ʻia e kahi pilikia me ka DNA, ka ʻōnaehana hoʻomalu i loko o kā mākou mau cell. A laila māhelehele nā cell a hoʻonui me ke kāohi ʻole, e hana ana i kahi puʻupuʻu (tumor). Inā waiho ʻole ʻia, hiki i kēia mau cell cancer ke laha i nā ʻāpana ʻē aʻe o ke kino.
Ua loaʻa i nā kānaka noiʻi nā pilina ma waena o ke kanesa iwi a me kekahi mau kumu ʻē aʻe. Ua kapa ʻia kēia mau mea he mau kumu pilikia.
- Ka lāʻau lapaʻau ma mua o ke kanesa: Inā ua loaʻa iā ʻoe ka radiation therapy a i ʻole kekahi mau lāʻau chemotherapy e like me ka lāʻau lapaʻau no kekahi kanesa ʻē aʻe, hiki ke hoʻonui iki ʻia kou pilikia o ka loaʻa ʻana o ka maʻi kanesa iwi i ka wā e hiki mai ana.
- Nā kumu hoʻoilina:Hiki i kekahi mau maʻi genetic i hoʻoilina ʻia kakaʻikahi loa (e like me ka maʻi Li-Fraumeni) ke hoʻonui i ka pilikia o ka maʻi ʻaʻai iwi.
- ʻO nā maʻi iwi ʻē aʻe ʻaʻole he maʻi kanesa: ʻO kekahi mau kūlana iwi ʻaʻole he maʻi kanesa, no ka laʻana, ka maʻi Paget o ka iwi, hiki ke lilo i ka maʻi kanesa.
Akā e hoʻomanaʻo, ʻo ka hapa nui o ka poʻe i loaʻa i ka maʻi ʻaʻai iwi ʻaʻohe o lākou mau kumu pilikia i ʻike ʻia . ʻO ke ʻano kēia e kū pinepine ai me ke kumu ʻole.
Pehea e ʻike ai ke kauka i kēia?
Inā kānalua ʻoe he maʻi ʻaʻai iwi kou, e lawe mua kāu kauka i kahi X-ray e nānā i kou mau iwi. A laila, e kauoha paha lākou i kahi MRI a i ʻole CT scan e kiʻi i nā kiʻi maopopo a kikoʻī hoʻi o nā ʻiʻo a puni kou mau iwi.
No ka hōʻoia ʻana i ka maʻi, pono maoli ka biopsy . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope. Hiki i ka biopsy ke hāʻawi i ka nui o ka ʻike koʻikoʻi, e like me ke ʻano o ke kanesa a me ka wikiwiki o kona laha ʻana. Ma muli o kēia ʻike, e hoʻoholo ke kauka i ka lāʻau lapaʻau maikaʻi loa iā ʻoe.
Pehea e hoʻoholo ʻia ai ke kahua o ka maʻi kanesa?
ʻO ke kahua o ke kanesa kahi ʻano hana i hoʻohana ʻia e hoʻoholo ai inā ua kūloko ke kanesa a ua laha paha i loko o ke kino. Nānā pū ia i ke ʻano o ka ʻokoʻa o nā hunaola kanesa mai nā hunaola maʻamau (grade). Hiki i kēia ke hāʻawi i kahi manaʻo o ka wikiwiki o ka laha ʻana o ke kanesa. ʻElua mau ʻano hana nui i hoʻohana ʻia e hoʻoholo ai i ke kahua o ke kanesa iwi.
| Ka hoʻokaʻawale ʻana o ka maʻi maʻi (AJCC System) | |
|---|---|
| Kahua | Manaʻo |
| Pae 1 | He maʻi haʻahaʻa ke ʻano o ke kanesa a ʻaʻole i laha. |
| Pae 2 | ʻAʻole i laha ka maʻi ʻaʻai, akā he maʻi kiʻekiʻe kona, ʻo ia hoʻi hiki ke laha koke. |
| Pae 3 | He kiʻekiʻe ke ʻano o ke kanesa a ua pālahalaha aku i nā ʻāpana ʻē aʻe o ka iwi kahi i hoʻomaka ai. |
| Pae 4 | Ua pālahalaha ke kanesa ma ʻō aku o ka iwi i nā ʻāpana ʻē aʻe o ke kino, e like me nā māmā a me ke akepaʻa. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano nui o ka lāʻau lapaʻau no ka maʻi ʻaʻai iwi, ʻo ia ka wehe loa ʻana i ka puʻupuʻu maʻi ʻaʻai ma o ke ʻoki ʻana.
- ʻOki kino: Me ka ʻenehana hou, hana pinepine ʻia ke ʻoki kino e mālama i nā lālā . Ma kēia kaʻina hana, wehe wale ke kauka ʻoki kino i ka puʻupuʻu kanesa a me kahi liʻiliʻi o nā ʻiʻo olakino a puni. A laila hoʻololi ʻia ka iwi me kahi graft iwi artificial a i ʻole kahi graft iwi maoli mai kahi ʻāpana ʻē aʻe o ke kino.
Eia nō naʻe, i kekahi mau hihia, pono e wehe ʻia kahi lima a i ʻole ka wāwae holoʻokoʻa e kāohi i ke kanesa. I kēlā hihia, hoʻokomo ʻia kahi lima a i ʻole ka wāwae prosthetic ma hope o ke ʻoki ʻana. Ua holomua loa nā prosthetics o kēia lā. ʻO ka hopena, hiki i nā poʻe he nui ke ola i kahi ola maʻamau, e like me kā lākou i hana ai ma mua o ke ʻoki ʻana.
Ma waho aʻe o ke ʻoki kino, aia kekahi mau koho lapaʻau ʻē aʻe.
- Lapaʻau Radiation: Hoʻohana kēia i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia kēia lāʻau lapaʻau e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole e luku i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.
- Kemoterapi: ʻO kēia ke komo ʻana i nā lāʻau ikaika i loko o ke kino e pepehi i nā hunaola kanesa. He mea nui loa kēia lāʻau lapaʻau ma mua o ke ʻoki ʻana e kāohi i ka laha ʻana o ke kanesa, a ma hope o ke ʻoki ʻana e pepehi i nā hunaola kanesa i koe i loko o ke kino a pale i ka hoʻi hou ʻana mai o ke kanesa.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka lōʻihi e hoʻōla ai?
I ka hapa nui o ka manawa, e emi koke ka ʻeha i hoʻokumu ʻia e ka maʻi kanesa ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki i ka lāʻau lapaʻau ke loaʻa kekahi mau hopena ʻaoʻao, a hiki ke lōʻihi ka manawa e ho'ōla ai.
Ma kahi o ʻeono mahina o ka hoʻōla kino e hoʻomaʻamaʻa ai i kahi lālā prosthetic. ʻOiai me ka ʻoki ʻana, hiki ke hala ma kahi o hoʻokahi makahiki e hoʻomaʻamaʻa piha ai i ka iwi hou i hana ʻia.
ʻO ka ʻoiaʻiʻo, ʻo ka manawa e ola ai ʻoe e pili ana i ke ʻano o ke kanesa, ke kahua, a me ka lāʻau lapaʻau āu e loaʻa ai. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe.
Hoʻomaʻamaʻa pinepine ʻia ka mālama ʻana no ka maʻi ʻaʻai iwi. I ka hapanui o nā hihia, ʻaʻole e hoʻi hou mai ke kanesa. Eia nō naʻe, pono paha ma mua o hoʻokahi ʻoki kino.
ʻO ka poʻe me kekahi ʻano maʻi kanesa e laha koke ana, pono paha lākou e hoʻomau i ka loaʻa ʻana o ka radiation a i ʻole chemotherapy e kāohi i ke kanesa. No laila, ʻaʻole like ka ʻike o kēlā me kēia kanaka. E wehewehe kāu kauka iā ʻoe i ke ʻano o ka prognosis ma muli o kou kūlana.
Hiki ke pale ʻia kēia? Āhea wau e ʻike ai i ke kauka?
ʻOiai ʻaʻole ʻike ʻia ke kumu maoli o ka maʻi ʻaʻai iwi, ʻaʻohe ala e pale aku ai i kēia manawa.
Akā ʻo ka mea nui loa hiki iā ʻoe ke hana, ʻo ia ke ʻike koke i ke kauka inā ʻike ʻoe i kekahi mau loli ʻē i kou mau iwi, e like me kahi puʻupuʻu hou, ka pehu ʻana, a i ʻole ka ʻeha mau. ʻOiai inā he puʻupuʻu a pehu paha kāu keiki, pono ʻoe e hōʻike iā ia i ke kauka. ʻOiai he mau hōʻailona kēia, ʻaʻole ia he manaʻo he maʻi kanesa ia. Akā, hiki i ke kauka ke ʻike pono i ke kumu o ia mea.
ʻOiai ma hope o ka lāʻau lapaʻau, pono ʻoe e hele i nā keʻena lapaʻau (nā manawa hahai) i nā lā i kuhikuhi ʻia e ke kauka. Pono ʻoe e hele i kēlā me kēia ʻekolu mahina no nā makahiki ʻelua mua. E ʻae kēia iā ʻoe e ʻike mua i ke kanesa a hoʻomaka i ka lāʻau lapaʻau inā e hoʻi hou mai.
Leka Lawe-Home
- Inā loaʻa iā ʻoe a i ʻole kāu keiki ka ʻeha mau, ka pehu ʻana, a i ʻole kahi puʻupuʻu ma kekahi o ko lākou iwi, mai hoʻowahāwahā iā ia me he "mea liʻiliʻi wale nō." E ʻike koke i ke kauka.
- He maʻi laha ʻole ka maʻi ʻaʻai iwi. ʻAʻole nā puʻupuʻu a pau e kū ana ma ka iwi he maʻi ʻaʻai.
- ʻOiai he maʻi koʻikoʻi kēia, inā ʻike mua ʻia a hoʻomaka ʻia ka mālama kūpono , hiki ke hoʻomalu a hoʻōla ʻia me ka holomua.
- I kēia lā, aia nā ʻano lapaʻau holomua a holomua e like me ke ʻoki kino, ka radiation therapy, a me ka chemotherapy.
- He mea maʻamau ka makaʻu ke ʻike ʻoe he maʻi kanesa kou. Akā, ʻaʻole ʻoe hoʻokahi. E kamaʻilio ākea me kāu kauka e pili ana i kou hopohopo a me kou mau makaʻu.
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