I kekahi manawa, hiki ke hana ʻia nā loli liʻiliʻi i loko o kou kino me ka ʻike ʻole ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia mau mea. E makaʻu iki paha ʻoe ke lohe ʻoe i kēia, akā ʻaʻole ia he mea e makaʻu ai. E nānā kākou i ke ʻano o kēia "moku iwi" a i ʻole e like me ke kāhea ʻana o nā kauka, `(Enostosis)`?
He aha ka "Mokupuni Iwi" (Mokupuni Iwi / Enostosis)?
ʻAe, e wehewehe maʻalahi kākou. ʻO ka "moku iwi" he ʻāpana iwi liʻiliʻi a paʻa i hana ʻia i loko o kekahi o kou mau iwi, ʻaʻole ia he maʻi kanesa (ʻo ia hoʻi, "maikaʻi ʻole"). E noʻonoʻo ʻoe he kekahi o kou mau iwi, a i loko o kēlā iwi, aia kekahi ʻāpana iwi liʻiliʻi ʻē aʻe i hana ʻia. Ua like ia me kahi mokupuni liʻiliʻi ma waenakonu o ke kai, a ua kapa ʻia ʻo ia he "moku iwi" no ka mea he ʻāpana iwi ʻē aʻe ia i hoʻokaʻawale ʻia i loko o kahi iwi.
I mea e wehewehe iki ai, ʻelua ʻāpana nui o ko kākou mau iwi. ʻO kekahi ka papa waho mānoanoa a ikaika . Ua like ia me ka pūpū niu. ʻO kekahi ka ʻāpana huʻahuʻa, e like me ka ʻupena i loko . ʻO kēia ka mea a nā kauka e kapa ai he "iwi cancellous", a ʻo ka ʻāpana waho, ʻoi aku ka mānoanoa, ʻo ia ka "iwi cortical." I loko o kēlā "iwi cancellous" huʻahuʻa, kahi ʻāpana liʻiliʻi o kēlā "iwi cortical" mānoanoa, e like me kahi mokupuni, e ulu ana me kaʻawale, ʻo ia ka mea a mākou e kapa ai he "moku iwi" a i ʻole "enostosis." ʻO ka mea nui, ʻaʻole e hōʻeha kēia ʻāpana iwi liʻiliʻi i ka iwi olakino e hoʻopuni ana, a ʻaʻole ia e hōʻeha pinepine.
He mea weliweli anei ka "mokupuni o nā iwi"?
ʻO kēia ka pilikia nui loa no nā kānaka he nui. ʻAʻole, ʻaʻole weliweli ka metastases o ka iwi . E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole lākou he mau maʻi kanesa. ʻO ia hoʻi, ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o ke kino a i ʻole e hoʻoweliweli i ke ola. ʻO ka hapa nui o ka manawa, ʻaʻole mākou i ʻike aia lākou ma laila. No ka mea, ʻaʻole lākou e hōʻike pinepine i nā hōʻailona. No laila, ʻoi aku ka maikaʻi o ka makaʻu ʻole i ka lohe ʻana i kēia inoa, ʻeā?
Ma hea kēia mau mea e hana ʻia ai? ʻO wai ka mea e hoʻomohala nui iā lākou?
Hiki i nā iwi spurs ke hana ʻia i loko o kekahi iwi i loko o ko kākou kino. Eia naʻe, ʻike pinepine ʻia lākou ma:
- Ma ka iwi ʻūhā (ʻo ia hoʻi, ma kou `(Femur)`)
- I loko o kou mau iwi pelvic (i loko o kou `(Pelvis)`)
- Nā Iwi ʻAoʻao (`(Iwi ʻAoʻao)`)
ʻOiai hiki ke ulu kēia mau mea i loko o kekahi kanaka, ʻoi aku ka maʻamau o ia mau mea i nā mākua ma mua o nā keiki ʻōpio. ʻAʻole ʻike ʻia ke kumu pololei.
He hopena anei ko ka "moku iwi" i ke kino? Aia kekahi mau hōʻailona?
ʻO ka hapa nui o ka manawa, ʻaʻohe hopena . ʻAʻole pinepine nā iwi spurs e hōʻike i nā hōʻailona. ʻO ia hoʻi, ʻaʻole paha ʻoe e ʻike iā lākou inā loaʻa iā ʻoe kekahi. Hōʻike kekahi poʻe i ka ʻeha, akā he mea kakaikahi loa nō hoʻi kēlā. ʻAʻole lākou e hoʻopilikia i nā hana o kēlā me kēia lā a i ʻole nā hana kino.
Pehea ke ʻano o kahi "mokupuni o nā iwi"? Pehea kona manaʻo?
ʻO ka mokupuni iwi he puʻupuʻu liʻiliʻi ia he ʻano poepoe, oval, a ʻōniʻoniʻo paha. I kekahi manawa he mau "manamana lima" liʻiliʻi e like me ke kakalaioa ma kona mau kihi. He liʻiliʻi loa kēia, ʻaʻole i ʻoi aku ma mua o 2 kenimika. Eia nō naʻe, inā ʻoi aku lākou ma mua o 2 kenimika, ua kapa ʻia lākou he "moku iwi nui."
No ke ʻano, e like me kaʻu i ʻōlelo ai ma mua, ʻaʻole paha ʻoe e manaʻo i kekahi mea . Aneane ʻaʻohe hōʻailona o kēia mau mea. Kākaʻikahi loa, hiki i kekahi ke manaʻo i ka ʻeha, akā ʻaʻole ia he mea maʻamau.
ʻEhia ka lōʻihi o ke ola ʻana o kēia mau "mokupuni iwi"?
Ke hana ʻia nā iwi spurs , ʻaʻole lākou e nalo wale . Eia nō naʻe, no ka mea ʻaʻole lākou e hoʻoulu i nā pilikia a i ʻole nā hōʻailona, ʻaʻole hoʻāʻo pinepine nā kauka e wehe iā lākou. Hiki iā lākou ke noho ma ko lākou wahi, me ka ʻole o nā pilikia.
Pehea e ʻike ai i kahi "mokupuni iwi" (Enostosis)?
ʻO kēia ka mea kupanaha loa. ʻO ka hapa nui o ka manawa, ʻike ʻia nā mokupuni iwi ma ka ulia . E noʻonoʻo, no ka laʻana, loaʻa iā ʻoe kahi X-ray a i ʻole CT scan no kekahi kumu ʻē aʻe, malia paha he lima a wāwae paha i haki, a i ʻole kekahi maʻi ʻē aʻe. ʻO ia ka manawa e ʻike ai nā kauka i kēia mokupuni iwi liʻiliʻi. Hiki i nā kauka ke ʻike iā ia he mokupuni iwi ma muli o kona ʻano kūikawā, ke ʻano o ka iwi, a me ka nui o nā ʻiʻo.
No laila, ʻike ʻoe, ʻeā? ʻIke pinepine ʻia kēia i ka wā e ʻimi ana i kahi mea ʻē aʻe. ʻO ia hoʻi, ʻaʻole i hana pinepine ʻia nā noiʻi kūikawā no ka loaʻa ʻana o kēia.
He aha nā kūlana ʻē aʻe e hiki ke huikau me nā "mokupuni iwi"?
I kēia manawa ke noʻonoʻo nei paha ʻoe, "Inā like kēia me kēia ma kahi X-ray, ʻaʻole anei hiki i nā kauka ke kuhihewa he mea weliweli ʻē aʻe?" ʻO ka ʻoiaʻiʻo, i kekahi manawa hiki i kēia mau mokupuni iwi ke nānā aku e like me nā ʻano ʻōpū iwi ʻē aʻe (nā ʻōpū iwi maikaʻi ʻole) a i ʻole nā maʻi ʻē aʻe.
ʻo kahi laʻana:
- `(ʻOsteoblastoma maikaʻi)`
- `(Osteosarcoma haʻahaʻa)` (He maʻi kanesa kēia, akā he maʻi haʻahaʻa)
- ʻO ka metastasis Osteoblastic (He kūlana kēia e kū mai ana ke hoʻomaka ka maʻi kanesa ma kahi ʻē aʻe a laha i nā iwi)
- ʻO ka osteoid osteoma
- ʻO ka ʻōpū o ka iwi (Osteoma)
Hiki i nā kūlana e like me kēia ke ʻano like i kekahi manawa. ʻO ia ke kumu e hoʻāʻo ai nā kauka e hōʻoia, ke ʻike lākou i kahi mea e like me kēia, "He mokupuni iwi kēia, a i ʻole he mea ʻē aʻe?" Kāhea nā kauka i kēia he "diagnosis differential." ʻO ia hoʻi, ʻo ka loaʻa ʻana o ka hōʻailona pololei ma waena o kekahi mau maʻi e like ke ʻano. ʻO kāu kauka ka mea hiki ke hoʻoholo pono inā he mokupuni iwi kēia a i ʻole kekahi ʻano ʻē aʻe e like ke ʻano.
Aia kekahi lāʻau lapaʻau no ka "iwi mokupuni"?
ʻO ka maʻamau, ʻaʻole pono ka lāʻau lapaʻau i kahi iwi spur . No ka mea, inā ʻaʻole ia e hōʻeha iā ʻoe a i ʻole nā pilikia ʻē aʻe, ʻaʻohe kumu o ka mālama ʻana.
Eia nō naʻe, he mea kākaʻikahi loa, inā loaʻa iā ʻoe ka ʻeha ma kahi o ka iwi spur, hiki i kāu kauka ke hana i kahi hoʻokolohua ʻē aʻe, e like me ka CT scan, e ʻike inā ua ulu ka iwi spur. ʻO ka maʻamau, inā ua ulu ia ma kahi o 50% i hoʻokahi makahiki, a i ʻole ma kahi o 25% i loko o ʻeono mahina, hiki i kāu kauka ke hoʻoholo e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka wahi a nānā iā ia (he biopsy).
Ke nānā ʻoe i kēlā ʻāpana ʻiʻo, hiki iā ʻoe ke ʻike pono inā he mokupuni iwi a i ʻole kekahi mea ʻē aʻe.
ʻO kekahi mea ʻē aʻe, inā ua loaʻa iā ʻoe kahi puʻupuʻu kanesa (ʻino) i loko o kou kino ma mua, a ʻike ʻoe i kahi mokupuni iwi i loko o kou kino, e hana koke paha nā kauka i kahi biopsy e hōʻoia ʻaʻole ia he mea ʻē aʻe.
Hiki ke pale ʻia kēia mau mea mai ka hana ʻana?
ʻO ka pane maʻalahi i kēia, ʻo ia ka "ʻaʻole." ʻAʻohe mea hiki iā ʻoe a i ʻole kāu kauka ke hana e pale aku i ka hoʻokumu ʻana o nā iwi spurs. Hiki ke hānau ʻia (aia i ka wā hānau), a i ʻole e ulu paha i ka hala ʻana o ka manawa. ʻAʻole ʻike ʻia ke kumu pololei, no laila ʻaʻohe ala e pale aku ai iā lākou.
Akā, ʻoiai ʻaʻole kēia e hōʻeha, ʻoiai inā ʻaʻole hiki ke pale ʻia, ʻaʻohe mea e hopohopo ai a makaʻu paha, ʻeā?
He aha ka mea e hana ai inā ʻike mākou aia kahi "moku iwi"?
Inā haʻi aku ke kauka iā ʻoe he iwi ʻōkuʻi kou, he mea ia e hauʻoli nui ai ʻoe. No ka mea, ʻo ia hoʻi, ʻaʻohe mea weliweli e pili ana iā ʻoe. ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha, no laila ʻaʻole pono ʻoe i kekahi lāʻau lapaʻau a i ʻole ke kipa pinepine ʻana i ke kauka. Hiki iā ʻoe ke ola maʻamau.
Pehea e mālama ai iaʻu iho? Pono anei au e ʻike i ke kauka?
ʻAʻohe mea kūikawā āu e pono ai e hana no kahi mokupuni iwi. ʻOiai ʻaʻohe lāʻau lapaʻau no ia mea, ʻaʻohe mea kūikawā e hopohopo ai ma kou ʻaoʻao.
Eia nō naʻe, i ka hihia kakaikahi e hoʻomaka ai ʻoe e ʻeha ma kahi o ka iwi, a laila pono ʻoe e ʻike i kāu kauka . He mea kakaikahi loa ka ʻeha, akā inā loaʻa, he manaʻo maikaʻi e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau.
Hiki i nā "mokupuni iwi" ke lilo i maʻi kanesa? Hiki paha iā lākou ke kuhi hewa i nā maʻi?
ʻAʻole, he kūlana ʻaʻole maʻi kanesa (ʻano maikaʻi ʻole) nā iwi spurs . ʻO ke ʻano kēia, ʻaʻole lākou he maʻi kanesa. Inā he hopohopo a makaʻu paha kou e pili ana i ka maʻi kanesa a i ʻole nā kūlana ʻē aʻe, e kamaʻilio me kāu kauka. E wehewehe ʻo ia iā ʻoe.
He ʻano kikoʻī ko nā mokupuni iwi i hiki ke ʻike ʻia ma kahi X-ray a i ʻole CT scan. Hana ʻia lākou me kahi ʻano iwi kikoʻī. No laila, ʻaʻole pinepine lākou i kuhihewa ʻia .
He aha ka ʻokoʻa ma waena o 'Enostosis' a me 'Enostoses' (Osteopoikilosis)?
I ka ʻōlelo maʻalahi:
- ʻO Enostosis ke ʻano o ka mokupuni hoʻokahi o ka iwi.
- ʻO Enososes e pili ana i kekahi mau mokupuni o ka iwi.
I kekahi manawa hiki i ke kanaka ke loaʻa i kēia mau mokupuni iwi he nui i loko o ko lākou kino. Ua kapa ʻia kēia ʻano maʻi ʻo "spotted bone disease" a i ʻole "osteopoikilosis." He ʻano maʻi kakaikahi loa kēia, a ʻaʻole pinepine ia he hōʻailona o nā maʻi.
No laila, ʻo ka mea hope loa, nā mea e pono ai mākou e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, eia nā mea nui e noʻonoʻo ai mai nā mea a mākou i kamaʻilio ai:
- ʻAʻole weliweli ka mokupuni iwi ("(Enostosis)`). ʻAʻole ia he maʻi ʻaʻai.
- ʻO ka hapa nui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻOiai inā loaʻa iā ʻoe kekahi, ʻaʻole paha ʻoe e ʻike.
- ʻIke pinepine ʻia kēia mau mea ma kahi hanana ʻole , i ka wā o kahi X-ray a i ʻole CT scan i hana ʻia no kekahi kumu ʻē aʻe.
- ʻAʻole pono ka lāʻau lapaʻau.
- E ʻike wale i ke kauka inā ʻoe e ʻeha ana.
- ʻO ka mokupuni iwi ka mea a nā kauka e manaʻo ai he maʻi iwi "mai hoʻopā" . ʻO ia hoʻi, e hoʻopā aku, no ka mea, ʻaʻohe pono e mālama.
No laila, inā ʻike ʻoe he iwi spur kou i loko o kou kino, mai hopohopo . ʻAʻole paha ia he mea ʻino, he ʻike wale nō. Eia nō naʻe, inā he kānalua kou, makaʻu, a ʻeha paha, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea. E hoʻolohe ʻo ia i kāu mau nīnau, e hana i nā hoʻokolohua hou aʻe inā pono, a e hāʻawi iā ʻoe i nā wehewehe e pono ai.
Mokupuni Iwi , Enostosis, Maʻi Iwi, Nā ʻŌpū Iwi, X-ray, CT Scan, Ola Kino Iwi











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