Ke hopohopo nei ʻoe no ka ʻeha mau a i ʻole ka pehu ʻana o ka iwi ma kekahi wahi o kou kino, ma ka lima paha, ka wāwae, a i ʻole ma kahi ʻē aʻe? Makaʻu paha ʻoe. Hoʻohoka iki mākou a pau ke lohe mākou i ka inoa "ka maʻi ʻaʻai iwi." Akā ma mua o ko mākou makaʻu ʻana, e kamaʻilio kākou e pili ana i kēia maʻi ma nā ʻōlelo maʻalahi. ʻO ka ʻike pono ʻana i nā mea āpau e kōkua iā mākou e hoʻopau i ka makaʻu pono ʻole.
He aha maoli ke ʻano o ka maʻi ʻaʻai iwi?
I ka ʻōlelo maʻalahi, ʻo ke kanesa iwi ka wā e hoʻomaka ai nā pūnaewele i loko o kou mau iwi e ulu wikiwiki a ma waho o ke kaohi. Penei ke ʻano o ka ulu ʻana o ke kanesa ma nā wahi āpau o ko kākou kino.
Akā, pono kākou e hoʻomaopopo i kahi mea nui ma ʻaneʻi: ʻElua ʻano nui o ka maʻi ʻaʻai iwi.
1. Ka Maʻi ʻAʻai Iwi Mua: ʻO ke ʻano kēia, hoʻomaka mua ke kanesa i loko o nā hunaola iwi . He ʻano laha ʻole kēia. He 1% ia o nā kanesa āpau i hōʻike ʻia ma ka honua.
2. Kanesa Iwi Lua a Metastatic paha: ʻO kēia ke ʻano maʻamau . ʻO kēia ka wā e hoʻomaka ai ke kanesa ma kahi ʻē aʻe o ke kino (e like me ka umauma, ka māmā, a i ʻole ka prostate) a laila e laha aku i nā iwi.
No laila, ʻike ʻoe, ke ʻōlelo ʻoe he maʻi ʻaʻai iwi, ʻaʻole pono ia e hoʻomaka i nā iwi. I nā hihia he nui, hiki ke hele mai ia mai kahi ʻē aʻe.
ʻO nā ʻano nui o ke kanesa e hoʻomaka ana i nā iwi
Aia kekahi mau ʻano o ke kanesa iwi mua. He ʻokoʻa kēia mau mea kekahi i kekahi a hoʻopilikia i nā hui makahiki like ʻole. E nānā kākou i nā ʻano nui.
| ʻAno maʻi kanesa | ʻO wai ka mea i hoʻopilikia pinepine ʻia? | Nā mea nui |
|---|---|---|
| ʻOsteosarcoma | ʻOi aku ka maʻamau i nā keiki a me nā ʻōpio ma waena o nā makahiki 10-19. | Hiki iā ia ke ulu a pālahalaha koke. Loaʻa pinepine ia ma nā iwi lōʻihi o ke kuli a i ʻole ka poʻohiwi. |
| ʻO ke kondrosarcoma | He mea maʻamau ia i nā pākeke ma luna o 40 mau makahiki. | Hoʻomaka ia i loko o nā pūnaewele cartilage. Ulu mālie ia. Haʻahaʻa ka pilikia o ka laha ʻana. |
| ʻO ka Sarcoma o Ewing | He mea maʻamau i nā keiki a me nā ʻōpio ma lalo o 19 makahiki. | Hiki i kēia ke ulu wikiwiki. ʻO ka mea maʻamau ia ma ka pelvis, nā wāwae, a i ʻole nā iwi ʻaoʻao. |
| ʻO Chordoma | He mea maʻamau ia i nā poʻe ma luna o 50 mau makahiki. | He ʻano laha ʻole kēia. Loaʻa ia ma ka iwi kuamoʻo a i ʻole ke kumu o ke poʻo. He mea paʻakikī ke mālama ʻia no ka mea hiki ke laha maʻalahi i ka lolo a me ke kaula iwi kuamoʻo. |
E aʻo pū kākou e pili ana i nā ʻōpū iwi maikaʻi
ʻOiai he "puʻupuʻu" kou i loko o ka iwi, ʻaʻole ia he manaʻo he maʻi kanesa ia. Aia kekahi mau puʻupuʻu ʻaʻole kanesa, ʻino ʻole. Ua kapa ʻia kēia mau mea he Benign Bone Tumors . ʻIke pinepine ʻia kēia mau mea i nā poʻe ma lalo o 30 mau makahiki, ʻoiai nā keiki a me nā mākua ʻōpio nona nā iwi e ulu mau nei. ʻOiai hiki i kēia mau puʻupuʻu ke ʻeha i kekahi manawa, ʻaʻole lākou e laha i nā wahi ʻē aʻe o ke kino. No laila, ʻaʻole lākou i manaʻo ʻia he maʻi kanesa.
He aha nā hōʻailona o ka maʻi ʻaʻai iwi?
I kekahi manawa hiki ke loaʻa ka maʻi ʻaʻai iwi me ka ʻole o nā hōʻailona. I kekahi manawa ʻike ʻia ia ma ke ʻano ulia ka wā e lawe ʻia ai kahi X-ray no kekahi kumu ʻē aʻe. Eia nō naʻe, inā loaʻa nā hōʻailona, ʻo ia nā mea nui i ʻike ʻia.
- ʻEha mau o ka iwi: ʻO kēia ka hōʻailona maʻamau. I ka wā mua, hiki ke hele mai ka ʻeha a hele aku, akā i ka hala ʻana o ka manawa, hiki ke lilo i mea mau a koʻikoʻi. I kekahi mau ʻano maʻi kanesa (e like me ka Ewing sarcoma), ʻoi aku ka ʻino o ka ʻeha i ka pō.
- Pehu a i ʻole he puʻupuʻu: Hiki i ka ʻāpana ʻeha ke hoʻomaka e pehu, a i ʻole e like me kahi puʻupuʻu i hiki ke hopu ʻia i ka lima.
- Paʻakikī ke hele wāwae (limping): Inā loaʻa iā ʻoe ka maʻi ʻaʻai ma ka iwi ma kou wāwae, pono paha ʻoe e hele me ka limp.
- Ka haki iwi i manaʻo ʻole ʻia: Inā haki kahi iwi me ka ʻole o kahi ulia nui, e like me ka hāʻule iki ʻana, ma muli paha ia o nā iwi nāwaliwali ma muli o ke kanesa.
- Paʻa o nā hono:Inā kokoke ke kanesa i kahi hono, he mea paʻakikī paha ke kulou a hoʻopololei paha i kēlā hono.
- Kuni i wehewehe ʻole ʻia: He kuni mau.
- Nā hōʻailona ʻē aʻe: Hiki ke ʻike ʻia ka luhi a me ka pohō kaumaha inā ua pālahalaha ke kanesa.
Hiki i nā ʻōpū iwi kuamoʻo e like me chordoma ke hoʻopilikia i ka ʻōnaehana nerve. No ka laʻana, hiki ke ʻike ʻia nā hōʻailona e like me ka ʻike pālua, ka mae ʻana o ka maka, a i ʻole ka paʻakikī i ka kaohi ʻana i ka mimi/kahe.
Pehea e ʻike ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona i ʻōlelo ʻia ma luna, e hahai ʻo ia i kekahi mau ʻanuʻu e hana ai i kahi hōʻailona.
1. Hoʻokolokolo lapaʻau: ʻO ka mea mua, e nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona a e nānā ʻia kou kino.
2. X-ray: ʻO kēia ka hoʻāʻo mua i hana ʻia. Hiki i ka X-ray ke nānā i nā mea ʻē aʻe a i ʻole nā pūpū i loko o ka iwi.
3. Nā scan ʻē aʻe: Inā he mea kānalua ma ka X-ray, hoʻohana ʻia kēia mau ʻano scan e ʻike i nā kikoʻī hou aku.
- CT Scan: Hoʻohana ʻia nā kukuna X e lawe i nā kiʻi ʻokiʻoki o ke kino.
- MRI Scan: Hoʻohana i kahi kahua magnetic e hana i nā kiʻi maopopo a kikoʻī loa.
- Iwi Scan: Hoʻokomo ʻia kahi liʻiliʻi o ka mea radioactive i loko o ke kino e nānā i nā ʻano ʻē i loko o nā iwi.
- PET Scan: Kōkua kēia i ka ʻike ʻana inā loaʻa nā hunaola kanesa ma nā wahi āpau o ke kino.
4. Biopsy: ʻO kēia ka hoʻāʻo e hana ʻia e hōʻoia i ka maʻi 100% . ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope. Hiki i kēia ke haʻi pololei iā ʻoe inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha, inā he maʻi kanesa, he aha ke ʻano, a pehea ka wikiwiki o kona ulu ʻana. He mea nui loa ka hana ʻia ʻana o kēia hoʻāʻo e kahi kauka oncologist orthopedic i loea i ka maʻi kanesa iwi.
5. Nā hoʻāʻo koko: Hiki ke kiʻekiʻe aʻe nā pae o kekahi mau enzymes (ALP, LDH) i ka maʻi ʻaʻai iwi. Hoʻohana ʻia kēia ma ke ʻano he hōʻailona i ka hōʻailona.
He aha nā lāʻau lapaʻau?
ʻO ka mālama ʻana no ka maʻi ʻaʻai iwi e pili ana i kekahi mau kumu, me ke ʻano o ke kanesa, kona wahi, ka nui o kona laha ʻana (kahua), ka makahiki o ka mea maʻi, a me ke olakino holoʻokoʻa. ʻO ka maʻamau, hoʻohana ʻia ka hui pū ʻana o hoʻokahi a ʻoi aku paha mau lāʻau lapaʻau.
ʻoki kino
ʻO ke ʻoki kino ka lāʻau lapaʻau nui no ka hapa nui o nā maʻi ʻaʻai iwi . ʻO ka pahuhopu ka wehe loa ʻana i ka puʻupuʻu maʻi ʻaʻai. Wehe ke kauka ʻoki i ka puʻupuʻu a me kekahi mau ʻiʻo olakino a puni ia.
- ʻO ke ʻoki hoʻopakele ʻana i nā lālā: I nā manawa hiki, hoʻāʻo nā kauka e hoʻopakele i ka lālā/wāwae ma ka wehe ʻana i ka ʻāpana o ka iwi me ke kanesa a hoʻololi iā ia me kahi prosthesis metala a i ʻole kahi ʻāpana iwi i lawe ʻia mai kahi ʻē aʻe.
- ʻOki ʻia: Inā nui loa ke kanesa, a ua pālahalaha paha i nā kīʻaha koko koʻikoʻi a me nā aʻalolo, ʻaʻole paha e hiki ke hoʻōla ʻia ka lālā. I ia mau hihia, pono paha e wehe ʻia kekahi hapa o ka lālā.
Kemoterapia
ʻO kēia ka hāʻawi ʻana i ke kino i nā lāʻau lapaʻau e pepehi ai i nā hunaola kanesa. He mea nui loa ka Chemotherapy no nā maʻi kanesa e like me osteosarcoma a me Ewing's Sarcoma. I kekahi manawa hāʻawi ʻia kēia lāʻau lapaʻau ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu a e pepehi i nā hunaola i koe ma hope o ke ʻoki ʻana.
Hoʻōla Pāhawewe
Pili kēia i ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hoʻohana ʻia kēia lāʻau lapaʻau no kekahi mau ʻano kanesa, ʻoiai ʻo Ewing's Sarcoma. Hoʻohana ʻia nō hoʻi no nā kanesa hiki ʻole ke ʻoki ʻia.
Hoʻōla i kuhikuhi ʻia
ʻO kēia nā ʻano lāʻau lapaʻau hou loa. Hoʻopili kēia mau lāʻau i nā genes kikoʻī a i ʻole nā protein e hoʻopilikia i ka ulu ʻana o nā cell cancer, me ka ʻole o ka hōʻino ʻana i nā cell olakino maʻamau. Hoʻohana ʻia lākou no nā maʻi kanesa i pane ʻole i ka chemotherapy, e like me chordoma.
Ke ola a me ka hoʻoponopono hou ʻana ma hope o ka mālama ʻana
He mea nui loa ka hoʻōla hou ʻana e hoʻomaʻamaʻa ai i ke ola maʻamau ma hope o ka mālama ʻana. ʻOiai inā ua hana ʻia ʻoe i ke ʻoki ʻana ma ka lima a i ʻole ka wāwae, pono ʻoe e hoʻoikaika kino me ke kōkua o kahi physiotherapist a hoʻihoʻi i ka hana o kēlā lālā. ʻOiai he hana paʻakikī a lōʻihi kēia, he mea nui loa ia e hana me ka ʻole o ka haʻalele ʻana.
Eia kekahi, he mea nui e ʻike i kāu kauka i nā manawa maʻamau ma hope o ka pau ʻana o ka mālama ʻana (nā manawa hoʻopaʻa) . Pono ʻoe e hana i nā nānā ma ka liʻiliʻi i kēlā me kēia 3-6 mahina no nā makahiki mua. E kōkua kēia iā ʻoe e hoʻoholo koke inā e hoʻi mai ana ka maʻi.
Leka Lawe-Home
- He maʻi laha ʻole ka maʻi ʻaʻai iwi mua.
- Inā loaʻa iā ʻoe ka ʻeha mau a wehewehe ʻole ʻia a i ʻole ka pehu ʻana i loko o ka iwi, mai hoʻowahāwahā iā ia a e ʻike pono i ke kauka .
- ʻAʻole nā puʻupuʻu āpau e hana ʻia ana i loko o ka iwi he maʻi kanesa. Aia kekahi mau puʻupuʻu maikaʻi ʻole.
- Aia kekahi mau ʻano maʻi ʻaʻai iwi, a ʻo nā ʻano lapaʻau e pili ana i ke ʻano a me ke kahua o ka maʻi.
- Hiki ke ho'ōla loa ʻia ka hapa nui o nā maʻi ʻaʻai iwi inā ʻike mua ʻia a mālama pono ʻia. No laila, ʻoi aku ka maikaʻi o ka hopohopo ʻole a ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe nā hōʻailona.
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