He puʻupuʻu kou ma ka paia o kou umauma? (Puʻupuʻu o ka paia o kou umauma) – E kamaʻilio kākou e pili ana i kēia me nā kikoʻī!

Ua manaʻo paha ʻoe i kahi mea ʻē, e like me kahi puʻu liʻiliʻi i loko o kou umauma, a ua noʻonoʻo ʻoe, "He aha kēia?" A i ʻole ua makaʻu a hoihoi paha ʻoe. Aia paha kekahi mau manawa ke nānā aku ke kauka i kāu X-ray umauma a ʻōlelo mai, "Aia kahi loli liʻiliʻi ma kou paia umauma, kahi mea e like me ka puʻupuʻu." He aha maoli ka "puʻupuʻu paia umauma" a i ʻole e like me ke kāhea ʻana o nā kauka , he "puʻupuʻu paia umauma," he mea weliweli mau anei ia, a he aha ka mea e hana ʻia e pili ana i ia mea? He nui ka poʻe i loaʻa nā nīnau nui a me kahi haʻalulu iki e pili ana i ia mea. No laila i kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka puʻupuʻu paia o ka umauma?

I ka ʻōlelo maʻalahi, ʻo ka puʻupuʻu paia umauma he ulu ʻano ʻē ia ma nā ʻāpana e hana ana i kou lua umauma. E noʻonoʻo iā ia e like me kahi pūpū ikaika e pale ana i nā ʻōpū koʻikoʻi a koʻikoʻi e like me kou puʻuwai, nā māmā, a me ke akepaʻa. Hana ʻia kēia paia umauma i kekahi mau mea nui:

• ʻIʻo palupalu: ʻO ia hoʻi nā mea e like me nā ʻiʻo, nā aʻalolo, a me ka membrane lahilahi (`(Fascia)`) e hoʻopuni ana i nā ʻiʻo.
• Nā iwi: Nā mea e like me kou mau iwi ʻaoʻao a me ka sternum (ka iwi pālahalaha ma waenakonu o kou umauma ).
• Cartilage: ʻO kēia nā ʻāpana laumania, ʻano laholio kahi e pili ai nā iwi kekahi i kekahi.

No laila, hiki i kahi puʻupuʻu ke ulu i kekahi o kēia mau ʻāpana. Eia nō naʻe, ʻike pinepine ʻia lākou i nā iwi (ʻoi aku hoʻi nā iwi ʻaoʻao) a me ke cartilage .

He ʻano like anei kēia mau nati? A i ʻole he mau ʻano like ʻole?

ʻAe, hiki ke hoʻokaʻawale ʻia nā ʻōpū e hana ʻia ma ka paia o ka umauma i ʻelua mau ʻāpana nui:

1. Nā Puʻupuʻu Paia Umauma Mua: ʻO kēia nā puʻupuʻu e hana mua ʻia ma ka paia umauma. Hiki iā lākou ke maʻi kanesa ( malignant ) a i ʻole ʻaʻole maʻi kanesa (benign).

2. Nā Puʻupuʻu Lua o ka Paia Umauma: ʻO kēia nā puʻupuʻu e ulu ana ma ka paia umauma ma hope o ka laha ʻana o ke kanesa mai kahi ʻāpana ʻē aʻe o ke kino (e like me ka māmā a i ʻole ka umauma). He ʻino mau kēia mau puʻupuʻu lua.

He mea nui e ʻike he ma kahi o 60% o nā puʻupuʻu paia umauma āpau he maʻi ʻino . Akā, ʻaʻole ia manaʻo he maʻi kanesa nā puʻupuʻu āpau. No laila, mai hopohopo.

He mea maʻamau anei kēia mau puʻupuʻu paia umauma? ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa iā lākou?

ʻO kaʻoiaʻiʻo, ʻaʻole maʻamau ka nui o nā puʻupuʻu paia umauma mua. Ma ka awelika, ʻaʻole i hoʻokahi i loko o 50 mau kānaka i hoʻopilikia ʻia e kēia ʻano. ʻO nā puʻupuʻu paia umauma mua e pili ana i kahi 5% o nā puʻupuʻu āpau e ulu ana ma ka ʻāpana umauma.

Hiki i kēia mau puʻupuʻu ke ulu i kēlā me kēia makahiki. Hiki iā lākou ke loaʻa i kekahi kanaka, mai kahi pēpē liʻiliʻi a i kahi pākeke. Eia nō naʻe, ʻoi aku ka maʻamau o kekahi mau ʻano i nā keiki, aʻo kekahi i ʻoi aku ka maʻamau i nā pākeke.

Ma keʻano laulā, ʻoi aku ka liʻiliʻi o nā puʻupuʻu e ulu ana i kou wā ʻōpiopio (ʻoi aku hoʻi i ka wā kamaliʻi) a ʻoi aku ka nui o ka lilo ʻana i mea liʻiliʻi a ʻaʻole paha he maʻi kanesa (benign). Eia nō naʻe , i kou wā ʻelemakule, ʻoi aku hoʻi ma hope o 40 mau makahiki, ʻoi aku ka nui o nā puʻupuʻu e lilo i mea nui a lilo i maʻi kanesa (malignant).

He aha nā ʻano puʻupuʻu like ʻole e hana ʻia ma ka paia o ka umauma?

I kēia manawa, e nānā kākou i nā ʻano puʻupuʻu e hiki ke ulu ma ka paia o ka umauma. ʻO ka mea mua, e kamaʻilio kākou e pili ana i nā ʻano ʻaʻole maʻi kanesa ( benign ).

Nā ʻano o nā puʻupuʻu paia umauma ʻaʻole maʻi kanesa (benign)

He mau puʻupuʻu ʻaʻole kēia he maʻi kanesa e hiki ke ho'ōla ʻia me nā lāʻau lapaʻau maʻalahi.

• Hemangioma Cavernous: Hoʻokumu ʻia kēia mau mea i loko o nā ʻiʻo palupalu a ʻike pinepine ʻia i nā keiki.
• Chondroma: He ʻano puʻupuʻu kēia e hana ʻia i loko o ke cartilage.
• ʻO ka puʻupuʻu Desmoid: ʻO kēia mau puʻupuʻu, i hana ʻia i loko o nā ʻiʻo palupalu, hiki i kekahi manawa ke hana hou ʻia ma hope o ka mālama ʻana .
• ʻO ka granuloma Eosinophilic: Hiki i kēia ke hana i loko o nā iwi, ʻoiai ke clavicle a me ka scapula.
• ʻO ka dysplasia fibrous: He ʻano maʻi iwi kēia, ʻike pinepine ʻia ma nā iwi ʻaoʻao.
• Lipoma: He mau ʻōpū ʻino ʻole kēia i hana ʻia me ka ʻiʻo momona, i manaʻo pinepine ʻia e like me kahi puʻupuʻu.
• Lymphangioma: ʻO kēia mau maʻi koko, i hana ʻia i loko o nā ʻiʻo palupalu, ʻike pinepine ʻia i nā keiki.
• Myxochondroma: Hoʻokumu ʻia kēia mau mea i loko o ke cartilage.
• Osteochondroma: He ʻano puʻupuʻu kēia e hana ʻia i loko o ke cartilage.

Nā ʻano o nā puʻupuʻu paia umauma ʻino

ʻO kēia nā ʻano puʻupuʻu i loaʻa nā ʻano maʻi kanesa a pono e nānā hou aku a me ka mālama ʻana.

• Chondrosarcoma: ʻO kēia maʻi kanesa, ka mea i hana ʻia i loko o ke cartilage, hiki ke laha i nā iwi, ʻoiai nā iwi ʻaoʻao a i ʻole ka sternum (ka iwi waena o ka umauma).
• ʻO ka sarcoma o Ewing: Hoʻokumu ʻia kēia i loko o nā iwi a i ʻole nā ​​​​ʻiʻo palupalu a puni nā iwi. Hoʻomaka pinepine ia ma kahi iwi ʻaoʻao hoʻokahi. ʻO ia ka mea maʻamau i nā keiki a me nā ʻōpio.
• ʻO ka maʻi fibrosarcoma:ʻIke ʻia kēia puʻupuʻu palupalu i nā ʻōpio.
• ʻO Liposarcoma: He ʻano maʻi kanesa e ulu ana i loko o nā ʻiʻo momona.
• ʻO ka histiocytoma fibrous malignant: Hoʻokumu ʻia kēia i loko o nā ʻiʻo palupalu a ʻoi aku ka maʻamau i nā poʻe i piha i nā makahiki 50-60.
• Myeloma: He maʻi ʻaʻai kēia e ulu ana i loko o ka iwi iwi. ʻIke pinepine ʻia ia i nā poʻe ma luna o 40 mau makahiki.
• Osteosarcoma: He maʻi ʻoi aku ka ikaika a me ka wikiwiki e laha ana i loko o nā iwi ma mua o Chondrosarcoma.
• Rhabdomyosarcoma: Hoʻokumu ʻia kēia i loko o nā ʻiʻo a ʻoi aku ka maʻamau i nā keiki a me nā ʻōpio.

Nā maʻi kanesa e laha ana mai nā wahi ʻē aʻe (Secondary Chest Wall Tumors)

E like me kā mākou i ʻōlelo ai ma mua, hiki i ke kanesa ke ulu ma kahi ʻē aʻe o ke kino a laha i ka paia umauma. Ua kapa ʻia kēia he puʻupuʻu lua o ka paia umauma. ʻO nā wahi nui e hiki ai ke laha kēia:

• ʻŪhā
• ʻōpū nui (`(Kolon)`)
• nā puʻupaʻa
• Nā māmā
• ʻO ka prostate (`(Prostate)`)
• ʻōpū
• ʻO ke kele thyroid
• ʻōpū

He aha nā puʻupuʻu maʻamau i loaʻa i ka paia o ka umauma?

ʻO Chondrosarcoma ke ʻano maʻamau o ka puʻupuʻu paia umauma kanesa i nā pākeke . I nā keiki ʻōpio, ʻo ka sarcoma ʻo Ewing ke ʻano maʻamau.

ʻO nā ʻano maʻamau o nā ʻōpū non-cancerous (benign) :

• `(Kondroma)`
• `(Fibrous dysplasia)`
• ʻO ka ʻōpū o ka iwi

He aha nā hōʻailona o kahi puʻupuʻu paia o ka umauma?

He mea nui loa kēia. Hiki ke ʻokoʻa nā hōʻailona o ka puʻupuʻu paia umauma mai kēlā kanaka a kēia kanaka. I kekahi manawa , ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona a hiki i ka nui loa o ka puʻupuʻu. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​​​e pili ana i ke ʻano o ka puʻupuʻu āu, kona nui, a me kona wahi. E hopohopo inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• He puʻupuʻu a pehu paha ma ka lima: ʻO kēia ka hōʻailona mua i ʻike ʻia.
• Kuni a me ka malaise: He manaʻo wale nō o ka "maikaʻi ʻole", he kuni me ke kumu ʻole.
• Ka liʻiliʻi o nā ʻiʻo: ʻO ke ʻano kēia, ua like nā ʻiʻo ma ka umauma me he mea lā e nawaliwali ana.
• ʻEha, palupalu, a pehu paha: E makaʻala inā he ʻeha mau ma kekahi ʻāpana o ka umauma a inā ʻeha ke hoʻopā aku.
• Paʻakikī ke neʻe: Ke ʻeha a ʻoluʻolu ʻole paha ma ka umauma i ka wā e hana ai i nā mea e like me ka hāpai ʻana i ka lima a i ʻole ka hoʻohuli ʻana i ke kino.
• Ka pohō kaumaha me ke kumu ʻole.

He mea nui: ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he puʻupuʻu kou ma ka paia o ka umauma. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona, ​​​​he mea naʻauao ke ʻimi i ke kōkua lapaʻau.

No ke aha e hana ʻia ai kēia mau puʻupuʻu paia umauma? He aha nā kumu?

I ka ʻoiaʻiʻo, aia nō i nā kānaka ʻepekemaʻAʻole maopopo loa ke kumu o kēia mau puʻupuʻu paia umauma. Eia nō naʻe, i kekahi mau hihia, manaʻo ʻia he pili ka genetics . ʻO ke ʻano kēia inā ua loaʻa i kekahi o kou ʻohana kēia mau maʻi, hiki paha iā ʻoe ke pilikia.

Eia kekahi, hiki i kekahi mau mea e pili ana i ke ʻano o ka nohona ke hoʻonui i ka pilikia, ʻoiai no nā puʻupuʻu lua o ka paia umauma. No ka laʻana, hiki i ka maʻi kanesa o ka māmā ke pālahalaha i ka paia umauma. No laila, ʻoi aku ka nui o ka pilikia o ka mea puhi paka i ka loaʻa ʻana o ka maʻi kanesa o ka māmā, kahi e hoʻonui ai i ka pilikia o ka loaʻa ʻana o kahi puʻupuʻu paia umauma.

Pehea ʻoe e ʻike ai i kēia mau puʻupuʻu paia umauma? (Diagnosis)

Hoʻohana nui nā kauka i nā hoʻokolohua kiʻi a me ka biopsy e ʻike i nā ʻōpū o ka paia umauma. Ke haʻi aku ʻoe i kāu kauka e pili ana i nā hōʻailona āu i ʻōlelo ai ma mua, e hoʻoholo ʻo ia e hana i kēia mau hoʻokolohua.

I kekahi manawa, hiki ke loaʻa kahi puʻupuʻu ma kahi hanana i ka wā o kahi hoʻāʻo kiʻi (X-ray, CT scan, MRI) i hana ʻia no kekahi kumu ʻē aʻe. Ua kapa ʻia kēia he "incidental diagnosis." ʻO ke ʻano kēia, loaʻa i ke kauka i ka wā e ʻimi ana i kahi mea ʻē aʻe.

Nā hoʻāʻo e ʻike i nā ʻōpū o ka paia o ka umauma:

• X-ray o ka umauma: Hiki i kēia ke hāʻawi i kahi ʻike maʻalahi.
• CT scan (Computed tomography - CT scan): Hiki i kēia ke ʻike maopopo i ka nui, kahi, a me ka pilina o ka puʻupuʻu i nā ʻiʻo a puni.
• MRI scan (Magnetic resonance imaging - MRI): Hiki ke hoʻohana ʻia kēia e aʻo maikaʻi i ke kūlana o nā ʻiʻo palupalu a me nā aʻalolo.
• ʻO ka tomography hoʻokuʻu Positron (PET scan) me ka CT scan: Kōkua kēia i ka hoʻoholo ʻana inā he maʻi kanesa ka puʻupuʻu a inā ua pālahalaha aku i nā ʻāpana ʻē aʻe o ke kino.

I kekahi manawa hiki i kēia mau hoʻokolohua kiʻi ke hōʻoia i ka hōʻailona. Akā inā ʻaʻole, pono paha kahi biopsy . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope. E wehewehe kāu kauka inā he biopsy nila kēia a i ʻole kekahi ʻano hana ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia mau puʻupuʻu paia umauma?

ʻO ka mālama ʻana no nā ʻōpū o ka paia o ka umauma e komo pū me:

• ʻO ke ʻoki kino - Resection: ʻO kēia ke ʻano lapaʻau nui. Hoʻopau loa ʻia ka puʻupuʻu a me kahi ʻāpana liʻiliʻi o nā ʻiʻo a puni e hoʻopilikia ʻia.
• ʻO ke ʻoki hana hou: ʻO ke ʻoki ʻana e hoʻoponopono i kahi lua a i ʻole ka pōʻino ma ka paia o ka umauma ma hope o ka wehe ʻia ʻana o kahi puʻupuʻu. Hiki i kēia ke hoʻohana i nā ʻiʻo mai kahi ʻē aʻe o ke kino.

Inā he ʻino ka puʻupuʻu, pono paha nā lāʻau lapaʻau hou aʻe:

• Lapaʻau radiation: Ke luku ʻana i nā hunaola kanesa me ka hoʻohana ʻana i nā kukuna ikehu kiʻekiʻe.
• Chemotherapy: Ke hāʻawi ʻana i nā lāʻau lapaʻau e pepehi i nā hunaola kanesa.

E haʻi aku kāu kauka iā ʻoe i ka hoʻolālā lapaʻau maikaʻi loa no kou kūlana. No ka laʻana, i kekahi manawa hiki ke hāʻawi ʻia ka chemotherapy ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu, a laila hiki ke wehe ʻia ma ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau? Pehea ka manawa hoʻōla?

Ma hope o ka lāʻau lapaʻau, e aʻo aku kāu kauka iā ʻoe i ka nui o ka hoʻomaha āu e pono ai, i ka manawa a pehea e hiki ai iā ʻoe ke hoʻi hou i nā hana maʻamau, a pehea e hoʻomau ai iā ʻoe i ka lāʻau lapaʻau. E haʻi aku nō hoʻi ʻo ia iā ʻoe e hele mai i ke keʻena lapaʻau no nā nānā ʻana ('nā manawa hahai') i nā manawa maʻamau.

I kou wā e ho'ōla hou ai, e mālama i nā mea aʻe e like me ka ʻōlelo a kāu kauka:

• Nā kapu hana: E nīnau i ka lōʻihi o kou pale ʻana i nā hana e like me ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hana ikaika.
• ʻO ka physiotherapy umauma: Hiki i kāu kauka ke ʻōlelo i nā hoʻomaʻamaʻa e kōkua i kou mau māmā e hana pono ma hope o ke ʻoki ʻana, e like me nā hoʻomaʻamaʻa hanu a me nā hoʻomaʻamaʻa e kōkua iā ʻoe e hoʻihoʻi i ka ikaika.
• Pehea e mālama ai i kahi ʻeha ʻoki: E hoʻolohe pono i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka maʻemaʻe o ka ʻeha, pehea e kau ai i ka lāʻau lapaʻau, a me ka wā e hiki ai ke ʻauʻau.

Aia kekahi ala e pale aku ai i ka hoʻokumu ʻia ʻana o kēia ʻano puʻupuʻu?

ʻAʻole hiki ke pale aku i nā maʻi ʻaʻai umauma āpau , no ka mea, ua hoʻoholo ʻia kekahi e ka genetics. Eia nō naʻe, aia kekahi mau hoʻololi i ke ʻano o ka nohona hiki iā mākou ke hana e hōʻemi i ko mākou pilikia o nā ʻano maʻi ʻaʻai he nui. Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka pilikia o ka loaʻa ʻana o nā maʻi ʻaʻai lua.

• E hōʻalo loa i ka puhipaka a me nā huahana paka.
• E kiʻi i nā lāʻau pale i ʻōlelo ʻia e kāu kauka, e like me ka lāʻau pale HPV.
• E kiʻi i nā hoʻokolohua nānā ʻana i ka maʻi kanesa i ʻōlelo ʻia e kūpono i kou makahiki a me kou pilikia.
• E hoʻoikaika kino i nā manawa a pau.
• E mālama i ke kaumaha o ke kino olakino.
• E kaupalena a hoʻōki loa paha i ka hoʻohana ʻana i ka waiʻona.

E kamaʻilio me kāu kauka ʻohana e pili ana i kou pilikia o ka maʻi ʻaʻai a me nā hoʻololi e pono ai ʻoe e hana i kou nohona.

He aha nā manawa kūpono e ho'ōla ai mai kēia maʻi? (Outlook)

ʻOkoʻa loa ke ʻano o ka hoʻōla ʻana ma hope o ka mālama ʻana no ka puʻupuʻu paia umauma mai kēlā kanaka a kēia kanaka. Aia ia i kekahi mau kumu:

• ʻEhia ka nui o ka puʻupuʻu i wehe loa ʻia.
• Pehea ka mamao o ka laha ʻana o ka puʻupuʻu (ʻoiai inā he maʻi kanesa ia).
• ʻAno puʻupuʻu (`(ʻAno puʻupuʻu)`).
• ʻO ke ʻano a me ka nui o ka tumo.

No laila, ʻoiai he ʻokoʻa ke kūlana o kēlā me kēia kanaka, he mea nui e kamaʻilio ākea me kāu kauka e pili ana i kāu prognosis.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona o kahi puʻupuʻu paia umauma i ʻōlelo ʻia ma luna, e ʻike i ke kauka. E kūkākūkā ʻo ia i kāu mau hōʻailona, ​​​​ka mōʻaukala olakino ʻohana, a e kuhikuhi iā ʻoe no ka hoʻāʻo hou aku inā pono.

Inā ʻike kāu kauka iā ʻoe me kahi puʻupuʻu paia umauma, e hahai pono i ka hoʻolālā lapaʻau e like me kāna i ʻōlelo ai. ʻOiai ma hope o ka lapaʻau ʻana, e hōʻoia e hele i nā nānā maʻamau a me nā keʻena lapaʻau. Hiki i nā puʻupuʻu paia umauma, ʻoiai nā mea maʻi kanesa, ke hoʻi hou mai i kekahi manawa, ʻoiai inā ua wehe pono ʻia. No laila, ʻo ka ʻike ʻana a me ka mālama ʻana i nā hoʻi hou ʻana i ka wā mua e hoʻonui i kou manawa kūpono no ka hoʻōla lōʻihi.

He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?

Inā ua ʻike ʻia ʻoe me kahi puʻupuʻu paia o ka umauma, e nīnau pono i kāu kauka i kēia mau nīnau:

• He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu?
• He maʻi kanesa anei kēia puʻupuʻu?
• He aha ka awelika o ke ola no kēia ʻano puʻupuʻu i loaʻa iaʻu? (Mai makaʻu e nīnau i kēia, he mea nui e makaʻala.)
• He aha ka lāʻau lapaʻau e pono ai iaʻu?
• He aha nā pilikia a me nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau?
• Pehea ka holomua o kēia lāʻau lapaʻau?
• Pehea lā koʻu wā hoʻōla? He aha kaʻu e manaʻo ai?

` ## ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home) ʻO ka wānana no kekahi me ka puʻupuʻu paia umauma (`Chest Wall Tumor`) e pili ana i nā kumu he nui, e like me ke ʻano o ka puʻupuʻu, kona laha ʻana, a pēlā aku. No laila, he mea nui e kamaʻilio maikaʻi me kāu kauka e pili ana i kou kūlana kikoʻī a me nā mea āu e manaʻo ai. > E hoʻomanaʻo, inā ʻike mua ʻia nā puʻupuʻu paia umauma, ʻoi aku ka kiʻekiʻe o ka loaʻa ʻana o ka mālama maikaʻi a me ke ola lōʻihi olakino. No laila, mai hoʻowahāwahā i kekahi mau hōʻailona. Inā kānalua, e ʻimi i ke aʻo lapaʻau. Ke makemake nei iā ʻoe i ke olakino maikaʻi! --- Puʻupuʻu Paia Umauma, Puʻupuʻu Paia Umauma, Kanesa, Nā Puʻupuʻu ʻAʻole Kanesa, ʻEha Umauma, Nā Hōʻailona, ​​Lapaʻau