ʻEha anei kou mau hono? He Chondroblastoma paha ia? E kamaʻilio kākou e pili ana i kēia!

Ke kamaʻilio pinepine nei ʻoe e pili ana i ka ʻeha o nā hono o kāu keiki? A i ʻole inā he ʻōpiopio iki ʻoe, aia kekahi mea e like me kēia i loko o kou mau hono, malia paha he pehu iki? I kekahi manawa ma hope o kēia mau hōʻailona hiki ke loaʻa kahi maʻi kakaikahi loa, akā he mea nui loa ia no kākou a pau e makaʻala. ʻO ia ke kumu e kamaʻilio ai mākou i kēia lā e pili ana i kahi ʻano puʻupuʻu iwi i kapa ʻia ʻo 'Chondroblastoma', ʻaʻole ia he maʻi kanesa . Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha kēia 'Chondroblastoma'? I ka pōkole...

ʻAe, he puʻupuʻu iwi laha ʻole ʻo Chondroblastoma, ʻaʻole ia he maʻi kanesa . Hana ʻia ia me nā ʻiʻo cartilage. ʻO ka Cartilage ka ʻāpana rubbery o ko mākou mau hono e kōkua iā lākou e neʻe mālie. Hoʻokumu ʻia kēia puʻupuʻu i ka wā e ulu wikiwiki ai nā cell i loko o ko mākou kino ma mua o ka mea e pono ai, a i ʻole i ka wā e make ʻole ai nā cell e pono ai ke make. I ka lāʻau lapaʻau, kapa mākou i kēia he neoplasm.

ʻO ka hapa nui o nā puʻupuʻu Chondroblastoma e ulu pinepine ana i loko o ko kākou mau iwi lōʻihi, ʻo ia hoʻi, i loko o nā iwi lōʻihi o ko kākou mau wāwae a me nā lima, kokoke i nā hono, kahi e ulu ai nā iwi (ka 'growth plate'). Ke hoʻomanaʻo nei ʻoe i ko kākou wā kamaliʻi, i ko kākou ulu ʻana, ua ulu ko kākou mau iwi ma muli o kēlā mau 'growth plate'? ʻIke pinepine ʻia kēia mau puʻupuʻu ma ka iwi ʻūhā (`femur`), ka iwi lima luna (`humerus`), a me ka iwi shin (`tibia`).

ʻO wai ka mea e loaʻa ana i kēia 'Chondroblastoma'? Pehea ka maʻamau?

He mea weliweli iki paha kēia, akā he maʻi laha ʻole ka Chondroblastoma. ʻAʻole ia ma mua o 1% o nā ʻōpū iwi āpau.

Hoʻopilikia nui kēia maʻi i nā keiki a me nā mākua ʻōpio. He 25% o nā hihia i ʻike ʻia he mau keiki ma lalo o 10 mau makahiki. Eia nō naʻe, ʻo ka hapa nui, ma kahi o 75%, he mau ʻōpio a me nā mākua ʻōpio ma waena o nā makahiki 11 a me 25. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka nui o ka loaʻa ʻana o ke ʻano i nā kāne ma mua o nā wahine.

He maʻi ʻaʻai anei ka Chondroblastoma?

ʻO kēia ka pilikia nui loa i loaʻa i nā kānaka he nui. ʻAʻole! ʻAʻole ʻo Chondroblastoma he maʻi kanesa. ʻO ia hoʻi, he puʻupuʻu maikaʻi ʻole ia. ʻO ke ʻano o "Benign" ʻaʻole ia he maʻi kanesa koʻikoʻi e hiki ke laha i nā ʻāpana ʻē aʻe o ke kino a hoʻoulu i nā pilikia e hoʻoweliweli ai i ke ola. ʻO ka wehe ʻana i kēia puʻupuʻu ma o ke ʻoki ʻana hiki ke hoʻopau i ka ʻeha a me ka hiki ke hōʻino ʻia i ka iwi. No laila, ʻaʻohe kumu e makaʻu pono ʻole ai.

He aha ka ʻokoʻa ma waena o 'Chondroblastoma' a me 'Enchondroma'?

He mau puʻupuʻu iwi ʻaʻole ia he maʻi ʻaʻai. Eia nō naʻe, ʻo ka ʻokoʻa nui ma waena o Chondroblastoma a me Enchondroma ko lākou wahi.

• ʻO Chondroblastoma, e like me kā mākou i kūkākūkā ai ma mua, aia ma kahi kokoke i nā hono o nā iwi lōʻihi.
• ʻO ka Enchondroma kahi ʻano puʻupuʻu e ulu ana i loko o ke cartilage i loko o ka iwi. ʻIke pinepine ʻia kēia mau puʻupuʻu ma nā manamana lima a me nā manamana wāwae. ʻAʻole pinepine ka Enchondroma e hōʻeha. ʻIke pinepine ʻia lākou i ka wā i hana ʻia ai kahi X-ray no kekahi kumu ʻē aʻe.

He aha nā hōʻailona o ka Chondroblastoma?

ʻAʻole ʻike koke ʻia nā hōʻailona o ka 'Chondroblastoma'. Hōʻike mālie lākou, a hiki ke hoʻonui ʻia i ka hala ʻana o ka manawa. ʻO nā hōʻailona nui e ʻike ʻia:

• ʻEha hui: ʻO kēia ka hōʻailona nui. No kekahi poʻe, he ʻeha iki paha ia, a no kekahi poʻe, he ʻeha ʻoi paha ia e hele pū ana me ka wela hiki ʻole ke hoʻomanawanui.
• ʻO ke kaumaha i ka wā e hoʻopā ai i ka iwi lōʻihi: Hiki iā ʻoe ke ʻeha ke kau ʻoe i kou lima ma luna o ka iwi kahi i loaʻa ai ka puʻupuʻu.
• Pehu ʻana ma muli o ka hōʻiliʻili ʻana o ka wai a puni ke hono (joint effusion): Hiki ke pehu a wai paha ke hono.
• ʻO ka emi ʻana o nā ʻiʻo: No ka laʻana, inā he puʻupuʻu kou e like me kēia ma kou wāwae, e ʻike paha ʻoe i kahi ʻōʻō ma kēlā ʻaoʻao. He nalowale mālie kēia o ka nui o nā ʻiʻo. No ka laʻana, ʻaʻole paha kāu keiki e holo a pāʻani e like me ka wā ma mua, e hoʻopiʻi paha ua ʻeha ko lākou wāwae, a i ʻole he pehu paha kahi hono... Inā hoʻomau kēia, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

He aha ke kumu o ka Chondroblastoma?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa ke kumu kikoʻī o Chondroblastoma . Eia nō naʻe, e like me ka noiʻi lapaʻau, ua manaʻoʻiʻo ʻia e kū mai ana kēia mau puʻupuʻu mai nā pūnaewele cartilage i loko o nā papa ulu a mākou i kamaʻilio ai ma mua, aia ma nā wēlau o nā iwi. Ua like kēia me nā hale hana kahi e "ulu ai" ko kākou mau iwi. Ua manaʻo ʻia ua kū kēia ʻano ma muli o kekahi ʻano ʻē i ka mahele ʻana o nā pūnaewele ma laila.

Hiki i ka Chondroblastoma ke laha i nā ʻāpana ʻē aʻe o ke kino?

He mea nui nō hoʻi kēia. ʻAʻole laha pinepine ka Chondroblastoma. Eia nō naʻe, he mea kākaʻikahi loa , hiki i kekahi mau puʻupuʻu Chondroblastoma ikaika ke laha (metastasize) i nā māmā. Akā ʻo ka mea nui e hoʻomanaʻo ai ma ʻaneʻi, ʻoiai inā laha ia i nā māmā, ʻaʻole i manaʻo ʻia ʻo Chondroblastoma he maʻi kanesa . ʻO ia hoʻi, he ʻano maikaʻi nō ia. He mea paʻakikī iki kēia, akā ua mālama maikaʻi nā kauka i kēia ʻano.

Pehea e ʻike ʻia ai ka Chondroblastoma?

Aia kekahi mau hana koʻikoʻi no ka ʻike ʻana i ka Chondroblastoma.

1. Ka hoʻokolokolo lapaʻau a me ka nīnau ʻana: ʻO ka mea mua, ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a nīnau iā ʻoe e pili ana i kou ʻeha. Eia kekahi laʻana:

• Pehea ka lōʻihi o kēia ʻeha ma laila?
• ʻAuhea maoli ka ʻeha?
• Ke emi nei ka ʻeha me ka hoʻomaha?
• Ua piʻi aʻe ka ʻeha i ka hala ʻana o ka manawa?

Hiki i nā nīnau e like me kēia ke kōkua i ke kauka e loaʻa kahi manaʻo maʻamau o kou kūlana.

2. Nā Hoʻāʻo Kiʻi: ʻO ka mea aʻe, e kauoha pinepine ke kauka i hoʻokahi a ʻoi aku paha o nā hoʻāʻo aʻe:

• X-ray: Hiki i kēia ke hāʻawi i kahi manaʻo palahalaha o nā loli i nā iwi, kahi, a me ka nui o ka puʻupuʻu.
• MRI scan: Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o nā ʻiʻo palupalu, cartilage, a me ke ʻano o ka puʻupuʻu e hoʻopuni ana i ka puʻupuʻu.
• CT scan: Hiki i kēia ke hāʻawi i ka ʻike kikoʻī e pili ana i nā iwi a me ka puʻupuʻu.

3. Biopsy: No ka hōʻoia ʻana i ka hōʻailona 100%, e kauoha ke kauka i kahi biopsy. Pili kēia i ke kau ʻana iā ʻoe ma lalo o ka anesthesia a me kahi kauka lapaʻau e wehe i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a hoʻouna iā ia i ka lab. Ma ka nānā ʻana i ka ʻiʻo ma lalo o kahi microscope hiki iā mākou ke hoʻoholo inā he Chondroblastoma a i ʻole kekahi mea ʻē aʻe.

Pehea e mālama ʻia ai ka Chondroblastoma?

Ke hōʻoia ʻia ka hōʻailona, ​​e hoʻolālā ke kauka i ke ʻoki kino e wehe i ka puʻupuʻu. ʻO ke ʻoki kino ka lāʻau lapaʻau nui a hoʻohana pinepine ʻia no ka chondroblastoma. He mea nui kēia no ka mea ma ka wehe ʻana i ka puʻupuʻu hiki ke hoʻomaha ʻia ka ʻeha a hoʻōki i ka hōʻino hou ʻana i ka iwi.

I kekahi manawa, ua hōʻino paha ka puʻupuʻu i ka iwi. Inā ʻo kēia ka hihia, hiki i ke kauka lapaʻau ke hana i kahi "bone grafting " ma hope o ka wehe ʻana i ka puʻupuʻu. I ka ʻōlelo maʻalahi, pili kēia i ka lawe ʻana i kahi ʻāpana iwi olakino mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou iwi ʻūhā) a "hoʻopili" iā ia i ka wahi i hōʻino ʻia. A i ʻole, i kekahi manawa, hiki ke hoʻohana ʻia nā pani iwi i hoʻomākaukau kūikawā ʻia.

He mea kākaʻikahi loa, ma muli o ka wahi a me ka nui o ka puʻupuʻu, ʻaʻole hiki i ke ʻoki kino ke wehe palekana i ka puʻupuʻu. I kēlā mau hihia, hiki i kāu kauka ke paipai i nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻoki kino. Eia kekahi laʻana:

• ʻO ka hoʻopau ʻana o ke alapine radio: Hoʻohana kēia i nā nalu uila kiʻekiʻe e hoʻomehana a luku i ka ʻōpū.
• Cryotherapy: Pili kēia i ka hoʻohana ʻana i kahi mea anu loa, e like me ka naikokene wai, e hoʻopaʻa i ka ʻōpū a luku iā ia.

He aha nā lāʻau lapaʻau e hiki ke hoʻohana ʻia no ka ʻeha?

ʻO ka hōʻailona nui o ka `Chondroblastoma` ka ʻeha o nā hono. I nā pae mua, hiki iā ʻoe ke kāohi i ka ʻeha me nā lāʻau hoʻomaha ʻeha e like me `Paracetamol`, hiki iā ʻoe ke kūʻai mai ka hale kūʻai lāʻau. Eia naʻe, i ka ulu ʻana o ka puʻupuʻu, ʻaʻole hiki i kēia mau mea hoʻomaha ʻeha maʻamau ke kāohi i ka ʻeha. ʻO ka wehe ʻana i ka puʻupuʻu ke ala maikaʻi loa e hoʻopau loa ai i ka ʻeha.

Pono maoli anei au i ke ʻoki kino?

ʻAe, ʻo ke ʻoki kino ka mea e pono ai.ʻO ke ʻoki kino ke ala maikaʻi loa e wehe ai i ka puʻupuʻu a hoʻomaha i ka ʻeha. Inā ʻaʻole mālama ʻia ka puʻupuʻu, hiki iā ia ke hoʻomau i ka ulu ʻana. Hiki i kēia ke hōʻino i ka iwi, e hōʻeha nui, a hiki ʻole ke hoʻoneʻe i ke ami kahi i loaʻa ai ka puʻupuʻu.

Pehea ka manawa ho'ōla ma hope o ke ʻoki kino?

Hiki ke ʻokoʻa ka manawa hoʻōla a me ke kaʻina hana hoʻoponopono hou ma hope o ke ʻoki ʻana ma muli o ka nui a me kahi o ka puʻupuʻu, a me ka hōʻino ʻana i ka iwi.

ʻO ka maʻamau, e noho ʻoe ma ka haukapila no hoʻokahi lā ma hope o ke ʻoki ʻana, ma lalo o ka nānā ʻana a nā kauka. Hiki iā ʻoe ke manaʻo i kekahi ʻeha a me ka ʻoluʻolu ʻole no nā pule ʻelua a ʻekolu mua ma hope o ke ʻoki ʻana a hiki i ka ho'ōla ʻana o ka ʻeha. Eia naʻe, ʻaʻohe hōʻailona o ka 'Chondroblastoma'. No ka ʻeha iki a waena ma hope o ke ʻoki ʻana, hiki i ke kauka ke ʻōlelo aku i nā 'NSAID' (Nonsteroidal anti-inflammatory drugs), e like me 'Ibuprofen'. Hoʻemi kēia i ka ʻeha a me ka pehu.

He mea nui: Inā ʻike ʻoe i ka ʻeha like ma hope o ke ʻoki ʻana, he hōʻailona paha ia ua hoʻi mai ka puʻupuʻu. No laila, he mea nui e loaʻa nā nānā mau e like me ke kauoha a kāu kauka e hōʻoia i ka ho'ōla pono ʻana o kāu ʻoki ʻana.

He aha nā hoʻomaʻamaʻa e hiki ke hana ma hope o ke ʻoki kino?

ʻO kahi hapa nui o ke kaʻina hana hoʻōla ma hope o ke ʻoki ʻana, ʻo ia ke kūkulu hou mālie ʻana i ka hana hui a me ka hoʻoikaika ʻana i nā ʻiʻo. A laila hiki iā ʻoe ke hoʻi i nā mea a me nā hana āu e hauʻoli ai. Penei ka hoʻomaka pinepine ʻana o ka hoʻoikaika kino:

• Hoʻokahi pule ma hope o ke ʻoki kino: Hiki iā ʻoe ke hoʻomaka i nā hoʻoikaika kino māmā (e laʻa, ke kulou ʻana a me ka hoʻolōʻihi ʻana i ke hono) me ka ʻole o ke kau ʻana i kekahi kaumaha, e like me kāu e hana ai ma hope o ke ʻoki kino.
• ʻEono pule ma hope o ke ʻoki kino: Hiki iā ʻoe ke hana i nā hoʻoikaika kino māmā a me ke kaumaha.
• ʻEkolu mahina ma hope o ke ʻoki ʻana: Hiki iā ʻoe ke hana i nā hoʻoikaika kino piha, akā pono ʻoe e pale i nā hana koʻikoʻi.
• ʻEono mahina ma hope o ke ʻoki kino: E hoʻōla piha ʻia paha ʻoe a hiki ke hoʻi i ke ola maʻamau.

Pono ʻoe e kūkākūkā i kēia mau mea a pau me kāu kauka a me ke kauka physiotherapist a hahai i kā lākou ʻōlelo aʻo.

Hiki i koʻu puʻupuʻu Chondroblastoma ke hoʻi mai ma hope o ke ʻoki ʻana?

Aia kahi manawa liʻiliʻi e hoʻi hou mai ai ka puʻupuʻu i loko o nā mahina mua a i ʻole nā ​​​​makahiki ma hope o ke ʻoki ʻana, ma kahi o 10% . ʻO ia ke kumu ma hope o ke ʻoki ʻana, e nānā mau ke kauka i ka wahi i hoʻopilikia ʻia me nā X-ray a me nā nānā mau. Inā hoʻi mai ka puʻupuʻu, pono paha kekahi ʻoki ʻē aʻe.

Pehea e hōʻemi ai i ka pilikia o ka ulu ʻana o ka 'Chondroblastoma'?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka chondroblastoma, ʻaʻohe ala kikoʻī e hōʻemi ai i ka pilikia o ka loaʻa ʻana. Akā ʻo ka nūhou maikaʻi, ke mālama ʻia a wehe ʻia ka puʻupuʻu, e nalowale pinepine nā hōʻailona.

Inā loaʻa iaʻu ʻo Chondroblastoma, he aha kaʻu e manaʻo ai?

Ma hope o ka ʻike ʻana a me ka mālama ʻana, pili kou ʻano i ka wahi a me ka nui o ka puʻupuʻu. ʻO ka maʻamau, e hōʻoluʻolu ke ʻoki ʻana i kou ʻeha a me ka ʻoluʻolu ʻole . Aia ma kahi o 10% ka manawa e hoʻi hou mai ai ka puʻupuʻu. Inā ua hōʻino ka chondroblastoma i ke cartilage i loko o kou hui, aia kahi manawa liʻiliʻi e ulu ai ka arthritis, kahi kūlana e pehu ai ke hui, i ka hala ʻana o ka manawa.

Aia kekahi helu make no ka Chondroblastoma?

ʻAʻole. He puʻupuʻu ʻaʻole maʻi kanesa ka Chondroblastoma hiki ke ho'ōla ʻia me ke ʻoki ʻana, no laila ʻaʻohe pilikia pololei o ka make mai kēia puʻupuʻu . He mea hōʻoluʻolu nui kēia i nā poʻe he nui.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā loaʻa iā ʻoe ka ʻeha nui a i ʻole ka ʻeha mau a hoʻomau ʻole i kou mau hono.
• Inā hoʻi hou ka ʻeha o ke ami ma hope o ka wehe ʻana i ka puʻupuʻu.
• Inā he ʻeha, ʻulaʻula, pehu a/a i ʻole ka wai e kahe ana mai ka wahi ʻoki (he mau hōʻailona paha kēia o ka maʻi).

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki i ka nīnau ʻana i nā nīnau e like me kēia ke kōkua iā ʻoe e hoʻomaopopo maikaʻi i ke kūlana:

• Pehea ka nui o koʻu puʻupuʻu Chondroblastoma?
• Hiki ke wehe palekana i koʻu puʻupuʻu ma ke ʻoki ʻana?
• Pehea e hiki ai iaʻu ke pale aku i ka maʻi ma kahi i hana ʻia ai ke ʻoki?
• ʻEhia ka lōʻihi e hoʻōla ai? Āhea e hiki ai iaʻu ke hoʻi hou i nā hana maʻamau?

Leka Lawe-Home

ʻO ka Chondroblastoma kahi puʻupuʻu ʻaʻole maʻi kanesa e hoʻoulu ai i ka ʻeha, ka pehu ʻana, a me ka nāwaliwali o nā hono. ʻAʻohe mea makemake e ʻeha, ʻoiai ke hoʻopilikia ia i kou ola o kēlā me kēia lā. ʻO ka mea pōmaikaʻi, he ʻano hiki ke mālama ʻia ka Chondroblastoma. Hiki i ke ʻoki kino ke hōʻoluʻolu i kou ʻeha a hiki iā ʻoe ke hoʻi i nā hana e pono ai iā ʻoe. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai kānalua e ʻimi i ke aʻo lapaʻau. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻoi aku ka maʻalahi o ka mālama ʻana a ʻoi aku ka wikiwiki o kou hoʻōla ʻana.

ʻo chondroblastoma, nā puʻupuʻu iwi, nā puʻupuʻu cartilage, ʻeha hui, nā maʻi iwi pediatric, nā puʻupuʻu ʻaʻole maʻi kanesa, ka maʻi ʻaʻai iwi