Aia kekahi puʻupuʻu ma kou kino? He puʻupuʻu Desmoid anei ia? Mai hopohopo, e makaʻala kākou i kēia (Nā puʻupuʻu Desmoid)

Ua makaʻu iki paha ʻoe i kou ʻike ʻana i kahi puʻupuʻu hou ma kou kino, ma ka lima paha, ka wāwae, a i ʻole ka ʻōpū? He mea maʻamau ka makaʻu iki ʻana i kou ʻike ʻana i ia ʻano puʻupuʻu. Akā, ʻaʻole weliweli nā puʻupuʻu a pau. Eia nō naʻe, i kekahi manawa aia kahi manawa liʻiliʻi e hiki ai ke lilo i ʻano puʻupuʻu kakaikahi i kapa ʻia ʻo 'Desmoid Tumor' a mākou e kamaʻilio nei i kēia lā. No laila i kēia lā e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka Desmoid Tumor?

I ka ʻōlelo maʻalahi, he puʻupuʻu kēia, a he puʻupuʻu paha, i hana ʻia mai nā ʻiʻo o ko kākou kino. Akā, ʻaʻole kēia e like me nā puʻupuʻu momona (Lipoma) a kākou e ʻike mau ai ma lalo o ka ʻili. Hoʻokumu ʻia kēia mau puʻupuʻu i loko o nā ʻiʻo fibrous o ko kākou kino. I ka pololei, hoʻokumu ʻia lākou i loko o nā ʻiʻo ikaika e like me nā tendon e hoʻopili ai i ko kākou mau ʻiʻo i ko kākou mau iwi a me nā ligaments e hoʻopili ai i ko kākou mau iwi kekahi i kekahi. Loaʻa ka inoa "Desmoid" mai kahi huaʻōlelo Helene i manaʻo ʻia "e like me ke kāʻei."

ʻO ka nīnau nui āu e nīnau nei iā ʻoe iho i kēia manawa, "He maʻi kanesa kēia?" Hoʻokaʻawale pinepine ʻia nā ʻōpū desmoid he benign no ka mea ʻaʻole lākou e laha (metastasize) mai kekahi ʻāpana o ke kino i kekahi e like me nā maʻi kanesa maʻamau.

He mea kākaʻikahi loa kēia. Loaʻa wale lākou i 2 a 4 mau hihia no kēlā me kēia miliona ma ka honua holoʻokoʻa. Hiki iā lākou ke loaʻa i kēlā me kēia makahiki, i loko o kekahi, akā ʻoi aku ka maʻamau i nā wahine i ko lākou mau makahiki 30.

He aha nā kumu e hiki mai ai kēia mau mea?

ʻOiai he paʻakikī ke ʻōlelo pololei i ke kumu, ua ʻike ʻia he nui ka pilikia o ka hoʻomohala ʻana i kēia mau mea i kekahi mau hihia.

• Nā kūlana hoʻoilina: ʻO ka poʻe me ka Familial Adenomatous Polyposis (FAP), kahi kūlana hoʻoilina e hoʻoulu ai i ka maʻi ʻaʻai colon, ʻoi aku ka nui o ka loaʻa ʻana o nā ʻōpū desmoid.
• Hāpai keiki: Ua manaʻoʻiʻo ʻia ʻo ka hormone 'estrogen', ka mea e hoʻonui ai i ke kino i ka wā hāpai keiki, pili pū kekahi.
• Nā ʻeha koʻikoʻi i ke kino: I kekahi manawa hiki ke ulu aʻe kahi puʻupuʻu e like me kēia ma hope o ke ʻoki ʻana a i ʻole ma kahi o kahi ʻeha koʻikoʻi.

He aha nā hōʻailona o kahi puʻupuʻu Desmoid?

Aia nā hōʻailona o kēia ma kahi o ke kino i loaʻa ai ka puʻupuʻu. I kekahi manawa hiki ke loaʻa me ka ʻole o nā hōʻailona. E nānā kākou pehea e ʻokoʻa ai nā hōʻailona nui.

Pehea ʻoe e ʻike pono ai inā he Desmoid Tumor kēia?

Inā he puʻupuʻu kou, e hana kāu kauka i kekahi mau hoʻokolohua e hoʻoholo pono ai i ke ʻano o ia mea.

1. Ke nānā ʻana i ka ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e nānā i loko o ka puʻupuʻu. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā paʻa ka puʻupuʻu a piha paha i ka wai.

2. Nā kiʻi ʻē aʻe: Kōkua kēia i ka ʻike inā pili ka puʻupuʻu me nā ʻiʻo a puni a inā hiki ke wehe palekana ʻia me ke ʻoki ʻana.

• MRI scan (Magnetic Resonance Imaging): Hoʻohana i kahi kahua magnetic ikaika e lawe i nā kiʻi maopopo a kikoʻī loa.
• CT scan (Computerized Tomography): Hoʻohui ʻia kekahi mau kukuna X e hana i kahi kiʻi piha o ka puʻupuʻu.

3. Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi a paʻa loa . Wehe ʻia kahi ʻāpana liʻiliʻi o ka puʻupuʻu, a i ʻole ka puʻupuʻu holoʻokoʻa, a nānā ʻia ma lalo o kahi microscope. ʻO kēia wale nō ka hoʻāʻo e hiki ke haʻi iā ʻoe 100% inā he puʻupuʻu desmoid a i ʻole kekahi mea ʻē aʻe.

Pehea e mālama ʻia ai?

Inā hōʻoia ka biopsy he puʻupuʻu desmoid ia, e koho kāu kauka i ka lāʻau kūpono loa nāu. Hoʻoholo ʻia ka lāʻau e nā kumu he nui, me ka nui o ka puʻupuʻu, kona wahi, pehea ka wikiwiki o kona ulu ʻana, a me kāu mau hōʻailona.

• E kali a nānā: Mai kahaha, ʻaʻole e nui aʻe kekahi mau puʻupuʻu me ka ʻole o kekahi lāʻau lapaʻau. Hiki i kekahi ke emi iho i ka hala ʻana o ka manawa. No laila, inā liʻiliʻi ka puʻupuʻu, ma waho o ka ʻōpū, a ʻaʻohe hōʻailona, ​​​​hiki i kāu kauka ke hoʻoholo e nānā iā ia no kekahi manawa.
• ʻOki kino: Hana ʻia ke ʻoki kino i nā manawa a pau e hiki ai ke wehe loa i ka puʻupuʻu. Eia nō naʻe, hiki ke paʻakikī ke wehe i nā puʻupuʻu i loko o ka ʻōpū. Eia kekahi, ma hope o ke ʻoki kino, aia kahi manawa kūpono e ulu hou ai ka puʻupuʻu ma kahi hoʻokahi.
• Lapaʻau radiation: Hoʻohana wale ʻia kēia lāʻau lapaʻau, me ke ʻoki ʻana, a i ʻole me ka lāʻau lapaʻau. He kūpono ia no nā poʻe he nui. Eia nō naʻe, inā aia ka puʻupuʻu i loko o ka ʻōpū, ʻaʻole paha e hiki kēia no ka mea hiki i ka radiation ke hōʻino i nā ʻōpū koʻikoʻi kokoke.
• Lāʻau lapaʻau: ʻAʻohe lāʻau lapaʻau kūikawā no kēia mau puʻupuʻu. Eia nō naʻe, hoʻohana ʻia nā ʻano lāʻau like ʻole, me nā lāʻau anti-cancer, e hoʻēmi i nā puʻupuʻu a i ʻole e hoʻōki iā lākou mai ka ulu ʻana.
• Nā lāʻau lapaʻau hou ʻē aʻe:
• ʻO ka hoʻopau ʻana o ke alapine radio: Hoʻokomo ʻia nā mea like me ke nila i loko o ka puʻupuʻu a hoʻohana ʻia nā nalu lekiō e hoʻoulu i ka wela, e luku ana i ka puʻupuʻu.
• Cryoablation: Hoʻohana ʻia kahi probe e hoʻopaʻa a luku i ka ʻiʻo tumor.