Ua noʻonoʻo paha ʻoe inā paha he puʻupuʻu liʻiliʻi i hūnā ʻia i loko o kou kino, ʻoi aku hoʻi i loko o kou mau iwi, me ka ʻike ʻole ʻoe? Mai hopohopo, ʻaʻole kēia he mea weliweli mau. I kekahi manawa, ʻike ʻia kēia mau mea ma ka hanana ke hana ʻoe i kahi mea e like me ka hoʻāʻo "(X-ray)" no kekahi mea ʻē aʻe. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e hana ʻia ana i loko o ke cartilage i loko o ko mākou mau iwi, a ʻaʻole pinepine ia he maʻi kanesa (benign). Kāhea nā kauka i kēia "(Enchondroma)".
He aha kēia `(Enchondroma)`? E hoʻomaopopo maʻalahi kākou, ʻeā?
I ka ʻōlelo maʻalahi, ʻo ka "(Enchondroma)" he puʻupuʻu maikaʻi ʻole e hana ʻia i loko o ke cartilage (ka ʻāpana palupalu a iwi o kou iwi) i loko o kou mau iwi. ʻAʻole ia he maʻi kanesa (maikaʻi ʻole). ʻO ke ʻano kēia, ʻaʻole ia e laha i nā ʻāpana ʻē aʻe o ke kino a i ʻole e hōʻeha nui, i ka hapa nui o ka manawa.
E noʻonoʻo e like me kahi malihini liʻiliʻi a leo ʻole e ulu ana i loko o kou iwi. ʻAʻole ʻike ka poʻe he nui iā lākou, no ka mea, ʻaʻole ia e hōʻeha a hōʻailona paha i kekahi ʻeha . ʻO ka mea maʻamau ia i nā poʻe ma waena o 10 a me 40 mau makahiki, akā hiki ke ulu i kēlā me kēia makahiki.
Hiki ke ulu aʻe ma mua o hoʻokahi ʻōpū `(Enchondroma)`?
ʻO ka hapa nui o ka manawa, hoʻokahi wale nō enchondroma e loaʻa i ke kanaka. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa i kekahi o kēia mau puʻupuʻu i ka manawa hoʻokahi. Hana pinepine kēia me nā kūlana kikoʻī e like me ka maʻi Ollier a i ʻole ka maʻi Maffucci. He mau kūlana paʻakikī kēia, no laila ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau inā he mau hopohopo kāu.
He aha nā ʻāpana o ko kākou kino e hiki ai i kēia `(Enchondroma)` ke hoʻopilikia?
Ua kapa mākou i kēia mau ʻōpū `(Enchondroma)` e hana ʻia ana i loko o ke cartilage i loko o nā iwi. He mea maʻamau lākou i nā iwi liʻiliʻi lōʻihi o ko mākou mau lima a me nā wāwae . ʻO ka ʻoiaʻiʻo, ʻo kēia mau `(Enchondroma)` ke ʻano maʻamau o ka ʻōpū e hana ʻia ana ma ka lima.
ʻAʻole wale kēlā, akā hiki iā lākou ke hana i loko o nā iwi nui a lōʻihi o ko mākou kino. Eia kekahi laʻana:
- Kou iwi ʻūhā (`Femur`)
- Kou iwi ʻūhā (`Tibia`)
- Kou iwi lima luna (`Humerus`)
Hiki i kēia mau puʻupuʻu ke loaʻa i nā wahi e like me kēia.
He aha nā hōʻailona o kahi `(Enchondroma)`? Pehea mākou e ʻike ai?
Eia ka mea nui: ʻO ka hapa nui o ka manawa, ʻaʻole e hōʻeha a hōʻailona ʻē aʻe kahi enchondroma . ʻAʻole paha ʻoe e ʻike he loaʻa iā ʻoe. ʻO ia ke kumu i ʻōlelo ai mākou ma mua he mea i loaʻa koke ia ke loaʻa iā ʻoe kahi X-ray no kekahi mea ʻē aʻe.
Eia nō naʻe, i nā hihia kakaikahi, ʻoiai inā he nui kou mau puʻupuʻu, ʻoiai ma kou mau lima a i ʻole kou mau wāwae, hiki i nā iwi ke lilo i mea nāwaliwali iki. Hiki i kēia ke alakaʻi i nā ʻano kīnā i nā manamana lima a i ʻole ke ʻano o nā manamana lima i hoʻonui ʻia.Hiki nō. No ka poʻe i loaʻa i ka "maʻi Ollier" a i ʻole "Maffucci syndrome" a mākou i ʻōlelo ai ma mua, hiki ke loaʻa nā kīnā koʻikoʻi i nā iwi, hiki ke hōʻeha.
No ke aha i hoʻokumu ʻia ai kēia ʻ(Enchondroma)`? He aha ke kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kānaka noiʻi ke kumu o ka enchondroma. Manaʻo kekahi poʻe noiʻi e hiki ke hana ʻia kēia mau puʻupuʻu ke lilo hewa kekahi mau pūnaewele i loko o ko kākou kino i cartilage ma kahi o ka iwi.
Akā, he mea nui kēia: ʻAʻole manaʻoʻiʻo nā kānaka noiʻi ʻo nā mea pili i ke kaiapuni e like me ka radiation a i ʻole ka kemika ke kumu o ka enchondroma . No laila, mai hopohopo nui no ia mea.
Pehea ʻoe e ʻike pono ai i ka maʻi "Enchondroma"?
ʻO ka hapa nui o ka manawa, ʻike ʻia kahi enchondroma ma ka hanana ke hele ʻoe no kahi X-ray maʻamau no kekahi ʻeha a maʻi paha. Eia kekahi laʻana, inā hāʻule ʻoe a hōʻeha i kou lima i ka wā e pāʻani ana i ka cricket a loaʻa iā ʻoe kahi X-ray.
Eia nō naʻe, inā loaʻa iā ʻoe ka ʻeha a i ʻole nā hōʻailona ʻē aʻe, e hana mua kāu kauka i kahi hoʻokolokolo kino. E nīnau lākou iā ʻoe i nā nīnau e pili ana i kou ʻeha, e like me ke ʻano o kona hiki ʻana mai a me ka wā e ʻoi aku ai ka ʻino. A laila, inā makemake ke kauka i ka ʻike hou aku, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua kiʻi, e like me:
- X-ray: Hiki i kahi X-ray ke kiʻi i kahi kiʻi maopopo o kou mau iwi. ʻIke ʻia nā puʻupuʻu Enchondroma ma kahi X-ray ma ke ʻano he mau kiko liʻiliʻi a ʻeleʻele ma waenakonu o ka iwi. Hiki i kēia mau kiko ke loaʻa nā kiko keʻokeʻo, i kekahi manawa ma ke ʻano o nā apo a me nā ʻāʻī. Hōʻike kēia mau hiʻohiʻona he cartilage ka puʻupuʻu.
- ʻO ke kiʻi CT a i ʻole MRI: Hiki i kēia mau kiʻi ke hāʻawi i kāu kauka i kahi kiʻi piha o ka puʻupuʻu. Hiki iā lākou ke nānā i ka ʻino o ka iwi, ka mumū, a i ʻole nā pūʻupuʻu ʻē aʻe.
- Nānā iwi: Ma kēia hoʻokolohua, hoʻokomo kāu kauka i kahi kala radioactive i loko o kou kino ma o kahi aa koko. A laila ukali ʻia e kahi hoʻokolohua kiʻi nukelea e hōʻike ana i nā ʻōpū i loko o kou mau iwi.
Hana ʻia kēia mau hoʻāʻo āpau e hōʻoia inā he enchondroma kāu a i ʻole kekahi ʻano ʻē aʻe.
Pehea e mālama ʻia ai kahi Enchondroma?
Eia kekahi mea e hoʻomanaʻo ai: Inā ʻaʻole ʻoe e ʻeha nei mai kahi enchondroma, ʻaʻole pono e mālama ʻia.E hoʻomau kāu kauka i ka nānā ʻana i ka puʻupuʻu. ʻO ia hoʻi, e hana lākou i nā hoʻokolohua ʻē aʻe, e like me nā X-ray, i kēlā me kēia manawa e ʻike ai inā e nui ana ka puʻupuʻu a i ʻole inā e loli ana kekahi mea.
Eia nō naʻe, inā he nui kāu mau ʻōpū enchondroma, hiki i kou mau iwi ke lilo i nāwaliwali a ʻoi aku ka nui o kou haki ʻana iā lākou. I kēia hihia, hiki i kāu kauka ke hoʻoholo e wehe i nā ʻōpū ma ke ʻoki kino. Hiki i ke kauka lapaʻau ke ʻōlelo i kekahi o kēia mau lāʻau lapaʻau:
- Curettage: ʻO kēia kahi e ʻoki ai ke kauka lapaʻau i ka puʻupuʻu mai loko mai o kou iwi. ʻAʻole paha e hoʻi hou mai nā puʻupuʻu Enchondroma ma hope o ka wehe ʻia ʻana ma kēia ʻano. Eia nō naʻe, inā ua hana ka puʻupuʻu i kahi haki, e kali paha ke kauka lapaʻau a hiki i ka ho'ōla ʻana o ka haki ma mua o ka hana ʻana i ka curettage.
- Hoʻopili iwi: Ma hope o ka wehe ʻia ʻana o ka puʻupuʻu ma o ka curettage, hiki i ke kauka lapaʻau ke hana i kahi hoʻopili iwi e hoʻopiha i ka hakahaka i koe i loko o ka iwi a hoʻopaʻa i ka iwi. Pili kēia i ka hoʻohana ʻana i kahi ʻāpana iwi liʻiliʻi mai kahi ʻāpana ʻē aʻe o kou kino, a i ʻole kahi ʻāpana iwi mai kahi mea hāʻawi. I kekahi manawa, hoʻohana ʻia kahi mea hana.
E wehewehe kāu kauka i kēia mau lāʻau lapaʻau iā ʻoe me nā kikoʻī hou aku.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
Aia ka manawa hoʻōla i kou kūlana a me ka manawa i hāʻawi ʻia ai ka lāʻau lapaʻau.
- Inā ʻaʻohe ou haki me ka enchondroma, hiki ke hala ma kahi o ʻekolu pule e hoʻōla piha ai ma hope o ke ʻoki ʻana.
- Eia nō naʻe, inā he enchondroma me kahi haki, a laila hiki ke hala ma kahi o ʻehiku pule e ho'ōla ai.
ʻO kekahi mea ʻē aʻe, inā ua haki kou iwi a ua hana koke ʻia ke ʻoki ʻana, e hala ana ma kahi o hoʻokahi mahina e ho'ōla ai. Eia nō naʻe, inā ua haki kou iwi a ua lohi ke ʻoki ʻana, e hala paha ma kahi o ʻelua mahina a me ka hapa e ho'ōla ai. No laila, he mea nui e hana koke e like me ke aʻo a ke kauka.
He aha ka wānana no kahi `(Enchondroma)`? (Wānana)
Ua haʻi ʻia mai iā mākou inā ʻaʻole ʻeha kāu enchondroma iā ʻoe, ʻaʻole pono e wehe. Inā he hoʻokahi enchondroma kou ma kou lima a wāwae paha i wehe ʻia ma ke ʻoki ʻana, maikaʻi loa kāu prognosis. Ke wehe ke kauka ʻoki i kēia mau puʻupuʻu, ʻaʻole paha e hoʻi hou mai.
Eia nō naʻe, aia kahi pilikia liʻiliʻi o nā ʻōpū enchondroma e ulu ana i loko o kou femur, tibia, a me humerus. Eia kekahi, no ka poʻe me nā ʻōpū enchondroma he nui, aia kahi pilikia kiʻekiʻe o ka lilo ʻana o kēia mau ʻōpū i mea ʻino . Pono e wehe koke ʻia nā ʻōpū cartilage ʻino.
Mea nui: Mai hopohopo inā ʻike ʻoe he "(Enchondroma)" kou. ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia mau mea. Eia nō naʻe, he mea nui e nānā iā lākou e like me ka ʻōlelo a kāu kauka a loaʻa ka lāʻau lapaʻau inā pono.
Hiki i kahi ``(Enchondroma)`` ke piʻi aʻe ka nui?
ʻAe, hiki i nā ʻōpū enchondroma ke ulu a hoʻopaʻa i nā ʻiʻo iwi olakino. Akā e hoʻomanaʻo, ʻo ka hapa nui o nā ʻōpū enchondroma he benign . ʻAʻole maʻamau kēia mau ʻōpū cartilage benign e hohola a luku paha i nā ʻiʻo iwi. No laila, ʻaʻole lākou e hoʻoweliweli i ke ola.
He ʻano hoʻoilina anei ʻo `(Enchondroma)`?
ʻAʻole, ʻaʻohe hōʻike i kēia manawa e loaʻa ana kahi hoʻoilina genetic o nā cell e hoʻomohala ana i ka enchondroma. No laila, ʻaʻole pono ʻoe e hopohopo e loaʻa pū ana i kāu mau keiki ka enchondroma inā loaʻa iā ʻoe kekahi.
He aha ka ʻokoʻa ma waena o `(Enchondroma)` a me `(Chondrosarcoma)`?
He nīnau kēia a nā poʻe he nui e nīnau ai.
- He ʻōpū maikaʻi ʻole ka enchondroma, ʻaʻole make .
- Eia nō naʻe, he mea kākaʻikahi loa, hiki i kēia mau puʻupuʻu "Enchondroma" ke lilo i mau puʻupuʻu ʻino . ʻO ia ʻano puʻupuʻu cartilage cancerous i kapa ʻia ʻo "Chondrosarcoma."
Inā hoʻokahi wale nō enchondroma āu, he mea kākaʻikahi loa ka pilikia o ka lilo ʻana i chondrosarcoma. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe me nā enchondroma he nui (e like me ka poʻe me ka maʻi Ollier a i ʻole Maffucci syndrome) i ka lilo ʻana i ka maʻi kanesa. Inā he chondrosarcoma ia, pono e wehe koke ʻia ma ke ʻoki kino .
Hiki ke ho'ōla ʻia ka Chondrosarcoma?
ʻOiai inā he chondrosarcoma ia, ʻokoʻa ka helu ho'ōla ma muli o ke ʻano.
- Hiki ke ho'ōla ʻia ka hapa nui o nā puʻupuʻu chondrosarcoma haʻahaʻa ( ulu lohi). Hana ʻia kēia ma ke kahakaha ʻana i ka puʻupuʻu a me ka luku ʻana i nā hunaola kanesa i hoʻokomo ʻia i loko o ka iwi. ʻAʻole paha e laha kēia mau puʻupuʻu haʻahaʻa (metastasize) i nā ʻāpana ʻē aʻe o ke kino.
- ʻOi aku ka ikaika o nā puʻupuʻu chondrosarcoma kiʻekiʻe ( ulu wikiwiki) a ʻoi aku ka nui o ka manawa e laha ai i nā wahi ʻē aʻe. I ka wehe ʻana i kēia mau puʻupuʻu, he mea nui e wehe i ka puʻupuʻu holoʻokoʻa i ʻole e hōʻino iā ia. ʻO kēia no ka mea inā ʻoki ʻia ka puʻupuʻu i ka wā o ke ʻoki ʻana, hiki i nā hunaola kanesa ke ninini i waho. Inā hana ʻia kēia, ʻoi aku ka nui o ka pilikia o ka hoʻi hou ʻana mai o ke kanesa.
ʻO ka mea hope loa, leka lawe i ka home
He mea maʻamau ke manaʻo iki i ka haʻalulu ke ʻike ʻoe he puʻupuʻu kou, ʻoiai inā he maʻi ʻole ia. Akā ʻo ka mea nui e pono ai ʻoe e ʻike e pili ana i ka enchondroma, ʻo ka hapa nui o nā puʻupuʻu enchondroma he ʻeha ʻole a ʻaʻole pono e wehe ʻia .
Inā ʻōlelo kāu kauka e wehe, e hoʻomanaʻo he haʻahaʻa ka hapa nui o nā enchondromas. ʻO ke ʻano kēia, ʻaʻole lākou e hōʻeha nui. Ma hope o ke ʻoki ʻana, ʻaʻohe ou pilikia e hoʻi i kāu mau hana maʻamau a i ʻole e hele i ka hana.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio ʻana me ke kauka inā manaʻo ʻoe i kekahi kānalua, ʻeha, a i ʻole ka pehu ʻana i kou mau iwi. Mai hoʻāʻo ponoʻī iā ʻoe iho. ʻO ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka ke ala maikaʻi loa e noho olakino ai.
No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ka `(Enchondroma)`. A hui hou kākou me nā ʻike olakino koʻikoʻi hou aku!
ʻEnchondroma , ʻEnchondroma, Nā puʻupuʻu iwi, Nā puʻupuʻu cartilage, Kanesa iwi, Nā maʻi iwi, X-ray, Ola kino o ka iwi











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