Ke ulu nei kou iwi e like me kahi puʻupuʻu liʻiliʻi? E kamaʻilio kākou e pili ana i kēia (Exostosis)!

Ua ʻike anei ʻoe i kahi mea e like me ka ulu ʻana o ka iwi ma kekahi wahi o kou kino, ma kahi manamana lima paha, ka wāwae, a i ʻole ka pepeiao? I kekahi manawa, ʻaʻole ʻeha kēia mau mea, akā hiki ke hoʻopilikia iki i ka ʻike ʻana, ʻeā? I kēia lā, e kamaʻilio kākou e pili ana i ka ulu ʻana o ka iwi keu e ulu ana ma ka iwi, akā ʻaʻole ia he maʻi kanesa. Ua kapa ʻia kēia ʻo `(Exostosis)` i ka ʻepekema lapaʻau.

He aha kēia "(Exostosis)"? E hoʻomaopopo maʻalahi kākou, ʻeā?

I ka ʻōlelo maʻalahi, ʻo ka "Exostosis" he ʻāpana iwi hou e ulu ana ma luna o kou iwi, ʻo ia hoʻi, ma luna o nā ʻiʻo iwi e kū nei. Ua like ia me kahi ʻāpana iwi liʻiliʻi e ulu ana ma luna o ka iwi. ʻO ka mea nui loa, ʻaʻole kēia he maʻi kanesa. ʻO ia hoʻi, ʻaʻole ia he hōʻailona o ka maʻi kanesa a i ʻole kekahi mea e hoʻoulu ai i ka maʻi kanesa. Eia kekahi, ʻaʻole kēia "Exostosis" e laha i nā wahi ʻē aʻe o ke kino (ua kapa ʻia e nā kauka he "metastasize").

ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau "exostosis" e hōʻike i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike he hoʻokahi kāu. Eia nō naʻe, ma muli o kahi e ulu ai ka iwi keu - ma ka iwi hea, a i ʻole ma kahi ʻāpana o ke kino - hiki iā ʻoe ke manaʻo i ka ʻeha i kekahi manawa ke hoʻohana ʻoe i kēlā iwi a hoʻoneʻe paha i kēlā ʻāpana.

ʻO ke ʻano o ka lāʻau lapaʻau āu e pono ai no ka exostosis e pili ana i kona wahi. ʻO ka iwi hea ia e hoʻopilikia i nā hōʻailona āu e ʻike ai a pehea e mālama ai ke kauka iā ia.

Ma hea e hiki ai i kēia "(Exostosis)" ke ulu ma ke kino?

Hiki i kahi "(Exostosis)" ke hana ma kekahi iwi i loko o kou kino. Eia nō naʻe, aia kekahi mau wahi i ʻoi aku ka maʻamau. E nānā kākou i ke ʻano o lākou:

• Nā iwi kuʻekuʻe wāwae a me nā wāwae: ʻAe, hiki i kēia mau mea ke ulu i loko o kou mau kuʻekuʻe wāwae, nā manamana wāwae, a i ʻole nā ​​​​iwi o kou mau wāwae.
• I loko o nā ʻauwai pepeiao: Hiki i ka Exostosis ke ulu i loko o nā iwi i loko o ka pepeiao.
• I loko o nā lua sinus: Hiki ke loaʻa kēia mau mea i loko o nā iwi i loko o nā lua ea (sinuses) a puni kou ihu.
• Iwi ʻauwae: I kekahi manawa hiki ke ulu kēia ʻano ulu ma ka iwi ʻauwae.
• Nā manamana lima a me nā manamana wāwae: Hiki i kēia mau mea ke ulu ma nā hono o nā manamana lima a i ʻole nā ​​​​manamana wāwae.

Aia kekahi mau ʻano "(Exostosis)" a nā kauka e kapa aku ai ma o nā inoa kikoʻī. E nānā kākou i kekahi o lākou me nā kikoʻī hou aku, ʻeā?

Ke kūkākūkā ʻia nei kekahi mau ʻano o ka "(Exostosis)"

• Pepeiao o Surfer: ʻO kēia ka inoa i hāʻawi ʻia i ka ulu ʻana o ka iwi i loko o ke kahawai pepeiao i kapa ʻia ʻo "Exostosis". ʻOi aku ka nui o ka loaʻa ʻana o nā maʻi pepeiao i ka poʻe me kēia maʻi. ʻO kēia no ka mea hiki i kēia ulu ʻana o ka iwi keu ke ālai i ke kahawai pepeiao ke komo ka wai i loko. I kekahi mau hihia, hiki i ka "pepeiao o Surfer" ke kumu i ka nalowale o ka lohe. Ua kapa ʻia kēia maʻi no ka mea he mea maʻamau ia i ka poʻe e ʻauʻau ana i ka wai anuanu a i ʻole ka heʻe nalu.

• ʻO ke ʻano ʻino o Haglund: He inoa ʻē paha kēia, akā he exostosis wale nō ia e ulu ana ma ke kua o kou iwi kuʻekuʻe wāwae (i kapa ʻia hoʻi ʻo calcaneus), kahi e hoʻopili ai kou aʻalolo Achilles (ke aʻalolo nui e holo ana mai luna o kou kuʻekuʻe wāwae a i kou shin) i ka iwi. Hiki i ke ʻano ʻino o Haglund ke hōʻeha i ka kuʻekuʻe wāwae. Hiki ke ʻeha loa kēia ʻeha ke komo ʻoe i nā kāmaʻa paʻa ma hope o ke kuʻekuʻe wāwae. Kapa pū kekahi poʻe iā ia he "pump bump" no ka mea hiki ke ʻike ʻia ke komo ʻoe i kekahi mau kuʻekuʻe wāwae kiʻekiʻe.

• ʻO ka exostosis subungual: Hana ʻia kēia ma ka iwi ma lalo o ke kui o kou manamana lima a manamana wāwae paha. ʻO ia hoʻi, ma lalo o ka moena kui. Hiki i kēia ke kumu i ke kui e piʻi i luna, a i ʻole hiki ke hōʻeha a puni ke kui.

• Paranasal sinus exostosis: E like me ka inoa e hōʻike nei, ulu kēia mau mea ma nā iwi i loko o nā lua sinus a puni ka ihu. Hiki iā lākou ke hoʻoulu i ka ihu paʻa a me ka paʻakikī o ka hanu ʻana.

• Nā iwi kui: He ʻano exostosis kēia. Kāhea pū nā kauka iā lākou he osteophytes. Hoʻomohala mālie kēia mau iwi kui i ka hala ʻana o ka manawa. ʻIke pinepine ʻia lākou a puni nā hono (kahi e hui ai ʻelua a ʻoi aku paha nā iwi). Hiki ke pili pū me nā kūlana e like me ka osteoarthritis.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi (Exostosis)?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi "(Exostosis)". Eia naʻe, ʻoi aku ka maʻamau o lākou i nā keiki a me nā ʻōpio. ʻO ke kumu o kēia, i kēlā makahiki, ke ulu wikiwiki nei ko lākou mau iwi a ʻaʻole i ulu piha. No laila, i loko o kēlā kaʻina ulu ʻana, aia kahi manawa nui o kēia mau hoʻokumu iwi keu.

He aha nā hōʻailona o ka "(Exostosis)"?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole nui nā exostosis e hōʻike i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike he hoʻokahi kāu. Hiki ke ʻike ʻia ma kahi hanana i ka wā o kahi X-ray a i ʻole kahi hoʻokolokolo kino e ke kauka.

Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki ke like me kēia:

• Exostosis: ʻEha ma kahi o ka exostosis.
• Inā ulu ia ma luna a kokoke paha o kahi hui (no ka laʻana, ka ʻūhā, ke kuli, ka kuʻekuʻe wāwae, ka manamana lima, a i ʻole ka manamana wāwae), e ʻoʻoleʻa a ʻeha paha i ka wā e neʻe ai i kēlā hui.
• Inā ua hana ʻia kēia i loko o kahi lua sinus, e paʻa a kaumaha ka ihu.
• Inā loaʻa iā ʻoe ka "pepeiao o Surfer", hiki iā ʻoe ke nalowale i ka lohe. Hiki iā ʻoe ke loaʻa pinepine i nā maʻi pepeiao no ka mea ʻo ka iwi keu e maʻalahi ai ka paʻa ʻana o ka wai i loko o ka pepeiao, e maʻalahi ai ka ulu ʻana o nā germs.

E noʻonoʻo, i kou holo ʻana a me ka lele ʻana, ʻike koke ʻoe i kahi ʻeha iki ma kou kuʻekuʻe wāwae, a ua like ia me kahi puʻupuʻu liʻiliʻi ma kou lima. Inā hana ʻia kēlā, he "(Exostosis)" paha ia.

He aha nā kumu o ka `(Exostosis)`?

Hoʻomohala kekahi "(Exostosis)" me ke kumu ʻike ʻole ʻia. Ua kapa ʻia lākou e nā kauka he "(idiopathic)", ʻo ia hoʻi "ʻaʻohe kumu i ʻike ʻia."

Eia nō naʻe, aia kekahi mau kumu nui e kōkua ai i ka ulu ʻana o `(Exostosis):`

• Nā ʻeha: Ke hōʻino ʻia kahi iwi ma kekahi ʻano, hiki i kekahi manawa ke ulu hou me ka hewa, e hana ana i kahi ʻāpana iwi keu i kapa ʻia ʻo "Exostosis." E noʻonoʻo ʻoe e hāʻule ana a palahē i kahi iwi ma kou lima. Ke ho'ōla ʻia, hiki ke hana ʻia kahi puʻupuʻu liʻiliʻi keu ma kahi o ka palahē.
• Nā kūlana olakino: Hiki i kekahi mau maʻi, e like me ka osteoarthritis a me ka spinal stenosis, ke hoʻoulu i ke kaomi hou ma luna o nā iwi. Ke hoʻolōʻihi ʻia kēia kaomi a hōʻino, hiki ke ulu kahi exostosis i ka pane.
• Moʻolelo ʻohana: Inā ua loaʻa i kou mau mākua ka exostosis, ʻoi aku paha ka nui o ka loaʻa ʻana iā ʻoe. ʻO ke ʻano kēia, aia paha kahi predisposition genetic.

Pehea ʻoe e ʻike pono ai inā he "(Exostosis)" kou? (Diagnosis)

Inā kānalua ʻoe he exostosis kou, hiki i ke kauka ke hōʻoia pono. ʻElua mau ʻano nui i hoʻohana ʻia no kēia: kahi hoʻokolokolo kino a me nā hoʻokolohua kiʻi.

ʻO ka mea mua, e nānā ke kauka i ka puʻupuʻu ma kou kino, e hoʻopā iā ia, a e nīnau iā ʻoe e pili ana i nā hōʻailona āu e ʻike nei.

A laila, e kauoha lākou i kahi hoʻāʻo kiʻi e ʻike maopopo i ka ulu ʻana o ka iwi a me nā ʻiʻo a puni. Hiki i kēia ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau hoʻāʻo:

• Nā kukuna X: ʻO kēia ka mea mua i hana ʻia. Hiki i kahi kukuna X ke hōʻike maopopo i nā iwi, no laila hiki ke hoʻohana ʻia e hoʻoholo inā he exostosis a pehea kona nui.
• CT scan: Hiki i kēia ke hana i kahi kiʻi kikoʻī ma mua o kahi X-ray. Kōkua ia i ka ʻike ʻana i nā mea e like me ke ʻano o ka iwi a me kona pilina me nā ʻiʻo a puni.
• MRI scan: Hiki i kēia ke hāʻawi i kahi kiʻi maopopo ʻaʻole wale nā ​​​​iwi, akā ʻo nā ʻiʻo palupalu a puni lākou (e like me nā ʻiʻo a me nā tendon).

Ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua hiki i ke kauka ke haʻi pololei iā ʻoe inā he exostosis kou a i ʻole kekahi mea ʻē aʻe.

Pehea e mālama ai i kahi ``(Exostosis)``?

ʻO ke ʻano o ka mālama ʻana no ka exostosis e pili ana i kona wahi ma kou kino a me nā hōʻailona āu e ʻike nei.

ʻAʻole pono kekahi lāʻau lapaʻau no kekahi `(Exostosis)`. ʻAe, e kahaha paha ʻoe. Akā, he ʻoiaʻiʻo nō ia. Inā ʻaʻohe ʻeha a ʻoluʻolu ʻole paha, ʻo ka hapa nui o ka manawa e ʻōlelo ke kauka, "Ua maikaʻi, e nānā kākou."

Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha a me ka pehu ʻana, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu me nā lāʻau hoʻomaha ʻeha ma luna o ke kauka (OTC NSAIDs, e like me ibuprofen). Eia nō naʻe, inā ʻoe e lawe ana i kēia mau lāʻau hoʻomaha ʻeha no nā lā he ʻumi a ʻoi aku i ka manawa, he mea nui e kamaʻilio mua me kāu kauka.

Hiki i nā poʻe me nā kūlana e like me ke ʻano o Haglund ke loaʻa ka hōʻoluʻolu ma ke komo ʻana i nā kāmaʻa ʻokoʻa iki ʻaʻole e kau i ke kaomi ma ke kuʻekuʻe wāwae. ʻO ia hoʻi, ʻoi aku ka maikaʻi o ke koho ʻana i nā kāmaʻa ʻaʻole paʻa loa a he kuʻekuʻe wāwae palupalu.

Pono kekahi mau ʻano exostosis i ke ʻoki kino. No ka laʻana, inā loaʻa iā ʻoe ka pepeiao o ka mea heʻe nalu, ka mea e hoʻoulu ai i nā maʻi pepeiao pinepine a i ʻole ka nalowale nui o ka lohe, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e wehe i ka iwi keu. Pēlā nō, inā he exostosis subungual e hōʻino ana i ke kui a e hōʻeha nui ana, hiki ke wehe ʻia ma ke ʻoki kino. E wehewehe kāu kauka a kauka ʻoki kino paha i ke kaʻina hana iā ʻoe, me ka lōʻihi o ka manawa e hoʻōla ai, a me ka lōʻihi o ka manawa e ho'ōla ai.

Inā loaʻa iaʻu kahi ``(Exostosis)'', he aha kaʻu e manaʻo ai?

ʻAʻohe mea e hopohopo ai e pili ana i ka loaʻa ʻana o kahi "(Exostosis)". Hiki iā ʻoe ke manaʻo i ka ho'ōla piha ʻana. ʻOiai inā e wehe ʻia ma ke ʻoki ʻana, ʻaʻole paha e loaʻa kekahi mau hōʻailona lōʻihi.

Eia nō naʻe, ʻo kekahi mau ʻano exostosis - ʻoi aku ka pepeiao o ka mea heʻe nalu - he liʻiliʻi ka manawa e ulu hou ai ma hope o ka wehe ʻana. No laila, inā manaʻo ʻoe he puʻupuʻu a ulu paha e like me kēia, he mea naʻauao ke ʻike i ke kauka no ka hoʻokolokolo ʻana.

Aia kekahi ala e pale aku ai i ka hoʻokumu ʻana o kahi "(Exostosis)"?

ʻO ka mea pōʻino, ʻaʻohe ala kikoʻī e pale ai i ke kūkulu ʻia ʻana o kahi exostosis.

Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi e like me ka arthritis a i ʻole ka spinal stenosis, he mea nui e hoʻokele pono i kēlā mau hōʻailona. ʻO ka hana ʻana pēlā e hōʻemi ai i ka pilikia o ke kaumaha pono ʻole a me ka hōʻino ʻana i kou mau iwi a me ka ulu ʻana o kahi exostosis.

Āhea wau e ʻike ai i kaʻu kauka?

ʻO kēia ka mea nui loa: Inā ʻike ʻoe i kahi puʻupuʻu hou a puʻupuʻu paha ma kou kino, ma ka iwi a kokoke paha, e ʻike koke i ke kauka.

He mea nui loa ke nānā ʻia e ke kauka a hoʻoholo inā he "Exostosis" a i ʻole kekahi mea ʻoi aku ka koʻikoʻi (e like me kahi puʻupuʻu kanesa e like me "Sarcoma").

ʻAʻole ka exostosis he maʻi kanesa. Eia nō naʻe, he mea naʻauao ke nānā koke ʻia kekahi ulu hou a puʻupuʻu paha e ke kauka. A laila hiki iā ʻoe ke hilinaʻi, ʻeā?

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

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kekahi mau nīnau e like me kēia:

• Loaʻa iaʻu kahi "Exostosis" a i ʻole kekahi ʻano ulu ʻē aʻe?
• He aha ke ʻano o ka `(Exostosis)` i loaʻa iaʻu? (Laʻana: `(Pepeiao o Surfer)`, `(Haglund's deformity)`)
• He aha paha ke kumu o kēia "(Exostosis)"?
• E pono anei iaʻu ke ʻoki kino e wehe ai i kēia?
• He aha kaʻu e hana ai ma ka home e mālama ai i koʻu mau hōʻailona? (e.g., nā lāʻau hoʻopau ʻeha, ke hoʻololi ʻana i nā kāmaʻa)

He aha nā ʻokoʻa ma waena o `(Exostosis)`, `(Sarcoma)`, `(Osteoma)`, a me `(Osteochondroma)`?

Me he mea lā he mea huikau iki kēia mau inoa ke lohe ʻia. Akā, e maʻalahi kākou. He ʻano "puʻupuʻu" kēia mau mea a pau.

• ʻOkoʻa ma waena o (Exostosis) a me (Sarcoma):

ʻO ka ʻokoʻa nui a koʻikoʻi loa , ʻo ia ka "(Exostosis)" ʻaʻole loa e lilo i maʻi kanesa.

He puʻupuʻu laha ʻole ka Sarcoma akā he ʻino ia e ulu ana i loko o nā iwi a me nā ʻiʻo pili a puni. Hoʻokumu ʻia ʻo Sarcoma e kahi loli (mutation) i loko o ka DNA o nā iwi ʻōpiopio a i ʻole nā ​​​​​​pūnaewele ʻiʻo. ʻO kekahi o kēia mau loli DNA ke kumu o kēlā mau pūnaewele e lilo ai i maʻi kanesa.

ʻO ia ke kumu i ʻōlelo ai mākou ma mua inā ʻike ʻoe i kahi puʻupuʻu hou ma ka iwi, ʻoiai inā he ʻeha, e ʻike koke i ke kauka. ʻOiai ʻaʻole he maʻi kanesa ka exostosis, hiki i nā puʻupuʻu ʻino e like me ka sarcoma ke ulu aʻe ma nā wahi like, a hiki ke like nā hōʻailona mua.

• ʻOkoʻa ma waena o (Exostosis) a me (Osteoma):

ʻO ka Osteoid osteoma (i kekahi manawa i kapa ʻia ʻo osteoma) he ʻano puʻupuʻu iwi ʻaʻole maʻi kanesa.

Ua like loa kēia me ka `(Exostosis)`. Eia naʻe, ulu pinepine ka `(Osteoid osteoma)` i nā iwi lōʻihi (e like me nā iwi lōʻihi ma nā wāwae a me nā lima). ʻOi aku ka maʻamau o lākou i nā poʻe ma waena o 5 a me 25 mau makahiki. Hoʻoulu pinepine lākou i kahi ʻeha palupalu e puka mai ana mai loko mai o ke kino, a ʻoi aku ka ʻino o kēia ʻeha i ka pō.

• ʻOkoʻa ma waena o (Exostosis) a me (Osteochondroma):

Ke ulu ka exostosis ma kahi o ka iwi i uhi ʻia e ke cartilage (ka iwi palupalu a palupalu i loaʻa i loko o ko kākou mau hono, pepeiao, a me ka ihu), ua kapa ʻia ʻo ia he osteochondroma. ʻO nā ʻelua he mau puʻupuʻu iwi ʻaʻole cancerous. ʻO ka maʻamau, ulu ka Osteochondroma ma nā wēlau o nā iwi lōʻihi i nā keiki a me nā ʻōpio. ʻIke pinepine ʻia lākou i nā papa ulu o nā keiki (ke cartilage e kōkua ana i nā iwi e ulu a ma hope e lilo i iwi paʻakikī).

ʻO nā osteochondromas e ulu wale ana ua kapa ʻia ʻo solitary osteochondromas. Hiki i kekahi mau keiki ke ulu i nā osteochondromas he nui i ka manawa like. ʻO ka maʻamau, hoʻokumu ʻia kēia e kahi maʻi hoʻoilina i kapa ʻia ʻo multiple hereditary osteochondromas.

Inā ʻike ʻoe i kahi puʻupuʻu hou ma luna a kokoke paha i ka iwi i ke kino o kāu keiki, ʻoiai inā ʻeha ka puʻupuʻu, e ʻike i ke kauka.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ke hopohopo iki i ka wā e ʻike ai ʻoe he puʻupuʻu kou i loko o kou kino. Eia nō naʻe, ʻaʻohe mea e makaʻu nui ai e pili ana i ka `(Exostosis)`. No ka mea, ʻaʻole lākou he maʻi kanesa. ʻO ka ʻoiaʻiʻo, inā ʻaʻole kāu `(Exostosis)` e hōʻeha a ʻoluʻolu ʻole paha iā ʻoe, ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau. ʻOiai inā e wehe ʻia ma ke ʻoki ʻana, hiki iā ʻoe ke hoʻōla piha a ʻaʻohe hopena lōʻihi.

Akā, mai poina i kēia mau mea:

• Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole ka ulu ʻana ma luna a kokoke paha i ka iwi, e ʻike koke i ke kauka. He mea nui e ʻike pololei inā he "exostosis" a i ʻole kekahi ʻano ʻē aʻe, ʻoi aku paha ka koʻikoʻi.
• ʻAʻole ka exostosis he maʻi kanesa, no laila mai hopohopo pono ʻole.
• I ka hapanui o nā hihia, inā ʻaʻohe hōʻailona, ​​ʻaʻole pono ka lāʻau.
• ʻOiai ke koi ʻia nei ka lāʻau lapaʻau, hiki ke hoʻokō ʻia nā hopena holomua.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!

ʻo exostosis, puʻupuʻu iwi, ulu ʻana o ka iwi, pepeiao o ka mea heʻe nalu, ʻano ʻino o haglund, iwi spur, puʻupuʻu ʻaʻole maʻi kanesa