Ua ʻike anei ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma lalo o kou ʻili, malia paha he hohonu iki? I kekahi manawa hiki ʻole ke ʻeha kēia mau mea. I kēia lā e kamaʻilio mākou e pili ana i kekahi o kēia mau puʻupuʻu momona, ʻoiai nā mea e hana ʻia i loko o nā ʻiʻo. ʻAʻole lākou he mea e makaʻu ai, akā he mea nui loa lākou e makaʻala.
He aha kēia Intramuscular Lipoma?
I ka ʻōlelo maʻalahi,
ʻo ka `Intramuscular Lipoma` he puʻupuʻu kakaikahi loa, ʻaʻole maʻi kanesa (ʻo ia hoʻi,
benign) . Hana ʻia ia me ka ʻiʻo momona melemele, e like me ka ʻaila. ʻO ka mea kūikawā, ʻo ia ka ulu ʻana o kēia puʻupuʻu
i loko o kahi ʻiʻo . E noʻonoʻo i kahi puʻupuʻu momona e like me kēia e ulu ana i loko o kā mākou mau meatballs. I kekahi manawa kapa ʻia e nā kauka he
`deep-seated lipoma` . ʻO ia no ka mea e ulu ana kēia mau puʻupuʻu ma lalo o kahi papa i kapa ʻia ʻo
`fascia` . ʻO `Fascia` kahi papa lahilahi o ka ʻiʻo e hoʻopaʻa ana i ko mākou mau ʻiʻo a pale i ko lākou ʻano. Ua like ia me ka ʻūpā lahilahi a puni ka sausage. I kēia manawa, e wehewehe iki kākou i kēia mau huaʻōlelo.
- Intramuscular: ʻO ke ʻano kēia e ulu ana ka puʻupuʻu i loko o kahi ʻiʻo. He ʻāpana ia o kā mākou ʻōnaehana musculoskeletal , ʻo ia ka ʻōnaehana e komo pū ana me nā ʻiʻo, nā iwi, a me nā hono e kōkua ai i ke kino e neʻe.
- ʻO nā ʻōpū momona: ʻO ka ʻōpū momona e pili ana i nā ʻōpū momona e hana pinepine ʻia ma lalo o ko kākou ʻili. ʻO kēia ke ʻano maʻamau a ʻino ʻole o ka ʻōpū. Eia nō naʻe, ua hana ʻia ka ʻōpū momona i loko o ka ʻiʻo, akā ua hana ʻia ia i ka momona, i loko o ka ʻiʻo.
ʻO kekahi mea ʻē aʻe, aia kekahi ʻano i kapa ʻia ʻo
'intermuscular lipomas' . Hoʻokumu ʻia lākou ma waena o ʻelua mau ʻiʻo. Akā ʻo ke ʻano 'intramuscular' a mākou e kamaʻilio nei i kēia lā e hana ʻia i loko o kahi ʻiʻo.
He mea kēia e hana ʻia ana e nā kānaka he nui?
ʻAʻole, ʻo ka ʻoiaʻiʻo, he
mea kakaikahi loa nā 'Intramuscular Lipomas'. ʻAʻole lākou i hana ma mua o 1% o nā lipomas āpau i ʻike ʻia. ʻIke pinepine ʻia lākou i
nā pākeke ma waena o 40 a me 70 mau makahiki. Eia nō naʻe, hiki ke loaʻa kēia ʻano i kekahi o kēlā me kēia makahiki, me ka nānā ʻole i ke kāne. No laila, ʻaʻole hiki ke manaʻo ʻaʻole kēia e hana ʻia ma muli o ka makahiki wale nō.
Ma hea e hana pinepine ʻia ai kēia mau puʻupuʻu momona?
ʻOiai paha he ʻano puʻupuʻu kēia i loko o hoʻokahi ʻiʻo wale nō i kekahi kanaka, aia paha i kekahi poʻe (ma kahi o 15%) kēia mau 'Intramuscular Lipomas' i loko o nā ʻiʻo he nui. Hoʻomohala pinepine lākou i loko o nā ʻiʻo. ʻO ke kikoʻī:
- I loko o nā lima (`Arms`)
- Paia umauma
- ʻĀpana poʻo a ʻāʻī paha
- Nā poʻohiwi
- Ma nā ʻūhā (`Thighs`)
- ʻAlelo - ʻAe, he mau ʻiʻo ko ke alelo, no laila hiki iā ia ke ulu ma laila!
- I loko o ke kumu, ʻo ia hoʻi, ka ʻāpana pelvic (`Trunk (pelvic area)`)
Aia kekahi mau ʻano o kēia?
ʻAe, aia kekahi mau ʻano o nā 'Intramuscular Lipomas' e like me ko lākou ʻano. 1.
'Infiltrating intramuscular lipomas': Loaʻa i kēia mau ʻano tumors nā olonā ʻiʻo e ulu ana i loko o lākou . ʻO ia hoʻi, ua hui pū ʻia ka tumor a me ka ʻiʻo. Hiki iā lākou ke pālahalaha i kekahi manawa i nā tendons e pili ana ('tendons') a i ʻole ka membrane 'fascia'. Ma ke ʻano maʻamau, ʻewalu o nā 'Intramuscular Lipomas' he ʻumi e ulu ana no kēia ʻano. 2.
'White-defined (well-circumscribed) intramuscular lipomas': Hoʻomaka maopopo kēia mau tumors i loko o kahi ʻiʻo a he palena maopopo a puni. ʻAʻole like me ke ʻano i ʻōlelo ʻia ma mua, ʻaʻole hele nā olonā ʻiʻo ma o kēia mau mea. 3.
Nā lipomas intramuscular i hui pū ʻia: E like me ka inoa e hōʻike nei, hiki i kēia mau mea ke loaʻa nā ʻano hiʻohiʻona 'infiltrating' i ʻōlelo ʻia ma mua (komo ka tumor i loko o ka olonā ʻiʻo) a me ke ʻano hiʻohiʻona 'well-defined' (nā palena maopopo).
No ke aha e ulu ai nā puʻupuʻu momona e like me kēia?
ʻO kaʻoiaʻiʻo,
ʻaʻole maopopo i nā loea ke kumu e loaʻa ai i kekahi poʻe nā Intramuscular Lipomas. Eia naʻe, manaʻo lākou aia kekahi mau mea e hiki ke kōkua i kēia:
- Ka hoʻonāukiuki mau loa: Ke alo ʻana o kahi mea e like me ke kaomi a i ʻole ka hoʻonāukiuki ma kahi wahi no ka manawa lōʻihi.
- Nā maʻi ulu : Kekahi mau pilikia e kū mai ana i ka wā o ka ulu ʻana o ke kino.
- Nā maʻi o ka ʻōnaehana endocrine: Kekahi mau kūlike ʻole i loko o ka ʻōnaehana hormonal (ʻōnaehana endocrine) i loko o ko mākou kino.
- Nā maʻi hoʻoilina (nā hoʻololi ʻana o ka gene): I kekahi manawa hiki ke hana ʻia e nā maʻi hoʻoilina (nā hoʻololi ʻana o ka gene) i hoʻoili ʻia ma o nā hanauna.
- ʻO ka maʻi metabolic : He kūlana e kū mai ana i ka wā e hui pū ai nā mea e like me ka maʻi diabetes, ke koko kiʻekiʻe, a me ka cholesterol kiʻekiʻe.
- Momona: I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū nā hunaola momona, no laila hiki ke hoʻopilikia ʻia.
- Nā ulia pōpilikia a i ʻole nā ʻeha koʻikoʻi: Ke loaʻa kahi ʻeha nui ma kekahi wahi, hiki i kekahi mea e like me kēia ke hana ʻia i ka wā e ho'ōla ʻia ana.
Akā e hoʻomanaʻo, ʻo kēia wale nō kekahi o nā kumu i ʻike ʻia. ʻAʻole ia manaʻo he pono ʻoe e loaʻa kekahi o kēia mau kumu no ka mea he mea like kāu.
He aha nā hōʻailona o kēia?
ʻO nā Lipomas Intramuscular kahi ʻano puʻupuʻu
e hiki ke ulu nui loa . Hiki i kekahi ke liʻiliʻi e like me ke kenimika (ʻaʻole i emi ma mua o ka hapalua ʻīniha), aʻo kekahi e hiki ke nui e like me 10 ʻīniha (25 kenimika)! E noʻonoʻo i ka laulā.
ʻO ka hapa nui o ka manawa, ʻaʻole nā puʻupuʻu liʻiliʻi e hoʻoulu i kekahi mau hōʻailona. ʻAʻole paha ʻoe e ʻike he loaʻa iā ʻoe. Eia nō naʻe, ke ʻike ʻia nā hōʻailona, hiki iā ʻoe ke ʻike i nā mea e like me:
- Pehu (edema) a i ʻole he puʻupuʻu palupalu ma lalo o ka ʻili. Hiki ke neʻe a puni kēia puʻupuʻu ke kaomi ʻia.
- Ke hoʻopaʻa ʻoe i ka ʻiʻo i nīnau ʻia (no ka laʻana, inā ʻo kou lima ia, ke kūlou ʻoe i kou lima), e paʻa iki paha ka puʻupuʻu .
- I kekahi manawa, loaʻa paha ka ʻeha ʻiʻo a i ʻole ka ʻeha ʻiʻo .
ʻO ka mea nui loa, ʻaʻole e hopohopo ke ʻike ʻoe i kahi puʻupuʻu e like me kēia. ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia.
Pehea e ʻike ai ke kauka i kēia?
No ka ʻike ʻana i nā ʻōpū palupalu e like me kēia, e hilinaʻi pinepine kāu kauka i
nā scan kiʻi . Pono paha ʻoe e hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:
- X-ray: Nānā pinepine kēia i nā iwi, akā hiki i kekahi manawa ke hāʻawi i kekahi manaʻo o nā loli i nā ʻiʻo palupalu.
- Ultrasound: He hoʻāʻo e hoʻohana ana i nā nalu kani e hana i nā kiʻi o loko o ke kino. Hiki i kēia ke hāʻawi i kahi manaʻo maikaʻi o ke ʻano o ka puʻupuʻu (e like me ka mea paʻa a wai paha).
- CT scan: Hoʻohana kēia i nā kukuna X e lawe i nā kiʻi ʻokiʻoki o ke kino. Hiki iā ia ke hōʻike maopopo i kahi o ka puʻupuʻu, kona nui, a me kona pilina me nā ʻiʻo a puni.
- MRI: Hoʻohana i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi maopopo loa a kikoʻī. He mea pono loa kēia no nā puʻupuʻu palupalu.
- ʻO ke kiʻi ʻana o ka `Positron emission tomography (PET)`: Hiki i kēia ke nānā i ka hana o nā ʻāpana i loko o ke kino. Kōkua kēia i ka ʻike ʻana i nā ʻāpana e māhele wikiwiki ana, e like me nā ʻāpana kanesa.
Ma waho aʻe o kēia mau scan, hiki ke noi ʻia ʻoe e hana i kahi
biopsy nila e hōʻoia ai ʻaʻole ka puʻupuʻu he maʻi kanesa maoli, e like me ke ʻano o ke kanesa o nā cell momona e like me
liposarcoma . Pili kēia i ke komo ʻana i kahi nila lahilahi i loko o ka puʻupuʻu, e wehe ana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a nānā iā ia ma lalo o kahi microscope. ʻIke pinepine ʻia a mālama ʻia kēia mau kūlana e
kahi orthopedist . He kauka lapaʻau kēia i nā maʻi o nā iwi, nā hono, a me nā ʻiʻo.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, inā
ʻaʻole pilikia kāu Intramuscular Lipoma (ʻaʻohe ʻeha a ʻoluʻolu ʻole paha) ,
ʻaʻole paha ʻoe e pono i kekahi lāʻau lapaʻau . I kēlā hihia, e nānā wale kāu kauka i ka puʻupuʻu, ʻo ia hoʻi e nānā lākou i kona ulu ʻana a i ʻole ka loli ʻana. Eia nō naʻe, i kēia mau hihia, hiki i kāu kauka ke ʻōlelo i ka lāʻau lapaʻau:
- Inā ʻo ka puʻupuʻu ke kumu o nā pilikia e like me ka ʻeha a i ʻole ka ʻoluʻolu ʻole .
- Inā ʻaʻole hiki i ka biopsy ke hoʻoholo maopopo inā he benign a cancerous paha ka puʻupuʻu .
- Inā ʻoe e hilahila iā ʻoe iho no ka puʻupuʻu no ka mea ua ʻike ʻia.
ʻO ke
ʻoki kino ka lāʻau lapaʻau e wehe loa i ka puʻupuʻu (`excising`) . Eia kekahi mea nui e ʻike ai. ʻO ke ʻano puʻupuʻu `infiltrating` a mākou i kamaʻilio ai ma mua
he 50% a 80% ka manawa e hoʻi hou ai ma hope o ka wehe ʻana i ke ʻoki kino. Eia nō naʻe, ʻaʻole pinepine e hoʻi hou mai ke ʻano puʻupuʻu `well-defined`.
Hiki i kēia ke hoʻoulu i kekahi mau pilikia?
He maʻamau kēia mau mea he maikaʻi ʻole a ʻaʻole ia e hoʻoulu i nā pilikia nui. Eia nō naʻe, hiki i kahi ʻano puʻupuʻu 'infiltrating' ke pālahalaha i nā ʻiʻo kokoke, nā tendon, a me nā ʻiʻo. Inā
lilo ka puʻupuʻu i mea nui loa , hiki iā ia
ke kaomi ma luna o kahi aʻalolo kokoke, e hana ana i kahi 'pinched nerve' a, ma muli o ia mea
, 'neuropathy' .
Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?
He mea kākaʻikahi loa nā Lipomas Intramuscular, a loaʻa lākou no nā kumu i ʻike ʻole ʻia. No laila,
ʻaʻohe ala kikoʻī e pale aku ai iā lākou mai ka hoʻokumu ʻana .
He aha ka wā e hiki mai ana no kekahi me kēia maʻi?
ʻAʻole pono ka hapa nui o ka poʻe me Intramuscular Lipomas i ka lāʻau lapaʻau . ʻO ia ka mea hōʻoluʻolu loa.
Inā hōʻeha ka puʻupuʻu a i ʻole nā pilikia ʻē aʻe, hiki ke wehe ʻia ma ke ʻoki ʻana. No laila, ʻaʻohe mea e hopohopo ai.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike i ke kauka:
- Inā ʻike ʻia kahi puʻupuʻu hou ma lalo o ka ʻili .
- Inā loaʻa iā ʻoe ka ʻeha a i ʻole nā ʻūpā no ke kumu ʻike ʻole ʻia.
ʻAʻole i manaʻo mau ʻia he `Intramuscular Lipoma` nā hōʻailona e like me kēia. Eia naʻe, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka e ʻike pono ai i ke ʻano o ia mea.
He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?
Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- He aha ke kumu i loaʻa ai iaʻu kēia `Intramuscular Lipoma`?
- Pono anei au i ka lāʻau lapaʻau?
- He aha nā pilikia e pono iaʻu e makaʻala ai?
- He aha nā manawa kūpono e hiki hou mai ai kēia?
Hiki paha i kēia mau puʻupuʻu momona ke lilo i maʻi kanesa?
ʻAʻole. ʻAʻohe hōʻike e hōʻike ana he maʻi kanesa ka Intramuscular Lipoma. He maikaʻi mau lākou. Hana ʻia kahi biopsy e hōʻoia inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha a e hōʻoia he lipoma ia.
No laila, inā e hoʻohui pū kākou i kēia mau mea a pau... (Leka Lawe-Home)
ʻAe, e hoʻomanaʻo kākou iā kākou iho i kekahi mau mea a mākou i kamaʻilio ai e pili ana i ka 'Intramuscular Lipoma'.
Inā ʻike ʻoe i kahi puʻupuʻu a pehu paha ma lalo o kou ʻili, ʻoiai ma loko o kahi ʻiʻo, he mea nui e kamaʻilio me ke kauka e pili ana i ia mea.
ʻO ka hapa nui o ka manawa,
ʻaʻohe mea e hopohopo ai kēia mau puʻupuʻu. He
mea kākaʻikahi loa nā puʻupuʻu palupalu e like me ka 'Intramuscular Lipoma'. Eia kekahi, inā loaʻa iā ʻoe kekahi,
he mea hōʻoluʻolu nui ka ʻike ʻana ʻaʻole ka puʻupuʻu momona he maʻi kanesa .
ʻAʻole pono ka hapa nui o ka poʻe i ka lāʻau lapaʻau . Eia naʻe, inā e hōʻeha ana ka puʻupuʻu, ka ʻūlū ʻana o nā ʻiʻo, a inā ʻoluʻolu ʻole ʻoe i kona ʻano,
hiki ke wehe ʻia ma ke ʻoki ʻana . No laila, e makaʻala i nā loli i kou kino. Inā ʻike ʻoe i kekahi mea ʻē, mai kānalua e ʻimi i ke aʻo lapaʻau. ʻO ia ke ala maikaʻi loa e noho olakino ai!
Nā puʻupuʻu momona, nā ʻiʻo, nā puʻupuʻu ʻaʻole maʻi kanesa, lipoma intramuscular, puʻupuʻu, pehu, ʻoki ʻana
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