Aia kekahi puʻupuʻu ʻē ma kou ʻauwae? E aʻo pono kākou e pili ana i nā Cysts a me nā Tumors Jaw!

Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu i loko o kou waha a i ʻole kou ʻāwae a noʻonoʻo i ke ʻano o ia mea? A i ʻole ua makaʻu paha ʻoe i ka nānā ʻana o ke kauka niho i kāu X-ray a ʻōlelo mai, "Aia kekahi mea liʻiliʻi ma ʻaneʻi"? ʻOiai he mea maʻamau ʻole kēia mau mea, hiki iā lākou ke hana i kekahi. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā Cysts a me nā Tumors Jaw.

He aha kēia mau cysts a me nā tumors o ka ʻauwae?

I ka ʻōlelo maʻalahi, he mau ulu kēia e hiki ke hana i loko o kou waha, ma nā iwi o kou ʻauwae (me kou mau niho), a i ʻole ma nā ʻiʻo palupalu. ʻO ka cyst ʻauwae he ʻeke i piha i ka wai a i ʻole kahi mea wai hapa. E noʻonoʻo e like me kahi pehu liʻiliʻi, akā hana ia i loko o nā ʻiʻo. ʻO ka puʻupuʻu, ma ka ʻaoʻao ʻē aʻe, he puʻupuʻu paʻa o nā ʻiʻo i hana ʻia me nā cell maʻamau ʻole. ʻO kēia mau ulu ʻelua he mau mea maikaʻi ʻole, a ʻaʻole paha he maʻi kanesa. ʻO ke ʻano kēia hiki iā lākou ke ulu nui, e hoʻopilikia ana i nā ʻiʻo o kou maka a me kou waha, akā ʻaʻole lākou e laha i nā ʻāpana ʻē aʻe o kou kino.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kēia mau puʻupuʻu a i ʻole nā ​​​​pūʻupuʻu e pili ana i ka ʻāwae ke lilo i mea ʻino, a i ʻole ka maʻi kanesa. Ua kapa pū nā kauka i kēia maʻi kanesa ʻāwae . Inā ʻaʻole mālama ʻia, hiki i kēia mau puʻupuʻu a me nā pūʻupuʻu kanesa ke pālahalaha ma waho o kou ʻāwae i nā ʻāpana ʻē aʻe o kou kino.

No laila, inā ʻike ʻoe i kekahi mau ulu hou ma kou ʻauwae a i loko paha o kou waha, he mea nui e hōʻike iā lākou i ke kauka. ʻOiai inā he ʻano maikaʻi ʻole kahi puʻupuʻu a puʻupuʻu paha, hiki i kekahi mau ʻano ke hōʻeha, hōʻino i ka iwi ʻauwae, a hemo paha nā niho.

He aha nā ʻano o nā cysts a me nā tumors o ka ʻā?

Aia kekahi mau ʻano cysts a me nā tumors e pili ana i ka ʻāwae. Hoʻokaʻawale nā ​​​​kauka iā lākou he benign a malignant paha, a inā paha e hoʻomaka lākou i nā ʻiʻo e pili ana i ka ulu ʻana o ka niho (mga cysts a me nā tumors odontogenic) a i ʻole nā ​​​​ʻiʻo ʻē aʻe (nā cysts a me nā tumors nonodontogenic).

Nā ʻano maʻamau o nā puʻupuʻu ʻāwae benign a me nā puʻupuʻu

ʻO ka hapa pinepine, ʻaʻole kēia he maʻi kanesa, ʻo ia hoʻi, nā ʻano ʻōpū a me nā ulu ʻana 'maikaʻi'. E nānā kākou i nā mea nui:

• ʻAmeloblastoma: He puʻupuʻu ulu lohi kēia, he ʻano odontogenic e kū mai ana mai nā ʻiʻo e hana ana i nā niho. Hoʻomohala pinepine ia ma kou ʻāwae haʻahaʻa, kokoke i kou mau niho hope (molars). ʻOiai he ʻano maikaʻi ʻole ia, hiki i kekahi mau ʻano ameloblastoma ke lilo i ʻano ʻino i ka hala ʻana o ka manawa. ʻOiai he ʻano maikaʻi ʻole ia, hiki i kekahi manawa ke ulu nui a hiki ke hoʻololi i ke ʻano o kou ʻāwae a hōʻino paha i kou mau niho.
• ʻO ka granuloma o ke kelepona nui waena:ʻO kēia ke ʻano maʻamau o ka puʻupuʻu 'benign' non-odontogenic. Loaʻa pinepine ia ma ke alo o ka ʻāwae haʻahaʻa. Eia nō naʻe, hiki nō hoʻi ke loaʻa ma ka ʻāwae luna. ʻO ka hapa nui o nā puʻupuʻu ke kumu o ka pehu ʻana o ka ʻāwae me ka ʻeha ʻole. Eia nō naʻe, hiki i nā puʻupuʻu e ulu wikiwiki ana ke kumu o ka pehu ʻeha a me ka neʻe ʻana o nā niho.
• ʻO nā cysts dentigerous: ʻO kēia ka lua o ke ʻano maʻamau o ka cyst odontogenic, e puka mai ana mai nā ʻiʻo e hana ana i nā niho. He mau cysts lohi kēia e ulu ana a puni nā ʻiʻo o nā niho i puka ʻole mai i loko o ka waha. Hoʻokumu pinepine lākou ma kahi kokoke i kou mau niho hope (molars). I kekahi manawa, hiki ke loaʻa iā lākou ma kahi kokoke i nā canine luna, ʻo ia nā niho ma nā ʻaoʻao ʻelua o kou mau niho mua.
• ʻO nā keratocysts Odontogenic: He mau cysts ulu lohi hoʻi kēia. Hoʻokumu pinepine lākou ma kahi kokoke i nā niho hope (molars). ʻAʻole ʻeha pinepine nā keratocysts liʻiliʻi, akā hiki i nā cysts nui ke hoʻoulu i ka pehu ʻeha. I kekahi manawa hiki i kēia mau cysts ke hōʻailona o kahi maʻi hoʻoilina i kapa ʻia ʻo Gorlin syndrome . Hoʻonui kēia ʻano i ka pilikia o ka hoʻomohala ʻana i nā keratocysts odontogenic a me kekahi mau ʻano maʻi ʻili.
• ʻOdontogenic myxoma / myxofibroma: He ʻōpū palupalu kēia, lohi ka ulu ʻana. Eia nō naʻe, hiki i kēia ʻōpū ke ulu nui a hiki ke hōʻino i kou ʻāwae a hoʻoneʻe i nā niho.
• ʻOdontoma: ʻO kēia ka puʻupuʻu benign a odontogenic maʻamau. ʻO kekahi ʻano maʻamau e kū mai ana ma ka ʻāwae haʻahaʻa a loaʻa iā ia kekahi mau ʻano niho like (ke ʻano 'compound'). ʻO kekahi ʻano maʻamau e kū mai ana ma ka ʻāwae luna a loaʻa iā ia nā ʻiʻo ʻē aʻe ʻaʻole like me nā niho (ke ʻano 'complex').
• ʻO nā cysts periapical: ʻO kēia ke ʻano maʻamau o ka cyst ʻāwae. Hoʻokumu ʻia lākou e ka mumū i hana ʻia e ka trauma i ka niho.

Nā ʻōhū a me nā puʻupuʻu ʻāwae ʻino laha ʻole

ʻO ka mea pōmaikaʻi, he mea kakaikahi loa nā puʻupuʻu ʻāwae kanesa, a 'malignant' paha. Eia kekahi mau laʻana:

• Carcinoma: He ʻano maʻi ʻaʻai kēia e hoʻomaka ana i loko o nā ʻiʻo e hoʻopili ana i nā ʻōpū, nā ala o loko, a me ka ʻili.
• ʻO Sarcoma: He maʻi ʻaʻai kēia e hoʻomaka ana i nā iwi a i ʻole nā ​​​​ʻiʻo palupalu e hoʻopuni ana.
• Carcinosarcoma: He hui pū ʻana kēia o nā ʻano maʻi ʻaʻai ʻelua, ʻo ia hoʻi ʻo `(Carcinoma)` a me `(Sarcoma).`

Pehea ka maʻamau o kēia mau cysts a me nā tumors e pili ana i ka ʻāwae?

ʻO ka ʻoiaʻiʻo, ʻaʻole maʻamau nā puʻupuʻu a me nā puʻupuʻu e pili ana i ka ʻāwae. Eia nō naʻe, he kakaikahi loa nā ʻano ʻino a maʻi ʻaʻai paha.

Eia nō naʻe, ua hōʻike ʻia e ka noiʻi ʻana he ʻoi aku ka nui o ka poʻe ma kekahi mau wahi e loaʻa iā lākou. No ka laʻana, ma ʻAmelika ʻĀkau, 1% wale nō o nā ulu ʻano ʻē i loko o ka waha he mau puʻupuʻu odontogenic. Eia nō naʻe, ma kekahi mau ʻāina ʻApelika, ua like kēia helu me 20%.

He aha nā hōʻailona inā he puʻupuʻu a he ʻōpū paha koʻu ma koʻu ʻauwae?

ʻO ka hapa nui o ka manawa, ulu mālie kēia mau cysts a me nā puʻupuʻu a ʻaʻole hoʻi e hōʻike i nā hōʻailona. ʻAʻole paha ʻoe e ʻike he hoʻokahi kāu ke ʻole i ʻike ʻia ma kahi hanana i ka wā o kahi hoʻāʻo X-ray niho a i ʻole ke kiʻi ʻana no kekahi pilikia poʻo a me ka ʻāʻī.

Eia nō naʻe, i ka wā e nui ai nā ulu ʻana, ʻo ia hoʻi ke hoʻomaka nei lākou e komo i nā ʻiʻo olakino kokoke, hiki ke ʻike ʻia nā hōʻailona. ʻO nā hōʻailona penei:

• ʻEha, ʻoʻoleʻa, a i ʻole ka maneʻo ma ka ʻāwae.
• Ka pehu ʻana (he ʻeha paha kēia a nalowale paha).
• Nā loli i kou helehelena.
• He puʻu hou ma ka iwi ʻauwae (hiki ke paʻakikī a palupalu paha kēia).
• Ka loli ʻana o ke ʻano o ka hui ʻana o nā niho (Ke loli nei ka nahu ʻana).
• Ke wili ʻana o nā niho.

He aha ke kumu o kēia mau cysts a me nā tumors ʻā?

Hoʻomohala ka hapa nui o nā puʻupuʻu ʻāwae a me nā puʻupuʻu ma muli o nā pūnaewele e kōkua ana i ka hana ʻana i nā niho i ke ʻano ʻē, e hana ana i nā puʻupuʻu a i ʻole nā ​​ʻeke piha wai (cysts). ʻO kēia ka mea e hana ʻia i nā ulu "odontogenic". Eia naʻe, ʻaʻole pono nā pūnaewele e komo i ka hoʻokumu ʻana o nā niho e ulu ma ke ʻano ʻē.

Hoʻoulu pinepine ʻia ka ulu ʻana o nā cell maʻamau ʻole e nā loli i ka DNA (nā hoʻololi genetic) . E like me kou ʻike, ʻo ka DNA ke code e haʻi i kā mākou mau cell pehea e ulu ai a me ka wā e hoʻōki ai. Ke loaʻa nā pilikia me kēia code, hiki i ke kaʻina hana o ka mahele ʻana o nā cell ke hele hewa, e alakaʻi ana i ka ulu makemake ʻole ʻia.

Eia kekahi laʻana, ʻo ka poʻe me ka maʻi Gorlin (nevoid basal cell carcinoma syndrome) he mau mutations e hoʻomau ai ka māhele ʻana o nā cell ʻoiai inā pono lākou e oki. ʻO ka hopena, hoʻomohala pinepine ka poʻe me kēia maʻi i nā keratocysts odontogenic he nui. Loaʻa iā lākou kahi pilikia nui o ka hoʻomohala ʻana i ka basal cell carcinoma, ke ʻano maʻamau o ka maʻi ʻili.

Pehea e ʻike ʻia ai kēia mau cysts a me nā puʻupuʻu ʻā?

E nānā hou kāu kauka i kāu mau hōʻailona, ​​​​mōʻaukala olakino, a hana i kahi hoʻokolokolo kino. Hiki i nā hoʻokolohua kiʻi ke hōʻike i nā puʻupuʻu a i ʻole nā ​​​​cysts i loko a puni kou ʻāwae. ʻO kēia mau mea:

• Nā kukuna X.
• Kiʻi hoʻohālikelike magnetic (MRI).
• ʻO ke kiʻi ʻana o ka tomography i helu ʻia (CT scan).

Eia kekahi, pono paha ʻoe e hana i kahi biopsy . I loko o kahi biopsy, lawe ke kauka i kahi hāpana o ka wai a i ʻole ka ʻiʻo mai ka mea ulu. Nānā kekahi pathologist i ka hāpana ma lalo o kahi microscope e ʻike i nā ʻano o nā cell i loko. Hiki i kēia ʻike ke kōkua i kāu kauka e ʻike:

• He aha ke ʻano o ka cyst a i ʻole ka tumor āu?
• He 'maikaʻi' a 'ʻino' paha?
• He lohi ka ulu ʻana a he huhū paha?

Kōkua kēia mau mea a pau i kāu kauka e hoʻoholo i nā koho lapaʻau kūpono loa iā ʻoe.

Pehea e mālama ʻia ai kēia mau cysts a me nā puʻupuʻu ʻā?

Pono ka nui o ka poʻe e wehe i kahi cyst a i ʻole ka puʻupuʻu ma o ke ʻoki ʻana . Ma waho aʻe o ka wehe ʻana i ka ulu ʻana, hiki i kāu kauka ʻoki ke wehe i nā ʻiʻo i hoʻopilikia ʻia. Hiki i kēia ke komo pū me nā niho i hōʻino ʻia, a i ʻole nā ​​​​ʻāpana o ka ʻāwae haʻahaʻa a i ʻole ka ʻāwae luna. ʻO ke ʻoki ʻana e wehe i nā ʻāpana o ka ʻāwae haʻahaʻa ua kapa ʻia he mandibulectomy , a ʻo ke ʻoki ʻana e wehe i nā ʻāpana āpau a i ʻole kekahi hapa o ka ʻāwae luna ua kapa ʻia he maxillectomy .

Ma hope o ke ʻoki ʻana, pono paha ʻoe i nā lāʻau lapaʻau e like me kēia e kūkulu hou i kou ʻā a kōkua i ke kaʻina hana ho'ōla:

• ʻO ke ʻoki hana hou: I mea e like ai kou ʻāwae me ia ma mua o ka ulu ʻana o ka puʻupuʻu, hiki i kāu kauka ke hoʻohana i kahi ʻāpana iwi mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou ʻūhā, ka ʻūhā poʻohiwi, a i ʻole ka wāwae haʻahaʻa).
• Nā mea hoʻokomo niho: Pono paha ʻoe e hoʻokomo i nā niho hana e pani i nā niho i wehe ʻia e kāu kauka.
• Hoʻōla ʻōlelo: Inā pilikia ʻoe i ka ʻōlelo ʻana a i ʻole ka haʻi ʻana i nā huaʻōlelo ma hope o ke ʻoki ʻana, hiki i kahi loea ʻōlelo-ʻōlelo (SLP) ke kōkua iā ʻoe.
• Alakaʻi no ka meaʻai: Pono paha ʻoe e ʻike i kahi loea, e like me ke kauka meaʻai a meaʻai meaʻai paha, no ka ʻōlelo aʻo no nā meaʻai palekana e ʻai i kou wā e hoʻōla ai.

Inā loaʻa iā ʻoe ka maʻi ʻaʻai ʻauwae, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau no ka maʻi ʻaʻai, e like me ka radiation therapy a/a i ʻole chemotherapy . ʻO ka lāʻau lapaʻau maikaʻi loa nāu e pili ana i ke ʻano o ka puʻupuʻu a i ʻole ka cyst āu.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu kahi puʻupuʻu a i ʻole kahi ʻōpū?

Hiki ke ho'ōla loa ʻia ka hapa nui o nā cysts a me nā puʻupuʻu ʻāwae me ke ʻoki ʻana. Eia nō naʻe, ma muli o ke ʻano, pono paha ʻoe e hoʻomau i nā kipa hahai e nānā i nā ulu hou.

Eia kekahi laʻana, ʻaʻole pinepine nā cysts periapical, odontomas, a me nā cysts dentigerous e hoʻi hou ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki ke hoʻi hou mai ka granuloma cell giant central, odontogenic myxoma, a me nā odontogenic keratocysts. Hoʻi hou mai ʻo Ameloblastoma ma kahi o 20% o nā hihia.

Āhea wau e ʻimi ai i ke aʻo lapaʻau?

Inā loaʻa iā ʻoe ka ʻeha a i ʻole ka pehu ʻana i kou ʻauwae, a i ʻole e ʻike ʻoe i kahi loli i kou helehelena, e like me ka puʻupuʻu i kou ʻauwae a i ʻole nā ​​niho palupalu, e ʻike koke i ke kauka. He hōʻailona paha ia o kahi cyst, kahi puʻupuʻu, a i ʻole kekahi maʻi niho ʻē aʻe e hiki i ke kauka ke mālama.

He mea nui loa ka hoʻomau ʻana i ka ʻike ʻana i kāu kauka niho. Hiki i kahi X-ray niho maʻamau ke ʻike i kahi cyst a i ʻole tumor i ka wā liʻiliʻi a ʻaʻole ia e hōʻike i nā hōʻailona.

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

Eia kekahi mau nīnau hiki iā ʻoe ke nīnau i kāu kauka:

• He aha ke ʻano o ka puʻupuʻu a i ʻole ka cyst i loaʻa iaʻu?
• He maikaʻi a he ʻino paha?
• E pono anei iaʻu ke ʻoki kino?
• He aha nā mea e hiki ai ke hana hou i kēia ma hope o ke ʻoki ʻana?
• Pehea e mālama ai iaʻu iho i koʻu wā e hoʻōla ana mai ke ʻoki kino?

Āhea wau e hopohopo ai e pili ana i kahi puʻupuʻu ma ka ʻauwae?

Nui nā kumu hiki ke loaʻa kahi puʻupuʻu ma ka ʻauwae. ʻAʻole nui ka hapa nui o lākou e hopohopo ai. Hiki ke hana ʻia e nā mea e like me nā cysts a me nā tumors, a i ʻole he mea maʻalahi e like me kahi hopena allergies a i ʻole kahi lymph node pehu .

He mea kūpono ke hoʻomanaʻo ʻia he palupalu a neʻe ka hapa nui o nā ulu ʻino i ka pā ʻana. Inā he maʻi kanesa ka ulu ʻana, ʻoi aku ka paʻakikī o ka manaʻo. ʻO ka ʻokoʻa wale nō i kēia he maʻi kanesa i kapa ʻia ʻo liposarcoma , hiki ke manaʻo ʻia e like me kahi puʻupuʻu palupalu a neʻe.

Inā he puʻu hou kou, ʻaʻole ia e nalowale, he ʻeha, a ke hoʻopilikia nei i ka neʻe ʻana o kou ʻauwae - a laila ua hiki i ka manawa e ʻike ai i ke kauka.

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

ʻOiai ʻo ka hapa nui o nā cysts a me nā tumors ʻāwae he benign, a ʻaʻole cancerous, he mea maʻamau ka manaʻo hoʻonāwaliwali ke ʻike ʻoe he maʻi kou e pono ai ke ʻoki kino. Eia nō naʻe, he mea nui e wehe iā lākou ma mua o ko lākou hoʻoulu ʻana i nā hōʻailona e paʻakikī ai ke ola me, e like me ka ʻeha a me ka pehu ʻana i ka waha. Inā ʻoe e ʻeha nei i kēia mau hōʻailona, ​​​​hiki i ke ʻoki kino ke kōkua i ka hoʻopau loa ʻana iā lākou. E nīnau i kāu kauka e pili ana i nā koho lapaʻau a me nā hopena hiki no kāu ʻano cyst a tumor paha. Mai hoʻowahāwahā i kekahi mea ʻē i loko o kou waha a i ʻole kou ʻāwae. He mea naʻauao ke ʻimi i ka ʻōlelo aʻo lapaʻau i ka hikiwawe loa.

ʻO nā ʻūpā ʻauwae, ke kanesa ʻauwae, nā ʻūpā waha, nā ʻūpā niho, ke olakino waha, nā ʻūpā ʻauwae, nā puʻupuʻu ʻauwae, ke kanesa waha