Ua ʻike anei ʻoe i kahi puʻupuʻu ma lalo o kou ʻili ma kekahi wahi o kou kino? He mea anei ia e neʻe iki a puni ke hoʻopā ʻoe, e like me ka pōpō laholio, akā ʻaʻole ʻeha nui? A laila loaʻa paha iā ʻoe kahi mea i loaʻa i nā poʻe he nui, akā makaʻu nā poʻe he nui. Kāhea mākou i kēia he 'lipoma'. I ka ʻōlelo maʻalahi, he puʻupuʻu momona ia. Akā, mai makaʻu i ka wā e ʻōlelo ai mākou he 'puʻupuʻu'. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka pololei.
He aha maoli ka lipoma?
He puʻupuʻu ka lipoma i hana ʻia e kahi hōʻiliʻili o nā hunaola momona e hana ʻia ma lalo o ko kākou ʻili. ʻIke pinepine ʻia ia ma ke ʻano poepoe a oval paha. ʻO ka mea nui loa, ʻaʻole kēia he maʻi kanesa . I ka lāʻau lapaʻau, kapa mākou i kēia mau 'nā ʻōpū palupalu maikaʻi'. ʻO ia hoʻi, he ʻano puʻupuʻu ʻino ʻole lākou ʻaʻole e hōʻeha i ke kino.
Lohi loa ka ulu ʻana o kēia mau puʻupuʻu. Hiki ke hoʻoneʻe maʻalahi ʻia ke hoʻopā ʻia. I ka hapa nui o ka manawa, ʻaʻole lākou he ʻeha. ʻOiai hiki i nā lipomas ke ulu ma nā wahi āpau o ke kino, ʻike pinepine ʻia lākou ma ke kua, nā poʻohiwi, ka ʻāʻī, nā lima, a me ke kino.
ʻAʻole pono ka hapa nui o nā lipomas i kekahi lāʻau lapaʻau. Eia nō naʻe, i kekahi manawa inā he ʻeha ka puʻupuʻu, e ulu ana, a makemake paha ʻoe e wehe iā ia no nā kumu hoʻonaninani, hiki i kāu kauka ke wehe iā ia me kahi hana liʻiliʻi.
Pehea ka maʻamau o kēia mau puʻupuʻu momona?
ʻOi aku ka maʻamau o lākou ma mua o kou manaʻo. Wahi a nā helu helu, ma kahi o hoʻokahi i kēlā me kēia 1,000 poʻe e loaʻa paha ka lipoma.
ʻIke pinepine ʻia kēia mau mea i nā kānaka ma waena o 40 a me 60 mau makahiki. Akā, ʻaʻole ia manaʻo ʻaʻole hiki i nā poʻe ʻōpio ke loaʻa iā lākou. Hiki iā lākou ke loaʻa i kēlā me kēia makahiki. I kekahi manawa aia lākou mai ka wā hānau mai. ʻOiai ke loaʻa nei lākou me ka ʻokoʻa ʻole ma waena o nā kāne a me nā wahine, ʻoi aku ka maʻamau o lākou i waena o nā wahine.
He aha nā hōʻailona nui o ka lipoma?
ʻAʻole ʻike ka hapa nui o ka poʻe me ka lipoma i kekahi mau hōʻailona. Eia nō naʻe, inā ulu ka puʻupuʻu kokoke i kahi aʻalolo a kaomi ma luna, a inā ulu ia kokoke i kahi hui, hiki iā ʻoe ke ʻike i kahi ʻoluʻolu ʻole a ʻeha paha. E nānā kākou i nā hōʻailona maʻamau o ka lipoma.
| ʻAno | I ka ʻōlelo maʻalahi... (Wehewehe Maʻalahi) |
|---|---|
| ʻAʻole hohola a puni (Hoʻopili ʻia) | ʻAʻole pālahalaha kēia puʻupuʻu i nā ʻiʻo a puni. Ua kaupalena ʻia ia i kēlā wahi. |
| ʻAʻohe pinepine ʻeha | ʻOiai ʻaʻohe ʻeha, hiki ke loaʻa ka ʻeha a i ʻole ka ʻoluʻolu ʻole ma muli o ka wahi, ka nui, a inā he mau kīʻaha koko ka puʻupuʻu. |
| ʻAno poepoe a ʻōval paha | ʻO ka maʻamau, he ʻano laholio kēia mau puʻu momona a like ke ʻano. |
| Hiki ke hoʻoneʻe ʻia | Ma muli o ko lākou aia ʻana ma lalo pono o ka ʻili, neʻe maʻalahi lākou ke kaomi ʻia me ka manamana lima. |
| Ka nui | ʻOi aku ka liʻiliʻi ma mua o 2 ʻīniha, akā kākaʻikahi loa ka ʻoi aku ma mua o 6 ʻīniha. |
No ke aha mākou e loaʻa ai i nā lipomas?
ʻAʻole i loaʻa i nā kauka ke kumu kikoʻī o nā lipomas. Eia nō naʻe, ʻo ke kumu nui o kēia mea i manaʻo ʻia he mana genetic, ʻo ia hoʻi inā loaʻa i kekahi o kou ʻohana nā lipomas, ʻoi aku ka nui o kou loaʻa ʻana iā lākou.
Eia kekahi, aia kekahi mau maʻi lapaʻau kakaikahi e hiki ai ke hana i nā lipomas he nui i loko o ke kino.
- ʻO ka maʻi o Dercum: He ʻano laha loa kēia e hoʻoulu ai i nā lipomas ʻeha, ʻoi aku hoʻi ma nā lima, nā wāwae, a me ke kino.
- ʻO ka maʻi Gardner: ʻO kēia kekahi ʻano e hiki ai i nā lipomas ke hele pū me kekahi mau pilikia olakino ʻē aʻe.
- ʻO ka lipomatosis lehulehu hoʻoilina: E like me ka inoa e hōʻike nei, he ʻano kēia i hoʻoili ʻia mai kēlā hanauna a kēia hanauna.
- ʻO ka maʻi Madelung: ʻIke pinepine ʻia kēia ʻano i nā kāne e inu nui ana. Hoʻoulu ia i nā lipomas e hana a puni ka ʻāʻī a me nā poʻohiwi.
Pehea e hōʻoia ai ke kauka he lipoma kēia?
Hiki i ke kauka ke ʻike maʻamau inā he lipoma ia ma ka nānā wale ʻana iā ʻoe (hoʻokolokolo kino). E hoʻopā ke kauka i ka puʻupuʻu a nīnau iā ʻoe inā neʻe a ʻeha paha.
ʻO ka mea nui loa, ʻo ia ka maopopo 100% ʻaʻole kēia puʻupuʻu he maʻi kanesa.
No laila, i kekahi manawa e ʻōlelo paha ke kauka i kahi hoʻāʻo 'biopsy'. Mai makaʻu, pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi loa o ka ʻiʻo mai ka puʻupuʻu a hoʻouna aku i kahi keʻena hoʻokolohua e nānā i nā ʻāpana.
I kekahi manawa hiki ke huikau ʻia kēia me kahi cyst, kahi puʻupuʻu i piha i ka wai. No ke kōkua ʻana i ka hoʻokaʻawale ʻana ma waena o nā mea ʻelua a loaʻa kahi kiʻi maopopo o ka puʻupuʻu, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi, e like me kēia:
- ʻO ke kiʻi ʻana o ka ultrasound
- ʻO ke kiʻi MRI (ʻO ke kiʻi Magnetic Resonance Imaging)
- ʻIke CT (ʻIke Tomography i hoʻopili ʻia)
Hiki i kēia mau scan ke hōʻike pololei i kahi o ka puʻupuʻu, pehea kona hohonu, inā he mau kīʻaha koko kona, a inā paha e kaomi ana i nā aʻalolo a i ʻole nā ʻiʻo ʻē aʻe.
Aia kekahi mau ʻano o lipomas?
ʻAe, ua hana ʻia nā lipomas a pau i ka momona, akā aia kekahi mau ʻokoʻa iki ma muli o nā ʻano ʻiʻo ʻē aʻe i loko. E nānā kākou i kekahi o nā ʻano nui.
| ʻAno Lipoma | Hiʻohiʻona Kūikawā |
|---|---|
| ʻAngiolipoma | Loaʻa i kēia mau mea ka momona a me nā kīʻaha koko. Hiki i kēia ʻano ke lilo i mea ʻeha pinepine. |
| Kuʻuna | ʻO kēia ke ʻano maʻamau. Hana ʻia ia me nā hunaola momona keʻokeʻo e mālama i ka ikehu. |
| ʻO ka Fibrolipoma | Loaʻa i loko o kēia mau mea ka momona a me nā ʻiʻo fibrous. |
| ʻO Hibernoma | Loaʻa i kēia nā momona ʻeleʻele. Kōkua nā hunaola momona ʻeleʻele i ka hoʻoponopono ʻana i ka mahana o ke kino. |
| ʻO ka Myelolipoma | Loaʻa i loko o kēia nā ʻiʻo e hana ana i ka momona a me nā hunaola koko. |
He aha nā lāʻau lapaʻau no nā lipomas?
ʻO ka mea mua, ʻaʻole pono ka hapa nui o nā lipomas i kekahi lāʻau lapaʻau. Inā ʻaʻole lākou e hōʻeha a ʻoluʻolu ʻole paha iā ʻoe, ʻaʻohe pono e hopohopo no lākou.
Eia nō naʻe, inā ʻeha ʻoe, ʻoluʻolu ʻole, a i ʻole ʻoe e hauʻoli i kahi o ia lipoma, hiki i ke kauka ke wehe iā ia ma o ke ʻoki kino. He palekana loa a holomua nā ʻoki kino wehe lipoma. Hana pinepine ʻia lākou ma ke ʻano outpatient. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ke ʻoki kino.
Ma ke ʻano he koho ʻē aʻe i ke ʻoki ʻana, hiki ke ʻōlelo ʻia i kekahi manawa ke kaʻina hana i kapa ʻia ʻo `liposuction`. Pili kēia i ka wehe ʻana i nā ʻiʻo momona mai ka puʻupuʻu me ka hoʻohana ʻana i kahi nila lahilahi.
Āhea wau e ʻike ai i ke kauka?
He nīnau koʻikoʻi loa kēia. Inā ʻike ʻoe i kahi puʻupuʻu hou a puʻupuʻu paha ma kou kino, e ʻike pono i ke kauka. He mea nui e hoʻoholo inā he mea koʻikoʻi a i ʻole he mea ʻino ʻole e like me ka lipoma. No ka mea, ʻo nā hōʻailona o kahi ʻano maʻi kanesa i kapa ʻia ʻo 'liposarcoma' i kekahi manawa hiki ke like me ka lipoma.
Inā loaʻa iā ʻoe kahi lipoma, e hoʻomaopopo koke i kāu kauka inā ʻike ʻoe i kekahi o nā loli aʻe:
- Inā ʻoe e manaʻo koke i ka ʻeha.
- Inā ulu koke ia i loko o kekahi mau pule.
- Inā paʻakikī ia e like me ka pōhaku ke hoʻopā ʻoe.
- Inā ʻaʻole ia e neʻe maʻalahi a puni e like me ka wā ma mua.
Inā loaʻa kēia mau hōʻailona, e nānā hou ke kauka.
Leka Lawe-Home
- ʻO Lipomas kahi ʻōpū momona maʻamau, ʻaʻole ia he maʻi kanesa e hana ana ma lalo o ka ʻili.
- He mau puʻu ʻeha ʻole kēia e hiki ke hoʻoneʻe ʻia a puni ke hoʻopā ʻia.
- ʻAʻole pono ka hapa nui o nā lipomas i kekahi lāʻau lapaʻau a ʻaʻole hoʻi e hōʻeha i ke kino.
- Inā loaʻa iā ʻoe kahi puʻupuʻu hou ma kou kino a inā e ulu wikiwiki ana kahi lipoma e kū nei, ʻeha, a paʻakikī paha , e ʻimi pono i ke kōkua lapaʻau.
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