He puʻupuʻu iwi ko kāu keiki? Mai hopohopo! E kamaʻilio kākou e pili ana i ka Non-Ossifying Fibroma

E noʻonoʻo i kāu keiki e hāʻule ana i ka wā e pāʻani ana a hōʻeha i ka lima a i ʻole ka wāwae. No laila, i ka wā e lawe ai ke kauka i kahi X-ray, ʻōlelo ʻo ia, "Eia kahi puʻupuʻu liʻiliʻi i loko o ka iwi, akā ʻaʻohe mea e hopohopo ai." Pehea lā e makaʻu ai ka makuahine a makua paha i ka lohe ʻana i ka huaʻōlelo 'puʻupuʻu'? Akā, ʻaʻole nā ​​puʻupuʻu a pau he mea weliweli. ʻO kēia Non-Ossifying Fibroma a mākou e kamaʻilio nei i kēia lā, ʻaʻole ia he mea e makaʻu ai. E ʻike kākou i ke ʻano maoli.

He aha maoli ka Non-Ossifying Fibroma?

I ka ʻōlelo maʻalahi, he ʻōpū iwi maikaʻi ʻole ka Non-Ossifying Fibroma. Hana ʻia ia me nā ʻiʻo fibrous. Hana ʻia ia me nā ʻiʻo e like me kahi ʻiʻo ʻeha e hana ʻia ma ko kākou ʻili. ʻO ka huaʻōlelo "Non-ossifying" ma ka inoa ʻo ia hoʻi, ʻaʻole ia e lilo i ʻiʻo iwi. ʻO ia hoʻi, ulu kēia ʻōpū ma luna o ka iwi, akā ʻaʻole ulu kēia ʻōpū mai ka iwi.

He mea maʻamau kēia. Ma waena o 20% a me 40% o nā keiki olakino e loaʻa i kahi puʻupuʻu e like me kēia i kekahi manawa o ko lākou ola. Loaʻa pinepine lākou a puni ke kuli, ma ka ʻaoʻao haʻahaʻa o ka iwi ʻūhā a i ʻole ka iwi ʻūhā. Hiki iā lākou ke ulu i loko o nā iwi lōʻihi ʻē aʻe, akā ʻaʻole kēia i maʻamau.

ʻO ka mea maikaʻi loa, ʻaʻole e laha kēia mau puʻupuʻu i nā wahi ʻē aʻe o ke kino, ʻaʻole e lilo i maʻi kanesa, a i ka hapa nui o nā hihia ʻaʻole ia e hōʻike i kekahi mau hōʻailona. Nalowale koke kēia mau puʻupuʻu ke pau ka ulu ʻana o ka iwi o ke keiki, ʻo ia hoʻi ma kahi o 20-25 mau makahiki.

Hiki paha i kēia ke lilo i maʻi kanesa?

ʻO kēia ka nīnau nui loa ma ka noʻonoʻo o nā kānaka a pau. Ua maopopo loa ka pane.

ʻO wai ka mea e loaʻa ana i kēia maʻi? He aha nā hōʻailona?

ʻO ka non-ossifying fibroma ka ʻōʻō iwi ʻaʻole maʻamau i ʻike ʻia i nā keiki.

• ʻOi aku ka pinepine o kēia ma waena o nā keikikāne ma mua o nā kaikamahine .
• ʻIke pinepine ʻia ia i nā keiki ma waena o 10 a me 15 mau makahiki .
• Hoʻōla pinepine kēia mau mea iā lākou iho i ka piha ʻana o 25 mau makahiki.
• ʻAʻole ʻike ka poʻe he nui he mea like ko lākou.

ʻAʻohe kumu i ʻike ʻia, ka pilina hoʻoilina, a i ʻole ke kumu pilikia no kēia mau puʻupuʻu. I kekahi manawa ʻoi aku ma mua o hoʻokahi puʻupuʻu (ʻelua a ʻekolu paha). Eia nō naʻe, he mea kakaikahi nā puʻupuʻu he nui. Hiki wale kēia me kekahi mau kūlana, e like me ka neurofibromatosis a i ʻole ka Jaffe-Campanacci Syndrome.

Aia kekahi ʻeha?

ʻAʻole ʻeha ka puʻupuʻu ponoʻī. Eia nō naʻe, inā nui iki ka puʻupuʻu, hiki iā ʻoe ke manaʻo i kahi pehu liʻiliʻi ma lalo o ka ʻili a me kahi palupalu iki ke hoʻopā ʻia. Hiki ke hana ʻia kēia ke ʻoi aku ka nui o ke kaomi ma kahi i ka wā e holo ana a pāʻani ana.

Akā, aia kekahi mea nui e pono ai kākou e makaʻala ma ʻaneʻi. He mea kākaʻikahi loa, inā nui loa ka puʻupuʻu, hiki i ka iwi ma kona wahi ke lilo i mea nāwaliwali iki. Inā hana ʻia kēlā, aia kahi manawa e haki ai ka iwi (haʻihaʻi) i kēlā manawa.

Pehea e ʻike ai a hōʻoia i kēia?

ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau puʻupuʻu ma ka manawa kūpono. ʻIke ʻia lākou i ka wā o kahi X-ray i lawe ʻia no kekahi kumu ʻē aʻe, e like me ka hāʻule ʻana. I kekahi manawa, ʻike ʻia lākou ma hope o ka nāwaliwali a haki ʻana o ka iwi, ʻoiai e hoʻāʻo ana e hoʻoholo i ke kumu.

Inā ʻike ʻoe i kahi mea e like me kahi puʻupuʻu paʻakikī ma ka iwi lōʻihi ma ka lima a i ʻole ka wāwae o kāu keiki, ʻoiai inā ʻaʻohe ʻeha, he manaʻo maikaʻi e kiʻi i kahi X-ray e ʻike pono ai i ke ʻano o ia mea.

Nā hoʻāʻo

ʻO ka maʻamau, ua lawa ka X-ray e ʻike i kēia puʻupuʻu a nānā i kona ulu ʻana i ka hala ʻana o ka manawa. Ma kahi X-ray, ʻike ʻia ia he wahi ʻeleʻele me kahi palena keʻokeʻo.

Eia nō naʻe, inā nui ka puʻupuʻu, hiki i kāu kauka ke kauoha i kahi hoʻokolohua kikoʻī, e like me ka MRI a i ʻole CT scan , e nānā i ka ikaika o ka iwi a no nā hōʻailona o ka nāwaliwali.

Pehea e mālama ʻia ai?

ʻAʻole pono ka hapa nui o nā fibromas non-ossifying i kekahi lāʻau lapaʻau. Inā ʻike kāu kauka i ka puʻupuʻu, e lawe ʻo ia i nā kukuna X-ray maʻamau e nānā i kona ulu ʻana. Inā ʻaʻole ke kumu o ka puʻupuʻu i nā hōʻailona akā ua lawa ka nui e hoʻonāwaliwali i ka iwi, hiki ke ʻōlelo ʻia e wehe ʻia e pale i ka haki ʻana.

Inā loaʻa i kāu keiki ka ʻeha a i ʻole ka pehu ma kahi o ka puʻupuʻu, e ʻike koke i ke kauka. E nānā ʻo ia inā he nui ka puʻupuʻu, he haki paha, a i ʻole nā ​​mea ʻelua. Hiki ke ʻōlelo ʻia ke ʻoki ʻana e wehe i ka puʻupuʻu e hōʻoluʻolu i nā hōʻailona a pale i ka iwi e ulu ana.

Pehea e hana ʻia ai ke ʻoki kino?

Hoʻoneʻe ʻia kēia puʻupuʻu ma o kahi hana ʻoki maʻalahi i kapa ʻia ʻo curettage . Hoʻohana nā kauka ʻoki i nā mea hana kūikawā e ʻoki i ka puʻupuʻu mai ka iwi. A laila , hoʻohana ʻia kahi graft iwi e hoʻopiha i ka hakahaka i waiho ʻia ma hope. Hiki i kēia ke lilo i ʻāpana iwi liʻiliʻi i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino o ke keiki, mai kahi waihona iwi, a i ʻole mai kahi mea iwi hana.

He kiʻekiʻe loa ka nui o ka hoʻōla ʻana ma hope o kēia ʻoki kino. I loko o ʻekolu a ʻeono mahina, hiki i ke keiki ke hoʻi hou i nā hana maʻamau. E hoʻomau ke kauka i ka lawe ʻana i nā kukuna X e ʻike i ke ʻano o ka hoʻōla ʻana o ka iwi a e hōʻoia i ʻole e ulu hou ka puʻupuʻu ma kahi hoʻokahi. Eia nō naʻe, he mea kakaikahi loa ka ulu hou ʻana o kēia mau puʻupuʻu.

He aha ke ʻano o ka nānā ʻana? Makemake ʻoe e ʻike hou i ke kauka?

ʻAʻole pilikia ka hapa nui o nā fibromas non-ossifying. Kākaʻikahi lākou e ulu nui e hōʻike i nā hōʻailona. Nalo wale nō lākou i ka wā e ʻelemakule ai ka poʻe.

ʻO ka pilikia koʻikoʻi wale nō e hiki ke hana ʻia, ʻo ia ka iwi e lilo i mea nāwaliwali a haki maʻalahi (haʻihaʻi). Hiki i kāu kauka ke kōkua i ka pale ʻana i kēia ma ka nānā ʻana i ka ulu ʻana o ka puʻupuʻu.

No kāu keikiInā hoʻomaka ʻoe e ʻike i nā hōʻailona e like me ka pehu ʻana, ka palupalu, a i ʻole ka ʻehaʻeha iki, e ʻike koke i ke kauka e nānā i ka puʻupuʻu a me ka iwi.

He inoa lōʻihi a paʻakikī ʻo "Non-ossifying fibroma", akā he mea laha ʻole ia, he mea i loaʻa koke ʻole, ʻaʻohe mea e hopohopo nui ai. He puʻu liʻiliʻi wale nō ia o nā ʻāpana i loko o ka iwi o kāu keiki a lākou paha e ʻike ʻole ai. ʻAʻole ia e pālahalaha, ʻaʻole ia e lilo i maʻi ʻaʻai, a ʻaʻole ia e nui aʻe. E nānā wale ke kauka iā ia. ʻO ka hapa nui o ka manawa, e nalo wale kēia mau mea.