He puʻupuʻu kou e like me kēia ma kou mau iwi maka? E kamaʻilio kākou e pili ana i ka Ossifying Fibroma!

I kekahi manawa loaʻa iā kākou nā puʻupuʻu liʻiliʻi ma nā wahi i manaʻo ʻole ʻia ma ko kākou kino, ʻeā? I ka wā mua, ʻaʻole nui ka poʻe e nānā iā lākou. Akā i ka wā e ʻike ʻia ai kekahi mea e like me kēia ma ka maka, ʻoiai a puni ka iwi ʻauwae, hiki ke hopohopo iki, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kakaʻikahi iki, akā he mea kūpono ia e ʻike ai nā mea a pau. Ua kapa ʻia kēia ʻo Ossifying Fibroma .

He aha ka Ossifying Fibroma?

I ka ʻōlelo maʻalahi, he puʻupuʻu maikaʻi ʻole ka Ossifying Fibroma. Hana ʻia ia me ka ʻiʻo iwi, akā ua hoʻokomo ʻia kēlā ʻiʻo iwi i loko o nā ʻiʻo pili. E noʻonoʻo iā ia e like me kahi ʻāpana iwi e ulu ana i loko o kahi ʻiʻo kaula. Ulu pinepine kēia mau puʻupuʻu me ka lohi loa. Loaʻa pinepine lākou i nā iwi o kou maka, ʻoiai nā iwi ʻauwae.

ʻO ka Ossifying Fibroma kahi ʻano o ka lesion fibro-osseous (FOL) . Hoʻokumu ʻia kēia mau lesion e ka hoʻololi ʻana o ka iwi olakino me ka ʻiʻo fibrous e loaʻa ana kahi mea like me ka iwi. He paʻakikī iki paha? E hoʻomaʻalahi hou aku kākou.

He aha ka manaʻo o nā huaʻōlelo "Ossifying" a me "Fibroma"?

He mea maʻalahi ke hoʻomaopopo maikaʻi i kēia kūlana ke ʻike ʻoe i ke ʻano o kēia mau huaʻōlelo ʻelua.

• ʻO "Ossifying" ka huaʻōlelo lapaʻau no kahi mea e lilo ana i iwi. I ke ʻano o Ossifying Fibroma, ulu ka iwi ma kahi e pono ʻole ai ka iwi, i loko o nā ʻiʻo pili fibrous. ʻO ko kākou mau iwi a me nā ʻiʻo pili he ʻāpana ia o kā kākou ʻōnaehana musculoskeletal.
• ʻO "Fibroma" ke ʻano o ka ʻiʻo fibrous i hana ʻia ai ka puʻupuʻu. Ua lohe paha ʻoe ua pau kekahi mau maʻi i ka inoa o kahi "-oma." Hoʻohana nā kauka i kēia pākuʻi "-oma" e pili ana i nā ʻano puʻupuʻu āpau. Hiki iā lākou ke malignant (cancerous) a i ʻole benign (non-cancerous). Akā e hoʻomanaʻo, ʻaʻole ʻo Ossifying Fibroma he kanesa.

Aia kekahi mau ʻano o ka Ossifying Fibroma?

ʻAe, aia nā ʻano like ʻole o ka Ossifying Fibroma. E nānā kākou i nā ʻano nui:

• ʻO Cemento-ossifying fibroma: He nui nā kauka e kapa wale nei i kēia ʻano he "ossifying fibroma." Hoʻomaka kēia ʻōpū i loko o ka cementum, kahi e uhi ai i ke aʻa o ka niho.I loko o ka papa pili paʻakikī i kapa ʻia ʻo cementum. ʻO kēia ʻiʻo cementum ka mea e hoʻopaʻa ai i nā niho i ka iwi ʻauwae haʻahaʻa (mandible). Hiki i kēia ʻano fibroma ke hoʻoulu i ka pehu ʻana o ka maka, ka neʻe ʻana o ka niho, a me ka nalowale paha o ka niho. Hoʻopilikia pinepine ia i nā wahine i ko lākou mau makahiki 30 a me 40. E noʻonoʻo, ʻike wale kekahi poʻe he maʻi ko lākou i ka wā e hele ai lākou e unuhi i ka niho.

• ʻO ka fibroma ossifying ʻōpio: He puʻupuʻu kēia e ulu wikiwiki iki a hiki ke ʻoi aku ka koʻikoʻi ma mua o nā ʻano ʻē aʻe. Hoʻomohala pinepine ia i nā keiki ma waena o 5 a me 15 mau makahiki. Hiki iā ia ke hoʻopilikia i kekahi ʻāpana o ke poʻo o ke keiki. He mea maopopo i nā mākua ke makaʻu i ka wā e haʻi ʻia ai kēia e pili ana i kahi keiki ʻōpio, akā hiki i ka mālama mua ʻana ke alakaʻi i nā hopena maikaʻi.

• ʻO ka fibroma ossifying peripheral: Hoʻomohala kēia puʻupuʻu i loko o nā ʻāʻī ma waena o nā niho o ka ʻāwae luna (maxilla). Hoʻopilikia pinepine ia i nā keiki ʻōpio a me nā pākeke ʻōpio. I kekahi manawa hiki ke hoʻomaka ma ke ʻano he puʻupuʻu ʻulaʻula liʻiliʻi e paʻa ana ma kāu palaki niho.

No ke aha i hoʻokumu ʻia ai kēia Ossifying Fibroma?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā loea lapaʻau ke kumu e loaʻa ai i kekahi poʻe ka Ossifying Fibroma. Eia nō naʻe, aia kekahi mau mea i manaʻo ʻia he mau kumu kūpono:

• Ka hōʻiliʻili ʻana o ka palaki niho ma nā niho.
• Ka hoʻonāukiuki pinepine ʻana o nā ʻāʻī.
• Nā ulia a i ʻole nā ​​ʻeha (trauma) ma ka maka a i ʻole ka ʻauwae.
• ʻO kekahi mau kaʻina hana niho.

ʻO kēia nā kumu aʻu e noʻonoʻo nei i kēia manawa. Akā e hoʻomaopopo ʻaʻole na ʻoe kēia hewa .

He aha nā hōʻailona o kēia?

ʻO ka mea maikaʻi loa, ʻo ia ka Ossifying Fibroma he mea ʻeha ʻole ia . ʻO ia ke kumu ʻaʻole i loaʻa i nā poʻe he nui nā hōʻailona. Hiki iā ʻoe ke ʻike e pili ana i kēia puʻupuʻu ma ka ulia pōpilikia ke hele ʻoe i ke kauka niho no kahi X-ray , a i ʻole ke loaʻa iā ʻoe kahi CT scan a MRI paha no kekahi pilikia ʻē aʻe.

Eia nō naʻe, aia kekahi mau manawa e ʻike ʻia ai nā hōʻailona. Hiki ke ʻokoʻa kēia mau hōʻailona ma muli o ke ʻano o ka puʻupuʻu:

• ʻO nā fibromas cemento-ossifying: Pehu maka (edema) a me nā niho e paʻi ʻia a neʻe ʻia paha. Hiki paha iā ʻoe ke manaʻo ʻoluʻolu ʻole i ka wā e wehe ai a pani ai i kou waha.
• ʻO ka fibroma ossifying ʻōpio: Nā maka puʻupuʻu a me ka ihu paʻa . Inā he pinepine ka ihu paʻa o kahi keiki ʻōpio a ʻike ʻia kekahi maka he nui aʻe ma mua o kekahi, he mea ia e hopohopo ai.
• ʻO nā fibromas ossifying peripheral: He puʻupuʻu ʻulaʻula ma ka laina ʻāʻī o luna (e like me ka ʻōpū waha) a i ʻole nā ​​ʻāʻī pehu. Hiki ke kahe ke koko i ka wā e palaki ai i kou mau niho.

He mea nui: ʻO ka loaʻa ʻana o kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he Ossifying Fibroma kou. Eia nō naʻe, inā ʻike ʻoe i kekahi mea e like me kēia, he mea naʻauao ke ʻike i ke kauka.

Pehea ʻoe e ʻike ai i kēia?

Hiki i kāu kauka niho ke kānalua i kahi fibroma ossifying mai kahi X -ray o kou mau niho. A laila hiki iā lākou ke kauoha i nā scan kiʻi kikoʻī hou aku, e like me ka CT scan a i ʻole MRI, e hōʻoia i ka hōʻailona a loaʻa kahi nānā maikaʻi aʻe i ka puʻupuʻu.

Eia nō naʻe, ʻo ke ala wale nō e hōʻoia ai inā he ossifying fibroma kēia, ʻo ia ke lawe ʻana i kahi hāpana liʻiliʻi o ka puʻupuʻu no kahi biopsy . Hana pinepine ʻia kēia biopsy ma hope o ka wehe ʻia ʻana o ka puʻupuʻu ma ke ʻoki ʻana.

He aha nā lāʻau lapaʻau?

ʻO ke ʻano nui o ka lāʻau lapaʻau no ka ossifying fibroma, ʻo ia ka wehe loa ʻana i ka puʻupuʻu ma o ke ʻoki kino . Hana ʻia kēia ʻoki kino e ke kauka niho a i ʻole ke kauka niho (e like me ka endodontist ). Ma hope o ke ʻoki kino, hoʻouna ʻia ka puʻupuʻu i wehe ʻia i kahi keʻena hoʻokolohua no kahi biopsy e hōʻoia i ka hōʻailona.

I kekahi manawa, inā nui loa ka puʻupuʻu, ʻo ia hoʻi he nui ka iwi e pono ai ke wehe ʻia ma muli o ka puʻupuʻu, pono paha kahi kāpili iwi e hoʻopiha i ka hakahaka. ʻO ia hoʻi, ua lawe ʻia kahi ʻāpana iwi mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole ua hoʻohana ʻia kahi mea iwi hana e hoʻopiha i ka hakahaka.

He aha ka mea e hana ʻia inā ʻaʻole hāʻawi ʻia ka lāʻau lapaʻau? (Nā pilikia)

Inā ʻaʻole mālama ʻia, e hoʻomau kēia fibroma ossifying i ka ulu ʻana a hoʻopiha i ka hakahaka kahi o ka iwi olakino. Inā hana ʻia kēia, piʻi ka pilikia o ka haki ʻana o ka maka . Eia kekahi, hiki i nā puʻupuʻu e hana ʻia ana i loko o ka iwi ʻauwae ke hana i ka reabsorption o nā aʻa o nā niho, e hoʻolilo ana i nā niho e wehe a neʻe. Hiki i kēia ke paʻakikī i ka ʻai ʻana.

ʻAʻole anei hiki ke pale ʻia kēia?

He maʻi laha ʻole ka Ossifying Fibroma. ʻAʻole maopopo i nā loea lapaʻau ke kumu o ko lākou ulu ʻana, no laila ʻaʻohe ala maopopo e pale aku ai iā lākou . Eia nō naʻe, he manaʻo maikaʻi ka mālama ʻana i ka hoʻomaʻemaʻe waha maikaʻi, e like me ka palaki ʻana i kou mau niho i kēlā me kēia lā a me ka mālama ʻana i ke olakino o kou mau ʻāʻī.

Hiki iā ia ke ulu hou ma hope o kona ho'ōla ʻana?

ʻAe, he mea kēia e noʻonoʻo ai. ʻOiai ma hope o ka wehe ʻia ʻana o ka puʻupuʻu ma ke ʻoki ʻana, aia kahi manawa e hoʻi hou mai ai ka puʻupuʻu i loko o kekahi mau mahina a i ʻole mau makahiki. ʻO ka fibroma ossifying Juvenile, ka mea e kū nei i nā keiki, ʻoi aku ka nui o ka manawa e hoʻi hou mai ai.

No laila, e noi aku kāu kauka iā ʻoe e hoʻi mai no nā kipa hahai ma nā manawa maʻamau no kahi o 10 mau makahiki ma hope o ke ʻoki ʻana. I loko o kēia mau kipa ʻana, e hana lākou i nā hoʻokolohua e like me nā X-ray e nānā i nā hōʻailona o ka ulu ʻana o ka puʻupuʻu.

ʻOkoʻa ka nui o ka hoʻi hou ʻana ma muli o ke ʻano:

• Nā fibromas cemento-ossifying: Ma kahi o 30% hiki ke hana hou.
• ʻO ka fibroma ossifying ʻōpio: Loaʻa ka nui o ka hoʻi hou ʻana o 30% a 60%.
• ʻO nā fibromas ossifying peripheral: A hiki i ka 20% ke hana hou.

Mai hopohopo i kēia mau pakeneka. Ma ka loaʻa ʻana o nā nānā lapaʻau maʻamau, hiki iā ʻoe ke ʻike koke a mālama i nā hoʻi hou ʻana.

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​e ʻike i ke kauka:

• Ka paʻa mau ʻana o ka ihu.
• Pehu a ʻeha paha ka maka.
• Nā ʻāʻī pehu a ʻeha pinepine paha.
• Nā puʻupuʻu ʻulaʻula a i ʻole nā ​​pehu ma nā ʻāʻī.
• Inā manaʻo ʻoe e hemo ana kou mau niho.

ʻOiai ke ʻano o ka hihia, ʻo ka mea palekana loa e hana ai, ʻo ia ke ʻike ʻana i ke kauka me ka hoʻāʻo ʻole e ʻike i ka pilikia iā ʻoe iho.

He aha kāu e nīnau ai i ke kauka?

Inā he kānalua kou e pili ana i kēia kūlana, a inā paha ua ʻike mua ʻia ʻoe me ka Ossifying Fibroma, hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• No ke aha ʻoe i manaʻo ai ua loaʻa iaʻu kēia Ossifying Fibroma?
• He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
• He aha nā hōʻailona e pono iaʻu e nānā ai e ʻike inā e hoʻi mai ana ka puʻupuʻu a i ʻole inā e ulu ana nā pilikia ʻē aʻe?
• ʻEhia ka lōʻihi ma hope o ke ʻoki ʻana e pono ai iaʻu e hele mai no nā hoʻokolohua?

E nīnau i nā nīnau e like me kēia i mea e maopopo ai kou kūlana.

Hiki paha i kēia ke lilo i maʻi kanesa?

ʻAʻole. ʻO kēia ka nīnau a ka poʻe he nui e makaʻu nei. ʻAʻole ʻo Ossifying Fibroma he maʻi kanesa. He mea kākaʻikahi loa ka lilo ʻana o kahi puʻupuʻu iwi maikaʻi i mea ʻino. ʻAʻole i hōʻike ʻia ʻo Ossifying Fibroma e lilo i maʻi kanesa. No laila, mai makaʻu iā ia.

He aha ka ʻokoʻa ma waena o ka Ossifying Fibroma a me ka Non-Ossifying Fibroma?

He mau puʻupuʻu iwi ʻaʻole maʻi kanesa (benign) nā mea ʻelua. Eia kekahi, ʻaʻohe kumu kikoʻī i loaʻa no kekahi o lāua. Eia nō naʻe, aia kekahi mau ʻokoʻa koʻikoʻi ma waena o nā mea ʻelua:

• ʻAʻole e lilo ka fibroma non-ossifying i iwi (ossify). Hoʻomohala pinepine kēia mau puʻupuʻu i nā iwi lōʻihi o nā wāwae o nā keiki. Kākaʻikahi lākou e hoʻoulu i nā pilikia a kākaʻikahi hoʻi e pono ai ka mālama ʻana. Nalo pinepine kēia mau puʻupuʻu iā lākou iho ke pau ka ulu ʻana o nā iwi o ke keiki.
• ʻO ka ossifying fibroma kahi ulu e paʻakikī (calcifies) i loko o ka iwi a i ʻole ka mea e like me ka iwi. Hiki iā ia ke ulu i loko o nā kānaka o kēlā me kēia makahiki. Hoʻopilikia pinepine kēia mau puʻupuʻu i nā iwi o ka maka, ʻoiai ka iwi ʻauwae. Hiki iā lākou ke ulu nui a hoʻoneʻe i nā niho. Pono pinepine kēia i ka mālama ʻana.

I ka ʻōlelo maʻalahi, ʻo ka ossifying fibroma kekahi e hoʻopilikia i nā iwi o ka maka, lilo i iwi, a pono e mālama ʻia. ʻO ka non-ossifying fibroma kekahi e hana ʻia ma nā wahi e like me nā wāwae o nā keiki, ʻaʻole e lilo i iwi, a ho'ōla pinepine ia ma kāna iho.

I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)

No laila, he mea weliweli iki paha ka Ossifying Fibroma, akā e hoʻomanaʻo ʻaʻole ia he maʻi kanesa . Hoʻomohala pinepine ia i loko o kou mau iwi ʻauwae a i ʻole nā ​​​​iwi ʻē aʻe ma kou alo.

ʻOiai ʻaʻole kēia he maʻi kanesa, pono ke ʻoki ʻana e wehe i ka puʻupuʻu. Inā ʻaʻole mālama ʻia, hiki i ka puʻupuʻu ke ulu a luku i nā iwi olakino, e hana ana i nā haki a me ka hōʻino ʻana i nā niho.

Hiki i ke kauka niho ke wehe i ka puʻupuʻu a laila hoʻomau i ka lawe ʻana i nā kukuna X e nānā i ka hoʻi hou ʻana. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā ʻike ʻoe i kekahi pehu ʻē, puʻupuʻu, a ʻeha paha ma kou maka, waha, a i ʻole nā ​​ʻāʻī. A laila hiki iā ʻoe ke noho olakino me ka makaʻu ʻole.

ʻO ka fibroma ossified, nā puʻupuʻu maka, nā puʻupuʻu iwi ʻauwae, nā puʻupuʻu iwi, nā pilikia niho, ke ʻoki kino, nā puʻupuʻu ʻaʻole maʻi kanesa