He puʻupuʻu kou e like me kēia i loko o kou mau iwi? E aʻo kākou i nā mea āpau e pili ana i (Osteoblastoma) ma ke ʻano maʻalahi!

Loaʻa iā ʻoe i kekahi manawa kahi ʻeha ʻē e puka mai ana mai kou mau iwi, a i ʻole kahi puʻupuʻu liʻiliʻi ma lalo o kou ʻili? ʻAʻole paha ʻoe i nānā nui iā ia. Eia nō naʻe, he mea nui loa ia e makaʻala iki i kēlā mau mea. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano puʻupuʻu e hiki ke ulu i loko o ko mākou mau iwi, akā ʻaʻole ia he maʻi kanesa, akā pono ʻoe e hopohopo iki no ia mea. ʻO kēia ka mea a mākou e kapa nei he `(Osteoblastoma)` i ka lāʻau lapaʻau.

He aha maoli ka Osteoblastoma?

I ka ʻōlelo maʻalahi, ʻo `(Osteoblastoma)` he ʻano puʻupuʻu ʻaʻole maʻi kanesa (benign) e hana ʻia i loko o ko kākou mau iwi. Eia naʻe, ʻoiai ʻaʻole ia he maʻi kanesa, hiki iā ia ke hana i kekahi mau loli i loko o ko kākou mau iwi. E noʻonoʻo, ke hoʻouka wale nei kēia puʻupuʻu i ko kākou ʻiʻo iwi olakino. Ma ka hana ʻana pēlā, hana ia i kahi ʻano ʻiʻo hou i kapa ʻia ʻo `(Osteoid)` ma kahi o kēlā ʻiʻo iwi olakino.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAʻole anei he mea maikaʻi ke loaʻa nā ʻiʻo hou e ulu ana?" Akā ʻo ka pilikia, ʻo kēia ʻiʻo i kapa ʻia ʻo '(Osteoid)' ʻaʻole ia he ikaika e like me ko kākou ʻiʻo iwi maoli a olakino. Ua like ia me ke pani ʻana i kahi ʻāpana lāʻau maikaʻi a ikaika me kahi ʻāpana lāʻau nāwaliwali iki. No laila, hoʻonāwaliwali kēia ʻiʻo '(Osteoid)' i ko kākou mau iwi, a ʻoi aku ka maʻalahi o ka haki ʻana (haʻihaʻi) maʻalahi . I kekahi manawa, i ka ulu ʻana o kēia mau puʻupuʻu '(Osteoblastoma)', hiki ke ʻike ʻia nā hōʻailona e like me ka ʻeha a me ka pehu.

Ma hea ma ke kino e ʻike pinepine ʻia ai kēia mau puʻupuʻu?

Hiki i ka Osteoblastoma ke ulu maoli i loko o kekahi iwi i loko o ko mākou kino. Eia nō naʻe, ʻike pinepine ʻia ia ma ko mākou iwi kuamoʻo . Ma ke ʻano maʻamau, he 40% wale nō o nā hihia e ulu ana ma ka iwi kuamoʻo.

Eia kekahi, ʻo kēia nā mea āu:

• Ma nā wāwae a i ʻole nā ​​​​wāwae
• I loko o nā lima
• Iwi ʻauwae
• ʻIwi ʻaoʻao
• Iwi ʻāʻī
• Iwi ʻuma

Hiki nō hoʻi ke ulu ma nā wahi e like me kēia.

He aha nā hōʻailona e hiki ke kū mai inā loaʻa iā ʻoe ka osteoblastoma?

ʻO ka hōʻailona maʻamau o kēia ʻano, ʻo ia ka ʻeha o ka iwi . He ʻeha palupalu kēia, ʻeha e like me ke ʻano e puka mai ana mai loko mai o ke kino. I kekahi manawa, e ʻike paha ʻoe i kahi puʻupuʻu a pehu paha ma lalo o ka ʻili āu e ʻike ai. He ʻeha nō hoʻi ke hoʻopā aku. No ka laʻana, inā loaʻa iā ʻoe kahi osteoblastoma i kou wāwae a wāwae paha, e hoʻomaka paha ʻoe e ʻōʻō , a i ʻole e loli ke ʻano o kou hele ʻana.

I ka ulu ʻana o ka puʻupuʻu, hiki ke ʻike ʻia nā hōʻailona hou aʻe. Hiki i ka osteoblastoma ke ulu a hiki i kahi 4 kenimika (e like me ka nui o ka tōmato cherry). Eia nō naʻe, ua hōʻike ʻia kekahi mau hihia kahi i ulu ai ka puʻupuʻu i ʻelua a ʻekolu paha manawa nui. Ke ulu ka puʻupuʻu i kēia nui, hiki iā ia ke kaomi ma luna o kahi aʻalolo kokoke . A laila, hoʻomaka e ʻike ʻia nā hōʻailona e pili ana i ke aʻalolo. ʻO kēia mau mea:

• ʻEha aʻalolo
• Ka mae, ka nāwaliwali a i ʻole ke kani ʻana o nā lālā
• ʻEha kua a ʻāʻī paha , inā he osteoblastoma o ka iwi kuamoʻo
• Nā ʻūmiʻi ʻiʻo

He aha nā pilikia e hiki ke kū mai mai kēia maʻi?

Inā nui loa ka "(Osteoblastoma)", hiki ke loaʻa kekahi mau pilikia. Eia kekahi o lākou:

• Ka luku ʻana i ka iwi : Hiki i kēia puʻupuʻu ke hoʻonāwaliwali a luku i nā ʻiʻo iwi olakino, e maʻalahi ai ka haki ʻana o ka iwi.
• Nā puʻupuʻu lua : I kekahi manawa, hiki ke ulu aʻe kekahi ʻano puʻupuʻu iwi i kapa ʻia he aneurysmal bone cyst ma ke ʻano he hopena ʻaoʻao o ka osteoblastoma.
• ʻO ke kaomi ʻana o ke aʻalolo : E like me kā mākou i kūkākūkā ai ma mua, inā e ʻomi kahi osteoblastoma i kahi aʻalolo, hiki iā ia ke hana i kahi maʻi i kapa ʻia ʻo neuropathy.
• Scoliosis : Inā ulu kahi osteoblastoma i loko o ka iwi kuamoʻo, hiki iā ia ke hana i kahi piʻo pōkole o ka iwi kuamoʻo, i ʻike ʻia ʻo scoliosis.

Nā pilikia kakaikahi ʻē aʻe

Ma waho aʻe o kēia, aia kekahi mau pilikia ʻē aʻe i kakaikahi loa:

• ʻO ka osteoblastoma ʻawahia : He mea kākaʻikahi loa, loaʻa i kekahi poʻe me ka osteoblastoma kahi hopena mumū koʻikoʻi e pālahalaha ana ma ke kino holoʻokoʻa. Ua kapa ʻia kēia he osteoblastoma ʻawahia. I loko o kēia, lilo ka membrane a puni kou mau iwi (periosteum) i mumū. Hiki ke hele pū me kēia me nā hōʻailona e like me ke kuni a me ka pohō kaumaha.
• Ka hoʻololi ʻino : ʻOiai he puʻupuʻu maikaʻi ʻole ka osteoblastoma, ua loaʻa nā hihia kakaikahi loa kahi i lilo ai i ka maʻi kanesa. Eia nō naʻe, aia nā manaʻo like ʻole ma waena o nā kauka e pili ana i kēia mea. Wahi a kekahi poʻe loea i loko o ia mau hihia, he ʻano maʻi kanesa iwi paha ia i kapa ʻia ʻo osteosarcoma mai kinohi mai.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo loa i nā kauka ke kumu o ka Osteoblastoma. Eia naʻe, hoʻokahi mea a lākou i ʻike ai, ʻoi aku ka nui o ka ulu ʻana i nā poʻe ma lalo o 30 mau makahiki. Eia kekahi, ʻelua ka nui o ka ulu ʻana o kēia maʻi i nā kāne ma mua o nā wahine .

Pehea e ʻike ai nā kauka i kēia?

Ke ʻike ʻoe i ke kauka me kēia mau hōʻailona, ​​e kamaʻilio mua ʻo ia me ʻoe e pili ana i kāu mau hōʻailona a me kou mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolohua kino e nānā i ka ʻeha a me ka pehu. A laila, e kauoha lākou i kekahi mau hoʻokolohua kiʻi . ʻO ka mea mua he X-ray.

Ma muli o ka mea i ʻike ʻia ma ke kiʻi X-ray, makemake paha kāu kauka e hana i nā hoʻokolohua kiʻi kikoʻī hou aku, e like me ka CT scan a i ʻole MRI. Hiki i kēia mau hoʻokolohua ke kōkua i ka hoʻoholo ʻana i kahi kikoʻī o ka puʻupuʻu a ʻike pehea i hoʻopilikia ai i nā ʻiʻo a puni.

ʻO ka hapa nui o ka manawa, hiki i nā kauka ke ʻike i ka ʻokoʻa ma waena o ka osteoblastoma a me ka osteosarcoma ma ka nānā ʻana i nā kiʻi. Eia nō naʻe, no ka ʻoiaʻiʻo, pono lākou e lawe i kahi ʻāpana o ka ʻiʻo a hana i kahi biopsy . Ke loaʻa iā lākou kahi o ka puʻupuʻu, hiki iā lākou ke lawe i kahi hāpana o ka ʻiʻo me ka hoʻohana ʻana i kahi nila biopsy a i ʻole kahi ʻoki liʻiliʻi. A laila hoʻouna ʻia i kahi lab no ka nānā ʻana. Ma laila, hoʻohana nā pathologists i kahi ʻano hana kūikawā i kapa ʻia ʻo immunostaining e ʻike i ka ʻokoʻa ma waena o ka osteoblastoma a me ka osteosarcoma.

E hoʻomanaʻo, he mea nui loa ka hōʻoia ʻana i ka maʻi, no laila he mea nui e loaʻa koke nā hoʻokolohua a kāu kauka e ʻōlelo ai.

He aha nā lāʻau lapaʻau no ka Osteoblastoma?

ʻO ka mālama ʻana i ka osteoblastoma e pili ana i ke ʻoki ʻana e wehe i ka puʻupuʻu . ʻO ka ʻokoʻa wale nō inā aia ka puʻupuʻu ma kahi wahi i pilikia loa a paʻakikī paha e hana ai, e like me ke kuamoʻo. I kēlā hihia, e hoʻāʻo kāu kauka orthopedic i nā ʻano hana ʻē aʻe e luku ai i ka puʻupuʻu a hoʻōki i kona ulu ʻana.

Eia kekahi mau hana i hoʻohana ʻia no ka mālama ʻana i ka Osteoblastoma:

• ʻO ka curettage a me ka hoʻopili iwi : ʻO ka curettage ke kahakaha ʻana i nā ʻiʻo ʻē. Ma hope o ka kahakaha ʻana i nā ʻiʻo, hiki i ke kauka lapaʻau ke hoʻopiha i ka hakahaka me kahi ʻāpana iwi mai kou kino ponoʻī a i ʻole kahi hoʻopili iwi mai kekahi kanaka ʻē aʻe.
• ʻO ka ʻoki ʻana en bloc : Inā nui ka puʻupuʻu, huhū, a ua pālahalaha paha, a inā ua hoʻi hou mai ma hope o ka wehe ʻia ʻana, hiki i ke kauka lapaʻau ke hoʻoholo e wehe i ka iwi holoʻokoʻa e loaʻa ana ka puʻupuʻu.
• Lapaʻau ablation : Inā ʻaʻole hiki i ke kauka lapaʻau ke wehe palekana i ka puʻupuʻu, hiki iā ia ke hoʻāʻo e luku i ka puʻupuʻu ma ka hoʻohana ʻana i ke anu nui (cryoablation) a i ʻole ka wela kiʻekiʻe (radiofrequency ablation).

He aha ke ʻano o ka manaʻolana e hiki ai iā kākou no ka wā e hiki mai ana i kēia kūlana?

Hiki i ke kanaka me Osteoblastoma ke manaʻo i ka ho'ōla maikaʻi ʻana . Hoʻōla piha ka hapa nui o ka poʻe ma hope o ke ʻoki ʻana e wehe i ka puʻupuʻu. I ka hapanui o nā hihia, e ho'ōla ʻia ka iwi i hōʻino ʻia i ka hala ʻana o ka manawa.

Eia nō naʻe, i kekahi manawa hiki i kēia mau puʻupuʻu ke ulu hou. ʻOi aku ka nui o ka hiki ke hana ʻia ma hope o ka curettage ma mua o ka resection. ʻO kēia no ka mea aia paha kekahi mau hunaola puʻupuʻu i koe. Inā hoʻi mai kāu puʻupuʻu ma hope o ka curettage, hiki i kāu kauka lapaʻau ke hana i kahi resection i ka manawa aʻe.

ʻAʻole ʻo Osteoblastoma he maʻi ʻaʻai a he maʻi hoʻoweliweli paha i ke ola. Eia nō naʻe, he puʻupuʻu ulu wikiwiki ia e hōʻino ana i ka iwi . ʻO ke ʻano kēia, ʻoi aku ka maikaʻi o ka mālama mua ʻana ma mua o ka mālama hope ʻana. Hoʻowahāwahā ka poʻe he nui i ko lākou ʻeha iwi. Ke ʻimi wale nei kekahi poʻe i kahi hōʻailona ma hope o nā makahiki o ka ʻeha. Eia nō naʻe, he mea kūpono mau ke ʻike i ke kumu o kou ʻeha . He maʻi hiki ke mālama ʻia ʻo Osteoblastoma, a hiki i ka mālama mua ʻana ke pale aku iā ia mai ka ʻino ʻana.

No laila, e hōʻuluʻulu kākou i nā mea a kākou i kamaʻilio ai. (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo kākou iā kākou iho i nā ʻoiaʻiʻo koʻikoʻi e pili ana i ka `(Osteoblastoma)` a mākou i kamaʻilio ai, ʻeā?

• He ʻōpū iwi maikaʻi ʻole ka Osteoblastoma, ʻaʻole ia he maʻi ʻaʻai , akā hiki ke hoʻonāwaliwali i ka iwi.
• ʻIke pinepine ʻia ia ma ka iwi kuamoʻo , akā hiki ke loaʻa i kekahi iwi o ke kino.
• ʻO ka hōʻailona nui ka ʻeha o ka iwi . Hiki nō hoʻi ke pehu a me ka ʻoʻopa.
• Hiki i nā ʻōpū nui ke hoʻopaʻa i nā aʻalolo a hana i nā hōʻailona ʻē aʻe.
• ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī, ʻike ʻia he pinepine ia i nā poʻe ʻōpio a me nā kāne .
• Pono ka ʻike ʻana i kahi `(X-ray)`, `(CT scan)`, `(MRI)` a me kahi `(Biopsy)` maoli nō .
• ʻO ke ʻano nui o ka lāʻau lapaʻau, ʻo ia ka wehe ʻana i ka puʻupuʻu ma ke ʻoki ʻana .
• ʻO ka maʻamau, kiʻekiʻe ka manawa e ho'ōla ai , akā i kekahi manawa hiki i nā puʻupuʻu ke hana hou.
• Inā ʻoe e ʻeha ana, e ʻike koke i ke kauka . Hiki i ka mālama koke ʻana ke pale i nā pilikia he nui.

E hoʻomanaʻo, inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē, he mea naʻauao ke ʻimi i ke aʻo lapaʻau. Mai hopohopo, aia nā lāʻau lapaʻau holomua no ka hapa nui o nā mea i kēia lā!

ʻOsteoblastoma , nā puʻupuʻu iwi, ʻeha kua, maʻi iwi, ʻoki kino, ʻeha iwi, nā puʻupuʻu