Ua hopohopo paha ʻoe e pili ana i kahi puʻupuʻu ma ka lima a i ʻole ka wāwae o kāu keiki, ʻoi aku hoʻi ma kahi kokoke i kahi hono? A i ʻole ua ʻōlelo mai ke kauka he puʻupuʻu liʻiliʻi ma ka iwi i ka wā i lawe ai ʻo ia i kahi X-ray no kekahi mea ʻē aʻe? He mea maʻamau iā mākou ke makaʻu i ka wā e lohe ai mākou i ka huaʻōlelo 'puʻupuʻu'. Akā i ka hapa nui o ka manawa, ʻaʻole kēia mau mea he mea e makaʻu ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi maʻamau i kapa ʻia ʻo Osteochondroma.
I ka ʻōlelo maʻalahi, he aha ka Osteochondroma?
ʻO ka Osteochondroma kahi ulu ʻana o ka iwi a me ke cartilage ʻaʻole maʻi kanesa . I ka pololei, ua like ia me kahi ulu liʻiliʻi e ulu ana mai loko mai o ka iwi. Inā mākou e nānā i ke ʻano o kēia huaʻōlelo, ʻo "Osteo" ke ʻano o ka iwi, ʻo "Chondro" ke ʻano o ke cartilage, a ʻo "oma" ke ʻano o ka puʻupuʻu. Akā e hoʻomanaʻo, i ka lāʻau lapaʻau, ʻaʻole nā puʻupuʻu āpau he maʻi kanesa.
ʻIke pinepine ʻia kēia mau mea ma nā wēlau o nā iwi lōʻihi i nā keiki a me nā ʻōpio. ʻO ia hoʻi, ma nā wahi e like me nā kuli, nā poʻohiwi, a me nā pūhaka. I ka ulu ʻana o ke keiki, e hoʻolōʻihi ʻia ko lākou mau iwi mai kahi papa kūikawā i hana ʻia me ke cartilage ma ka wēlau o ka iwi. Kāhea mākou i kēia ʻo ka papa ulu. ʻO ka Osteochondroma kahi ulu ʻano ʻē aʻe, e puka ana i waho e kū mai ana ma kēia papa ulu. ʻO ka mea maikaʻi loa, i ka wā e pau ai ka ulu ʻana o ka iwi o ke keiki, ʻo ia hoʻi ke oki nei lākou i ka ulu ʻana o ke kiʻekiʻe, e oki pū ka osteochondroma i ka ulu ʻana.
ʻElua mau ʻano nui o ka osteochondrosis:
Hiki iā kākou ke ʻike i kēia kūlana ma nā ʻano nui ʻelua. ʻO ia hoʻi, ma ke ʻano he puʻupuʻu hoʻokahi a i ʻole he mau puʻupuʻu he nui. Ua manaʻo ʻia kēia mau mea ʻelua he ʻelua kūlana like ʻole. E nānā kākou i ka papa ma lalo nei e hoʻomaopopo pono i kēia.
| ʻAno | Wehewehena |
|---|---|
| ʻO ka Osteochondroma hoʻokahi | ʻO kēia ke ʻano maʻamau. Hoʻokumu ʻia ia ma kahi hoʻokahi o ke kino, hoʻokahi wale nō puʻupuʻu. I ka hapa nui o ka manawa, ʻaʻole ia e hōʻike i kekahi mau hōʻailona. ʻIke pinepine ʻia ia i ka wā e lawe ʻia ai kahi X-ray no kekahi kumu ʻē aʻe. ʻAʻole ia he maʻi kanesa, no laila ʻaʻole ia e laha i nā wahi ʻē aʻe o ke kino. ʻAʻole i loaʻa ke kumu pololei o kona hoʻokumu ʻia ʻana. |
| Nā Osteochondromas he nui | Ma kēia ʻano, hoʻokumu ʻia kēia mau puʻupuʻu ma kekahi mau wahi o ke kino. ʻO ka maʻamau, ma muli o ke kumu hoʻoilina kēia, ʻo ia hoʻi, ua hoʻoilina ʻia. Ua kapa ʻia hoʻi kēia he Hereditary Multiple Exostoses. Eia nō naʻe, i kekahi manawa hiki ke hoʻokumu ʻia nā puʻupuʻu he nui me ke kumu hoʻoilina ʻole. ʻOiai ʻaʻole kēia he maʻi kanesa, ʻo ka loaʻa ʻana o nā puʻupuʻu he nui e hoʻonui i ka pilikia o ka hoʻopilikia ʻana i ka ulu maʻamau o nā iwi. |
No laila, he kūlana koʻikoʻi anei kēia?
ʻO ka hapa nui o ka manawa, ʻaʻole . ʻAʻole pono ka osteochondroma hoʻokahi i kekahi lāʻau lapaʻau. Eia nō naʻe, hiki i kāu kauka ke ʻōlelo aku i ka wehe ʻana i ke ʻoki kino inā e kaomi ana ka puʻupuʻu i nā ʻiʻo kokoke, nā aʻalolo, nā kīʻaha koko, a i ʻole nā iwi ʻē aʻe.
ʻO ka mea nui, ʻo ka manawa kūpono e lilo ai ka osteochondroma i ka maʻi ʻaʻai i ka hala ʻana o ka manawa he haʻahaʻa loa ia . ʻO ka manawa kūpono e hiki ai i kēlā mea i kahi kanaka me hoʻokahi nodule ma kahi o 1%. ʻOiai inā he nui nā nodules o kekahi, he haʻahaʻa ka pilikia e like me 5%. Ma muli o kēia pilikia haʻahaʻa, makemake paha ke kauka e mālama i ka nodule ma lalo o ka nānā ʻana.
I nā hihia koʻikoʻi o nā osteochondromas he nui, hiki i ke keiki ke loaʻa ka ulu ʻana o ka iwi ma ke ʻano ʻē. Hiki i kēia ke hoʻopilikia wale i ke ʻano, akā hiki i kekahi manawa ke hoʻopilikia i ka neʻe ʻana a i ʻole ke hōʻeha. E nānā mau nā kauka i kēia mau keiki e nānā i nā pilikia.
He aha ka ʻokoʻa ma waena o ka osteochondroma a me ke kanesa?
He nīnau kēia a nā poʻe he nui. Aia kahi ʻokoʻa maopopo ma waena o kēia mau kūlana ʻekolu.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻOsteochondrosis | He ulu ʻana o ka iwi a me ke cartilage ʻaʻole no ka maʻi kanesa. |
| ʻO ke kondrosarcoma | ʻO kēia ke kanesa cartilage.He mea kākaʻikahi loa, inā lilo ka osteochondroma i ka maʻi ʻaʻai, lilo ia i chondrosarcoma. Hoʻomohala ka maʻi ʻaʻai mai ka pāpale cartilage ma luna o ka osteochondroma. |
| ʻOsteosarcoma | He maʻi ʻaʻai iwi kēia. ʻAʻole pili iki ia i ka Osteochondroma. Kū mai kēia maʻi ʻaʻai mai ka ʻiʻo iwi ponoʻī. |
Pehea ke ʻano a me ke ʻano o kēia puʻupuʻu?
ʻO ka osteochondroma kahi ulu e ulu ana mai ka iwi. Hiki ke ʻokoʻa kona nui mai 1 a 10 kenimika. Hele mai kekahi me ke kumu e like me ka mushroom a me kahi luna bulbous. Ua kapa ʻia kēia he "pedunculated". ʻO kekahi ʻano he kumu pālahalaha a ākea . Ua kapa ʻia kēia he "sessile". ʻOi aku ka maʻamau o ke ʻano "pedunculated" i nā hihia o nā nodules hoʻokahi, ʻoiai ʻoi aku ka maʻamau o ke ʻano "sessile" i nā kūlana hoʻoilina me nā nodules he nui.
ʻAʻole paha ʻoe e manaʻo i kekahi mea inā he osteochondroma kou, akā hiki paha iā ʻoe ke manaʻo i kahi puʻupuʻu liʻiliʻi a paʻakikī ma lalo o ka ʻili, kokoke i ka iwi .
He aha nā hōʻailona nui?
ʻOiai ʻaʻohe pinepine nā hōʻailona, hiki ke ʻike ʻole ʻia kēia ʻano no ka manawa lōʻihi. Eia nō naʻe, i kekahi manawa e ʻike ʻia nā hōʻailona ma lalo nei.
| Hōʻailona | Kumu |
|---|---|
| Ke manaʻo nei i kahi puʻupuʻu paʻakikī a liʻiliʻi ma ka iwi. | ʻO kēia ke ʻano o ka ulu ʻana o ka osteochondrosis. |
| ʻEha i ka wā e hana ai i kekahi neʻe ʻana. | Hiki ke hana i kēia ke hamo ka puʻupuʻu i kahi olonā. |
| Manaʻo mae a ʻūlū paha ma kekahi wahi. | Hiki ke hana ʻia ka puʻupuʻu ma muli o ke kaomi ʻana ma luna o kahi aʻalolo. |
| Nā pilikia kahe koko ma ka lima a i ʻole ka wāwae. | Hana ʻia kēia ke ālai ke koko i kahi kīʻaha koko. |
| Nā hōʻailona e ʻike ʻia ke loaʻa i nā keiki nā osteochondromas he nui: | |
| |
Pehea ʻoe e ʻike ai inā he maʻi kanesa kēia?
Eia hou, he haʻahaʻa loa ka manawa e lilo ai kēia i ka maʻi ʻaʻai. Eia nō naʻe, e nānā pono kāu kauka iā ia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, hiki i kāu kauka ke hoʻoholo e hana i nā hoʻāʻo hou aʻe:
- Inā he ʻeha no ke kumu ʻole .
- Inā e hoʻomau ka ulu ʻana o ka puʻupuʻu ma hope o ka pau ʻana o ka ulu ʻana o nā iwi o ke keiki.
- Inā ʻoi aku ka mānoanoa o ka pāpale cartilage ma luna o ke kuli o kahi pākeke ma mua o 1.5 kenimika .
Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi?
E nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Inā kānalua ʻia kahi osteochondroma, e kauoha lākou i kahi X-ray . I ka hapa nui o nā hihia, hiki i kahi X-ray ke ʻike maopopo i ke kūlana. Inā makemake ʻia ka ʻike hou aku, hiki iā lākou ke kauoha i kahi MRI a i ʻole CT scan.
E pili ana i ka lāʻau lapaʻau:
- ʻAʻole pono ka hapa nui o ka poʻe me hoʻokahi nodule i kekahi lāʻau lapaʻau. E lawe ke kauka i nā kukuna X i kēlā me kēia manawa e nānā i kona ulu ʻana.
- Wehe ʻana i ke ʻoki kino: Manaʻo ʻia ka wehe ʻana i ke ʻoki kino inā ʻo ka puʻupuʻu ke kumu o ka ʻeha, kaohi ʻana i ka neʻe ʻana, a i ʻole ke ʻomi ʻana i nā aʻalolo a i ʻole nā kīʻaha koko.
- Ka nānā kūikawā no nā keiki: Pono e nānā pinepine ʻia nā keiki me nā nodules he nui a hiki ke wehe ʻia nā nodules e hoʻopilikia ana i ka ulu ʻana o ka iwi.
Pono anei ʻoe e makaʻu i ke ʻoki kino?
He maʻalahi kēia ʻoki kino. Hana ʻia ia ma lalo o ka anesthesia laulā. Hana ke kauka ʻoki kino i kahi ʻoki liʻiliʻi ma kahi o ka puʻupuʻu a wehe i ka puʻupuʻu ma ka pae iwi. Koe wale nō kekahi mau hihia paʻakikī kahi e pili ai nā kīʻaha koko a i ʻole nā aʻalolo, he ʻoki kino maʻalahi kēia. Hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi me ke ʻoki kino..
Hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana maʻamau ma hope koke iho o ke ʻoki ʻana. Hiki ke noi ʻia ʻoe e hoʻohana i kahi ʻauamo a i ʻole nā koʻokoʻo no kekahi mau pule. E wehewehe kāu kauka i ka mea e hana ai no ka ʻeha i nā lā mua.
He haʻahaʻa loa ka manawa e ulu hou mai ai kahi puʻupuʻu i wehe ʻia.
Leka Lawe-Home
- ʻAʻole ka osteochondroma he maʻi ʻaʻai . He ulu wale nō ia i hana ʻia me ka iwi a me ke cartilage.
- ʻIke pinepine ʻia kēia mau mea ma nā iwi e ulu ana o nā keiki a me nā ʻōpio.
- ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona a ʻaʻole pono ka lāʻau.
- He haʻahaʻa loa ka pilikia o ka loaʻa ʻana o ka maʻi kanesa.
- Inā wale nō ke kumu o ka ʻeha a i ʻole nā pilikia ʻē aʻe hiki ke wehe ʻia me kahi ʻoki maʻalahi.
- Inā loaʻa iā ʻoe a i ʻole kāu keiki kahi puʻupuʻu e like me kēia, mai hopohopo a e ʻike i kāu kauka no ka ʻōlelo aʻo . ʻO ia ka mea maikaʻi loa e hana ai.
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