Loaʻa iā ʻoe kēia ʻeha ma kou mau iwi? E kamaʻilio kākou e pili ana i (Osteoid Osteoma) !

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ʻē i kou mau iwi, ʻoi aku hoʻi i ka pō? ʻAʻole paha he ʻeha kino wale nō. I kēia lā e kamaʻilio mākou e pili ana i kahi puʻupuʻu liʻiliʻi e ulu ana i loko o nā iwi e hōʻike ana i nā hōʻailona like, akā ʻaʻole ia he maʻi kanesa. Kāhea mākou i kēia (Osteoid Osteoma) .

He aha ka Osteoid Osteoma?

I ka ʻōlelo maʻalahi, ʻo kēia (Osteoid Osteoma) he puʻupuʻu liʻiliʻi e hana ʻia i loko o nā iwi ʻaʻole ia he maʻi kanesa . ʻO ka hapa nui o ka manawa, ʻoi aku ka liʻiliʻi ma mua o hoʻokahi ʻīniha. ʻO ka mea nui loa, ʻaʻole e ulu a laha paha kēia mau puʻupuʻu i nā ʻāpana ʻē aʻe o ke kino. No laila, ʻaʻohe mea e hopohopo ai.

ʻO ka hapa nui o ka ulu ʻana o ka Osteoid Osteoma i loko o nā iwi lōʻihi o ko kākou kino. Eia kekahi laʻana, hiki ke ulu i loko o kou iwi ʻūhā ((tibia) - ka iwi nui ma lalo o kou kuli) a i ʻole kou iwi ʻūhā ((femur) - ka iwi ma waena o kou ʻūhā a me kou kuli). Eia kekahi,

• I loko o kou mau lima
• Inā paha ma nā manamana lima a i ʻole nā ​​manamana wāwae
• Ma ka ʻāpana kuʻekuʻe wāwae
• Hiki i kēia mau mea ke ulu i loko o ka iwi kuamoʻo.

Hōʻike ʻia kēia ʻano e ka ʻeha palupalu a ʻeha hoʻi e like me ke hele mai ana mai loko mai o ke kino. Hiki ke koʻikoʻi loa kēia ʻeha i ka pō . Hoʻomaʻamaʻa pinepine nā kauka i kēia me nā lāʻau anti-inflammatory non-steroidal (NSAID) a i ʻole, i kekahi mau hihia, ke ʻoki liʻiliʻi.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia (Osteoid Osteoma)?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia (Osteoid Osteoma). ʻIke pinepine ʻia kēia ʻano i nā kānaka ma waena o 5 a me 25 mau makahiki. ʻO kekahi mea ʻē aʻe, ʻekolu manawa ka nui o ka loaʻa ʻana o kēia i nā kāne ma mua o nā wahine. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki i kekahi ke loaʻa i kēia (Osteoid Osteoma), me ka nānā ʻole i ke kāne, ka lāhui, a i ʻole ka lāhui.

Pehea ka maʻamau o ka Osteoid Osteoma?

Ke noʻonoʻo nei i ka maʻamau o kēia ʻano (Osteoid Osteoma), ʻo ia ka 10% o nā ʻōpū iwi ʻaʻole maʻi kanesa. ʻO ia hoʻi, ʻaʻole ia he mea laha ʻole.

He aha ka ʻokoʻa ma waena o (Osteoid Osteoma) a me (Osteoblastoma)?

I kēia manawa ke noʻonoʻo nei paha ʻoe, aia kekahi i kapa ʻia ʻo "Osteoid Osteoma" a me "Osteoblastoma", a he aha ka ʻokoʻa ma waena o nā mea ʻelua? ʻAe, ʻo "Osteoblastoma" he puʻupuʻu iwi ʻaʻole ia he maʻi kanesa. Akā aia kekahi mau ʻokoʻa iki ma waena o nā mea ʻelua.

• ʻOi aku ka nui o ka Osteoblastoma ma mua o ka osteoid osteoma.
• ʻIke pinepine ʻia ka Osteoblastoma ma ke poʻo, nā iwi ʻaoʻao, a me ka iwi kuamoʻo.
• ʻOi aku ka kiʻekiʻe o ka manawa e hoʻi hou ai ka Osteoblastoma ma mua o ka osteoid osteoma.
• ʻO ka mea nui loa, ʻaʻole e hoʻonui pinepine ʻia ka ʻeha i ka pō ma ka osteoblastoma.

He aha nā kumu o ka osteoid osteoma?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka osteoid osteoma. Eia nō naʻe, aia kekahi mau kumu i manaʻo ʻia e kōkua i ka ulu ʻana o kēia puʻupuʻu iwi ʻaʻole cancerous:

• ʻO ka ulu ʻana o nā pūnaewele i loko o kou kino (neoplasia).
• Ka mumū ʻana o nā iwi.
• He ulia a ʻeha paha (trauma) i kahi i hoʻokumu ʻia ai ka puʻupuʻu.

He aha nā hōʻailona o ka osteoid osteoma?

ʻO ka hōʻailona nui o kēia (Osteoid Osteoma), e like me kaʻu i ʻōlelo ai ma mua, he ʻeha palupalu a ʻeha hoʻi e puka mai ana mai loko mai o ke kino. Hoʻonui pinepine ʻia kēia ʻeha i ka pō . ʻAʻole e emi a hoʻonui paha kēia ʻeha no ka mea ua hana ʻoe i kekahi hana a hoʻoikaika kino paha.

"E noʻonoʻo wale, ʻoiai inā ʻaʻole ia e hoʻopilikia nui iā ʻoe i ke ao, ke hiamoe ʻoe i ka pō, ʻaʻole hiki iā ʻoe ke hiamoe ma muli o ka ʻeha e puka mai ana mai loko mai o kou wāwae a lima paha. Pēlā ke ʻano o kēia ʻeha."

Aia paha kekahi mau hōʻailona ʻē aʻe:

• Nā ʻano kīnā o ka iwi.
• Nā loli a i ʻole nā ​​pilikia i ke ʻano hele wāwae (nā maʻi gait).
• ʻEha a me ka ʻoʻoleʻa i nā hono.
• Ka emi ʻana o nā ʻiʻo a i ʻole ka emi ʻana o ka nui ((atrophy)).
• ʻOi aku ka lōʻihi o kekahi wāwae ma mua o kekahi (hana kēia inā he puʻupuʻu ma ka iwi ʻūhā a i ʻole ka iwi ʻūhā).
• Inā he puʻupuʻu ma ka iwi kuamoʻo, nā kūlana e like me (Sciatica) (ʻeha ma ke aʻalolo sciatic, kahi aʻalolo e holo ana mai ka ʻūhā a i ka wāwae) a me (Scoliosis) (piʻo o ke iwi kuamoʻo).
• Pehu.

I kekahi manawa, inā ulu kēia puʻupuʻu kokoke i kekahi o kou mau hono, hiki nō hoʻi ke hōʻike i nā hōʻailona e like me:

• Ka hōʻiliʻili ʻana o ka wai a puni ke hono (joint effusion).
• ʻO ka Osteoarthritis (ka maʻi ʻaʻai i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana o nā hono).
• ʻOʻoleʻa a me ka paʻa o nā hono (nā ʻaelike hui).

Pehea e ʻike ʻia ai ka maʻi Osteoid Osteoma?

ʻAe, i kēia manawa inā loaʻa iā ʻoe kēia mau hōʻailona, ​​pehea e ʻike ai ke kauka i ka Osteoid Osteoma?

ʻO ka mea mua, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Hiki iā ia ke nīnau iā ʻoe e pili ana i kou ʻeha, e like me:

• Pehea ka lōʻihi o kēia ʻeha ma laila?
• Pehea ka ʻeha?
• Ke hōʻoluʻolu nei anei ka hana ʻana i kekahi mea i ka ʻeha? (No ka laʻana, ka lawe ʻana i kekahi mau mea hoʻomaha ʻeha)
• Ua loaʻa anei kahi ulia a ʻeha paha ma kahi i loaʻa ai ka ʻeha?

Inā manaʻo kāu kauka he Osteoid Osteoma paha kēia, ma muli o kāu e ʻōlelo nei, hiki iā ia ke kuhikuhi i kekahi mau hoʻokolohua, e like me:

• X-ray: Lawe kēia i ke kiʻi o kou mau iwi. Ma kahi X-ray, ua like ka osteoid osteoma me kahi wahi liʻiliʻi ma waenakonu o ka iwi mānoanoa.
• ʻEkolu pae o ka nānā ʻana i ka iwi: Eia ka mea e hana ʻia:
• Hoʻokomo ke kauka i kahi mea radioactive (radiotracer) i loko o kou aa. ʻIke ke kāmela i kēia radiation a lawe i nā kiʻi o ka radiotracer i loko o kou mau iwi.
• ʻO ka mea aʻe, lawe ke kāmela i kiʻi o ka nui o ke koko e hōʻiliʻili ana i loko o kou mau iwi a me nā ʻiʻo palupalu.
• ʻO ka hope loa, ʻelua a ʻekolu paha hola ma hope o ka inikini, lawe ʻia kekahi kiʻi ʻē aʻe ma ka wahi like.

Kōkua kēia scan i ke kauka e ʻike i ka wahi kikoʻī o ka puʻupuʻu.

• ʻO ke scan CT (Computed Tomography scan) a i ʻole MRI (Magnetic Resonance Imaging): Hiki i kahi scan CT ke kōkua i ka ʻike ʻana i kahi osteoid osteoma no ka mea hāʻawi ia i kahi kiʻi maopopo o kou iwi. ʻO kahi MRI, ʻoiai ʻaʻole pololei loa, hiki ke kōkua i ka hōʻoia ʻana ʻaʻohe maʻi kanesa.
• Biopsy: I loko o kahi biopsy, lawe ke kauka i kahi hāpana liʻiliʻi o ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope e ʻike inā he mau hōʻailona o ka osteoid osteoma. Hiki iā ia ke kāpae i nā kūlana ʻē aʻe.
• Nā hoʻāʻo koko: Hiki i ke kauka ke hana i nā hoʻāʻo koko e nānā i kekahi mau maʻi.

Pehea e mālama ʻia ai ka Osteoid Osteoma?

ʻO ka nūhou maikaʻi, e nalowale ana kekahi mau osteoid osteomas iā lākou iho i ka hala ʻana o ka manawa me ka ʻole o ka lāʻau lapaʻau . Eia nō naʻe, hiki ke hala nā makahiki no ka nalowale ʻana o kēia mau puʻupuʻu.

Ma ke ʻano he lāʻau lapaʻau, hiki iā ʻoe ke hoʻohana i nā (NSAIDs) (nā lāʻau anti-inflammatory non-steroidal). Loaʻa kēia mau (NSAIDs) ma ke ʻano he mau lāʻau lapaʻau ma luna o ke kauka (e.g. (aspirin), (ibuprofen) a i ʻole (naproxen)) a me nā lāʻau lapaʻau i kuhikuhi ʻia. Hiki i nā (NSAIDs) ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka wikiwiki ʻana i ka emi ʻana o ka puʻupuʻu (Osteoid Osteoma). Me kēia ʻano lāʻau lapaʻau, nalowale nā ​​​​hōʻailona i loko o 33 mau mahina (ʻo ia hoʻi ma kahi o 2 mau makahiki a me 9 mau mahina).

I kekahi manawa, ʻōlelo paha nā kauka i ke ʻoki kino no ka Osteoid Osteoma. I ka wā o ke ʻoki kino, hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā a i ʻole ka anesthesia kūloko. ʻElua ʻano nui o ke ʻoki kino:

• Curettage: ʻO kēia ke ʻano o ka hana ʻana o ke kauka lapaʻau i kahi ʻoki liʻiliʻi i kou ʻili a hele i loko e wehe i ka puʻupuʻu holoʻokoʻa .
• ʻO ka ablation radiofrequency i alakaʻi ʻia e CT: He hana hoʻopilikia iki kēia. Ma kēia kaʻina hana, hoʻomehana ke kauka ʻoki i ka puʻupuʻu a wehe iā ia. Eia ke ʻano o ka hana ʻana:
• Hoʻohana ʻia kahi scan CT e ʻike i ka ʻōpū.
• A laila, ua hoʻokomo ʻia kahi "radiofrequency probe" (he mea hana kūikawā) i loko o ka puʻupuʻu.
• Hoʻohana ʻia ke au uila alapine kiʻekiʻe e hoʻomehana a hoʻopau i ka ʻōpū.

ʻO ka maʻamau, hiki ke hana ʻia kēia lāʻau "radiofrequency ablation" i hoʻokahi manawa e wehe ai i ka puʻupuʻu.

Hiki ke hoʻemi ʻia ka pilikia o ka loaʻa ʻana o ka Osteoid Osteoma?

ʻAʻohe mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o ka loaʻa ʻana o ka Osteoid Osteoma. Eia nō naʻe, inā ʻike ʻoe i nā hōʻailona, ​​​​hiki iā ʻoe ke ʻimi i ke aʻo lapaʻau, nānā iā ia, a loaʻa ka lāʻau lapaʻau i ka hikiwawe loa.

He aha kāu e manaʻo ai ma ka hihia o ka Osteoid Osteoma?

Inā loaʻa iā ʻoe ka Osteoid Osteoma, ʻo ka mea hiki iā ʻoe ke manaʻo e pili ana i ka lāʻau lapaʻau āu e loaʻa ai.

• Curettage: Loaʻa i kēia kahi pae holomua kiʻekiʻe. Eia nō naʻe, hiki ke loaʻa kekahi mau pilikia. Eia kekahi laʻana:
• Ke kahe ʻana o ke koko.
• Ka hōʻino ʻana i nā ʻiʻo ʻē aʻe a puni.
• Nā kapu hoʻoikaika kino.
• Nā maʻi.
• Nā pilikia o ka anesthesia laulā.
• Ka nāwaliwali o ka iwi.
• ʻO ka ablation radiofrequency i alakaʻi ʻia e CT: Loaʻa i kēia ʻano hana kahi helu holomua ma kahi o 90% . Eia nō naʻe, nā pilikia e like me:
• ʻO ka maʻi ʻili (cellulitis).
• ʻO ka maʻi ʻeha ʻāpana paʻakikī (CRPS).
• Nā maʻi aʻalolo ((Neuropathy)).
• Wela ka ʻili.
• ʻO ka thrombophlebitis ma luna o ka ʻili.

Āhea e hiki ai iaʻu ke hoʻi i ka hana/kula?

Inā loaʻa iā ʻoe kahi curettage, pono ʻoe e noho i ka haukapila no kekahi mau lā. Ma hope o kēlā, pono paha ʻoe e hana i ka hoʻōla kino ma ka home no kekahi mau pule ma mua o kou hoʻi ʻana i ka hana a i ʻole ke kula.

Eia nō naʻe, inā loaʻa iā ʻoe ka radiofrequency ablation, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana a i ke kula paha i loko o ʻelua a ʻekolu mau lā.

He aha ke ʻano o ka nānā ʻana no ke kūlana (Osteoid Osteoma)?

Inā mākou e nānā i kēia kūlana (Osteoid Osteoma), maikaʻi loa nā hopena . Hiki ke ho'ōla loa ʻia (Osteoid Osteoma) me ka manawa, ma kāna iho, a i ʻole me nā lāʻau lapaʻau "NSAID", a i ʻole me ke ʻoki kino.

Pehea e mālama ai iā ʻoe iho me (Osteoid Osteoma)?

Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi i ka pilikia o nā pilikia ma hope o ke ʻoki ʻana:

• E hoʻemi i ka hoʻoikaika kino no kekahi mau mahina.
• E ʻike i kahi mea hoʻoponopono kino no ka ʻōlelo aʻo a me ka lāʻau lapaʻau.
• Inā hoʻomau ʻoe i ka ʻeha, e ʻike koke i ke kauka .

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo?

ʻO ka Osteoid Osteoma kahi puʻupuʻu ʻaʻole maʻi kanesa e hana ʻia i loko o nā iwi. Hoʻomohala pinepine ia i loko o nā iwi lōʻihi o ko mākou kino. ʻO nā hōʻailona nui ka ʻeha e ʻoi aʻe ana i ka pō, ka pehu ʻana, a me ka ʻoʻoleʻa o nā hono. Hoʻoponopono nā kauka iā ia ma o nā hoʻokolohua e like me nā X-ray a me nā scan iwi ʻekolu-pae. Hoʻokomo pū ka lāʻau lapaʻau i nā lāʻau ʻeha i kapa ʻia ʻo NSAID a i ʻole ke ʻoki kino.

ʻO ka mea nui loa, ʻo ia ka hiki ke ho'ōla loa ʻia ke ʻano (Osteoid Osteoma) i ka hala ʻana o ka manawa, ma ke ʻano kūlohelohe a i ʻole me ka lāʻau lapaʻau.No laila, mai hopohopo nui. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ke ʻike koke ʻana i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.

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