Ua ʻike anei ʻoe i kahi mea e like me kahi puʻupuʻu liʻiliʻi ma kou kino i kēia manawa? ʻAʻole paha ia e ʻeha. A i ʻole he ʻeha mau ia ma ka lima, ka wāwae, a i ʻole ke ami? ʻAʻole mākou e nānā nui i nā mea e like me kēia, ʻeā? Manaʻo mākou, "He puʻupuʻu momona wale nō paha" a i ʻole "Ua paʻi ʻia paha ma kekahi wahi." Akā i kekahi manawa, ʻoiai he hōʻailona liʻiliʻi e like me kēia hiki ke lilo i hōʻailona o kahi ʻano maʻi kanesa kakaʻikahi akā koʻikoʻi i kapa ʻia ʻo ' Sarcoma .' Mai hopohopo, e kamaʻilio pololei kākou e pili ana i kēia mai ka hoʻomaka ʻana, maʻalahi a maopopo.
I ka ʻōlelo maʻalahi, he aha ka sarcoma?
He puʻupuʻu ʻino ka Sarcoma e ulu ana i loko o nā iwi a i ʻole nā ʻiʻo palupalu o ko kākou kino. I kēia manawa ke noʻonoʻo nei paha ʻoe he aha nā ʻiʻo palupalu. ʻO ia hoʻi, nā ʻiʻo e kākoʻo a hoʻopili i nā ʻano hana ʻē aʻe i loko o ko kākou kino.
ʻo kahi laʻana:
- ʻIʻo
- ʻIʻo adipose (Momona)
- Nā ʻūmiʻi
- ʻO ke iwi ʻili
- Nā ligaments
- Nā kīʻaha koko
- Nā aʻalolo
ʻO kēia nā ʻiʻo palupalu o ko kākou kino. No laila, hiki ke loaʻa kahi sarcoma ma nā wahi āpau o kēia mau wahi.
He ʻano maʻi kanesa kakaikahi ka Sarcoma. 1% wale nō o nā maʻi kanesa āpau i nā pākeke ka Sarcoma. Eia nō naʻe, ma kahi o 15% o nā maʻi kanesa āpau i nā keiki ka helu ʻana. No laila, he mea nui loa ka makaʻala i kēia.
Ma hea i loko o ke kino e ʻike pinepine ʻia ai nā sarcomas?
ʻOiai hiki i kēia maʻi kanesa ke ulu ma nā wahi āpau mai ke poʻo a i nā manamana wāwae, aia kekahi mau wahi i ʻike nui ʻia ai. E noʻonoʻo, mai loko mai o 100 mau sarcomas e ulu ana:
- Ma kahi o 40% o nā hihia e kū mai ana ma nā ʻāpana haʻahaʻa o ke kino, e like me ko mākou mau wāwae, nā kuʻekuʻe wāwae, a me nā kapuwaʻi .
- Aia he 15% ma nā ʻāpana o luna o ke kino, e like me nā poʻohiwi, nā lima, nā pulima lima, a me nā manamana lima .
- Ma kahi o 30% o lākou e ulu ana i loko o ko kākou kino, umauma, ʻōpū, a i ʻole pelvis .
- ʻO ke koena 15% aia ma ke poʻo a me ka ʻāʻī .
He aha nā ʻano nui o nā sarcomas?
Aia ma mua o 70 mau ʻano like ʻole i loko o ka hui nui i kapa ʻia ʻo sarcomas. Akā e hoʻokaʻawale kākou iā lākou i ʻelua mau māhele nui: nā sarcomas iwi a me nā sarcomas ʻiʻo palupalu.
| ʻAno o ka sarcoma | Ka wehewehe maʻalahi |
|---|---|
| Nā Sarcoma Iwi | He mau maʻi ʻaʻai kēia e hoʻomaka pololei ana i loko o nā iwi. Ua kapa ʻia kēia mau mea ʻo 'primary bone sarcoma'. ʻOi aku ka maʻamau o lākou i nā poʻe ʻōpio ma lalo o 35 mau makahiki a me nā keiki. Eia kekahi mau laʻana:
|
| Nā Sarcomas ʻiʻo palupalu | He mau maʻi ʻaʻai kēia e hoʻomaka ana i loko o nā ʻiʻo palupalu e like me ke ʻiʻo a me ka momona. ʻOi aku ka maʻamau o lākou i nā pākeke ma mua o nā sarcomas iwi. Eia nō naʻe, hiki i kekahi mau ʻano (no ka laʻana, rhabdomyosarcoma) ke ulu i loko o nā keiki. Eia kekahi mau laʻana:
|
He mea nui: I kekahi manawa, hiki i nā hunaola kanesa i hoʻomaka ma kahi ʻē aʻe (e like me ka māmā, ka umauma, a i ʻole ka thyroid) ke laha i nā iwi. Ua kapa ʻia kēia he kanesa iwi metastatic. ʻAʻole kēia he ʻano sarcoma. He ʻano kanesa ʻē aʻe ia i laha i nā iwi.
No ke aha e ulu ai kēia sarcoma? He aha nā kumu pilikia?
E like me nā ʻano maʻi ʻē aʻe o ke kanesa, ʻaʻole maopopo ke kumu pololei o ke kumu e lilo koke ai kahi cell olakino i cell cancer. I ka ʻōlelo maʻalahi, loli ka DNA o nā cell e hana ana i ko mākou mau iwi a i ʻole nā ʻiʻo palupalu (nā mutations), e hoʻoulu ai i kēlā mau cell e māhele wikiwiki a me ka hiki ʻole ke kāohi.ʻO kēia hōʻiliʻili ʻana o nā pūnaewele ka mea a mākou e ʻike ai he puʻupuʻu. Inā ʻaʻole mālama ʻia, hiki i kēia mau pūnaewele kanesa ke hele ma o ke koko a i ʻole ka ʻōnaehana lymphatic a laha i nā ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia kēia ʻo `(Metastasis)`.
Eia nō naʻe, ua ʻike ʻia kekahi mau kumu e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka sarcoma.
| Kumu pilikia | Wehewehena |
|---|---|
| Nā Kemika | ʻO ka hoʻopili lōʻihi ʻana i ka arsenic, kekahi mau kemika i hoʻohana ʻia e hana i nā plastics (vinyl chloride), nā herbicides, a me nā mea mālama lāʻau. |
| Pāhawewe | Ma hope o ka loaʻa mua ʻana o ka radiation therapy kiʻekiʻe ma ke ʻano he lāʻau lapaʻau no kekahi maʻi kanesa ʻē aʻe. |
| ʻO ka lymphedema | ʻO ka pehu lōʻihi i hoʻokumu ʻia e ka hōʻiliʻili ʻana o ka wai lymph i loko o nā lima a i ʻole nā wāwae. |
| Nā kūlana hoʻoilina | Hiki i kekahi mau maʻi hoʻoilina i hoʻoilina ʻia (e.g., Neurofibromatosis type 1, Li-Fraumeni syndrome) ke hoʻonui i ka pilikia. |
He aha nā hōʻailona o ka sarcoma?
ʻO kēia kahi e huikau ai nā kānaka he nui. No ka mea, ʻokoʻa loa nā hōʻailona o ka sarcoma ma muli o kahi o ka puʻupuʻu. I kekahi manawa, ʻaʻohe hōʻailona iki i nā pae mua.
Eia kekahi mau hōʻailona maʻamau:
- He ulu hou: ʻEha paha kēia ulu ʻana a ʻaʻole paha. Manaʻo paha ia e like me kahi puʻupuʻu ʻeha ʻole ma lalo o ka ʻili.
- ʻEha: ʻEha mau ma ka lima, ka wāwae, ka ʻōpū, a i ʻole ka ʻāpana pelvic. No kekahi poʻe, ʻoi aku ka ʻino o kēia ʻeha i ka pō.
- Ka paʻakikī e neʻe: Hiki i ka ʻōpū ke kaomi ma kahi hui a i ʻole ka ʻiʻo, e paʻakikī ai ke kulou a hoʻopololei paha i ka lima a i ʻole ka wāwae.
- Ka pohō kaumaha me ke kumu ʻole.
- ʻEha hope.
He mea maʻamau kēia mau hōʻailona i nā maʻi ʻē aʻe he nui, no laila mai makaʻu e manaʻo he sarcoma ia no ka mea he loaʻa iā ʻoe kekahi o kēia mau hōʻailona. Eia nō naʻe, inā ʻike ʻoe i kahi mea e like me kēia, he mea nui e ʻike i kāu kauka a hoʻāʻo iā ia.
Pehea e ʻike ai ke kauka i kēia he sarcoma?
Ke hele ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. Inā he puʻupuʻu, e nānā ʻo ia i kona nui a me kona ʻano. Ma hope o kēlā, hiki iā ia ke kuhikuhi iā ʻoe no kekahi mau hoʻokolohua e ʻike pono ai i ka maʻi.
- Hoʻokolohua X-ray: He hoʻāʻo maʻamau e nānā i nā ʻano ʻē i nā iwi a me nā ʻiʻo palupalu.
- CT scan (Computed Tomography scan): Hoʻohui kahi kamepiula i nā kiʻi X-ray e hana i nā kiʻi ʻokiʻoki o ke kino. Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o ka puʻupuʻu.
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi kahua magnetic a me nā nalu lekiō e hana i nā kiʻi kikoʻī a maopopo loa o loko o ke kino. He mea nui loa kēia no ka nānā ʻana i nā puʻupuʻu i loko o nā ʻiʻo palupalu.
- Biopsy: ʻO kēia ka hoʻāʻo koʻikoʻi a paʻa loa. Pili kēia i ka wehe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu ma o ke ʻoki ʻana a i ʻole kahi nila kūikawā a nānā iā ia ma lalo o kahi microscope i loko o kahi keʻena hoʻokolohua. ʻO kēia wale nō ke ala e maopopo ai he 100% inā he maʻi ʻaʻai, sarcoma, a he aha ke ʻano.
Hiki ke ʻōlelo ʻia kekahi mau hoʻokolohua ʻē aʻe e like me ka PET scan a i ʻole ka bone scan.
He aha nā lāʻau lapaʻau no ka sarcoma?
ʻAʻole hiki i ke kauka hoʻokahi ke hana hoʻokahi i ka mālama ʻana iā Sarcoma. Pono ia i kahi hui o nā loea mai nā ʻano hana like ʻole, e like me nā kauka ʻokiʻoki, nā kauka oncologists, a me nā mea hoʻōla radiation, e hui pū e hoʻoholo i ka hoʻolālā lapaʻau maikaʻi loa.
Hoʻoholo ʻia ke ʻano hana ma muli o nā kumu e like me:
- ʻAno sarcoma.
- Ka nui a me ka wahi o ka puʻupuʻu.
- Kou olakino holoʻokoʻa.
- Inā ua pālahalaha ke kanesa i nā ʻāpana ʻē aʻe o ke kino.
Aia kekahi mau ʻano lapaʻau nui.
ʻoki kino
ʻO ke ʻoki kino ka lāʻau nui no ka hapa nui o nā sarcomas. ʻO ka pahuhopu ka wehe loa ʻana i ka puʻupuʻu. Wehe ʻia pū ka puʻupuʻu me kahi liʻiliʻi o nā ʻiʻo olakino a puni ka puʻupuʻu. ʻO kēia ke pale aku i nā hunaola kanesa microscopic mai ke koe ʻana. I kekahi manawa, inā he puʻupuʻu nui ma ka lima a i ʻole ka wāwae, hana ʻia ke ʻoki kino kūikawā e hoʻopakele i ka lālā (limb salvage). Eia naʻe, he mea kākaʻikahi loa, i ka wā ʻaʻole hiki ke hoʻopakele ʻia ka lālā, pono paha ke ʻoki ʻia.
Hoʻōla Pāhawewe
Pili kēia i ka hoʻohana ʻana i nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. Hāʻawi ʻia ka lāʻau lapaʻau radiation ma mua o ke ʻoki ʻana e hoʻēmi i ka puʻupuʻu a i ʻole e luku i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana.
Kemoterapia
ʻO kēia ka hāʻawi ʻana i nā lāʻau lapaʻau kūikawā e pepehi i nā hunaola kanesa e māhele wikiwiki ana a i ʻole e hoʻōki i ko lākou ulu ʻana. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma o kahi aʻa a i ʻole he mau pila.
Nā lāʻau lapaʻau ʻē aʻe
Eia kekahi, ke hoʻohana ʻia nei nā lāʻau lapaʻau hou e like me ka lāʻau lapaʻau i kuhikuhi ʻia, ka mea e hoʻouka wale i nā nāwaliwali kikoʻī i nā hunaola kanesa, a me ka immunotherapy, ka mea e hoʻoulu ai i ka ʻōnaehana pale ponoʻī o ke kino e hakakā i ka maʻi kanesa.
Āhea ka manawa kūpono loa e ʻike ai i ke kauka?
He maʻi ʻo Sarcoma hiki ke mālama pono ʻia inā ʻike mua ʻia. No laila, mai hoʻokaʻulua a e ʻike koke i ke kauka i nā hihia aʻe.
Inā he puʻupuʻu hou kou ma kou kino, inā paha he ʻeha a ʻaʻole paha, ʻoiai inā ʻoi aku ka nui ma mua o ka pōpō kolepa (ma kahi o 5 kenimika), a inā paha e hoʻomau ana ia i ka ulu ʻana, pono ʻoe e ʻike i ke kauka.
Eia kekahi, inā he ʻeha mau i ka iwi ma ka lima a i ʻole ka wāwae me ke kumu ʻole, mai hoʻowahāwahā iā ia.
ʻAʻole ʻo Sarcoma he maʻi kanesa hoʻokahi, akā he hui o nā maʻi kanesa. No laila, ʻokoʻa loa ka lāʻau a me ka wānana mai kēlā kanaka a kēia kanaka, ma muli o ke ʻano a me ke kahua o ke kanesa. Inā he hopohopo kou a i ʻole kekahi āu i ʻike ai e pili ana i kēia, ʻoi aku ka maikaʻi o ke ʻike ʻana i kahi loea no ka ʻōlelo aʻo.
Leka Lawe-Home
- He ʻano maʻi ʻaʻai laha ʻole ʻo Sarcoma e kū ana i nā iwi a me nā ʻiʻo palupalu.
- He mea nui e ʻike i ke kauka e pili ana i kekahi puʻupuʻu hou, e ulu ana, a i ʻole puʻupuʻu nui aʻe ma kou kino. Mai hoʻowahāwahā iā ia, inā paha he ʻeha a ʻaʻole paha.
- ʻO ka hoʻāʻo koʻikoʻi loa e ʻike pono ai i ka maʻi he biopsy.
- Hoʻoholo ʻia nā ʻano lapaʻau (ʻoki kino, radiation, chemotherapy) no kēlā me kēia kanaka no ka mea maʻi a me ke ʻano o ke kanesa.
- He mea nui ka ʻike mua ʻana a me ka hoʻomaka ʻana o ka lāʻau lapaʻau no ka loaʻa ʻana o nā hopena maikaʻi.
ʻO Sarcoma, maʻi ʻaʻai, nā puʻupuʻu kino, maʻi ʻaʻai iwi, maʻi ʻaʻai palupalu, nā hōʻailona maʻi ʻaʻai
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