Ua ʻike anei ʻoe i kahi puʻupuʻu hou ma kekahi wahi o kou kino ʻaʻole ʻeha, akā he mea weliweli iki ia? A i ʻole ua ʻeha paha ʻoe i kou mau lima a i ʻole kou mau wāwae no kekahi manawa lōʻihi me ke kumu ʻole? I kekahi manawa, ʻaʻole mākou e nānā nui i kēia mau mea, akā i nā hihia kakaikahi, hiki i kēia ke lilo i mau hōʻailona o kahi ʻano maʻi kanesa i kapa ʻia ʻo 'Sarcoma' . Hopohopo iki ka poʻe he nui ke lohe lākou i kēia inoa, no ka mea, he mea kakaikahi iki ia. No laila, i kēia lā e kamaʻilio mākou e pili ana iā Sarcoma, i kona manaʻo, pehea e ulu ai, he aha nā hōʻailona, a inā he lāʻau lapaʻau, ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
He aha maoli ka Sarcoma?
I ka ʻōlelo maʻalahi, he puʻupuʻu ʻino ʻo Sarcoma, ʻo ia hoʻi, ke kanesa, e ulu ana i loko o nā iwi a i ʻole nā ʻiʻo palupalu o ko mākou kino. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke kumu o kēia ʻiʻo palupalu. ʻO nā ʻiʻo palupalu nā mea e kākoʻo ana i nā ʻano hana ʻē aʻe i loko o ko mākou kino. Eia kekahi laʻana:
- Nā ʻiʻo (ʻiʻo)
- Momona
- Nā ʻiʻo (nā ʻiʻo e hoʻopili ai i nā ʻiʻo i nā iwi)
- Cartilage (ʻiʻo palupalu i loaʻa ma nā wahi e like me nā hono)
- Nā Ligaments (nā ʻiʻo e hoʻohui i nā iwi)
- Nā kīʻaha koko (nā aʻa koko)
- Nā aʻalolo
ʻO kēia ʻano maʻi kanesa i kapa ʻia ʻo sarcoma he mea kākaʻikahi loa ia. Inā mākou e lawe i ka huina o nā maʻi kanesa e kū mai ana i nā pākeke, he liʻiliʻi ka sarcoma, ma kahi o 1%. Eia nō naʻe, ma kahi o 15% o nā maʻi kanesa e kū mai ana i nā keiki hiki ke lilo i sarcoma. Ma kahi ʻāina e like me ʻAmelika, ma kahi o 16,000 mau hihia hou o ka sarcoma i hōʻike ʻia i kēlā me kēia makahiki. Ma waena o kēia mau mea, ma kahi o 4,000 he mau sarcoma e ulu ana i loko o nā iwi, a ma kahi o 13,000 he mau sarcoma e ulu ana i loko o nā ʻiʻo palupalu.
Ma hea kahi e loaʻa pinepine ai ka sarcoma?
E noʻonoʻo wale, hiki i kēia sarcoma ke ulu ma nā wahi āpau o ko mākou kino, mai ko mākou poʻo a i ko mākou mau manamana wāwae. Eia nō naʻe, aia kekahi mau wahi i ʻike pinepine ʻia ai:
- Ma kahi o 40 pakeneka (40%) o lākou e kū mai ana ma ko mākou mau wāwae (nā wāwae, nā kuʻekuʻe wāwae, nā wāwae).
- Ma kahi o 15 pakeneka (15%) e pili ana i nā lima (poʻohiwi, nā lima, nā pulima lima, nā manamana lima).
- Ma kahi o 30 pakeneka (30%) aia ma nā wahi e like me ko mākou kino, ka umauma, ka ʻōpū, a me ke pelvis.
- Ma kahi o ʻumikūmālima pakeneka (15%) e pili ana i ke poʻo a me ka ʻāʻī.
He aha nā ʻano o Sarcoma?
ʻAʻole hoʻokahi wale nō ʻano ʻo Sarcoma. He huaʻōlelo ākea ia no kahi hui nui o nā maʻi kanesa e ulu ana i loko o nā iwi a me nā ʻiʻo palupalu. ʻO kaʻoiaʻiʻo, ua ʻike ʻia ma mua o 70 mau ʻano o ka sarcoma. He mea paʻakikī loa ia, ʻeā? E nānā kākou i nā ʻano nui ʻelua.
1. Nā Sarcomas Iwi
He maʻi ʻaʻai kēia e hoʻomaka pololei ana i loko o nā iwi ('primary bone sarcoma'). Ua ʻike ʻia ma mua o ka hapakolu o kēia ʻano sarcoma i nā poʻe ma lalo o 35 mau makahiki. Hiki ke ʻike ʻia i nā keiki.
ʻO kekahi o nā ʻano nui o ka sarcoma iwi:
- ʻOsteosarcoma(ʻO kēia ke ʻano i ʻike pinepine ʻia)
- ʻO ke kondrosarcoma
- ʻO Chordoma
- ʻO ka sarcoma o Ewing
- ʻO ka maʻi fibrosarcoma
He mea nui: ʻAʻole nā maʻi kanesa āpau e ulu ana i loko o nā iwi he sarcoma iwi. I kekahi manawa, hiki i nā hunaola kanesa i hoʻomaka ma kahi ʻē aʻe o ke kino (e like me nā māmā, ka umauma, a i ʻole ka thyroid) ke hele ma ke kahe koko a laha i nā iwi. Ua kapa ʻia kēia he maʻi kanesa iwi metastatic . He ʻokoʻa kēia mai ke maʻi kanesa iwi mua.
2. Nā Sarcomas ʻiʻo palupalu
Hoʻomaka kēia i loko o ko kākou mau ʻiʻo a i ʻole nā ʻiʻo hoʻopili ʻē aʻe i loko o ke kino. ʻAʻole e like me ka sarcoma iwi, ʻo ka sarcoma ʻiʻo palupalu ka mea maʻamau i nā pākeke. Eia nō naʻe, ʻoi aku ka maʻamau o kekahi mau ʻano, e like me ka rhabdomyosarcoma, i nā keiki.
Aia kekahi mau ʻano o ka sarcoma palupalu:
- ʻO ka angiosarcoma
- Nā puʻupuʻu cell poepoe liʻiliʻi Desmoplastic
- ʻO ka puʻupuʻu stromal Gastrointestinal (GIST)
- ʻO ka Leiomyosarcoma
- Liposarcoma
- ʻO ka puʻupuʻu ʻōpala peripheral malignant
- ʻO ka schwannoma ʻino
- ʻO ka Myxofibrosarcoma
- ʻO ka sarcoma synovial
- ʻO ka sarcoma pleomorphic i hoʻokaʻawale ʻole ʻia
E nānā i ka nui o nā ʻano! ʻOkoʻa iki paha ke ʻano a me nā ʻano lapaʻau o kēlā me kēia.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka sarcoma?
Hiki i ka Sarcoma ke hoʻopilikia i nā keiki a me nā pākeke. ʻOi aku ka maʻamau o ka sarcoma ʻiʻo palupalu i nā pākeke. ʻO ka sarcoma iwi, ma ka ʻaoʻao ʻē aʻe, ʻoi aku ka maʻamau i nā keiki, nā ʻōpio, a me nā poʻe ma luna o 65 mau makahiki. Ua hōʻike kekahi mau noiʻi he ʻoi aku ka maʻamau o ka sarcoma iwi i nā kāne a me nā poʻe ʻeleʻele a Hispanic paha.
No ke aha e ulu ai kēia sarcoma? He aha ke kumu?
ʻO kēia ka pilikia maoli i loaʻa i nā kānaka he nui. Hoʻomohala ʻia ka Sarcoma i ka wā e loaʻa ai kekahi mau loli i ka ʻike genetic (DNA) o nā cell iwi ʻōpiopio a i ʻole nā cell tissue palupalu i loko o ko mākou kino, a lilo kēlā mau cell i mau cell cancer. A laila hoʻomaka kēia mau cell cancer e māhele wikiwiki a me ka hoʻomalu ʻole ʻia. I ka hopena, hui pū kēia mau cell e hana i kahi tumor. Ulu mālie kēia tumor a hiki ke hōʻino a hoʻouka i nā ʻiʻo olakino a puni.
Inā ʻaʻole mālama pono ʻia kēia, hiki i nā hunaola kanesa ke laha ma o ko kākou koko a i ʻole ka ʻōnaehana lymphatic.Hiki i ke kanesa ke hele i nā wahi mamao o ke kino a hoʻoulu i nā puʻupuʻu hou. Ua kapa ʻia kēia he metastasis , a i ʻole ka laha ʻana o ke kanesa. He mea paʻakikī loa ka mālama ʻana i nā kanesa i laha ma kēia ʻano.
E like me nā ʻano maʻi kanesa ʻē aʻe, ʻaʻole i loaʻa i nā kānaka noiʻi ke kumu kūpono e lilo koke ai kahi cell olakino i cell sarcoma.
He aha nā kumu pilikia no ka hoʻomohala ʻana i ka sarcoma?
ʻOiai ʻaʻohe kumu pololei, ua ʻike ʻia kekahi mau mea pilikia e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i ka sarcoma. ʻO lākou kēia:
- Ka ʻike ʻia ʻana i kekahi mau kemika: Ka ʻike lōʻihi ʻia ʻana i nā mea e like me ka arsenic, kekahi mau kemika i hoʻohana ʻia e hana i nā plastics (e like me ka vinyl chloride monomer), nā herbicides (e like me ka phenoxyacetic acid), a me nā mea mālama lāʻau (e like me nā chlorophenols).
- Pāhawewe: ʻO ka ʻike ʻia ʻana i nā koina kiʻekiʻe o ka pāhawewe ma ke ʻano he lāʻau lapaʻau mua no kekahi maʻi kanesa ʻē aʻe.
- Lymphedema: ʻO ka pehu lōʻihi o nā lima a i ʻole nā wāwae.
- Kekahi mau kūlana hoʻoilina: Hoʻoilina ʻia kekahi mau kūlana hoʻoilina a me nā loli chromosome. ʻO nā laʻana e komo pū me ka Gardner syndrome, Werner syndrome, von Hippel-Lindau disease, Gorlin syndrome, tuberous sclerosis, Li-Fraumeni syndrome, retinoblastoma, a me neurofibromatosis type 1. He mau kūlana kakaikahi loa kēia.
ʻO ka loaʻa ʻana o kēia mau mea pilikia, ʻaʻole ia he manaʻo e loaʻa maoli iā ʻoe ka sarcoma. Eia nō naʻe, he mea nui e makaʻala iā lākou.
He aha nā hōʻailona o Sarcoma? Pehea ʻoe e ʻike ai?
ʻOkoʻa loa nā hōʻailona o ka sarcoma ma muli o kahi i loaʻa ai ke kanesa. No ka laʻana, ʻaʻole paha e hōʻike mua kekahi mau sarcoma i kekahi mau hōʻailona. Hiki i kekahi ke manaʻo e like me kahi puʻupuʻu ʻeha ʻole ma lalo o ka ʻili. Eia nō naʻe, hoʻomaka wale ka ʻeha ke ulu ka puʻupuʻu a kaomi i nā aʻalolo a me nā ʻōpū kokoke.
Ma kekahi ʻaoʻao, hiki i kekahi mau sarcomas ke hoʻoulu i ka ʻeha mau loa a me ka pehu ʻana i nā iwi o ka lima a i ʻole ka wāwae . Hiki i kēia ke ʻeha nui loa i ka pō . Hiki i kēia ke paʻakikī i ka hoʻoneʻe ʻana i kou lima a i ʻole kou wāwae a hana i nā hana o kēlā me kēia lā.
ʻO kekahi mau hōʻailona maʻamau e ʻike ʻia:
- He puʻupuʻu hou a pehu paha (he ʻeha paha kēia a ʻaʻole paha).
- ʻEha hiki ʻole ke wehewehe ʻia ma ka lima, ka wāwae, ka ʻōpū, a i ʻole ke pelvis.
- Ka paʻakikī i ka hoʻoneʻe ʻana i kahi lima a i ʻole ka wāwae (e like me ka ʻoʻopa ʻana, ka neʻe palena ʻia).
- Ka pohō kaumaha me ke kumu ʻole.
- ʻEha hope (ʻoi aku hoʻi inā aia ke kanesa ma ka iwi kuamoʻo).
E hoʻomanaʻo, hiki ke ʻike ʻia kēia mau hōʻailona ma nā maʻi ʻē aʻe he nui. No laila, mai makaʻu e manaʻo he sarcoma ia no ka mea he hōʻailona kou e like me kēia. Eia nō naʻe, he mea naʻauao ke ʻike i ke kauka a loaʻa ka ʻōlelo aʻoaʻo.
Pehea e hōʻoia pololei ai i ka sarcoma? (Diagnosis)
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, e nīnau mua kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. A laila, pono lākou e hana i kekahi mau hoʻokolohua kūikawā e hōʻoia inā he sarcoma kou a me ke ʻano o ia mea. ʻO ka hoʻāʻo koʻikoʻi loa he biopsy.
ʻO ka biopsy e pili ana i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a hoʻouna iā ia i kahi keʻena hoʻokolohua. Ma laila, e nānā kahi loea i kapa ʻia he pathologist i ka ʻiʻo ma lalo o kahi microscope e ʻike inā loaʻa nā hunaola kanesa a, inā pēlā, he aha ke ʻano o ka sarcoma. E kōkua kēia ʻike i ka hoʻoholo ʻana i ka lāʻau lapaʻau maikaʻi loa nāu.
ʻO kekahi mau hoʻokolohua ʻē aʻe:
- X-ray: Hiki i kēia ke kiʻi i nā kiʻi o nā iwi a me nā ʻiʻo palupalu.
- CT scan (Computed Tomography scan): Lawe kēia i kahi moʻo o nā kukuna X a hana i nā hiʻohiʻona ʻokiʻoki o loko o ke kino.
- MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi maopopo a kikoʻī o loko o ke kino. Inā ʻike ʻia kekahi mea ʻē ma kahi X-ray, e noi ʻia paha ʻoe e hana i kahi MRI.
- ʻO ke scan iwi: Ma kēia, ua hoʻokomo ʻia kahi liʻiliʻi o ka mea radioactive i loko o ke kino e kōkua i ka ʻike ʻana i nā ʻano ʻē i nā iwi (e like me ka sarcoma iwi).
- ʻO ka scan PET (Positron Emission Tomography scan): Hoʻohana kēia i kahi ʻano glucose kūikawā. No ka mea, ʻo nā cell e māhele wikiwiki ana, e like me nā cell cancer, hoʻohana i ka nui o ka glucose, hiki i kēia scan ke hōʻike i nā wahi o ke kino kahi i kiʻekiʻe loa ai nā pae glucose (kahi e loaʻa ai nā tumors).
Pehea e hoʻoholo ʻia ai nā pae o ka sarcoma?
He mea nui loa ka hoʻoholo ʻana i ke kahua o kahi maʻi ʻaʻai. Kōkua ia i ka hoʻomaopopo ʻana i ke koʻikoʻi o ke kanesa a me nā koho lapaʻau maikaʻi loa. Hoʻokaʻawale ʻia ka hapa nui o nā sarcomas e like me ka ʻōnaehana hoʻokaʻawale TNM :
- T (Tumor): Pili kēia i ka nui a me kahi o ka puʻupuʻu kanesa mua.
- N (Nā Nodes): Pili kēia i ka laha ʻana o ke kanesa i nā lymph nodes kokoke .
- M (Metastasis): Pili kēia i ka laha ʻana o ke kanesa (metastasized) i nā ʻōpū mamao ʻē aʻe o ke kino.
Eia kekahi, hoʻokaʻawale nā kauka i ke kanesa (Pae - G).Pili kēia i ke ʻano like a ʻokoʻa paha o nā hunaola kanesa mai nā hunaola maʻamau. Ma keʻano laulā, ʻo ka like o nā hunaola kanesa me nā hunaola maʻamau, ʻoi aku ka maikaʻi o ka wānana.
Ma ka hoʻohana ʻana i kēia ʻike āpau, hoʻoholo nā kauka i ke kahua o ka sarcoma (he helu mai 1 a 4). ʻO ke kiʻekiʻe o ka helu, ʻo ka nui o ka ulu ʻana o ke kanesa ma kahi kūloko a i ʻole ka laha ʻana ma ke kino holoʻokoʻa.
ʻOkoʻa iki paha nā pae hoʻohālikelike no ka hoʻoholo ʻana i ke kahua no kēlā me kēia ʻano sarcoma. No laila, e kamaʻilio me kāu kauka e pili ana i ke kahua o kou maʻi ʻaʻai a pehea e pili ai i kāu mālama ʻana a me ka hoʻōla ʻana i ka wā e hiki mai ana.
He aha nā lāʻau lapaʻau no ka sarcoma?
I ka mālama ʻana i ka sarcoma, ʻaʻole hoʻokahi kauka wale nō, akā he hui o nā loea e hana pū ana. Hiki i kēia hui ke komo pū me nā kauka ʻokiʻoki, nā radiologists, nā geneticists, nā oncologists lapaʻau, nā oncologists radiation, nā pathologists, nā pediatricians (no nā maʻi ʻaʻai kamaliʻi), nā psychologists, a me nā limahana hana kaiaulu.
ʻO ka lāʻau lapaʻau āu e loaʻa ai e hilinaʻi ʻia ma nā kumu he nui, me:
- ʻAno Sarcoma.
- Ka nui a me ka wahi o ka puʻupuʻu.
- Kou olakino laulā.
- Inā ua ʻike hou ʻia ka sarcoma a i ʻole ua ulu mua a hoʻi mai (hana hou).
ʻO kekahi o nā ʻano lapaʻau nui:
1. ʻoki kino
Ma kēia ʻano, hoʻāʻo nā kauka e wehe i nā hunaola kanesa āpau me ka mālama ʻana i ka nui o nā ʻiʻo olakino e like me ka hiki. Hoʻopau ʻia ka puʻupuʻu me kahi palena maikaʻi ʻole o nā ʻiʻo olakino a puni ka puʻupuʻu ('wide local excision'). Hoʻāʻo kēia e wehe i nā hunaola kanesa liʻiliʻi loa, microscopic me ka waiho ʻole ʻana i kekahi.
I kekahi manawa, pono e hana hou ʻia ka wahi i hoʻopilikia ʻia. I ke ʻoki hoʻōla lālā, wehe ʻia ka puʻupuʻu a, inā pono, kūkulu hou ʻia ke ami me nā pani metala. I kekahi manawa, hiki ke hoʻohana ʻia ka iwi mai kahi ʻāpana ʻē aʻe o ke kino a i ʻole kekahi kāpili ʻē aʻe e pani i ka iwi i wehe ʻia. Eia nō naʻe, i kekahi mau hihia, ʻo ke koho palekana a maikaʻi loa ka wehe ʻana i ka lālā i hoʻopilikia ʻia (amputation). He hoʻoholo paʻakikī loa kēia.
2. Hoʻōla Radiation
Ma kēia ʻano, hoʻohana ʻia nā kukuna X-ikehu kiʻekiʻe e luku i nā hunaola kanesa. ʻO ka pahuhopu ka hōʻemi ʻana i ka hōʻino ʻana i nā hunaola olakino. Hiki ke hāʻawi ʻia ka lāʻau lapaʻau radiation ma loko (e hoʻokomo ʻia i loko o ke kino) a i waho paha (e hāʻawi ʻia mai waho o ke kino e kahi mīkini). ʻO ka ʻenehana holomua o kēia wā e hiki ai i ke kukuna radiation ke kuhikuhi pololei ʻia i ke kanesa, e mālama ana i nā ʻiʻo olakino a puni.
Hiki ke hoʻohana ʻia ka radiation therapy i hāʻawi ʻia i loko , i kapa ʻia hoʻi ʻo brachytherapy , no nā sarcomas i laha ʻole. Hiki ke hāʻawi ʻia i ka wā o ke ʻoki kino (intra-operative radiotherapy) a i ʻole ma o nā paipu plastik (catheters) ma hope o ke ʻoki kino (interstitial brachytherapy).
Hoʻohana ʻia ka lāʻau lapaʻau radiation i nā hihia kahi i laha ai ke kanesa (maʻi metastatic).
3. Kemoterapi
Hoʻohana kēia i nā lāʻau lapaʻau e pepehi wikiwiki ana i nā hunaola kanesa a hoʻolohi paha i ko lākou ulu ʻana. Hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano intravenous a i ʻole he mau pila i lawe ʻia ma ka waha. Hāʻawi ʻia lākou e hoʻēmi i ka puʻupuʻu ma mua o ke ʻoki ʻana a i ʻole e pepehi i nā hunaola kanesa i koe ma hope o ke ʻoki ʻana. I kekahi manawa, hāʻawi ʻia ka chemotherapy me ka radiation therapy.
4. Hoʻōla i kuhikuhi ʻia
He lāʻau lapaʻau kūikawā loa kēia. Hoʻohana ia i nā lāʻau lapaʻau e kuhikuhi ana i nā nāwaliwali kikoʻī i loko o nā hunaola kanesa me ka ʻole o ka hōʻeha ʻana i nā hunaola olakino. Eia nō naʻe, hana wale kēia lāʻau lapaʻau i nā ʻano hunaola kanesa i loaʻa kēlā mau nāwaliwali i kuhikuhi ʻia. Hiki i kāu kauka ke ʻōlelo aku iā ia ma ke ʻano he lāʻau lapaʻau hoʻokahi a i ʻole i hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe.
5. Immunotherapy / Biologic Therapy
ʻO kēia ka hoʻoikaika ʻana i ka ʻōnaehana pale ponoʻī o ko mākou kino , e kōkua ana iā ia e ʻike a hakakā i nā hunaola kanesa. Hiki i nā hunaola kanesa ke peʻe mai kā mākou ʻōnaehana pale, a i ʻole e hoʻōki iā ia mai ka hana ʻana. ʻO ia ke kumu e ulu ai nā hunaola kanesa i loko o ke kino. Hana ka Immunotherapy ma ka hoʻopau ʻana i kēia mau ʻano pale o nā hunaola kanesa a me ke kōkua ʻana i ko mākou kino e hakakā i ka kanesa ponoʻī.
6. Hoʻopau Wela
I kekahi manawa, hiki ke luku ʻia nā sarcomas ma ka hoʻomehana ʻana a i ʻole ka hoʻopaʻahau ʻana iā lākou . Hana ʻia kēia e kahi radiologist interventional, nāna e hoʻohana i kahi scan (e like me ka CT scan) e ʻimi pono i ka puʻupuʻu a hoʻokomo i kahi mea hana kūikawā (kahi probe).
7. Mālama Palekana
ʻAʻole kēia he lāʻau lapaʻau e ho'ōla ai i ka maʻi kanesa. Akā, he mea nui loa ia. He mālama lapaʻau kūikawā kēia no ka poʻe me nā maʻi koʻikoʻi e like me ke kanesa. Aia i loko o ka hui mālama palliative nā kauka, nā kahu maʻi, nā limahana hana kaiaulu, a me nā meaʻai. Hana lākou e hōʻoluʻolu i nā hōʻailona a hoʻokele i nā hopena ʻaoʻao o ka lāʻau lapaʻau.Kōkua pū kēia hui iā ʻoe e hoʻoponopono i ke kaumaha a me nā pilikia e hele mai me ka maʻi kanesa a mālama i kou ola maikaʻi.
8. Nā Hoʻokolohua Lapaʻau
Hiki i kāu kauka ke ʻōlelo aku iā ʻoe e komo i kahi hoʻokolohua lapaʻau . ʻO kēia nā haʻawina e hoʻāʻo ai i ka palekana a me ka pono o nā lāʻau lapaʻau hou no ka maʻi kanesa. Aia mau nā lāʻau lapaʻau hou no ka sarcoma i ka pae noiʻi. Ma muli o kāu hōʻailona, hiki i kēia ʻano hoʻokolohua ke koho nāu.
Pehea ke ʻano o ke ola me ka Sarcoma? (Ka helu ola)
He nīnau kēia a ka poʻe he nui e nīnau ai. I loko o ka sarcoma ʻiʻo palupalu, ʻo ka nui o ke ola ʻelima makahiki ma kahi o 81% inā ʻaʻole i laha ka maʻi kanesa i nā ʻāpana ʻē aʻe o ke kino (metastasized). Eia nō naʻe, i nā hihia o ka maʻi kanesa metastatic, ʻo kēia helu ma kahi o 15%. I loko o ka osteosarcoma, ke ʻano maʻamau o ka sarcoma iwi, ʻo ka nui o ke ola ʻelima makahiki ma kahi o 77% inā ʻaʻole i laha ka maʻi kanesa, a i nā hihia o ka maʻi kanesa metastatic, ma kahi o 26%.
Eia naʻe, mai hoʻokumu i kāu wānana ma kēia mau helu wale nō. E hilinaʻi kāu hopena i nā kumu he nui, me ke ʻano o ka sarcoma āu, kahi i loaʻa ai, kou olakino holoʻokoʻa, a pehea ʻoe e pane ai i ka lāʻau lapaʻau. ʻO kāu kauka ke kanaka maikaʻi loa e ʻike i nā kikoʻī pololei no kou kūlana.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe kahi puʻupuʻu hou - inā he ʻeha a ʻaʻole paha - ʻoiai inā he nui ia e like me ka pōpō kolepa (ma kahi o 5 kenimika), e ʻike koke i ke kauka. Eia kekahi, inā loaʻa iā ʻoe a i ʻole kāu keiki ka ʻeha iwi me ka ʻole o kahi ʻeha , a ʻaʻole ia e hoʻomaikaʻi iā ia iho, e ʻimi i ka ʻōlelo aʻo lapaʻau.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
ʻAʻole ʻo Sarcoma he ʻano maʻi kanesa hoʻokahi. He hui ia o nā ʻano puʻupuʻu like ʻole e hiki ke ulu i loko o ko kākou mau iwi a i ʻole nā ʻiʻo palupalu. ʻOkoʻa nā hōʻailona ma muli o kahi o ka puʻupuʻu. Inā ua ʻike ʻia ʻoe me ka sarcoma, e hoʻomanaʻo e pili ana kāu mau koho lapaʻau a me ke ʻano o ka maʻi i nā kumu he nui. Hiki i kāu kauka ke wehewehe i kēia mau mea āpau iā ʻoe.
Mai hopohopo, akā e makaʻala. Inā ʻike ʻoe i kekahi mea ʻē, e kamaʻilio me ke kauka e pili ana i ia mea. ʻO ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka nui o ka kūleʻa o ka lāʻau lapaʻau.
ʻO Sarcoma, maʻi ʻaʻai, maʻi ʻaʻai iwi, maʻi ʻaʻai palupalu, nā hōʻailona maʻi ʻaʻai, ka mālama ʻana i ka maʻi ʻaʻai, Sarcoma











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