Ua piha anei nā iwi o kāu keiki i nā pehu wai? (Unicameral Bone Cyst) E aʻo kākou e pili ana i ia mea.

ʻAuē, i kekahi manawa hiki ke hana ʻia nā mea i loko o ke kino o nā keiki liʻiliʻi āu e noʻonoʻo ʻole ai, ʻeā? I kekahi manawa hiki ke loaʻa kekahi mea hewa i loko me ka ʻole o nā hōʻailona. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano maʻi, kahi pinepine ʻaʻole hōʻike i nā hōʻailona, ​​​​akā he mea nui e makaʻala. ʻO ia ke ʻano o ka puʻupuʻu e hana ʻia i loko o nā iwi i kapa ʻia ʻo 'Unicameral Bone Cyst' . Mai makaʻu, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia cyst iwi (Unicameral Bone Cyst)?

I ka ʻōlelo maʻalahi, ʻo kēia (Unicameral Bone Cyst) he lua liʻiliʻi i piha i ka wai e hana ʻia i loko o ka iwi. ʻO ka huaʻōlelo "unicameral" ʻo ia hoʻi "keʻena hoʻokahi." No laila, hoʻokahi wale nō lua i piha i ka wai i loko o kēia cyst.

ʻO ka mea nui, ʻaʻole kēia he maʻi kanesa (benign) . ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa, no laila ʻaʻole lākou he mea e hopohopo ai. ʻIke pinepine ʻia kēia mau puʻupuʻu i nā keiki a me nā ʻōpio ma lalo o 20 mau makahiki.

ʻOiai hiki ke hana ʻia kēia mau ʻōpū i loko o kekahi iwi, loaʻa pinepine lākou i loko o:

• Ma ka iwi lōʻihi ma ka lima luna, kokoke i ka poʻohiwi (`humerus`)
• Ma ka ʻaoʻao o luna o ka wāwae, kokoke i ka ʻūhā (ka femur)

ʻO ka hapa nui o ka manawa, ʻaʻole kēia mau (Unicameral Bone Cysts) e hōʻeha . I kekahi manawa, ʻike ʻia lākou i ka wā i hana ʻia ai kahi X-ray no kekahi kumu ʻē aʻe. Eia nō naʻe, inā nāwaliwali ka iwi a puni ka cyst a haki ka iwi , hiki ke loaʻa ka ʻeha a me ka pehu.

Aia kekahi ʻano o kēia mau nati?

ʻAe, aia ʻelua ʻano nui o nā Unicameral Bone Cysts. Hoʻomohala kēia mau mea kokoke i nā wahi e ulu ai nā iwi o nā keiki, i kapa ʻia ʻo "growth plates." Ke hoʻolōʻihi mālie nā iwi o kāu keiki, neʻe aku kēia mau cysts mai nā papa ulu.

1. Nā cysts hana: Aia kēia mau mea kokoke loa i ka papa ulu. Hiki iā lākou ke nui iki aʻe i ka hala ʻana o ka manawa. I ko lākou nui ʻana, nāwaliwali ka iwi a puni a ʻoi aku ka maʻalahi o ka haki ʻana.

2. Nā cysts huna: Aia kēia mau mea ma kahi mamao iki mai ka papa ulu. ʻAʻole lākou e nui aʻe. Ke pau ka ulu ʻana o ka iwi o kāu keiki, ʻo ia hoʻi, ma hope o kona ulu piha ʻana, e piha ka hapa nui o kēia mau cysts me ka iwi a nalowale iā lākou iho.

E noʻonoʻo i kēia ʻano, e like me ka ulu ʻana o kahi lālā ma luna o kahi lāʻau. ʻO kēlā 'papa ulu' ua like ia me kahi e hoʻomaka ai ka lālā. Hoʻokumu ʻia nā 'kikowaena hana' ma laila, a hiki ke hoʻohuli i ka lālā i kona ulu ʻana. ʻO nā 'kikowaena hana ʻole' ua like ia me kahi mea, ma hope o ka ulu iki ʻana o ka lālā, ua neʻe aku mai kahi i hoʻomaka ai, a ʻaʻohe pilikia nui hou.

Pehea ka maʻamau? ʻO wai ka mea i loaʻa pinepine?

He mea maʻamau kēia mau mea (Unicameral Bone Cysts).He ʻano puʻupuʻu iwi. Akā, no ka mea, ʻaʻohe hōʻailona o ka nui o ka poʻe a ʻaʻole i ʻike ʻia, he paʻakikī ke ʻike pololei i ka nui o ka poʻe i loaʻa iā ia. Ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o ke kūlana i nā keikikāne ma mua o nā kaikamahine.

No ke aha e like ai kēia ʻano o nā puʻupuʻu? He aha ke kumu?

ʻO ka ʻoiaʻiʻo, ʻaʻole hiki i nā kauka ke ʻike pono i ke kumu o kēia mau (Unicameral Bone Cysts). Ua manaʻo ʻia ma muli paha o kekahi kīnā i ka iwi, a i ʻole ma muli o kahi paʻa i loko o kahi aa koko, hiki ke hōʻiliʻili ka wai a hana i kēlā mau cysts. Akā, ʻaʻole maopopo loa ke kumu .

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

ʻAʻole hōʻike ka nui o nā keiki me nā Unicameral Bone Cysts i kekahi mau hōʻailona . A i ʻole, hiki iā lākou ke hōʻike i nā hōʻailona liʻiliʻi loa a koʻikoʻi kokoke i kahi o ka cyst. ʻO ia mau hōʻailona:

• ʻEha iki wale nō.
• He pehu liʻiliʻi.
• ʻOluʻolu ke hoʻopā ʻia.

Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, inā hoʻonāwaliwali kēia puʻupuʻu i ka iwi a hoʻoulu i ka haki , hiki ke maopopo loa nā hōʻailona:

• ʻEha.
• Ka paʻakikī o ka hoʻoneʻe ʻana i nā lālā.
• ʻEha nui.
• Pehu.
• He loli i ke ʻano o ke ʻano a i ʻole ke kūlana o ka iwi. (No ka laʻana, me he mea lā ua kīkoʻo ʻia ka lima)

E noʻonoʻo e hāʻule ana kāu keiki i ka wā e pāʻani ana a loaʻa iā ia kahi X-ray ma muli o ka ʻeha ma ko lākou lima. ʻO ia ka manawa e ʻike hewa ai ke kauka i kahi puʻupuʻu e like me kēia.

Pehea e ʻike ai ke kauka i kēia?

ʻO ke ala nui e ʻike ai i kahi Unicameral Bone Cyst ʻo ia ke loaʻa ʻana o kahi X-ray . Hiki i kahi X-ray ke hōʻike maopopo i ka ʻokoʻa ma waena o ka iwi a me ka cyst.

Eia nō naʻe, i kekahi manawa hiki i ke kauka ke ʻōlelo i kekahi mau hoʻokolohua hou aʻe:

• MRI (Magnetic Resonance Imaging): Hiki i kēia ke hana i kahi kiʻi maopopo loa o ka lua i loko o ka puʻupuʻu a me nā ʻiʻo a puni. Kōkua kēia i ka ʻike kikoʻī i ka mea i loko o ka puʻupuʻu a me kona nui.
• ʻO ke kiʻi CT scan (Computed Tomography scan): He mea pono loa kēia no ka nānā ʻana i nā ʻōpū ma nā wahi paʻakikī ke ʻike ʻia me ka ʻX-ray, no ka laʻana, ma ke kuamoʻo a me ke pelvis. Lawe ia i nā kiʻi ʻokiʻoki o nā iwi a hiki ke hoʻoholo i kahi a me ka nui o ka ʻōpū.
• Biopsy: I kekahi manawa, lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka cyst a nānā ʻia ma lalo o kahi microscope. Hana ʻia kēia e kahi pathologist . E nānā ʻo ia i ka hāpana ʻiʻo e hoʻoholo ai inā he cyst iwi unicameral, ʻano cyst iwi ʻē aʻe, e like me ka cyst iwi aneurysmal, a i ʻole kekahi ʻano iwi ʻē aʻe, e like me ka fibrous dysplasia.

Hana ʻia kēia mau hoʻokolohua a pau e ʻike pono i ke ʻano o kāu keiki a hāʻawi i ka lāʻau kūpono loa.

He aha nā mea e hoʻoholo ai i ka lāʻau lapaʻau?

E hoʻoholo ke kauka inā e mālama i kāu keiki a nānā wale paha iā lākou ma muli o kekahi mau kumu:

• Ka nui o ka puʻupuʻu: Pehea ka nui o ka puʻupuʻu?
• Ikaika o ka iwi: Pehea ka nāwaliwali o ka iwi ma muli o ka puʻupuʻu? He aha ka pilikia o ka haki ʻana?
• Nā hōʻailona o ke keiki: Loaʻa i ke keiki kekahi ʻeha a pehu paha?
• Ka makahiki a me ka pae hana o ke keiki: ʻEhia makahiki o ke keiki? He keiki ʻeleu anei ʻo ia e holo a pāʻani?

Inā he puʻupuʻu liʻiliʻi ia a ʻaʻohe hōʻailona, ​​​​e ʻōlelo paha ke kauka , "E kali kākou a ʻike." A laila e hoʻomau lākou i ka lawe ʻana i nā kukuna X e ʻike inā e nui ana ka puʻupuʻu a i ʻole inā he loli. Hiki iā lākou ke noi iā ʻoe e kaupalena i kekahi mau hana (e like me ka holo ʻana a i ʻole ka lele ʻana) e hōʻemi i ka pilikia o ka haki ʻana o ka iwi.

Eia nō naʻe, inā nui ka puʻupuʻu, ke ʻike nei ke keiki i nā hōʻailona, ​​​​a i ʻole he nui ka pilikia o ka haki ʻana, hiki i ke kauka ke ʻōlelo i ka lāʻau lapaʻau.

He aha nā koho lapaʻau?

Mai hopohopo, aia nā lāʻau lapaʻau kūpono no kēia mau mea (Unicameral Bone Cysts).

1. Ka lāʻau lapaʻau ma o nā inikini:

ʻO kēia pinepine ke ʻano hana mua a liʻiliʻi loa i hoʻāʻo ʻia. Hoʻomāʻū ke kauka i kahi o ka cyst a hoʻohana i kahi nila lahilahi e wehe i ke wai i loko o ka cyst. A laila, hoʻokomo ʻia kahi steroid i kapa ʻia ʻo methylprednisolone i loko o ka lua. Kōkua kēia lāʻau lapaʻau i ka cyst e emi mālie. Pono paha ʻoe e loaʻa i kēia mau inikini i nā manawa he nui, i kēlā me kēia mau pule.

2. Lapaʻau ʻana ma ke ʻoki kino (Curettage):

I kekahi mau hihia, ʻoiai inā nui ka puʻupuʻu a inā ʻaʻole kōkua nā inikini, hiki ke hana ʻia kahi hana i kapa ʻia ʻo "curettage" . Ma kēia, hana ke kauka ʻoki i kahi puka liʻiliʻi ma ka iwi kahi i loaʻa ai ka puʻupuʻu, e ʻeli i nā mea o loko o ka puʻupuʻu a me ka uhi o ka puʻupuʻu. A laila, hiki ke hoʻokomo ʻia kahi kemika e like me "ethanol" i loko o ka lua e luku loa i nā hunaola puʻupuʻu i koe.

A laila, e hoʻopiha i kēlā lua hakahaka:

• He `ʻOki iwi`: ʻO ia hoʻi ka hoʻohana ʻana i kahi ʻāpana iwi liʻiliʻi i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino ponoʻī o ke keiki (e.g., ka iwi ʻūhā), a i ʻole kahi iwi i hāʻawi ʻia.
• He ʻano kūikawā o ka sima iwi: Hiki i kēia ke hoʻopiha i kēlā hakahaka.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e hoʻopaʻa i ka iwi i mālama ʻia a hiki i kona ho'ōla ʻana.Hoʻopili ʻia kahi plaster of Paris (casted) a i ʻole kahi sling. Hiki i ka hapa nui o nā keiki ke hoʻi hou i kā lākou hana maʻamau ma kahi o ʻekolu a ʻeono mahina. Eia nō naʻe, hiki ke ʻokoʻa kēia mai kekahi keiki a i kekahi keiki, ma muli o ke ʻano o ka puʻupuʻu.

I ka wā hoʻōla, e alakaʻi kāu kauka iā ʻoe a me kāu keiki. Pono paha ʻoe i ka hoʻōla kino a i ʻole ka hoʻōla hana . ʻO ia hoʻi nā hoʻomaʻamaʻa e kōkua iā ʻoe e maʻa i nā neʻe ʻana a hoʻoikaika i kou mau lālā.

He aha ka mea e hana ai inā haki ka iwi (fractures)?

Inā haki kahi iwi, ʻo ka lāʻau maʻamau, ʻo ke kau ʻana i ka plaster of Paris (cast) ma ka iwi haki i mea e paʻa ai . A laila e ho'ōla ʻia ka iwi ma kona iho.

Eia nō naʻe, inā ua hōʻino ʻia ka papa ulu aʻu i ʻōlelo ai ma mua , pono paha ka mālama hou ʻana ma muli o ke koʻikoʻi o ke kūlana. I kēlā mau hihia:

• Ke kau ʻana i ka iwi haʻihaʻi a me ke kau ʻana i kahi hoʻolei.
• I kekahi manawa, hiki ke hana ʻia ke ʻoki ʻana e hoʻopaʻa i ka iwi me nā pine metala, nā wili, a i ʻole nā ​​​​papa.

E noʻonoʻo e pili ana i ia mea, i kekahi manawa ke haki ka iwi, ho'ōla ka puʻupuʻu iā ia iho i kona ho'ōla ʻana. ʻAʻole ia e hana i nā mea a pau, ma kahi o 1 i loko o 4 wale nō. Inā ʻaʻole e ho'ōla ka puʻupuʻu, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻana e wehe i ka puʻupuʻu e pale aku i kahi haki hou.

Hiki iā ia ke ulu hou ma hope o ka lāʻau lapaʻau?

ʻAe, he mea kēia e noʻonoʻo ai. Ma hope o ka mālama ʻana no nā Unicameral Bone Cysts, ʻo ka manawa kūpono o ka hoʻi hou ʻana ma kahi o 50% . ʻO ia hoʻi, inā mālama ʻia ʻelua mau keiki, hiki i kekahi ke hoʻi hou mai. Kiʻekiʻe loa ka pilikia o ka hoʻi hou ʻana i nā keiki ʻōpio loa .

ʻO ia ke kumu e lawe mau ai ke kauka i ke keiki no nā nānā kino a lawe i nā kukuna X-ray e ʻike inā ua hana hou ʻia kahi puʻupuʻu.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

ʻO ka mea pōʻino, ʻoiai ʻaʻole ʻike ʻia ke kumu kikoʻī o nā Unicameral Bone Cysts, ʻaʻohe ala kikoʻī e pale aku ai i ko lākou hoʻokumu ʻia ʻana .

He aha ka mea e hiki mai ana inā loaʻa i ke keiki kēia maʻi? (Wānana)

ʻAʻole hōʻike ka hapa nui (Unicameral Bone Cysts) i kekahi mau hōʻailona a nalowale iā lākou iho ke ulu piha ke keiki . ʻO ia ka nūhou maikaʻi.

Inā loaʻa i kāu keiki nā hōʻailona, ​​he haki kona ʻiʻo, a i ʻole aia i ka pilikia o ka haki ʻana, aia nā lāʻau lapaʻau kūpono . ʻO ka mea nui loa, ʻo ia ka mālama mau ʻana e like me ka ʻōlelo a kāu kauka, no ka mea, hiki ke hana hou ʻia kēia mau mea i nā keiki ʻōpio.

He mea kākaʻikahi loa, hiki ke oki ka ulu ʻana o ka iwi ma muli o ka haki ʻana a i ʻole ma hope o ke ʻoki ʻana. Inā hana ʻia kēia, e hāʻawi kāu kauka i nā kōkua a me nā ʻōlelo aʻoaʻo a pau āu a me kāu keiki e pono ai.

Āhea wau e ʻike ai i ke kauka?

Inā ʻōhumu kāu keiki i ka ʻeha kokoke i ka iwi, a inā ʻike ʻoe i kahi mea e like me ka pehu ʻana ma ia wahi, e ʻike koke i ke kauka . ʻO ka ʻike mua ʻana i kahi Unicameral Bone Cyst hiki ke pale i nā haki a me nā ʻano ʻē o ka iwi.

Leka Lawe-Home

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO nā Unicameral Bone Cysts kahi ʻano cyst iwi piha i ka wai, ʻaʻole maʻi kanesa .
• ʻIke pinepine ʻia kēia mau mea i waena o nā keiki a me nā ʻōpio .
• ʻO ka hapa nui o ka manawa ʻaʻohe hōʻailona . Ua ʻike ʻia ia ma ka ulia pōpilikia.
• Hoʻōla pinepine ia iā ia iho ke ulu piha ke keiki.
• Inā he mau hōʻailona a i ʻole he pilikia o ka haki ʻana, aia nā lāʻau lapaʻau kūpono (nā inikini, ke ʻoki kino) .
• ʻOiai me ka mālama ʻia ʻana, hiki iā ia ke hoʻi hou mai, no laila he mea nui loa e hana i nā nānā mau ʻana e like me ke kauoha a kāu kauka .

E hoʻomanaʻo, inā he kānalua iki kou e pili ana i ke olakino o kāu keiki, ʻaʻole loa e lohi ke kamaʻilio me ke kauka.

ʻO ka Cyst iwi Unicameral, cyst iwi maʻalahi, cyst iwi hoʻokahi, cysts iwi, nā maʻi iwi pediatric, nā haki iwi, ka ulu ʻana o ka iwi, ke olakino o ke keiki