Yu bon de gro lɛk smɔl tumbu? Mek wi tok abaut dis (Exostosis)!

Yu dɔn ɛva notis sɔntin lɛk smɔl tin we de gro pan bon sɔnsay na yu bɔdi, sɔntɛm na finga, leg, ɔ ivin yes? Sɔntɛnde, dɛn tin ya nɔ kin at, bɔt dɛn kin ambɔg smɔl fɔ si, nɔto so? Tide wi go tɔk bɔt ɛkstra bon growth we de gro pan bon, bɔt nɔto kansa. Dɛn kɔl dis `(Exostosis)` insay mɛdikal sayɛns.

Wetin na dis ``(Exostosis)``? Lɛ wi ɔndastand am simpul wan, nɔto so?

fכ sכmtεm, ``Exostosis`` na nyu pat pan bon we de gro pan tap yu bon, dat na, pan di bon tisu we de naw. I tan lɛk smɔl bon we de gro pan tap di bon. Di tin we impɔtant pas ɔl na dat dis nɔto kansa. Dat min se, i nɔ de sho se pɔsin gɛt kansa ɔ sɔntin we de mek pɔsin gɛt kansa. כlso, dis ``Exostosis`` nכ de spre to כda ples dεm na di bכdi (dכkta dεn kכl am ``mεtastasize``).

כl di tεm dεm, dεn ``εxostosis`` dεm ya nכ de mek εni simptom. Sɔntɛm yu nɔ go ivin no se yu gɛt wan. כltu, dipכnt pan usay di εkstra bon de gro – pan us bon, כ na us pat na di bכdi – yu kin fil pen sכmtεm we yu yuz da bon de כ muv da pat de.

di kayn tritmεnt we yu nid fכ εxostosis de dipכnt pan usay i de. Us bon i de insay go afɛkt di sayn dɛm we yu go gɛt ɛn aw dɔktɔ go trit am.

usai dis ``(Exostosis)'' kin divεlכp pan di bכdi?

wan ``(Exostosis)`` kin rili fכm pan eni bon na yu bכdi. Bɔt sɔm say dɛn de we dɛn kin bɔku. Lɛ wi tek wan luk pan wetin dɛn bi:

• Anklɛ ɛn fut bon dɛn: Yɛs, dɛn tin ya kin apin na yu anklɛ, fut finga dɛn, ɔ yu fut bon dɛn.
• insay di yes kanal dεm: εksostosis kin divεlכp bak na di bon dεm we de insay di yes.
• insay di sayn kכva dεm: dεn kin fכnshכn dεm ya bak na di bon dεm we de insay di ay kכva dεm (sayn dεm) we de rawnd yu nos.
• Jawbon: Sɔntɛnde dɛn kayn growth ya kin apin bak na di jawbone.
• di finga dεm εn di tכd dεm: dεn kin divεlכp bak pan di jכyn dεm na di finga dεm כ di fut dεm.

Sɔm kayn ``(Exostosis)`` de we dɔktɔ dɛn kin kɔl wit patikyula nem. Lɛ wi tek tɛm luk sɔm pan dɛn smɔl mɔ, nɔto so?

sεvεra tכp dεm fכ ``(Exostosis)`` we dεn de tכk bכt

• sכfa in yes: dis na di nem we dεn gi di bon dεm we de gro insay di ia kanal we dεn kכl ``Exostosis''. Pipul wae gɛt dis sik kin gɛt infεkshכn na dɛn yes. dis na biכs dis εkstra bon we de gro kin blok di ia kanal we wata go insay. Sɔntɛnde, ``Surfer's ear'' kin ivin mek yu nɔ yɛri fayn. Dɛn gi dis sik dis kayn nem bikɔs i kin mɔs pan pipul dɛm wae de swim na kol wata ɔr de surf.

• Haglund in difכmiti: Dis kin tan lεk wan strenj nem, bכt na jכs εxostosis we de divεlכp na di bak pat pan yu il bon (dεn kכl am bak di kalkaneus), usay yu Akilis tεndon (di big tεndon we de rכn frכm di tכp pat pan yu il to yu shin) de atak di bon. Di difɔmiti we Haglund gɛt kin mek i fil pen. Dis pen kin mek yu fil pen mɔ we yu wɛr sus we tayt biɛn yu il. Sɔm pipul dɛn kin kɔl am bak "pamp bump" bikɔs yu kin si am we yu wɛr sɔm ay il.

• Subungual exostosis: Dis kin apin na di bon we de ɔnda di nel na yu finga ɔ yu fut. Dat min se, ɔnda di nel bed. Dis kin mek di nel kɔmɔt ɔp, ɔ i kin mek yu fil pen rawnd di nel.

• Paranasal sinus exostosis: lεk aw di nem sho, dεn ya de divεlכp pan di bon dεm we de insay di sayn kכva dεm we de rawnd di nos. Dɛn kin mek yu nos rɔtin ɛn i nɔ kin izi fɔ blo.

• Bon spur dεm: Dis dεm dεn tu na wan kayn εksostosis. Dɔktɔ dɛn kin kɔl dɛn bak ɔstiɔfayt. dis bon spur dεm de divεlכp sכmtεm as tεm de go. dεn kin si dεm bכku tεm arawnd di jכint dεm (we tu כ mכr bon dεm de mit). Dɛn kin gɛt fɔ du wit tin dɛn lɛk ɔstiɔ-arayt.

Udat dɛn kin afɛkt mɔ pan dis sik (Exostosis)?

fכ tru, enibodi kin divεlכp wan ``(Exostosis)''. Bɔt dɛn kin bɔku pan pikin dɛn ɛn yɔŋ pipul dɛn. Di rizin fɔ dis na bikɔs we dɛn ol da ej de, dɛn bon dɛn kin gro kwik kwik wan ɛn dɛn nɔ kin gro fayn yet. so, insay da growth prכsεs de, big chans de fכ dεn ekstra bon fכmeshכn dεm ya.

Wetin na di simptom dɛm fɔ wan ``(Exostosis)``?

As wi bin dɔn tɔk, bɔku ɛksostosis nɔ kin mek ɛni sik. Sɔntɛm yu nɔ go ivin no se yu gɛt wan. Dɛn kin no am bay chans we dɛn de du ɛkstrem rayt ɔ we dɔktɔ de chɛk in bɔdi.

Bɔt if di sayn dɛn kin apin, dɛn kin tan lɛk dis:

• εksostosis: Pen na di say we di εksostosis de.
• If i divɛlɔp oba ɔ nia wan jɔyn (fɔ ɛgzampul, hip, ni, anklɛ, finga, ɔ fut), i go stif ɔ pen we yu de muv da jɔyn de.
• if dis dכn fכm na sayn kכva, di nos go fil stכf εn i go ebi.
• If yu gɛt ``Surfer's ear'', yu kin gɛt prɔblɛm wit yu yɛri. Yu kin gɛt infɛkshɔn bak na yu yes ɔltɛm bikɔs di ɛkstra bon kin mek i izi fɔ mek wata trɔp insay di yes, we kin mek i izi fɔ mek di jem dɛn gro.

Imajin, we yu de rɔn ɛn jomp, yu kin fil smɔl pen na yu anklɛ wantɛm wantɛm, ɛn i kin tan lɛk se yu de fil smɔl smɔl na yu an. If dat apin, i kin bi ``(Exostosis)''.

Wetin na di tin dɛm we kin mek pɔsin gɛt `(Exostosis)`?

sכm ``(Exostosis)`` de divεlכp fכ nכ rizin. Dɔktɔ dɛn kin kɔl dɛn ``(idiopathic)``, we min "nɔto kɔz we dɛn no."

כltu, sεvεra men rizin dεm de we de kכntribyut to di divεlכpmεnt fכ `(Exostosis):`

• Injuri: we bon dεn dכn pwεl pan sכm we, sכmtεm i kin gro bak kכrekt, fכm wan εkstra pat pan bon we dεn kכl ``Exostosis.`` Imajin se yu fכl εn brus wan bon na yu an. We i wɛl, smɔl ɛkstra bɔmp kin fɔm na di say we di brus de.
• Wɛlbɔdi prɔblɛm: Sɔm sik dɛn lɛk ɔstiɔ-arayt ɛn spɛnal stenɔsis kin mek di bon dɛn prɛs mɔ. we dis prεshכn de fכ lכng tεm εn mek i pwεl, εksostosis kin divεlכp fכ ansa.
• Famili histri: If yu mama ɛn papa dɔn gɛt ɛksɔstɔsis, yu kin gɛt am smɔl. Dis min se i kin bi se wan jenɛtik prɛdispɔzishɔn de.

Aw yu go no fɔ tru if yu gɛt ``(Exostosis)``? (Diagnosis) .

If yu sɔspɛkt se yu gɛt ɛksɔstɔsis, dɔktɔ kin kɔnfɔm am fɔ tru. Tu men we dɛn de we dɛn kin yuz fɔ dis: fɔ chɛk yu bɔdi ɛn tɛst fɔ tek imej.

Fɔs, di dɔktɔ go luk di lump na yu bɔdi, fil am, ɛn aks yu bɔt ɛni sayn we yu de gɛt.

Dɔn, dɛn go ɔda fɔ mek dɛn du imej tɛst fɔ si di bon we de gro ɛn di tisu we de rawnd am klia wan. Dis kin inklud wan ɔ mɔ pan dɛn tɛst ya:

• X-ray: Bɔku tɛm, dis na di fɔs tin we dɛn kin du. X-ray kin sho di bon dεm klia wan, so dεn kin yuz am fכ no if εxostosis de εn aw i big.
• CT skan: Dis kin mek yu gɛt mɔ ditayli pikchɔ pas ɛkstrem rayt. I de ɛp fɔ si tin dɛn lɛk di shep we di bon gɛt ɛn di rilayshɔn we i gɛt wit di tisu we de rawnd am.
• MRI skan: dis kin mek yu si klia wan nכto di bon dεm nכmכ, bכt di sכft tisu dεm we de rawnd dεm (lεk di mכsul dεm εn di tεndon dεm).

Na di infɔmeshɔn we dɛn kin gɛt frɔm dɛn tɛst ya, di dɔktɔ kin tɛl yu klia wan if yu gɛt ɛksɔstɔsis ɔ ɔda tin.

Aw fɔ trit wan ``(Exostosis)``?

Di tritmɛnt fɔ ɛksostosis de dipen pan usay i de na yu bɔdi ɛn us sayn dɛm yu de gɛt.

Sɔm `(Exostosis)` nɔ nid ɛni tritmɛnt. Yɛs, yu go sɔprayz. Bɔt na tru. If no pen ɔ diskɔmfɔt nɔ de, bɔku tɛm di dɔktɔ go se, "I nɔ bad, lɛ wi si."

If yu gɛt sɔm sayn dɛm lɛk pen ɛn swel, yu kin gɛt rilif wit ɔva-di-kɔnta pen riliva (OTC NSAID, lɛk ibuprofen). Bɔt if yu de tek dɛn tin ya we de mek yu nɔ fil pen fɔ pas tɛn dez wan tɛm, i impɔtant fɔ tɔk to yu dɔktɔ fɔs.

Pipul wae gɛt kɔndishɔn lɛk Haglund in difɔmiti kin gɛt rilif bay wae dɛn wɛr smɔl difrɛn shuz wae nɔr de put prɛshɔn pan dɛn il. Dat min se, i bɛtɛ fɔ pik sus we nɔ tayt tumɔs ɛn we gɛt sɔft il.

Sɔm kayn ɛkzostosis kin nid ɔpreshɔn. Fɔ ɛgzampul, if yu gɛt sɔfa in yes, we kin mek yu yes gɛt infɛkshɔn ɔltɛm ɔ yu nɔ kin yɛri bad bad wan , yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul di ɛkstra bon. Semweso, if wan subungual exostosis de mek di nel pwɛl ɛn mek yu fil pen we yu nɔ go ebul fɔ bia, dɛn kin yuz ɔpreshɔn fɔ pul am bak. Yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go ɛksplen to yu aw dɛn go du am, ɛn aw lɔng i go tek, ɛn aw lɔng i go tek fɔ mek i wɛl.

If a gɛt ``(Exostosis)'', wetin a fɔ ɛkspɛkt?

כltεm nכtin de fכ alarm fכ gεt ``(Exostosis)''. Yu kin ɛkspɛkt fɔ wɛl ful wan. Ivin if dɛn du ɔpreshɔn fɔ pul am, i nɔ go izi fɔ mek pɔsin gɛt ɛni sayn fɔ lɔng tɛm.

כltu, sכm kayn εksostosis – spεshal wan di sכfa in yes – gεt sכm chans fכ gro bak afta dεn pul am. So, if yu fil se yu gɛt lump ɔ growth lɛk dis bak, i go fayn fɔ go to dɔktɔ fɔ mek dɛn chɛk yu.

we de fכ mek wan ``(Exostosis)'' nכ fכm?

כnכfכs, nכ spεshal we de fכ mek εksostosis nכ fכm.

Bɔt if yu gɛt tin dɛn lɛk at at sik ɔr yu spɛnal stenɔsis, i impɔtant fɔ kɔntrol dɛn sayn dɛn de fayn fayn wan. If yu du dat, i kin mek yu nɔ gɛt strɛs we yu nɔ nid ɛn i kin mek yu bon dɛn pwɛl ɛn i kin mek yu gɛt ɛksɔstɔsis.

Ustɛm a fɔ go to mi dɔktɔ?

Dis na di tin we impɔtant pas ɔl: If yu notis nyu lump ɔ tumbu na yu bɔdi, ilɛksɛf na bon ɔ nia bon, go to dɔktɔ kwik kwik wan.

i rili impɔtant fɔ mek dɔktɔ chɛk am ɛn no if na ``Exostosis'' ɔ sɔntin we rili siriɔs (lɛk kansa tɔŋ lɛk ``Sarcoma'').

Ɛksostosis nɔto kansa. Bɔt i go fayn fɔ mek dɔktɔ chɛk ɛni nyu tin we dɔn gro ɔ we gɛt wata kwik kwik wan. Dɔn yu kin gɛt kɔnfidɛns, nɔto so?

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go si dɔktɔ, i go fayn fɔ aks sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:

• A gɛt ``Exostosis'' ɔ sɔm ɔda kayn growth?
• Us kayn `(Exostosis)` a gɛt? (Ɛgzampul: `(Sɔfa in yes)`, `(Haglund in difɔmiti)`)
• Wetin kin bi di kɔz fɔ dis ``(Exostosis)''?
• A go nid ɔpreshɔn fɔ pul dis?
• Wetin a kin du na os fɔ kɔntrol mi sik dɛn? (e.g., tin fɔ mek yu nɔ fil pen, fɔ chenj sus)

Wetin na di difrɛns bitwin `(Exostosis)`, `(Sarcoma)`, `(Osteoma)`, ɛn `(Osteochondroma)`?

I kin tan lɛk se dɛn nem dɛn ya kin kɔnfyus smɔl fɔ yɛri. Bɔt lɛ wi kip am simpul. כl dis na kayn "tכmכro."

• Difrɛns bitwin (Exostosis) ɛn (Sarcoma):

di big εn imכtant difrεns na dat ``(Exostosis)`` nכ de nεva bi kεnsar.

Sarkoma na wan tכmכro we nכ kin apin bכt i kin bi bad bad tin we de divεlכp na di bon dεm εn di kכnektiv tisu dεm we de rawnd am. Sarkoma de kכz fכ chenj (mכtεshכn) na di DNA fכ di bon כ tisu sεl dεm we nכ machכ. Sɔm pan dɛn chenj ya we de apin na di DNA kin mek dɛn sɛl dɛn de gɛt kansa.

Na dat mek wi bin dɔn tɔk se if yu notis nyu lump pan bon, mɔ if i de pen, go to dɔktɔ wantɛm wantɛm. Pan ɔl we ɛksostosis nɔto kansa, mɔ denja tumbu dɛn lɛk sarkoma kin kam na di sem say dɛn, ɛn di fɔs sayn dɛn kin bi di sem.

• Difrɛns bitwin (Exostosis) ɛn (Osteoma):

כstioid osteoma (sכmtεm dεn kin jכs kכl am osteoma) na wan kayn bon tכmכro we nכ de kεnsar.

Dɛn tin ya rili fiba `(Exostosis)`. כltu, `(Osteoid osteoma)` kin divεlכp insay lכng bon dεm (lεk di lכng bon dεm na di lεg εn an dεm). Dɛn kin bɔrku pan pipul dɛm wae ol bitwin 5 ɛn 25. Dɛn kin mek pɔrsin fil bad wae de kɔmɔt dip insay di bɔdi, ɛn dis pen kin wɔs pasmak na nɛt.

• Difrɛns bitwin (Exostosis) ɛn (Osteochondroma):

we εksostosis de divεlכp na wan εria na di bon we di kכtilaj (di sכft, fleksibul bon we de na wi jכint, yes, εn nos) kכba am, dεn kכl am osteochondroma. Dɛn tu na bon tumor dɛn we nɔ gɛt kansa. כstiochondroma kin kכmכt na di εnd dεm fכ di lכng bon dεm na pikin dεm εn yכng big pipul dεm. dεn kin si dεm bכku tεm na di pikin dεm in growth plet (di kכtilaj we de εp di bon dεm fכ gro εn leta i kin bi had bon).

כstiokכndrכma dεm we de divεlכp dεn wan dεm dεn kכl dεm solitary osteochondromas. Sɔm pikin dɛn kin gɛt bɔku bɔku ɔstiɔkɔndroma dɛn di sem tɛm. dis kin kכz fכ wan kכndyushכn we dεn kin kכl mכltipכl hεridita כsteochondromas.

If yu notis nyu lump pan ɔ nia wan bon na yu pikin in bɔdi, mɔ if di lump de pen, go to dɔktɔ.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil smɔl frayd we yu kam fɔ no se yu gɛt wan lump na yu bɔdi. Aweva, natin nɔ de fɔ tu fred bɔt `(Exostosis)`. Bikɔs, dɛn nɔto kansa. Infakt, if yu `(Exostosis)` nɔ de mek yu fil pen ɔr nɔr de fil fayn, yu nɔ go nid ɛni tritmɛnt. Ivin if dɛn pul am wit ɔpreshɔn, yu kin mek yu wɛl ful wan ɛn i nɔ go gɛt ɛnitin fɔ du wit am fɔ lɔng tɛm.

Bɔt, nɔ fɔgɛt dɛn tin ya:

• If yu notis nyu lump ɔ gro pan ɔ nia bon, go to dɔktɔ kwik kwik wan. i imכtant fכ no kכrekt if na ``εksostosis'' כ כda, sכmtεm mכr siriכs, kכndyushכn.
• Ɛksostosis nɔto kansa, so nɔ wɔri we yu nɔ nid.
• Bɔrku tɛm, if no sayn nɔr de, nɔr nid fɔ gɛt tritmɛnt.
• Pan ɔl we dɛn nid fɔ gɛt tritmɛnt, dɛn kin ebul fɔ gɛt sakrifays.

So, a op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` εksostosis, bon tכmכro, bon gכd, sכfa in yes, haglund in difכmiti, bon spur, tכmכro we nכ de kεnsar