He puku kore mamae kei roto i tō kauae? Me kōrero tāua mō tēnei ameloblastoma!

Kua kite koe i tētahi puku iti, kāore he mamae i roto i tō kauae, inā koa i roto i tō waha? Kua kite rānei koe i tētahi tākuta niho i tētahi mea rerekē i a koe e tirotiro ana i ō niho, ā, ka whakahuatia e ia? I ētahi wā kāore tātou e aro nui ki ēnei mea, engari he mea nui kia mōhio ki a rātou. I tēnei rā ka kōrero tātou mō tētahi pukupuku onge engari he mea nui e puta mai ana i roto i te kauae. Ko te ingoa o tēnei ko te ameloblastoma.

He aha te ameloblastoma? Kia mārama tātou?

Ki te kī māmā noa, he pukupuku te ameloblastoma e tupu ana i roto i tō kauae, he maha ngā wā ka āta haere. Ka tupu mai i ngā pūtau kotahi e hanga ana i te uhi tiaki i runga i ō niho, e kiia nei ko te enamel niho. Kāore i te miharo? Tata ki te 80% o ēnei pukupuku ka puta i te kauae o raro, te wāhi kei reira ō niho nui o muri (ngā niho molar).

Inaianei pea kei te whakaaro koe, "Ina kī koe he pukupuku, ko te tikanga he mate pukupuku?" Inaa, he maha nga wa ka kiia te ameloblastoma he pukupuku pai. Ko te tikanga ehara i te mate pukupuku. Heoi, he mea iti hei whakamarama i konei. Ina kī tātou "pai", ka whakaaro tātou "karekau he kino, kaore he mea hei manukanuka." Engari ki te ameloblastoma, ehara i te pera. Ahakoa ehara enei pukupuku i te mate pukupuku, ka taea e ratou te tipu haere me te whakarereke i te ahua o to kauae me te kino o o niho. Waihoki, ka taea e ratou te tipu ano (ka hoki mai) ahakoa kua rongoatia.

Nō reira, ahakoa ehara tēnei i te mate pukupuku, he mea nui kia kitea wawetia, kia whiwhi i te maimoatanga tika , ā, kia aroturukitia hoki i muri i te maimoatanga. Mā reira anake ka taea te ārai i te kino o te kauae.

He rerekē ngā momo ameloblastoma?

Ae, ka tirohia e ngā tākuta ēnei pukupuku i raro i te karuārai, ā, ka whakarōpūtia i runga i te āhua o ngā pūtau. I te tirohanga tuatahi, he rite ēnei pūtau ki ngā honikoma, ki ngā matūriki hopi iti rānei. He maha ngā momo matua:

• Ameloblastoma noa: Koinei te momo tino noa. Tata ki te 85% o ngā ameloblastoma katoa e pā ana ki tēnei. He tere ake te tipu i ētahi atu momo, ā, he nui ake te tūponotanga ka horapa mai i te kauae ki ngā kiko e karapoti ana i te waha .
• Unicystic ameloblastoma: He iti ake te tūponotanga o tēnei momo ki te horapa ki tua atu i te kauae i tērā o te momo noa.
• Ameloblastoma ā-taha (extraosseous): E whakaaro ana ngā kairangahau ka horapa pinepine ēnei mai i ngā kapia, i ngā kiko ngohengohe rānei o te waha ki te kauae. He puhoi ake te tipu i ērā atu momo e rua.

Ahakoa he tino onge, ko ētahi pukupuku ameloblastomaKa taea hoki te mate pukupuku (kino). E rua ngā momo:

• Te ameloblastoma e horapa ana: He rite ēnei pukupuku ki ngā pukupuku 'pai' i raro i te karuārai. Engari he 'matepukupuku horapa' tonu. Tērā pea ka kitea e te tākuta kua horapa te matepukupuku ki ētahi atu wāhanga o te tinana, pērā i te pukahukahu, te roro, te kiri rānei.
• Te mate pukupuku ameloblastic: Ka tīmata pea tēnei pukupuku hei mate pukupuku i te tīmatanga. Ka tīmata rānei hei ameloblastoma pai, kātahi ka huri hei mate pukupuku.

He pēhea te noa o te ingoa o tēnei āhuatanga ko te ameloblastoma?

Ko te Ameloblastoma tētahi o ngā pukupuku pai o te kauae e kitea whānuitia ana, engari he tino onge noa iho. Kua whakaatuhia e ngā rangahau kotahi noa iho i roto i te miriona tāngata ka kitea he mate pēnei i ia tau. I roto i a rātou, tata ki te 2% noa iho he ameloblastoma kino.

Ahakoa ka taea e tēnei mate te pā ki ngā tau katoa, he mea noa iho tēnei i waenga i te 30 me te 60 tau te pakeke. E kīia ana hoki he nui ake te kitea o tēnei mate i ngā whenua o Āwherika me Āhia.

He aha ngā tohu o te Ameloblastoma?

Nā te puhoi o te tipu o ēnei pukupuku, tērā pea kāore he tohu mō ngā tau 10 ki te 20. Tērā pea kāore koe, tō tākuta rānei e kite i tēnei tohu tae noa ki muri rawa atu. I te tipu o te pukupuku, ā, ka uru ki ngā kiko e karapoti ana, ka kitea pea he panoni i te āhua o tō mata me tō kauae, he raruraru rānei ki ō niho.

Koinei ētahi o ngā tohu e kitea whānuitia ana:

• He pupuhi kore mamae i te kauae. He maha ngā wā ka pā ki te taha kotahi o te mata.
• He rite ki tētahi tupu hou kua pēhia ki roto i te paparinga, he rite ki te pīnati, ki tētahi pōro iti rānei.
• He ira māwhero, he whero rānei i runga i ngā niho, he niho rānei ka whati ngāwari.
• Te uaua ki te neke i te kauae.
• Ka whero, ka pupuhi ngā kapia.
• Kāore ngā niho e piri tika ana (malocclusion).
• Te ngau o ngā niho.

He aha te take e puta ai te ameloblastoma? He aha ngā take?

Ka puta ēnei pukupuku nā te mea ka tipu tonu ngā pūtau e hanga ana i te enamel o ō niho (e kiia nei ko ngā ameloblast) i muri i te hanganga o te enamel o ō niho. Kāore anō kia mōhiotia e ngā tohunga he aha i puta ai tēnei.

Heoi, kua kitea e ngā rangahau tata nei he maha ngā tāngata whai ameloblastoma he whakarerekētanga ira noa e pā ana ki ngā raruraru o te wehenga pūtau, ā, e āwhina ana i te tipu o te pukupuku.Ina koa, ko ngā whakarerekētanga ira o te `BRAF` me te `SMO` e hono pinepine ana ki te ameloblastoma.

Kei te rangahauhia e ngā tohunga ēnei huringa ira hei tautuhi i ngā maimoatanga kua tohua hei arotahi motuhake, hei whakangaro hoki i ngā pūtau raruraru.

Me pēhea te tautuhi a ngā tākuta i te ameloblastoma?

Ina haere koe ki te taote niho mō tētahi tirotiro auau, ka kitea pea e ngā hihi-X ngā tohu o te ameloblastoma. Mena koinā, ka tukuna koe e tō taote niho ki tētahi tohunga mō ētahi atu whakamātautau. Kei roto pea i ēnei whakamātautau:

• Ngā whakamātautau whakaahua: Tērā pea ka mahia ētahi atu whakamātautau, pērā i te hihi-X, te MRI (Magnetic Resonance Imaging - MRI), me te matawai CT, hei kite i te wāhi tika o te pukupuku me tōna rahi. Ka taea hoki e ēnei whakamātautau te āwhina i tō tākuta ki te whakakore i ētahi atu momo pukupuku e rite ana ki te ameloblastoma. Mena he mate pukupuku, ka taea te mahi i te Positron Emission Tomography (matawai PET) hei kite mena kua horapa ki ētahi atu wāhanga o te tinana.
• Koiora: Mā te koiora ka taea e tō tākuta te tango i tētahi wahi iti o te kiko mai i te puku, ā, ka tirohia i raro i te karuārai e te tohunga mate. Mā te momo pūtau e āwhina tō tākuta ki te whakatau ko tēhea te momo ameloblastoma, me te whakatau i te maimoatanga pai rawa atu.

He aha ngā maimoatanga mō te Ameloblastoma?

Ko te rongoā pai rawa atu mō te ameloblastoma ko te pokanga hei tango i te pukupuku me ētahi o ngā kiko e karapoti ana (kia kore ai he pūtau rerekē e toe). Ka wehea e ngā tākuta ngā pokanga mō ēnei pukupuku kia rua ngā momo matua:

• Pokanga whānui: He pokanga nui tēnei mō te hunga whai ameloblastoma. I konei, ka tangohia e te tākuta te nui o te kauae me te kiko e karapoti ana me te pukupuku. Hei whakaiti i te tūponotanga o te hokinga mai o te pukupuku. Tērā pea ka tangohia tetahi wāhanga, tetahi wāhanga rānei o te kauae o raro (mandibulectomy) tetahi wāhanga, tetahi wāhanga rānei o te kauae o runga (maxillectomy).
• Pokanga tiaki: I konei, ka tangohia e te tākuta te pukupuku me te iti o te kiko me te wheua hauora. Ka taea te mahi i tēnei pokanga iti mēnā he iti tō pukupuku, ā, he iti noa te tūponotanga ka horapa ki te wheua me te kiko e karapoti ana.

Mena ehara koe i te kaitono pai mō te pokanga, ka tūtohu pea tō tākuta i te rongoā irahiko hei whakangaro i te pukupuku. Mēnā rānei, ka tūtohu pea rātou i te rongoā irahiko hei whakangaro i ngā pūtau pukupuku e toe ana i muri i te pokanga. Ka whakamahia e tēnei maimoatanga ngā hihi-X kaha-teitei hei whakangaro i ngā pūtau.

Ngā maimoatanga tāpiri e hiahiatia ana i muri i te pokanga

Ka roa pea te wā e ora ai te pokanga nui mō te ameloblastoma, he maha ngā marama pea. Whai muri i tēnā, me whai maimoatanga anō pea koe kia hoki anō ki te āhua noa. Hei tauira:

• Pokanga hanga hou: Ka mahi tahi koe me tētahi taote pokanga kirihou hei whakahoki mai i te āhua o tō mata me tō kauae. Ko tēnei pokanga he tango i te wheua mai i tētahi atu wāhanga o tō tinana (pērā i tō hope, i tō pakihiwi rānei) me te hanga anō i te rohe kauae.
• Ngā niho tāpiri: He niho hangai ēnei (ngā niho hangai) hei whakakapi i ngā niho i tangohia i te wā pokanga. Ka taea e ēnei te āwhina i a koe ki te whakahoki mai i te kaha ki te ngaungau tika me te whakahoki mai i tō whakapono ki te āhua o tō waha.
• Whakaora kōrero: Ka taea e te tohunga reo kōrero te āwhina i a koe ki te urutau ki ngā huringa o tō kauae me tō mata kia taea ai e koe te ngaungau, te horomi, me te kōrero tika.
• Tohutohu kai: Ka taea e te tohunga kai te āwhina i a koe ki te whiriwhiri i ngā kai whai kiko e ngāwari ana ki te ngaungau me te horomi i a koe e ora ana.

Ka taea te whakaiti i te mōrearea o te whakawhanake i te ameloblastoma?

Kāore he huarahi hei ārai i tēnei. Heoi anō, mā te toro atu ki te tākuta niho i te iti rawa i te kotahi i ia ono marama mō te tirotiro niho me te whiwhi tirotiro matepukupuku waha ka āwhina i te kite wawe i ēnei tipu. Mā te maimoatanga wawe ka āwhina i te ārai i te ameloblastoma kei kino tō kauae me ō kiko kanohi.

Mena kei a au tēnei āhuatanga, he aha taku e tumanako ai?

Ko tō matapae ka whakawhirinaki ki tō hauora, te momo ameloblastoma, tōna wāhi, me te momo pokanga e mahia ana hei tango i te pukupuku.

He tokomaha ngā tāngata kua rongoatia mō te ameloblastoma me aroturuki tonu mō te wā katoa kia kitea ai mēnā ka hoki mai anō te pukupuku. Nā te mea tata ki te 20% o ngā tāngata ka pāngia anō e te pukupuku i muri i te pokanga. Neke atu i te haurua o te wā, ka hoki mai anō te pukupuku i roto i ngā tau tuatahi e rima i muri i te pokanga.

Nō reira, pātai atu ki tō tākuta kia hia te auau o ngā whakamātautau hei tirotiro mēnā kei te tipu anō te puku.

Ka aha mēnā ka kore te ameloblastoma e rongoatia?

Ki te kore e rongoatia, ka taea e te ameloblastoma te kino i ngā wāhanga nui o tō mata me tō kauae, ā, i ētahi wā ka mate. Ki te kore e rongoatia, ka taea e ēnei pukupuku te whakakino i tō mata, te whakauaua i te ngaungau me te horomi. Ki te tipu haere tonu, ka taea e rātou te uru ki ngā kiko o tō roro me te pūnaha io matua, ka aukati i ō ara manawa.

Nō reira, mā te rongoā mō te ameloblastoma ka ārai i te putanga mai o ēnei āhuatanga tino kino.

Āhea ahau me toro atu ki taku tākuta?

Me mōhio koe ki te auau o te haere mai ki te tirotiro mēnā ka hoki anō mai anō i muri i te maimoatanga. Engari, he maha ngā ameloblastoma ka hoki anō mai anō i muri i ngā tau maha o te pokanga. Mēnā ka pērā, ka taea e tō tākuta te tūtohu i ngā maimoatanga hou hei ārai i te kino atu ki tō kauae me tō mata.

Āhea ahau me haere ki te rūma whawhati tata?

Mā tō tākuta koe e kī atu ki ngā mea hei tumanako atu māu i a koe e ora ake ana i te pokanga. Heoi anō, me haere tonu koe ki te rūma whawhati tata mēnā kei a koe tētahi o ēnei e whai ake nei:

• Mena he kirika tōu neke atu i te 101 Fahrenheit (38.3 Celsius).
• Mena kei te pāngia koe e te mamae kāore e memeha ahakoa kua tangohia ngā rongoā whakamamae mamae kua tohua e te tākuta.
• Mena he nui ake te pupuhi, te pupuhi rānei mai i te patunga i tō whakaaro.
• Mena he uaua ki te manawa, he rite rānei ki te mea kei te whakamomori koe.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He mate hauora nui te Ameloblastoma e hiahia ana kia nui te pokanga. Anei ētahi pātai ka taea e koe te pātai i a koe e kōrero ana mō te maimoatanga:

• He aha te momo pokanga me mahi ahau?
• He aha koe i tūtohu ai i taua pokanga?
• Me whai atu anō rānei ētahi atu maimoatanga i tua atu i te pokanga hei tango katoa i te pukupuku?
• Me mahi pokanga kirihou, me mahi rānei ahau i te rongoā kōrero?
• He aha ngā raruraru pea, ngā pānga taha rānei?
• He aha te tūponotanga ka hoki mai anō tēnei ameloblastoma?

Karere Whakamutunga mō te Tango ki te Kāinga

Ina rongo tātou i te kupu 'pai', ka whakaaro tātou he 'kore kino'. Engari ki te ameloblastoma, ehara i te mea ngāwari. Ki te kore e rongoatia, ka taea e ēnei pukupuku te kino i tō kauae me ō kanohi. Engari, kia maumahara, he maimoatanga kei reira hei whakahaere i ēnei tipu. Pātai atu ki tō tākuta mō te momo pokanga e taunaki ana ia i runga i te momo pukupuku me tō hauora. Ko tō tākuta te tangata pai rawa atu hei whakamārama ki a koe he aha te maimoatanga pai hei tango i te pukupuku me te tiaki i te nui o ngā kiko hauora i roto i tō kauae. Nō reira, kaua e wehi ki te pātai ki a ia, ā, kia whakamāramahia ngā mea katoa. Kia ora tonu!

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` Ameloblastoma, pukupuku kauae, mate pukupuku waha, enamel niho, pokanga kauae, hauora waha, tohumate mate pukupuku