He puku rerekē kei roto i tō kauae? Me ako tātou mō ngā pūkahukahu kauae me ngā pukupuku!

Kua kite koe i tētahi puku iti, i tētahi pukupuku rānei i roto i tō waha, i tō kauae rānei, ā, kua whakaaro koe he aha te mea? Kua mataku rānei koe i te kitenga o te taote niho i tō hihi-X, ā, ka mea mai, "He mea iti tēnei"? Ahakoa he mea tino onge ēnei mea, ka taea e te tangata te pā ki tēnei mea. Nō reira, i tēnei rā, me kōrero tātou mō ngā Pūngāwerewere Kauae me ngā Pūngāwerewere.

He aha ēnei pukupuku me ngā pukupuku kauae?

He whakarāpopototanga noa iho, koinei ngā tipu ka puta i roto i tō waha, i runga i ngā wheua o tō kauae (tae atu ki ō niho), i runga rānei i ngā kiko ngohengohe. Ko te pūkahukahu kauae he pēke kī tonu i te wai, i te matū wai-haurua rānei. Whakaarohia he rite ki te pupuhi iti, engari ka puta i roto i te kiko. Ko te pukupuku, i tētahi atu ringa, he puranga kiko totoka e hangaia ana e ngā pūtau rerekē. He maha ngā wā he pai, he kore matepukupuku rānei ēnei tipu e rua. Ko te tikanga ka taea e rātou te tipu nui, ka pā ki ngā kiko o tō mata me tō waha, engari kāore e horapa ki ētahi atu wāhanga o tō tinana.

Heoi, he tino onge te wā ka taea e ēnei puku, pukupuku rānei e pā ana ki te kauae te huri hei mate kino, hei matepukupuku rānei. Ka karangatia hoki tēnei e ngā tākuta he matepukupuku kauae . Ki te kore e rongoatia, ka horapa atu ēnei puku me ngā pukupuku matepukupuku ki tua atu i tō kauae ki ētahi atu wāhanga o tō tinana.

Nō reira, ki te kite koe i tētahi tipu hou i roto i tō kauae, i roto rānei i tō waha, he mea nui kia whakaaturia ki te tākuta. Ahakoa he pai te puku, te pukupuku rānei, ka taea e ētahi momo te mamae, te kino i te kauae, te motumotu rānei i ngā niho.

He aha ngā momo pukupuku kauae me ngā whēkau?

He maha ngā momo pukupuku me ngā pūtau e pā ana ki te kauae. Ka whakarōpūhia e ngā tākuta he pai, he kino rānei, me te mea ka tīmata i roto i ngā kiko e pā ana ki te whanaketanga o te niho (ngā pukupuku me ngā pūtau odontogenic) me ētahi atu kiko rānei (ngā pukupuku me ngā pūtau kore odontogenic).

Ngā momo pukupuku kauae pai me ngā pukupuku noa

I te nuinga o te wā, ehara ēnei i te matepukupuku, arā, he momo pukupuku me ngā tipu 'pai'. Me titiro tātou ki ngā mea matua:

• Ameloblastoma: He pukupuku puhoi te tipu, he mate niho tēnei e puta mai ana i ngā kiko e hanga ana i ngā niho. Ko te nuinga o te wā ka puta i roto i tō kauae o raro, e tata ana ki ō niho o muri (ngā niho molar). Ahakoa he pai te nuinga o te wā, ka taea e ētahi momo ameloblastoma te kino i roto i te wā. Ahakoa he pukupuku pai, ka taea e ia te tipu nui i ētahi wā kia huri ai te āhua o tō kauae, kia kino rānei ō niho.
• Te granuloma pūtau nui o te pokapū:Koinei te momo pukupuku 'pai' kore-oti-oti tino noa. Ko te nuinga o te wā ka puta ki mua o te kauae o raro. Heoi, ka taea hoki te puta ki te kauae o runga. Ko te nuinga o ngā pukupuku ka pupuhi noa i te kauae, kāore he mamae. Heoi, ko ngā pukupuku e tere tipu ana ka pupuhi mamae, ka nekehia hoki ngā niho.
• Ngā pūwero niho: Koinei te tuarua o ngā momo pūwero niho e tino kitea ana, e ahu mai ana i ngā kiko e hanga ana i ngā niho. He pūwero puhoi te tipu e hanga ana i te taha o ngā kiko o ngā niho kāore anō kia puta i roto i te waha. Ko te nuinga o te wā ka hanga tata ki ō niho o muri (ngā niho molar). I ētahi wā, ka kitea hoki i te taha o ngā niho o runga, arā, ngā niho i ia taha o ō niho o mua.
• Ngā keratocyst odontogenic: He pūwero puhoi hoki ēnei. He maha ngā wā ka puta mai i te taha o ngā niho o muri (ngā niho molar). Kāore e mamae ngā keratocyst iti, engari ka pupuhi mamae ngā pūwero nunui. I ētahi wā, he tohu ēnei pūwero mō tētahi mate tuku iho e kiia nei ko te mate Gorlin . Ka whakanui ake tēnei mate i te tūponotanga o te whakawhanake i ngā keratocyst odontogenic me ētahi momo mate pukupuku kiri.
• Myxoma odontogenic / myxofibroma: He pukupuku pai tēnei, he puhoi te tipu. Heoi, ka taea e tēnei pukupuku te tipu nui kia kino ai tō kauae me te neke i ngā niho.
• Odontoma: Koinei te pukupuku pai, odontogenic tino noa. Ko tētahi momo ka puta i te kauae o raro, ā, he maha ngā hanganga rite ki te niho (te 'momo pūhui'). Ko tētahi atu momo ka puta i te kauae o runga, ā, kei roto ngā kiko rerekē kāore e rite ki ngā niho (te 'momo matatini').
• Ngā pūwero periapical: Koinei te momo pūwero kauae tino noa. Ka puta mai i te mumura i puta mai i te whara o te niho.

Ngā Pūngāwerewere Kauae Kino me ngā Pukupuku Onge

He waimarie, he tino onge ngā pukupuku kauae matepukupuku, he pukupuku 'kino' rānei. Anei ētahi tauira:

• Carcinoma: He momo mate pukupuku tēnei e tīmata ana i roto i ngā kiko e whakarārangi ana i ngā whekau, ngā ara o roto, me te kiri.
• Sarcoma: He mate pukupuku tēnei e tīmata ana i roto i ngā wheua, i ngā kiko ngohengohe rānei e karapoti ana.
• Carcinosarcoma: He huinga tēnei o ngā momo mate pukupuku e rua, arā, ko te (Carcinoma) me te (Sarcoma).

He pēhea te noa o ēnei pukupuku me ngā pūtau e pā ana ki te kauae?

Ina hoki, ehara i te mea tino noa ngā pukupuku me ngā puku e pā ana ki te kauae. Heoi, he tino onge ngā momo kino, matepukupuku rānei.

Heoi, kua whakaatuhia e ngā rangahau he nui ake te tūponotanga o te pāngia o te tangata i ētahi rohe e ēnei mate. Hei tauira, i Amerika Te Raki, 1% noa iho o ngā tipu rerekē i roto i te waha he pukupuku odontogenic. Heoi, i ētahi whenua o Āwherika, e 20% te teitei o tēnei whika.

He aha ngā tohu mēnā he puku, he pukupuku rānei kei roto i taku kauae?

I te nuinga o te wā, ka puhoi te tipu o ēnei kiore me ngā pukupuku, ā, kāore e puta he tohu. Tērā pea kāore koe e mōhio kei a koe tētahi, ki te kore e kitea noa i roto i te whakamātautau hihi-X niho, i te whakamātautau whakaahua rānei mō tētahi atu raruraru o te mahunga me te kaki.

Heoi, ina nui haere ngā tipu, arā, ka tīmata te whakaeke i ngā kiko hauora e tata ana, ka puta pea ngā tohu. Ko ētahi o ēnei ko:

• Te mamae, te pakari, te ngoikore rānei i te rohe kauae.
• Te pupuhi (tērā pea ka mamae, ka memeha rānei).
• Ngā panonitanga o te āhua o tō kanohi.
• He puku hou kei roto i te kauae (he mārō, he ngohengohe rānei).
• He panonitanga o te tūtakitanga o ngā niho (He panonitanga o te ngau).
• Te ngau o ngā niho.

He aha te pūtake o ēnei whēkau me ēnei pukupuku kauae?

Ko te nuinga o ngā pukupuku kauae me ngā pukupuku ka puta mai nā te mea he rerekē te whanonga o ngā pūtau e āwhina ana ki te hanga i ngā niho, ka puta he pukupuku, he pēke wai rānei (ngā cyst). Koinei te mea ka tupu i roto i ngā tipu "odontogenic". Heoi, kāore e hiahiatia kia uru atu ngā pūtau ki te hanganga o ngā niho kia tupu rerekē ai.

Ko te tipu pūtau rerekē te take o ngā huringa o te DNA (ngā whakarerekētanga ira) . E mōhio ana koe, ko te DNA te waehere e kī ana ki ō tātou pūtau me pēhea te tipu me te wā e mutu ai. Ina he raruraru ki tēnei waehere, ka hē te tukanga wehenga pūtau, ka arahi ki te tipu kāore e hiahiatia.

Hei tauira, ko te hunga whai mate Gorlin syndrome (nevoid basal cell carcinoma syndrome) he whakarerekētanga ira kei a rātou e meinga ana ngā pūtau kia haere tonu te wehewehe ahakoa me mutu. Nō reira, he maha ngā odontogenic keratocysts ka puta i te hunga whai mate nei. He nui ake hoki te tūponotanga o te whakawhanake i te basal cell carcinoma, te momo mate pukupuku kiri tino noa.

Me pēhea te tātaritanga o ēnei pukupuku kauae me ngā whēkau?

Ka arotakehia e tō tākuta ō tohu, ō hītori hauora, ā, ka whakahaerehia he whakamātautau tinana. Tērā pea ka kitea he pukupuku, he whēkau rānei i roto, i te taha hoki o tō kauae i ngā whakamātautau whakaahua . Kei roto i ēnei ko:

• Ngā hihi-X.
• Whakaahua aukume (MRI).
• Matawai tomography rorohiko (matawai CT).

Hei tāpiritanga, me whai koiora pea koe. I roto i te koiora, ka tangohia e te tākuta he tauira wai, he kiko rānei mai i te tipu. Ka tirohia e te tohunga mate te tauira i raro i te karuārai hei tirotiro i ngā momo pūtau kei roto. Mā ēnei mōhiohio ka āwhina i tō tākuta ki te kimi:

• He aha te momo pukupuku, te momo whēkau rānei kei a koe?
• He 'pai', he 'kino' rānei?
• He puhoi te tipu, he pukuriri rānei?

Mā ēnei āhuatanga katoa ka āwhina i tō tākuta ki te whakatau ko ēhea ngā kōwhiringa maimoatanga e pai ana mōu.

Me pēhea te rongoā i ēnei pukupuku kauae me ngā pukupuku?

He maha ngā tāngata me tango he pūmua, he pukupuku rānei mā te pokanga . Haunga te tango i te tupu, ka tangohia pea e tō taote pokanga ngā kiko e pāngia ana. Kei roto pea i tēnei ko ngā niho kua pakaru, ngā wāhanga rānei o te kauae o raro, o te kauae o runga rānei. Ko te pokanga hei tango i ngā wāhanga o te kauae o raro ka kiia ko te mandibulectomy , ā, ko te pokanga hei tango i te kauae o runga katoa, i tētahi wāhanga rānei, ka kiia ko te maxillectomy .

I muri i te pokanga, ka hiahia pea koe ki ēnei maimoatanga hei hanga anō i tō kauae me te āwhina i te tukanga whakaora:

• Pokanga hanga hou: Kia rite te āhua o tō kauae ki tōna āhua i mua i te whanaketanga o te pukupuku, ka whakamahia pea e tō tākuta tētahi wahi wheua mai i tētahi atu wāhanga o tō tinana (pēnei i tō hope, i tō pakihiwi, i tō waewae o raro rānei).
• Ngā whakatō niho: Me tāuta pea he niho horihori hei whakakapi i ngā niho kua tangohia e tō tākuta.
• Whakaora kōrero: Mena he uaua ki a koe te kōrero mārama, te whakahua rānei i ngā kupu i muri i te pokanga, ka taea e te tohunga reo kōrero (SLP) te āwhina i a koe.
• Aratohu kai: Me toro atu pea koe ki tētahi tohunga, pērā i te tohunga kai, i te tohunga matū kai rānei, kia whiwhi ai koe i ngā tohutohu mō ngā kai e haumaru ana hei kai i a koe e ora ana.

Mena he mate pukupuku kauae tōu, ka tūtohu pea tō tākuta i ngā maimoatanga mate pukupuku, pērā i te radiotherapy me/ranei te chemotherapy . Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te momo pukupuku, ki te momo cyst rānei kei a koe.

He aha ngā mea ka taea e au te tumanako mēnā he puku, he pukupuku rānei tōku kauae?

Ka taea te whakaora katoa i te nuinga o ngā whēkau kauae me ngā pukupuku mā te pokanga. Heoi, i runga i te momo, me haere tonu pea koe ki te tirotiro i ngā pūtau hou hei tirotiro i ngā tipu hou.

Hei tauira, kāore e puta anō ngā pūkahukahu periapical, ngā odontoma, me ngā pūkahukahu dentigerous i muri i te pokanga. Heoi, ka taea anō te puta anō te central giant cell granuloma, te odontogenic myxoma, me ngā odontogenic keratocysts. E 20% pea o ngā take ka puta anō te ameloblastoma.

Āhea ahau me rapu tohutohu hauora?

Ki te mamae, ki te pupuhi rānei tō kauae, ki te kite rānei koe i tētahi panoni o tō āhua, pērā i te pupuhi i roto i tō kauae, i ngā niho marere rānei, me toro atu ki te tākuta tonu. He tohu pea tēnei nō tētahi pūkahukahu, he pukupuku, he mate niho rānei ka taea e te tākuta te rongoā.

He mea tino nui kia haere tonu koe ki te toro atu ki tō tākuta niho. Mā te hihi-X o ia rā ka kitea he pukupuku, he whēkau rānei i te mea he iti tonu, ā, kāore he tohu e puta.

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

Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• He aha te momo pukupuku, te momo whētero rānei kei a au?
• He pai, he kino rānei?
• Me pokanga ahau?
• He aha ngā tūponotanga ka puta anō tēnei āhuatanga i muri i te pokanga?
• Me pēhea taku tiaki i a au anō i a au e ora ana i muri i te pokanga?

Āhea ahau me āwangawanga mō te pupuhi i te kauae?

He maha ngā take pea mō te pupuhi i te kauae. Ko te nuinga o ēnei kāore i te tino kino hei whakamataku. Ka puta pea i ngā mea pēnei i ngā cysts me ngā pukupuku, ka taea rānei he mea noa pēnei i te mate pāwera , te pupuhi rānei o te kōpū lymph .

He mea tika kia maumahara ko te nuinga o ngā tupu ngawari he ngawari, he nekeneke ki te pā. Mena he mate pukupuku te tupu, he nui ake te tūponotanga ka mārō. Ko te mea anake e rerekē ana ki tēnei ko te mate pukupuku e kiia nei ko te liposarcoma , ka rite ki te puku ngawari, nekeneke.

Ki te mea he puku hou tōu, kāore e memeha, he mamae, ā, kei te whakararuraru i te nekehanga o tō kauae - kua tae ki te wā ki te toro atu ki te tākuta.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ahakoa he pai te nuinga o ngā whēkau kauae me ngā pukupuku, he mea noa te ngakaukore ina kitea he mate e hiahiatia ana he pokanga. Heoi, he mea nui kia tangohia atu i mua i te puta mai o ngā tohu e uaua ai te noho tahi, pērā i te mamae me te pupuhi i te waha. Mena kei te pāngia koe e ēnei tohu, ka taea e te pokanga te āwhina ki te whakakore katoa i aua tohu. Pātai atu ki tō tākuta mō ngā kōwhiringa maimoatanga me ngā putanga pea mō tō momo whēkau, pukupuku rānei. Kaua rawa e wareware ki tētahi mea rerekē i roto i tō waha, i tō kauae rānei. He mea whakaaro nui kia rapu tohutohu hauora i te wā e taea ai.

Ngā pūkahukahu kauae, mate pukupuku kauae, pūkahukahu waha, pūkahukahu niho, hauora waha, pūkahukahu kauae, pukupuku waha