He mamae pēnei tōu i roto i ō wheua? Me kōrero tāua mō (Osteoid Osteoma)!

He mamae rerekē kei roto i ō wheua i ētahi wā, inā koa i te pō? Ehara pea i te mamae tinana noa iho. I tēnei rā ka kōrero tātou mō tētahi pukupuku iti e tipu ana i roto i ngā wheua e whakaatu ana i ngā tohu rite, engari ehara i te matepukupuku. Ka huaina tēnei ko (Osteoid Osteoma) .

He aha te Osteoid Osteoma?

He kupu ngāwari noa iho, he pukupuku iti tēnei (Osteoid Osteoma) e puta mai ana i roto i ngā wheua , ehara i te matepukupuku . I te nuinga o te wā, he iti iho i te inihi te rahi. Ko te mea nui, kia kaua ēnei pukupuku e tipu, e horapa rānei ki ētahi atu wāhanga o te tinana. Nō reira, kāore he mea hei manukanuka.

Ko te Osteoid Osteoma te nuinga o te wā ka puta i roto i ngā wheua roa o tō tātou tinana. Hei tauira, ka taea te puta i roto i tō wheua waewae (`(tibia)` - te wheua nui i raro i tō turi) i tō wheua huha rānei (`(femur)` - te wheua i waenganui i tō waewae me tō turi). Hei tāpiri,

• I roto i ō ringaringa
• Ahakoa i roto i ngā maihao o ngā ringa, i ngā matimati rānei o ngā waewae
• I te rohe o te pona o ngā waewae
• Ka taea e ēnei te whanake i roto i te tuaiwi.

Ko te āhua o tēnei mate he mamae puhoi, he mamae mamae, me te mea kei te ahu mai i roto i te tinana. Ka tino kaha tēnei mamae i te pō . Ko te tikanga, ka rongoāhia tēnei e ngā tākuta mā te whakamahi i ngā rongoā anti-inflammatory kore-steroidal (NSAID), i ētahi wā rānei, he pokanga iti.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei (Osteoid Osteoma)?

Nā, kia kite tātou ko wai te mea tino pea ka pāngia e tēnei mate (Osteoid Osteoma). Ko te nuinga o te wā ka kitea tēnei mate i roto i te hunga i waenga i te 5 me te 25 tau te pakeke . Ko tētahi atu mea, e toru ngā wā ka nui ake te tūponotanga o te pāngia e tēnei mate e ngā tāne i ngā wāhine. Heoi, he mea nui kia mahara ka taea e te tangata te pāngia e tēnei mate (Osteoid Osteoma), ahakoa te ira tangata, te iwi, te iwi taketake rānei.

He pēhea te noa o te Osteoid Osteoma?

Ina whakaarohia te whānui o tēnei mate (Osteoid Osteoma), tata ki te 10% o ngā pukupuku wheua ehara i te matepukupuku e puta mai ana i tēnei mate. Ko te tikanga ehara i te mea onge.

He aha te rerekētanga i waenga i te (Osteoid Osteoma) me te (Osteoblastoma)?

Tērā pea kei te whakaaro koe, kei reira anō tētahi e kiia nei ko te "Osteoid Osteoma" me te "Osteoblastoma", ā, he aha te rerekētanga i waenganui i ngā mea e rua? Ae, ko te "Osteoblastoma" he pukupuku wheua ehara i te matepukupuku. Engari he iti noa ngā rerekētanga i waenganui i ngā mea e rua.

• He nui ake te osteoblastoma i te osteoid osteoma.
• Ko te nuinga o te wā ka kitea te osteoblastoma i te angaanga, i ngā rara, me te tuaiwi.
• He nui ake te tūponotanga o te hokinga mai o te osteoblastoma i te osteoid osteoma.
• Ko te mea nui , kāore te mamae e piki haere i te pō i te osteoblastoma.

He aha ngā take o te Osteoid Osteoma?

Kāore anō kia tino mōhiotia e ngā kairangahau te pūtake o te osteoid osteoma. Heoi, he maha ngā āhuatanga e whakaarohia ana ka whai wāhi ki te whanaketanga o tēnei pukupuku wheua ehara i te matepukupuku:

• Te tipu rerekē o ngā pūtau i roto i tō tinana (neoplasia).
• Te mumura o ngā wheua.
• He aituā, he whara rānei (ngā whara) ki te wāhi e puta ai te pukupuku.

He aha ngā tohu o te Osteoid Osteoma?

Ko te tohu matua o tēnei (Osteoid Osteoma), e ai ki taku kōrero i mua, he mamae puhoi, he mamae mamae e puta mai ana i roto i te tinana. Ka kino haere tēnei mamae i te pō . Kāore tēnei mamae e whakaiti, e whakanui rānei nā te mea kua mahi koe i ētahi mahi, kua whakakori tinana rānei.

"Whakaarohia, ahakoa kāore e tino pāngia koe i te awatea, ina moe koe i te pō, kāore e taea e koe te moe nā te mamae e puta mai ana i roto i tō waewae, i tō ringa rānei. Koinei te āhua o tēnei mamae."

Tērā pea ētahi atu tohu:

• Ngā āhua rerekē o te wheua.
• Ngā huringa, ngā uauatanga rānei o te tauira hikoi (ngā mate ara hikoi).
• Te mamae me te pakari o ngā hononga.
• Te mimiti o te uaua, te whakaiti rānei i te rahi (`(atrophy)`).
• He roa ake tētahi waewae i tētahi atu (ka puta tēnei mēnā he pukupuku kei roto i te wheua huha, i te wheua papa rānei).
• Mena he pukupuku kei roto i te tuaiwi, ko ngā āhuatanga pēnei i te `(Sciatica)` (mamae i roto i te io sciatic, he io e rere ana mai i te huha ki te waewae) me te `(Scoliosis)` (piko o te tuaiwi).
• Te pupuhi.

I ētahi wā, ki te whanake tēnei pukupuku i te taha o tētahi o ō hononga, ka whakaatu pea i ngā tohu pēnei i:

• Te pupūnga wai huri noa i te hononga (te rerenga o te hononga).
• Osteoarthritis (te mate rumatiki i puta mai i te pakaru me te haehae o ngā hononga).
• Te pakari me te piri o ngā hononga (te whakahekenga o ngā hononga).

Me pēhea te tautuhi i te Osteoid Osteoma?

Āe, ki te mea kei a koe ēnei tohu, me pēhea te tātaritanga a te tākuta i te Osteoid Osteoma?

Tuatahi, ka pātai atu tō tākuta ki a koe mō ō tohumate, ā, ka tirotirohia hoki e ia tō tinana. Tērā pea ka pātai atu ia ki a koe mō tō mamae, pēnei i:

• Kia pēhea te roa o tēnei mamae?
• Kei te pēhea te mamae?
• Ka whakamamaetia te mamae e te mahi i tetahi mea? (Hei tauira, te tango i ētahi rongoā whakamamae mamae)
• I pā mai he aituā, he whara rānei ki te wāhi i mamae ai?

Ki te whakapae tō tākuta he Osteoid Osteoma pea tēnei, i runga i tāu e kōrero nei, ka tūtohu pea ia i ētahi whakamātautau, pēnei i:

• Hiko-X: Ka tangohia he pikitia o ō wheua. I te hihi-X, he rite te osteoid osteoma ki tētahi wāhi iti, kei waenganui o te wheua matotoru.
• Matawai wheua wāhanga-toru: Koinei te mea ka tupu:
• Ka werohia e te tākuta tētahi matū irahiko (radiotracer) ki roto i tō uaua. Ka kitea tēnei irahiko e te kāmera, ā, ka tangohia ngā whakaahua o te radiotracer i roto i ō wheua.
• Kātahi ka tangohia e te kāmera he pikitia o te nui o te toto e kohia ana i roto i ō wheua me ō kiko ngohengohe.
• Hei whakamutunga, e rua, e toru rānei hāora i muri i te werohanga, ka tangohia tētahi atu huinga whakaahua i te wāhi kotahi.

Mā tēnei matawai ka āwhina te tākuta ki te kimi i te wāhi tika o te pukupuku.

• Matawai CT (Matawai Tomography Rorohiko) te MRI rānei (Whakaahua Resonance Aukume): Ka taea e te matawai CT te āwhina i te tautuhi i te osteoid osteoma nā te mea ka homai he pikitia mārama o tō wheua. Ahakoa kāore i te tino tika te MRI, ka taea e ia te āwhina ki te whakaū kāore he mate pukupuku.
• Biopsy: I roto i te biopsy, ka tangohia e te tākuta tētahi tauira iti o te pukupuku ka tirohia i raro i te karuārai hei tirotiro mēnā he tohu o te osteoid osteoma. Ka taea hoki e ia te whakakore i ētahi atu āhuatanga.
• Ngā whakamātautau toto: Ka whakahaerehia pea e te tākuta he whakamātautau toto hei tirotiro mō ngā mate pāwera.

Me pēhea te rongoā i te Osteoid Osteoma?

Ko te rongo pai, ka memeha haere ētahi osteoid osteomas i roto i te wā, me te kore he maimoatanga . Heoi, ka roa pea ngā tau ka memeha haere ēnei pukupuku.

Hei rongoā, ka taea e koe te whakamahi i ngā `(NSAID)` (ngā rongoā anti-inflammatory kore-steroidal). Kei te wātea ēnei `(NSAID)` hei rongoā kore-tohu (hei tauira, `(aspirin)`, `(ibuprofen)` `(naproxen)` rānei) me ngā rongoā kua tohua e te rata. Ka taea e ngā `(NSAID)` te āwhina ki te whakaiti i te mamae me te tere ake te whakaiti i te puku (Osteoid Osteoma). Mā tēnei momo rongoā, ka ngaro ngā tohu i roto i ngā marama 33 (arā, tata ki te 2 tau me te 9 marama).

I ētahi wā ka tūtohu pea ngā tākuta i te pokanga mō te Osteoid Osteoma. I te wā o te pokanga, ka hoatu pea he rongoā whakamoe whānui, he rongoā whakamoe ā-rohe rānei ki a koe. E rua ngā momo pokanga matua:

• Te Whakatōtō: Ko te tikanga tēnei me tapahi te taote i tētahi wahi iti ki tō kiri, kātahi ka tapahia te puku katoa mā roto.
• Te tango i te puku mā te whakamahi i te CT-directed radiofrequency ablation: He tikanga iti rawa te whakaekenga. I roto i tēnei tikanga, ka whakamahana te taote pokanga i te pukupuku ka tangohia. Anei te mahi:
• Ka whakamahia he matawai CT hei kimi i te puku.
• Kātahi ka tukuna he "tirotiro auau irirangi" (he taputapu motuhake) ki roto i te puku.
• Ka whakamahia he iahiko auau-teitei hei whakamahana me te whakangaro i te pukupuku.

I te nuinga o te wā, ka taea te mahi i tēnei maimoatanga "radiofrequency ablation" kotahi noa te wā hei tango i te pukupuku.

Ka taea te whakaiti i te mōrearea o te whakawhanake i te Osteoid Osteoma?

Kāore rawa he mea ka taea e koe te mahi hei whakaiti i te tūponotanga o te whakawhanake i te Osteoid Osteoma. Heoi, ki te mōhio koe ki ngā tohu, ka taea e koe te rapu tohutohu hauora, te aroturuki, me te whiwhi maimoatanga i te wā e taea ai.

He aha ngā mea ka taea e koe te tumanako atu mēnā ka pāngia koe e te Osteoid Osteoma?

Mena kei a koe te Osteoid Osteoma, ko te mea ka taea e koe te tumanako ka whakawhirinaki ki te maimoatanga ka whakawhiwhia ki a koe.

• Te whakatōnga: He nui te angitu o tēnei. Heoi anō, ka puta pea ētahi raruraru. Hei tauira:
• Te toto.
• Te kino ki ētahi atu kiko e karapoti ana.
• Ngā here whakakori tinana.
• Ngā mate urutā.
• Ngā mōrearea o te rongoā whakamoe whānui.
• Te ngoikore o te wheua.
• Te tango i te uaua irahiko mā te CT: E 90% te angitu o tēnei tikanga. Heoi, ko ngā raruraru pēnei i:
• Te mate kiri (te pūkahukahu).
• Te Mate Mamae Rohe Matatini (CRPS).
• Ngā mate io (`(Neuropathy)`).
• Ngā wera kiri.
• Te thrombophlebitis o te mata.

Āhea ahau ka taea te hoki ki te mahi/kura?

Ki te whai curettage koe, me noho koe ki te hōhipera mō ētahi rā. Whai muri i tēnā, me mahi pea koe i te whakaora tinana ki te kāinga mō ētahi wiki i mua i tō hokinga atu ki te mahi, ki te kura rānei.

Heoi, ki te mea ka whiwhi koe i te radiofrequency ablation, ka taea e koe te hoki ki te kāinga i taua rā anō. Ka taea e te nuinga o te tangata te hoki ki te mahi, ki te kura rānei i roto i ngā rā e rua, e toru rānei.

He aha te tirohanga mō te mate (Osteoid Osteoma)?

Ki te tirohia tēnei āhua (Osteoid Osteoma), he tino pai ngā hua . Ka taea te whakaora katoa i te (Osteoid Osteoma) i roto i te wā, māna ake, mā te rongoā "NSAID" rānei, mā te pokanga rānei.

Me pēhea te tiaki i a koe anō me te (Osteoid Osteoma)?

Hei whakaiti i te tūponotanga o ngā raruraru i muri i te pokanga, ka taea e koe te mahi i ēnei e whai ake nei:

• Whakaitihia te korikori tinana mō ētahi marama.
• Tirohia he kaiwhakaora tinana mō ngā tohutohu me ngā maimoatanga.
• Ki te haere tonu te mamae, me toro atu ki te tākuta tonu .

Nā, he aha ngā mea hei maumahara mā tātou i tēnei pūrākau?

Ko te Osteoid Osteoma he pukupuku kore-matepukupuku e puta ana i roto i ngā wheua. Ko te nuinga o te wā ka puta i roto i ngā wheua roa o te tinana. Ko ngā tohu matua ko te mamae e kino haere ana i te pō, te pupuhi, me te pakari o ngā hononga. Ka tātaritatia e ngā tākuta mā roto i ngā whakamātautau pēnei i ngā hihi-X me ngā karapa wheua e toru-wāhanga. Kei roto i te maimoatanga ko ngā rongoā whakamamae e kiia nei ko ngā NSAID, te pokanga rānei.

Ko te mea nui ko te taea te whakaora katoa i te mate (Osteoid Osteoma) i roto i te wā, ahakoa he rongoā tūpono, he rongoā rānei.Nō reira kaua e mataku noa. Mēnā kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta tonu me te rapu tohutohu.

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