Tumo iwi

ʻO ka tumo iwi kahi ulu kūpono ʻole o nā hunaola ma loko o kahi iwi. ʻO kahi tumo iwi paha he maʻi ʻino (malignant) a i ʻole noncancerous (benign).

ʻAʻole ʻike ʻia ke kumu o nā tumors iwi. Kū pinepine lākou i nā wahi o ka iwi e ulu wikiwiki. ʻO nā kumu i hiki ke hoʻopili ʻia:

• Ua hala nā kīnā genetic i loko o nā ʻohana
• Pāhawewe
• ʻEhaʻeha

I ka hapanui o nā hihia, ʻaʻohe kumu kikoʻī i loaʻa.

ʻO ka Osteochondromas nā tumors iwi noncancerous (benign) maʻamau. Kū pinepine lākou i ka poʻe ʻōpio ma waena o 10 a 20 mau makahiki.

Kāhea ʻia nā hōʻinoʻino e hoʻomaka i nā iwi i nā tumors iwi mua. Kāhea ʻia nā maʻi ʻōiwi e hoʻomaka i kekahi ʻāpana o ke kino (e like me ka umauma, nā akemāmā, a i ʻole kolone) i kapa ʻia nā iwi ʻelua a i ʻole metastatic iwi tumors. ʻOkoʻa ʻokoʻa lākou i nā tumors iwi mua.

ʻO nā tumors iwi mua maʻi maʻi pū i loko:

• Chondrosarcoma
• Ewing sarcoma
• ʻO Fibrosarcoma
• Osteosarcomas

ʻO nā maʻi ʻōpala i pāhola pinepine ʻia i ka iwi nā maʻi ʻaʻai o ka:

• Umauma
• Hakuʻala
• Lung
• Moekolohe
• ʻOhana

Hoʻopili pinepine kēia mau ʻano maʻi ʻaʻai i ka poʻe kahiko.

ʻOi aku ka maʻamau o ka maʻi ʻaʻai iwi ma ka poʻe i loaʻa ka moʻolelo ʻohana o nā maʻi ʻaʻai.

Hiki i nā ʻōuli o ka tumo iwi ke hoʻopili i kekahi o kēia mau mea:

• ʻO ka iwi iwi, ʻoiai hoʻi mai ka hōʻeha iki ʻana (trauma)
• ʻEha iwi, ʻoi aku paha ka maikaʻi i ka pō
• ʻO kekahi manawa hiki ke ʻike ʻia ka nuipa a me ka pehu ma ka pūnaewele tumo

ʻAʻohe o nā ʻōiwi maikaʻi.

E hana ka mea mālama ola i kahi hoʻokolohua kino. ʻO nā hoʻāʻo e hana ʻia ana paha:

• Pae pae kō Alkaline phosphatase
• Biopsy iwi
• ʻImi iwi
• Pākuʻi x-ray
• CT scan o ka umauma
• MRI o ka iwi a me nā a puni
• X-ray o ka iwi a me nā mea a puni
• Scanner PET

E kauoha ʻia paha nā hōʻike aʻe e kiaʻi i ka maʻi.

• Alkaline phosphatase isoenzyme
• Pae ʻaukā koko
• Hīmona parathyroid
• Pae pae phosphorus

Hele kekahi o nā iwi iwi ʻino ma muli o lākou iho a ʻaʻole pono i ka lāʻau. E nānā pono ana kāu mea hāʻawi iā ʻoe. Pono paha ʻoe i nā hoʻokolohua kiʻi maʻamau, e like me nā kukuna x, e ʻike ai inā e emi a ulu paha ka tumo.

Pono paha ke ʻoki e wehe i ka tumo i kekahi mau hihia.

ʻO ka mālama ʻana no nā ʻōiwi iwi maʻi maʻi i pāhola ʻia mai nā ʻāpana ʻē aʻe o ke kino e pili ana i kahi i hoʻomaka ai ka maʻi ʻaʻai. Hāʻawi ʻia ka radiation radiation i mea e pale ai i nā haki a i ʻole e hoʻomaha ai i ka ʻeha. Hoʻohana ʻia ʻo Chemotherapy e pale i nā haki a i ʻole ka pono no ke ʻoki ʻana a i ʻole ka radiation.

Kākaʻikahi nā ʻōpuʻu e hoʻomaka i ka iwi. Ma hope o ka biopsy, pono ka hui ʻana o chemotherapy a me ke ʻoki kino. Pono paha ka radiation radiation ma mua a ma hope paha o ke kaha ʻana.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo maʻi ʻaʻai. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Maikaʻi kāu hilinaʻi ʻana i ke ʻano o ka tumo iwi.

Maikaʻi ka hopena ma nā poʻe me nā tumors noncancerous (benign). Akā hiki i kekahi mau puʻupuʻu iwi benign ke lilo i maʻi ʻaʻai.

ʻO ka poʻe me nā iwi ʻōiwi maʻi ʻole i pālahalaha ʻia e hoʻōla ʻia paha. Aia ka helu hoʻōla i ka ʻano maʻi ʻaʻai, kahi, ka nui, a me nā kumu ʻē aʻe. E kamaʻilio i kāu mea hāʻawi e pili ana i kāu maʻi ʻaʻai.

ʻO nā pilikia i hopena ʻia ma muli o ka tumo a i ʻole ka mālama ʻana:

• ʻEha
• Hoʻoemi i ka hana, kaukaʻi ʻia
• Nā hopena o ka chemotherapy
• Ka hohola ʻana o ka maʻi ʻaʻai i nā aʻa kokoke (metastasis)

Kāhea i kāu mea hāʻawi inā loaʻa nā ʻōuli o kahi tumo iwi.

Tumor - iwi; Maʻi ʻaʻai iwi; Tumo iwi mua; Tumo iwi lua; Tumo iwi - benign

• X-ray
• Iwi iwi iwi
• ʻO ka sarcoma osteogenic - x-ray
• Ewing sarcoma - x-ray

Heck RK, Pāʻani PC. ʻO nā kūpuna Benign / agresive o ka iwi. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 26.

Heck RK, Pāʻani PC. ʻŌiwi puʻupuʻu. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 27.

Pūnaewele Pūnaewele Manuahi Manuahi. Nā papa hana hoʻomaʻamaʻa NCCN i ka oncology (nā alakaʻi NCCN): Ka maʻi ʻaʻai iwi. Mana 1.2020. www.nccn.org/professionals/physician_gls/pdf/bone.pdf. Hoʻohou i ʻAukake 12, 2019. Loaʻa iā Iulai 15, 2020.

ʻO Reith JD. Iwi a me nā hono. I: Goldblum JR, Lamps LW, McKenney JK, Myers JL, eds. ʻO Rosai lāua ʻo Ackerman's Surgical Pathology. 11th hua. Piladelapia, PA: Elsevier; 2018: chap 40.