Ewing sarcoma

ʻO ka Ewing sarcoma kahi tumo iwi malignant e hana i ka iwi a i ʻole nā ​​mea palupalu. Hoʻopili ia i ka hapanui o ka poʻe ʻōpio a me ka poʻe ʻōpio.

Hiki i ka Ewing sarcoma ke hana i kēlā me kēia manawa i ka wā kamaliʻi a me ke ʻano ʻōpio. Akā ulu mau i ka wā ʻōpio, ke ulu wikiwiki nā iwi. ʻOi aku ka maʻamau i nā keiki keʻokeʻo ma mua o nā keiki ʻeleʻele a i ʻole asian.

E hoʻomaka paha ka tumo ma nā wahi āpau o ke kino. ʻO ka pinepine, hoʻomaka ia i nā iwi lōʻihi o nā lima a me nā wāwae, ka pelvis, a i ʻole ka umauma. Hiki iā ia ke hoʻomohala i ka iwi poʻo a i nā iwi pā o ke kumu.

Hoʻolahalaha pinepine ka tumo (metastasize) i nā akemāmā a me nā iwi ʻē aʻe. I ka manawa o ke kuhi, ʻike ʻia ka pālahalaha ʻana ma kahi o ka hapakolu o nā keiki me ka Ewing sarcoma.

I nā hihia maʻamau, loaʻa ʻo Ewing sarcoma i ka poʻe mākua.

Aia kekahi mau ʻōuli. ʻO ka mea maʻamau ka ʻeha a i kekahi manawa ka pehu ʻana ma ke kahua o ka tumo.

Hiki paha i nā keiki ke uhaʻi i kahi iwi ma ke kahua o ka tumo ma hope o kahi hōʻeha iki.

Aia paha ka fiva.

Inā manaʻo ʻia kahi tumo, nā hoʻāʻo e huli i ka tumo mua a me kekahi pāhola (metastasis) e hoʻopili pinepine ʻia:

• ʻImi iwi
• Pākuʻi x-ray
• CT scan o ka umauma
• MRI o ka puʻu
• X-kukuna o ka puʻupuʻu

E hana ʻia kahi biopsy o ka tumo. Hana ʻia nā hoʻokolohua like ʻole ma kēia kiko e kōkua ai i ka hoʻoholo ʻana i ka ikaika o ka maʻi ʻaʻai a me ke ʻano ʻoi aku ka maikaʻi o ka lāʻau.

Hoʻopili pinepine ka mālama ʻana i ka hui pū ʻana o:

• ʻO Chemotherapy
• Lapaʻau hoʻomākala
• ʻO ke ʻoki kino e hemo ai i ka tumo mua

Kaukaʻi hilinaʻi nui i ka kēia:

• ʻO ke kahua o ka maʻi ʻaʻai
• Ka makahiki a me ka moekolohe o ke kanaka
• Nā hopena o nā hoʻāʻo ma ka laʻana biopsy

Hiki ke hōʻemi ʻia 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.

Ma mua o ka mālama ʻana, pili ka nānā i:

• Inā ua pālahalaha ka tumo i nā ʻaoʻao mamao o ke kino
• Ma kahi o ke kino i hoʻomaka ai ka tumo
• Pehea ka nui o ka tumo ke kuhikuhi ia
• Inā ʻoi aku ke kiʻekiʻe o ka LDH i ke koko ma mua o ka maʻamau
• Inā paha ua loli kekahi ʻāpana o ka tumo
• Inā he ʻōpio ke keiki ma mua o 15 mau makahiki
• Moekolohe keiki
• Inā ua mālama ʻia ke keiki no ka maʻi ʻaʻai ʻē aʻe ma mua o ka Ewing sarcoma
• Inā ua hōʻoia wale ʻia ka tumo a ua hoʻi mai paha

ʻO ka manawa kūpono loa no ka hoʻōla me ka hui pū ʻana o nā lapaʻau e komo pū me ka chemotherapy a me ka radiation a i ʻole ke ʻoki kino.

ʻO nā lapaʻau e pono ai e hakakā i kēia maʻi he nui nā pilikia. Kūkākūkā i kēia mau mea me kāu kahu mālama ola.

Kāhea i kāu mea hāʻawi inā loaʻa kāu keiki i kekahi o nā ʻōuli o ka Ewing sarcoma. Hiki i kahi hōʻailona mua ke hoʻonui i ka hopena o kahi hopena maikaʻi.

Maʻi ʻaʻai iwi - Ewing sarcoma; Ewing ʻohana o nā puʻukū; Nā tumora neuroectodermal primitive (PNET); Bone neoplasm - Ewing sarcoma

• X-ray
• Ewing sarcoma - x-ray

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 ʻo National Cancer Institute. Ewing sarcoma treatment (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/bone/hp/ewing-treatment-pdq. Hoʻohou i Pepeluali 4, 2020. Loaʻa iā Malaki 13, 2020.

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 ʻApelila 22, 2020.