Osteosarcoma

ʻO ka Osteosarcoma kahi ʻano laha ʻole o ka tumone iwi maʻi ʻaʻai e hoʻomohala maʻamau i nā ʻōpio. Kū pinepine ia i ka wā e ulu wikiwiki ana kahi ʻōpio.

ʻO Osteosarcoma ka maʻi ʻaʻai iwi nui ma nā keiki. ʻO ka makahiki awelika ma ka hōʻailona he 15. ʻO nā keikikāne a me nā kaikamahine e like me ka ulu ʻana o kēia tumo a hiki i ka hopena o ka ʻōpio, ke hana pinepine ʻia i nā keikikāne. ʻO ka Osteosarcoma he mea maʻamau ia i ka poʻe ma mua o 60 mau makahiki.

ʻAʻole ʻike ʻia ke kumu. I kekahi mau hihia, holo ka osteosarcoma i loko o nā ʻohana. Ma ka liʻiliʻi ua hoʻopili ʻia kahi moʻokāki i ka nui o ka makaʻu. Pili pū ʻia kēia ʻaoʻao me ka retinoblastoma ʻohana. He maʻi ʻaʻai kēia o ka maka i kū i nā keiki.

Kūpono ʻo Osteosarcoma i nā iwi o ka:

• ʻO Shin (kokoke i ke kuli)
• ʻĀkū (kokoke i ke kuli)
• ʻO ka lima kiʻekiʻe (kokoke i ka poʻohiwi)

Kū pinepine ʻo Osteosarcoma i nā iwi nui ma kahi o ka iwi me ka wikiwiki o ka ulu ʻana. Eia nō naʻe, hiki i kekahi iwi.

ʻO ka hōʻailona mua ka ʻeha o ka iwi ma kahi o kahi hui. E nānā ʻia paha kēia ʻōuli ma muli o nā kumu maʻamau ʻē aʻe o ka ʻeha pū.

Hiki i nā ʻōuli ʻē aʻe ke hoʻopili i kekahi o kēia:

• Haki iwi (hiki ke hana ma hope o kahi neʻe maʻamau)
• Ka palena o ke noi
• Limping (inā aia ka tumo i ka wāwae)
• ʻEha ke hāpai ʻana (inā ʻo ka tumo i ka lima)
• Ka palupalu, ka pehu ʻana, a me ka ʻulaʻula ma ke kahua o ka tumo

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i ka mōʻaukala a me nā ʻōuli.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO Biopsy (i ka manawa o ke ʻoki ʻana no ka hōʻoia)
• Nā hoʻāʻo koko
• ʻImi iwi e ʻike ai inā ua laha ka maʻi ʻaʻai i nā iwi ʻē aʻe
• CT scan o ka umauma e ʻike inā ua pālahalaha ka maʻi ʻaʻai i nā akemāmā
• MRI hoʻoili
• Scanner PET
• X-ray

Hoʻomaka ka hoʻomaʻamaʻa ma hope o ka hana ʻia ʻana o kahi biopsy o ka tumo.

Ma mua o ke kaha ʻana e wehe i ka tumo, hāʻawi pinepine ʻia ka chemotherapy. Hiki i kēia ke hoʻoliʻiliʻi i ka tumer a hoʻomaʻalahi i ke kahakaha. Pepehi paha ia i nā hunaola maʻi ʻaʻai i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino.

Hoʻohana ʻia ke kaha ma hope o ka chemotherapy e hoʻoneʻe ai i nā tumo i koe. I ka hapanui o nā hihia, hiki i ke kahakaha ke wehe i ka tumo ʻoiai e mālama ana i ka lālā i hoʻopili ʻia. Kapa ʻia kēia he ʻoki hōʻoki lālā. I nā hihia kakaikahi, pono ke kīpoki hou (amputation).

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 hiki ke kōkua iā ʻoe a me kou ʻohana ʻaʻole manaʻo hoʻokahi.

Inā ʻaʻole i pālahalaha ka tumo i nā akemāmā (pulmonary metastasis), ʻoi aku ka maikaʻi o ka mālama ola wā lōʻihi. Inā ua pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, ʻoi aku ka maikaʻi o ka nānā. Eia nō naʻe, aia kahi manawa o ka hoʻōla me ka lāʻau lapaʻau maikaʻi.

Komo pū nā pilikia:

• Lawe hoʻoneʻe
• Ka hohola ʻana o ka maʻi ʻaʻai i nā akemāmā
• Nā hopena o ka chemotherapy

Kāhea i kāu mea hāʻawi inā loaʻa a ʻeha paha kāu keiki i ka ʻeha o ka iwi hoʻomau, palupalu, a ʻōhū paha.

ʻO Sarcoma osteogenic; Tumo iwi - osteosarcoma

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

ʻO Anderson ME, Randall RL, Springfield DS, Gebhardt MC. ʻO Sarcomas o ka iwi. I: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. ʻO Oncology Clinical ʻo Abboff. 5th lā. Piladelapia, PA: Elsevier Saunders; 2014: chap 92.

Pūnaewele ʻo National Cancer Institute. Osteosarcoma a me malignant fibrous histiocytoma o ka mālama ʻana i ka iwi (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/bone/hp/osteosarcoma-treatment-pdq. Hoʻohou i Iune 11, 2018. Loaʻa iā Nowemapa 12, 2018.