ʻO ka biopsy lesion iwi
ʻO kahi biopsy lesion iwi kahi e hemo ai kahi ʻāpana o ka iwi a iwi o ka iwi paha no ka hoʻokolokolo ʻana.
Hana ʻia ka hōʻoia ma ke ala aʻe:
- Hoʻohana ʻia paha kahi scan x-ray, CT a i ʻole MRI e alakaʻi i ke kau pono ʻana o ka mea kani biopsy.
- Hoʻopili ka mea mālama olakino i kahi lāʻau numbing (anesthetic kūloko) i kahi.
- Hana ʻia kahi ʻoki liʻiliʻi i ka ʻili.
- Hoʻohana pinepine ʻia kahi nila koli kūikawā. Hoʻokomo mālie ʻia kēia kui kele ma o ka ʻoki, a laila kaomi ʻia a wili ʻia i ka iwi.
- Ke loaʻa ʻia kahi laʻana, wili ʻia ka nila.
- Hoʻohana ʻia ka pilikia ma ka pūnaewele. Ke kū nei ke kahe o ke koko, hoʻopili ʻia nā humuhumu, a uhi ʻia me kahi kapa.
- Hoʻouna ʻia kahi laʻana i kahi lab no ka hoʻokolokolo ʻana.
Hiki ke hana ʻia ka biopsy iwi ma lalo o ka anesthesia ākea e hemo i kahi hōʻailona nui aʻe. A laila hiki ke hana i ke ʻoki e wehe i ka iwi inā hōʻike ka hōʻike biopsy aia he ulu kino ʻole a maʻi ʻaʻai paha.
E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka hoʻomākaukau. Pākuʻi paha kēia i ka ʻai ʻole ʻana a me ka inu ʻana no kekahi mau hola ma mua o ke kaʻina hana.
Me kahi nila biopsy, ʻike paha ʻoe i kahi ʻoluʻolu ʻole a me ke kaomi, ʻoiai e hoʻohana ʻia kahi anesthetic kūloko. Pono ʻoe e noho mālie i ke kaʻina hana.
Ma hope o ka biopsy, ʻeha a palupalu paha ka wahi no kekahi mau lā.
ʻO nā kumu maʻamau no ka biopsy lesion iwi e haʻi i ka ʻokoʻa ma waena o nā iwi ʻino maʻi a me noncancerous a ʻike i nā pilikia iwi a iwi paha. Hana ʻia paha ia ma luna o ka poʻe me ka ʻeha o ka iwi a me ka palupalu, inā paha e hōʻike ʻia ka x-ray, CT scan, a i ʻole nā hoʻokolohua ʻē aʻe i kahi pilikia.
ʻAʻole loaʻa kahi iwi iwi ʻokoʻa.
ʻO kahi hopena maʻamau kekahi o nā pilikia aʻe.
Benign (noncancerous) iwi kūpuna, e like me:
- Bone cyst
- ʻO Fibroma
- ʻO Osteoblastoma
- Osteoid osteoma
Maʻi ʻaʻai Ka maʻi ʻaʻai, e like me:
- Ewing sarcoma
- Myeloma lehulehu
- Osteosarcoma
- ʻO nā ʻano ʻē aʻe o ka maʻi ʻaʻai i hoʻolaha ʻia i ka iwi
Nā hualoaʻa kūpono ʻole paha ma muli o:
- Osteitis fibrosa (nāwaliwali a hemahema hoʻi ka iwi)
- Osteomalacia (palupalu o nā iwi)
- Osteomyelitis (iwi maʻiʻaʻai)
- Nā maʻi pūpū o ka iwi (Leukemia a i ʻole lymphoma)
Pākuʻi ʻia paha nā pilikia o kēia kaʻina hana:
- Haki iwi
- Iwi maʻiʻaʻai (osteomyelitis)
- Poino i nāʻaʻa puni
- Hōʻoluʻolu
- Kahe nui ke koko
- ʻO ka maʻi kokoke i ka wahi biopsy
ʻO ka makaʻu koʻikoʻi i kēia kaʻina hana he maʻi iwi. Aia nā hōʻailona me:
- Fiva
- ʻO Chills
- ʻEha kaumaha
- ʻO kaʻulaʻula a me ka pehu ʻana a puni ka pūnaewele biopsy
- Ka hoʻokuʻu ʻana o ka nū mai ka pūnaewele biopsy
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e hoʻokaʻaʻike koke aku i kāu mea hāʻawi.
ʻO ka poʻe me nā maʻi iwi i loaʻa pū kekahi i nā maʻi kōkuʻi koko i hiki ke hoʻonui ʻia i ka kahe ʻana o ke kahe.
Biopsy iwi; Biopsy - iwi
- Biopsy iwi
ʻO Katsanos K, Sabharwal T, Cazzato RL, Gangi A. Nā hana hana iwi. I: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, eds. ʻO Grainger & Allison's Diagnostic Radiology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 87.
ʻO Schwartz HS, Holt GE, Halpern JL. Tumo iwi. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 32.
ʻO Reisinger C, Mallinson PI, Chou H, Munk PL, Ouellette HA. ʻO nā ʻenehana radiologic kuʻuna i ka mālama ʻana i nā tumors iwi. I: Heymann D, hoʻoponopono. Kanesa iwi. ʻElua ed. Waltham, MA: Elsevier Academic Press; 2015: chap 44.