He aha ka iwi (iwi) cancer, hōʻailona, diagnose a me nā ʻano
Anter
ʻO ka maʻi ʻaʻai iwi he tumo i hoʻomaka ʻia mai nā hunaola ʻino ʻole i hana ʻia i loko o nā iwi iwi a i ʻole hiki ke hoʻomohala mai nā hunaola maʻi ʻaʻai i loko o nā meaola ʻē aʻe, e like me ka umauma, ka māmā a me ka prostate, kahi e hōʻike ai i ka metastasis. Nui a hewahewa ke ʻano o ka maʻi ʻaʻai iwi, akā ʻano like ke ʻano o nā ʻōuli, a aia paha ka ʻeha a me ka pehu ʻana i nā hono a pinepine a maʻalahi hoʻi e hana i nā haki, kahi i ʻike ʻia he mau haʻi pathological.
Hana ʻia kahi hōʻailona e kahi orthopedist a i ʻole oncologist ma o nā hoʻokolohua e like me nā X-ray, resonance ʻume mākenēki, tomography i helu ʻia, scan scan a me nā biopsy iwi. Hiki ke hana i ka mālama ʻana no ka maʻi ʻaʻai iwi me ka chemotherapy, radiation radiation a i ʻole ke ʻoki ʻana, kaukaʻi ʻia i ka nui, ʻano a me kahi o ka tumo i ka iwi.
Nā hōʻailona nui
ʻO nā ʻōuli maʻamau o ka maʻi ʻaʻai iwi pū kekahi:
- ʻEha iwi: maʻamau ʻaʻole mau ka ʻeha i ka hoʻomaka, akā hiki ke ikaika loa i ka pō a i ka neʻe ʻana o nā wāwae, e like me ka wā e hele wāwae ana.
- ʻO ka pehu ʻana o nā hono: ʻike ʻia kahi nodule i nā hono, hoʻonui i ka ʻeha a me ka hōʻoluʻolu ʻole, ʻoi aku i nā kuli a me nā kuʻekuʻe lima;
- Iwi e haki maʻalahi: hiki ke hana i nā haʻihaʻi pathological, ʻo ia ka wā e haki maʻalahi ai nā iwi no ka palupalu i hoʻokumu ʻia e ka tumo, me nā haʻi o ka femur a i ʻole ka iwi kuamoʻo i ʻoi aku ka maʻamau.
Ma waho aʻe o kēia mau ʻōuli o ka maʻi ʻaʻai, hiki i ka tumo ke alakaʻi i ka pohō kaumaha no ke kumu ʻole, ka luhi nui a me ke kuni mau. Inā pālahalaha ka maʻi ʻaʻai i nā mea ʻē aʻe, e like me ka lung no ka laʻana, hiki ke kumu i nā ʻōuli kikoʻī ʻē aʻe, e like me ka paʻakikī i ka hanu ʻana.
Pehea e hōʻoia ai i ke kuhi
Ke kānalua ke kauka he ʻeha i ka iwi, hiki iā ia ke kauoha i kahi X-ray, no ka mea e hōʻike ka X-ray i kahi kīnā i ka iwi a i ʻole nā mea kokoke, e like me nā mākala a me nā momona. I kekahi mau hihia, hiki i ke kauka ke kauoha i kahi X-ray umauma e nānā ai inā ua pālahalaha ka maʻi ʻaʻai i ka iwi i nā akemāmā, akā ʻo kēia wale nō ke hōʻoia ʻia ka hōʻoia.
ʻO ke kiʻi resonance ʻume mākenēki kahi hōʻike i hōʻike pono ʻia e ke kauka e hōʻoia i ka maʻi ʻaʻa iwi a e wehewehe i ka nui a me ka nui o ka tumo, akā paipai ʻia paha ka tomography a me ka scan pet, no ka mea hiki iā lākou ke hōʻike inā he mau wahi ʻē aʻe i ke kino. loli ʻia e ka maʻi. Hoʻohui ʻia, hana pū ʻia ka biopsy iwi me kēia mau hoʻokolohua kiʻi ʻē aʻe, no ka mea e hōʻike ana i ke ʻano o nā hunaola ʻē aʻe e hoʻopiʻi ana i ka maʻi ʻaʻai iwi.
He aha nā ʻano
Aia kekahi mau ʻano maʻi ʻaʻai i loko o nā iwi, kaukaʻi ʻia i ka ʻāpana o ka iwi, ka aʻa a me ke ʻano o ke aʻa e hana i ka tumo, e like me:
- Osteosarcoma: ʻo ia ke ʻano e hoʻomohala mai nā hunaola ke kuleana no ka hoʻokumu ʻana i nā iwi, a ulu nui ʻia i nā iwi o nā lima, nā wāwae a me nā pelvic, ʻoi aku ka maʻamau o nā makahiki i waena o 10 a 30 mau makahiki;
- Chondrosarcoma: hoʻomaka i loko o nā keena cartilage, ʻo ia ka lua o ka maʻi ʻaʻai nui o ka iwi a he laha ʻole i ka poʻe ma lalo o 20;
- ʻO ka sarkoma a Ewing: hiki ke ʻike ʻia i nā keiki a me nā ʻōpio, ʻoi aku ka liʻiliʻi o ka poʻe mākua ma mua o 30 mau makahiki a ʻo nā ʻāpana i hoʻopilikia loa ʻia nā iwi o ka pelvic a me nā iwi lōʻihi o nā wāwae a me nā lima;
- ʻO ka histiocytoma fibrous malignant: hoʻomaka kēia ʻano maʻi ʻaʻai iwi i nā ligament a me nā aʻa e kokoke ana i nā iwi, ʻo ka mea maʻamau o ka ʻelemakule;
- ʻO Fibrosarcoma: a me ke ʻano o ka maʻi ʻaʻai iwi e hoʻomohala ʻia mai nā mea palupalu, i ʻike ʻia ʻo nā ligament a me nā ʻāʻī.
- ʻO ka tumo pūnaewele iwi nunui: hiki ke lilo i benign a malignant paha a pili pinepine i ka ʻūhā kuli;
- Chordoma: ulu pinepine ia i nā mākua ma mua o 30 a hiki i nā iwi o ka iwi poʻo.
Hoʻohui ʻia, ʻaʻole hoʻomaka ka maʻi ʻaʻai iwi i nā hunaola iwi, pinepine ʻia ma ke ʻano he metastasis mai ka maʻi ʻaʻai holomua o kekahi mea ʻē aʻe, e like me ka umauma, prostate a me ka maʻi ʻaʻa lung, no ka laʻana. Hoʻomaopopo i nā metastases a pehea e ʻike ai iā lākou.
Pehea e hana ai i ka lāʻau
Hōʻike ʻia ka lapaʻau ʻana no ka maʻi ʻaʻai iwi e ka oncologist a kaukaʻi ʻia i ke ʻano tumo, ka nui a me kona wahi, me chemotherapy, radiotherapy a, i kekahi mau manawa, hōʻike ʻia ke ʻoki e lawe i ka tumo i hōʻike mau ʻia.
I nā hihia ʻoi loa, pono e ʻokiʻoki i ka lālā i hoʻopilikia ʻia, ka mālama ʻana, inā hiki, ka nui o kāna hana a i ʻole ke kaukaʻi ʻia ʻana, hiki ke hana ʻia kahi endoprosthesis, kahi prostesis e lawelawe ai e pani i ka iwi i hemo ʻia. .
Eia nō naʻe, ke neʻekau loa ka maʻi ʻaʻai iwi, kahi e hana mau ʻia ai ke ʻano he metastasis kēia ʻano maʻi ʻaʻai, ʻo ka lapaʻau maʻamau i kapa ʻia ʻo ka mālama palliative, i hana ʻia e hōʻoia i ke ola o ke kanaka, me ka manaʻo e hōʻemi i ka ʻeha, me nā lāʻau analgesic, a me ka hōʻoluʻolu ʻole i hoʻokumu ʻia e nā maʻi ʻaʻai.
E aʻo hou aʻe e pili ana i ka mālama ʻana no ka maʻi ʻaʻai iwi.