ʻO Eosinophilic Granuloma o ka iwi
Anter
- He aha nā hōʻailona?
- He aha ke kumu?
- Pehea ia ʻike?
- Pehea e mālama ʻia ai?
- Aia kekahi pilikia?
- Noho me ka granuloma eosinophilic
He aha ka granuloma eosinophilic?
ʻO ka granuloma ʻo Eosinophilic o ka iwi kahi laha ʻole, ʻāpana noncancerous e hoʻopili i nā keiki. He ʻāpana ia o kahi ʻano o nā maʻi kakaikahi, i ʻike ʻia ʻo Langerhans cell histiocytosis, e pili ana i ka hoʻonui ʻia ʻana o nā pūnaewele Langerhans, nā ʻāpana o kāu ʻōnaehana pale.
Loaʻa nā hunaola Langerhans i ka papa waho o kou ʻili a me nā mea ʻē aʻe. ʻO kā lākou hana e ʻike i ke alo o nā meaola maʻi a kamaʻilio i kēlā ʻike i nā hunaola ʻē aʻe pale pale.
Hōʻike ʻo Eosinophilic granuloma i ka iwi poʻo, nā wāwae, nā iwi ʻaoʻao, pelvis, a me ka iwi kuamoʻo. I kekahi mau hihia, hiki ke hoʻopili i nā iwi ma mua o hoʻokahi.
He aha nā hōʻailona?
ʻO nā ʻōuli maʻamau o ka eosinophilic granuloma ka ʻeha, ka palupalu, a me ka pehu ʻana a puni ka iwi i hoʻopili ʻia.
ʻO nā hōʻailona kūpono ʻē aʻe e pili pū me:
- ʻeha poʻo
- ʻeha ke kua a ʻāʻī paha
- fiva
- helu keʻokeʻo kiʻekiʻe keʻokeʻo kiʻekiʻe (i kapa ʻia hoʻi ʻo leukositosis)
- ʻāwīwī o ka ʻili
- paʻakikī e hāpai ana i ke kaupaona
- kaupalena o ka noi
o nā hihia o eosinophilic granuloma i loko o hoʻokahi nā iwi e hana i ka iwi poʻo. ʻO nā iwi ʻē aʻe e pili pinepine ʻia ka iwi ā, ka ʻūhā, ka lima luna, ka poʻohiwi, a me nā iwi ʻaoʻao.
He aha ke kumu?
ʻAʻole maopopo i ka poʻe noiʻi e pili ana i ke kumu o ka eosinophilic granuloma. Eia naʻe, me he mea lā e pili ana ia i kahi hoʻololi kūkaʻina kikoʻī. Somatic kēia hoʻololi ʻana, ʻo ia hoʻi aia ma hope o ka hapai ʻana a ʻaʻole hiki ke hoʻoili ʻia i nā hanauna e hiki mai ana.
Pehea ia ʻike?
Hoʻomaopopo pinepine ʻia ʻo Eosinophilic granuloma me kahi X-ray a i ʻole CT scan o ka wahi i hoʻopilikia ʻia. Kaukaʻi ʻia i ka mea a ke kiʻi e hōʻike ai, pono paha ʻoe e hana i kahi biopsy lesion iwi. Hoʻopili kēia i ka lawe ʻana i kahi mea liʻiliʻi o ka iwi iwi mai kahi i hoʻopilikia ʻia a nānā iā ia ma lalo o kahi microscope. I kekahi mau hihia, pono paha i nā keiki ke anesthesia ākea ma mua o kahi biopsy.
Pehea e mālama ʻia ai?
ʻO ka nui o nā hihia o ka eosinophilic granuloma e hoʻomaʻemaʻe iā lākou iho, akā ʻaʻohe palena manawa maʻamau no ka lōʻihi o kēia. I kēia manawa, hiki i nā kuʻi korticosteroid ke kōkua me ka ʻeha.
I nā hihia maʻamau, pono paha i ka tumo e hapa a i ʻole hoʻopau loa ʻia me ke kaha.
Aia kekahi pilikia?
I kekahi mau hihia, hiki i ka eosinophilic granuloma ke hoʻolaha i nā iwi he nui a i ʻole nā lymph node. Inā nui ka tumo, hiki iā ia ke kumu i nā haki iwi. Ke hoʻopili ka granuloma eosinophilic i ka iwi kuamoo, hiki i kēia ke alakaʻi i kahi vertebra hina.
Noho me ka granuloma eosinophilic
ʻOiai hiki i ka eosinophilic granuloma ke lilo i maʻiʻeha, hoʻoholo pinepine ia iā ia iho me ka ʻole o ka lapaʻau. I nā hihia ʻē aʻe, hiki i nā hoʻopili ʻana o corticosteroid ke kōkua i ka mālama ʻana i ka ʻeha. Inā nui a nui ka tumo, pono paha e hemo me ka ʻoki lāʻau.