He aha ka osteosarcoma, nā ʻōuli a pehea e mālama ai
Anter
ʻO ka Osteosarcoma kahi ʻano tumo iwi iwi kolohe e ʻoi pinepine ana i nā keiki, ʻōpio a me nā ʻōpio makua, me ka manawa kūpono o nā ʻōuli nui ma waena o 20 a 30 mau makahiki. ʻO nā iwi i hoʻopili nui ʻia nā iwi lōʻihi o nā wāwae a me nā lima, akā hiki i ka osteosarcoma ke hōʻike ʻia ma nā iwi ʻē aʻe i ke kino a maʻalahi hoʻi e hana i nā metastasis, ʻo ia hoʻi, hiki i ka tumo ke pālahalaha i kahi ʻē aʻe.
Wahi a ka helu ulu o ka tumo, hiki ke hoʻokaʻawale ʻia ka osteosarcoma i:
- Papa kiʻekiʻe: kahi e ulu wikiwiki ai ka tumo a hoʻokomo i nā hihia o osteoblastic osteosarcoma a i ʻole chondroblastic osteosarcoma, ʻoi aku ka maʻamau o nā keiki a me nā ʻōpio;
- Papa waena: he ulu wikiwiki a hoʻokomo i ka oostosarcoma periosteal, e laʻa me;
- Papa haʻahaʻa: ulu mālie a, no laila, paʻakikī e ʻike a hoʻopili pū me ka parosteal a me ka osteosarcoma intramedullary.
ʻO ka wikiwiki o ka ulu ʻana, ʻoi aku ka nui o ke koʻikoʻi o nā ʻōuli a ʻoi aku ka nui o ka pāhola ʻana i nā wahi ʻē aʻe o ke kino. No laila, he mea nui e hana koke ʻia ke kuhi e ka orthopedist ma o nā hoʻokolohua kiʻi.
Osteosarcoma hōʻailona
Hiki ke loli i nā ʻōuli o ka osteosarcoma mai kekahi kanaka a i kekahi, akā i ka nui o nā ʻōuli nui.
- ʻEha ma ka pūnaewele, hiki ke hōʻino i ka pō;
- Ka pehu / edema ma ka pūnaewele;
- ʻUlaʻula a me ka wela;
- Lū kokoke i kahi hui;
- Ka palena o ka neʻe ʻana o ka ami i hoʻopili ʻia.
ʻO ke kuhi o ka osteosarcoma e hana ʻia e ka orthopedist i ka wā hiki loa, ma o nā keʻena hoʻokolohua a me nā hoʻokolohua kiʻi, e like me radiography, tomography, magnetic resonance, iwi scintigraphy a me PET. Pono e hana mau i ka biopsy iwi ke ʻike ʻia kahi kānalua.
ʻO ka hanana ʻana o ka osteosarcoma pili pinepine ʻia i nā kumu kūlohelohe, aia kahiʻoi aku ka nui o ka maʻi i ka poʻe i loaʻa i nā lālā o ka ʻohana a i ʻole nā maʻi genetics, e like me Li-Fraumeni syndrome, maʻi ʻo Paget, retinoblastoma hoʻoilina a me ka osteogenesis hemahema, no ka laʻana.
Pehea ka lāʻau
ʻO ka mālama ʻana no ka osteosarcoma e pili ana i kahi kime multidisciplinary me ka orthopedist oncology, oncologist clinical, radiotherapist, pathologist, psychologist, general practitioner, pediatrician a me kauka lapaʻau koʻikoʻi.
Nui a hewahewa nā kaʻina hana no ka mālama ʻana, e like me chemotherapy, a ukali ʻia e ke ʻoki ʻana no ka resection a i ʻole ke ʻoki ʻana a me kahi pōʻaiapōpō chemotherapy hou. Hoʻololi ka hana ʻana i ka chemotherapy, radiotherapy a i ʻole ke ʻoki e like me ka wahi o ka tumo, ka hakakā, ke komo ʻana o nā hale pili, nā metastases a me ka nui.