Ameloblastoma

ʻO ka ameloblastoma he ʻano maʻi ʻaʻai ʻole (benign) maʻamau ʻole ia e ulu pinepine ana ma ka ihu kokoke i nā molars. Hoʻomaka ka ameloblastoma i loko o nā sela e hana i ka enamel pale ma luna o kou mau niho. ʻO ke ʻano maʻamau loa o ka ameloblastoma he ʻano kolohe ia, e hana ana i kahi ʻōpū nui a ulu ana i loko o ka iwi ihu. Hiki i ka mālama ke komo pū me ka ʻoki kino a me ka radiation. I kekahi mau hihia, pono paha ka hana hou e hoʻihoʻi i kou mau niho, ihu a me ke ʻano o kou helehelena. ʻOi aku ka liʻiliʻi o ka kolohe o kekahi mau ʻano o ka ameloblastoma. ʻOiai ʻike pinepine ʻia ka ameloblastoma i nā mākua ma waena o 30 a 60 mau makahiki, hiki ke loaʻa ka ameloblastoma i nā keiki a me nā ʻōpio.

Hoike pinepine ole ka ameloblastoma i nā hōailona, akā, ʻo nā hōʻailona a me nā hōʻailona e komo pū ai ka ʻeha a me kahi puʻupuʻu a i ʻole ka pehu ma ka ihu. Inā waiho ʻole ʻia me ka mālama ʻole, hiki i ka ʻōpū ke ulu nui loa, e hoʻololi ana i ke ʻano o ka maka lalo a me ka ihu a me ka hoʻoneʻe ʻana i nā niho mai ko lākou wahi. E kamaʻilio me kāu kauka niho a i ʻole ka mea lawelawe ola inā loaʻa iā ʻoe ka pehu a i ʻole ka ʻeha ihu a i ʻole nā ​​manaʻo ʻē aʻe e pili ana i kou olakino waha.

E kamaʻilio i kāu kauka niho a i ʻole ka mea lawelawe ola kino inā loaʻa iā ʻoe ka pehu a i ʻole ka ʻeha o ka ihu, a i ʻole kekahi mau manaʻo ʻē aʻe e pili ana i kou olakino waha.

Hoʻomaka ka ameloblastoma i loko o nā sela e hana ana i ka enamel pale ma luna o kou mau niho. I nā manawa kakaikahi, hiki ke hoʻomaka i loko o ka ʻiʻo gums. ʻAʻole maopopo ka kumu kikoʻī o ka maʻi ʻaʻai, akā hiki i kekahi mau loli genetic (mutations) ke komo i ka hoʻomohala ʻana o ka ameloblastoma. Hiki i kēia mau loli ke hoʻopili i kahi o ka maʻi ʻaʻai, ke ʻano o nā sela i komo a me ka wikiwiki o ka ulu ʻana o ka maʻi ʻaʻai.

Hoʻokaʻawale ʻia nā ameloblastomas ma ke ʻano, akā hiki nō hoʻi ke hoʻokaʻawale ʻia ma ke ʻano o nā sela. ʻO nā ʻano nui ʻehā e komo pū ana:

• Ameloblastoma maʻamau. ʻO kēia ka ʻano maʻamau loa a ulu nui, maʻamau ma ka iwi ʻāʻī lalo, a ma kahi o 10% e hoʻi hou ma hope o ka mālama ʻana.
• Ameloblastoma unicystic. ʻOi aku ka liʻiliʻi o kēia ʻano, akā maʻamau ia i ka wā ʻōpiopio. ʻO ka maʻi ʻaʻai pinepine ma ka hope o ka iwi ʻāʻī lalo ma nā molars. Hiki ke hoʻi hou ma hope o ka mālama ʻana.
• Ameloblastoma peripheral. He mea kakaikahi kēia ʻano a hoʻopili i nā gums a me nā ʻiʻo waha ma ka ʻāʻī luna a i ʻole lalo. Loaʻa i ka maʻi ʻaʻai kahi pilikia haʻahaʻa o ka hoʻi hou ʻana ma hope o ka mālama ʻana.
• Ameloblastoma metastasizing. He mea kakaikahi loa kēia ʻano a hoʻomaopopo ʻia e nā sela maʻi ʻaʻai e kū ana ma kahi ʻē aʻe mai ka wahi mua ma ka iwi ʻāʻī.

Ikaika ka emi o ka ameloblastoma i ka maʻi kanesa (malignant). He mea maʻamau loa ka laha ʻana o nā cell ameloblastoma i nā wahi ʻē aʻe o ke kino (metastasize), e like me nā lymph nodes ma ka ʻāʻī a me nā māmā.

Hiki i ka ameloblastoma ke hoʻi hou ma hope o ka mālama ʻana.

Hiki ke hoʻomaka ka ʻike ʻana o ka ameloblastoma me nā hoʻokolohua e like me kēia:

• Nā hoʻokolohua kiʻi. Kūleʻa nā X-ray, CT a me MRI scans i nā kauka e hoʻoholo i ka nui o ka ameloblastoma. Hiki ke loaʻa ke ʻano ma nā X-ray maʻamau ma ke keʻena niho.
• Hoʻokolohua pūnaewele. No ka hōʻoia ʻana i ka ʻike, hiki i nā kauka ke wehe i kahi ʻāpana o ka pūnaewele a i ʻole kahi ʻāpana o nā sela a hoʻouna aku i kahi lumi hoʻokolohua no ka hoʻokolohua.